| Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. | |
|
W180n8000 Town Hall Rd Menomonee Falls WI 53051-4002 | |
| (262) 255-2500 | |
| Not Available |
| Full Name | Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | W180n8000 Town Hall Rd, Menomonee Falls, Wisconsin |
| Authorized Official Name and Position | Amir Abbas Ghaferi (PRESIDENT & CEO) |
| Authorized Official Contact | 7346604939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. N74w12501 Leatherwood Court 400 Woodland Prime Menomonee Falls WI 53051-4490 Ph: () - | Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. W180n8000 Town Hall Rd Menomonee Falls WI 53051-4002 Ph: (262) 255-2500 |
| NPI Number | 1568787448 |
|---|---|
| Provider Enumeration Date | 04/02/2010 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 3678760063 |
|---|---|
| Medicare Enrollment ID | O20101210000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568787448 | NPI | - | NPPES |
| Provider Name | David E Engle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386686251 PECOS PAC ID: 2466364120 Enrollment ID: I20031111000530 |
| Provider Name | David L Groden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275575276 PECOS PAC ID: 2365355732 Enrollment ID: I20031112000245 |
| Provider Name | John C Wynsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841231982 PECOS PAC ID: 5294648432 Enrollment ID: I20031112000488 |
| Provider Name | Charles F Reuben |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720025638 PECOS PAC ID: 6901719376 Enrollment ID: I20031112000687 |
| Provider Name | Ralph J Galdieri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992746168 PECOS PAC ID: 4587578778 Enrollment ID: I20031112000728 |
| Provider Name | Julie A Parve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174575021 PECOS PAC ID: 8729982277 Enrollment ID: I20031125000709 |
| Provider Name | Laurie L Benson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396890059 PECOS PAC ID: 1850299439 Enrollment ID: I20040115000138 |
| Provider Name | Patricio L Ilada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679630156 PECOS PAC ID: 4587565338 Enrollment ID: I20040115000781 |
| Provider Name | Sailaja Kamaraju |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093763260 PECOS PAC ID: 2668373424 Enrollment ID: I20040115000832 |
| Provider Name | David M Letzer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255382529 PECOS PAC ID: 5294637278 Enrollment ID: I20040122000572 |
| Provider Name | Sumana Koduri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942252762 PECOS PAC ID: 7618879347 Enrollment ID: I20040123000209 |
| Provider Name | Valerie J Bonne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407936016 PECOS PAC ID: 1850293317 Enrollment ID: I20040123001045 |
| Provider Name | David Gummin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497702898 PECOS PAC ID: 2163324674 Enrollment ID: I20040124000180 |
| Provider Name | Amy C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376650804 PECOS PAC ID: 7416850342 Enrollment ID: I20040129000084 |
| Provider Name | Elizabeth M Gehl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720261670 PECOS PAC ID: 0143123836 Enrollment ID: I20040129001064 |
| Provider Name | Michelle A Michel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821041567 PECOS PAC ID: 6002719739 Enrollment ID: I20040130000038 |
| Provider Name | Panayotis Fasseas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407800709 PECOS PAC ID: 1153224563 Enrollment ID: I20040131000120 |
| Provider Name | Scott D Rand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932151636 PECOS PAC ID: 0648173062 Enrollment ID: I20040131000228 |
| Provider Name | Amandeep S Gill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144271925 PECOS PAC ID: 6204739659 Enrollment ID: I20040202000021 |
| Provider Name | Neil L Drake |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023060936 PECOS PAC ID: 5698678043 Enrollment ID: I20040202000064 |
| Provider Name | John W Haeberlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477650109 PECOS PAC ID: 9436043593 Enrollment ID: I20040210000536 |
| Provider Name | Anita L Steliga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720195639 PECOS PAC ID: 3971497033 Enrollment ID: I20040210000537 |
| Provider Name | Manish H Acharya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437129715 PECOS PAC ID: 2163316233 Enrollment ID: I20040210000609 |
| Provider Name | Larry L Duenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649236985 PECOS PAC ID: 2769376631 Enrollment ID: I20040211000694 |
| Provider Name | Kim C Mackey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285603431 PECOS PAC ID: 4981598604 Enrollment ID: I20040212000090 |
| Provider Name | Leighton P Mark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114970852 PECOS PAC ID: 0143114611 Enrollment ID: I20040214000145 |
| Provider Name | James M Strottmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770534455 PECOS PAC ID: 0042104515 Enrollment ID: I20040214000152 |
| Provider Name | Thomas J Dietrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912959446 PECOS PAC ID: 4688569072 Enrollment ID: I20040216000780 |
| Provider Name | Nancy E Havas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255382081 PECOS PAC ID: 7618862665 Enrollment ID: I20040218000518 |
| Provider Name | Robert A Beres |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801817614 PECOS PAC ID: 4880581495 Enrollment ID: I20040301000617 |
| Provider Name | Monica Mary Osullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043262546 PECOS PAC ID: 2466340120 Enrollment ID: I20040305000493 |
| Provider Name | David S Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164460010 PECOS PAC ID: 3274421854 Enrollment ID: I20040305000650 |
| Provider Name | Michael P Cinquegrani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164473567 PECOS PAC ID: 5597653188 Enrollment ID: I20040305000756 |
| Provider Name | Michael J Unger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568485753 PECOS PAC ID: 1759293400 Enrollment ID: I20040308000767 |
| Provider Name | Gregory N Van Winkle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487764700 PECOS PAC ID: 1759270325 Enrollment ID: I20040317000095 |
| Provider Name | Timothy J Morton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407966732 PECOS PAC ID: 3476442047 Enrollment ID: I20040317000130 |
| Provider Name | Rose A Franco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821040494 PECOS PAC ID: 1254222789 Enrollment ID: I20040323001227 |
| Provider Name | Charles E Reitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215137989 PECOS PAC ID: 5193615698 Enrollment ID: I20040325001369 |
| Provider Name | Rory F Miranda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922180751 PECOS PAC ID: 1254223803 Enrollment ID: I20040327000259 |
| Provider Name | Joseph L Shaker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164561247 PECOS PAC ID: 4183516487 Enrollment ID: I20040329001679 |
| Provider Name | Beth M Lalande |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053428599 PECOS PAC ID: 7416849724 Enrollment ID: I20040329001718 |
| Provider Name | James W Findling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295803401 PECOS PAC ID: 8527950849 Enrollment ID: I20040329001786 |
| Provider Name | Steven B Magill |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508973066 PECOS PAC ID: 5698667913 Enrollment ID: I20040329001800 |
| Provider Name | Melanie E Plante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386721710 PECOS PAC ID: 3779576715 Enrollment ID: I20040406000871 |
| Provider Name | James B Nelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245291061 PECOS PAC ID: 4183618762 Enrollment ID: I20040414001513 |
| Provider Name | James D Buck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902879182 PECOS PAC ID: 4880689488 Enrollment ID: I20040414001684 |
| Provider Name | Thomas J Gvora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619940723 PECOS PAC ID: 7517879257 Enrollment ID: I20040416000482 |
| Provider Name | Paul F Flink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279585 PECOS PAC ID: 6204748858 Enrollment ID: I20040417000085 |
| Provider Name | Salim M Shammo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295791937 PECOS PAC ID: 0345236832 Enrollment ID: I20040421000824 |
| Provider Name | Mohamed Helmi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003883620 PECOS PAC ID: 9739176652 Enrollment ID: I20040430000379 |
| Provider Name | Michael D Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477520443 PECOS PAC ID: 1153319538 Enrollment ID: I20040504001098 |
| Provider Name | Mark W Lodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265483739 PECOS PAC ID: 5991795940 Enrollment ID: I20040513000392 |
| Provider Name | Jane E Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528042793 PECOS PAC ID: 7810985595 Enrollment ID: I20040514000274 |
| Provider Name | Brian D Lewis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205888948 PECOS PAC ID: 2567452907 Enrollment ID: I20040517000779 |
| Provider Name | Minoudokht Azimi Zavarei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649280827 PECOS PAC ID: 2163413014 Enrollment ID: I20040520000350 |
| Provider Name | Chad E Hoitink |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124100953 PECOS PAC ID: 7214928886 Enrollment ID: I20040521000601 |
| Provider Name | Peter G Parrino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215901558 PECOS PAC ID: 5092705434 Enrollment ID: I20040521000654 |
| Provider Name | Mauricio Tovar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427140102 PECOS PAC ID: 2264423839 Enrollment ID: I20040524000049 |
| Provider Name | Dawn M Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295758738 PECOS PAC ID: 8820079601 Enrollment ID: I20040527000312 |
| Provider Name | Jacquelyn F Dinusson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649221722 PECOS PAC ID: 0648251280 Enrollment ID: I20040528000232 |
| Provider Name | Eric J Hohenwalter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619929411 PECOS PAC ID: 9234111840 Enrollment ID: I20040607000107 |
| Provider Name | Frederick K Bulacan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699768622 PECOS PAC ID: 8022922178 Enrollment ID: I20040607000509 |
| Provider Name | Margaret A Schueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649278292 PECOS PAC ID: 7719960020 Enrollment ID: I20040609000177 |
| Provider Name | Frederick F Origenes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720062250 PECOS PAC ID: 8022092519 Enrollment ID: I20040614000946 |
| Provider Name | Mario A Laguna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851342695 PECOS PAC ID: 2163406521 Enrollment ID: I20040615000469 |
| Provider Name | Kristen L Maskala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104908938 PECOS PAC ID: 2163406422 Enrollment ID: I20040615000543 |
| Provider Name | Tanya K Heinrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861566317 PECOS PAC ID: 3870577737 Enrollment ID: I20040617000238 |
| Provider Name | Brian J Jellison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225016835 PECOS PAC ID: 9032194428 Enrollment ID: I20040621000871 |
| Provider Name | Stephanie L Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861457061 PECOS PAC ID: 1759366040 Enrollment ID: I20040621001698 |
| Provider Name | Eric A Soneson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811079643 PECOS PAC ID: 1254316417 Enrollment ID: I20040622000394 |
| Provider Name | Manila Sodhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114005618 PECOS PAC ID: 3274510730 Enrollment ID: I20040701001345 |
| Provider Name | Craig C Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215989579 PECOS PAC ID: 8729065768 Enrollment ID: I20040707000656 |
| Provider Name | Charles J Harkins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275584773 PECOS PAC ID: 0547248841 Enrollment ID: I20040713000305 |
| Provider Name | Timothy K Schultz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225010689 PECOS PAC ID: 1456240365 Enrollment ID: I20040721000915 |
| Provider Name | Amy L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689648933 PECOS PAC ID: 5092795583 Enrollment ID: I20040723001240 |
| Provider Name | Lara C Totzke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184699225 PECOS PAC ID: 9436120235 Enrollment ID: I20040804001386 |
| Provider Name | Laura L Radke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265516645 PECOS PAC ID: 3577535509 Enrollment ID: I20040810001342 |
| Provider Name | Humberto A Battistini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174574594 PECOS PAC ID: 5991778540 Enrollment ID: I20040813000046 |
| Provider Name | Manoj Raghavan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467404178 PECOS PAC ID: 9638142284 Enrollment ID: I20040813000114 |
| Provider Name | Deborah S Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043392871 PECOS PAC ID: 6800869306 Enrollment ID: I20040813000454 |
| Provider Name | Jeanine M Kies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568412898 PECOS PAC ID: 0941273403 Enrollment ID: I20040813000870 |
| Provider Name | Jennifer A Augustine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295795904 PECOS PAC ID: 3072587484 Enrollment ID: I20040823000425 |
| Provider Name | Robert A Hieb |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578514022 PECOS PAC ID: 5991770687 Enrollment ID: I20040826001085 |
| Provider Name | Michelle C Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013934447 PECOS PAC ID: 6305811910 Enrollment ID: I20040827000640 |
| Provider Name | Marcia Lynn Dewey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891891586 PECOS PAC ID: 6406823319 Enrollment ID: I20040910001108 |
| Provider Name | Christopher M Long |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659382117 PECOS PAC ID: 2163499005 Enrollment ID: I20040910001285 |
| Provider Name | Hong Wu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861444275 PECOS PAC ID: 9830166354 Enrollment ID: I20040914000971 |
| Provider Name | Joseph P Herzog |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508859901 PECOS PAC ID: 9830166339 Enrollment ID: I20040915000214 |
| Provider Name | Roseann Gumina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295728681 PECOS PAC ID: 1658348156 Enrollment ID: I20040915000256 |
| Provider Name | Jennifer S Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184675928 PECOS PAC ID: 1052389145 Enrollment ID: I20040916001210 |
| Provider Name | Tina W F Yen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1215989702 PECOS PAC ID: 4880663772 Enrollment ID: I20040928000511 |
| Provider Name | Sumi D Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467403204 PECOS PAC ID: 0840269379 Enrollment ID: I20040930000625 |
| Provider Name | Christine M Nervi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720063738 PECOS PAC ID: 7810966215 Enrollment ID: I20041001000706 |
| Provider Name | Madhuri H Trivedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467415604 PECOS PAC ID: 0244299774 Enrollment ID: I20041008000793 |
| Provider Name | Scott A Schlidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063463719 PECOS PAC ID: 6608835145 Enrollment ID: I20041008000863 |
| Provider Name | Byung Il W Choi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467403840 PECOS PAC ID: 6800855396 Enrollment ID: I20041008001307 |
| Provider Name | Julie E Mossberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659453488 PECOS PAC ID: 5890755284 Enrollment ID: I20041011000422 |
| Provider Name | Debora A Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487744173 PECOS PAC ID: 5092775494 Enrollment ID: I20041011000503 |
| Provider Name | Jose C Mendez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013965482 PECOS PAC ID: 0941261887 Enrollment ID: I20041022001183 |
| Provider Name | Bridget P Elliott |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184837676 PECOS PAC ID: 1153383245 Enrollment ID: I20041101000723 |
| Provider Name | Takushi Kohmoto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013971688 PECOS PAC ID: 6800858606 Enrollment ID: I20041103000746 |
| Provider Name | Tamara J Teetzen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639267792 PECOS PAC ID: 3173586674 Enrollment ID: I20041105000496 |
| Provider Name | Beth A Aycock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932244431 PECOS PAC ID: 1658335435 Enrollment ID: I20041112000497 |
| Provider Name | Aaron T Dall |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730131061 PECOS PAC ID: 8123082807 Enrollment ID: I20041112000571 |
| Provider Name | Jane J Ramanujam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235163189 PECOS PAC ID: 6507820768 Enrollment ID: I20041117000342 |
| Provider Name | Oksana Y Sayko |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851344592 PECOS PAC ID: 8527022615 Enrollment ID: I20041118000169 |
| Provider Name | Shireen A Jayne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942382775 PECOS PAC ID: 8426012444 Enrollment ID: I20041118000427 |
| Provider Name | Beth Nicole Healy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639119993 PECOS PAC ID: 3678538287 Enrollment ID: I20041123000528 |
| Provider Name | Denise S Uyar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407807175 PECOS PAC ID: 7012973944 Enrollment ID: I20041202000760 |
| Provider Name | Christina T Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750332508 PECOS PAC ID: 4183680903 Enrollment ID: I20041203000386 |
| Provider Name | Bao Lan Raikar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841308830 PECOS PAC ID: 5991761546 Enrollment ID: I20041206000199 |
| Provider Name | Goya V Raikar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376516229 PECOS PAC ID: 4587620133 Enrollment ID: I20041206000234 |
| Provider Name | Joel G Schaeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033159116 PECOS PAC ID: 0042277303 Enrollment ID: I20041217000715 |
| Provider Name | Brian R Wolter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588638498 PECOS PAC ID: 9234187758 Enrollment ID: I20050111000421 |
| Provider Name | Laura M Gottschlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033160882 PECOS PAC ID: 3870541246 Enrollment ID: I20050112000421 |
| Provider Name | Sharniecia L Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538112289 PECOS PAC ID: 9133178585 Enrollment ID: I20050112001122 |
| Provider Name | Matthew R Plach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124083910 PECOS PAC ID: 4688623705 Enrollment ID: I20050115000032 |
| Provider Name | James S Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447353750 PECOS PAC ID: 7416909155 Enrollment ID: I20050210000775 |
| Provider Name | Christopher E Wolfla |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003868589 PECOS PAC ID: 5294787842 Enrollment ID: I20050211000525 |
| Provider Name | Ty B Carroll |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558312942 PECOS PAC ID: 6901858554 Enrollment ID: I20050211000546 |
| Provider Name | Laura M Kleczka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285685735 PECOS PAC ID: 1850343310 Enrollment ID: I20050214000424 |
| Provider Name | Danish Siddiqui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215987128 PECOS PAC ID: 0042262917 Enrollment ID: I20050218000539 |
| Provider Name | Michael J Gitter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467403410 PECOS PAC ID: 9537072541 Enrollment ID: I20050222000338 |
| Provider Name | Silja Majahalme |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336199926 PECOS PAC ID: 1052364817 Enrollment ID: I20050222000420 |
| Provider Name | Lonna D Kannenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942266531 PECOS PAC ID: 2365495298 Enrollment ID: I20050302000878 |
| Provider Name | Agrahara G Bharatkumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689603425 PECOS PAC ID: 0143267153 Enrollment ID: I20050412000398 |
| Provider Name | Andrea M Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235160508 PECOS PAC ID: 2264479955 Enrollment ID: I20050414000132 |
| Provider Name | Joseph J Hine |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568413391 PECOS PAC ID: 5294773487 Enrollment ID: I20050419000695 |
| Provider Name | Daniel W Hambrook |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770665507 PECOS PAC ID: 0547208001 Enrollment ID: I20050425000603 |
| Provider Name | Elizabeth A Malecha |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487736211 PECOS PAC ID: 4284674904 Enrollment ID: I20050511000843 |
| Provider Name | Roxanna L Aldstadt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457431819 PECOS PAC ID: 0749220473 Enrollment ID: I20050511000927 |
| Provider Name | Travis P Webb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760434062 PECOS PAC ID: 1951343540 Enrollment ID: I20050524000839 |
| Provider Name | John D Burfeind |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316026214 PECOS PAC ID: 9931141546 Enrollment ID: I20050524000962 |
| Provider Name | Eric J Olafsson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316021785 PECOS PAC ID: 3173565546 Enrollment ID: I20050525000920 |
| Provider Name | Raymond T Fedderly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790736619 PECOS PAC ID: 7113960956 Enrollment ID: I20050602001119 |
| Provider Name | Thomas W Heinrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083668354 PECOS PAC ID: 6305889742 Enrollment ID: I20050607000046 |
| Provider Name | Timothy S Wells |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225080542 PECOS PAC ID: 5496798894 Enrollment ID: I20050607000443 |
| Provider Name | Susan J Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255446340 PECOS PAC ID: 7113960436 Enrollment ID: I20050608000163 |
| Provider Name | Jason M Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528010105 PECOS PAC ID: 6002850955 Enrollment ID: I20050613000587 |
| Provider Name | James D Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588612170 PECOS PAC ID: 8921042771 Enrollment ID: I20050614000119 |
| Provider Name | Kirsten L O Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841237781 PECOS PAC ID: 0446294060 Enrollment ID: I20050615000112 |
| Provider Name | Mark A Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739827 PECOS PAC ID: 5294648986 Enrollment ID: I20050615000264 |
| Provider Name | Anne M Winters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659301463 PECOS PAC ID: 3870537277 Enrollment ID: I20050616000455 |
| Provider Name | Russell C Dabrowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770694481 PECOS PAC ID: 3375516248 Enrollment ID: I20050621000504 |
| Provider Name | Sean Merrill Tutton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326099086 PECOS PAC ID: 2466497409 Enrollment ID: I20050621000829 |
| Provider Name | Syed M Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982655460 PECOS PAC ID: 9335184308 Enrollment ID: I20050621001061 |
| Provider Name | John F Hamer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093763864 PECOS PAC ID: 3779529912 Enrollment ID: I20050628001262 |
| Provider Name | Naim Veliko Kochiu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871576355 PECOS PAC ID: 1456344803 Enrollment ID: I20050628001293 |
| Provider Name | Satish Kodali |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861405748 PECOS PAC ID: 7618960527 Enrollment ID: I20050630000790 |
| Provider Name | Michael F Brin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144283110 PECOS PAC ID: 0941253371 Enrollment ID: I20050723000069 |
| Provider Name | Ian H Gilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659486744 PECOS PAC ID: 8527095249 Enrollment ID: I20050725000205 |
| Provider Name | Daniel B Jankins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093756272 PECOS PAC ID: 7911934641 Enrollment ID: I20050725000346 |
| Provider Name | William C Haselow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811942444 PECOS PAC ID: 7618877804 Enrollment ID: I20050725000575 |
| Provider Name | Dennis W Shepherd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346279940 PECOS PAC ID: 9032009808 Enrollment ID: I20050725000597 |
| Provider Name | Mary E Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982634523 PECOS PAC ID: 8527095298 Enrollment ID: I20050725000618 |
| Provider Name | Renee Sinopoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972559060 PECOS PAC ID: 5799713269 Enrollment ID: I20050727000511 |
| Provider Name | Guy R Lord |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255399978 PECOS PAC ID: 6002845146 Enrollment ID: I20050809000319 |
| Provider Name | Michelle C Pesek-mccoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265468656 PECOS PAC ID: 0143297952 Enrollment ID: I20050809000876 |
| Provider Name | Trisha L Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457303315 PECOS PAC ID: 7012947690 Enrollment ID: I20050813000176 |
| Provider Name | George B Haasler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275584096 PECOS PAC ID: 4284664863 Enrollment ID: I20050813000182 |
| Provider Name | Ruth E Drazewski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962453944 PECOS PAC ID: 8628008216 Enrollment ID: I20050813000215 |
| Provider Name | Tiffany L Mork |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376650671 PECOS PAC ID: 7416937339 Enrollment ID: I20050817000477 |
| Provider Name | Debra L Dautermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093899411 PECOS PAC ID: 2466482674 Enrollment ID: I20050817000765 |
| Provider Name | Michael J Gerard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598742652 PECOS PAC ID: 6507897261 Enrollment ID: I20050823000676 |
| Provider Name | Nicole L Klausmeier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841372679 PECOS PAC ID: 2163453747 Enrollment ID: I20050823000914 |
| Provider Name | Alexander A Romashko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831163963 PECOS PAC ID: 5799716320 Enrollment ID: I20050824000171 |
| Provider Name | Robert Corey Oconnor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295789030 PECOS PAC ID: 0345228581 Enrollment ID: I20050825000556 |
| Provider Name | Peggy A Stickney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598759441 PECOS PAC ID: 7517998743 Enrollment ID: I20050826000414 |
| Provider Name | Joni L Westenberger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275615007 PECOS PAC ID: 8325079528 Enrollment ID: I20050827000041 |
| Provider Name | Janice L Rasmussen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912089749 PECOS PAC ID: 7012948110 Enrollment ID: I20050829000671 |
| Provider Name | Michael Swank |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912972878 PECOS PAC ID: 7416988464 Enrollment ID: I20050830000101 |
| Provider Name | Max C Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841231958 PECOS PAC ID: 0446236962 Enrollment ID: I20050830000777 |
| Provider Name | Anne D Hase |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306928130 PECOS PAC ID: 3971534827 Enrollment ID: I20050830000823 |
| Provider Name | Patrick T Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326010026 PECOS PAC ID: 2062326549 Enrollment ID: I20050830001008 |
| Provider Name | Steven H Kroft |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952352791 PECOS PAC ID: 2062444979 Enrollment ID: I20050831000316 |
| Provider Name | Merle R Orr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336193176 PECOS PAC ID: 3779515697 Enrollment ID: I20050831000413 |
| Provider Name | David M Reese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558443382 PECOS PAC ID: 7517999246 Enrollment ID: I20050902000144 |
| Provider Name | Huma A Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114936721 PECOS PAC ID: 2668405515 Enrollment ID: I20050913000150 |
| Provider Name | Karen L Fickel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336190255 PECOS PAC ID: 5395778161 Enrollment ID: I20050913000322 |
| Provider Name | Rick D Gillis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962453746 PECOS PAC ID: 1557394327 Enrollment ID: I20050913000343 |
| Provider Name | Sandra S Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871544692 PECOS PAC ID: 3072546852 Enrollment ID: I20050913000368 |
| Provider Name | Neil K Luy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609827450 PECOS PAC ID: 7911930706 Enrollment ID: I20050913000424 |
| Provider Name | Hope N Benthien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255384293 PECOS PAC ID: 3577596782 Enrollment ID: I20050916000657 |
| Provider Name | Janel Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720002694 PECOS PAC ID: 3072547082 Enrollment ID: I20050920000483 |
| Provider Name | Laura R Field |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174585582 PECOS PAC ID: 0244264786 Enrollment ID: I20050923000142 |
| Provider Name | Robert P Chayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962444711 PECOS PAC ID: 5294760849 Enrollment ID: I20051003000203 |
| Provider Name | Rahul S Nanchal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619929320 PECOS PAC ID: 9830124122 Enrollment ID: I20051005001003 |
| Provider Name | Anne C Sharpe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093897829 PECOS PAC ID: 7719902063 Enrollment ID: I20051006000252 |
| Provider Name | Colleen M Poggenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558306407 PECOS PAC ID: 8224053947 Enrollment ID: I20051012000314 |
| Provider Name | Tyshunda L Manning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205803749 PECOS PAC ID: 1052337961 Enrollment ID: I20051020000295 |
| Provider Name | Alexander A Pleszynski-platz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285790147 PECOS PAC ID: 8426096454 Enrollment ID: I20051024000522 |
| Provider Name | William A See |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457303208 PECOS PAC ID: 9638196025 Enrollment ID: I20051025000653 |
| Provider Name | John F Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053361451 PECOS PAC ID: 1254224710 Enrollment ID: I20051027000648 |
| Provider Name | Renee A Foutz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720046964 PECOS PAC ID: 1355368283 Enrollment ID: I20051028001009 |
| Provider Name | Marcie G Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952403818 PECOS PAC ID: 4082606967 Enrollment ID: I20051031000179 |
| Provider Name | Kirstin M Certalic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275542326 PECOS PAC ID: 6103844592 Enrollment ID: I20051103001023 |
| Provider Name | Melissa M Wein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235181843 PECOS PAC ID: 3375561020 Enrollment ID: I20051110000673 |
| Provider Name | Michael Ritter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427006311 PECOS PAC ID: 4082633649 Enrollment ID: I20051114000683 |
| Provider Name | Harold H Harsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265486591 PECOS PAC ID: 8527087014 Enrollment ID: I20051114000982 |
| Provider Name | Cristino Caayao Canga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588631253 PECOS PAC ID: 3779502828 Enrollment ID: I20051117000401 |
| Provider Name | Aysha L Schaper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306899687 PECOS PAC ID: 1850311689 Enrollment ID: I20051123000072 |
| Provider Name | Roderick S Brodhead |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356384564 PECOS PAC ID: 4789586322 Enrollment ID: I20051129000655 |
| Provider Name | Sara A Harter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497837223 PECOS PAC ID: 3971523499 Enrollment ID: I20051129000957 |
| Provider Name | Michael C Decker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982656211 PECOS PAC ID: 4183644610 Enrollment ID: I20051129001013 |
| Provider Name | Linda Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912999558 PECOS PAC ID: 2264452796 Enrollment ID: I20051129001027 |
| Provider Name | Zoran D Gajic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821172255 PECOS PAC ID: 4981624301 Enrollment ID: I20051130000768 |
| Provider Name | Svetlana Yuryevna Zaharova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154373652 PECOS PAC ID: 7012939671 Enrollment ID: I20051222000590 |
| Provider Name | Julie A Biller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619928066 PECOS PAC ID: 6103848320 Enrollment ID: I20051230000404 |
| Provider Name | Debra J Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003870064 PECOS PAC ID: 6507889920 Enrollment ID: I20060111000501 |
| Provider Name | Raman Khanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083645410 PECOS PAC ID: 0345264503 Enrollment ID: I20060116000271 |
| Provider Name | Thomas R Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548292436 PECOS PAC ID: 7113941071 Enrollment ID: I20060118000457 |
| Provider Name | John W Gucciardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760417430 PECOS PAC ID: 8729002183 Enrollment ID: I20060124000883 |
| Provider Name | Carolyn J Lathen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770522815 PECOS PAC ID: 5395759336 Enrollment ID: I20060130000613 |
| Provider Name | Diane R Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745487 PECOS PAC ID: 1456365048 Enrollment ID: I20060202000938 |
| Provider Name | Bradley Randolph Brooke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558377333 PECOS PAC ID: 3577522697 Enrollment ID: I20060206000274 |
| Provider Name | Therese J Gesteland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649227950 PECOS PAC ID: 4688654015 Enrollment ID: I20060214000583 |
| Provider Name | Scott J Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346291168 PECOS PAC ID: 1658386214 Enrollment ID: I20060217000576 |
| Provider Name | Mark D Hohenwalter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235180068 PECOS PAC ID: 6800801465 Enrollment ID: I20060217000590 |
| Provider Name | Brady Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821012220 PECOS PAC ID: 0840206355 Enrollment ID: I20060221000596 |
| Provider Name | William S Rilling |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437102175 PECOS PAC ID: 5294741690 Enrollment ID: I20060228000340 |
| Provider Name | Ann F Krueger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811922271 PECOS PAC ID: 8123035060 Enrollment ID: I20060316000609 |
| Provider Name | Angela M Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225006695 PECOS PAC ID: 0446268890 Enrollment ID: I20060328000218 |
| Provider Name | Carlos J Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427098680 PECOS PAC ID: 4880663996 Enrollment ID: I20060330000057 |
| Provider Name | Dennis J Maiman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265483010 PECOS PAC ID: 8628980307 Enrollment ID: I20060404000344 |
| Provider Name | Shekar N Kurpad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033160874 PECOS PAC ID: 3476561341 Enrollment ID: I20060404000360 |
| Provider Name | Kathleen R Moloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811956451 PECOS PAC ID: 1254349129 Enrollment ID: I20060404000396 |
| Provider Name | David K De Dianous |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386695815 PECOS PAC ID: 6406864396 Enrollment ID: I20060404000525 |
| Provider Name | Joanne L Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639121429 PECOS PAC ID: 9830107739 Enrollment ID: I20060404000649 |
| Provider Name | Linda E Scaffidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720151749 PECOS PAC ID: 0244275741 Enrollment ID: I20060404000734 |
| Provider Name | Sandra K Zernzach Schertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841395464 PECOS PAC ID: 1355351198 Enrollment ID: I20060425000234 |
| Provider Name | Wendy L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518900356 PECOS PAC ID: 7810907896 Enrollment ID: I20060504000834 |
| Provider Name | Melissa A Kalt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326011701 PECOS PAC ID: 1052322427 Enrollment ID: I20060523000087 |
| Provider Name | Linda N Meurer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508817354 PECOS PAC ID: 5991717050 Enrollment ID: I20060608000260 |
| Provider Name | Marjorie C Wang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346293479 PECOS PAC ID: 0345252177 Enrollment ID: I20060619000230 |
| Provider Name | Angela M Wetor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982646865 PECOS PAC ID: 7214949908 Enrollment ID: I20060621000084 |
| Provider Name | Robert H Sorensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447215702 PECOS PAC ID: 9032121793 Enrollment ID: I20060621000224 |
| Provider Name | Michael Paul Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396792537 PECOS PAC ID: 6204848781 Enrollment ID: I20060627000216 |
| Provider Name | Dennis P Han |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598716334 PECOS PAC ID: 8022020510 Enrollment ID: I20060627000312 |
| Provider Name | Thomas B Connor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497707921 PECOS PAC ID: 1456363944 Enrollment ID: I20060627000344 |
| Provider Name | William J Wirostko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255383733 PECOS PAC ID: 1355353848 Enrollment ID: I20060627000350 |
| Provider Name | Robert J Brodish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164498549 PECOS PAC ID: 8628980281 Enrollment ID: I20060630000259 |
| Provider Name | Nathan R Matje |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285675926 PECOS PAC ID: 5092728287 Enrollment ID: I20060710000122 |
| Provider Name | Peter J Mason |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144282120 PECOS PAC ID: 7810900081 Enrollment ID: I20060711000466 |
| Provider Name | Sheeba A Minhas-pannu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669425344 PECOS PAC ID: 6406869569 Enrollment ID: I20060713000318 |
| Provider Name | Vladimir Ivanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578542767 PECOS PAC ID: 9830102276 Enrollment ID: I20060801000168 |
| Provider Name | Harry Hostetler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093775090 PECOS PAC ID: 5092718056 Enrollment ID: I20060811000032 |
| Provider Name | Chantel L Hasman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689688533 PECOS PAC ID: 9032113196 Enrollment ID: I20060831000475 |
| Provider Name | Joseph S Goveas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013957737 PECOS PAC ID: 4880698901 Enrollment ID: I20060905000017 |
| Provider Name | Peter J Bartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497728794 PECOS PAC ID: 4688678733 Enrollment ID: I20060905000219 |
| Provider Name | Michael A Kron |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174564637 PECOS PAC ID: 0941204879 Enrollment ID: I20060908000064 |
| Provider Name | John Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043251648 PECOS PAC ID: 0840294773 Enrollment ID: I20060908000075 |
| Provider Name | Marshall A Beckman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063520963 PECOS PAC ID: 7911902432 Enrollment ID: I20060915000293 |
| Provider Name | Laura L Franck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063452613 PECOS PAC ID: 9537164785 Enrollment ID: I20060922000248 |
| Provider Name | John D Drexler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962424358 PECOS PAC ID: 1759386709 Enrollment ID: I20060925000593 |
| Provider Name | Charles S Marn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275558553 PECOS PAC ID: 0042216335 Enrollment ID: I20061010000308 |
| Provider Name | Shoaib Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275575581 PECOS PAC ID: 6709883325 Enrollment ID: I20061024000516 |
| Provider Name | Jonathan W Florczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942213996 PECOS PAC ID: 7618974254 Enrollment ID: I20061025000059 |
| Provider Name | Sunu S Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609819382 PECOS PAC ID: 2466459656 Enrollment ID: I20061101000053 |
| Provider Name | Brian-fred M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210594 PECOS PAC ID: 9032116082 Enrollment ID: I20061103000489 |
| Provider Name | Kirsten W Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023052073 PECOS PAC ID: 9638176589 Enrollment ID: I20061107000158 |
| Provider Name | Michelle L Skierka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396828851 PECOS PAC ID: 4284632019 Enrollment ID: I20061110000025 |
| Provider Name | Christopher J Leichliter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023029048 PECOS PAC ID: 5092713826 Enrollment ID: I20061110000038 |
| Provider Name | Leah D Demares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295748630 PECOS PAC ID: 7012915671 Enrollment ID: I20061116000103 |
| Provider Name | Andrew J Baldus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316924590 PECOS PAC ID: 8527066976 Enrollment ID: I20061117000396 |
| Provider Name | Michelle Renee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679521520 PECOS PAC ID: 7719985654 Enrollment ID: I20061201000131 |
| Provider Name | Timothy G Wells |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750494704 PECOS PAC ID: 1658378336 Enrollment ID: I20061206000471 |
| Provider Name | David L Jarvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548365844 PECOS PAC ID: 6406855063 Enrollment ID: I20061207000414 |
| Provider Name | Lori L Grahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821172321 PECOS PAC ID: 1850390485 Enrollment ID: I20061208000510 |
| Provider Name | Mark A Vukovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154490217 PECOS PAC ID: 4587663943 Enrollment ID: I20061212000451 |
| Provider Name | Michael E Timins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851342505 PECOS PAC ID: 4385644624 Enrollment ID: I20070110000272 |
| Provider Name | Asma Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659392769 PECOS PAC ID: 2466453261 Enrollment ID: I20070122000465 |
| Provider Name | Panna A Codner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356410898 PECOS PAC ID: 3072539873 Enrollment ID: I20070131000651 |
| Provider Name | David C Gregg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134178601 PECOS PAC ID: 5395708036 Enrollment ID: I20070202000075 |
| Provider Name | Jeffrey G Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457440919 PECOS PAC ID: 6709887110 Enrollment ID: I20070209000240 |
| Provider Name | Erin L Bellin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922159250 PECOS PAC ID: 1153323472 Enrollment ID: I20070215000129 |
| Provider Name | Robert S Hellman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447201280 PECOS PAC ID: 2961504139 Enrollment ID: I20070220000128 |
| Provider Name | Mir Ismail Quryshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871506089 PECOS PAC ID: 1557463056 Enrollment ID: I20070302000048 |
| Provider Name | Paul J Pearson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336250950 PECOS PAC ID: 0749383982 Enrollment ID: I20070308000609 |
| Provider Name | Michael Lenz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609848167 PECOS PAC ID: 9335242247 Enrollment ID: I20070314000406 |
| Provider Name | Stuart M Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760434633 PECOS PAC ID: 3577543768 Enrollment ID: I20070316000294 |
| Provider Name | Darnella D Gist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952331837 PECOS PAC ID: 7012010689 Enrollment ID: I20070320000351 |
| Provider Name | Carmen Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477608529 PECOS PAC ID: 7719081157 Enrollment ID: I20070326000011 |
| Provider Name | Michael P Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518909647 PECOS PAC ID: 2365440914 Enrollment ID: I20070516000163 |
| Provider Name | Kristi E Caddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841403888 PECOS PAC ID: 4486751328 Enrollment ID: I20070529000491 |
| Provider Name | Keith E Baynes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598842742 PECOS PAC ID: 8224136734 Enrollment ID: I20070607000087 |
| Provider Name | Joseph J Budovec |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609961499 PECOS PAC ID: 8224137856 Enrollment ID: I20070622000415 |
| Provider Name | Irina Konon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912077041 PECOS PAC ID: 4385743764 Enrollment ID: I20070626000399 |
| Provider Name | Sarfraz S Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801946462 PECOS PAC ID: 2860591278 Enrollment ID: I20070626000677 |
| Provider Name | Bridgett R Moss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043437213 PECOS PAC ID: 7113027087 Enrollment ID: I20070706000027 |
| Provider Name | Kristin A Haglund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972640068 PECOS PAC ID: 1557461209 Enrollment ID: I20070710000614 |
| Provider Name | Kumar Sujeet |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467659672 PECOS PAC ID: 0547360216 Enrollment ID: I20070710000732 |
| Provider Name | Stuti Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710099379 PECOS PAC ID: 3678675865 Enrollment ID: I20070710000747 |
| Provider Name | Kamlesh R Kurre |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679669766 PECOS PAC ID: 8224138904 Enrollment ID: I20070710000848 |
| Provider Name | Elizabeth L Thiel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689730764 PECOS PAC ID: 3870693450 Enrollment ID: I20070711000790 |
| Provider Name | Rafal J Ryzka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164635041 PECOS PAC ID: 0648370064 Enrollment ID: I20070713000230 |
| Provider Name | Sonia B Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447333232 PECOS PAC ID: 0345340725 Enrollment ID: I20070713000745 |
| Provider Name | Dawn M Regner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437122652 PECOS PAC ID: 8022911130 Enrollment ID: I20070718000624 |
| Provider Name | Joanne M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255335030 PECOS PAC ID: 2365543329 Enrollment ID: I20070720000852 |
| Provider Name | Tracy S Wang |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1316141955 PECOS PAC ID: 2466543046 Enrollment ID: I20070810000636 |
| Provider Name | Ana Perelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295936409 PECOS PAC ID: 2062504475 Enrollment ID: I20070815000253 |
| Provider Name | Steven J Staehling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336105501 PECOS PAC ID: 5092807842 Enrollment ID: I20070823000894 |
| Provider Name | James R Pawlak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083670244 PECOS PAC ID: 1254342769 Enrollment ID: I20070823000940 |
| Provider Name | Mary J Gentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811945942 PECOS PAC ID: 5496847246 Enrollment ID: I20070823000961 |
| Provider Name | John D Bivins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841230463 PECOS PAC ID: 4082706767 Enrollment ID: I20070827000178 |
| Provider Name | William L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992747091 PECOS PAC ID: 1052403557 Enrollment ID: I20070828000475 |
| Provider Name | Claire Louvar Canga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760674675 PECOS PAC ID: 0547353476 Enrollment ID: I20070907000548 |
| Provider Name | Zia A Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20070910000052 |
| Provider Name | Michael Widlansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467568220 PECOS PAC ID: 2264403849 Enrollment ID: I20070913000091 |
| Provider Name | Linda O Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538110515 PECOS PAC ID: 6103911342 Enrollment ID: I20071002000775 |
| Provider Name | Joanne D Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962697953 PECOS PAC ID: 6507951415 Enrollment ID: I20071005000602 |
| Provider Name | Lewis B Somberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760448526 PECOS PAC ID: 3476648395 Enrollment ID: I20071005000751 |
| Provider Name | James Colin Robinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699727305 PECOS PAC ID: 3072609726 Enrollment ID: I20071011000340 |
| Provider Name | Mario Riccardo Colella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336106277 PECOS PAC ID: 9638147044 Enrollment ID: I20071012000540 |
| Provider Name | Saul Suster |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215974795 PECOS PAC ID: 0042306508 Enrollment ID: I20071012000683 |
| Provider Name | Ryan J Kehoe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184675365 PECOS PAC ID: 4880694892 Enrollment ID: I20071025000011 |
| Provider Name | Mark A Kostic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306893896 PECOS PAC ID: 9234100660 Enrollment ID: I20071026000701 |
| Provider Name | Lisa M Rich |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518931195 PECOS PAC ID: 0840109096 Enrollment ID: I20071116000297 |
| Provider Name | John S Heighway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861469215 PECOS PAC ID: 7810923406 Enrollment ID: I20071126000075 |
| Provider Name | Annmarie D Wendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932394764 PECOS PAC ID: 8224127055 Enrollment ID: I20071203000082 |
| Provider Name | Jessica K Tischler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023220332 PECOS PAC ID: 1052400751 Enrollment ID: I20071204000109 |
| Provider Name | Jacqueline K Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699961763 PECOS PAC ID: 5597855429 Enrollment ID: I20071217000057 |
| Provider Name | Ashraf El Meanawy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659486470 PECOS PAC ID: 4880784537 Enrollment ID: I20071218000259 |
| Provider Name | John E Stone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306813761 PECOS PAC ID: 9436061850 Enrollment ID: I20071228000220 |
| Provider Name | Erik P Gierahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255368189 PECOS PAC ID: 6901800028 Enrollment ID: I20080110000604 |
| Provider Name | Daniel A Pauley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790974673 PECOS PAC ID: 9234210352 Enrollment ID: I20080115000547 |
| Provider Name | Venelin J Kounev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902979750 PECOS PAC ID: 8921189937 Enrollment ID: I20080116000250 |
| Provider Name | Mary Beth Jeske |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699719146 PECOS PAC ID: 5193807220 Enrollment ID: I20080129000419 |
| Provider Name | Tricia A Lorenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174736656 PECOS PAC ID: 1052494119 Enrollment ID: I20080212000645 |
| Provider Name | David R Deltoro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326090663 PECOS PAC ID: 5597848317 Enrollment ID: I20080215000597 |
| Provider Name | Richard J Shimp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184652257 PECOS PAC ID: 6406939248 Enrollment ID: I20080216000023 |
| Provider Name | Cindy B Catania |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699769596 PECOS PAC ID: 5991889529 Enrollment ID: I20080221000096 |
| Provider Name | Jennifer J Perdue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861683716 PECOS PAC ID: 6608950696 Enrollment ID: I20080229000190 |
| Provider Name | David Hadcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861574691 PECOS PAC ID: 0143306712 Enrollment ID: I20080324000081 |
| Provider Name | Tina M Steddick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710162334 PECOS PAC ID: 1153408174 Enrollment ID: I20080401000695 |
| Provider Name | Staci L Milosavljevic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356481949 PECOS PAC ID: 0042397424 Enrollment ID: I20080409000571 |
| Provider Name | Daniel T Kopesky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114034659 PECOS PAC ID: 9133206428 Enrollment ID: I20080410000722 |
| Provider Name | John R Mcguire |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003869744 PECOS PAC ID: 6406934439 Enrollment ID: I20080416000437 |
| Provider Name | B Tucker Woodson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366494858 PECOS PAC ID: 3476631284 Enrollment ID: I20080418000574 |
| Provider Name | Pamela L Souders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508050824 PECOS PAC ID: 5890889786 Enrollment ID: I20080429000495 |
| Provider Name | Mary A Templin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972780492 PECOS PAC ID: 3375622103 Enrollment ID: I20080506000298 |
| Provider Name | Catherine D Malmsten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205812195 PECOS PAC ID: 4284704115 Enrollment ID: I20080604000661 |
| Provider Name | Andrea M Dunk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821058165 PECOS PAC ID: 9032280078 Enrollment ID: I20080618000332 |
| Provider Name | Danielle M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427040229 PECOS PAC ID: 1557339090 Enrollment ID: I20080618000729 |
| Provider Name | Stacey M Gardiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407930332 PECOS PAC ID: 8820169790 Enrollment ID: I20080619000738 |
| Provider Name | Matthew Joseph Arens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386853539 PECOS PAC ID: 3577634351 Enrollment ID: I20080623000206 |
| Provider Name | Alan M Spira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194726075 PECOS PAC ID: 0547332918 Enrollment ID: I20080630000211 |
| Provider Name | Michael A Martella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194849398 PECOS PAC ID: 9335211390 Enrollment ID: I20080708000414 |
| Provider Name | Lawrence A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528151909 PECOS PAC ID: 5193897981 Enrollment ID: I20080711000033 |
| Provider Name | James A Oujiri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134187412 PECOS PAC ID: 7416020797 Enrollment ID: I20080719000011 |
| Provider Name | Paul M Knechtges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518048636 PECOS PAC ID: 0547291163 Enrollment ID: I20080719000119 |
| Provider Name | Kenneth M Jacobsohn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679772164 PECOS PAC ID: 4183718679 Enrollment ID: I20080725000685 |
| Provider Name | Janice K Kuiper Pikna |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851550693 PECOS PAC ID: 9638243223 Enrollment ID: I20080730000582 |
| Provider Name | Amera Gaballa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356566350 PECOS PAC ID: 4789784372 Enrollment ID: I20080805000381 |
| Provider Name | Tracie M Dunek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740469741 PECOS PAC ID: 4486728706 Enrollment ID: I20080805000594 |
| Provider Name | Edmund H Duthie |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174574123 PECOS PAC ID: 6901981786 Enrollment ID: I20080805000672 |
| Provider Name | Traci A Ellershaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538310180 PECOS PAC ID: 3375617566 Enrollment ID: I20080806000419 |
| Provider Name | Daniel W Hampton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225226863 PECOS PAC ID: 4587745864 Enrollment ID: I20080819000931 |
| Provider Name | Hillary S Bauer Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699881367 PECOS PAC ID: 9032284260 Enrollment ID: I20080821000593 |
| Provider Name | Candice D Lovell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780759670 PECOS PAC ID: 2860567989 Enrollment ID: I20080823000094 |
| Provider Name | Bruce B Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710065230 PECOS PAC ID: 8921173972 Enrollment ID: I20080826000550 |
| Provider Name | Casey J Flanary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467431254 PECOS PAC ID: 1355420837 Enrollment ID: I20080828000196 |
| Provider Name | Jennifer M Connelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780768531 PECOS PAC ID: 1052487683 Enrollment ID: I20080905000347 |
| Provider Name | Bradley Javorsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568402139 PECOS PAC ID: 5193745123 Enrollment ID: I20080905000426 |
| Provider Name | Carlyle H Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528019924 PECOS PAC ID: 7810063450 Enrollment ID: I20080905000506 |
| Provider Name | Brett A Barkimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255540134 PECOS PAC ID: 9234205519 Enrollment ID: I20080910000637 |
| Provider Name | Karen L Belgard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790959880 PECOS PAC ID: 1850467036 Enrollment ID: I20080912000153 |
| Provider Name | James E Macioch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033148895 PECOS PAC ID: 2769474675 Enrollment ID: I20080918000318 |
| Provider Name | Andrea L Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558448100 PECOS PAC ID: 4587731492 Enrollment ID: I20080918000378 |
| Provider Name | Stacy L Lynch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346214673 PECOS PAC ID: 7113951120 Enrollment ID: I20080925000489 |
| Provider Name | Debbie L Dixon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679608525 PECOS PAC ID: 7618044819 Enrollment ID: I20080929000718 |
| Provider Name | Nicole H Gies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609912559 PECOS PAC ID: 2961570965 Enrollment ID: I20081003000498 |
| Provider Name | Joshua A Meskin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457422230 PECOS PAC ID: 8022176221 Enrollment ID: I20081016000283 |
| Provider Name | Carley M Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518130376 PECOS PAC ID: 1355409335 Enrollment ID: I20081020000419 |
| Provider Name | Marionito N Montalbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407800543 PECOS PAC ID: 4688680564 Enrollment ID: I20081020000538 |
| Provider Name | William B Lutes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437123080 PECOS PAC ID: 0345216933 Enrollment ID: I20081022000503 |
| Provider Name | Mark S Obermyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669634820 PECOS PAC ID: 7517025901 Enrollment ID: I20081029000657 |
| Provider Name | William H Bradley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578739090 PECOS PAC ID: 8123004470 Enrollment ID: I20081101000024 |
| Provider Name | Mario G Gasparri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114971439 PECOS PAC ID: 6002975208 Enrollment ID: I20081103000401 |
| Provider Name | Jason P Revolinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164584215 PECOS PAC ID: 8729147590 Enrollment ID: I20081107000555 |
| Provider Name | Parag J Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447431556 PECOS PAC ID: 6507926904 Enrollment ID: I20081114000448 |
| Provider Name | Carolyn J Metternich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023267184 PECOS PAC ID: 8729148820 Enrollment ID: I20081119000517 |
| Provider Name | Amy E Kenny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780768994 PECOS PAC ID: 3779643432 Enrollment ID: I20081125000652 |
| Provider Name | Michael L Cada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356529804 PECOS PAC ID: 6204997836 Enrollment ID: I20081201000697 |
| Provider Name | John J Seidl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700838430 PECOS PAC ID: 6305907981 Enrollment ID: I20081202000467 |
| Provider Name | Amanda L Kong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063677755 PECOS PAC ID: 0143381509 Enrollment ID: I20081204000406 |
| Provider Name | Anoop K Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225239619 PECOS PAC ID: 0749341493 Enrollment ID: I20081212000508 |
| Provider Name | Kathleen B Sawasky |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407809130 PECOS PAC ID: 0648331397 Enrollment ID: I20081212000525 |
| Provider Name | Rochelle M Griffin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952555419 PECOS PAC ID: 3476615873 Enrollment ID: I20081218000509 |
| Provider Name | Anna B Edlebeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073790804 PECOS PAC ID: 9436211414 Enrollment ID: I20081230000075 |
| Provider Name | Nanjappareddy M Reddy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285687913 PECOS PAC ID: 4981767795 Enrollment ID: I20090105000566 |
| Provider Name | David Boyd Bresnahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376595884 PECOS PAC ID: 7012070709 Enrollment ID: I20090106000801 |
| Provider Name | Jay I Sandlow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063465797 PECOS PAC ID: 0244240786 Enrollment ID: I20090115000333 |
| Provider Name | Peter Langenstroer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780635532 PECOS PAC ID: 9436212594 Enrollment ID: I20090115000353 |
| Provider Name | Michael L Guralnick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003867482 PECOS PAC ID: 5698838753 Enrollment ID: I20090115000375 |
| Provider Name | Robert Francis Donnell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659323566 PECOS PAC ID: 3678636735 Enrollment ID: I20090115000396 |
| Provider Name | Kerry L Hicks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184740284 PECOS PAC ID: 6406944156 Enrollment ID: I20090121000256 |
| Provider Name | Jason C Rubenstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063603975 PECOS PAC ID: 6002970977 Enrollment ID: I20090122000181 |
| Provider Name | Mary C Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508848250 PECOS PAC ID: 7810969953 Enrollment ID: I20090202000196 |
| Provider Name | Stephen C Malcom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225254998 PECOS PAC ID: 1153486063 Enrollment ID: I20090210000142 |
| Provider Name | Douglas B Evans |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1295820116 PECOS PAC ID: 9032274477 Enrollment ID: I20090218000266 |
| Provider Name | Keith R Anclam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487662037 PECOS PAC ID: 9931199643 Enrollment ID: I20090224000289 |
| Provider Name | Guillermo F Carrera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821049214 PECOS PAC ID: 6800952706 Enrollment ID: I20090302000129 |
| Provider Name | Mary Beth Gonyo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649221441 PECOS PAC ID: 1456417294 Enrollment ID: I20090304000121 |
| Provider Name | Robert P Cronin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235183534 PECOS PAC ID: 5799841540 Enrollment ID: I20090304000153 |
| Provider Name | Hani S Matloub |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316998164 PECOS PAC ID: 0345139291 Enrollment ID: I20090304000412 |
| Provider Name | Somchai Laowattana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245315365 PECOS PAC ID: 9830189943 Enrollment ID: I20090313000419 |
| Provider Name | William Dennis Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033160965 PECOS PAC ID: 2769549690 Enrollment ID: I20090320000365 |
| Provider Name | Dana M Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659526614 PECOS PAC ID: 6608933445 Enrollment ID: I20090324000243 |
| Provider Name | Dean E Klinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215906375 PECOS PAC ID: 9032215876 Enrollment ID: I20090325000568 |
| Provider Name | Roger W Beaumont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649268061 PECOS PAC ID: 2567412067 Enrollment ID: I20090327000492 |
| Provider Name | Francisco A Quiroz Y Ferrari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275585994 PECOS PAC ID: 2264599695 Enrollment ID: I20090330000193 |
| Provider Name | Mara Pheister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639208440 PECOS PAC ID: 3971530262 Enrollment ID: I20090402000070 |
| Provider Name | David C Moe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952411779 PECOS PAC ID: 1254332141 Enrollment ID: I20090406000345 |
| Provider Name | Syed H Mehdi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518931138 PECOS PAC ID: 3375622863 Enrollment ID: I20090416000562 |
| Provider Name | Gregory J Griepentrog |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114991890 PECOS PAC ID: 9931139284 Enrollment ID: I20090420000089 |
| Provider Name | James F Kleczka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699726430 PECOS PAC ID: 0446307912 Enrollment ID: I20090421000168 |
| Provider Name | Roger M Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518918366 PECOS PAC ID: 2062569437 Enrollment ID: I20090422000423 |
| Provider Name | William R O Connell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528218153 PECOS PAC ID: 4183772486 Enrollment ID: I20090424000172 |
| Provider Name | Mark A Timm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093780124 PECOS PAC ID: 5991617649 Enrollment ID: I20090505000079 |
| Provider Name | Nicholas C Ketchum |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801979885 PECOS PAC ID: 2264580026 Enrollment ID: I20090505000131 |
| Provider Name | Jeffrey B Goza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568401412 PECOS PAC ID: 9032267687 Enrollment ID: I20090508000262 |
| Provider Name | Richard Hariman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811156482 PECOS PAC ID: 9739239906 Enrollment ID: I20090609000490 |
| Provider Name | Dalip D Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043264955 PECOS PAC ID: 2264582436 Enrollment ID: I20090609000519 |
| Provider Name | Peter J Rossi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063450229 PECOS PAC ID: 3779596515 Enrollment ID: I20090609000574 |
| Provider Name | Melissa S Dubois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497839617 PECOS PAC ID: 4284784349 Enrollment ID: I20090610000635 |
| Provider Name | Todd A Neideen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720172893 PECOS PAC ID: 0345390449 Enrollment ID: I20090611000327 |
| Provider Name | Soniya K Pawar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255575569 PECOS PAC ID: 6901956028 Enrollment ID: I20090611000518 |
| Provider Name | Mohit Maheshwari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831279512 PECOS PAC ID: 6002966892 Enrollment ID: I20090617000332 |
| Provider Name | Andrew P Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700961331 PECOS PAC ID: 8123178894 Enrollment ID: I20090618000396 |
| Provider Name | Parag P Tolat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497837124 PECOS PAC ID: 3375693054 Enrollment ID: I20090618000518 |
| Provider Name | Melissa M Tauben |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407014921 PECOS PAC ID: 6709937139 Enrollment ID: I20090625000270 |
| Provider Name | Teresa G Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275580672 PECOS PAC ID: 7012939341 Enrollment ID: I20090625000439 |
| Provider Name | Naveet S Bal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578773131 PECOS PAC ID: 8426109653 Enrollment ID: I20090630000272 |
| Provider Name | Alexei V Agapitov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841201514 PECOS PAC ID: 0446301428 Enrollment ID: I20090702000445 |
| Provider Name | Edward M Nelsen Freund |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831141506 PECOS PAC ID: 3173674009 Enrollment ID: I20090706000274 |
| Provider Name | Karie N Zach |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1053489815 PECOS PAC ID: 9335291988 Enrollment ID: I20090714000041 |
| Provider Name | Sarah M Gaglianello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750324570 PECOS PAC ID: 1254483662 Enrollment ID: I20090716000139 |
| Provider Name | Robert L Riepenhoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073769279 PECOS PAC ID: 2860544418 Enrollment ID: I20090813000748 |
| Provider Name | Karen A Hulbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524409 PECOS PAC ID: 7416001128 Enrollment ID: I20090814000371 |
| Provider Name | Leslie A Bombaci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013195361 PECOS PAC ID: 3779637384 Enrollment ID: I20090817000530 |
| Provider Name | Colleen A Crowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003071283 PECOS PAC ID: 8527112861 Enrollment ID: I20090820000386 |
| Provider Name | Rodrigo G Valadares De Sousa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023250321 PECOS PAC ID: 8325193477 Enrollment ID: I20090826000333 |
| Provider Name | Yoshiaki Akiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245386614 PECOS PAC ID: 0749335768 Enrollment ID: I20090827000113 |
| Provider Name | Laurie J Prestby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700015518 PECOS PAC ID: 9436204401 Enrollment ID: I20090827000600 |
| Provider Name | J Eric D Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316971807 PECOS PAC ID: 7719884527 Enrollment ID: I20090828000375 |
| Provider Name | Aggeliki Zikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447471677 PECOS PAC ID: 3971658824 Enrollment ID: I20090828000527 |
| Provider Name | Brenda S Nolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720236789 PECOS PAC ID: 5395890941 Enrollment ID: I20090902000616 |
| Provider Name | Jeremy Scott Juern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669650826 PECOS PAC ID: 9638224124 Enrollment ID: I20090904000487 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023207586 PECOS PAC ID: 9638268865 Enrollment ID: I20090914000419 |
| Provider Name | Sara E Libby Glapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750514873 PECOS PAC ID: 8921154931 Enrollment ID: I20090916000399 |
| Provider Name | Jennifer L Thimmesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083841639 PECOS PAC ID: 3678629698 Enrollment ID: I20090916000483 |
| Provider Name | Megan L Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518194117 PECOS PAC ID: 7416003439 Enrollment ID: I20090916000562 |
| Provider Name | Karolyn Ivanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457337867 PECOS PAC ID: 2264460799 Enrollment ID: I20090917000294 |
| Provider Name | Maisha K Berry Hooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811076516 PECOS PAC ID: 6608922505 Enrollment ID: I20090917000563 |
| Provider Name | Kathleen A Brass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083815690 PECOS PAC ID: 0840336780 Enrollment ID: I20091007000605 |
| Provider Name | Gunnar Gundersen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356389100 PECOS PAC ID: 0840336673 Enrollment ID: I20091008000630 |
| Provider Name | Stacy L Boden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124250063 PECOS PAC ID: 7012053515 Enrollment ID: I20091014000614 |
| Provider Name | Debra J Lanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033341995 PECOS PAC ID: 1850438607 Enrollment ID: I20091027000583 |
| Provider Name | Janet S Rader |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316965098 PECOS PAC ID: 6204973795 Enrollment ID: I20091103000217 |
| Provider Name | Daniel C Mielnicki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366407272 PECOS PAC ID: 7911093711 Enrollment ID: I20091103000716 |
| Provider Name | Carol Ann Idso Eling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942259122 PECOS PAC ID: 0042358384 Enrollment ID: I20091106000423 |
| Provider Name | Christine Restivo Pritzl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437380409 PECOS PAC ID: 7012056336 Enrollment ID: I20091130000287 |
| Provider Name | Robert D Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598847329 PECOS PAC ID: 7810053238 Enrollment ID: I20091211000089 |
| Provider Name | Lawrence A Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407938236 PECOS PAC ID: 9537209200 Enrollment ID: I20091211000131 |
| Provider Name | Evgueni Fayn |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336181072 PECOS PAC ID: 0941203657 Enrollment ID: I20091211000257 |
| Provider Name | Peter L Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538249990 PECOS PAC ID: 4082754395 Enrollment ID: I20091217000473 |
| Provider Name | Carey M Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710067178 PECOS PAC ID: 6507906823 Enrollment ID: I20091217000508 |
| Provider Name | Lawrence P Sullivan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639251465 PECOS PAC ID: 9133269459 Enrollment ID: I20091217000525 |
| Provider Name | George Michael Mosley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740362573 PECOS PAC ID: 6406768928 Enrollment ID: I20091217000531 |
| Provider Name | Steven A Harvey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720045867 PECOS PAC ID: 2163563545 Enrollment ID: I20100107000309 |
| Provider Name | David P Imse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376516450 PECOS PAC ID: 9638081375 Enrollment ID: I20100108000603 |
| Provider Name | Anne Frea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952593725 PECOS PAC ID: 7517008717 Enrollment ID: I20100111000351 |
| Provider Name | Gary M Herdrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215019047 PECOS PAC ID: 5496667917 Enrollment ID: I20100111000455 |
| Provider Name | Amy L Diestelhorst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124007901 PECOS PAC ID: 2365521846 Enrollment ID: I20100116000356 |
| Provider Name | Shelly L Johnsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922016690 PECOS PAC ID: 6507956711 Enrollment ID: I20100130000180 |
| Provider Name | Mark R Meuler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811980568 PECOS PAC ID: 2062555030 Enrollment ID: I20100130000221 |
| Provider Name | Kaizad P Machhi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083798474 PECOS PAC ID: 2668515636 Enrollment ID: I20100130000269 |
| Provider Name | Gregory G Blommel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184704546 PECOS PAC ID: 3779495296 Enrollment ID: I20100201000037 |
| Provider Name | John P Lacey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578645305 PECOS PAC ID: 9537202510 Enrollment ID: I20100201000056 |
| Provider Name | Charles T Kaufmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760564595 PECOS PAC ID: 2163565045 Enrollment ID: I20100201000079 |
| Provider Name | Anthony S Guthrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134201965 PECOS PAC ID: 8820171119 Enrollment ID: I20100201000089 |
| Provider Name | Karri A Huber |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093805319 PECOS PAC ID: 6709929524 Enrollment ID: I20100202000659 |
| Provider Name | Susan A Kroener |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073586061 PECOS PAC ID: 0244142891 Enrollment ID: I20100205000095 |
| Provider Name | Kenneth J Urlakis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265407316 PECOS PAC ID: 1153233895 Enrollment ID: I20100205000657 |
| Provider Name | Seema Menon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427060458 PECOS PAC ID: 1658302294 Enrollment ID: I20100206000227 |
| Provider Name | Mary L Stoffel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437111036 PECOS PAC ID: 1254336753 Enrollment ID: I20100209000269 |
| Provider Name | Anuradha Raman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174597579 PECOS PAC ID: 7719066299 Enrollment ID: I20100215000662 |
| Provider Name | Jeffery R Smale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407930886 PECOS PAC ID: 9739262023 Enrollment ID: I20100218000709 |
| Provider Name | Heather I Osborn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477635209 PECOS PAC ID: 8527102235 Enrollment ID: I20100218000775 |
| Provider Name | Kevin V Moss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114991734 PECOS PAC ID: 5890607451 Enrollment ID: I20100219000709 |
| Provider Name | Toni M Reinhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326076779 PECOS PAC ID: 0244236420 Enrollment ID: I20100222000085 |
| Provider Name | Jennifer J Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346578887 PECOS PAC ID: 1951445162 Enrollment ID: I20100225000237 |
| Provider Name | Paul C Todd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821063637 PECOS PAC ID: 3476465030 Enrollment ID: I20100306000369 |
| Provider Name | Todd J Boffeli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578542411 PECOS PAC ID: 2466364112 Enrollment ID: I20100306000377 |
| Provider Name | Robert Stumpf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912925306 PECOS PAC ID: 4587799713 Enrollment ID: I20100312000838 |
| Provider Name | Kiran Kashyap |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134192115 PECOS PAC ID: 6507945094 Enrollment ID: I20100323000062 |
| Provider Name | Nancy J Haarmann Habrel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912020454 PECOS PAC ID: 8123181724 Enrollment ID: I20100324000718 |
| Provider Name | Andrew M Knoernschild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467425454 PECOS PAC ID: 4082793567 Enrollment ID: I20100327000602 |
| Provider Name | Michelle R Andrew |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992793327 PECOS PAC ID: 0840379335 Enrollment ID: I20100331000162 |
| Provider Name | Gregory T Barczak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235101478 PECOS PAC ID: 5294647939 Enrollment ID: I20100331000204 |
| Provider Name | Stephanie G Meinecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790949857 PECOS PAC ID: 3870629629 Enrollment ID: I20100331000292 |
| Provider Name | Christopher P Sobczak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770534265 PECOS PAC ID: 0648306266 Enrollment ID: I20100407000169 |
| Provider Name | Anne M Lipinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154354280 PECOS PAC ID: 4789711284 Enrollment ID: I20100414000580 |
| Provider Name | Stephanie L Kohler Neuwirth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194937052 PECOS PAC ID: 1951438043 Enrollment ID: I20100421000718 |
| Provider Name | Malini Sims |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962477455 PECOS PAC ID: 0941389431 Enrollment ID: I20100421000832 |
| Provider Name | Robert A Mueller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174597421 PECOS PAC ID: 5395657043 Enrollment ID: I20100421000858 |
| Provider Name | Douglas E Marx |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326011321 PECOS PAC ID: 3971682451 Enrollment ID: I20100421000863 |
| Provider Name | Katharine D Van Fossen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356316483 PECOS PAC ID: 5698854180 Enrollment ID: I20100421000892 |
| Provider Name | Jodi F Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558691170 PECOS PAC ID: 7416085899 Enrollment ID: I20100505000433 |
| Provider Name | Edward G Reshel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871567271 PECOS PAC ID: 8921910654 Enrollment ID: I20100514000857 |
| Provider Name | Anne K Wick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902120272 PECOS PAC ID: 4981732625 Enrollment ID: I20100517000641 |
| Provider Name | Gary L Preisler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003998832 PECOS PAC ID: 7618006933 Enrollment ID: I20100525001001 |
| Provider Name | Jeanne S Vedder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538168752 PECOS PAC ID: 3375672439 Enrollment ID: I20100527000539 |
| Provider Name | Jennifer L Klenske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841350022 PECOS PAC ID: 2365489440 Enrollment ID: I20100603000906 |
| Provider Name | Kevin J Goniu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710910708 PECOS PAC ID: 7214067065 Enrollment ID: I20100604000993 |
| Provider Name | Linda M Welniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316054372 PECOS PAC ID: 6709916158 Enrollment ID: I20100610000605 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Andrew P Brayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104921360 PECOS PAC ID: 0547390619 Enrollment ID: I20100616000508 |
| Provider Name | Gregory J Schmeling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720031594 PECOS PAC ID: 9739219833 Enrollment ID: I20100616000865 |
| Provider Name | William G Raasch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730131434 PECOS PAC ID: 4880724996 Enrollment ID: I20100616000925 |
| Provider Name | Stephen Dolan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144274465 PECOS PAC ID: 4385774363 Enrollment ID: I20100618000047 |
| Provider Name | Patrick M Gardner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912974858 PECOS PAC ID: 9133182124 Enrollment ID: I20100624000935 |
| Provider Name | Angela Petrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255577862 PECOS PAC ID: 7214068600 Enrollment ID: I20100629000375 |
| Provider Name | Theodore J Hubley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356390884 PECOS PAC ID: 2668503962 Enrollment ID: I20100630000741 |
| Provider Name | Jonathan M Rubin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346293115 PECOS PAC ID: 8325179443 Enrollment ID: I20100706000172 |
| Provider Name | Edward R Cope |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134181449 PECOS PAC ID: 6507778164 Enrollment ID: I20100706000691 |
| Provider Name | Christopher Budny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598783995 PECOS PAC ID: 4183755259 Enrollment ID: I20100706000793 |
| Provider Name | Laura Kumferman Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033176888 PECOS PAC ID: 6507998507 Enrollment ID: I20100709000109 |
| Provider Name | Kusuma C Rao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538276860 PECOS PAC ID: 9335271022 Enrollment ID: I20100715000536 |
| Provider Name | Scott C Hicks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053497362 PECOS PAC ID: 5698807287 Enrollment ID: I20100716000747 |
| Provider Name | Brian Law |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548356967 PECOS PAC ID: 0941332530 Enrollment ID: I20100716000765 |
| Provider Name | Judith K Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821040569 PECOS PAC ID: 3779615133 Enrollment ID: I20100720000934 |
| Provider Name | Frederick Westreich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801814207 PECOS PAC ID: 2062544398 Enrollment ID: I20100721000719 |
| Provider Name | Sabina Diehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003867185 PECOS PAC ID: 5698807758 Enrollment ID: I20100726000265 |
| Provider Name | Kenneth G Schellhase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982655452 PECOS PAC ID: 6507998671 Enrollment ID: I20100726000279 |
| Provider Name | Gregory L Brotzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487605853 PECOS PAC ID: 5597897660 Enrollment ID: I20100726000291 |
| Provider Name | Gary R Seabrook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407809148 PECOS PAC ID: 5395877476 Enrollment ID: I20100726000411 |
| Provider Name | Linus John H Santo Tomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356411540 PECOS PAC ID: 8820120900 Enrollment ID: I20100726000422 |
| Provider Name | Joseph P Ogrady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619920394 PECOS PAC ID: 1456483544 Enrollment ID: I20100726000560 |
| Provider Name | Kurt J Pfeifer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255385241 PECOS PAC ID: 5597898692 Enrollment ID: I20100726000754 |
| Provider Name | Kenneth W Presberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578515268 PECOS PAC ID: 0244363398 Enrollment ID: I20100727000470 |
| Provider Name | Scott E Robison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437101144 PECOS PAC ID: 3274666219 Enrollment ID: I20100728000597 |
| Provider Name | Todd A Loehrl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902857758 PECOS PAC ID: 8628101409 Enrollment ID: I20100730000115 |
| Provider Name | Kellie R Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154375400 PECOS PAC ID: 7214060094 Enrollment ID: I20100730000171 |
| Provider Name | Carole S Vetter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255383840 PECOS PAC ID: 4183757974 Enrollment ID: I20100730000235 |
| Provider Name | Meg Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427000280 PECOS PAC ID: 9133252885 Enrollment ID: I20100802000084 |
| Provider Name | Colleen M Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538113451 PECOS PAC ID: 8527191287 Enrollment ID: I20100802000171 |
| Provider Name | Karen A Blindauer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699726034 PECOS PAC ID: 1759414428 Enrollment ID: I20100802000352 |
| Provider Name | David D Gutterman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609827633 PECOS PAC ID: 2961535646 Enrollment ID: I20100802000448 |
| Provider Name | Julie L Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807977 PECOS PAC ID: 5496888174 Enrollment ID: I20100802000477 |
| Provider Name | David M King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699729962 PECOS PAC ID: 3476686189 Enrollment ID: I20100802000773 |
| Provider Name | Randolph J Lipchik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891746640 PECOS PAC ID: 7911030630 Enrollment ID: I20100802000863 |
| Provider Name | Hong Chen |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1003860305 PECOS PAC ID: 7911030572 Enrollment ID: I20100803000346 |
| Provider Name | Jeffrey R Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679524029 PECOS PAC ID: 3678606233 Enrollment ID: I20100803000451 |
| Provider Name | Vicki Tetzlaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538128954 PECOS PAC ID: 0446383012 Enrollment ID: I20100803000520 |
| Provider Name | Benjamin Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346292653 PECOS PAC ID: 5890828495 Enrollment ID: I20100803000959 |
| Provider Name | Timothy Ian Mullin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588752307 PECOS PAC ID: 6406909100 Enrollment ID: I20100803001150 |
| Provider Name | Elizabeth R Hagen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164440574 PECOS PAC ID: 0345373742 Enrollment ID: I20100805000835 |
| Provider Name | Arvind A D'cruz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154324986 PECOS PAC ID: 2860446168 Enrollment ID: I20100812000084 |
| Provider Name | Thomas Clark Gamblin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033182175 PECOS PAC ID: 6800832833 Enrollment ID: I20100813000081 |
| Provider Name | Diane S Book |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396796744 PECOS PAC ID: 7911031877 Enrollment ID: I20100813000295 |
| Provider Name | Janet B Goldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063438109 PECOS PAC ID: 6002940939 Enrollment ID: I20100814000066 |
| Provider Name | Anubha Wadhwa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225275563 PECOS PAC ID: 7719011410 Enrollment ID: I20100817000944 |
| Provider Name | Ross M Cerniglia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578640793 PECOS PAC ID: 6507990215 Enrollment ID: I20100817001001 |
| Provider Name | Robert M Horth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699768259 PECOS PAC ID: 9638150857 Enrollment ID: I20100818000972 |
| Provider Name | Alicja D Lisak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295737823 PECOS PAC ID: 8628177805 Enrollment ID: I20100818000977 |
| Provider Name | Aimee C Welsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033233374 PECOS PAC ID: 6204950108 Enrollment ID: I20100830000538 |
| Provider Name | Eric U Luy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538110382 PECOS PAC ID: 8022132562 Enrollment ID: I20100903000928 |
| Provider Name | Gary S Sudakoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932150612 PECOS PAC ID: 2860517257 Enrollment ID: I20100908000645 |
| Provider Name | Diane M Witek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316157779 PECOS PAC ID: 2668597733 Enrollment ID: I20100913000725 |
| Provider Name | Lawrence R Goodman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548211048 PECOS PAC ID: 7719002773 Enrollment ID: I20100914000619 |
| Provider Name | Mary Elizabeth S Nelson-biersach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013961077 PECOS PAC ID: 1759406713 Enrollment ID: I20100914000698 |
| Provider Name | Mark A Klingbeil |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679524417 PECOS PAC ID: 8527183599 Enrollment ID: I20100914000761 |
| Provider Name | Wendy L Peltier |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396796132 PECOS PAC ID: 1951426923 Enrollment ID: I20100914000808 |
| Provider Name | James Ninomiya |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902858681 PECOS PAC ID: 1850416884 Enrollment ID: I20100915000155 |
| Provider Name | Philip B Sharpless |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154372639 PECOS PAC ID: 3971628868 Enrollment ID: I20100915001025 |
| Provider Name | Sylvia M Hillmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417908245 PECOS PAC ID: 3678698339 Enrollment ID: I20100917000774 |
| Provider Name | David E Pryba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770536534 PECOS PAC ID: 9739205147 Enrollment ID: I20100922001194 |
| Provider Name | Judy P Hoggatt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164592291 PECOS PAC ID: 4587640982 Enrollment ID: I20100922001215 |
| Provider Name | Joan L Milott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528010238 PECOS PAC ID: 9234255282 Enrollment ID: I20100927001265 |
| Provider Name | Michael J Lasser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598716342 PECOS PAC ID: 5193841161 Enrollment ID: I20100927001485 |
| Provider Name | James E Breckenridge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699781328 PECOS PAC ID: 4789876806 Enrollment ID: I20101007001044 |
| Provider Name | Adam G King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932257623 PECOS PAC ID: 0244422384 Enrollment ID: I20101007001301 |
| Provider Name | Justin C Ngene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265637128 PECOS PAC ID: 0749472637 Enrollment ID: I20101011000686 |
| Provider Name | Kimberly J Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356662613 PECOS PAC ID: 2668664400 Enrollment ID: I20101012000311 |
| Provider Name | Amy I Guise |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114087640 PECOS PAC ID: 8325230139 Enrollment ID: I20101012001124 |
| Provider Name | Marc A Lazzaro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851557623 PECOS PAC ID: 9638361298 Enrollment ID: I20101014000578 |
| Provider Name | Elissa R Hellman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205072287 PECOS PAC ID: 7315139995 Enrollment ID: I20101014000773 |
| Provider Name | Emmy L Sippel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124332762 PECOS PAC ID: 5597650903 Enrollment ID: I20101019000280 |
| Provider Name | Christina M Rutsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497950406 PECOS PAC ID: 8921291881 Enrollment ID: I20101022001351 |
| Provider Name | Eric Boehmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217528 PECOS PAC ID: 9739372608 Enrollment ID: I20101023000126 |
| Provider Name | Dafna Berman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528385309 PECOS PAC ID: 5092908830 Enrollment ID: I20101025000742 |
| Provider Name | Anne E Gelsthorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720395106 PECOS PAC ID: 3274726021 Enrollment ID: I20101025000864 |
| Provider Name | James Harry Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497713515 PECOS PAC ID: 3779594064 Enrollment ID: I20101028001169 |
| Provider Name | Terrence P Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891752903 PECOS PAC ID: 2961413257 Enrollment ID: I20101028001223 |
| Provider Name | Carter A Aune |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174580724 PECOS PAC ID: 6204020738 Enrollment ID: I20101028001321 |
| Provider Name | Kerry A Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394372 PECOS PAC ID: 9436343860 Enrollment ID: I20101029001202 |
| Provider Name | Mark R Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427016575 PECOS PAC ID: 7719171032 Enrollment ID: I20101101000780 |
| Provider Name | Vineet Hansaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821280850 PECOS PAC ID: 8224222401 Enrollment ID: I20101102000082 |
| Provider Name | Alicia M Pilarski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346448735 PECOS PAC ID: 7517151616 Enrollment ID: I20101103000142 |
| Provider Name | Dmitriy Kogan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881714426 PECOS PAC ID: 3274727177 Enrollment ID: I20101104001163 |
| Provider Name | April A Shera |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134375124 PECOS PAC ID: 9537353347 Enrollment ID: I20101104001342 |
| Provider Name | Ann K Helms |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982655718 PECOS PAC ID: 0749475580 Enrollment ID: I20101105001302 |
| Provider Name | Gretchen L Beyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851603765 PECOS PAC ID: 0547455271 Enrollment ID: I20101108001192 |
| Provider Name | John L Olsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033389085 PECOS PAC ID: 0446445191 Enrollment ID: I20101108001454 |
| Provider Name | Jennifer L Strande |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174617211 PECOS PAC ID: 3072708684 Enrollment ID: I20101109000834 |
| Provider Name | David J Milia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730359548 PECOS PAC ID: 7315132818 Enrollment ID: I20101110000484 |
| Provider Name | Muhammed R Al Fawakhiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942276613 PECOS PAC ID: 5092786871 Enrollment ID: I20101110001403 |
| Provider Name | Raven A Koeppler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346316239 PECOS PAC ID: 2769677061 Enrollment ID: I20101112000048 |
| Provider Name | Joseph R Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801825492 PECOS PAC ID: 9830384080 Enrollment ID: I20101112000825 |
| Provider Name | Lakshmi H Kurre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235357138 PECOS PAC ID: 8325233232 Enrollment ID: I20101117000248 |
| Provider Name | Jo E Nord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629291828 PECOS PAC ID: 3870788706 Enrollment ID: I20101117000484 |
| Provider Name | Neeraj B Chepuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740231364 PECOS PAC ID: 4880506047 Enrollment ID: I20101117000685 |
| Provider Name | Jill Holz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497978621 PECOS PAC ID: 3274729173 Enrollment ID: I20101117001415 |
| Provider Name | Todd J Schroeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982639142 PECOS PAC ID: 9032127543 Enrollment ID: I20101117001490 |
| Provider Name | Fahad M Iqbal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285848291 PECOS PAC ID: 1759438963 Enrollment ID: I20101124000246 |
| Provider Name | David F Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285792127 PECOS PAC ID: 9739276353 Enrollment ID: I20101130000143 |
| Provider Name | Alan K David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043261530 PECOS PAC ID: 4385831379 Enrollment ID: I20101202000959 |
| Provider Name | Julie Miesfeld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982919304 PECOS PAC ID: 0345437125 Enrollment ID: I20101206000649 |
| Provider Name | Timothy L Sie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366763450 PECOS PAC ID: 0446447932 Enrollment ID: I20101209000794 |
| Provider Name | Charlene M Vander Zanden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235339532 PECOS PAC ID: 4688861008 Enrollment ID: I20101211000029 |
| Provider Name | Kelly A Gordon Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275849630 PECOS PAC ID: 9032306451 Enrollment ID: I20101211000037 |
| Provider Name | Prerna Sinha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427255025 PECOS PAC ID: 2062593239 Enrollment ID: I20101211000056 |
| Provider Name | Amy E Zosel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477754943 PECOS PAC ID: 4385736107 Enrollment ID: I20101213000130 |
| Provider Name | Deborah K Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245559723 PECOS PAC ID: 2365639671 Enrollment ID: I20101213001132 |
| Provider Name | Erin R Hills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689987372 PECOS PAC ID: 7214125038 Enrollment ID: I20101221000606 |
| Provider Name | Peter J Kenny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457317943 PECOS PAC ID: 6204748932 Enrollment ID: I20110110000431 |
| Provider Name | Janelle M Petinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336453315 PECOS PAC ID: 8224227699 Enrollment ID: I20110117000069 |
| Provider Name | Michelle D Fleischmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417962143 PECOS PAC ID: 9436338639 Enrollment ID: I20110120000097 |
| Provider Name | Mary Kay Winarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245296466 PECOS PAC ID: 4284813353 Enrollment ID: I20110120001081 |
| Provider Name | James Soyka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851321848 PECOS PAC ID: 4486648557 Enrollment ID: I20110121000076 |
| Provider Name | Jon A Lehrmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811916810 PECOS PAC ID: 2062691082 Enrollment ID: I20110124000594 |
| Provider Name | Debra M Daemmrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285806299 PECOS PAC ID: 8628257565 Enrollment ID: I20110125000804 |
| Provider Name | Heidi Fowell Christianson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124260633 PECOS PAC ID: 5890974372 Enrollment ID: I20110131000328 |
| Provider Name | Karl B Scheidt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023159712 PECOS PAC ID: 7214924752 Enrollment ID: I20110202000807 |
| Provider Name | Allyson K Matheus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861459513 PECOS PAC ID: 0244276897 Enrollment ID: I20110203000597 |
| Provider Name | Krista M Getzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871552216 PECOS PAC ID: 2163602301 Enrollment ID: I20110205000084 |
| Provider Name | Yakub A Ellias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285749770 PECOS PAC ID: 5193779213 Enrollment ID: I20110209000504 |
| Provider Name | Terry M Zacharias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730497785 PECOS PAC ID: 4385824119 Enrollment ID: I20110210000513 |
| Provider Name | Maria Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992974703 PECOS PAC ID: 8527248368 Enrollment ID: I20110210000560 |
| Provider Name | Lawrence Koszewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275679680 PECOS PAC ID: 4486834272 Enrollment ID: I20110210001179 |
| Provider Name | Lisa S Schuerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811212780 PECOS PAC ID: 2567642226 Enrollment ID: I20110211000869 |
| Provider Name | Claire S Dohmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497064141 PECOS PAC ID: 0345421855 Enrollment ID: I20110216000698 |
| Provider Name | Amy S Weaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346206562 PECOS PAC ID: 7315128717 Enrollment ID: I20110217000702 |
| Provider Name | Lisa M Draeger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245404995 PECOS PAC ID: 7113108531 Enrollment ID: I20110217000873 |
| Provider Name | Jeffrey S Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659470763 PECOS PAC ID: 3173435732 Enrollment ID: I20110223000299 |
| Provider Name | Javed Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790888931 PECOS PAC ID: 1153321476 Enrollment ID: I20110224000574 |
| Provider Name | Rachel A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720380942 PECOS PAC ID: 2860673464 Enrollment ID: I20110301000856 |
| Provider Name | Kimberly A Spitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881998565 PECOS PAC ID: 4587846704 Enrollment ID: I20110309000797 |
| Provider Name | Daniel J Romanowich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972807840 PECOS PAC ID: 9133301252 Enrollment ID: I20110310000924 |
| Provider Name | John C Neilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376601294 PECOS PAC ID: 4284816257 Enrollment ID: I20110311000539 |
| Provider Name | Henrietta C Ebije |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174859524 PECOS PAC ID: 7012199870 Enrollment ID: I20110315000860 |
| Provider Name | Ebonie T Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982840757 PECOS PAC ID: 1759564370 Enrollment ID: I20110318000854 |
| Provider Name | Kendra S Hain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598701153 PECOS PAC ID: 2961685094 Enrollment ID: I20110325000693 |
| Provider Name | Kristin M Konicek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639472038 PECOS PAC ID: 7517140429 Enrollment ID: I20110330000078 |
| Provider Name | Ryan P Burch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982847182 PECOS PAC ID: 1355525908 Enrollment ID: I20110406000721 |
| Provider Name | Lisa M Sherlock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881997666 PECOS PAC ID: 4183808215 Enrollment ID: I20110413000766 |
| Provider Name | Colleen M Gumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750603114 PECOS PAC ID: 6406031301 Enrollment ID: I20110419000426 |
| Provider Name | H Richard Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598715120 PECOS PAC ID: 2062698855 Enrollment ID: I20110511000727 |
| Provider Name | Erika L Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841238060 PECOS PAC ID: 7416951157 Enrollment ID: I20110608000637 |
| Provider Name | Amit Taneja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639115090 PECOS PAC ID: 5991794182 Enrollment ID: I20110615000605 |
| Provider Name | Sarah B White |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710043013 PECOS PAC ID: 2668659822 Enrollment ID: I20110615000776 |
| Provider Name | Mark D Rhyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679668750 PECOS PAC ID: 3072791524 Enrollment ID: I20110701000357 |
| Provider Name | Matthew M Weston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497973267 PECOS PAC ID: 7719165281 Enrollment ID: I20110705000215 |
| Provider Name | Scott B Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184840175 PECOS PAC ID: 8325226806 Enrollment ID: I20110705000369 |
| Provider Name | Jayshil J Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588830129 PECOS PAC ID: 2365620663 Enrollment ID: I20110708000240 |
| Provider Name | David J Gazeley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932228723 PECOS PAC ID: 8820266026 Enrollment ID: I20110713000697 |
| Provider Name | Katherine A Recka |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467512178 PECOS PAC ID: 1456529569 Enrollment ID: I20110715000310 |
| Provider Name | Jason E Staszko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770630253 PECOS PAC ID: 3678741287 Enrollment ID: I20110727000075 |
| Provider Name | Mike Oulashian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164694212 PECOS PAC ID: 2668640111 Enrollment ID: I20110727000583 |
| Provider Name | Robert Beyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508027947 PECOS PAC ID: 1254500119 Enrollment ID: I20110810000067 |
| Provider Name | David W Johnstone |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366470627 PECOS PAC ID: 9133196041 Enrollment ID: I20110811000175 |
| Provider Name | Jeffrey P Bejma |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770707358 PECOS PAC ID: 0840472312 Enrollment ID: I20110818000521 |
| Provider Name | Peter J Cronin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316932924 PECOS PAC ID: 7012196710 Enrollment ID: I20110819000166 |
| Provider Name | Dawn A Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841136 PECOS PAC ID: 1850561242 Enrollment ID: I20110822000346 |
| Provider Name | Colin J Mooney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831302082 PECOS PAC ID: 1658541974 Enrollment ID: I20110824000401 |
| Provider Name | Rebecca S Severe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124004445 PECOS PAC ID: 3678597473 Enrollment ID: I20110826000624 |
| Provider Name | Bridget H Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104042613 PECOS PAC ID: 0042480063 Enrollment ID: I20110831000292 |
| Provider Name | Bernadette Beaumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851670343 PECOS PAC ID: 0143490904 Enrollment ID: I20110902000604 |
| Provider Name | Aparna S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548330467 PECOS PAC ID: 9830178490 Enrollment ID: I20110906000096 |
| Provider Name | Leah M Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467735944 PECOS PAC ID: 9739352469 Enrollment ID: I20111025000647 |
| Provider Name | Robb A Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639259948 PECOS PAC ID: 4486827771 Enrollment ID: I20111102000137 |
| Provider Name | Rosanne Clement |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780770396 PECOS PAC ID: 2163634163 Enrollment ID: I20111118000035 |
| Provider Name | Jennifer L Schaeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407039704 PECOS PAC ID: 2668647116 Enrollment ID: I20111212000255 |
| Provider Name | Pamela E Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558647909 PECOS PAC ID: 7214103811 Enrollment ID: I20120103000624 |
| Provider Name | Sabrina L Hofmeister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942442413 PECOS PAC ID: 9739346628 Enrollment ID: I20120203000625 |
| Provider Name | Andrew J Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689941759 PECOS PAC ID: 9032376801 Enrollment ID: I20120206000833 |
| Provider Name | Rachel C Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447228846 PECOS PAC ID: 8628092566 Enrollment ID: I20120223000870 |
| Provider Name | Erik B Gregersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235422064 PECOS PAC ID: 1850550476 Enrollment ID: I20120316000435 |
| Provider Name | Todd L Paxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831114065 PECOS PAC ID: 5496751190 Enrollment ID: I20120319000197 |
| Provider Name | Anne M Janning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417220021 PECOS PAC ID: 6406016930 Enrollment ID: I20120321000173 |
| Provider Name | Hoda Ahmadi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447459912 PECOS PAC ID: 0446410484 Enrollment ID: I20120329000840 |
| Provider Name | Renee M Beck-santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912276858 PECOS PAC ID: 7810157799 Enrollment ID: I20120330000184 |
| Provider Name | Jeremiah A Weber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992087746 PECOS PAC ID: 1456512680 Enrollment ID: I20120416000775 |
| Provider Name | Mahita L Gone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588955041 PECOS PAC ID: 0648432484 Enrollment ID: I20120424000473 |
| Provider Name | Karie P Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679847347 PECOS PAC ID: 7618139312 Enrollment ID: I20120425000394 |
| Provider Name | Ann M Draghicchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891065967 PECOS PAC ID: 7012170871 Enrollment ID: I20120515000649 |
| Provider Name | Jessica A Dekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699044156 PECOS PAC ID: 5698938140 Enrollment ID: I20120518000548 |
| Provider Name | Emily A Ehrengren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578820932 PECOS PAC ID: 1254595713 Enrollment ID: I20120614000070 |
| Provider Name | Janaki Y Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164544524 PECOS PAC ID: 2365606894 Enrollment ID: I20120614000138 |
| Provider Name | Mark J England |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295981967 PECOS PAC ID: 6305000779 Enrollment ID: I20120614000698 |
| Provider Name | Surendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265748404 PECOS PAC ID: 1850555145 Enrollment ID: I20120618000561 |
| Provider Name | Raghu Chandra Gowda Hanumaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194916445 PECOS PAC ID: 3971634551 Enrollment ID: I20120619000165 |
| Provider Name | Dhiraj Baruah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235442963 PECOS PAC ID: 7517121643 Enrollment ID: I20120620000860 |
| Provider Name | Heidi L Ludtke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275767279 PECOS PAC ID: 2264697374 Enrollment ID: I20120622000123 |
| Provider Name | Joshua R Kovach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437375649 PECOS PAC ID: 8123119898 Enrollment ID: I20120627000497 |
| Provider Name | Mark W Bosbous |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033203906 PECOS PAC ID: 7214105352 Enrollment ID: I20120711000155 |
| Provider Name | Veronica M Loy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972780013 PECOS PAC ID: 6406017664 Enrollment ID: I20120723000023 |
| Provider Name | Joseph M Schwab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568540508 PECOS PAC ID: 2466618111 Enrollment ID: I20120724000685 |
| Provider Name | Aaron L Staley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093073736 PECOS PAC ID: 2668638941 Enrollment ID: I20120801000303 |
| Provider Name | Tejaswini K Deshmukh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891025722 PECOS PAC ID: 6103095823 Enrollment ID: I20120807000897 |
| Provider Name | Rebecca S Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184859316 PECOS PAC ID: 8022264688 Enrollment ID: I20120814000367 |
| Provider Name | Kevin P Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114172004 PECOS PAC ID: 3072769579 Enrollment ID: I20120816000573 |
| Provider Name | Bridget Kratz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023301710 PECOS PAC ID: 0345497707 Enrollment ID: I20120821000272 |
| Provider Name | Beth M Weinman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356584320 PECOS PAC ID: 9436306420 Enrollment ID: I20120827000491 |
| Provider Name | Sriram Darisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053617290 PECOS PAC ID: 7810144664 Enrollment ID: I20120829000595 |
| Provider Name | Sergiy Georgiyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821324831 PECOS PAC ID: 2163670241 Enrollment ID: I20120914000137 |
| Provider Name | Jeremy R Naples |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649438243 PECOS PAC ID: 9133282296 Enrollment ID: I20120914000532 |
| Provider Name | Pratistha Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285882027 PECOS PAC ID: 9830378835 Enrollment ID: I20120919000877 |
| Provider Name | Drew R Hietpas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104060326 PECOS PAC ID: 2961650528 Enrollment ID: I20120924000789 |
| Provider Name | Jennifer M Nagy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255573382 PECOS PAC ID: 5597913160 Enrollment ID: I20120924000810 |
| Provider Name | Katherine D Schoyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932140480 PECOS PAC ID: 9133202120 Enrollment ID: I20120925000153 |
| Provider Name | Heather M Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982846960 PECOS PAC ID: 2769630359 Enrollment ID: I20120925000176 |
| Provider Name | Matthew J Uecker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982959250 PECOS PAC ID: 7012166671 Enrollment ID: I20120926000194 |
| Provider Name | Meredith O Cruz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154515849 PECOS PAC ID: 6002952991 Enrollment ID: I20121002000598 |
| Provider Name | Kristina M Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134390727 PECOS PAC ID: 7517116718 Enrollment ID: I20121003000649 |
| Provider Name | Alexander S Bajgrowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336328319 PECOS PAC ID: 3072769926 Enrollment ID: I20121004000120 |
| Provider Name | Alyssa K O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245588284 PECOS PAC ID: 9830348770 Enrollment ID: I20121009000423 |
| Provider Name | Stacy J.b. Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356515704 PECOS PAC ID: 8729238324 Enrollment ID: I20121016000699 |
| Provider Name | Kelly R Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033407010 PECOS PAC ID: 3375793854 Enrollment ID: I20121018000036 |
| Provider Name | Sadie E Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912250960 PECOS PAC ID: 0648420471 Enrollment ID: I20121101000081 |
| Provider Name | Katie J Burnham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992021133 PECOS PAC ID: 1254582943 Enrollment ID: I20121105000671 |
| Provider Name | Daniel C Pridemore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104189877 PECOS PAC ID: 9335390947 Enrollment ID: I20121107000718 |
| Provider Name | Kathryn Rodberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043569957 PECOS PAC ID: 0244481588 Enrollment ID: I20121113000584 |
| Provider Name | Cole T O'hara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407099476 PECOS PAC ID: 6305097494 Enrollment ID: I20121120000156 |
| Provider Name | Nicole L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649521345 PECOS PAC ID: 5193976009 Enrollment ID: I20121126000640 |
| Provider Name | Monica J Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720339997 PECOS PAC ID: 9335391051 Enrollment ID: I20121204000175 |
| Provider Name | Jennifer B Alizadeh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942562152 PECOS PAC ID: 4789836347 Enrollment ID: I20121205000053 |
| Provider Name | Nancy A Boll-price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235481250 PECOS PAC ID: 6800048364 Enrollment ID: I20121206000614 |
| Provider Name | Miraj Shah-khan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407007958 PECOS PAC ID: 6002087525 Enrollment ID: I20121211000406 |
| Provider Name | Cassandra J Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902159825 PECOS PAC ID: 5890947832 Enrollment ID: I20121220000225 |
| Provider Name | Veronica D Tent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265502165 PECOS PAC ID: 3870646813 Enrollment ID: I20130111000301 |
| Provider Name | Kate M Ratajczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306199435 PECOS PAC ID: 5092968362 Enrollment ID: I20130117000241 |
| Provider Name | Sally A Luthi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427300631 PECOS PAC ID: 1153575261 Enrollment ID: I20130124000522 |
| Provider Name | Nghia N Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871528224 PECOS PAC ID: 5395792055 Enrollment ID: I20130131000088 |
| Provider Name | Amy B Detzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598004921 PECOS PAC ID: 1153566427 Enrollment ID: I20130315000082 |
| Provider Name | Jeanne L Clow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356508303 PECOS PAC ID: 6901041920 Enrollment ID: I20130322000274 |
| Provider Name | Christopher T Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932382827 PECOS PAC ID: 8729169354 Enrollment ID: I20130410000303 |
| Provider Name | Peter A Pahapill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447244298 PECOS PAC ID: 3577561117 Enrollment ID: I20130410000629 |
| Provider Name | Chad Edward Carlson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235247669 PECOS PAC ID: 1153335617 Enrollment ID: I20130412000646 |
| Provider Name | Nicole L Brueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679810857 PECOS PAC ID: 4587802699 Enrollment ID: I20130531000399 |
| Provider Name | Barbara J Lukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356693071 PECOS PAC ID: 1759529555 Enrollment ID: I20130606000739 |
| Provider Name | Colleen Sobocinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689943631 PECOS PAC ID: 4385883875 Enrollment ID: I20130613000065 |
| Provider Name | Necole M Streeper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285816439 PECOS PAC ID: 9931348216 Enrollment ID: I20130618000090 |
| Provider Name | Nicole L Chen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750727012 PECOS PAC ID: 0244479020 Enrollment ID: I20130627000265 |
| Provider Name | Robert J Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215252564 PECOS PAC ID: 6305086992 Enrollment ID: I20130702000362 |
| Provider Name | Adam E Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184913055 PECOS PAC ID: 6204076458 Enrollment ID: I20130711000214 |
| Provider Name | Erik J Amoroso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922322585 PECOS PAC ID: 9638319791 Enrollment ID: I20130712000568 |
| Provider Name | Chukwuma E Ugwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457666315 PECOS PAC ID: 0749420636 Enrollment ID: I20130718000047 |
| Provider Name | Rajeev R Mannem |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306038906 PECOS PAC ID: 2567603335 Enrollment ID: I20130722000406 |
| Provider Name | Jonathan C Kraus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568585602 PECOS PAC ID: 3678721388 Enrollment ID: I20130723000946 |
| Provider Name | Jeffrey M Gehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730321209 PECOS PAC ID: 4789825308 Enrollment ID: I20130724000767 |
| Provider Name | Thomas W Carver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437121548 PECOS PAC ID: 0244408862 Enrollment ID: I20130729000393 |
| Provider Name | Timothy J Lenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659514883 PECOS PAC ID: 3971744228 Enrollment ID: I20130729000671 |
| Provider Name | Ana N Caban Cardona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649412974 PECOS PAC ID: 5193967172 Enrollment ID: I20130805000734 |
| Provider Name | Melissa A Fryatt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750727988 PECOS PAC ID: 3678714284 Enrollment ID: I20130807000540 |
| Provider Name | Sirisha Paruchuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285865311 PECOS PAC ID: 7012159577 Enrollment ID: I20130813000180 |
| Provider Name | Timothy J Ridolfi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023190386 PECOS PAC ID: 6204078736 Enrollment ID: I20130813000944 |
| Provider Name | Frederick G Freitag |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386636272 PECOS PAC ID: 8426184151 Enrollment ID: I20130820000564 |
| Provider Name | Heather M Curtiss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912143140 PECOS PAC ID: 5092851493 Enrollment ID: I20130820000952 |
| Provider Name | Veneshia N Mckinney Whitson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194041574 PECOS PAC ID: 2163665225 Enrollment ID: I20130821000847 |
| Provider Name | Deepak Kilari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164652947 PECOS PAC ID: 1355495474 Enrollment ID: I20130823000171 |
| Provider Name | Amanda N Umnus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619311040 PECOS PAC ID: 1153564125 Enrollment ID: I20130823000975 |
| Provider Name | Kelly M England |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144497496 PECOS PAC ID: 1153564000 Enrollment ID: I20130826000501 |
| Provider Name | Stephen A Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053415570 PECOS PAC ID: 0244397370 Enrollment ID: I20130828000305 |
| Provider Name | Michael J Malinowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316100860 PECOS PAC ID: 2860636719 Enrollment ID: I20130917000066 |
| Provider Name | Michael P Oconnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588997464 PECOS PAC ID: 1355507971 Enrollment ID: I20130918000655 |
| Provider Name | Peter J Eichenseer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821289141 PECOS PAC ID: 3274777982 Enrollment ID: I20130919000529 |
| Provider Name | Nunzio A Gaglianello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609811421 PECOS PAC ID: 2567696750 Enrollment ID: I20131001000180 |
| Provider Name | Ivor J Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851481485 PECOS PAC ID: 1557262896 Enrollment ID: I20131001000462 |
| Provider Name | Leigh A Beyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538592662 PECOS PAC ID: 8729212642 Enrollment ID: I20131009000450 |
| Provider Name | Demetrios J Douros |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447451265 PECOS PAC ID: 3072747864 Enrollment ID: I20131010000561 |
| Provider Name | Sheila R Eichenseer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831345057 PECOS PAC ID: 2668637034 Enrollment ID: I20131010001249 |
| Provider Name | Sarah A Endrizzi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235392341 PECOS PAC ID: 1456585868 Enrollment ID: I20131017000816 |
| Provider Name | Kambiz Shetabi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972827806 PECOS PAC ID: 3678708047 Enrollment ID: I20131021001873 |
| Provider Name | Robert J Havlik |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629023221 PECOS PAC ID: 3971690546 Enrollment ID: I20131024001206 |
| Provider Name | Susan A Evans |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003131061 PECOS PAC ID: 9133354970 Enrollment ID: I20131101000383 |
| Provider Name | Amanda M Clark Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194167809 PECOS PAC ID: 6406081934 Enrollment ID: I20131108000786 |
| Provider Name | Geoffrey O Wilkes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780849331 PECOS PAC ID: 7113153479 Enrollment ID: I20131115001288 |
| Provider Name | Erin A Bishop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851612659 PECOS PAC ID: 0042446114 Enrollment ID: I20131119001521 |
| Provider Name | Rahmouna Leila Farez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851590194 PECOS PAC ID: 3072785195 Enrollment ID: I20131119001639 |
| Provider Name | Carlos E Figueroa Castro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619181591 PECOS PAC ID: 2668540600 Enrollment ID: I20131125000428 |
| Provider Name | Jonathan R Thompson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093030215 PECOS PAC ID: 2365678133 Enrollment ID: I20131127000089 |
| Provider Name | Elizabeth J Verbockel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952733370 PECOS PAC ID: 4981830767 Enrollment ID: I20131127000467 |
| Provider Name | Megan L Berezowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366875494 PECOS PAC ID: 3375779093 Enrollment ID: I20131202000265 |
| Provider Name | Dawn D Poull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730513243 PECOS PAC ID: 3779719372 Enrollment ID: I20131203001127 |
| Provider Name | Jan M Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417257015 PECOS PAC ID: 7214163831 Enrollment ID: I20131203001898 |
| Provider Name | Syed Parvez Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417190265 PECOS PAC ID: 7517116676 Enrollment ID: I20131204000551 |
| Provider Name | Jennifer J Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672489 PECOS PAC ID: 4183851355 Enrollment ID: I20131213000604 |
| Provider Name | Mary K Drljaca |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326470758 PECOS PAC ID: 0244467439 Enrollment ID: I20131213001359 |
| Provider Name | Chris K Rokkas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508295841 PECOS PAC ID: 0042447195 Enrollment ID: I20131216001662 |
| Provider Name | Rayna Jobe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225117526 PECOS PAC ID: 5395745905 Enrollment ID: I20140106001450 |
| Provider Name | Lori C Gryszkiewicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356772818 PECOS PAC ID: 3375771777 Enrollment ID: I20140109001799 |
| Provider Name | Rachel E Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659701001 PECOS PAC ID: 0244469781 Enrollment ID: I20140204000757 |
| Provider Name | Erika W Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649601105 PECOS PAC ID: 9739318122 Enrollment ID: I20140205000950 |
| Provider Name | Aimee M Wozniak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548691009 PECOS PAC ID: 8527297910 Enrollment ID: I20140205001041 |
| Provider Name | Ryan L Schumacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346404381 PECOS PAC ID: 6406085836 Enrollment ID: I20140206000602 |
| Provider Name | William J Hueston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346347127 PECOS PAC ID: 8628005568 Enrollment ID: I20140219001101 |
| Provider Name | Maria Kilari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790081313 PECOS PAC ID: 1456526706 Enrollment ID: I20140228000947 |
| Provider Name | Anne F Amani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285064162 PECOS PAC ID: 8527298959 Enrollment ID: I20140305000770 |
| Provider Name | Vincent P Mathews |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033190624 PECOS PAC ID: 3375593759 Enrollment ID: I20140408002123 |
| Provider Name | Shari A Fehrenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831514710 PECOS PAC ID: 3072745587 Enrollment ID: I20140416001329 |
| Provider Name | Cristine C Luebstorf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821424920 PECOS PAC ID: 1254563695 Enrollment ID: I20140416002485 |
| Provider Name | Laleh Karimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518195395 PECOS PAC ID: 9335371533 Enrollment ID: I20140422000097 |
| Provider Name | Jolyn Gundlach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538590054 PECOS PAC ID: 7113159377 Enrollment ID: I20140422002111 |
| Provider Name | Laura B Needler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184041733 PECOS PAC ID: 3375776164 Enrollment ID: I20140501000951 |
| Provider Name | Jonathon Dean Truwit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518002450 PECOS PAC ID: 8022054667 Enrollment ID: I20140506002010 |
| Provider Name | Lisa A Felknor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235563578 PECOS PAC ID: 9537392055 Enrollment ID: I20140507000350 |
| Provider Name | Kim M Jonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801215355 PECOS PAC ID: 5698998631 Enrollment ID: I20140521000315 |
| Provider Name | Katherine O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922231075 PECOS PAC ID: 1254554900 Enrollment ID: I20140527000861 |
| Provider Name | Fallon C Schloemer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548585649 PECOS PAC ID: 1557585841 Enrollment ID: I20140606000016 |
| Provider Name | Paul A Bergl |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306152129 PECOS PAC ID: 2466694567 Enrollment ID: I20140610000196 |
| Provider Name | Courtney Collien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124443726 PECOS PAC ID: 3476777699 Enrollment ID: I20140610000206 |
| Provider Name | Carla J Meister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790001121 PECOS PAC ID: 0840414454 Enrollment ID: I20140620000748 |
| Provider Name | Luke A Falesch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689998148 PECOS PAC ID: 9537383039 Enrollment ID: I20140623001899 |
| Provider Name | Matthew J Koeberl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396975165 PECOS PAC ID: 1254555774 Enrollment ID: I20140624000090 |
| Provider Name | Kathleen S Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881993053 PECOS PAC ID: 2062636582 Enrollment ID: I20140624000133 |
| Provider Name | Benjamin W Weston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225320807 PECOS PAC ID: 4981829165 Enrollment ID: I20140701001885 |
| Provider Name | Mohit Agarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265864169 PECOS PAC ID: 5193940302 Enrollment ID: I20140702000307 |
| Provider Name | Manav Bhalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326394537 PECOS PAC ID: 7214152370 Enrollment ID: I20140702002622 |
| Provider Name | Owusu-bekoe Opoku-owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528121647 PECOS PAC ID: 9931207347 Enrollment ID: I20140707001452 |
| Provider Name | Umesh Babusukumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215236955 PECOS PAC ID: 1355566134 Enrollment ID: I20140711000436 |
| Provider Name | Jillian L Ewing Haas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982929410 PECOS PAC ID: 8921223710 Enrollment ID: I20140711000654 |
| Provider Name | David Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265844229 PECOS PAC ID: 8325263122 Enrollment ID: I20140711000908 |
| Provider Name | Sean M Lehner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366671125 PECOS PAC ID: 3375768906 Enrollment ID: I20140715001370 |
| Provider Name | Julie R Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629203930 PECOS PAC ID: 1254556889 Enrollment ID: I20140715001461 |
| Provider Name | Ross M Skizycki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972881803 PECOS PAC ID: 1355577784 Enrollment ID: I20140715002313 |
| Provider Name | Sujan Fernando |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023272200 PECOS PAC ID: 6103066709 Enrollment ID: I20140717002543 |
| Provider Name | Abdel Hai Alqwasmi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003055302 PECOS PAC ID: 3678799129 Enrollment ID: I20140718001866 |
| Provider Name | Kim M Henrichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891785754 PECOS PAC ID: 5193941540 Enrollment ID: I20140722000433 |
| Provider Name | Erin M Mcgonigle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740575828 PECOS PAC ID: 2567688872 Enrollment ID: I20140723000178 |
| Provider Name | Michaela M Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598051740 PECOS PAC ID: 3577789361 Enrollment ID: I20140731001565 |
| Provider Name | Cameron Michael Best |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1912160748 PECOS PAC ID: 4587880281 Enrollment ID: I20140731002194 |
| Provider Name | Amanda M Passint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275948077 PECOS PAC ID: 8123245867 Enrollment ID: I20140804001696 |
| Provider Name | Angela D Hass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780969543 PECOS PAC ID: 5698992238 Enrollment ID: I20140806000132 |
| Provider Name | Janelle C Pieterick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669728531 PECOS PAC ID: 0042468969 Enrollment ID: I20140808000067 |
| Provider Name | Neil J Reisinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104115146 PECOS PAC ID: 9133346323 Enrollment ID: I20140812001707 |
| Provider Name | Jacquelyn P Kulinski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073769915 PECOS PAC ID: 1355568411 Enrollment ID: I20140813001401 |
| Provider Name | Judith A Lark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902239940 PECOS PAC ID: 0941428387 Enrollment ID: I20140827001790 |
| Provider Name | Carrie J Leber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891085320 PECOS PAC ID: 1658599568 Enrollment ID: I20140905000826 |
| Provider Name | Carrie Y Peterson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376707729 PECOS PAC ID: 9234358953 Enrollment ID: I20140911001379 |
| Provider Name | Geetanjali K Dang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760770291 PECOS PAC ID: 9830318575 Enrollment ID: I20140911001907 |
| Provider Name | Patrick C Hettinger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932288370 PECOS PAC ID: 0244459709 Enrollment ID: I20140915001977 |
| Provider Name | Heather A Terranova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700295045 PECOS PAC ID: 4284854001 Enrollment ID: I20140930000612 |
| Provider Name | Debbie M Tews |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578779542 PECOS PAC ID: 0941420509 Enrollment ID: I20141002000042 |
| Provider Name | Sajjad Nasir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518196807 PECOS PAC ID: 6305077686 Enrollment ID: I20141003001081 |
| Provider Name | Emily S Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366731135 PECOS PAC ID: 8820238215 Enrollment ID: I20141006001820 |
| Provider Name | David J Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518045095 PECOS PAC ID: 1456338078 Enrollment ID: I20141029001605 |
| Provider Name | Irina A Ionova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174817621 PECOS PAC ID: 1658592902 Enrollment ID: I20141029002729 |
| Provider Name | Laura A Bushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932530136 PECOS PAC ID: 6800017161 Enrollment ID: I20141030000494 |
| Provider Name | Karen A Komornicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235126822 PECOS PAC ID: 6103048905 Enrollment ID: I20141111001891 |
| Provider Name | Samir S Sabnis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447225925 PECOS PAC ID: 0042122772 Enrollment ID: I20141113000996 |
| Provider Name | Jennifer D Simonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457754905 PECOS PAC ID: 5890917470 Enrollment ID: I20141114001816 |
| Provider Name | Jennifer G Doerfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932500808 PECOS PAC ID: 4284856592 Enrollment ID: I20141120001417 |
| Provider Name | Amanda Haack Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790193993 PECOS PAC ID: 1658693262 Enrollment ID: I20141210002143 |
| Provider Name | Michael R Holt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700871266 PECOS PAC ID: 1456244912 Enrollment ID: I20141211001826 |
| Provider Name | Rebecca J Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417358623 PECOS PAC ID: 9335462654 Enrollment ID: I20141217002271 |
| Provider Name | Heather Clarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443144 PECOS PAC ID: 0840513875 Enrollment ID: I20141226000297 |
| Provider Name | Margaret M Pearsall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023055910 PECOS PAC ID: 8022186584 Enrollment ID: I20150114000697 |
| Provider Name | Todd Hirschtritt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154597078 PECOS PAC ID: 7810181427 Enrollment ID: I20150311001430 |
| Provider Name | Jennifer R Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417345208 PECOS PAC ID: 6002133618 Enrollment ID: I20150319000923 |
| Provider Name | Julie R Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821431800 PECOS PAC ID: 0446577910 Enrollment ID: I20150320000890 |
| Provider Name | Marc Ao Gunderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194067561 PECOS PAC ID: 2769709252 Enrollment ID: I20150320002019 |
| Provider Name | Tammy L Degenhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669770210 PECOS PAC ID: 5698092047 Enrollment ID: I20150323001834 |
| Provider Name | Brady G Mcintosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841495074 PECOS PAC ID: 9830227586 Enrollment ID: I20150415002419 |
| Provider Name | Ashley L Linsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477945657 PECOS PAC ID: 6800114034 Enrollment ID: I20150417001390 |
| Provider Name | Jennifer Mcintosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578732897 PECOS PAC ID: 4486729662 Enrollment ID: I20150421001866 |
| Provider Name | Arlene L Vlieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073906384 PECOS PAC ID: 5799004727 Enrollment ID: I20150424001265 |
| Provider Name | Jesse A Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144514571 PECOS PAC ID: 3375862980 Enrollment ID: I20150504000998 |
| Provider Name | Whitney A Potharla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336534056 PECOS PAC ID: 6103146105 Enrollment ID: I20150514001510 |
| Provider Name | Stephanie M Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164828414 PECOS PAC ID: 8224358148 Enrollment ID: I20150518000294 |
| Provider Name | Laura L Kohl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871720771 PECOS PAC ID: 4688994502 Enrollment ID: I20150518000318 |
| Provider Name | Jennifer Lynn Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720039951 PECOS PAC ID: 4587696315 Enrollment ID: I20150521001573 |
| Provider Name | Edward M Barnett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891712337 PECOS PAC ID: 8527102714 Enrollment ID: I20150521002350 |
| Provider Name | Andrew Rosenblum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700877123 PECOS PAC ID: 0749192474 Enrollment ID: I20150527000219 |
| Provider Name | Kathy A Kremer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639566995 PECOS PAC ID: 6507186715 Enrollment ID: I20150528002268 |
| Provider Name | William E Reinhard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598164352 PECOS PAC ID: 7214253327 Enrollment ID: I20150529001861 |
| Provider Name | Matthew Chinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124318282 PECOS PAC ID: 2365681855 Enrollment ID: I20150609002330 |
| Provider Name | William Lea |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790947760 PECOS PAC ID: 8325285448 Enrollment ID: I20150609002877 |
| Provider Name | Sarah G Deitch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235391236 PECOS PAC ID: 3274854773 Enrollment ID: I20150609002951 |
| Provider Name | Michael O Griffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127558 PECOS PAC ID: 2466678859 Enrollment ID: I20150609003103 |
| Provider Name | Rosie E Goodhue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982991824 PECOS PAC ID: 4082935440 Enrollment ID: I20150610001869 |
| Provider Name | Jayme S Bosler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356517122 PECOS PAC ID: 7810121035 Enrollment ID: I20150610002611 |
| Provider Name | Pooja D Thakrar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093073306 PECOS PAC ID: 9335392489 Enrollment ID: I20150612000577 |
| Provider Name | John C Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790079119 PECOS PAC ID: 3072762749 Enrollment ID: I20150612000824 |
| Provider Name | Steven L Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942401146 PECOS PAC ID: 9739204421 Enrollment ID: I20150616002673 |
| Provider Name | Samantha K Brovelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881090579 PECOS PAC ID: 0244541985 Enrollment ID: I20150622001111 |
| Provider Name | Jill A Sracic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588958078 PECOS PAC ID: 9830339563 Enrollment ID: I20150629001465 |
| Provider Name | Ann R Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174902837 PECOS PAC ID: 7113239955 Enrollment ID: I20150707002963 |
| Provider Name | Christopher Mueller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295977718 PECOS PAC ID: 8820300627 Enrollment ID: I20150708001218 |
| Provider Name | Christopher M Dodgion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235333048 PECOS PAC ID: 9537392717 Enrollment ID: I20150708002467 |
| Provider Name | Sarah Meuler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093192189 PECOS PAC ID: 7810200144 Enrollment ID: I20150716000121 |
| Provider Name | Amir C Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265685200 PECOS PAC ID: 0345553608 Enrollment ID: I20150716001025 |
| Provider Name | Dominic B Fee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841395902 PECOS PAC ID: 7416916325 Enrollment ID: I20150720000374 |
| Provider Name | Naveen M Kulkarni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366709842 PECOS PAC ID: 8628221793 Enrollment ID: I20150720001434 |
| Provider Name | Katherine G Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386879021 PECOS PAC ID: 4183937154 Enrollment ID: I20150720002392 |
| Provider Name | Jamie M Aranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215203203 PECOS PAC ID: 5597078345 Enrollment ID: I20150722004994 |
| Provider Name | Derrick A Shumate |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992095921 PECOS PAC ID: 5294049706 Enrollment ID: I20150728005352 |
| Provider Name | Kwabena Oware Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154677391 PECOS PAC ID: 2961633375 Enrollment ID: I20150729007482 |
| Provider Name | Katherine M Blake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225304322 PECOS PAC ID: 0042524480 Enrollment ID: I20150729010152 |
| Provider Name | Mohammad A Rana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083902241 PECOS PAC ID: 0042524118 Enrollment ID: I20150803001524 |
| Provider Name | Vijaya Sivalingam Ramalingam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871724872 PECOS PAC ID: 4880908896 Enrollment ID: I20150805006398 |
| Provider Name | Stephen Quinet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013147719 PECOS PAC ID: 6901118934 Enrollment ID: I20150805008446 |
| Provider Name | Hesham Soliman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760667109 PECOS PAC ID: 1254659717 Enrollment ID: I20150805008599 |
| Provider Name | Jill Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164819033 PECOS PAC ID: 8729392410 Enrollment ID: I20150810001282 |
| Provider Name | Jorge L Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992063226 PECOS PAC ID: 3476868886 Enrollment ID: I20150813011881 |
| Provider Name | Stacy Dorothy Oconnor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588854616 PECOS PAC ID: 7214105659 Enrollment ID: I20150814012699 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225428584 PECOS PAC ID: 9436464724 Enrollment ID: I20150814014852 |
| Provider Name | Joan Linscott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659781086 PECOS PAC ID: 4082928247 Enrollment ID: I20150824000741 |
| Provider Name | Stephanie Ellen Rajchel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821380783 PECOS PAC ID: 7012223795 Enrollment ID: I20150825005533 |
| Provider Name | Sarah B Shortts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871979898 PECOS PAC ID: 4486960101 Enrollment ID: I20150826000662 |
| Provider Name | Amanda J Tatreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427432277 PECOS PAC ID: 2365758034 Enrollment ID: I20150826002616 |
| Provider Name | Tracy L Kersten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003290552 PECOS PAC ID: 7810203239 Enrollment ID: I20150831003060 |
| Provider Name | Dana M Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750766788 PECOS PAC ID: 3375859630 Enrollment ID: I20150901001205 |
| Provider Name | Ashley K Wanless |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902105216 PECOS PAC ID: 3173839115 Enrollment ID: I20150904001587 |
| Provider Name | Edward Cooney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235271958 PECOS PAC ID: 8123334190 Enrollment ID: I20150904002442 |
| Provider Name | Mercy P Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417105750 PECOS PAC ID: 1951618875 Enrollment ID: I20150909002790 |
| Provider Name | Tracy M Puttre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100339 PECOS PAC ID: 2264749936 Enrollment ID: I20150911001645 |
| Provider Name | Jillian L Theobald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750606968 PECOS PAC ID: 7618114877 Enrollment ID: I20150911001834 |
| Provider Name | Sarah V Weden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790168946 PECOS PAC ID: 2466769146 Enrollment ID: I20150911002392 |
| Provider Name | Katherine L Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538545728 PECOS PAC ID: 5890002596 Enrollment ID: I20150914000049 |
| Provider Name | Cayla A Jannsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447645163 PECOS PAC ID: 2769799469 Enrollment ID: I20150914000191 |
| Provider Name | James A Bockeloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194787341 PECOS PAC ID: 6901045996 Enrollment ID: I20150915000092 |
| Provider Name | Kasandra E Flasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093190860 PECOS PAC ID: 5890003784 Enrollment ID: I20150925000947 |
| Provider Name | Jessica A Held |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376935395 PECOS PAC ID: 9739497504 Enrollment ID: I20150928001444 |
| Provider Name | Irene I Bozich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790084002 PECOS PAC ID: 0749598407 Enrollment ID: I20150929001988 |
| Provider Name | Christopher J Schuetze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255710919 PECOS PAC ID: 9436467990 Enrollment ID: I20151001002913 |
| Provider Name | Sami Mohammed Abdus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801162078 PECOS PAC ID: 4385952746 Enrollment ID: I20151005000742 |
| Provider Name | Kristin M Wuest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467829937 PECOS PAC ID: 2365750643 Enrollment ID: I20151006002982 |
| Provider Name | Mita B Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609032986 PECOS PAC ID: 1557512282 Enrollment ID: I20151006003059 |
| Provider Name | Tracy Plaskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588031934 PECOS PAC ID: 8628387792 Enrollment ID: I20151013000859 |
| Provider Name | Jessica L Ewig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275919417 PECOS PAC ID: 4183934078 Enrollment ID: I20151104002873 |
| Provider Name | Laura N Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912337502 PECOS PAC ID: 9032429824 Enrollment ID: I20151106001147 |
| Provider Name | Traci Pavletich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336527357 PECOS PAC ID: 4688984339 Enrollment ID: I20151109000764 |
| Provider Name | Harpreet Singh-gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437499910 PECOS PAC ID: 9436464302 Enrollment ID: I20151110000843 |
| Provider Name | Jennifer L Mallas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497133151 PECOS PAC ID: 0042510893 Enrollment ID: I20151130001033 |
| Provider Name | Hilary A Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026456 PECOS PAC ID: 0648571000 Enrollment ID: I20151209001926 |
| Provider Name | Gretchen Rakowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114330123 PECOS PAC ID: 6305147364 Enrollment ID: I20151216000511 |
| Provider Name | Meghan L Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659743318 PECOS PAC ID: 9032410923 Enrollment ID: I20151218000059 |
| Provider Name | Lynette Terhune |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457739385 PECOS PAC ID: 9436451267 Enrollment ID: I20160111000881 |
| Provider Name | Matthew J Scheidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467615559 PECOS PAC ID: 9931356920 Enrollment ID: I20160115000204 |
| Provider Name | Kelly Woppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760856546 PECOS PAC ID: 9335442656 Enrollment ID: I20160120002522 |
| Provider Name | Jeffrey D Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073716072 PECOS PAC ID: 2163725102 Enrollment ID: I20160125001957 |
| Provider Name | Madhumathi Kosaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770574824 PECOS PAC ID: 7113974791 Enrollment ID: I20160215001521 |
| Provider Name | Lisa K Roche |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932568201 PECOS PAC ID: 6507162526 Enrollment ID: I20160316002215 |
| Provider Name | Andrea M Pipito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831558113 PECOS PAC ID: 7517263569 Enrollment ID: I20160317000350 |
| Provider Name | Emily A Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104284025 PECOS PAC ID: 6204133267 Enrollment ID: I20160318001464 |
| Provider Name | Marie L Kujawa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205227501 PECOS PAC ID: 4981901949 Enrollment ID: I20160318001578 |
| Provider Name | Ashley Gilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336509652 PECOS PAC ID: 7618274390 Enrollment ID: I20160323001461 |
| Provider Name | Andrea Lee Stahulak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639356843 PECOS PAC ID: 0840479853 Enrollment ID: I20160401000144 |
| Provider Name | Staley A Brod |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740217322 PECOS PAC ID: 9234279092 Enrollment ID: I20160412001360 |
| Provider Name | David Chang Ishizawar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326235607 PECOS PAC ID: 4688748510 Enrollment ID: I20160412001750 |
| Provider Name | Kayla E Sanfelippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710349006 PECOS PAC ID: 4284932989 Enrollment ID: I20160413001350 |
| Provider Name | Hassan M Haji-abdirahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972735785 PECOS PAC ID: 6204084387 Enrollment ID: I20160418000199 |
| Provider Name | Rebecca E Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760843908 PECOS PAC ID: 3375841893 Enrollment ID: I20160418001414 |
| Provider Name | Ali H Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922210178 PECOS PAC ID: 8123165909 Enrollment ID: I20160419002051 |
| Provider Name | Abby M Kurylo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083048656 PECOS PAC ID: 0547404956 Enrollment ID: I20160419002669 |
| Provider Name | Sasha Lechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962863522 PECOS PAC ID: 5496054249 Enrollment ID: I20160428000928 |
| Provider Name | Alicia Y Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144625815 PECOS PAC ID: 8527367382 Enrollment ID: I20160428001131 |
| Provider Name | Zachary R Laste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417243866 PECOS PAC ID: 3678862596 Enrollment ID: I20160517000989 |
| Provider Name | Wilfredo Crespo-velez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952408585 PECOS PAC ID: 2961681424 Enrollment ID: I20160517001635 |
| Provider Name | Matthew R Plunk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366674426 PECOS PAC ID: 0648569582 Enrollment ID: I20160517001871 |
| Provider Name | Deepa S Pawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528200615 PECOS PAC ID: 1557680170 Enrollment ID: I20160602000168 |
| Provider Name | Stephanie R Ghojallu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356797393 PECOS PAC ID: 0446540256 Enrollment ID: I20160607002480 |
| Provider Name | Rabab F Nazar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275965956 PECOS PAC ID: 3173813755 Enrollment ID: I20160610000259 |
| Provider Name | Brian R Fischer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750720439 PECOS PAC ID: 1254622764 Enrollment ID: I20160614000078 |
| Provider Name | Tracy A Drake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700229846 PECOS PAC ID: 3577884584 Enrollment ID: I20160616000746 |
| Provider Name | Brooke Franson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114267457 PECOS PAC ID: 3375834682 Enrollment ID: I20160616001356 |
| Provider Name | Wasif A Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497149116 PECOS PAC ID: 2961792379 Enrollment ID: I20160621001919 |
| Provider Name | Manan S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083920698 PECOS PAC ID: 4486896842 Enrollment ID: I20160622000923 |
| Provider Name | Martin M Mckinney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144583089 PECOS PAC ID: 8527280080 Enrollment ID: I20160622001143 |
| Provider Name | Morgan D Wilbanks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912341132 PECOS PAC ID: 6406071240 Enrollment ID: I20160701000036 |
| Provider Name | Kristi Maso |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841588936 PECOS PAC ID: 5597081331 Enrollment ID: I20160701000064 |
| Provider Name | William J Scheels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174886303 PECOS PAC ID: 3779808837 Enrollment ID: I20160701000179 |
| Provider Name | Bradley H Crotty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144487521 PECOS PAC ID: 8921132382 Enrollment ID: I20160701000198 |
| Provider Name | Sheila J Swartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427324623 PECOS PAC ID: 1052630506 Enrollment ID: I20160701000252 |
| Provider Name | Matthew C Laudon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023351616 PECOS PAC ID: 8224320684 Enrollment ID: I20160706001260 |
| Provider Name | Joshua C Timpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386083335 PECOS PAC ID: 7012238868 Enrollment ID: I20160706001385 |
| Provider Name | Kathleen L Lak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578852620 PECOS PAC ID: 7012236516 Enrollment ID: I20160707000877 |
| Provider Name | Jacob R Peschman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396060679 PECOS PAC ID: 7517279615 Enrollment ID: I20160708000987 |
| Provider Name | Taylor J Sonnenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538401971 PECOS PAC ID: 9234459124 Enrollment ID: I20160711001857 |
| Provider Name | Shahriar Alizadegan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063647857 PECOS PAC ID: 6800116757 Enrollment ID: I20160712000026 |
| Provider Name | Jessica L Minder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164861712 PECOS PAC ID: 0042502999 Enrollment ID: I20160713001206 |
| Provider Name | Meghan M Fabrizi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467898064 PECOS PAC ID: 7517286164 Enrollment ID: I20160718000612 |
| Provider Name | Alexandra H Fairchild |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255658464 PECOS PAC ID: 0345488250 Enrollment ID: I20160718001131 |
| Provider Name | Tesfaye H Gebremedhin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780927657 PECOS PAC ID: 5799077483 Enrollment ID: I20160718001163 |
| Provider Name | Waheeb Sm Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043653934 PECOS PAC ID: 3173831351 Enrollment ID: I20160719002874 |
| Provider Name | Jason E Domagalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972647170 PECOS PAC ID: 1355566613 Enrollment ID: I20160721000174 |
| Provider Name | Caitlin R Patten |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1124342761 PECOS PAC ID: 1951616325 Enrollment ID: I20160722000885 |
| Provider Name | Robert A Hoogstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629171244 PECOS PAC ID: 6406749118 Enrollment ID: I20160726000788 |
| Provider Name | Ryan H Holzhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508272139 PECOS PAC ID: 9234422353 Enrollment ID: I20160727001944 |
| Provider Name | Sarah S Wendling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619102944 PECOS PAC ID: 2062651854 Enrollment ID: I20160728001730 |
| Provider Name | Michelle Compty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932450764 PECOS PAC ID: 2961653886 Enrollment ID: I20160801000333 |
| Provider Name | Megan M Jourdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255673430 PECOS PAC ID: 6608192505 Enrollment ID: I20160801000473 |
| Provider Name | Melissa C Jarboe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053674762 PECOS PAC ID: 6103110564 Enrollment ID: I20160808001149 |
| Provider Name | Kristen A Klement |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912149170 PECOS PAC ID: 4385963800 Enrollment ID: I20160808001855 |
| Provider Name | Katherine M Troy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992978050 PECOS PAC ID: 0840584918 Enrollment ID: I20160811002621 |
| Provider Name | Christopher S Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386800985 PECOS PAC ID: 3173817046 Enrollment ID: I20160816001358 |
| Provider Name | Max V Wohlauer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962692194 PECOS PAC ID: 5496057697 Enrollment ID: I20160817000488 |
| Provider Name | Katelin A Krystowiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407198716 PECOS PAC ID: 5991090755 Enrollment ID: I20160818002148 |
| Provider Name | Melanie A Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891061883 PECOS PAC ID: 6507186608 Enrollment ID: I20160822002497 |
| Provider Name | Dawn Nichols |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649447400 PECOS PAC ID: 5991090524 Enrollment ID: I20160822002546 |
| Provider Name | Keisha Denise Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861835365 PECOS PAC ID: 1658592472 Enrollment ID: I20160823000437 |
| Provider Name | Saif Ramay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528313038 PECOS PAC ID: 0547492951 Enrollment ID: I20160823002203 |
| Provider Name | Nicole M Wilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803031 PECOS PAC ID: 3971898388 Enrollment ID: I20160824002559 |
| Provider Name | Laura J. Kopplin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003106378 PECOS PAC ID: 4284889767 Enrollment ID: I20160825001292 |
| Provider Name | Kathryn A Dielentheis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710248422 PECOS PAC ID: 5991090995 Enrollment ID: I20160829002472 |
| Provider Name | Jennifer Zomchek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700249992 PECOS PAC ID: 1254627953 Enrollment ID: I20160907000078 |
| Provider Name | Alex Kor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922169374 PECOS PAC ID: 6002894748 Enrollment ID: I20160908000252 |
| Provider Name | Amy E Domeyer-klenske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982964698 PECOS PAC ID: 7517191497 Enrollment ID: I20160908002737 |
| Provider Name | Kristina Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578019782 PECOS PAC ID: 6709172174 Enrollment ID: I20160912000400 |
| Provider Name | Christina M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349261 PECOS PAC ID: 0143516526 Enrollment ID: I20160912000749 |
| Provider Name | Amber M Golembeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669928495 PECOS PAC ID: 9032405246 Enrollment ID: I20160913002952 |
| Provider Name | Anna Palatnik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790913820 PECOS PAC ID: 1557658325 Enrollment ID: I20160921002482 |
| Provider Name | Stephanie L Bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780034876 PECOS PAC ID: 9830485085 Enrollment ID: I20160923000542 |
| Provider Name | Leanne B Nebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100848 PECOS PAC ID: 8123315355 Enrollment ID: I20161003000231 |
| Provider Name | Alicia D St Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861893133 PECOS PAC ID: 2961790183 Enrollment ID: I20161004000941 |
| Provider Name | Milena I Ivanova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174724264 PECOS PAC ID: 5395993620 Enrollment ID: I20161005002048 |
| Provider Name | Ana M Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053869305 PECOS PAC ID: 8527356583 Enrollment ID: I20161007000703 |
| Provider Name | Chirag Lavani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649602160 PECOS PAC ID: 3577866110 Enrollment ID: I20161007000783 |
| Provider Name | Sarah E Thordsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942529615 PECOS PAC ID: 5092003889 Enrollment ID: I20161011001574 |
| Provider Name | Jennifer A Zaspel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306264288 PECOS PAC ID: 7517255359 Enrollment ID: I20161012000003 |
| Provider Name | Anna Reinert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114359924 PECOS PAC ID: 1557659216 Enrollment ID: I20161012000963 |
| Provider Name | Mitchell T Saltzberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962454470 PECOS PAC ID: 7315836665 Enrollment ID: I20161013000754 |
| Provider Name | Elias D Granadillo Deluque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477865574 PECOS PAC ID: 4082833041 Enrollment ID: I20161013002109 |
| Provider Name | Jaclyn A Kitzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144285 PECOS PAC ID: 5698063212 Enrollment ID: I20161014001314 |
| Provider Name | Kerry L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679028989 PECOS PAC ID: 0345538831 Enrollment ID: I20161017001676 |
| Provider Name | Adam Carow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912452533 PECOS PAC ID: 9739477027 Enrollment ID: I20161020000219 |
| Provider Name | Andrea Danielle Pankratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669739025 PECOS PAC ID: 2567762321 Enrollment ID: I20161020000645 |
| Provider Name | Kaitie W Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932656055 PECOS PAC ID: 2163701574 Enrollment ID: I20161107002395 |
| Provider Name | Elyse E Carrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912457680 PECOS PAC ID: 9537448709 Enrollment ID: I20161110000391 |
| Provider Name | Kerry A Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336691062 PECOS PAC ID: 0840570396 Enrollment ID: I20161129002421 |
| Provider Name | Alyssa Tennies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154873669 PECOS PAC ID: 6709166002 Enrollment ID: I20161202000537 |
| Provider Name | Darren P Oneill |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982781373 PECOS PAC ID: 0446356315 Enrollment ID: I20161214001944 |
| Provider Name | Shadie S Majidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265472633 PECOS PAC ID: 5799784906 Enrollment ID: I20161216000459 |
| Provider Name | Anne Elizabeth Argenta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417103979 PECOS PAC ID: 8820382195 Enrollment ID: I20161222000293 |
| Provider Name | Eric J Everson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376087247 PECOS PAC ID: 3476834888 Enrollment ID: I20161223000070 |
| Provider Name | Abedrazik H Eisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306112842 PECOS PAC ID: 6901125418 Enrollment ID: I20170125000140 |
| Provider Name | Kenneth B Gordon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790865806 PECOS PAC ID: 8527098946 Enrollment ID: I20170125001490 |
| Provider Name | Erik Kust |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841736154 PECOS PAC ID: 9537442082 Enrollment ID: I20170208001569 |
| Provider Name | Michael H Lembezeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063957629 PECOS PAC ID: 7113200510 Enrollment ID: I20170209000496 |
| Provider Name | Lindsey D Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794318 PECOS PAC ID: 1557645389 Enrollment ID: I20170223000086 |
| Provider Name | Meagan E Alonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194262139 PECOS PAC ID: 7618251117 Enrollment ID: I20170301000669 |
| Provider Name | Courtney L Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972058824 PECOS PAC ID: 3577847714 Enrollment ID: I20170307000926 |
| Provider Name | Cynthia D Dusel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457899759 PECOS PAC ID: 7214212208 Enrollment ID: I20170313001800 |
| Provider Name | Adam P Zorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073795761 PECOS PAC ID: 1759516651 Enrollment ID: I20170313001820 |
| Provider Name | Julie L Rickert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215035944 PECOS PAC ID: 5597958587 Enrollment ID: I20170315000479 |
| Provider Name | Mary E Alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669424230 PECOS PAC ID: 0446354930 Enrollment ID: I20170329000730 |
| Provider Name | Teju Lakkundi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396285854 PECOS PAC ID: 4688959976 Enrollment ID: I20170329001201 |
| Provider Name | Jennifer C Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972042315 PECOS PAC ID: 9830475946 Enrollment ID: I20170404000382 |
| Provider Name | Philip W Diperna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508306671 PECOS PAC ID: 0345526315 Enrollment ID: I20170406001639 |
| Provider Name | Justin Loeper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174992481 PECOS PAC ID: 9739465659 Enrollment ID: I20170407000846 |
| Provider Name | Mai Xiong Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669911178 PECOS PAC ID: 6901182740 Enrollment ID: I20170411001143 |
| Provider Name | Anne Elizabeth Newbold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566428 PECOS PAC ID: 1456591122 Enrollment ID: I20170413002217 |
| Provider Name | Legenda Gooding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093255549 PECOS PAC ID: 9739465188 Enrollment ID: I20170419000955 |
| Provider Name | Luis A Sosa Lozano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225269285 PECOS PAC ID: 0446536809 Enrollment ID: I20170419001458 |
| Provider Name | Jodi L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568902088 PECOS PAC ID: 8628354024 Enrollment ID: I20170420000377 |
| Provider Name | Julie Ten Pas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144751082 PECOS PAC ID: 2365729225 Enrollment ID: I20170502000084 |
| Provider Name | Katie L Soja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285165126 PECOS PAC ID: 5991082869 Enrollment ID: I20170502000215 |
| Provider Name | Annamarie Wielgos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972044709 PECOS PAC ID: 0749567568 Enrollment ID: I20170504001208 |
| Provider Name | Sara C Tromp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578003141 PECOS PAC ID: 3375820103 Enrollment ID: I20170504001753 |
| Provider Name | Rachel Sitzman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871028613 PECOS PAC ID: 3577840230 Enrollment ID: I20170505000768 |
| Provider Name | Bridget K Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285993725 PECOS PAC ID: 3476836024 Enrollment ID: I20170505001209 |
| Provider Name | Solomon Cherian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528367778 PECOS PAC ID: 8628376597 Enrollment ID: I20170511002894 |
| Provider Name | Christopher Macdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043567530 PECOS PAC ID: 8022395482 Enrollment ID: I20170512000177 |
| Provider Name | Sally J Hartman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497280440 PECOS PAC ID: 1557648912 Enrollment ID: I20170512000252 |
| Provider Name | Carrie A Prill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760915664 PECOS PAC ID: 6204113673 Enrollment ID: I20170512000639 |
| Provider Name | Petar Duvnjak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922394436 PECOS PAC ID: 9436441821 Enrollment ID: I20170512000664 |
| Provider Name | Stephen W Goth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285999334 PECOS PAC ID: 5890072268 Enrollment ID: I20170512000833 |
| Provider Name | Briget P Matecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417163023 PECOS PAC ID: 7911054077 Enrollment ID: I20170512001277 |
| Provider Name | Jing Qi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073953204 PECOS PAC ID: 6002045028 Enrollment ID: I20170515000002 |
| Provider Name | Alyssa R Torn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831623610 PECOS PAC ID: 9032486337 Enrollment ID: I20170516002443 |
| Provider Name | John Stephen Symanski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073812236 PECOS PAC ID: 3870722408 Enrollment ID: I20170517001579 |
| Provider Name | Kevin P Cohoon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568637486 PECOS PAC ID: 5698944585 Enrollment ID: I20170518002317 |
| Provider Name | Matthew S Jolly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548674179 PECOS PAC ID: 4183900442 Enrollment ID: I20170602000965 |
| Provider Name | Max J Geers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629417068 PECOS PAC ID: 5799052387 Enrollment ID: I20170602001070 |
| Provider Name | Amanda Frances Derylo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760758064 PECOS PAC ID: 7416182274 Enrollment ID: I20170602001811 |
| Provider Name | Jennifer C Kreuzpaintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962951152 PECOS PAC ID: 8022385533 Enrollment ID: I20170602002202 |
| Provider Name | Marc A De Moya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588655781 PECOS PAC ID: 3375589682 Enrollment ID: I20170608000825 |
| Provider Name | Ryan Mccann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730617879 PECOS PAC ID: 6103194295 Enrollment ID: I20170613002970 |
| Provider Name | Kim Glaser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003857863 PECOS PAC ID: 7517235658 Enrollment ID: I20170614001730 |
| Provider Name | Christopher Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902225287 PECOS PAC ID: 4981901873 Enrollment ID: I20170615002124 |
| Provider Name | Katarina Filipovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780112680 PECOS PAC ID: 5092083014 Enrollment ID: I20170616000086 |
| Provider Name | Frederick G Joachim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669738043 PECOS PAC ID: 3971871906 Enrollment ID: I20170616000178 |
| Provider Name | Kristopher Mulraj Katira |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326337064 PECOS PAC ID: 3678841608 Enrollment ID: I20170616000312 |
| Provider Name | Lisa L Somers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861926750 PECOS PAC ID: 3476821414 Enrollment ID: I20170616000791 |
| Provider Name | Nicole J Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124289442 PECOS PAC ID: 3375616253 Enrollment ID: I20170616001505 |
| Provider Name | Thomas E Grawey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376962142 PECOS PAC ID: 6507156411 Enrollment ID: I20170620002599 |
| Provider Name | Ryan T Brennan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649561978 PECOS PAC ID: 0042527764 Enrollment ID: I20170620003266 |
| Provider Name | Nathan T Zwagerman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689970543 PECOS PAC ID: 1759659576 Enrollment ID: I20170620003366 |
| Provider Name | Christopher M Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811302854 PECOS PAC ID: 7113220195 Enrollment ID: I20170622001755 |
| Provider Name | Noura M. Dabbouseh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770882029 PECOS PAC ID: 7719101781 Enrollment ID: I20170622002214 |
| Provider Name | Barbara Eder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699912824 PECOS PAC ID: 7719255371 Enrollment ID: I20170622002420 |
| Provider Name | Scott C Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912223553 PECOS PAC ID: 0143522011 Enrollment ID: I20170623000782 |
| Provider Name | Kasey A Gillmore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366971517 PECOS PAC ID: 8224307541 Enrollment ID: I20170629002872 |
| Provider Name | Christopher Tl Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043637903 PECOS PAC ID: 9830319359 Enrollment ID: I20170718003459 |
| Provider Name | Michael Stephen Harris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740441021 PECOS PAC ID: 0345487252 Enrollment ID: I20170719004071 |
| Provider Name | Jenna L Sarvaideo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699020602 PECOS PAC ID: 0749570570 Enrollment ID: I20170720000550 |
| Provider Name | Daniel J Bucklan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417249426 PECOS PAC ID: 8022388297 Enrollment ID: I20170720001319 |
| Provider Name | Alexandria J Bear |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285976860 PECOS PAC ID: 4981923430 Enrollment ID: I20170725000579 |
| Provider Name | Rachel S Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205061579 PECOS PAC ID: 1254650450 Enrollment ID: I20170725001373 |
| Provider Name | Ashley M Cunningham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902163272 PECOS PAC ID: 5890065809 Enrollment ID: I20170725001583 |
| Provider Name | Benjamin D Beran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346549680 PECOS PAC ID: 4587970751 Enrollment ID: I20170725004226 |
| Provider Name | Thomas W Engel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700290863 PECOS PAC ID: 7012212186 Enrollment ID: I20170727000171 |
| Provider Name | Mikias A Kebede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053622399 PECOS PAC ID: 2769626472 Enrollment ID: I20170802001028 |
| Provider Name | Tai T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790103497 PECOS PAC ID: 6507165883 Enrollment ID: I20170802001791 |
| Provider Name | Aaron D Massie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104189349 PECOS PAC ID: 9335378033 Enrollment ID: I20170802003323 |
| Provider Name | Jonathan E Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790074888 PECOS PAC ID: 3971822453 Enrollment ID: I20170802003431 |
| Provider Name | Anthony J Logiudice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750670980 PECOS PAC ID: 0749500536 Enrollment ID: I20170819000054 |
| Provider Name | Adam C T Saugen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891038279 PECOS PAC ID: 3274805247 Enrollment ID: I20170825001713 |
| Provider Name | Amalia A Brouillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407378086 PECOS PAC ID: 6204093321 Enrollment ID: I20170831000029 |
| Provider Name | Sarah M Mess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174920797 PECOS PAC ID: 3375816069 Enrollment ID: I20170831000211 |
| Provider Name | Courtney O Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487183240 PECOS PAC ID: 5799058491 Enrollment ID: I20170831000787 |
| Provider Name | Viktoriya Sabchyshyn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922374529 PECOS PAC ID: 6204109762 Enrollment ID: I20170905001320 |
| Provider Name | Aaron L Morgan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588985402 PECOS PAC ID: 5395018816 Enrollment ID: I20170906000185 |
| Provider Name | Daniel S Dykstra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821301946 PECOS PAC ID: 7012146517 Enrollment ID: I20170906000341 |
| Provider Name | Charlotte Rutkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003228743 PECOS PAC ID: 9931328457 Enrollment ID: I20170908001620 |
| Provider Name | Davorka Nikolic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487819496 PECOS PAC ID: 4587710769 Enrollment ID: I20170914004153 |
| Provider Name | Anthony Rutkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114339850 PECOS PAC ID: 3779702261 Enrollment ID: I20170918000464 |
| Provider Name | Jeremiah C Parve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306360409 PECOS PAC ID: 4385918168 Enrollment ID: I20170918001112 |
| Provider Name | Sachin Shivaji Kumbhar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033558143 PECOS PAC ID: 7113246752 Enrollment ID: I20170920000249 |
| Provider Name | Gwynne D Kirchen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972879989 PECOS PAC ID: 2668791161 Enrollment ID: I20170922000801 |
| Provider Name | Nancy L Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093133126 PECOS PAC ID: 3173801545 Enrollment ID: I20170926002331 |
| Provider Name | Adam G Sternberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548605629 PECOS PAC ID: 3072888015 Enrollment ID: I20171002001916 |
| Provider Name | Samantha J Arends |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346766052 PECOS PAC ID: 8820363872 Enrollment ID: I20171002002234 |
| Provider Name | Kathryn Henschel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073038162 PECOS PAC ID: 7911272885 Enrollment ID: I20171003004159 |
| Provider Name | Jessica A O Neil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396266250 PECOS PAC ID: 0749555654 Enrollment ID: I20171003005610 |
| Provider Name | Caitlin Schueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033633144 PECOS PAC ID: 1850666777 Enrollment ID: I20171003005993 |
| Provider Name | Garrett D Fitzgerald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447575386 PECOS PAC ID: 7012216955 Enrollment ID: I20171006000805 |
| Provider Name | Jeremy P Waldhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427476605 PECOS PAC ID: 3072801687 Enrollment ID: I20171011000213 |
| Provider Name | Megan M Hyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375462 PECOS PAC ID: 1759656143 Enrollment ID: I20171011001913 |
| Provider Name | Elizabeth J Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235539826 PECOS PAC ID: 6608096961 Enrollment ID: I20171011003290 |
| Provider Name | Trang Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447660188 PECOS PAC ID: 5698070456 Enrollment ID: I20171011003461 |
| Provider Name | Michelle L Baumeister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699704296 PECOS PAC ID: 0042245698 Enrollment ID: I20171011003778 |
| Provider Name | Anthony L Kohlenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033404348 PECOS PAC ID: 7911123302 Enrollment ID: I20171012001895 |
| Provider Name | Amanda Louise Ensz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164840286 PECOS PAC ID: 6002183159 Enrollment ID: I20171013000572 |
| Provider Name | Erika L Konkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447593587 PECOS PAC ID: 2264751387 Enrollment ID: I20171013002016 |
| Provider Name | Erin R Zepezauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952826919 PECOS PAC ID: 0648546788 Enrollment ID: I20171018000366 |
| Provider Name | Nathan Richard Burkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861806382 PECOS PAC ID: 2466756549 Enrollment ID: I20171018001091 |
| Provider Name | Fernando Santos Pinheiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285932343 PECOS PAC ID: 4688971823 Enrollment ID: I20171018001541 |
| Provider Name | Andrew Stollfus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588084875 PECOS PAC ID: 4880960855 Enrollment ID: I20171018001592 |
| Provider Name | Veronica J Lindo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366469280 PECOS PAC ID: 2365587045 Enrollment ID: I20171018002660 |
| Provider Name | Elizabeth M Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104255884 PECOS PAC ID: 4981970548 Enrollment ID: I20171026000138 |
| Provider Name | Christina L Megal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821457839 PECOS PAC ID: 0840582250 Enrollment ID: I20171026000275 |
| Provider Name | Kathryn M Schlotthauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518484344 PECOS PAC ID: 8729354394 Enrollment ID: I20171026000471 |
| Provider Name | Kathryn M Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104276484 PECOS PAC ID: 6305112970 Enrollment ID: I20171026000753 |
| Provider Name | Carissa Aboubakare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497206916 PECOS PAC ID: 2466728043 Enrollment ID: I20171026000904 |
| Provider Name | Laura Folger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467710897 PECOS PAC ID: 8325314859 Enrollment ID: I20171027000000 |
| Provider Name | Danielle Nevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952820771 PECOS PAC ID: 2668748070 Enrollment ID: I20171030000894 |
| Provider Name | Jill Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871883926 PECOS PAC ID: 8224357736 Enrollment ID: I20171106000252 |
| Provider Name | Charles Brandsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214763 PECOS PAC ID: 1557627718 Enrollment ID: I20171106000308 |
| Provider Name | Barbara C Sieck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144699364 PECOS PAC ID: 2466731914 Enrollment ID: I20171120003553 |
| Provider Name | Caroline M Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992215867 PECOS PAC ID: 8628335924 Enrollment ID: I20171121002312 |
| Provider Name | Jimmy Viet Ninh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104088939 PECOS PAC ID: 6608913835 Enrollment ID: I20171127002601 |
| Provider Name | Sarojini Kamaraju Ratnakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524672 PECOS PAC ID: 2466410279 Enrollment ID: I20171202000091 |
| Provider Name | Amit Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235392127 PECOS PAC ID: 1355599903 Enrollment ID: I20171205000239 |
| Provider Name | Brian J Robertson-dick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033452453 PECOS PAC ID: 9133419021 Enrollment ID: I20171205001966 |
| Provider Name | Jane M Trimberger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851706121 PECOS PAC ID: 3971720459 Enrollment ID: I20171212001980 |
| Provider Name | Eve M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669984589 PECOS PAC ID: 4981962057 Enrollment ID: I20171219000150 |
| Provider Name | Katie Lammi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316223340 PECOS PAC ID: 7618191453 Enrollment ID: I20171226001941 |
| Provider Name | Amanda M Manders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003156613 PECOS PAC ID: 2769612225 Enrollment ID: I20171227000925 |
| Provider Name | Mark R Staszkiewicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417914524 PECOS PAC ID: 6800154634 Enrollment ID: I20171227000933 |
| Provider Name | Unho Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184880544 PECOS PAC ID: 6103003363 Enrollment ID: I20171228001673 |
| Provider Name | Perry T Shuman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063495133 PECOS PAC ID: 4486789435 Enrollment ID: I20180102002575 |
| Provider Name | Anne Mutitu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093220360 PECOS PAC ID: 4981963402 Enrollment ID: I20180109000474 |
| Provider Name | Saurabh Narad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922283910 PECOS PAC ID: 9335333061 Enrollment ID: I20180125000781 |
| Provider Name | Allison D Kaczmarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851808059 PECOS PAC ID: 6507126968 Enrollment ID: I20180202000008 |
| Provider Name | Kimberly Marilyn Beres |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942684428 PECOS PAC ID: 0840507935 Enrollment ID: I20180301000545 |
| Provider Name | Krystina L Kienast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255839338 PECOS PAC ID: 6406117787 Enrollment ID: I20180301000783 |
| Provider Name | Brett Hapeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811316334 PECOS PAC ID: 9931497435 Enrollment ID: I20180320003295 |
| Provider Name | David A Songco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881025864 PECOS PAC ID: 7719249846 Enrollment ID: I20180329000674 |
| Provider Name | Sara A Arndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568814085 PECOS PAC ID: 7012279094 Enrollment ID: I20180403001910 |
| Provider Name | Mark M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760982763 PECOS PAC ID: 0941563936 Enrollment ID: I20180404000073 |
| Provider Name | Amanda R Hallquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396247789 PECOS PAC ID: 9830452838 Enrollment ID: I20180404000674 |
| Provider Name | Roslin Thongsri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053751321 PECOS PAC ID: 2961797527 Enrollment ID: I20180417000811 |
| Provider Name | Danielle E Greve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396253118 PECOS PAC ID: 7618230814 Enrollment ID: I20180423001639 |
| Provider Name | David Victor Smullen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912969510 PECOS PAC ID: 7315945839 Enrollment ID: I20180424001130 |
| Provider Name | Tochi Umunakwe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609119577 PECOS PAC ID: 4688993223 Enrollment ID: I20180424001172 |
| Provider Name | Kimberly Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982109534 PECOS PAC ID: 6901160803 Enrollment ID: I20180430002831 |
| Provider Name | David Thomas Rockwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326067117 PECOS PAC ID: 9638167398 Enrollment ID: I20180502000417 |
| Provider Name | Bianca A Belli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720348261 PECOS PAC ID: 4981901881 Enrollment ID: I20180502001287 |
| Provider Name | David R Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306852736 PECOS PAC ID: 7315096930 Enrollment ID: I20180509000001 |
| Provider Name | Jayshree Chander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013118264 PECOS PAC ID: 9739162389 Enrollment ID: I20180509000467 |
| Provider Name | Eric Stephen Skoblar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770509036 PECOS PAC ID: 4880661008 Enrollment ID: I20180509000918 |
| Provider Name | Christopher A. Yopp |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588907430 PECOS PAC ID: 4486918968 Enrollment ID: I20180509001247 |
| Provider Name | Mary L Theisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248407 PECOS PAC ID: 0547525685 Enrollment ID: I20180521001423 |
| Provider Name | Amanda Bartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356869531 PECOS PAC ID: 9739455346 Enrollment ID: I20180522002084 |
| Provider Name | Tyler M Flessner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275979825 PECOS PAC ID: 1355606385 Enrollment ID: I20180523000004 |
| Provider Name | Pavan R Parasu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750624847 PECOS PAC ID: 0840590097 Enrollment ID: I20180523000019 |
| Provider Name | Kurt Techawatanaset |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760725493 PECOS PAC ID: 7517222540 Enrollment ID: I20180523000067 |
| Provider Name | Matthew R Vickery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801139837 PECOS PAC ID: 2860757762 Enrollment ID: I20180524000657 |
| Provider Name | Leah Rossett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518301787 PECOS PAC ID: 9638434327 Enrollment ID: I20180530001434 |
| Provider Name | Lyudmila V Demko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881063352 PECOS PAC ID: 2668737362 Enrollment ID: I20180530001807 |
| Provider Name | Jennifer A Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548295272 PECOS PAC ID: 4880756030 Enrollment ID: I20180531001555 |
| Provider Name | Marcus W Bickford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285070722 PECOS PAC ID: 7810125945 Enrollment ID: I20180531001920 |
| Provider Name | Padden P Glocka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689069247 PECOS PAC ID: 1355606856 Enrollment ID: I20180605000717 |
| Provider Name | Paige Ganske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588007330 PECOS PAC ID: 0345505855 Enrollment ID: I20180605000787 |
| Provider Name | Juliana Rose Budd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053809723 PECOS PAC ID: 1153676465 Enrollment ID: I20180608001465 |
| Provider Name | Stephane L Desouches |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083970602 PECOS PAC ID: 1850692013 Enrollment ID: I20180612002059 |
| Provider Name | Angela M Ragozin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760989412 PECOS PAC ID: 4486909538 Enrollment ID: I20180614000517 |
| Provider Name | Joseph T Fleming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558852673 PECOS PAC ID: 8527313543 Enrollment ID: I20180615000808 |
| Provider Name | Michael Babbitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447697396 PECOS PAC ID: 9830408012 Enrollment ID: I20180618002398 |
| Provider Name | Timothy A Sanborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073600987 PECOS PAC ID: 2961458872 Enrollment ID: I20180618002972 |
| Provider Name | Mark W Semrad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104245430 PECOS PAC ID: 8123305257 Enrollment ID: I20180619001033 |
| Provider Name | Nicole L Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962897132 PECOS PAC ID: 2264787084 Enrollment ID: I20180620000441 |
| Provider Name | Mark Lebehn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437444643 PECOS PAC ID: 1850662370 Enrollment ID: I20180620000655 |
| Provider Name | Jessica Ellen Southwood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518223494 PECOS PAC ID: 8123347952 Enrollment ID: I20180621000125 |
| Provider Name | Amanda R Gaska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245692821 PECOS PAC ID: 9537414131 Enrollment ID: I20180622001866 |
| Provider Name | Zachary A Colvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730506015 PECOS PAC ID: 7113221912 Enrollment ID: I20180626000855 |
| Provider Name | Hatim S Attar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437598208 PECOS PAC ID: 6305192741 Enrollment ID: I20180627002406 |
| Provider Name | Courtney Pyant Dan Pullo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023379831 PECOS PAC ID: 8729235643 Enrollment ID: I20180629000212 |
| Provider Name | Cara C O'brien |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720407893 PECOS PAC ID: 8921398819 Enrollment ID: I20180629000475 |
| Provider Name | Stephanie A Vincent-sheldon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770849408 PECOS PAC ID: 1456585371 Enrollment ID: I20180629002212 |
| Provider Name | Alexander M Tassopoulos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477829760 PECOS PAC ID: 3072881499 Enrollment ID: I20180630000080 |
| Provider Name | Khaled M Taha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083080519 PECOS PAC ID: 2466758107 Enrollment ID: I20180702000531 |
| Provider Name | Marissa Mowery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962992537 PECOS PAC ID: 3971859125 Enrollment ID: I20180702001718 |
| Provider Name | Annika Narotam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942693650 PECOS PAC ID: 2264788413 Enrollment ID: I20180702002175 |
| Provider Name | Kristin E Dement |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205220233 PECOS PAC ID: 5698021715 Enrollment ID: I20180703001949 |
| Provider Name | Ashley Margret Pavlic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215291448 PECOS PAC ID: 4688823495 Enrollment ID: I20180710002259 |
| Provider Name | Jonathan S Kurman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184913568 PECOS PAC ID: 6800115346 Enrollment ID: I20180710002527 |
| Provider Name | Bradley Z Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487145579 PECOS PAC ID: 2264788991 Enrollment ID: I20180710002703 |
| Provider Name | Jennifer Lea Mulkerin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619222833 PECOS PAC ID: 4688943087 Enrollment ID: I20180711002100 |
| Provider Name | Rebecca Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629311196 PECOS PAC ID: 0547486219 Enrollment ID: I20180716000218 |
| Provider Name | Joseph S Brantman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090676 PECOS PAC ID: 0749594018 Enrollment ID: I20180716001299 |
| Provider Name | Kevin P Quirke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417306911 PECOS PAC ID: 3870888738 Enrollment ID: I20180717003218 |
| Provider Name | Jennifer Kroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558748350 PECOS PAC ID: 1850607896 Enrollment ID: I20180725000621 |
| Provider Name | Kimberly M Keniry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346668183 PECOS PAC ID: 2163708579 Enrollment ID: I20180726000762 |
| Provider Name | Andrew N Farkas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528363546 PECOS PAC ID: 0345490025 Enrollment ID: I20180726000886 |
| Provider Name | Adam I Edelstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013279082 PECOS PAC ID: 2163726910 Enrollment ID: I20180726001934 |
| Provider Name | Harirajan Mani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205220506 PECOS PAC ID: 7618224213 Enrollment ID: I20180726002567 |
| Provider Name | Emily R Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336431287 PECOS PAC ID: 7315251980 Enrollment ID: I20180726002691 |
| Provider Name | Kevin James Barber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952798936 PECOS PAC ID: 6305117037 Enrollment ID: I20180727001558 |
| Provider Name | Michelle M Arneson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184011926 PECOS PAC ID: 7315294972 Enrollment ID: I20180727001630 |
| Provider Name | Megan E Maticek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104231190 PECOS PAC ID: 9739481250 Enrollment ID: I20180727001811 |
| Provider Name | Natalia A Rumas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003233016 PECOS PAC ID: 0143440677 Enrollment ID: I20180730001061 |
| Provider Name | Mohamed Mostafa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982011557 PECOS PAC ID: 3870841430 Enrollment ID: I20180730003286 |
| Provider Name | Tara M Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992191662 PECOS PAC ID: 7113207705 Enrollment ID: I20180731000691 |
| Provider Name | Laura E Swoboda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063902054 PECOS PAC ID: 5597013029 Enrollment ID: I20180731002969 |
| Provider Name | Melissa L Dechiara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245722792 PECOS PAC ID: 8123376258 Enrollment ID: I20180807001692 |
| Provider Name | Ruth Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861803405 PECOS PAC ID: 6305194390 Enrollment ID: I20180808000494 |
| Provider Name | Nichole L Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114419892 PECOS PAC ID: 3375891369 Enrollment ID: I20180808000599 |
| Provider Name | Gretchen M Roth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912311614 PECOS PAC ID: 8729206461 Enrollment ID: I20180808003853 |
| Provider Name | Aminta Ann Blinka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720465768 PECOS PAC ID: 6204142607 Enrollment ID: I20180811000070 |
| Provider Name | Andrew N Ceelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912498791 PECOS PAC ID: 7618226184 Enrollment ID: I20180815003944 |
| Provider Name | Evan N Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629515853 PECOS PAC ID: 9830456326 Enrollment ID: I20180816000463 |
| Provider Name | Andrew J Kamien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285980441 PECOS PAC ID: 7416188164 Enrollment ID: I20180816000577 |
| Provider Name | Amanda Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063907699 PECOS PAC ID: 1254680762 Enrollment ID: I20180816001669 |
| Provider Name | Anish N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265845986 PECOS PAC ID: 9830315217 Enrollment ID: I20180822001612 |
| Provider Name | Ahmed Z Obeidat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184069627 PECOS PAC ID: 6608018288 Enrollment ID: I20180828002717 |
| Provider Name | Supreeti Behuria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417240268 PECOS PAC ID: 1658621495 Enrollment ID: I20180829001107 |
| Provider Name | Abby E Rothstein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275822439 PECOS PAC ID: 9335468867 Enrollment ID: I20180829002241 |
| Provider Name | Karri A Adamson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164711172 PECOS PAC ID: 4486973906 Enrollment ID: I20180829004329 |
| Provider Name | Lindsay M Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427536911 PECOS PAC ID: 5395095913 Enrollment ID: I20180831001541 |
| Provider Name | Mackenzee M Kuczmarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821576406 PECOS PAC ID: 6204186844 Enrollment ID: I20180901000054 |
| Provider Name | Kassandra Holzem |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568882793 PECOS PAC ID: 5193024925 Enrollment ID: I20180904000019 |
| Provider Name | Andrew A Mazulis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699031583 PECOS PAC ID: 0042515595 Enrollment ID: I20180904002651 |
| Provider Name | Naveen Kumar R Addagatla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366718231 PECOS PAC ID: 7315265204 Enrollment ID: I20180905003475 |
| Provider Name | Ian Bk Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508940487 PECOS PAC ID: 2163449554 Enrollment ID: I20180906000689 |
| Provider Name | Samuel K Corbo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881002129 PECOS PAC ID: 9830402130 Enrollment ID: I20180906003084 |
| Provider Name | Jill R Streams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194051987 PECOS PAC ID: 1759651532 Enrollment ID: I20180907001345 |
| Provider Name | Omar F Dyara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285077404 PECOS PAC ID: 0244580413 Enrollment ID: I20180910001018 |
| Provider Name | Jaymie L Gehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356820476 PECOS PAC ID: 0143570317 Enrollment ID: I20180910001067 |
| Provider Name | Paul L Linsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871818930 PECOS PAC ID: 4385959600 Enrollment ID: I20180911000978 |
| Provider Name | Rachel Kriz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669951737 PECOS PAC ID: 8426309345 Enrollment ID: I20180914002627 |
| Provider Name | Anuoluwapo Funmilola Elegbede |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447548631 PECOS PAC ID: 3072737386 Enrollment ID: I20180919000174 |
| Provider Name | Leah A Stapelman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336627108 PECOS PAC ID: 6406107879 Enrollment ID: I20180924003151 |
| Provider Name | Brandon J Weigel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033690433 PECOS PAC ID: 5496006611 Enrollment ID: I20180926002420 |
| Provider Name | Jayson A Haan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215419544 PECOS PAC ID: 4688925654 Enrollment ID: I20181002000353 |
| Provider Name | Jordan H Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841686466 PECOS PAC ID: 0244507226 Enrollment ID: I20181006000083 |
| Provider Name | Gwendolyn M Hoben |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780812925 PECOS PAC ID: 5395973341 Enrollment ID: I20181010002144 |
| Provider Name | Shannon Scalish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376035782 PECOS PAC ID: 5496007536 Enrollment ID: I20181017003437 |
| Provider Name | Brooke Fula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376027664 PECOS PAC ID: 2264785203 Enrollment ID: I20181022002030 |
| Provider Name | Renee L Kursel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770872210 PECOS PAC ID: 8527204056 Enrollment ID: I20181022002171 |
| Provider Name | Adam N Wooldridge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811255524 PECOS PAC ID: 2365741311 Enrollment ID: I20181024002920 |
| Provider Name | Crystal C Lochhead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770982332 PECOS PAC ID: 9436402286 Enrollment ID: I20181025000941 |
| Provider Name | Bushra Z Osmani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760746127 PECOS PAC ID: 6406079151 Enrollment ID: I20181030000768 |
| Provider Name | Mary Teresa Falk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871074385 PECOS PAC ID: 7315290673 Enrollment ID: I20181102001655 |
| Provider Name | Marie Ustruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518441898 PECOS PAC ID: 5890049852 Enrollment ID: I20181112000815 |
| Provider Name | Evan Kendal Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679967962 PECOS PAC ID: 8022318278 Enrollment ID: I20181114002182 |
| Provider Name | Erica R Karek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831665876 PECOS PAC ID: 4486908134 Enrollment ID: I20181115000392 |
| Provider Name | Melissa Wojtkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023583937 PECOS PAC ID: 3577807536 Enrollment ID: I20181130002579 |
| Provider Name | John R Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497097141 PECOS PAC ID: 3476857111 Enrollment ID: I20181204000932 |
| Provider Name | Norma J Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912473943 PECOS PAC ID: 2567706484 Enrollment ID: I20181204002418 |
| Provider Name | Corey E Tabit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255598587 PECOS PAC ID: 4385814375 Enrollment ID: I20181204003856 |
| Provider Name | Rania H Saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326280264 PECOS PAC ID: 8022265685 Enrollment ID: I20181206001462 |
| Provider Name | Myranda Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336615129 PECOS PAC ID: 9436493053 Enrollment ID: I20181207000496 |
| Provider Name | Iyad K Azzam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811216229 PECOS PAC ID: 6103004106 Enrollment ID: I20181211001267 |
| Provider Name | Jennifer Nogalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548743586 PECOS PAC ID: 7315281706 Enrollment ID: I20181212001713 |
| Provider Name | Betsy Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447727128 PECOS PAC ID: 2466797832 Enrollment ID: I20181213001842 |
| Provider Name | Hakki Bolukoglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356341176 PECOS PAC ID: 9537058656 Enrollment ID: I20181214000017 |
| Provider Name | Jennifer H Barber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710456942 PECOS PAC ID: 4981949286 Enrollment ID: I20181214000049 |
| Provider Name | Yuka Kobayashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588059885 PECOS PAC ID: 9537459581 Enrollment ID: I20181214000851 |
| Provider Name | Joseph Lee Klapper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881638260 PECOS PAC ID: 1456252634 Enrollment ID: I20181217001988 |
| Provider Name | David Filsoof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861686354 PECOS PAC ID: 2365698081 Enrollment ID: I20181221001520 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20181226000644 |
| Provider Name | Kelly Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282634 PECOS PAC ID: 4385989961 Enrollment ID: I20181231001737 |
| Provider Name | Lindsay M Witkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730659343 PECOS PAC ID: 9931445210 Enrollment ID: I20190108000273 |
| Provider Name | Amy T Kenworthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346335254 PECOS PAC ID: 7012997109 Enrollment ID: I20190122003354 |
| Provider Name | Kwanza N Devlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871716845 PECOS PAC ID: 5395816565 Enrollment ID: I20190205003320 |
| Provider Name | Robert C Orth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962615971 PECOS PAC ID: 5496800955 Enrollment ID: I20190215001064 |
| Provider Name | Lauren Demshar Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972806438 PECOS PAC ID: 3072851997 Enrollment ID: I20190218003064 |
| Provider Name | Tracy A Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932682473 PECOS PAC ID: 1850639733 Enrollment ID: I20190219002600 |
| Provider Name | Salman Farooq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487049375 PECOS PAC ID: 8729327978 Enrollment ID: I20190305002441 |
| Provider Name | Rochele Drew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871063818 PECOS PAC ID: 1456690643 Enrollment ID: I20190306000839 |
| Provider Name | Julietta Douglas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588045538 PECOS PAC ID: 4284947417 Enrollment ID: I20190306001078 |
| Provider Name | Richard C Prokesch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427064583 PECOS PAC ID: 2668411570 Enrollment ID: I20190319000054 |
| Provider Name | Amirreza Solhpour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932458502 PECOS PAC ID: 9537380860 Enrollment ID: I20190320000412 |
| Provider Name | Nygil D Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215448501 PECOS PAC ID: 8628319241 Enrollment ID: I20190409001904 |
| Provider Name | Stephen J Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255759189 PECOS PAC ID: 5698016228 Enrollment ID: I20190409002105 |
| Provider Name | Erin Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730629874 PECOS PAC ID: 4688915150 Enrollment ID: I20190410000947 |
| Provider Name | Elyse M Hartleben |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407218175 PECOS PAC ID: 8527321868 Enrollment ID: I20190410001125 |
| Provider Name | Angela J David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538624010 PECOS PAC ID: 3779824297 Enrollment ID: I20190410002617 |
| Provider Name | Joshua R Pohlman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215373634 PECOS PAC ID: 8729216072 Enrollment ID: I20190411002020 |
| Provider Name | Jennifer J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184180994 PECOS PAC ID: 7517208879 Enrollment ID: I20190415001148 |
| Provider Name | Jagan Kansal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942611694 PECOS PAC ID: 9335366517 Enrollment ID: I20190416003275 |
| Provider Name | Johanna Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750841482 PECOS PAC ID: 8426399585 Enrollment ID: I20190418000964 |
| Provider Name | Tanya L Schimek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164616884 PECOS PAC ID: 9032450127 Enrollment ID: I20190418001996 |
| Provider Name | Krystyna Marie Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240086 PECOS PAC ID: 0446475750 Enrollment ID: I20190423000119 |
| Provider Name | Blake Charles Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518209766 PECOS PAC ID: 1254556640 Enrollment ID: I20190423000147 |
| Provider Name | Elizabeth E Hopp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609132646 PECOS PAC ID: 0749500726 Enrollment ID: I20190423000419 |
| Provider Name | Igor Shusterman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457709776 PECOS PAC ID: 0840532867 Enrollment ID: I20190423001601 |
| Provider Name | Salik Nazeer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831517770 PECOS PAC ID: 3779825799 Enrollment ID: I20190423001986 |
| Provider Name | Christopher J Kleefisch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598106528 PECOS PAC ID: 4486996436 Enrollment ID: I20190424000015 |
| Provider Name | Eric S Fair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154736171 PECOS PAC ID: 2567704513 Enrollment ID: I20190424000033 |
| Provider Name | Adam P Wadzinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669899530 PECOS PAC ID: 2668714551 Enrollment ID: I20190424002274 |
| Provider Name | Noelle C Garster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730422643 PECOS PAC ID: 0648410654 Enrollment ID: I20190424002492 |
| Provider Name | April J Zhang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063802742 PECOS PAC ID: 2961764246 Enrollment ID: I20190424002856 |
| Provider Name | Nicholas S Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548520695 PECOS PAC ID: 0941459747 Enrollment ID: I20190425000007 |
| Provider Name | Jamie Ottow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043778475 PECOS PAC ID: 2365784295 Enrollment ID: I20190425000694 |
| Provider Name | Baseer U Ahmad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114160918 PECOS PAC ID: 0446415285 Enrollment ID: I20190425001932 |
| Provider Name | Subhashish Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134173875 PECOS PAC ID: 6507808227 Enrollment ID: I20190502000668 |
| Provider Name | Emily Rose Wenrich Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750644415 PECOS PAC ID: 7214153709 Enrollment ID: I20190502002925 |
| Provider Name | Christina M Duffy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952778599 PECOS PAC ID: 0648512582 Enrollment ID: I20190507001598 |
| Provider Name | Jenna Lease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528449568 PECOS PAC ID: 8426390725 Enrollment ID: I20190507003035 |
| Provider Name | Elizabeth A Bukowy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063839397 PECOS PAC ID: 9931442480 Enrollment ID: I20190524000080 |
| Provider Name | Lenny M Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730397878 PECOS PAC ID: 2769576230 Enrollment ID: I20190524002006 |
| Provider Name | Shikha Singla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497916696 PECOS PAC ID: 2062682693 Enrollment ID: I20190530000085 |
| Provider Name | Robert T Rydze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750634036 PECOS PAC ID: 1951697937 Enrollment ID: I20190530002139 |
| Provider Name | Nicholas Paul Lukens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538523493 PECOS PAC ID: 5890087670 Enrollment ID: I20190530002434 |
| Provider Name | Jeffrey S Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447646005 PECOS PAC ID: 0446555031 Enrollment ID: I20190531001940 |
| Provider Name | Alex Thomas Burton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780002493 PECOS PAC ID: 8022241942 Enrollment ID: I20190603001883 |
| Provider Name | Pedro M Lozano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881663722 PECOS PAC ID: 7315997236 Enrollment ID: I20190603002603 |
| Provider Name | Keith T Ferguson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861758526 PECOS PAC ID: 4183857154 Enrollment ID: I20190604000119 |
| Provider Name | Choua N Thao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20190607000155 |
| Provider Name | Mohit Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538423991 PECOS PAC ID: 9032424643 Enrollment ID: I20190613000610 |
| Provider Name | Jessica L Woznick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073932349 PECOS PAC ID: 0446472096 Enrollment ID: I20190614000846 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20190617001176 |
| Provider Name | Kyle J Ryan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447645742 PECOS PAC ID: 8224346614 Enrollment ID: I20190619002820 |
| Provider Name | Graham S Adsit |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033343892 PECOS PAC ID: 0345412326 Enrollment ID: I20190620001001 |
| Provider Name | Elizabeth Partain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124407655 PECOS PAC ID: 3971837162 Enrollment ID: I20190621000657 |
| Provider Name | Gregory C Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932553179 PECOS PAC ID: 7719241009 Enrollment ID: I20190701000647 |
| Provider Name | Ahmad Bakdalieh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861874646 PECOS PAC ID: 8527360098 Enrollment ID: I20190702000585 |
| Provider Name | Brock A Hanke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952969909 PECOS PAC ID: 6800120304 Enrollment ID: I20190702002271 |
| Provider Name | Jason David Talmadge |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417394602 PECOS PAC ID: 2365724101 Enrollment ID: I20190705000653 |
| Provider Name | Brianna Kelly Bates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609436559 PECOS PAC ID: 4981939345 Enrollment ID: I20190709000384 |
| Provider Name | Cole J Lewandowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851950778 PECOS PAC ID: 7315272242 Enrollment ID: I20190715000651 |
| Provider Name | Neel Anand Mansukhani |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821352683 PECOS PAC ID: 0042592867 Enrollment ID: I20190715001117 |
| Provider Name | Bridget B Walker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750768156 PECOS PAC ID: 5890093132 Enrollment ID: I20190718000688 |
| Provider Name | Lioubov Soulii |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972846236 PECOS PAC ID: 0941500201 Enrollment ID: I20190719001177 |
| Provider Name | Ali Haider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538435060 PECOS PAC ID: 5597070193 Enrollment ID: I20190719001696 |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477968584 PECOS PAC ID: 0547581811 Enrollment ID: I20190724000903 |
| Provider Name | Abhinav Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518298280 PECOS PAC ID: 4981873478 Enrollment ID: I20190724001471 |
| Provider Name | Benjamin Sorenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619538972 PECOS PAC ID: 5294061560 Enrollment ID: I20190724001525 |
| Provider Name | Corianna Anderson Hirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205217056 PECOS PAC ID: 8820303589 Enrollment ID: I20190724003460 |
| Provider Name | Jalaj Garg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558631663 PECOS PAC ID: 8527343433 Enrollment ID: I20190729003087 |
| Provider Name | Tracy L Farrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104809052 PECOS PAC ID: 3779539978 Enrollment ID: I20190730001776 |
| Provider Name | Christopher J Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770511495 PECOS PAC ID: 4183795933 Enrollment ID: I20190802000899 |
| Provider Name | Patrick M Bauer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447593918 PECOS PAC ID: 1951638642 Enrollment ID: I20190802001198 |
| Provider Name | Jared R Drenkow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639520448 PECOS PAC ID: 8729373089 Enrollment ID: I20190805000609 |
| Provider Name | Jacklyn Wendy Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649823485 PECOS PAC ID: 7113254350 Enrollment ID: I20190809001568 |
| Provider Name | Sean Samuel Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548624885 PECOS PAC ID: 3274871595 Enrollment ID: I20190809002081 |
| Provider Name | Samantha Jo Bergesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588216345 PECOS PAC ID: 3476880683 Enrollment ID: I20190812000968 |
| Provider Name | Lauren B Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154776037 PECOS PAC ID: 5991098311 Enrollment ID: I20190812001347 |
| Provider Name | Nicholas Samuel Yunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851740799 PECOS PAC ID: 6103199484 Enrollment ID: I20190812002101 |
| Provider Name | Mobin A Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154361715 PECOS PAC ID: 0941224711 Enrollment ID: I20190812002306 |
| Provider Name | Mary B Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780243436 PECOS PAC ID: 9234466293 Enrollment ID: I20190814000287 |
| Provider Name | Gretchen Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881151157 PECOS PAC ID: 8820325822 Enrollment ID: I20190814001758 |
| Provider Name | Stanislaw K Miaskowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962897314 PECOS PAC ID: 3971875527 Enrollment ID: I20190816002404 |
| Provider Name | Stephen P Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336438282 PECOS PAC ID: 3678792827 Enrollment ID: I20190819002782 |
| Provider Name | Meghan B Schaefer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689917650 PECOS PAC ID: 8123347606 Enrollment ID: I20190822001702 |
| Provider Name | Keely M Marshall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184019010 PECOS PAC ID: 6103128582 Enrollment ID: I20190826000023 |
| Provider Name | Marissa L Decker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912388638 PECOS PAC ID: 9739495714 Enrollment ID: I20190826001803 |
| Provider Name | Joseph P Hart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629006887 PECOS PAC ID: 6305851874 Enrollment ID: I20190828000102 |
| Provider Name | Sarah Elizabeth Sasor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1548536857 PECOS PAC ID: 4880831627 Enrollment ID: I20190828001773 |
| Provider Name | Kurt Hu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699114157 PECOS PAC ID: 3971840307 Enrollment ID: I20190828002121 |
| Provider Name | Laith Shaman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003360561 PECOS PAC ID: 5698003630 Enrollment ID: I20190828003398 |
| Provider Name | Alisa K Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578656138 PECOS PAC ID: 6507942125 Enrollment ID: I20190829001667 |
| Provider Name | Megan E Argall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962901207 PECOS PAC ID: 5597093492 Enrollment ID: I20190829002078 |
| Provider Name | David Charles Simon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518908581 PECOS PAC ID: 1951322148 Enrollment ID: I20190829002238 |
| Provider Name | Ali E Kusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134789746 PECOS PAC ID: 2961730874 Enrollment ID: I20190829002422 |
| Provider Name | Nicholas Paul Wohkittel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386202976 PECOS PAC ID: 5092043950 Enrollment ID: I20190830000138 |
| Provider Name | Jessica Ann Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063730661 PECOS PAC ID: 4587957451 Enrollment ID: I20190909003185 |
| Provider Name | Xia N Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750745162 PECOS PAC ID: 4183917685 Enrollment ID: I20190913001358 |
| Provider Name | Glen T Hansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679754675 PECOS PAC ID: 2769557420 Enrollment ID: I20190913002486 |
| Provider Name | Salman S Allana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225260136 PECOS PAC ID: 8820394414 Enrollment ID: I20190916001442 |
| Provider Name | Margaret Ann Knezevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801184288 PECOS PAC ID: 7810226909 Enrollment ID: I20190916002076 |
| Provider Name | Nabeel Syed Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184079246 PECOS PAC ID: 7315276342 Enrollment ID: I20190917000602 |
| Provider Name | Nisa Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275988339 PECOS PAC ID: 3779812714 Enrollment ID: I20190917001085 |
| Provider Name | Craig Schutta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235782475 PECOS PAC ID: 1759610744 Enrollment ID: I20190917003006 |
| Provider Name | Sophie Y Dream |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1588906804 PECOS PAC ID: 9335371319 Enrollment ID: I20190926000635 |
| Provider Name | Jacob R Hagenbucher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275927576 PECOS PAC ID: 9830405810 Enrollment ID: I20190926001712 |
| Provider Name | Hailey Mohrfeld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316595549 PECOS PAC ID: 0042540403 Enrollment ID: I20190927000057 |
| Provider Name | Chandler S Cortina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639515661 PECOS PAC ID: 5991001216 Enrollment ID: I20190927000112 |
| Provider Name | Obiageli C Sogbetun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477702082 PECOS PAC ID: 3274789292 Enrollment ID: I20190930001934 |
| Provider Name | Amanda M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770047474 PECOS PAC ID: 5799015822 Enrollment ID: I20191002002590 |
| Provider Name | Rachel M Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437701547 PECOS PAC ID: 7719218791 Enrollment ID: I20191004001290 |
| Provider Name | Kunal Dhiren Thakrar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255626438 PECOS PAC ID: 7911133863 Enrollment ID: I20191007001426 |
| Provider Name | Juna A Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922529304 PECOS PAC ID: 6103170782 Enrollment ID: I20191008001407 |
| Provider Name | Nathan A Carlson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639389653 PECOS PAC ID: 7113258641 Enrollment ID: I20191014002205 |
| Provider Name | April M Zehm |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568740553 PECOS PAC ID: 0446483432 Enrollment ID: I20191022002686 |
| Provider Name | Donna M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816453 PECOS PAC ID: 6901702034 Enrollment ID: I20191028000152 |
| Provider Name | Bryan Benn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144545930 PECOS PAC ID: 3577855279 Enrollment ID: I20191030000308 |
| Provider Name | Melissa M Kaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306488499 PECOS PAC ID: 2961834130 Enrollment ID: I20191111000681 |
| Provider Name | Tracy L Derksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497304612 PECOS PAC ID: 1951733930 Enrollment ID: I20191112003655 |
| Provider Name | Susan Mours |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790732626 PECOS PAC ID: 3577995208 Enrollment ID: I20191118001463 |
| Provider Name | Kayla M Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053955682 PECOS PAC ID: 0840622387 Enrollment ID: I20191121000914 |
| Provider Name | Jane M Kassens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578731899 PECOS PAC ID: 0042389892 Enrollment ID: I20191126000328 |
| Provider Name | Rolonda R Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255609178 PECOS PAC ID: 6608200100 Enrollment ID: I20191216001376 |
| Provider Name | Kacy W Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861633281 PECOS PAC ID: 0244388858 Enrollment ID: I20191224000048 |
| Provider Name | Joseph W Gravel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205824786 PECOS PAC ID: 6305871831 Enrollment ID: I20200103002009 |
| Provider Name | Olivia J Park |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669761748 PECOS PAC ID: 7810287786 Enrollment ID: I20200110000146 |
| Provider Name | Natalie A Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518506435 PECOS PAC ID: 7618302308 Enrollment ID: I20200128000680 |
| Provider Name | John P Budi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891050217 PECOS PAC ID: 4789981390 Enrollment ID: I20200130001201 |
| Provider Name | Jessica V Reyes-roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972142263 PECOS PAC ID: 5698101228 Enrollment ID: I20200130001236 |
| Provider Name | Briana N Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750532065 PECOS PAC ID: 6800924101 Enrollment ID: I20200204002208 |
| Provider Name | Francisco A Durazo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427070010 PECOS PAC ID: 3577525120 Enrollment ID: I20200212002769 |
| Provider Name | Cole Klotz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760021190 PECOS PAC ID: 1951737709 Enrollment ID: I20200214001097 |
| Provider Name | Nicholas Davey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497395313 PECOS PAC ID: 3870929664 Enrollment ID: I20200215000071 |
| Provider Name | Candace Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275188393 PECOS PAC ID: 8123455748 Enrollment ID: I20200220001690 |
| Provider Name | Kayla Scheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275163487 PECOS PAC ID: 7911334479 Enrollment ID: I20200221001017 |
| Provider Name | Der Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467093864 PECOS PAC ID: 6608203807 Enrollment ID: I20200228000929 |
| Provider Name | Airron Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881869451 PECOS PAC ID: 0446321293 Enrollment ID: I20200310002742 |
| Provider Name | Amanda R Smolock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255699682 PECOS PAC ID: 3577786201 Enrollment ID: I20200326002601 |
| Provider Name | Mary E Schroeder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578714549 PECOS PAC ID: 1052539988 Enrollment ID: I20200330001078 |
| Provider Name | John R Holzhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548623747 PECOS PAC ID: 2769775006 Enrollment ID: I20200401000786 |
| Provider Name | Kristi L Hilgart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326208711 PECOS PAC ID: 3678902392 Enrollment ID: I20200401001021 |
| Provider Name | Valerian M Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245760198 PECOS PAC ID: 9537432828 Enrollment ID: I20200408001351 |
| Provider Name | Stephanie J Gunderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366785065 PECOS PAC ID: 3971822099 Enrollment ID: I20200408002054 |
| Provider Name | Eric Jackowiak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972922706 PECOS PAC ID: 7517213069 Enrollment ID: I20200408002816 |
| Provider Name | Cary E Squires |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932594546 PECOS PAC ID: 2769799543 Enrollment ID: I20200408003442 |
| Provider Name | Brandon M Key |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932527710 PECOS PAC ID: 7517296189 Enrollment ID: I20200408003831 |
| Provider Name | Ryan Thomas Beck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295154524 PECOS PAC ID: 9830425743 Enrollment ID: I20200409002191 |
| Provider Name | Jayme Montes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265668636 PECOS PAC ID: 6204023013 Enrollment ID: I20200413003762 |
| Provider Name | Emily H Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114552312 PECOS PAC ID: 7618307760 Enrollment ID: I20200414001176 |
| Provider Name | Nicholas E Tadeo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992192256 PECOS PAC ID: 2769812841 Enrollment ID: I20200414002564 |
| Provider Name | Lucas T Grover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790212819 PECOS PAC ID: 1658641428 Enrollment ID: I20200414003383 |
| Provider Name | Olivia Diedrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871126805 PECOS PAC ID: 4385074343 Enrollment ID: I20200415003221 |
| Provider Name | Sarah C Kessenich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649703083 PECOS PAC ID: 2163767534 Enrollment ID: I20200422003245 |
| Provider Name | John N Jesse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639564115 PECOS PAC ID: 6103127899 Enrollment ID: I20200424000020 |
| Provider Name | Dana Elsherif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013270024 PECOS PAC ID: 5698081321 Enrollment ID: I20200424002066 |
| Provider Name | Nisha H Budi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598028706 PECOS PAC ID: 1759670078 Enrollment ID: I20200427000045 |
| Provider Name | Mohammed A Alshehri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841687597 PECOS PAC ID: 1456659846 Enrollment ID: I20200430000019 |
| Provider Name | Sabina C Mullin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275890584 PECOS PAC ID: 0840620068 Enrollment ID: I20200430000801 |
| Provider Name | Allison N Andersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801026877 PECOS PAC ID: 8628122215 Enrollment ID: I20200504002253 |
| Provider Name | Kasey Knecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982237277 PECOS PAC ID: 7719318864 Enrollment ID: I20200506000459 |
| Provider Name | Erin Beddows |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528420668 PECOS PAC ID: 9638418874 Enrollment ID: I20200506002619 |
| Provider Name | Kamini S Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184260721 PECOS PAC ID: 9931530581 Enrollment ID: I20200514001353 |
| Provider Name | Rachel A Fee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285054981 PECOS PAC ID: 1759667264 Enrollment ID: I20200522002076 |
| Provider Name | Evan G Black |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346260247 PECOS PAC ID: 6103724554 Enrollment ID: I20200526002814 |
| Provider Name | Sean A Mackman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780115634 PECOS PAC ID: 9335560580 Enrollment ID: I20200527000397 |
| Provider Name | Justin N. Corcoran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174903645 PECOS PAC ID: 2860705795 Enrollment ID: I20200527002243 |
| Provider Name | Mckenna Jean Knych |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013259613 PECOS PAC ID: 8628201480 Enrollment ID: I20200528001131 |
| Provider Name | Aroba Sadaf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689193211 PECOS PAC ID: 7618398777 Enrollment ID: I20200528002169 |
| Provider Name | Ahmed S Soliman Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164912952 PECOS PAC ID: 0345590022 Enrollment ID: I20200530000016 |
| Provider Name | Anita B Venkataramana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528003191 PECOS PAC ID: 6608807847 Enrollment ID: I20200530000109 |
| Provider Name | Bethany J Lopresti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952618217 PECOS PAC ID: 0143402529 Enrollment ID: I20200601002577 |
| Provider Name | Joon-bom Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932527413 PECOS PAC ID: 8224392576 Enrollment ID: I20200605000651 |
| Provider Name | Melanie Klawitter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285253609 PECOS PAC ID: 5991127268 Enrollment ID: I20200616001417 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20200620000057 |
| Provider Name | Matthew Smetko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639564479 PECOS PAC ID: 7911217971 Enrollment ID: I20200622002198 |
| Provider Name | Lauren M Towle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225478993 PECOS PAC ID: 8022312016 Enrollment ID: I20200706001739 |
| Provider Name | Bryan W Beaumont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073046520 PECOS PAC ID: 8123453990 Enrollment ID: I20200717001647 |
| Provider Name | Anjali Best |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962937532 PECOS PAC ID: 3577803758 Enrollment ID: I20200717002454 |
| Provider Name | Yasser Samra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518288638 PECOS PAC ID: 2769623925 Enrollment ID: I20200720000979 |
| Provider Name | Michelle Prentice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912423773 PECOS PAC ID: 1153756952 Enrollment ID: I20200721000214 |
| Provider Name | Prerna Pandya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063754125 PECOS PAC ID: 9234430059 Enrollment ID: I20200730003645 |
| Provider Name | Kehua Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649604695 PECOS PAC ID: 3476839408 Enrollment ID: I20200803001773 |
| Provider Name | Adam Leidal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063944676 PECOS PAC ID: 9133559875 Enrollment ID: I20200804001500 |
| Provider Name | Michael A Delatorre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831211861 PECOS PAC ID: 9032149794 Enrollment ID: I20200806000355 |
| Provider Name | Evgenia Raichlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700907540 PECOS PAC ID: 9739251323 Enrollment ID: I20200806000849 |
| Provider Name | Mark Barash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215355011 PECOS PAC ID: 5698054088 Enrollment ID: I20200806001166 |
| Provider Name | Patrick B Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467930867 PECOS PAC ID: 3173856788 Enrollment ID: I20200806002049 |
| Provider Name | Nicholas A Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497102651 PECOS PAC ID: 1658610985 Enrollment ID: I20200806003038 |
| Provider Name | Mitchell J Odom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831570662 PECOS PAC ID: 3971817446 Enrollment ID: I20200808000099 |
| Provider Name | Andrew R Freedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598766743 PECOS PAC ID: 7911990460 Enrollment ID: I20200811001199 |
| Provider Name | Alexandra J Beachnau |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114544343 PECOS PAC ID: 2961828744 Enrollment ID: I20200812000181 |
| Provider Name | Kevin M Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871023713 PECOS PAC ID: 1355611468 Enrollment ID: I20200818000978 |
| Provider Name | Caitlin S Rublee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437500071 PECOS PAC ID: 6305132630 Enrollment ID: I20200821001017 |
| Provider Name | Daniela Aleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134656374 PECOS PAC ID: 2567722424 Enrollment ID: I20200821001366 |
| Provider Name | Chrystal J Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679194278 PECOS PAC ID: 6800213737 Enrollment ID: I20200824002585 |
| Provider Name | Kelly Ashton Walker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063839512 PECOS PAC ID: 4880985936 Enrollment ID: I20200828001019 |
| Provider Name | Travis J Kuemmet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588027023 PECOS PAC ID: 6406195726 Enrollment ID: I20200828001905 |
| Provider Name | Aasim I Padela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114035425 PECOS PAC ID: 0244305159 Enrollment ID: I20200901000107 |
| Provider Name | Jessica M Alles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265052393 PECOS PAC ID: 6204253453 Enrollment ID: I20200902001222 |
| Provider Name | Carrie A Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316332901 PECOS PAC ID: 7618205972 Enrollment ID: I20200902001764 |
| Provider Name | Dominick Anthony Rascona |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679540553 PECOS PAC ID: 9032289491 Enrollment ID: I20200902002166 |
| Provider Name | Laura S Beacher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245659051 PECOS PAC ID: 6800175290 Enrollment ID: I20200904000729 |
| Provider Name | Natalie A Connelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124646070 PECOS PAC ID: 5496173445 Enrollment ID: I20200908002908 |
| Provider Name | Joseph R Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801206248 PECOS PAC ID: 0143592642 Enrollment ID: I20200910001450 |
| Provider Name | Mohammed Alghamdi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194346585 PECOS PAC ID: 5092133587 Enrollment ID: I20200915003099 |
| Provider Name | Daniel D Kopatich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659802197 PECOS PAC ID: 4789012865 Enrollment ID: I20200916000161 |
| Provider Name | Joshua Pearl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891038394 PECOS PAC ID: 3173867066 Enrollment ID: I20200922002527 |
| Provider Name | Ruby J Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477710473 PECOS PAC ID: 1759435704 Enrollment ID: I20200924000653 |
| Provider Name | Maureen E Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669900213 PECOS PAC ID: 4284053174 Enrollment ID: I20200925001336 |
| Provider Name | Samuel R Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306379698 PECOS PAC ID: 9436487253 Enrollment ID: I20200928003167 |
| Provider Name | Marisa Stich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356968002 PECOS PAC ID: 5294154878 Enrollment ID: I20200930003511 |
| Provider Name | Kristin J Magliocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679004980 PECOS PAC ID: 8628317856 Enrollment ID: I20201002000353 |
| Provider Name | Sonali Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619380755 PECOS PAC ID: 7416234281 Enrollment ID: I20201002000461 |
| Provider Name | Liliana Maria Palencia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902254832 PECOS PAC ID: 1355633223 Enrollment ID: I20201002000547 |
| Provider Name | Diane Kuehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598286940 PECOS PAC ID: 0749559532 Enrollment ID: I20201002001592 |
| Provider Name | Brandon J Strawn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609294701 PECOS PAC ID: 7214287903 Enrollment ID: I20201005000371 |
| Provider Name | Rachel Nordstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285163931 PECOS PAC ID: 2668712225 Enrollment ID: I20201007000273 |
| Provider Name | Thomas S Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427580950 PECOS PAC ID: 6709154206 Enrollment ID: I20201007000518 |
| Provider Name | Hirad S Hedayat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174843437 PECOS PAC ID: 8224328364 Enrollment ID: I20201008001195 |
| Provider Name | Matthew D Dube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710125976 PECOS PAC ID: 4789861303 Enrollment ID: I20201008001201 |
| Provider Name | Jessica R Molinaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396130761 PECOS PAC ID: 5395017057 Enrollment ID: I20201008002610 |
| Provider Name | Ekezie M Francis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619255213 PECOS PAC ID: 9739302639 Enrollment ID: I20201009001467 |
| Provider Name | Kathryn Hoppe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760800718 PECOS PAC ID: 2769786771 Enrollment ID: I20201010000017 |
| Provider Name | Sara Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235696907 PECOS PAC ID: 1456771559 Enrollment ID: I20201012000281 |
| Provider Name | Gaylord Hoffert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447235965 PECOS PAC ID: 6608801329 Enrollment ID: I20201023000759 |
| Provider Name | Nipun G Verma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447608112 PECOS PAC ID: 5799062873 Enrollment ID: I20201030000345 |
| Provider Name | Stefanie R Malesevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457969156 PECOS PAC ID: 9335559129 Enrollment ID: I20201106000032 |
| Provider Name | Eric M Uting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952832495 PECOS PAC ID: 4486987328 Enrollment ID: I20201109002211 |
| Provider Name | David Patrick Fitzgerald |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639381627 PECOS PAC ID: 4789577735 Enrollment ID: I20201109002677 |
| Provider Name | Valeria Serban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306942933 PECOS PAC ID: 8426153974 Enrollment ID: I20201109003305 |
| Provider Name | Saher Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275744161 PECOS PAC ID: 9133387277 Enrollment ID: I20201111002964 |
| Provider Name | Uzair K Ghori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750721346 PECOS PAC ID: 6800020819 Enrollment ID: I20201112002383 |
| Provider Name | Luba Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780690586 PECOS PAC ID: 6507863107 Enrollment ID: I20201112002798 |
| Provider Name | Gillian Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184041782 PECOS PAC ID: 5799087664 Enrollment ID: I20201112003204 |
| Provider Name | Amy C Truog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487260774 PECOS PAC ID: 7719398007 Enrollment ID: I20201117001477 |
| Provider Name | Richard Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932427218 PECOS PAC ID: 4880810282 Enrollment ID: I20201119000904 |
| Provider Name | Chelsea M Nettesheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700490521 PECOS PAC ID: 8921419904 Enrollment ID: I20201123002548 |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20201125000122 |
| Provider Name | Ashley M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477169837 PECOS PAC ID: 7911318753 Enrollment ID: I20201130000812 |
| Provider Name | Connie Lynn Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578542908 PECOS PAC ID: 5991875288 Enrollment ID: I20201201001498 |
| Provider Name | Brittany Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194969733 PECOS PAC ID: 7315163409 Enrollment ID: I20201201002322 |
| Provider Name | Lyndsay A Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891318978 PECOS PAC ID: 0941611529 Enrollment ID: I20201203000991 |
| Provider Name | Arun K Sherma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942474614 PECOS PAC ID: 1153616313 Enrollment ID: I20201204001816 |
| Provider Name | Ronald Stephen Hamrick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447542162 PECOS PAC ID: 8123323565 Enrollment ID: I20201207002773 |
| Provider Name | Ashley R Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902405186 PECOS PAC ID: 3779995154 Enrollment ID: I20201208002087 |
| Provider Name | Zachary J Manthe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649879115 PECOS PAC ID: 8123430402 Enrollment ID: I20201210000345 |
| Provider Name | Jill A Sorby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174941983 PECOS PAC ID: 2769761170 Enrollment ID: I20201210002860 |
| Provider Name | Matthew E Resop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912504242 PECOS PAC ID: 2769894625 Enrollment ID: I20201217000962 |
| Provider Name | Akinbola A Ajayi-obe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265850549 PECOS PAC ID: 2466711791 Enrollment ID: I20201224000601 |
| Provider Name | Mariska Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154933729 PECOS PAC ID: 1557774601 Enrollment ID: I20210108001561 |
| Provider Name | Leah Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992306310 PECOS PAC ID: 2668886011 Enrollment ID: I20210127000984 |
| Provider Name | Heather Krueger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457842130 PECOS PAC ID: 2860806189 Enrollment ID: I20210128000658 |
| Provider Name | Kate Buretta Krucoff |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225334873 PECOS PAC ID: 6507165016 Enrollment ID: I20210129002350 |
| Provider Name | Chhaya Jayram Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548271083 PECOS PAC ID: 0648291161 Enrollment ID: I20210204000241 |
| Provider Name | Clifton A Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538279567 PECOS PAC ID: 6204879281 Enrollment ID: I20210210001061 |
| Provider Name | Amy R Poetz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144677261 PECOS PAC ID: 2163837873 Enrollment ID: I20210210001535 |
| Provider Name | Michael A Tabor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174596316 PECOS PAC ID: 6204241805 Enrollment ID: I20210211003403 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20210218000155 |
| Provider Name | Oliver J Scotting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053653386 PECOS PAC ID: 9638301740 Enrollment ID: I20210218000344 |
| Provider Name | Tariq Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20210303003067 |
| Provider Name | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20210308000402 |
| Provider Name | Irene M Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891290227 PECOS PAC ID: 6002245214 Enrollment ID: I20210309002173 |
| Provider Name | Mustafa M Haddad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104269943 PECOS PAC ID: 1456591858 Enrollment ID: I20210310002451 |
| Provider Name | Cayla Hoof |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497238539 PECOS PAC ID: 5496007296 Enrollment ID: I20210310002496 |
| Provider Name | Colleen F Mrotek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295334670 PECOS PAC ID: 2860808110 Enrollment ID: I20210310002728 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20210311001519 |
| Provider Name | Diane P Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932473824 PECOS PAC ID: 7012170053 Enrollment ID: I20210315002120 |
| Provider Name | Tony Lynell Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538772033 PECOS PAC ID: 6305252461 Enrollment ID: I20210316000028 |
| Provider Name | Craig P Swanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437511557 PECOS PAC ID: 9234546292 Enrollment ID: I20210318002532 |
| Provider Name | Carol Beistle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609017524 PECOS PAC ID: 6507273562 Enrollment ID: I20210318002573 |
| Provider Name | Divyanshu Mohananey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356782783 PECOS PAC ID: 1052617156 Enrollment ID: I20210401001229 |
| Provider Name | Allison C Zimmerman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982299509 PECOS PAC ID: 0042628141 Enrollment ID: I20210408002044 |
| Provider Name | Kirk Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538754395 PECOS PAC ID: 4587072459 Enrollment ID: I20210413002160 |
| Provider Name | Jessica R Badwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730405689 PECOS PAC ID: 2668619867 Enrollment ID: I20210414000158 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20210420001089 |
| Provider Name | Eric P Segal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679936173 PECOS PAC ID: 8224467808 Enrollment ID: I20210420002505 |
| Provider Name | Abraham Bogachkov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992195697 PECOS PAC ID: 7517375934 Enrollment ID: I20210422002164 |
| Provider Name | Tiera Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203857 PECOS PAC ID: 5597173799 Enrollment ID: I20210427001927 |
| Provider Name | Alexandra K Scholz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760815005 PECOS PAC ID: 7315352374 Enrollment ID: I20210428000114 |
| Provider Name | Daniel Handler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992391668 PECOS PAC ID: 0244648426 Enrollment ID: I20210428001634 |
| Provider Name | Samba G Binagi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760879068 PECOS PAC ID: 2062821234 Enrollment ID: I20210429002572 |
| Provider Name | Emily Ruth Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306448139 PECOS PAC ID: 2365851045 Enrollment ID: I20210510001643 |
| Provider Name | Peter N Dietrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225484363 PECOS PAC ID: 0547699811 Enrollment ID: I20210514002341 |
| Provider Name | Andrzej Belzowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497100739 PECOS PAC ID: 9335432483 Enrollment ID: I20210517001268 |
| Provider Name | Shelly W Reimer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306200886 PECOS PAC ID: 2769881044 Enrollment ID: I20210519002056 |
| Provider Name | Kristen E Loeper |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174818207 PECOS PAC ID: 4082013289 Enrollment ID: I20210520000164 |
| Provider Name | Matthew Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659756716 PECOS PAC ID: 3971899170 Enrollment ID: I20210520000312 |
| Provider Name | Nikolai Arendovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871014654 PECOS PAC ID: 0840521100 Enrollment ID: I20210527002890 |
| Provider Name | Megan E Ackerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245790104 PECOS PAC ID: 0345582110 Enrollment ID: I20210528000303 |
| Provider Name | Brandon C Drazich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487175170 PECOS PAC ID: 8123359486 Enrollment ID: I20210607000175 |
| Provider Name | Leah Patullo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376048041 PECOS PAC ID: 5092144378 Enrollment ID: I20210607001711 |
| Provider Name | Katherine Jean Savage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104211804 PECOS PAC ID: 6709186976 Enrollment ID: I20210607002497 |
| Provider Name | Francis X Florez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780630053 PECOS PAC ID: 7012821044 Enrollment ID: I20210608000400 |
| Provider Name | Nicole Leigh Heding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174149918 PECOS PAC ID: 1153721394 Enrollment ID: I20210610000500 |
| Provider Name | Ryan Joseph Blaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033703368 PECOS PAC ID: 0749680999 Enrollment ID: I20210610000692 |
| Provider Name | Shannon M Burke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437646387 PECOS PAC ID: 6103173166 Enrollment ID: I20210616000086 |
| Provider Name | Christopher Boyd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003201856 PECOS PAC ID: 5193001527 Enrollment ID: I20210618001988 |
| Provider Name | Michael A Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831583772 PECOS PAC ID: 6406151299 Enrollment ID: I20210622003027 |
| Provider Name | Nathan W Kugler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154697621 PECOS PAC ID: 0042539538 Enrollment ID: I20210630001770 |
| Provider Name | Gary P Bhagat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508363151 PECOS PAC ID: 7810247657 Enrollment ID: I20210701000175 |
| Provider Name | Maximillian Von Hohenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336643436 PECOS PAC ID: 0941614929 Enrollment ID: I20210708000954 |
| Provider Name | Kayla Ann Jens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326689704 PECOS PAC ID: 6406258763 Enrollment ID: I20210708001929 |
| Provider Name | Katarzyna M Wlodarczyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285165506 PECOS PAC ID: 3274861711 Enrollment ID: I20210709000276 |
| Provider Name | Jennifer S Trenga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366974834 PECOS PAC ID: 2769884006 Enrollment ID: I20210709000806 |
| Provider Name | Sanil Gulati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619463635 PECOS PAC ID: 1052731015 Enrollment ID: I20210709001066 |
| Provider Name | Angela S Jin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922502855 PECOS PAC ID: 9133548381 Enrollment ID: I20210722001390 |
| Provider Name | Nathan P Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538612445 PECOS PAC ID: 1557655701 Enrollment ID: I20210723001082 |
| Provider Name | Solomon Zerga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159273 PECOS PAC ID: 9830592682 Enrollment ID: I20210730001662 |
| Provider Name | Rachel Umhoefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750888251 PECOS PAC ID: 2961832910 Enrollment ID: I20210730002168 |
| Provider Name | Bindiya A Shah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659809739 PECOS PAC ID: 1658640834 Enrollment ID: I20210802002919 |
| Provider Name | Megann Marcella Sheehy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982289070 PECOS PAC ID: 2567866346 Enrollment ID: I20210802003579 |
| Provider Name | Neil Dipak Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1598007684 PECOS PAC ID: 2163659467 Enrollment ID: I20210803001651 |
| Provider Name | Christopher G Torkilsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316442924 PECOS PAC ID: 3870923436 Enrollment ID: I20210803002415 |
| Provider Name | Jehad Jafari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356396634 PECOS PAC ID: 9436106812 Enrollment ID: I20210812002777 |
| Provider Name | Daniel Dean Champeau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992167274 PECOS PAC ID: 6608115308 Enrollment ID: I20210813001473 |
| Provider Name | Anshu Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528599693 PECOS PAC ID: 5597169425 Enrollment ID: I20210813001973 |
| Provider Name | Navkiran Kaur Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407387673 PECOS PAC ID: 9133490774 Enrollment ID: I20210818004125 |
| Provider Name | Melissa J Sanchez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063675080 PECOS PAC ID: 4183792260 Enrollment ID: I20210819001044 |
| Provider Name | Michael J Conrardy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356733182 PECOS PAC ID: 4284907569 Enrollment ID: I20210819001181 |
| Provider Name | Melissa J King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699081059 PECOS PAC ID: 8729274329 Enrollment ID: I20210819001480 |
| Provider Name | Kimberly S Gecsi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609898857 PECOS PAC ID: 9739183369 Enrollment ID: I20210820002955 |
| Provider Name | Jennifer Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053983577 PECOS PAC ID: 5092110593 Enrollment ID: I20210821000237 |
| Provider Name | Kathleen Y Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528284155 PECOS PAC ID: 1456451848 Enrollment ID: I20210823000799 |
| Provider Name | Kevin J Mcgurk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487187167 PECOS PAC ID: 4981009412 Enrollment ID: I20210823001004 |
| Provider Name | Bradley J Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730573650 PECOS PAC ID: 4486954997 Enrollment ID: I20210824002983 |
| Provider Name | Michelle Guenther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285206201 PECOS PAC ID: 8729483094 Enrollment ID: I20210825000352 |
| Provider Name | Sarah M Balgord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164955522 PECOS PAC ID: 6901175678 Enrollment ID: I20210825001758 |
| Provider Name | Anna Bakeman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538521869 PECOS PAC ID: 2668877713 Enrollment ID: I20210827000088 |
| Provider Name | Alexandra E Weil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164093027 PECOS PAC ID: 1052717923 Enrollment ID: I20210901002784 |
| Provider Name | Olivia A Cassiday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457920407 PECOS PAC ID: 9335545847 Enrollment ID: I20210909000561 |
| Provider Name | Joshua B Floyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255794897 PECOS PAC ID: 5991096836 Enrollment ID: I20210913002199 |
| Provider Name | Anita Stai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174296164 PECOS PAC ID: 8426454570 Enrollment ID: I20210915000966 |
| Provider Name | Ridhima Kapoor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750624193 PECOS PAC ID: 4183933252 Enrollment ID: I20210917001134 |
| Provider Name | Akrem Abduljewad Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730686080 PECOS PAC ID: 5991102717 Enrollment ID: I20210921003975 |
| Provider Name | Ngozi U Obi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089870 PECOS PAC ID: 5799182523 Enrollment ID: I20210922000391 |
| Provider Name | Vickie L Alba |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396900973 PECOS PAC ID: 2466859145 Enrollment ID: I20210922002636 |
| Provider Name | Katie Jopp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588974695 PECOS PAC ID: 8325445026 Enrollment ID: I20210923000082 |
| Provider Name | Jahanvi Patel Kothari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639518467 PECOS PAC ID: 8729379227 Enrollment ID: I20210923000988 |
| Provider Name | John Edward Fassler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891798757 PECOS PAC ID: 3870693930 Enrollment ID: I20210923001367 |
| Provider Name | Megan Roidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457924466 PECOS PAC ID: 4981001534 Enrollment ID: I20210923002165 |
| Provider Name | Hannah J Bridgeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760015176 PECOS PAC ID: 9133526791 Enrollment ID: I20210923002738 |
| Provider Name | Elizabeth A Nolte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205220282 PECOS PAC ID: 0244533032 Enrollment ID: I20210923003561 |
| Provider Name | Connor W Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629463872 PECOS PAC ID: 9133467442 Enrollment ID: I20210928002060 |
| Provider Name | Samantha Sippl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023785037 PECOS PAC ID: 6204233422 Enrollment ID: I20210930000616 |
| Provider Name | Tyler R Gehrke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851064208 PECOS PAC ID: 7719384999 Enrollment ID: I20210930003075 |
| Provider Name | Ceceleta Y Maitland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720184195 PECOS PAC ID: 4587643630 Enrollment ID: I20211007000816 |
| Provider Name | Katherine Teresa Ringler Iverson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407105968 PECOS PAC ID: 2163852682 Enrollment ID: I20211007001378 |
| Provider Name | Samantha R Khundmiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104402361 PECOS PAC ID: 3476951245 Enrollment ID: I20211008000084 |
| Provider Name | Anna L Melville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821767088 PECOS PAC ID: 0547668360 Enrollment ID: I20211008001869 |
| Provider Name | Latosha M Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528204153 PECOS PAC ID: 1456408764 Enrollment ID: I20211008002613 |
| Provider Name | Diego Villarreal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154090785 PECOS PAC ID: 6800294463 Enrollment ID: I20211012001852 |
| Provider Name | Thomas Jeong Won Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346699360 PECOS PAC ID: 5092049742 Enrollment ID: I20211018001216 |
| Provider Name | Alohani L Maya Cureno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184399040 PECOS PAC ID: 7618365925 Enrollment ID: I20211019001070 |
| Provider Name | Hania Maqbool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578050340 PECOS PAC ID: 6204181787 Enrollment ID: I20211019001631 |
| Provider Name | Michael A Piatek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629573860 PECOS PAC ID: 1951658889 Enrollment ID: I20211020001593 |
| Provider Name | Angela Waara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215506209 PECOS PAC ID: 2961890827 Enrollment ID: I20211026000748 |
| Provider Name | Ashleigh Spitza |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225523749 PECOS PAC ID: 2365830262 Enrollment ID: I20211026002348 |
| Provider Name | Laura D Johns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750814802 PECOS PAC ID: 1759782865 Enrollment ID: I20211026002653 |
| Provider Name | Kristin M Greenwald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043972201 PECOS PAC ID: 2466840376 Enrollment ID: I20211026002783 |
| Provider Name | Alissa Ashley Rue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174297006 PECOS PAC ID: 7315342698 Enrollment ID: I20211026003449 |
| Provider Name | Chantell Strong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053817783 PECOS PAC ID: 9638426000 Enrollment ID: I20211028001494 |
| Provider Name | Daniel N Holena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598985590 PECOS PAC ID: 3678643061 Enrollment ID: I20211028003010 |
| Provider Name | Lauren Rossing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003391053 PECOS PAC ID: 8820340581 Enrollment ID: I20211103002024 |
| Provider Name | Ronny M Otero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497829907 PECOS PAC ID: 2961499777 Enrollment ID: I20211104002669 |
| Provider Name | Helen F Padden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699207779 PECOS PAC ID: 6002149119 Enrollment ID: I20211105000979 |
| Provider Name | Rachel E Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508353178 PECOS PAC ID: 4789939372 Enrollment ID: I20211105002274 |
| Provider Name | Billy Bruggink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154708683 PECOS PAC ID: 3274922554 Enrollment ID: I20211108000112 |
| Provider Name | Luke Briesath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447913520 PECOS PAC ID: 2961891262 Enrollment ID: I20211108000707 |
| Provider Name | Alvin F Cardona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174016935 PECOS PAC ID: 4385078815 Enrollment ID: I20211108001425 |
| Provider Name | Mohan B Palla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477998896 PECOS PAC ID: 0648571430 Enrollment ID: I20211109000642 |
| Provider Name | Aditya Vuppala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932460938 PECOS PAC ID: 3072832575 Enrollment ID: I20211117002350 |
| Provider Name | Bridget R Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851711212 PECOS PAC ID: 5193084671 Enrollment ID: I20211208001984 |
| Provider Name | Allison Brochtrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104405992 PECOS PAC ID: 7719377613 Enrollment ID: I20211208002890 |
| Provider Name | Rebecca Herzfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548927130 PECOS PAC ID: 4789075078 Enrollment ID: I20211221001287 |
| Provider Name | Adam J Holmbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578130662 PECOS PAC ID: 0345631511 Enrollment ID: I20211222001876 |
| Provider Name | Stephanie Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407525132 PECOS PAC ID: 1658762588 Enrollment ID: I20220103000650 |
| Provider Name | Lindsay M Jopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952064412 PECOS PAC ID: 8820489735 Enrollment ID: I20220104002191 |
| Provider Name | Kelsey Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396260758 PECOS PAC ID: 8527332378 Enrollment ID: I20220114001944 |
| Provider Name | Nimit Nakul Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770997108 PECOS PAC ID: 8426342171 Enrollment ID: I20220119000357 |
| Provider Name | Kristen M Kelly-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659532265 PECOS PAC ID: 6305093873 Enrollment ID: I20220121001539 |
| Provider Name | David Polinger-hyman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083821300 PECOS PAC ID: 4587858014 Enrollment ID: I20220121001589 |
| Provider Name | Shelley Laitinen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619634433 PECOS PAC ID: 6002209814 Enrollment ID: I20220131000354 |
| Provider Name | Anna Margaret Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104192459 PECOS PAC ID: 6800190349 Enrollment ID: I20220215002308 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220221001176 |
| Provider Name | Larresha N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154073880 PECOS PAC ID: 5395139984 Enrollment ID: I20220224001591 |
| Provider Name | Stamatoula Pilati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629249867 PECOS PAC ID: 8325114762 Enrollment ID: I20220302001686 |
| Provider Name | Michelle Breininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457014607 PECOS PAC ID: 5496149551 Enrollment ID: I20220307000876 |
| Provider Name | Meghan Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861157638 PECOS PAC ID: 3476947532 Enrollment ID: I20220307000971 |
| Provider Name | Stefano Schena |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447465356 PECOS PAC ID: 7416021498 Enrollment ID: I20220308000374 |
| Provider Name | Chinou Vang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982268124 PECOS PAC ID: 7719211259 Enrollment ID: I20220310001941 |
| Provider Name | Bryce H Lund |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992924443 PECOS PAC ID: 3870481112 Enrollment ID: I20220314001065 |
| Provider Name | Megan Hintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740940097 PECOS PAC ID: 2860887650 Enrollment ID: I20220314001214 |
| Provider Name | Delaney M Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427717966 PECOS PAC ID: 4385039171 Enrollment ID: I20220314001317 |
| Provider Name | Girish Singhania |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558660217 PECOS PAC ID: 8527297100 Enrollment ID: I20220314001593 |
| Provider Name | Adan F Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043709850 PECOS PAC ID: 8426485640 Enrollment ID: I20220314001636 |
| Provider Name | Arturo Sparrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043979743 PECOS PAC ID: 0941695746 Enrollment ID: I20220314001673 |
| Provider Name | Arun Kottarathara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568852838 PECOS PAC ID: 9436429800 Enrollment ID: I20220314001812 |
| Provider Name | Mitchell Kannal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255082350 PECOS PAC ID: 5496140238 Enrollment ID: I20220315000746 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20220321001036 |
| Provider Name | Rachel Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770235483 PECOS PAC ID: 2365837614 Enrollment ID: I20220323000995 |
| Provider Name | Elizabeth Faller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124782214 PECOS PAC ID: 6608262316 Enrollment ID: I20220406000939 |
| Provider Name | Sonia Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487965364 PECOS PAC ID: 8224271168 Enrollment ID: I20220414000270 |
| Provider Name | Gary D Homeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366043051 PECOS PAC ID: 5193112308 Enrollment ID: I20220418001189 |
| Provider Name | Hope M Kelling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710946926 PECOS PAC ID: 7517354780 Enrollment ID: I20220419000825 |
| Provider Name | Amy Jo Roanhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619620499 PECOS PAC ID: 7416344510 Enrollment ID: I20220419002896 |
| Provider Name | Jennifer N Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699420851 PECOS PAC ID: 9335536374 Enrollment ID: I20220421002736 |
| Provider Name | Savannah R Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093461758 PECOS PAC ID: 4183011067 Enrollment ID: I20220422001516 |
| Provider Name | Mircea M Cristescu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851657571 PECOS PAC ID: 0143443945 Enrollment ID: I20220422001549 |
| Provider Name | Jennifer Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710642335 PECOS PAC ID: 8426445313 Enrollment ID: I20220422002102 |
| Provider Name | Mallory M Washington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538836945 PECOS PAC ID: 9739576588 Enrollment ID: I20220425002123 |
| Provider Name | Jamie R Ledford |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932345162 PECOS PAC ID: 6709001035 Enrollment ID: I20220425002273 |
| Provider Name | Rachel Corbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285385674 PECOS PAC ID: 5193102101 Enrollment ID: I20220512002383 |
| Provider Name | Ashley M Pieters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265182042 PECOS PAC ID: 0941687537 Enrollment ID: I20220520000749 |
| Provider Name | Thaddeus W Schmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346701307 PECOS PAC ID: 0941537849 Enrollment ID: I20220526000643 |
| Provider Name | Michael G Voss |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457881864 PECOS PAC ID: 5698044857 Enrollment ID: I20220531001779 |
| Provider Name | Daniel P Dwyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356802847 PECOS PAC ID: 7517397300 Enrollment ID: I20220603000601 |
| Provider Name | Brian M Fidlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083720759 PECOS PAC ID: 7012986508 Enrollment ID: I20220603001500 |
| Provider Name | Dominic James Catalano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639600224 PECOS PAC ID: 4688946726 Enrollment ID: I20220603001722 |
| Provider Name | Katelyn Steger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053065094 PECOS PAC ID: 2668850512 Enrollment ID: I20220604000323 |
| Provider Name | Brian J Di Giacinto |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1275065997 PECOS PAC ID: 5799163606 Enrollment ID: I20220606002166 |
| Provider Name | Martin L Locey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134221765 PECOS PAC ID: 5991772956 Enrollment ID: I20220608001391 |
| Provider Name | Johanna Dobard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184153769 PECOS PAC ID: 7315325065 Enrollment ID: I20220608001453 |
| Provider Name | Kaleen Puccetti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831545094 PECOS PAC ID: 1355634734 Enrollment ID: I20220608001553 |
| Provider Name | Thomas M Lindsay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770016693 PECOS PAC ID: 5890069579 Enrollment ID: I20220608002082 |
| Provider Name | Colin C Hansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740643949 PECOS PAC ID: 5597193805 Enrollment ID: I20220608003269 |
| Provider Name | Mohamed Elramah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124559505 PECOS PAC ID: 6103177613 Enrollment ID: I20220609000106 |
| Provider Name | Olwadamilola O Idowu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679060933 PECOS PAC ID: 8527305580 Enrollment ID: I20220610000896 |
| Provider Name | Jordan Vorrie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487005336 PECOS PAC ID: 4789957895 Enrollment ID: I20220614002504 |
| Provider Name | Kathryn M Denson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629029152 PECOS PAC ID: 8820121510 Enrollment ID: I20220624001239 |
| Provider Name | Antonio M Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497400170 PECOS PAC ID: 8820477573 Enrollment ID: I20220627001039 |
| Provider Name | Sara Jo Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407505332 PECOS PAC ID: 6800275553 Enrollment ID: I20220627001186 |
| Provider Name | Alexander R Hendrickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073243119 PECOS PAC ID: 8820477581 Enrollment ID: I20220627001524 |
| Provider Name | Joshua A Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194243030 PECOS PAC ID: 9638411473 Enrollment ID: I20220628000854 |
| Provider Name | Akinyinka Abidem Ajelabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20220630001979 |
| Provider Name | Michael F Rentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255996872 PECOS PAC ID: 4284961707 Enrollment ID: I20220706002420 |
| Provider Name | Erin K Mcglynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407411168 PECOS PAC ID: 9032442934 Enrollment ID: I20220711001345 |
| Provider Name | Nicholas Phillip Wleklinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487159398 PECOS PAC ID: 5193069342 Enrollment ID: I20220711001659 |
| Provider Name | Danielle M Nagel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982135711 PECOS PAC ID: 4486034105 Enrollment ID: I20220712000445 |
| Provider Name | Nelson A Rodriguez Unda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346620010 PECOS PAC ID: 1951781699 Enrollment ID: I20220712001149 |
| Provider Name | Lauren R Willoughby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114485695 PECOS PAC ID: 3870836612 Enrollment ID: I20220712003056 |
| Provider Name | Thomas Keane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184879710 PECOS PAC ID: 1254472830 Enrollment ID: I20220714001149 |
| Provider Name | Madeline Rose Aguilar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245962703 PECOS PAC ID: 4284015744 Enrollment ID: I20220715001020 |
| Provider Name | Andrew Ramey Pistner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205194636 PECOS PAC ID: 3476786500 Enrollment ID: I20220715002466 |
| Provider Name | Edward L Randerson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932632684 PECOS PAC ID: 7810398542 Enrollment ID: I20220716000562 |
| Provider Name | Zaneta Dymon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265888754 PECOS PAC ID: 6002182227 Enrollment ID: I20220716000571 |
| Provider Name | Vishal N Ruparelia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275768111 PECOS PAC ID: 0143452821 Enrollment ID: I20220716000580 |
| Provider Name | Kennedy M Wirtz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437680089 PECOS PAC ID: 8527498260 Enrollment ID: I20220716000603 |
| Provider Name | Vladimir Suric |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275053654 PECOS PAC ID: 4880941707 Enrollment ID: I20220718000407 |
| Provider Name | Kathryn M Haberman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841686326 PECOS PAC ID: 2668802059 Enrollment ID: I20220718000665 |
| Provider Name | Elizabeth Maxwell Hovis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972035111 PECOS PAC ID: 1254600380 Enrollment ID: I20220718000799 |
| Provider Name | Michael A Hoks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003256686 PECOS PAC ID: 6103122866 Enrollment ID: I20220725002111 |
| Provider Name | Nolan Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306372966 PECOS PAC ID: 7315211190 Enrollment ID: I20220802000555 |
| Provider Name | Grant T Comstock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235591439 PECOS PAC ID: 9133546534 Enrollment ID: I20220803000138 |
| Provider Name | Christopher L Klassen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336201102 PECOS PAC ID: 7719003813 Enrollment ID: I20220804002514 |
| Provider Name | Andie E Catterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992436018 PECOS PAC ID: 9234511296 Enrollment ID: I20220808001595 |
| Provider Name | Aaron D Dora-laskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093909921 PECOS PAC ID: 7113094707 Enrollment ID: I20220808001790 |
| Provider Name | Joyce Briscoe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891158648 PECOS PAC ID: 8224324405 Enrollment ID: I20220808003006 |
| Provider Name | Sarah E Wineman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174017750 PECOS PAC ID: 8628325008 Enrollment ID: I20220815002104 |
| Provider Name | Matthew J Andreoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538621917 PECOS PAC ID: 2062895303 Enrollment ID: I20220818001616 |
| Provider Name | Bilal Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386902260 PECOS PAC ID: 8628366747 Enrollment ID: I20220818002987 |
| Provider Name | Tess M Cederholm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144951856 PECOS PAC ID: 2466835772 Enrollment ID: I20220819000906 |
| Provider Name | Brian Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538726013 PECOS PAC ID: 5890178016 Enrollment ID: I20220819001459 |
| Provider Name | Vinayak Thakur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962834671 PECOS PAC ID: 2264787217 Enrollment ID: I20220819002454 |
| Provider Name | Robert W Heffernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255892790 PECOS PAC ID: 3072926856 Enrollment ID: I20220819002549 |
| Provider Name | Takasha L Stewart-hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467423491 PECOS PAC ID: 3173418043 Enrollment ID: I20220822001143 |
| Provider Name | Ashley M Larock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730826199 PECOS PAC ID: 3375927353 Enrollment ID: I20220825002874 |
| Provider Name | Sarah N Sosinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689316721 PECOS PAC ID: 6103200084 Enrollment ID: I20220825003254 |
| Provider Name | Dhiraj Warman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184787509 PECOS PAC ID: 5597713560 Enrollment ID: I20220825004121 |
| Provider Name | Lacie J Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528551587 PECOS PAC ID: 9234485350 Enrollment ID: I20220830000877 |
| Provider Name | Ajith R Susai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992250419 PECOS PAC ID: 9830425081 Enrollment ID: I20220831001883 |
| Provider Name | Yaser Carcora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932558699 PECOS PAC ID: 5991090474 Enrollment ID: I20220902002002 |
| Provider Name | Courtney Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902324841 PECOS PAC ID: 5294161808 Enrollment ID: I20220904000104 |
| Provider Name | Camdin Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750813119 PECOS PAC ID: 2567733777 Enrollment ID: I20220906001062 |
| Provider Name | Morgan R Briggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700381035 PECOS PAC ID: 1759711377 Enrollment ID: I20220906002544 |
| Provider Name | David E Lewandowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316333198 PECOS PAC ID: 5193031607 Enrollment ID: I20220908001528 |
| Provider Name | Rahul Nath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750600508 PECOS PAC ID: 7517181969 Enrollment ID: I20220908001943 |
| Provider Name | Alexander R Graf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184042020 PECOS PAC ID: 2163712993 Enrollment ID: I20220912000414 |
| Provider Name | Nathan R Ferger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750010104 PECOS PAC ID: 4385029289 Enrollment ID: I20220913002393 |
| Provider Name | Oscar J.m. Coppes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821408725 PECOS PAC ID: 1355656679 Enrollment ID: I20220914000589 |
| Provider Name | Joseph S Pekala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366468951 PECOS PAC ID: 3274579073 Enrollment ID: I20220914002927 |
| Provider Name | William J. Schaeffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487174405 PECOS PAC ID: 3577832013 Enrollment ID: I20220915002292 |
| Provider Name | Michael J Scerpella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124589080 PECOS PAC ID: 2163807884 Enrollment ID: I20220916001215 |
| Provider Name | Evan Springer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326501099 PECOS PAC ID: 5799160412 Enrollment ID: I20220916001342 |
| Provider Name | Michelle Dickau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851020473 PECOS PAC ID: 8820473309 Enrollment ID: I20220921000120 |
| Provider Name | Christopher T Wickman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831329267 PECOS PAC ID: 1355650664 Enrollment ID: I20220922003013 |
| Provider Name | Saif Anwaruddin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275658114 PECOS PAC ID: 4587788054 Enrollment ID: I20220923001258 |
| Provider Name | Meara Malloy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487303707 PECOS PAC ID: 0749666907 Enrollment ID: I20220926003380 |
| Provider Name | Abigail M Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619438470 PECOS PAC ID: 7618396011 Enrollment ID: I20220927000458 |
| Provider Name | Mina H Iskander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639584832 PECOS PAC ID: 4688970213 Enrollment ID: I20220928002663 |
| Provider Name | David Rockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487127213 PECOS PAC ID: 1355674110 Enrollment ID: I20220929002308 |
| Provider Name | Shaina Farfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215339585 PECOS PAC ID: 8729381843 Enrollment ID: I20221004000655 |
| Provider Name | Charles Ogdon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891142642 PECOS PAC ID: 3476845462 Enrollment ID: I20221005002948 |
| Provider Name | Leela Chaudhary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508376856 PECOS PAC ID: 3375957640 Enrollment ID: I20221006002669 |
| Provider Name | Emily J Organ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972248391 PECOS PAC ID: 3476939828 Enrollment ID: I20221010000211 |
| Provider Name | Jacob F Pfeiffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609230044 PECOS PAC ID: 5294023123 Enrollment ID: I20221017001373 |
| Provider Name | Catherine D Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033573456 PECOS PAC ID: 1254624935 Enrollment ID: I20221018000652 |
| Provider Name | Lyle James Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20221019000386 |
| Provider Name | Rebecca Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386106805 PECOS PAC ID: 9133595879 Enrollment ID: I20221020000728 |
| Provider Name | Margaret Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487382214 PECOS PAC ID: 0941676621 Enrollment ID: I20221020002249 |
| Provider Name | Carly J Wallner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801525795 PECOS PAC ID: 3375919921 Enrollment ID: I20221021002201 |
| Provider Name | Christopher E Stoming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023679883 PECOS PAC ID: 3779817267 Enrollment ID: I20221025003284 |
| Provider Name | Jennifer Ann Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154594208 PECOS PAC ID: 6103083514 Enrollment ID: I20221027002002 |
| Provider Name | Adrienne N Cobb |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1710229943 PECOS PAC ID: 1052614385 Enrollment ID: I20221102001003 |
| Provider Name | Amber Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215673611 PECOS PAC ID: 9436526225 Enrollment ID: I20221108001997 |
| Provider Name | Chee Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811617772 PECOS PAC ID: 7911374723 Enrollment ID: I20221108002777 |
| Provider Name | Mitchell R Dyer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477815967 PECOS PAC ID: 9133438922 Enrollment ID: I20221108002888 |
| Provider Name | Robert W White |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1336308907 PECOS PAC ID: 4688731425 Enrollment ID: I20221109001848 |
| Provider Name | Vicky L Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629203005 PECOS PAC ID: 6608914395 Enrollment ID: I20221109003179 |
| Provider Name | Shanice Kukuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063151330 PECOS PAC ID: 5799152336 Enrollment ID: I20221110001361 |
| Provider Name | Jenna Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235692930 PECOS PAC ID: 7416288600 Enrollment ID: I20221111000830 |
| Provider Name | Emily Bartel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861115248 PECOS PAC ID: 6800263302 Enrollment ID: I20221111000975 |
| Provider Name | Malik Muhammad Adil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174941488 PECOS PAC ID: 5890914956 Enrollment ID: I20221114001931 |
| Provider Name | Mackenzie L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306578109 PECOS PAC ID: 7012385495 Enrollment ID: I20221115003041 |
| Provider Name | Melissa A Gohlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285210799 PECOS PAC ID: 1850769092 Enrollment ID: I20221121000327 |
| Provider Name | Jeremiah Zook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134845340 PECOS PAC ID: 7012385131 Enrollment ID: I20221122000472 |
| Provider Name | Krista Joy Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780260034 PECOS PAC ID: 9133536295 Enrollment ID: I20221123002181 |
| Provider Name | Jonathan Evan Marcus |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619002888 PECOS PAC ID: 2769573849 Enrollment ID: I20221129001192 |
| Provider Name | Natasa Bratislav Dragicevic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124386156 PECOS PAC ID: 9830476654 Enrollment ID: I20221201000365 |
| Provider Name | Steven B Pulitzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154515294 PECOS PAC ID: 0446348999 Enrollment ID: I20221202001933 |
| Provider Name | Krystyn C Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386363794 PECOS PAC ID: 3476921081 Enrollment ID: I20221202002329 |
| Provider Name | Jose Maria Ochoa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144548876 PECOS PAC ID: 5193952299 Enrollment ID: I20221206002543 |
| Provider Name | Ellen M Olander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962997510 PECOS PAC ID: 1456720879 Enrollment ID: I20221207000913 |
| Provider Name | Madeline Topitzes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588216493 PECOS PAC ID: 5890122691 Enrollment ID: I20221207001387 |
| Provider Name | Mazen Abdel Hadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356468672 PECOS PAC ID: 0042310211 Enrollment ID: I20221207001740 |
| Provider Name | Mohammed Ezuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538588207 PECOS PAC ID: 3577985886 Enrollment ID: I20221207002441 |
| Provider Name | Anthony Nuval |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508251109 PECOS PAC ID: 9133404494 Enrollment ID: I20221208000769 |
| Provider Name | Michael Turek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396207643 PECOS PAC ID: 7315365962 Enrollment ID: I20221208002120 |
| Provider Name | Hamza M Tola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818342 PECOS PAC ID: 6406259373 Enrollment ID: I20221208002728 |
| Provider Name | Lauren Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477984334 PECOS PAC ID: 8426427618 Enrollment ID: I20221209002080 |
| Provider Name | Erin Clawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508494279 PECOS PAC ID: 4688004419 Enrollment ID: I20221212001630 |
| Provider Name | Courtney Lockhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952689259 PECOS PAC ID: 0547582017 Enrollment ID: I20221212002580 |
| Provider Name | Kaylee R Treesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013634773 PECOS PAC ID: 7416326491 Enrollment ID: I20221214000870 |
| Provider Name | Lauren Wesolowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144624925 PECOS PAC ID: 9234451170 Enrollment ID: I20221216002418 |
| Provider Name | Bart Petrini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821292400 PECOS PAC ID: 5496835381 Enrollment ID: I20221229002443 |
| Provider Name | Jason Ipsarides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245967967 PECOS PAC ID: 2668842998 Enrollment ID: I20230103001910 |
| Provider Name | Joe Ed Parkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699732925 PECOS PAC ID: 2567446735 Enrollment ID: I20230109000830 |
| Provider Name | John F Nettrour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457355810 PECOS PAC ID: 2466350780 Enrollment ID: I20230110001131 |
| Provider Name | Oluwaseun Davies |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164779179 PECOS PAC ID: 6002127990 Enrollment ID: I20230112001289 |
| Provider Name | Salman Mandhai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639445166 PECOS PAC ID: 4981914538 Enrollment ID: I20230117000955 |
| Provider Name | Maysoon Al-hihi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093741399 PECOS PAC ID: 8628053915 Enrollment ID: I20230119000377 |
| Provider Name | Ryan Lee Lo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215249545 PECOS PAC ID: 3779804653 Enrollment ID: I20230122000007 |
| Provider Name | Rebecca Voss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316485824 PECOS PAC ID: 4385015700 Enrollment ID: I20230123002512 |
| Provider Name | Linda Kiatoukaysy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609028828 PECOS PAC ID: 1951574656 Enrollment ID: I20230125002255 |
| Provider Name | Kristy L Rahimi-alangi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376854521 PECOS PAC ID: 0941434575 Enrollment ID: I20230127001864 |
| Provider Name | Anthony Ashkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376862417 PECOS PAC ID: 0143462432 Enrollment ID: I20230130001145 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20230206000761 |
| Provider Name | Dhaval P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811376254 PECOS PAC ID: 9032421458 Enrollment ID: I20230208000119 |
| Provider Name | Manisha J Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215012000 PECOS PAC ID: 7517120124 Enrollment ID: I20230208001789 |
| Provider Name | Michael P. Klodnicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174844401 PECOS PAC ID: 3375837313 Enrollment ID: I20230208001803 |
| Provider Name | Alexandra G Theodosis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841909744 PECOS PAC ID: 9133591498 Enrollment ID: I20230214002678 |
| Provider Name | Victoria M Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285346759 PECOS PAC ID: 4789056946 Enrollment ID: I20230216000893 |
| Provider Name | Rebecca Sewell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235172271 PECOS PAC ID: 2466824578 Enrollment ID: I20230217000615 |
| Provider Name | Rishi A Ramakrishna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306191432 PECOS PAC ID: 2264735976 Enrollment ID: I20230217000721 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230222001931 |
| Provider Name | Daniel R Leib |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376002972 PECOS PAC ID: 2062885437 Enrollment ID: I20230306001540 |
| Provider Name | Taylor Bjork |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407586753 PECOS PAC ID: 4082087317 Enrollment ID: I20230307000737 |
| Provider Name | Rajakrishnan Vijayakrishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871742502 PECOS PAC ID: 1456574102 Enrollment ID: I20230307003252 |
| Provider Name | Michael Heiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689304958 PECOS PAC ID: 0143693457 Enrollment ID: I20230308000753 |
| Provider Name | Stacy L Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871217745 PECOS PAC ID: 8123492253 Enrollment ID: I20230313001812 |
| Provider Name | Gerardo Kalife |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538132030 PECOS PAC ID: 2466467055 Enrollment ID: I20230314000837 |
| Provider Name | Rachel E Seltman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205179272 PECOS PAC ID: 1355573387 Enrollment ID: I20230316002855 |
| Provider Name | Justin B Theriault |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487112439 PECOS PAC ID: 2466825393 Enrollment ID: I20230317000434 |
| Provider Name | Eric E Beltz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568648889 PECOS PAC ID: 8426135310 Enrollment ID: I20230317001143 |
| Provider Name | India Asmuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316662356 PECOS PAC ID: 3779957493 Enrollment ID: I20230321000995 |
| Provider Name | Cathleen A Coughlin-becker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952340952 PECOS PAC ID: 8022482587 Enrollment ID: I20230323001942 |
| Provider Name | Anthony Christopher Illing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124319215 PECOS PAC ID: 6608010962 Enrollment ID: I20230324001019 |
| Provider Name | William Fischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770882292 PECOS PAC ID: 7113165465 Enrollment ID: I20230324001815 |
| Provider Name | Amanda Ruekert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639788748 PECOS PAC ID: 3779957105 Enrollment ID: I20230324002216 |
| Provider Name | Kimberly K Luecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427215979 PECOS PAC ID: 8729452172 Enrollment ID: I20230326000060 |
| Provider Name | Weedley Funeus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699208637 PECOS PAC ID: 9234404781 Enrollment ID: I20230327001215 |
| Provider Name | Benjamin B Kuzma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952382533 PECOS PAC ID: 4183694680 Enrollment ID: I20230329001071 |
| Provider Name | Shannon Skowron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063128221 PECOS PAC ID: 4082088224 Enrollment ID: I20230329003050 |
| Provider Name | Saravanan Kuppuswamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770844 PECOS PAC ID: 6709985864 Enrollment ID: I20230331001066 |
| Provider Name | Kara Mayerbock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639890759 PECOS PAC ID: 3577938521 Enrollment ID: I20230405002060 |
| Provider Name | Abigail C Tiodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487355822 PECOS PAC ID: 9335514280 Enrollment ID: I20230407000622 |
| Provider Name | Brennan Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265882807 PECOS PAC ID: 9830469980 Enrollment ID: I20230407000757 |
| Provider Name | Gurwinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154088722 PECOS PAC ID: 0941675896 Enrollment ID: I20230407000775 |
| Provider Name | Gregory Bradley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881135804 PECOS PAC ID: 6608207824 Enrollment ID: I20230413002554 |
| Provider Name | Shidrokh A Shakeri-cerejo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215914619 PECOS PAC ID: 9234551979 Enrollment ID: I20230420000339 |
| Provider Name | Kathryn J Aispuro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407046196 PECOS PAC ID: 6507150927 Enrollment ID: I20230426001391 |
| Provider Name | Kendall M Follmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154022192 PECOS PAC ID: 1456716463 Enrollment ID: I20230426002579 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20230428000587 |
| Provider Name | Mohamed Abdel Kader Morsy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902865157 PECOS PAC ID: 0941222095 Enrollment ID: I20230504001623 |
| Provider Name | Meheza Tchedie Pannla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720788243 PECOS PAC ID: 4688039100 Enrollment ID: I20230504002461 |
| Provider Name | Arjun Sivaraman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083067250 PECOS PAC ID: 2466706973 Enrollment ID: I20230504003139 |
| Provider Name | Colin Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720646193 PECOS PAC ID: 9133453152 Enrollment ID: I20230508000523 |
| Provider Name | Ryan M Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689136129 PECOS PAC ID: 2365877131 Enrollment ID: I20230519000204 |
| Provider Name | Olufisayo D Fagbemi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083111546 PECOS PAC ID: 2062878986 Enrollment ID: I20230519000436 |
| Provider Name | Jeremiah F Haines |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598296832 PECOS PAC ID: 3476810458 Enrollment ID: I20230519000884 |
| Provider Name | Katie E Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366975179 PECOS PAC ID: 0345679643 Enrollment ID: I20230519001046 |
| Provider Name | Jennifer N Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114480696 PECOS PAC ID: 5294160180 Enrollment ID: I20230519001403 |
| Provider Name | Michael M Decker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447525878 PECOS PAC ID: 9931338274 Enrollment ID: I20230519002439 |
| Provider Name | Megan C Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780213231 PECOS PAC ID: 8325464175 Enrollment ID: I20230519002903 |
| Provider Name | Matthieu Mayer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564861 PECOS PAC ID: 5991052078 Enrollment ID: I20230522001330 |
| Provider Name | Charles Messerly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376037143 PECOS PAC ID: 3072860204 Enrollment ID: I20230522002063 |
| Provider Name | Ajit Chary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20230530000543 |
| Provider Name | Andrew C Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760987077 PECOS PAC ID: 5092172254 Enrollment ID: I20230601003137 |
| Provider Name | Douglas C Pierce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043715758 PECOS PAC ID: 6608233838 Enrollment ID: I20230605000267 |
| Provider Name | Jordan Bauman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942861752 PECOS PAC ID: 7618201187 Enrollment ID: I20230605001384 |
| Provider Name | Sennait Andu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124744883 PECOS PAC ID: 3779940812 Enrollment ID: I20230606001554 |
| Provider Name | Tate M Naylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144718701 PECOS PAC ID: 1759631872 Enrollment ID: I20230613000516 |
| Provider Name | Ellen E Schmitt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902367725 PECOS PAC ID: 3072943869 Enrollment ID: I20230614000477 |
| Provider Name | Aaron A H Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376907063 PECOS PAC ID: 9234422767 Enrollment ID: I20230615002873 |
| Provider Name | Larissa Lafavor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952990848 PECOS PAC ID: 5991163271 Enrollment ID: I20230619000399 |
| Provider Name | Anna L Culhane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598225831 PECOS PAC ID: 5890176499 Enrollment ID: I20230621000210 |
| Provider Name | Elizabeth M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346700077 PECOS PAC ID: 1759717366 Enrollment ID: I20230621003402 |
| Provider Name | Riley J Westein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396205381 PECOS PAC ID: 1557782331 Enrollment ID: I20230622001816 |
| Provider Name | Erica Marie Lanser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588195689 PECOS PAC ID: 1355770595 Enrollment ID: I20230705001607 |
| Provider Name | Nilto De Oliveira |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1376507939 PECOS PAC ID: 4284680232 Enrollment ID: I20230705001810 |
| Provider Name | Christina Nielsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487695128 PECOS PAC ID: 3072972306 Enrollment ID: I20230705003234 |
| Provider Name | Elijah B Dahlstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063038651 PECOS PAC ID: 2163845223 Enrollment ID: I20230706003134 |
| Provider Name | Jenna Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437848801 PECOS PAC ID: 7012376148 Enrollment ID: I20230706003843 |
| Provider Name | Pritesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194969857 PECOS PAC ID: 5991947657 Enrollment ID: I20230714002799 |
| Provider Name | Steven Mazzone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467982181 PECOS PAC ID: 8921377649 Enrollment ID: I20230714002858 |
| Provider Name | Jeremy H Levin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013350040 PECOS PAC ID: 3072935998 Enrollment ID: I20230717000615 |
| Provider Name | Kyle D Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912389297 PECOS PAC ID: 1254636038 Enrollment ID: I20230717000672 |
| Provider Name | Jamie A Jasti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689202772 PECOS PAC ID: 5991122483 Enrollment ID: I20230717000721 |
| Provider Name | Mayya S Safarova |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740713965 PECOS PAC ID: 7315361482 Enrollment ID: I20230720001129 |
| Provider Name | Stephen W Sawyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336679299 PECOS PAC ID: 9234400441 Enrollment ID: I20230720001803 |
| Provider Name | Julian Franko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164928362 PECOS PAC ID: 2769736842 Enrollment ID: I20230724000490 |
| Provider Name | Cesar A Sison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366849952 PECOS PAC ID: 8022478965 Enrollment ID: I20230724002337 |
| Provider Name | Momodou L Jammeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467947382 PECOS PAC ID: 1355702127 Enrollment ID: I20230727000867 |
| Provider Name | Kaila C Redifer-tremblay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730610411 PECOS PAC ID: 9931538410 Enrollment ID: I20230727001207 |
| Provider Name | Darshan R Dhingani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20230731002279 |
| Provider Name | Paul Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598380123 PECOS PAC ID: 0244654499 Enrollment ID: I20230731002678 |
| Provider Name | Will D Lyon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245791607 PECOS PAC ID: 3779913611 Enrollment ID: I20230804002685 |
| Provider Name | Marina Affi Koprowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275065575 PECOS PAC ID: 3779855028 Enrollment ID: I20230807000586 |
| Provider Name | Lauren M North |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255864278 PECOS PAC ID: 2961742523 Enrollment ID: I20230810001412 |
| Provider Name | Katie M Strachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639872039 PECOS PAC ID: 0547622359 Enrollment ID: I20230810002721 |
| Provider Name | Elaine J Tanhehco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508228206 PECOS PAC ID: 8123315546 Enrollment ID: I20230810003901 |
| Provider Name | Lauren H Mascari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255854006 PECOS PAC ID: 4486013588 Enrollment ID: I20230814002020 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20230814002413 |
| Provider Name | Daniel L Pelzman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598291668 PECOS PAC ID: 5294003927 Enrollment ID: I20230814003060 |
| Provider Name | Claire M Slaski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861186645 PECOS PAC ID: 7416319991 Enrollment ID: I20230815003797 |
| Provider Name | Rochelle A Sohl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033126669 PECOS PAC ID: 3678562600 Enrollment ID: I20230815004168 |
| Provider Name | Salil Kalra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275983744 PECOS PAC ID: 6002109329 Enrollment ID: I20230816002070 |
| Provider Name | Taylor Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407485949 PECOS PAC ID: 6406218627 Enrollment ID: I20230818002212 |
| Provider Name | Maya Puleo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225721749 PECOS PAC ID: 8022470228 Enrollment ID: I20230821002172 |
| Provider Name | Axel Shum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730610692 PECOS PAC ID: 8325380033 Enrollment ID: I20230831000277 |
| Provider Name | Henok Hardilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104454750 PECOS PAC ID: 9830552215 Enrollment ID: I20230901000412 |
| Provider Name | John C Birchak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942610233 PECOS PAC ID: 5496055634 Enrollment ID: I20230901002657 |
| Provider Name | Sehr S Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205464369 PECOS PAC ID: 7810312824 Enrollment ID: I20230905000757 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20230906001309 |
| Provider Name | Kathleen N Slusarczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639853211 PECOS PAC ID: 2264896497 Enrollment ID: I20230906004012 |
| Provider Name | Tyler Wittmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124523766 PECOS PAC ID: 4284053406 Enrollment ID: I20230912000961 |
| Provider Name | Dawit Major |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689201642 PECOS PAC ID: 1254698400 Enrollment ID: I20230912003067 |
| Provider Name | Paul Waclawski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386273696 PECOS PAC ID: 5193189835 Enrollment ID: I20230913001975 |
| Provider Name | Jacquelyn F Laplant |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033572375 PECOS PAC ID: 6204248099 Enrollment ID: I20230913002319 |
| Provider Name | Scott E Janus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841608049 PECOS PAC ID: 2769871946 Enrollment ID: I20230914003057 |
| Provider Name | Ryan N. Sauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427243385 PECOS PAC ID: 1052491883 Enrollment ID: I20230918000148 |
| Provider Name | Joshua James Kaminski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639798994 PECOS PAC ID: 1557785888 Enrollment ID: I20230918003463 |
| Provider Name | Will D Lyon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245791607 PECOS PAC ID: 3779913611 Enrollment ID: I20230921004231 |
| Provider Name | Ryan V Puccia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104357425 PECOS PAC ID: 0446590806 Enrollment ID: I20230925003608 |
| Provider Name | Isaac Lee Hanson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598287039 PECOS PAC ID: 2860878667 Enrollment ID: I20230926001794 |
| Provider Name | Ashley Martin-metcalf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881385052 PECOS PAC ID: 4385098086 Enrollment ID: I20230929000067 |
| Provider Name | Jacqueline J Blank |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760800312 PECOS PAC ID: 4981983558 Enrollment ID: I20231002002103 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20231004003130 |
| Provider Name | Shervin Mirshahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063832335 PECOS PAC ID: 8628298395 Enrollment ID: I20231005000355 |
| Provider Name | Caitlin A Orner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124481254 PECOS PAC ID: 0244580181 Enrollment ID: I20231005000847 |
| Provider Name | Rinku Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306537410 PECOS PAC ID: 3577918705 Enrollment ID: I20231009001384 |
| Provider Name | Alissa Zeglin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366948309 PECOS PAC ID: 1658623970 Enrollment ID: I20231010001530 |
| Provider Name | Noah M Bown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768813 PECOS PAC ID: 5496186942 Enrollment ID: I20231011002483 |
| Provider Name | Arsha Anton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548941214 PECOS PAC ID: 4183070071 Enrollment ID: I20231030000911 |
| Provider Name | Taylor Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548043250 PECOS PAC ID: 3072969971 Enrollment ID: I20231030001467 |
| Provider Name | Jasjot K. Bhullar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366602229 PECOS PAC ID: 7719038751 Enrollment ID: I20231031003367 |
| Provider Name | Meghan M Caballero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861997595 PECOS PAC ID: 2466708631 Enrollment ID: I20231101000803 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231101001255 |
| Provider Name | Kun-tai Hsu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043504772 PECOS PAC ID: 4688073612 Enrollment ID: I20231101001333 |
| Provider Name | Charles Schwetschenau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659155489 PECOS PAC ID: 6507212115 Enrollment ID: I20231101003467 |
| Provider Name | Rajiv Sunil Varandani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376164418 PECOS PAC ID: 9335560259 Enrollment ID: I20231103001110 |
| Provider Name | Eboni January |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851602593 PECOS PAC ID: 8426273434 Enrollment ID: I20231130000942 |
| Provider Name | April Belk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013796481 PECOS PAC ID: 6002264066 Enrollment ID: I20231130003711 |
| Provider Name | Brittany N Hamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669244471 PECOS PAC ID: 2961850888 Enrollment ID: I20231201002502 |
| Provider Name | Amy C Barrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588436463 PECOS PAC ID: 5698123594 Enrollment ID: I20231204001605 |
| Provider Name | Montoya K Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558523464 PECOS PAC ID: 8426297375 Enrollment ID: I20231205002655 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20231207001766 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20231208002478 |
| Provider Name | Yuhann Kenneth Lim Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104093863 PECOS PAC ID: 5799901310 Enrollment ID: I20231221001818 |
| Provider Name | Ryan Greve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407175391 PECOS PAC ID: 5294186755 Enrollment ID: I20240109002325 |
| Provider Name | Reginald A Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699066019 PECOS PAC ID: 3375776966 Enrollment ID: I20240109003760 |
| Provider Name | Bradley Isbister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043417496 PECOS PAC ID: 7214051549 Enrollment ID: I20240111004069 |
| Provider Name | Stuart M Feldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760434633 PECOS PAC ID: 3577543768 Enrollment ID: I20240111004425 |
| Provider Name | Kristine Fournier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487188082 PECOS PAC ID: 9830541846 Enrollment ID: I20240116000546 |
| Provider Name | Erin Hannigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225677669 PECOS PAC ID: 3375974918 Enrollment ID: I20240206000982 |
| Provider Name | Arham Ashraf Zavery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780116038 PECOS PAC ID: 4486925534 Enrollment ID: I20240206002154 |
| Provider Name | Luke S Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316407620 PECOS PAC ID: 7810323151 Enrollment ID: I20240209002585 |
| Provider Name | Holly Loving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740064401 PECOS PAC ID: 8123462850 Enrollment ID: I20240221000753 |
| Provider Name | Thuyanh T Culver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932497658 PECOS PAC ID: 7214152479 Enrollment ID: I20240222003056 |
| Provider Name | Andrew Jadczak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881758639 PECOS PAC ID: 0446608533 Enrollment ID: I20240228002090 |
| Provider Name | Laura Turley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982477451 PECOS PAC ID: 3173969268 Enrollment ID: I20240312000934 |
Varona Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N88w16624 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-251-9260 Fax: 262-251-5844 | |
Harley Davidson Health Center- Pilgrim Road Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W156 N 9000 Rilgrim Rd, Menomonee Falls, WI 53051 Phone: 262-502-8752 Fax: 262-502-8756 | |
Medical On The Move Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N88w16624 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-345-5343 Fax: 262-437-1328 | |
Prohealth Care Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W165n5595 Creekwood Xing, Menomonee Falls, WI 53051 Phone: 262-373-2600 | |
Community Memorial Hospital Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W180n8000 Town Hall Rd Fl 4, Menomonee Falls, WI 53051 Phone: 262-532-3700 |