| General Physician, PC | |
|
3898 Vineyard Dr Dunkirk NY 14048-3559 | |
| (716) 692-3302 | |
| Not Available |
| Full Name | General Physician, PC |
|---|---|
| Speciality | General Practice |
| Location | 3898 Vineyard Dr, Dunkirk, New York |
| Authorized Official Name and Position | Michael Mineo (DIRECTOR) |
| Authorized Official Contact | 7168598831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Physician, PC Po Box 488 Buffalo NY 14240-0488 Ph: (203) 944-1940 | General Physician, PC 3898 Vineyard Dr Dunkirk NY 14048-3559 Ph: (716) 692-3302 |
| NPI Number | 1093959322 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 12/14/2022 |
| Certification Date | 12/14/2022 |
| Medicare PECOS PAC ID | 9537213079 |
|---|---|
| Medicare Enrollment ID | O20090818000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093959322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Lynn-marie Aronica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952374050 PECOS PAC ID: 4880591676 Enrollment ID: I20031218000691 |
| Provider Name | Kelly a O Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467488072 PECOS PAC ID: 5193624484 Enrollment ID: I20040106000378 |
| Provider Name | Melanie a Leberman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174588610 PECOS PAC ID: 6709788441 Enrollment ID: I20040123000217 |
| Provider Name | Marybeth H Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396789517 PECOS PAC ID: 9133014434 Enrollment ID: I20040217000081 |
| Provider Name | Judith a Ortman-nabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699731141 PECOS PAC ID: 2365334646 Enrollment ID: I20040330000356 |
| Provider Name | Betsey J Dechert Boss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619998374 PECOS PAC ID: 6901898030 Enrollment ID: I20040331000263 |
| Provider Name | Diana Vakante Jankovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457330623 PECOS PAC ID: 7618969486 Enrollment ID: I20040401000204 |
| Provider Name | Mary Donna Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518946789 PECOS PAC ID: 3577556331 Enrollment ID: I20040407000040 |
| Provider Name | Thomas J Madejski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356318992 PECOS PAC ID: 8729071451 Enrollment ID: I20040412000126 |
| Provider Name | Gail Stokoe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235196544 PECOS PAC ID: 5991694127 Enrollment ID: I20040426001753 |
| Provider Name | Tanya S Geist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174666945 PECOS PAC ID: 2466449731 Enrollment ID: I20040428000955 |
| Provider Name | Arun P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205815255 PECOS PAC ID: 3779475413 Enrollment ID: I20040505000297 |
| Provider Name | Allyn M Norman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568420925 PECOS PAC ID: 2668461468 Enrollment ID: I20040507000667 |
| Provider Name | Jehad a Miqdadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396724357 PECOS PAC ID: 7214926914 Enrollment ID: I20040508000021 |
| Provider Name | Christopher a Michaeles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225060684 PECOS PAC ID: 0244229839 Enrollment ID: I20040510000271 |
| Provider Name | Leslie Lehmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801962329 PECOS PAC ID: 0143219576 Enrollment ID: I20040510001448 |
| Provider Name | Michael J Chaskes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215971395 PECOS PAC ID: 6507755824 Enrollment ID: I20040512000714 |
| Provider Name | Elizabeth a Certo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639113129 PECOS PAC ID: 6709876816 Enrollment ID: I20040512001051 |
| Provider Name | Gregg a Nuessle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699837450 PECOS PAC ID: 2668462995 Enrollment ID: I20040517001411 |
| Provider Name | Andrew M Dybalski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386626117 PECOS PAC ID: 2769463637 Enrollment ID: I20040526001182 |
| Provider Name | Vijay S Iyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114947272 PECOS PAC ID: 7012998545 Enrollment ID: I20040528000980 |
| Provider Name | Ranjan Bhayana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366407173 PECOS PAC ID: 8921081696 Enrollment ID: I20040611001398 |
| Provider Name | Edward J Spangenthal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285615047 PECOS PAC ID: 0648254987 Enrollment ID: I20040615001113 |
| Provider Name | Audrey D Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306840285 PECOS PAC ID: 7012994866 Enrollment ID: I20040630000717 |
| Provider Name | Talia M Root |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184624348 PECOS PAC ID: 9234117045 Enrollment ID: I20040708001436 |
| Provider Name | Magdi E Sayegh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013901412 PECOS PAC ID: 7012997430 Enrollment ID: I20040724000269 |
| Provider Name | Susan E Dougherty |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295708774 PECOS PAC ID: 7719975226 Enrollment ID: I20040731000205 |
| Provider Name | Celestino Pietrantoni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689658312 PECOS PAC ID: 1658345392 Enrollment ID: I20040819001324 |
| Provider Name | James J Rinaldi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023075165 PECOS PAC ID: 2062486335 Enrollment ID: I20040823000857 |
| Provider Name | Amy W Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316929086 PECOS PAC ID: 3779558176 Enrollment ID: I20040831000020 |
| Provider Name | Farid Berenji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699783324 PECOS PAC ID: 2769458272 Enrollment ID: I20040907000752 |
| Provider Name | Elizabeth Schmand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356308845 PECOS PAC ID: 1355318759 Enrollment ID: I20040915000243 |
| Provider Name | Thomas P Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205996980 PECOS PAC ID: 5991773905 Enrollment ID: I20040917000799 |
| Provider Name | Jeffrey J Visco |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902885601 PECOS PAC ID: 9032187620 Enrollment ID: I20040921001160 |
| Provider Name | John M Canty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609824036 PECOS PAC ID: 4981663226 Enrollment ID: I20041004000612 |
| Provider Name | Catherine M Falkner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174679880 PECOS PAC ID: 3072578921 Enrollment ID: I20041119001006 |
| Provider Name | Daniel J Ford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558337550 PECOS PAC ID: 3375509078 Enrollment ID: I20041204000047 |
| Provider Name | Rajan Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487735155 PECOS PAC ID: 5698679629 Enrollment ID: I20050107000100 |
| Provider Name | Philip R Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538234661 PECOS PAC ID: 9537119052 Enrollment ID: I20050124000858 |
| Provider Name | Nancy a Savoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215995808 PECOS PAC ID: 4385693290 Enrollment ID: I20050127000179 |
| Provider Name | Jeffrey W Berndtson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457340689 PECOS PAC ID: 1456300029 Enrollment ID: I20050127000399 |
| Provider Name | Sheila M Pace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720045065 PECOS PAC ID: 8224088828 Enrollment ID: I20050204000470 |
| Provider Name | Mary a Mclellan-desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841257177 PECOS PAC ID: 5395795991 Enrollment ID: I20050204000498 |
| Provider Name | Susan P Graham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871608398 PECOS PAC ID: 1456302298 Enrollment ID: I20050209000244 |
| Provider Name | Kelly a Pietrzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063572378 PECOS PAC ID: 8325092869 Enrollment ID: I20050310000143 |
| Provider Name | Esfandiar Mafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780656447 PECOS PAC ID: 7416902481 Enrollment ID: I20050314000415 |
| Provider Name | Gary Grosner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699768283 PECOS PAC ID: 5092761973 Enrollment ID: I20050323001082 |
| Provider Name | Robin H Massing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801869284 PECOS PAC ID: 9537116710 Enrollment ID: I20050331000744 |
| Provider Name | Frederick J Piwko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639196421 PECOS PAC ID: 0345295945 Enrollment ID: I20050407000184 |
| Provider Name | Jai G Wadhwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124054671 PECOS PAC ID: 8123067055 Enrollment ID: I20050429000013 |
| Provider Name | Nita K Divan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386608339 PECOS PAC ID: 6507805306 Enrollment ID: I20050502000281 |
| Provider Name | Rose Theresa Palazzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962468413 PECOS PAC ID: 5597707869 Enrollment ID: I20050526000298 |
| Provider Name | David E Carlson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710942859 PECOS PAC ID: 9436191368 Enrollment ID: I20050601000468 |
| Provider Name | Lisa a Durandetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366408775 PECOS PAC ID: 1153363098 Enrollment ID: I20050601000570 |
| Provider Name | Brian J Riegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992788657 PECOS PAC ID: 9931143021 Enrollment ID: I20050620000692 |
| Provider Name | James G Lampasso |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902889090 PECOS PAC ID: 0941259568 Enrollment ID: I20050620000816 |
| Provider Name | Pia L Musielak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194708180 PECOS PAC ID: 4385688837 Enrollment ID: I20050620000861 |
| Provider Name | Laura a Pecorella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467435453 PECOS PAC ID: 9830133388 Enrollment ID: I20050620000878 |
| Provider Name | Thomas Francis Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518928290 PECOS PAC ID: 4385547595 Enrollment ID: I20050623000579 |
| Provider Name | Elizabeth a O Neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346204377 PECOS PAC ID: 0446295950 Enrollment ID: I20050624000852 |
| Provider Name | Jeffrey L Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932109253 PECOS PAC ID: 6800886151 Enrollment ID: I20050701000611 |
| Provider Name | Dwight D Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942234489 PECOS PAC ID: 8729024013 Enrollment ID: I20050708000361 |
| Provider Name | Marcus R Romanowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265469126 PECOS PAC ID: 8325009087 Enrollment ID: I20050712000448 |
| Provider Name | Jerome D Mastrandrea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053348912 PECOS PAC ID: 5496781353 Enrollment ID: I20050712000652 |
| Provider Name | Karen G Baetzhold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235198219 PECOS PAC ID: 0840221461 Enrollment ID: I20050824000022 |
| Provider Name | Eric Nachreiner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104841980 PECOS PAC ID: 4880628874 Enrollment ID: I20050920000336 |
| Provider Name | Virginia M Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235145905 PECOS PAC ID: 6406881523 Enrollment ID: I20050928000270 |
| Provider Name | Jennifer M Kielbasa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942283031 PECOS PAC ID: 3577598333 Enrollment ID: I20050929000889 |
| Provider Name | Robert P Gatewood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215915681 PECOS PAC ID: 7810978327 Enrollment ID: I20050929000978 |
| Provider Name | Karen W Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114909066 PECOS PAC ID: 6507891082 Enrollment ID: I20051004000351 |
| Provider Name | Thayaparan Mathanakaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891734430 PECOS PAC ID: 3173548161 Enrollment ID: I20051010000086 |
| Provider Name | Dawn M Dolan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871549048 PECOS PAC ID: 3779476817 Enrollment ID: I20051018000095 |
| Provider Name | William R Kuehnling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255337705 PECOS PAC ID: 5496771586 Enrollment ID: I20051018000886 |
| Provider Name | Margaret M Eberl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669466843 PECOS PAC ID: 0941227417 Enrollment ID: I20051025000414 |
| Provider Name | Blanka Heary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093753501 PECOS PAC ID: 2567480494 Enrollment ID: I20051109000169 |
| Provider Name | Gretchen Tower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538177910 PECOS PAC ID: 5991725541 Enrollment ID: I20051129000328 |
| Provider Name | Joseph Gomez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750304036 PECOS PAC ID: 1850312760 Enrollment ID: I20051207000603 |
| Provider Name | Vaseem Iqbal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780655548 PECOS PAC ID: 1557251295 Enrollment ID: I20051212000248 |
| Provider Name | Marion R Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255381786 PECOS PAC ID: 8224050091 Enrollment ID: I20051221000099 |
| Provider Name | Laurie T Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235180621 PECOS PAC ID: 3476575242 Enrollment ID: I20051221000119 |
| Provider Name | George T Danakas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164487385 PECOS PAC ID: 3072562461 Enrollment ID: I20051221000138 |
| Provider Name | Michael S Beecher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689672891 PECOS PAC ID: 2163444381 Enrollment ID: I20051230000356 |
| Provider Name | Gil M Farkash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871599381 PECOS PAC ID: 4981618782 Enrollment ID: I20060201000152 |
| Provider Name | Suchitra Koneru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336170729 PECOS PAC ID: 6709785488 Enrollment ID: I20060224000275 |
| Provider Name | Chee H Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013974245 PECOS PAC ID: 3072553536 Enrollment ID: I20060403000185 |
| Provider Name | Nicole R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245262955 PECOS PAC ID: 8123036118 Enrollment ID: I20060403000382 |
| Provider Name | Mandip Panesar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164471959 PECOS PAC ID: 1456363928 Enrollment ID: I20060629000113 |
| Provider Name | Michael D Banas |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447283288 PECOS PAC ID: 7113920802 Enrollment ID: I20060818000268 |
| Provider Name | Tracy Ann Vasile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740216118 PECOS PAC ID: 8224034590 Enrollment ID: I20061010000118 |
| Provider Name | Kristin M Bitikofer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710904768 PECOS PAC ID: 7315944394 Enrollment ID: I20061106000065 |
| Provider Name | Linda E Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669454005 PECOS PAC ID: 7517969678 Enrollment ID: I20070202000422 |
| Provider Name | Mary P Whistler-andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265433759 PECOS PAC ID: 3971505520 Enrollment ID: I20070209000530 |
| Provider Name | Kenneth D Pearsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154387918 PECOS PAC ID: 7113816331 Enrollment ID: I20070216000439 |
| Provider Name | Indra Tambar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992771794 PECOS PAC ID: 1951403021 Enrollment ID: I20070220000241 |
| Provider Name | Eileen Daetsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477644508 PECOS PAC ID: 0840394946 Enrollment ID: I20070329000418 |
| Provider Name | Thomas J Cumbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396737532 PECOS PAC ID: 7416052972 Enrollment ID: I20070412000244 |
| Provider Name | Jennifer Joy Axtell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346358983 PECOS PAC ID: 9436254851 Enrollment ID: I20070413000226 |
| Provider Name | Christopher Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265404982 PECOS PAC ID: 2668577974 Enrollment ID: I20070416000286 |
| Provider Name | Melissa M Fanton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902998974 PECOS PAC ID: 1153426937 Enrollment ID: I20070424000343 |
| Provider Name | Phillip a Baum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023016060 PECOS PAC ID: 7517928443 Enrollment ID: I20070426000129 |
| Provider Name | Lisa a Sorrentino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326148404 PECOS PAC ID: 9234235797 Enrollment ID: I20070501000148 |
| Provider Name | Patrick T Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942245923 PECOS PAC ID: 8820195316 Enrollment ID: I20070517000339 |
| Provider Name | William R Hampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740247600 PECOS PAC ID: 5294624417 Enrollment ID: I20070522000310 |
| Provider Name | Victor S Regenbogen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871550012 PECOS PAC ID: 1759270978 Enrollment ID: I20070522000333 |
| Provider Name | Michael S Silber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821056573 PECOS PAC ID: 5092604223 Enrollment ID: I20070522000489 |
| Provider Name | Hanaw a Adham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427112291 PECOS PAC ID: 0547368730 Enrollment ID: I20070612000547 |
| Provider Name | Christine M Schonour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285692483 PECOS PAC ID: 7719085851 Enrollment ID: I20070613000249 |
| Provider Name | James G Corasanti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750347068 PECOS PAC ID: 6901703768 Enrollment ID: I20070703000234 |
| Provider Name | Carola E Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053488247 PECOS PAC ID: 1759482490 Enrollment ID: I20070724000722 |
| Provider Name | Gregory M Wolfley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730216086 PECOS PAC ID: 3476644998 Enrollment ID: I20070813000115 |
| Provider Name | Charlene L Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861456758 PECOS PAC ID: 0143311506 Enrollment ID: I20070814000658 |
| Provider Name | Andrew T Dunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346367935 PECOS PAC ID: 5799877940 Enrollment ID: I20070817000516 |
| Provider Name | Kelly a Marotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881730489 PECOS PAC ID: 4587756564 Enrollment ID: I20070822000824 |
| Provider Name | Collins O Osula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831169432 PECOS PAC ID: 9931292778 Enrollment ID: I20070910000678 |
| Provider Name | Calogero Ippolito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205803509 PECOS PAC ID: 6002900420 Enrollment ID: I20070917000222 |
| Provider Name | Ashish Bhatia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104034545 PECOS PAC ID: 7214021476 Enrollment ID: I20070919000078 |
| Provider Name | Ritu Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780883900 PECOS PAC ID: 7416042882 Enrollment ID: I20070929000063 |
| Provider Name | Mark J Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336175215 PECOS PAC ID: 5890766919 Enrollment ID: I20071019000460 |
| Provider Name | Maritza Y Baez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285849877 PECOS PAC ID: 5698862084 Enrollment ID: I20071101000308 |
| Provider Name | Mark R Kuczmanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346432333 PECOS PAC ID: 2769570258 Enrollment ID: I20071116000327 |
| Provider Name | Timothy M. Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649461401 PECOS PAC ID: 0345338166 Enrollment ID: I20071129000559 |
| Provider Name | Christopher Patrick John |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902996903 PECOS PAC ID: 5395745020 Enrollment ID: I20071207000675 |
| Provider Name | Neil L Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437347507 PECOS PAC ID: 3274623350 Enrollment ID: I20071212000727 |
| Provider Name | Mark A. Falvo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699966242 PECOS PAC ID: 5294815460 Enrollment ID: I20071231000505 |
| Provider Name | Anthony F Perna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568429330 PECOS PAC ID: 5092604256 Enrollment ID: I20080124000204 |
| Provider Name | Timothy J Giglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225189640 PECOS PAC ID: 0446332787 Enrollment ID: I20080125000485 |
| Provider Name | Jill D Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790816015 PECOS PAC ID: 4981786233 Enrollment ID: I20080125000563 |
| Provider Name | Andre a Persaud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194796482 PECOS PAC ID: 8426130337 Enrollment ID: I20080131000228 |
| Provider Name | Jean Marcaisse Cange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477512259 PECOS PAC ID: 4082797675 Enrollment ID: I20080205000410 |
| Provider Name | James G Conley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083611982 PECOS PAC ID: 2668555251 Enrollment ID: I20080205000485 |
| Provider Name | Munir a Salimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134210560 PECOS PAC ID: 2062595416 Enrollment ID: I20080208000272 |
| Provider Name | Thomas R Cimato |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497942809 PECOS PAC ID: 1052494291 Enrollment ID: I20080212000368 |
| Provider Name | Uzma Alam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528173747 PECOS PAC ID: 0345324034 Enrollment ID: I20080219000524 |
| Provider Name | Ruth Anne Queenan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467482505 PECOS PAC ID: 7315021524 Enrollment ID: I20080227000189 |
| Provider Name | Susan C Erk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477520203 PECOS PAC ID: 1153408588 Enrollment ID: I20080409000148 |
| Provider Name | Ashokkumar J Kothari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265431332 PECOS PAC ID: 3870671159 Enrollment ID: I20080428000310 |
| Provider Name | Nicolette M Sciolino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316140064 PECOS PAC ID: 7214006154 Enrollment ID: I20080519000736 |
| Provider Name | Jeffrey Neu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184608911 PECOS PAC ID: 8022067644 Enrollment ID: I20080627000338 |
| Provider Name | Valerie Burkhard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275709164 PECOS PAC ID: 1153494638 Enrollment ID: I20080716000407 |
| Provider Name | Joseph a Gualtieri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053572883 PECOS PAC ID: 3779656772 Enrollment ID: I20080724000347 |
| Provider Name | Steven M Barone |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1447407036 PECOS PAC ID: 7315007283 Enrollment ID: I20081121000463 |
| Provider Name | Matthew R Cox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407017940 PECOS PAC ID: 8325100969 Enrollment ID: I20081216000592 |
| Provider Name | Stacy J Neiswonger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033382809 PECOS PAC ID: 2365505575 Enrollment ID: I20090114000753 |
| Provider Name | Julie Szumigala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659374023 PECOS PAC ID: 4486678166 Enrollment ID: I20090210000021 |
| Provider Name | Jamie Charlise Marie Interlichia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124278841 PECOS PAC ID: 7416013263 Enrollment ID: I20090304000166 |
| Provider Name | Marylou C Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962561399 PECOS PAC ID: 6002963436 Enrollment ID: I20090422000005 |
| Provider Name | Roberto Pili |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669419867 PECOS PAC ID: 9931257169 Enrollment ID: I20090428000289 |
| Provider Name | John Yowpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508025768 PECOS PAC ID: 8921156738 Enrollment ID: I20090508000219 |
| Provider Name | Alyson L Zoratti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588803464 PECOS PAC ID: 3971652090 Enrollment ID: I20090520000528 |
| Provider Name | Steven P Bradley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245286525 PECOS PAC ID: 9537219712 Enrollment ID: I20090609000622 |
| Provider Name | Brian J Page |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700028933 PECOS PAC ID: 1850441668 Enrollment ID: I20090616000456 |
| Provider Name | Reuven Moser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053553149 PECOS PAC ID: 0042361982 Enrollment ID: I20090706000429 |
| Provider Name | Salwat Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421399 PECOS PAC ID: 2163575705 Enrollment ID: I20090730000111 |
| Provider Name | Roseanne Oliverio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073516985 PECOS PAC ID: 3375531189 Enrollment ID: I20090731000476 |
| Provider Name | Prashula P Ellsworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013922723 PECOS PAC ID: 7012061559 Enrollment ID: I20090818000227 |
| Provider Name | Tat S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477500304 PECOS PAC ID: 0143299883 Enrollment ID: I20090910000129 |
| Provider Name | Michele Nanni |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033350194 PECOS PAC ID: 2062568959 Enrollment ID: I20090917000442 |
| Provider Name | Michele L Elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114170651 PECOS PAC ID: 7618023185 Enrollment ID: I20090924000493 |
| Provider Name | Kristin P Collado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295829364 PECOS PAC ID: 2466599196 Enrollment ID: I20091028000549 |
| Provider Name | Mallory L Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730414111 PECOS PAC ID: 2062559586 Enrollment ID: I20091102000206 |
| Provider Name | Marija Radovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518198993 PECOS PAC ID: 2567500945 Enrollment ID: I20091104000444 |
| Provider Name | Melanie Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467615591 PECOS PAC ID: 3971641952 Enrollment ID: I20091111000654 |
| Provider Name | Jessie F Donaldson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508098542 PECOS PAC ID: 7719025659 Enrollment ID: I20091112000469 |
| Provider Name | Rachael Reif |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861725293 PECOS PAC ID: 1355489097 Enrollment ID: I20091117000462 |
| Provider Name | Azher Iqbal |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467476291 PECOS PAC ID: 4688713563 Enrollment ID: I20091207000179 |
| Provider Name | Jennifer Cathcart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669700209 PECOS PAC ID: 5496897068 Enrollment ID: I20100120000151 |
| Provider Name | Ericaann J Patino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619983434 PECOS PAC ID: 5698817203 Enrollment ID: I20100121000600 |
| Provider Name | Clifford C Pyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245306729 PECOS PAC ID: 6901949031 Enrollment ID: I20100211000238 |
| Provider Name | Amey Rose Dziulko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932114642 PECOS PAC ID: 0941344881 Enrollment ID: I20100216000753 |
| Provider Name | Donald F Switzer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326098112 PECOS PAC ID: 1759463284 Enrollment ID: I20100217000005 |
| Provider Name | Fred H Lewis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093714230 PECOS PAC ID: 6507813268 Enrollment ID: I20100219000358 |
| Provider Name | Gail R Goodman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568442465 PECOS PAC ID: 6305888769 Enrollment ID: I20100226000187 |
| Provider Name | William M Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538127923 PECOS PAC ID: 0143365361 Enrollment ID: I20100226000492 |
| Provider Name | Eli R Farhi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932166709 PECOS PAC ID: 7911042098 Enrollment ID: I20100301000198 |
| Provider Name | August Andrew Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013996131 PECOS PAC ID: 5991840068 Enrollment ID: I20100302000174 |
| Provider Name | Richard E Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588629216 PECOS PAC ID: 3274678750 Enrollment ID: I20100309000186 |
| Provider Name | Mofid N Khalil Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770645012 PECOS PAC ID: 7113913435 Enrollment ID: I20100323000850 |
| Provider Name | Thomas R Mcternan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336242387 PECOS PAC ID: 0547396392 Enrollment ID: I20100331000255 |
| Provider Name | Brenda a Mrkall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205067931 PECOS PAC ID: 8820125230 Enrollment ID: I20100415000930 |
| Provider Name | George E Matthews |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184607848 PECOS PAC ID: 5395794911 Enrollment ID: I20100415000958 |
| Provider Name | Jeremiah O Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104893833 PECOS PAC ID: 3274663935 Enrollment ID: I20100608000130 |
| Provider Name | Nadeem U Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790729820 PECOS PAC ID: 3971522368 Enrollment ID: I20100609000204 |
| Provider Name | Melissa a Aduddle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588783617 PECOS PAC ID: 3971633843 Enrollment ID: I20100621000207 |
| Provider Name | Christopher J Kwaczala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366765265 PECOS PAC ID: 6204967185 Enrollment ID: I20100622000612 |
| Provider Name | Kevin G Cleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831156447 PECOS PAC ID: 5294648473 Enrollment ID: I20100630000000 |
| Provider Name | Tiffany a Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558686519 PECOS PAC ID: 3678605060 Enrollment ID: I20100721000092 |
| Provider Name | Kishor V. Phadke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205840162 PECOS PAC ID: 5496889131 Enrollment ID: I20100817000167 |
| Provider Name | Judy a Wesolowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528042108 PECOS PAC ID: 8921024993 Enrollment ID: I20100823000243 |
| Provider Name | Jason Pericak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689823411 PECOS PAC ID: 5496800583 Enrollment ID: I20100824001000 |
| Provider Name | David Patrick Cipolla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740422708 PECOS PAC ID: 5597816330 Enrollment ID: I20100827000185 |
| Provider Name | Susan Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548223076 PECOS PAC ID: 9436273034 Enrollment ID: I20100903000367 |
| Provider Name | Karen Kieliszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811951031 PECOS PAC ID: 2163547381 Enrollment ID: I20100913000000 |
| Provider Name | Lisa a Daye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083673693 PECOS PAC ID: 8426173311 Enrollment ID: I20100915001019 |
| Provider Name | David Marchetti |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528042835 PECOS PAC ID: 4880774165 Enrollment ID: I20100921000031 |
| Provider Name | Keith C Stube |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053377325 PECOS PAC ID: 0840253746 Enrollment ID: I20100922000248 |
| Provider Name | Jay M Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104815679 PECOS PAC ID: 5395762439 Enrollment ID: I20101007000087 |
| Provider Name | Deborah Kay Lavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720099336 PECOS PAC ID: 5092907071 Enrollment ID: I20101008000536 |
| Provider Name | Janerio D Aldridge |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316903586 PECOS PAC ID: 4082704424 Enrollment ID: I20101012001022 |
| Provider Name | Donna Marie Steinwachs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386644540 PECOS PAC ID: 2860685047 Enrollment ID: I20101020000623 |
| Provider Name | Theodore G Costich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245331818 PECOS PAC ID: 7517965585 Enrollment ID: I20101105000565 |
| Provider Name | Susan Baldassari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245270388 PECOS PAC ID: 4284821778 Enrollment ID: I20101209000768 |
| Provider Name | Stanley F Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245560119 PECOS PAC ID: 8820285109 Enrollment ID: I20101213000690 |
| Provider Name | Jerome M Rutowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780996769 PECOS PAC ID: 3971791567 Enrollment ID: I20101227000158 |
| Provider Name | Danielle R Paolini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144535675 PECOS PAC ID: 5395933592 Enrollment ID: I20110103000251 |
| Provider Name | Michael Christopher Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700957727 PECOS PAC ID: 6305034539 Enrollment ID: I20110103000584 |
| Provider Name | Therese M Caligiuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457319899 PECOS PAC ID: 0749478980 Enrollment ID: I20110103000611 |
| Provider Name | John Henry Lalor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841381845 PECOS PAC ID: 4789873746 Enrollment ID: I20110106001042 |
| Provider Name | Gerald H Colern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396057931 PECOS PAC ID: 5597954263 Enrollment ID: I20110111000716 |
| Provider Name | Christian D Lates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649279191 PECOS PAC ID: 9234318254 Enrollment ID: I20110124000604 |
| Provider Name | Nadezhda Danilovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316077878 PECOS PAC ID: 7315128519 Enrollment ID: I20110222000194 |
| Provider Name | Caitlin Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205009776 PECOS PAC ID: 6103009469 Enrollment ID: I20110323000755 |
| Provider Name | Loubert S Suddaby |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609869783 PECOS PAC ID: 4688569841 Enrollment ID: I20110329000404 |
| Provider Name | Ronald Merino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957587 PECOS PAC ID: 9931383627 Enrollment ID: I20110404000735 |
| Provider Name | Allison Morganti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538467246 PECOS PAC ID: 2860677689 Enrollment ID: I20110421000060 |
| Provider Name | Coleen M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588981575 PECOS PAC ID: 6901081751 Enrollment ID: I20110421000383 |
| Provider Name | Roseann Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578529871 PECOS PAC ID: 0042495483 Enrollment ID: I20110428000049 |
| Provider Name | Anne B Curtis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245275445 PECOS PAC ID: 9830144153 Enrollment ID: I20110428000382 |
| Provider Name | Joanne Q Chmura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982653960 PECOS PAC ID: 0749465060 Enrollment ID: I20110503000008 |
| Provider Name | Ihab M Shafik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225038581 PECOS PAC ID: 3476739236 Enrollment ID: I20110512000738 |
| Provider Name | Lawrence T Sinatra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942200209 PECOS PAC ID: 4082692892 Enrollment ID: I20110512000838 |
| Provider Name | Michael Thomas Doldan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457686347 PECOS PAC ID: 6901082676 Enrollment ID: I20110513000018 |
| Provider Name | Victor J Vacanti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558522268 PECOS PAC ID: 6002086287 Enrollment ID: I20110825000286 |
| Provider Name | Haider a Khadim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788541 PECOS PAC ID: 2163692351 Enrollment ID: I20110825000439 |
| Provider Name | Leia K Ince-mercer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962666107 PECOS PAC ID: 8628248630 Enrollment ID: I20110831000233 |
| Provider Name | Reza Banifatemi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205884533 PECOS PAC ID: 9638128051 Enrollment ID: I20110915000605 |
| Provider Name | Kimberly C Mecca |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457325979 PECOS PAC ID: 3971774803 Enrollment ID: I20110926000057 |
| Provider Name | Elaine M Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316225360 PECOS PAC ID: 4082885769 Enrollment ID: I20110929000583 |
| Provider Name | Marcelino Dsouza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790899458 PECOS PAC ID: 8729250345 Enrollment ID: I20111004000239 |
| Provider Name | Mandy L Abram |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447547310 PECOS PAC ID: 5496927402 Enrollment ID: I20111018000334 |
| Provider Name | Robert J Gambino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790741965 PECOS PAC ID: 7719150523 Enrollment ID: I20111021000547 |
| Provider Name | M H Ashraf |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306802566 PECOS PAC ID: 4587747092 Enrollment ID: I20111024000187 |
| Provider Name | Anne C Banas |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255650842 PECOS PAC ID: 8820262561 Enrollment ID: I20111115000795 |
| Provider Name | Angelo J Campagna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508821638 PECOS PAC ID: 5193769651 Enrollment ID: I20111121000000 |
| Provider Name | Carolyn Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598720815 PECOS PAC ID: 6002095593 Enrollment ID: I20111214001018 |
| Provider Name | Douglas D Hage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538113873 PECOS PAC ID: 7416934948 Enrollment ID: I20120112000538 |
| Provider Name | Sangeeta Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952537151 PECOS PAC ID: 5991972770 Enrollment ID: I20120119000087 |
| Provider Name | Henry E Reyes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144456880 PECOS PAC ID: 8729255526 Enrollment ID: I20120119000289 |
| Provider Name | Heather L Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417058298 PECOS PAC ID: 3971770710 Enrollment ID: I20120119000670 |
| Provider Name | Mark S St Marie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629150792 PECOS PAC ID: 2567448822 Enrollment ID: I20120223000556 |
| Provider Name | Kelly Cardamone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417120833 PECOS PAC ID: 3779742952 Enrollment ID: I20120307000451 |
| Provider Name | Jennifer L Earsing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699054742 PECOS PAC ID: 1658530399 Enrollment ID: I20120315000370 |
| Provider Name | Ghous a Yasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982695649 PECOS PAC ID: 7113934241 Enrollment ID: I20120315000591 |
| Provider Name | Marc a Krzystek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457624058 PECOS PAC ID: 5991965535 Enrollment ID: I20120320000161 |
| Provider Name | Barbara J Spatafora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376828848 PECOS PAC ID: 8628238417 Enrollment ID: I20120403000002 |
| Provider Name | Dukhant S Multani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720219108 PECOS PAC ID: 2769648666 Enrollment ID: I20120720000591 |
| Provider Name | Sachin Wadhawan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700023579 PECOS PAC ID: 2668638214 Enrollment ID: I20120725000888 |
| Provider Name | Stacey N Akers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1639204829 PECOS PAC ID: 9830281252 Enrollment ID: I20120813000249 |
| Provider Name | Laura Louise Ford-mukkamala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306950001 PECOS PAC ID: 8729977632 Enrollment ID: I20120824000066 |
| Provider Name | Rosemary E Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548534001 PECOS PAC ID: 6406003227 Enrollment ID: I20120830000396 |
| Provider Name | Courtney G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467717454 PECOS PAC ID: 9739336405 Enrollment ID: I20120831000221 |
| Provider Name | Christian P Chouchani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881858702 PECOS PAC ID: 5193973048 Enrollment ID: I20120918000469 |
| Provider Name | Raheel Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316180896 PECOS PAC ID: 1759539497 Enrollment ID: I20120921000137 |
| Provider Name | Virginia K Bond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881853695 PECOS PAC ID: 5395994362 Enrollment ID: I20121008000095 |
| Provider Name | Mary E Manganaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043598030 PECOS PAC ID: 4486815545 Enrollment ID: I20121120000505 |
| Provider Name | Tatyana Manzik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902159643 PECOS PAC ID: 2264684935 Enrollment ID: I20121203000126 |
| Provider Name | Christine M Klemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558617803 PECOS PAC ID: 1456503630 Enrollment ID: I20121217000038 |
| Provider Name | Marcia Shiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760596787 PECOS PAC ID: 7618121971 Enrollment ID: I20130214000190 |
| Provider Name | Linda Marie Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609045343 PECOS PAC ID: 0345486676 Enrollment ID: I20130411000318 |
| Provider Name | Alan D Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629074901 PECOS PAC ID: 0143204693 Enrollment ID: I20130502000137 |
| Provider Name | Emma Lee Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316200348 PECOS PAC ID: 6406002757 Enrollment ID: I20130619000436 |
| Provider Name | Jenna M Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124463500 PECOS PAC ID: 7113168022 Enrollment ID: I20130718000416 |
| Provider Name | Jonathan Falletta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831431188 PECOS PAC ID: 3779724059 Enrollment ID: I20130730000024 |
| Provider Name | Armen a Kirakosyan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043489586 PECOS PAC ID: 5799978441 Enrollment ID: I20130813000641 |
| Provider Name | Laura J Rayner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467695262 PECOS PAC ID: 2062655913 Enrollment ID: I20130826000502 |
| Provider Name | Jaclyn M Domroes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881034296 PECOS PAC ID: 4688816747 Enrollment ID: I20130827000014 |
| Provider Name | Matthew J Rusk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912227133 PECOS PAC ID: 1759524598 Enrollment ID: I20130827000593 |
| Provider Name | Ashley a Knavel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861833824 PECOS PAC ID: 6204079957 Enrollment ID: I20130827000866 |
| Provider Name | Jennie L Dembski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477757425 PECOS PAC ID: 3779726328 Enrollment ID: I20130829000157 |
| Provider Name | Umesh C Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366605800 PECOS PAC ID: 4789853300 Enrollment ID: I20130906000285 |
| Provider Name | Michael P Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508005299 PECOS PAC ID: 8022242320 Enrollment ID: I20130927000315 |
| Provider Name | Jill Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356787147 PECOS PAC ID: 3375777568 Enrollment ID: I20131001000192 |
| Provider Name | Christopher Thomas Mallavarapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649273715 PECOS PAC ID: 5991695934 Enrollment ID: I20131009002222 |
| Provider Name | Alexander Eswar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679714562 PECOS PAC ID: 2961636360 Enrollment ID: I20131017000571 |
| Provider Name | Geoffrey M Roeser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346587037 PECOS PAC ID: 8022242429 Enrollment ID: I20131017000670 |
| Provider Name | Michael G Beckwith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295999308 PECOS PAC ID: 3476628066 Enrollment ID: I20131029001855 |
| Provider Name | Lauralee Sibiga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710311923 PECOS PAC ID: 6608003256 Enrollment ID: I20131206000014 |
| Provider Name | Kristen E Maloney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346438686 PECOS PAC ID: 3375770795 Enrollment ID: I20131210001783 |
| Provider Name | Renee L Hansen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912337718 PECOS PAC ID: 8325276371 Enrollment ID: I20140121000248 |
| Provider Name | Sharon B Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790118826 PECOS PAC ID: 8022246883 Enrollment ID: I20140124001099 |
| Provider Name | Adele M Whitted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548693724 PECOS PAC ID: 7911136601 Enrollment ID: I20140129000030 |
| Provider Name | Mallory Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467876409 PECOS PAC ID: 2961634282 Enrollment ID: I20140418000543 |
| Provider Name | Susan J Littler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265502546 PECOS PAC ID: 5890689467 Enrollment ID: I20140430000788 |
| Provider Name | Laura E Graci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912327560 PECOS PAC ID: 7113141953 Enrollment ID: I20140617001290 |
| Provider Name | David M Zlotnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366548364 PECOS PAC ID: 2466693684 Enrollment ID: I20140627002172 |
| Provider Name | John F Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134531023 PECOS PAC ID: 6406071752 Enrollment ID: I20140701000440 |
| Provider Name | Rohini D Thodge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003026147 PECOS PAC ID: 8921224577 Enrollment ID: I20140717000914 |
| Provider Name | Michele M Battista-hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386650570 PECOS PAC ID: 3274762273 Enrollment ID: I20140723002403 |
| Provider Name | Taylor L Mcfarland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184039349 PECOS PAC ID: 8224254420 Enrollment ID: I20140724000940 |
| Provider Name | Saurabh Malhotra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033304431 PECOS PAC ID: 4789849159 Enrollment ID: I20140724001506 |
| Provider Name | Jacqueline R Labelle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033450143 PECOS PAC ID: 1557587342 Enrollment ID: I20140731001614 |
| Provider Name | Jamie Szczepanski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376862383 PECOS PAC ID: 9436377264 Enrollment ID: I20140820000954 |
| Provider Name | Rachel Walczyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699181693 PECOS PAC ID: 3870711146 Enrollment ID: I20140828000216 |
| Provider Name | Shaveta Malik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154632966 PECOS PAC ID: 8426276601 Enrollment ID: I20140829001740 |
| Provider Name | Paula M Leszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982018388 PECOS PAC ID: 4981823895 Enrollment ID: I20140908001805 |
| Provider Name | Sarah S Cleveland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467861468 PECOS PAC ID: 0345460721 Enrollment ID: I20141007001334 |
| Provider Name | Gavin M Davison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487898482 PECOS PAC ID: 7214157460 Enrollment ID: I20141010000200 |
| Provider Name | Nicole Rose Moeller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811304140 PECOS PAC ID: 4082835541 Enrollment ID: I20141027000291 |
| Provider Name | Herbert Duvivier |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710982731 PECOS PAC ID: 6800889742 Enrollment ID: I20141120000614 |
| Provider Name | Alicia a Mchale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609285469 PECOS PAC ID: 7214251495 Enrollment ID: I20150116000629 |
| Provider Name | Sara Fritsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013337807 PECOS PAC ID: 9931424280 Enrollment ID: I20150210000092 |
| Provider Name | Kathleen Patricia King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235459066 PECOS PAC ID: 3870623770 Enrollment ID: I20150323000901 |
| Provider Name | Miriam N Gaffney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548541188 PECOS PAC ID: 0042431314 Enrollment ID: I20150325001089 |
| Provider Name | Katherine M Sumner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033500988 PECOS PAC ID: 9931426145 Enrollment ID: I20150327001573 |
| Provider Name | Shawn R Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174914857 PECOS PAC ID: 5092033662 Enrollment ID: I20150410000088 |
| Provider Name | Douglas a Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144623778 PECOS PAC ID: 9234458035 Enrollment ID: I20150429000562 |
| Provider Name | Matthew J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306251400 PECOS PAC ID: 9739408865 Enrollment ID: I20150512000816 |
| Provider Name | James I Youssef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417273152 PECOS PAC ID: 7911228424 Enrollment ID: I20150610000092 |
| Provider Name | Fallon Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487048427 PECOS PAC ID: 5092026468 Enrollment ID: I20150625002624 |
| Provider Name | John Ross Mcgrath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134357429 PECOS PAC ID: 0941513709 Enrollment ID: I20150722005337 |
| Provider Name | Jennifer K Lang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487897062 PECOS PAC ID: 3678886348 Enrollment ID: I20150723009136 |
| Provider Name | Anthony Fox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528445434 PECOS PAC ID: 6901119585 Enrollment ID: I20150727000429 |
| Provider Name | Kathryn Flynn Braisted |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528454345 PECOS PAC ID: 9335468685 Enrollment ID: I20150728003723 |
| Provider Name | Matthew J Hudson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801058565 PECOS PAC ID: 8921270646 Enrollment ID: I20150810002581 |
| Provider Name | Sita Akkinepally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225372691 PECOS PAC ID: 2961718036 Enrollment ID: I20150903002213 |
| Provider Name | Darcie R Neaverth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295111714 PECOS PAC ID: 6901113448 Enrollment ID: I20150916002605 |
| Provider Name | Laura E Kuczmanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184023855 PECOS PAC ID: 9032429667 Enrollment ID: I20151110001864 |
| Provider Name | Kristen Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100677 PECOS PAC ID: 0143520171 Enrollment ID: I20151124001269 |
| Provider Name | Rachel Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881065845 PECOS PAC ID: 5597065078 Enrollment ID: I20151207000458 |
| Provider Name | Ramon E Rivera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457545600 PECOS PAC ID: 0042307126 Enrollment ID: I20151209001696 |
| Provider Name | Jennifer Arnold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104209238 PECOS PAC ID: 4385952282 Enrollment ID: I20160112001503 |
| Provider Name | Heather M Pisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330216 PECOS PAC ID: 7214230770 Enrollment ID: I20160118000611 |
| Provider Name | Joseph B Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740664093 PECOS PAC ID: 7416250386 Enrollment ID: I20160127000881 |
| Provider Name | Neeta Kohli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394505 PECOS PAC ID: 0941507057 Enrollment ID: I20160404001728 |
| Provider Name | Rachel R Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528208675 PECOS PAC ID: 3072812627 Enrollment ID: I20160503000770 |
| Provider Name | Ashley N Terragnoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598133522 PECOS PAC ID: 7517256944 Enrollment ID: I20160525000466 |
| Provider Name | Kathryn a Haskins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730549585 PECOS PAC ID: 7214228709 Enrollment ID: I20160613002025 |
| Provider Name | Kearsten R Howe Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225482151 PECOS PAC ID: 6406147610 Enrollment ID: I20160620000469 |
| Provider Name | Philip J Federio |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851476477 PECOS PAC ID: 7012809171 Enrollment ID: I20160624000699 |
| Provider Name | Thomas a Lostracco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558680611 PECOS PAC ID: 5496048829 Enrollment ID: I20160722001564 |
| Provider Name | Douglas Drumsta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124345566 PECOS PAC ID: 0749583920 Enrollment ID: I20160729000436 |
| Provider Name | Derek Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326493594 PECOS PAC ID: 6103119946 Enrollment ID: I20160801001528 |
| Provider Name | Marcy Ann Masyga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497192330 PECOS PAC ID: 6103057773 Enrollment ID: I20160902000943 |
| Provider Name | Nicholas Patrick Masyga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033556972 PECOS PAC ID: 9436380011 Enrollment ID: I20160907000347 |
| Provider Name | Monica M Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942651468 PECOS PAC ID: 9234425315 Enrollment ID: I20160916000206 |
| Provider Name | Kelsey J Carminati |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710338017 PECOS PAC ID: 2163719998 Enrollment ID: I20160922001318 |
| Provider Name | Brittanny Jo Keeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164789210 PECOS PAC ID: 9436446788 Enrollment ID: I20160929002201 |
| Provider Name | Maria Ines Aguero Demanunta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962858621 PECOS PAC ID: 9638466923 Enrollment ID: I20160930000671 |
| Provider Name | Sarah Hai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497204317 PECOS PAC ID: 4183902414 Enrollment ID: I20161020001769 |
| Provider Name | Adam J Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572454 PECOS PAC ID: 6002194222 Enrollment ID: I20161024000087 |
| Provider Name | Vincent C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689010878 PECOS PAC ID: 9931487170 Enrollment ID: I20161024000714 |
| Provider Name | Sarah Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346684768 PECOS PAC ID: 1254636590 Enrollment ID: I20161104000663 |
| Provider Name | Thomas M Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037996 PECOS PAC ID: 6002196276 Enrollment ID: I20161205001110 |
| Provider Name | Julie K Baudo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770938383 PECOS PAC ID: 5698056851 Enrollment ID: I20161229001562 |
| Provider Name | Brittany T Nowak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427401058 PECOS PAC ID: 5496037301 Enrollment ID: I20170127001993 |
| Provider Name | Caroline a D' Souza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164541066 PECOS PAC ID: 3173603354 Enrollment ID: I20170224001420 |
| Provider Name | Charlyn C Meredith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497291413 PECOS PAC ID: 2769766732 Enrollment ID: I20170313000571 |
| Provider Name | Zachary L Tomasik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255878351 PECOS PAC ID: 4183908155 Enrollment ID: I20170313000750 |
| Provider Name | Alyssa R Erbacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558810267 PECOS PAC ID: 7911282108 Enrollment ID: I20170330002699 |
| Provider Name | Ashley Skipper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508305673 PECOS PAC ID: 2668757766 Enrollment ID: I20170331000615 |
| Provider Name | Kinan Dalal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952619041 PECOS PAC ID: 1153607791 Enrollment ID: I20170413000606 |
| Provider Name | Elisabeth Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376834085 PECOS PAC ID: 4284803511 Enrollment ID: I20170505000380 |
| Provider Name | Tina Marie Ricchiazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356880579 PECOS PAC ID: 3577840826 Enrollment ID: I20170515001911 |
| Provider Name | Lauren Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447670203 PECOS PAC ID: 4789952920 Enrollment ID: I20170613000519 |
| Provider Name | Thomas Bevilacqua |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093094005 PECOS PAC ID: 6103194212 Enrollment ID: I20170614000817 |
| Provider Name | Ahmad Kadhim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386892479 PECOS PAC ID: 5597987503 Enrollment ID: I20170629001415 |
| Provider Name | Nolan P Machernis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669765681 PECOS PAC ID: 4587947833 Enrollment ID: I20170717002701 |
| Provider Name | Jonathan C Zirna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417485871 PECOS PAC ID: 9335419241 Enrollment ID: I20170726001668 |
| Provider Name | Joseph D. Mills |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1396027207 PECOS PAC ID: 4880965078 Enrollment ID: I20170807001641 |
| Provider Name | Kathleen a Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780939199 PECOS PAC ID: 6507155934 Enrollment ID: I20170807003681 |
| Provider Name | Carolynn Marie Tsabai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942629696 PECOS PAC ID: 0446521363 Enrollment ID: I20170810000742 |
| Provider Name | Daniel T Patrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538692702 PECOS PAC ID: 4981975786 Enrollment ID: I20170811000883 |
| Provider Name | John B Ortolani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760781330 PECOS PAC ID: 3577797489 Enrollment ID: I20170824000679 |
| Provider Name | Gianna M Mcevoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366889230 PECOS PAC ID: 1456623446 Enrollment ID: I20170825002603 |
| Provider Name | Emily Christine Neu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629502349 PECOS PAC ID: 4183996085 Enrollment ID: I20170826000053 |
| Provider Name | Lydia Marie Georgiadis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992422 PECOS PAC ID: 2961775846 Enrollment ID: I20170829003359 |
| Provider Name | Martin Paul Pittman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548790694 PECOS PAC ID: 7911270608 Enrollment ID: I20170831000191 |
| Provider Name | Thomas R Siudzinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912436965 PECOS PAC ID: 3971876913 Enrollment ID: I20170913001783 |
| Provider Name | Edward M Starr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538689906 PECOS PAC ID: 8820362486 Enrollment ID: I20170920001410 |
| Provider Name | Luke Martinic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295256725 PECOS PAC ID: 1759655368 Enrollment ID: I20170920003284 |
| Provider Name | Dilafruz Usman Elnasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902344385 PECOS PAC ID: 5597042010 Enrollment ID: I20170928002559 |
| Provider Name | Taylore a Passero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063938280 PECOS PAC ID: 6204101884 Enrollment ID: I20171006002473 |
| Provider Name | J'leise D Sosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376806059 PECOS PAC ID: 3072805589 Enrollment ID: I20171020000501 |
| Provider Name | Keilen L Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114442167 PECOS PAC ID: 3173889425 Enrollment ID: I20171102001888 |
| Provider Name | Erin I Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388588 PECOS PAC ID: 2365708500 Enrollment ID: I20171103002731 |
| Provider Name | Christopher James Nicholas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457863904 PECOS PAC ID: 4486910866 Enrollment ID: I20171117002991 |
| Provider Name | Lucas J Speak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890919 PECOS PAC ID: 8022375807 Enrollment ID: I20171204000776 |
| Provider Name | Danielle Rice |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427587401 PECOS PAC ID: 8224396692 Enrollment ID: I20171213002352 |
| Provider Name | Ryan Michael Alberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346682622 PECOS PAC ID: 3072835917 Enrollment ID: I20171221000546 |
| Provider Name | Mattison Gorrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629470265 PECOS PAC ID: 1759604846 Enrollment ID: I20180103000788 |
| Provider Name | Julie P Delellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469016 PECOS PAC ID: 7719246875 Enrollment ID: I20180117001898 |
| Provider Name | Katherine Susanne Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316460413 PECOS PAC ID: 2961761861 Enrollment ID: I20180123001470 |
| Provider Name | Katelyn L Redmond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811416142 PECOS PAC ID: 8426317132 Enrollment ID: I20180125000440 |
| Provider Name | Karrie Kuhn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063921419 PECOS PAC ID: 5193086965 Enrollment ID: I20180220000460 |
| Provider Name | Bridget K Stegemann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316492879 PECOS PAC ID: 8325314370 Enrollment ID: I20180329002418 |
| Provider Name | Jane M Becht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629283163 PECOS PAC ID: 3072805985 Enrollment ID: I20180407000005 |
| Provider Name | Ryan T Lentz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053811489 PECOS PAC ID: 4284997560 Enrollment ID: I20180419001551 |
| Provider Name | Aaron John Hoppy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326548751 PECOS PAC ID: 3971866252 Enrollment ID: I20180419001788 |
| Provider Name | Katherine B Muff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871091348 PECOS PAC ID: 4385908433 Enrollment ID: I20180426000849 |
| Provider Name | Kathryn C Mye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821585274 PECOS PAC ID: 9739443938 Enrollment ID: I20180515001864 |
| Provider Name | Courtney Alvarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508314592 PECOS PAC ID: 9133401524 Enrollment ID: I20180531001391 |
| Provider Name | Csaba Gajdos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710192083 PECOS PAC ID: 1456443233 Enrollment ID: I20180627002108 |
| Provider Name | Mia R Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689173171 PECOS PAC ID: 5496001422 Enrollment ID: I20180705002770 |
| Provider Name | Janine E Wanamaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073005591 PECOS PAC ID: 9537416540 Enrollment ID: I20180723001882 |
| Provider Name | Caitlin V Hackford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144720947 PECOS PAC ID: 9032466834 Enrollment ID: I20180725002102 |
| Provider Name | Maria a Sweet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992291355 PECOS PAC ID: 9931457009 Enrollment ID: I20180806002577 |
| Provider Name | Sadik Raja Panwar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164613188 PECOS PAC ID: 0345559092 Enrollment ID: I20180814002553 |
| Provider Name | Thomas C Suchy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1477999456 PECOS PAC ID: 8123377629 Enrollment ID: I20180816001382 |
| Provider Name | Kelsey Aileen Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245725860 PECOS PAC ID: 8123377512 Enrollment ID: I20180817001866 |
| Provider Name | Emily Irene Van Buren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508350901 PECOS PAC ID: 7214286582 Enrollment ID: I20180820002061 |
| Provider Name | Ashley L Disney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285983973 PECOS PAC ID: 3274786439 Enrollment ID: I20180904000637 |
| Provider Name | Anastasja E Ketch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518450220 PECOS PAC ID: 6103176656 Enrollment ID: I20180905001222 |
| Provider Name | Ryanne R Dugan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457837841 PECOS PAC ID: 8820348196 Enrollment ID: I20180906002836 |
| Provider Name | Samantha Dombrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578084307 PECOS PAC ID: 3173880556 Enrollment ID: I20180911000639 |
| Provider Name | David W Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962791061 PECOS PAC ID: 1153567045 Enrollment ID: I20180913002924 |
| Provider Name | Sarah Schmitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528471414 PECOS PAC ID: 4284984162 Enrollment ID: I20180914000680 |
| Provider Name | Janet M Wysocki Freer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063998607 PECOS PAC ID: 3678824455 Enrollment ID: I20180918000818 |
| Provider Name | Allison S Mazurek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174017594 PECOS PAC ID: 4385995182 Enrollment ID: I20180918001817 |
| Provider Name | Rachel E Showers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982182077 PECOS PAC ID: 7214288042 Enrollment ID: I20180918002706 |
| Provider Name | Matthew Pinto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033506845 PECOS PAC ID: 1254652381 Enrollment ID: I20180925003357 |
| Provider Name | Hollyanne Bly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942787098 PECOS PAC ID: 8628329869 Enrollment ID: I20180926003108 |
| Provider Name | Claudia Koenig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770062176 PECOS PAC ID: 0749531952 Enrollment ID: I20180927002389 |
| Provider Name | Harleen Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740692086 PECOS PAC ID: 5597016659 Enrollment ID: I20180928001902 |
| Provider Name | Nicole R Marker Zewe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619251055 PECOS PAC ID: 0345496048 Enrollment ID: I20180928002480 |
| Provider Name | Jacqueline V Karstedt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659865509 PECOS PAC ID: 7113279498 Enrollment ID: I20181015002960 |
| Provider Name | Emily Kastner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629563200 PECOS PAC ID: 2860744083 Enrollment ID: I20181016001760 |
| Provider Name | Anna B Haseley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879696 PECOS PAC ID: 8426301151 Enrollment ID: I20181026001597 |
| Provider Name | Krista L Vanderwall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073094769 PECOS PAC ID: 4981957560 Enrollment ID: I20181029001981 |
| Provider Name | Stefanie Marie Piotrowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528543527 PECOS PAC ID: 4688927981 Enrollment ID: I20181105000251 |
| Provider Name | Chelsea Lukaszonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336629955 PECOS PAC ID: 5092069088 Enrollment ID: I20181109001101 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20181114002767 |
| Provider Name | Ahmed Nasir Yousuf Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962775239 PECOS PAC ID: 1850609827 Enrollment ID: I20181231001759 |
| Provider Name | Megan K Heimerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716333 PECOS PAC ID: 2860738820 Enrollment ID: I20190111001088 |
| Provider Name | Aman Gupta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972881639 PECOS PAC ID: 7416173695 Enrollment ID: I20190206002570 |
| Provider Name | Jonathan David Lechner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053329037 PECOS PAC ID: 9335041011 Enrollment ID: I20190213001661 |
| Provider Name | Robert L Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726249 PECOS PAC ID: 7012256704 Enrollment ID: I20190225000365 |
| Provider Name | Samantha Ennuson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437621547 PECOS PAC ID: 8123367745 Enrollment ID: I20190226002336 |
| Provider Name | John J Slisz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669939849 PECOS PAC ID: 4486994654 Enrollment ID: I20190326001000 |
| Provider Name | Casey J Krug |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922565050 PECOS PAC ID: 5597006528 Enrollment ID: I20190401001276 |
| Provider Name | Margaret Garito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336611037 PECOS PAC ID: 1658612692 Enrollment ID: I20190401001422 |
| Provider Name | Corey Costa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891266102 PECOS PAC ID: 2264773159 Enrollment ID: I20190402001266 |
| Provider Name | Ryane Schupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215351887 PECOS PAC ID: 7719228659 Enrollment ID: I20190403000610 |
| Provider Name | Patrick Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083171029 PECOS PAC ID: 8729329404 Enrollment ID: I20190405001112 |
| Provider Name | Michelle M Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619129764 PECOS PAC ID: 4385985902 Enrollment ID: I20190409001821 |
| Provider Name | Chelsea M Pokoj |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598229171 PECOS PAC ID: 5890036008 Enrollment ID: I20190416000458 |
| Provider Name | Mackenzie E Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437619301 PECOS PAC ID: 5597006692 Enrollment ID: I20190417001486 |
| Provider Name | Peter E Graham |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841385226 PECOS PAC ID: 3971501545 Enrollment ID: I20190425000284 |
| Provider Name | Kiersten Leigh Habdo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619493780 PECOS PAC ID: 2365785219 Enrollment ID: I20190517000239 |
| Provider Name | Chelsey M Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699238998 PECOS PAC ID: 2062746381 Enrollment ID: I20190620000812 |
| Provider Name | Raviinder Mann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124381637 PECOS PAC ID: 7911231105 Enrollment ID: I20190621000466 |
| Provider Name | Valerie Ulm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538555131 PECOS PAC ID: 6002160918 Enrollment ID: I20190627001111 |
| Provider Name | Omar Z Chohan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154764918 PECOS PAC ID: 7810129590 Enrollment ID: I20190715001787 |
| Provider Name | Alexandra L Mikolajek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164080891 PECOS PAC ID: 7517292493 Enrollment ID: I20190715002568 |
| Provider Name | Julianne H Nichols |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851739460 PECOS PAC ID: 4082933395 Enrollment ID: I20190724001805 |
| Provider Name | Gaurav Jaswal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609258680 PECOS PAC ID: 6103132766 Enrollment ID: I20190808002007 |
| Provider Name | Basem Said Goueli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699064089 PECOS PAC ID: 8224288808 Enrollment ID: I20190809000663 |
| Provider Name | Meagen M. Mrugala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588480 PECOS PAC ID: 9739416991 Enrollment ID: I20190809002001 |
| Provider Name | Katlyn C Holt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902468275 PECOS PAC ID: 6002143922 Enrollment ID: I20190814003184 |
| Provider Name | Luay Dawood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740663871 PECOS PAC ID: 3072805332 Enrollment ID: I20190823000304 |
| Provider Name | Mojdeh S Kappus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366887960 PECOS PAC ID: 5799013728 Enrollment ID: I20190828002748 |
| Provider Name | Kathryn G Bechmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407418056 PECOS PAC ID: 3072841063 Enrollment ID: I20190829001441 |
| Provider Name | Maxim Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194175968 PECOS PAC ID: 8820382666 Enrollment ID: I20190905002378 |
| Provider Name | Katherine M Shanahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346808383 PECOS PAC ID: 5294064648 Enrollment ID: I20190910001714 |
| Provider Name | Shanchiya Ravindradas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548601446 PECOS PAC ID: 0446557854 Enrollment ID: I20190911001705 |
| Provider Name | Rachel Muroff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447811575 PECOS PAC ID: 5698004612 Enrollment ID: I20190917000093 |
| Provider Name | Danielle L Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508428921 PECOS PAC ID: 7012246002 Enrollment ID: I20190917003029 |
| Provider Name | Renee E Robel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205481017 PECOS PAC ID: 5395075766 Enrollment ID: I20190927000189 |
| Provider Name | Avani Kanneganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235585407 PECOS PAC ID: 4587994611 Enrollment ID: I20191002002718 |
| Provider Name | Yaron Perry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508013608 PECOS PAC ID: 0648162875 Enrollment ID: I20191008003887 |
| Provider Name | Margaret E Scherer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306493994 PECOS PAC ID: 5597096842 Enrollment ID: I20191017001169 |
| Provider Name | Deepinder S Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558818641 PECOS PAC ID: 8022305531 Enrollment ID: I20191022000372 |
| Provider Name | Awad El-ashry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881824712 PECOS PAC ID: 6204073950 Enrollment ID: I20191028001460 |
| Provider Name | Rachel Wolniewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962053140 PECOS PAC ID: 5294067625 Enrollment ID: I20191104002411 |
| Provider Name | Gabriela K Zirna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447800156 PECOS PAC ID: 1951733211 Enrollment ID: I20191107002012 |
| Provider Name | Ravi Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215483581 PECOS PAC ID: 4789016296 Enrollment ID: I20191120002966 |
| Provider Name | Anderson Lai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003327321 PECOS PAC ID: 1254763709 Enrollment ID: I20191121001181 |
| Provider Name | Afari Kwesi Dwamena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558700757 PECOS PAC ID: 3375828932 Enrollment ID: I20191125002252 |
| Provider Name | Adam Joseph Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427336957 PECOS PAC ID: 1850685397 Enrollment ID: I20191203001536 |
| Provider Name | Geovanny Perez Estrella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255618906 PECOS PAC ID: 1850514209 Enrollment ID: I20191204001591 |
| Provider Name | Sandip Saha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942563911 PECOS PAC ID: 1759717689 Enrollment ID: I20200212001291 |
| Provider Name | Monica J Denz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972145449 PECOS PAC ID: 3870921497 Enrollment ID: I20200313001980 |
| Provider Name | Jenna Lorusso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942840913 PECOS PAC ID: 2466881222 Enrollment ID: I20200331001857 |
| Provider Name | Alyxis J Uhteg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063047116 PECOS PAC ID: 9931538667 Enrollment ID: I20200401001631 |
| Provider Name | Daniel Heusinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710514237 PECOS PAC ID: 9032548417 Enrollment ID: I20200406002676 |
| Provider Name | Peter Todoro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427683028 PECOS PAC ID: 7719317882 Enrollment ID: I20200414002233 |
| Provider Name | Micah V Rutland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215576558 PECOS PAC ID: 4880024066 Enrollment ID: I20200501000661 |
| Provider Name | Lauren M Fickett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134757438 PECOS PAC ID: 3274963467 Enrollment ID: I20200501001474 |
| Provider Name | Melissa Michelle Mccaffrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760018097 PECOS PAC ID: 9032540505 Enrollment ID: I20200518000363 |
| Provider Name | Pamela L Wiatrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558994608 PECOS PAC ID: 5193147544 Enrollment ID: I20200612001206 |
| Provider Name | Mohamed Abdel-aal Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164834776 PECOS PAC ID: 9133463938 Enrollment ID: I20200625003109 |
| Provider Name | Cassandra Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558546820 PECOS PAC ID: 0345313532 Enrollment ID: I20200708001875 |
| Provider Name | Michael J Park |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760864037 PECOS PAC ID: 3678823879 Enrollment ID: I20200708002750 |
| Provider Name | Sarah E Mathis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639618341 PECOS PAC ID: 9436572328 Enrollment ID: I20200710001712 |
| Provider Name | Ryan J Mikac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346502689 PECOS PAC ID: 8628491487 Enrollment ID: I20200713000944 |
| Provider Name | Derrick Schutrum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295350940 PECOS PAC ID: 8729402227 Enrollment ID: I20200716002256 |
| Provider Name | Mohammed N Abdulrazzaq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871913095 PECOS PAC ID: 1355610775 Enrollment ID: I20200720003476 |
| Provider Name | Allison E Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255955381 PECOS PAC ID: 9032534979 Enrollment ID: I20200810000642 |
| Provider Name | Meghan Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699166959 PECOS PAC ID: 4981020336 Enrollment ID: I20200814001916 |
| Provider Name | Shelby Miranda Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386111433 PECOS PAC ID: 5890113831 Enrollment ID: I20200908002724 |
| Provider Name | Frank Joseph Freund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609304872 PECOS PAC ID: 2466722004 Enrollment ID: I20200916002695 |
| Provider Name | Emily Ludwig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265909568 PECOS PAC ID: 5991124406 Enrollment ID: I20201002001255 |
| Provider Name | Alexandra Pamela Galvano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508477472 PECOS PAC ID: 0042630691 Enrollment ID: I20201020001755 |
| Provider Name | Amanda L Scafetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841801537 PECOS PAC ID: 0042620015 Enrollment ID: I20201102002316 |
| Provider Name | Stuti Tambar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265756753 PECOS PAC ID: 7719245687 Enrollment ID: I20201109000102 |
| Provider Name | Romain Calini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285175687 PECOS PAC ID: 5294009981 Enrollment ID: I20201109000927 |
| Provider Name | Joanna Catherine Grosskopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902438039 PECOS PAC ID: 6002226701 Enrollment ID: I20201109002447 |
| Provider Name | Nicole Bless |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245707538 PECOS PAC ID: 6103236781 Enrollment ID: I20201110003121 |
| Provider Name | Azadeh Hassan-tehrani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598371130 PECOS PAC ID: 2163832510 Enrollment ID: I20201113001316 |
| Provider Name | Jennifer Crowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902373699 PECOS PAC ID: 0244641314 Enrollment ID: I20201120000560 |
| Provider Name | Shannon Marie Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043827769 PECOS PAC ID: 6204247802 Enrollment ID: I20201203002116 |
| Provider Name | Adriana Leigh Stumpff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598232803 PECOS PAC ID: 1254743412 Enrollment ID: I20201210003006 |
| Provider Name | Chidimma Oduwegwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992154942 PECOS PAC ID: 3971915877 Enrollment ID: I20201217002827 |
| Provider Name | Bridget M Golinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420563 PECOS PAC ID: 5294147955 Enrollment ID: I20201222001219 |
| Provider Name | Teneika a Gravely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679823470 PECOS PAC ID: 6800209438 Enrollment ID: I20201228002396 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962030494 PECOS PAC ID: 7113330788 Enrollment ID: I20201229001570 |
| Provider Name | Cory J Damon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235758707 PECOS PAC ID: 7911310875 Enrollment ID: I20210113002721 |
| Provider Name | Nicole R Fazzolari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962010116 PECOS PAC ID: 7416360268 Enrollment ID: I20210115001159 |
| Provider Name | Kaitlyn Tytka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881161198 PECOS PAC ID: 6608280243 Enrollment ID: I20210122001263 |
| Provider Name | Bridget R Starner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659848794 PECOS PAC ID: 8628482866 Enrollment ID: I20210128001729 |
| Provider Name | Sarah Belliotti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801258769 PECOS PAC ID: 0143567578 Enrollment ID: I20210208002833 |
| Provider Name | Joseph Lang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225422504 PECOS PAC ID: 4981904703 Enrollment ID: I20210211003258 |
| Provider Name | Lauren Chaffey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700477957 PECOS PAC ID: 7113332479 Enrollment ID: I20210218001213 |
| Provider Name | Jacqueline M Piazza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003405101 PECOS PAC ID: 4385059286 Enrollment ID: I20210225002882 |
| Provider Name | Jeffery Stahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023399870 PECOS PAC ID: 7911139688 Enrollment ID: I20210304002695 |
| Provider Name | Madeline R Slisz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659961076 PECOS PAC ID: 0547676132 Enrollment ID: I20210305000615 |
| Provider Name | Jessica Martinolich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154740199 PECOS PAC ID: 6901213891 Enrollment ID: I20210319001074 |
| Provider Name | Amy L Claroni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689281206 PECOS PAC ID: 2567879208 Enrollment ID: I20210325001448 |
| Provider Name | Curtis a Phillippi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235725102 PECOS PAC ID: 5799192399 Enrollment ID: I20210326001679 |
| Provider Name | Richard a Maurer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841895430 PECOS PAC ID: 3072920107 Enrollment ID: I20210407001872 |
| Provider Name | Olivia Rutkowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104402163 PECOS PAC ID: 7618385741 Enrollment ID: I20210409000613 |
| Provider Name | Emily M Dunne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386234664 PECOS PAC ID: 0840608816 Enrollment ID: I20210413001633 |
| Provider Name | Kailee Juzdowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033703269 PECOS PAC ID: 4981012762 Enrollment ID: I20210415001001 |
| Provider Name | Kathleen Kornacki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609038132 PECOS PAC ID: 5597173021 Enrollment ID: I20210421001128 |
| Provider Name | Brandon Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548849128 PECOS PAC ID: 6204244734 Enrollment ID: I20210421001224 |
| Provider Name | Sumangaly Thambiaiyah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538424205 PECOS PAC ID: 8325348675 Enrollment ID: I20210507001652 |
| Provider Name | Alexandra Beth Wiede |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427630169 PECOS PAC ID: 5890104558 Enrollment ID: I20210510001042 |
| Provider Name | Arthur C Cacacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679970453 PECOS PAC ID: 2365851920 Enrollment ID: I20210511002322 |
| Provider Name | Jennifer L Ursoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619170768 PECOS PAC ID: 9931428125 Enrollment ID: I20210517002169 |
| Provider Name | Taylor P Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124559315 PECOS PAC ID: 8325447436 Enrollment ID: I20210521001874 |
| Provider Name | Andrew R Wurster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821694357 PECOS PAC ID: 9234538026 Enrollment ID: I20210528002246 |
| Provider Name | Maria Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215521430 PECOS PAC ID: 1658770284 Enrollment ID: I20210601002038 |
| Provider Name | Harris Chengazi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861878837 PECOS PAC ID: 9335435783 Enrollment ID: I20210603002645 |
| Provider Name | Katherine Patton Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609443779 PECOS PAC ID: 6002216652 Enrollment ID: I20210618000113 |
| Provider Name | Christopher Manion |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609213362 PECOS PAC ID: 9931406121 Enrollment ID: I20210621001514 |
| Provider Name | Melanie Lyn Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295301273 PECOS PAC ID: 5890196760 Enrollment ID: I20210629002984 |
| Provider Name | Robert M Cronin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174985220 PECOS PAC ID: 6406119791 Enrollment ID: I20210803003556 |
| Provider Name | Lindsey a Knapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275101693 PECOS PAC ID: 8123422649 Enrollment ID: I20210805002066 |
| Provider Name | Paisley Brooke Mafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447757166 PECOS PAC ID: 6709123334 Enrollment ID: I20210811002940 |
| Provider Name | Vandana Pai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699156620 PECOS PAC ID: 9537406194 Enrollment ID: I20210811003217 |
| Provider Name | Lachaundra Latrice Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710411079 PECOS PAC ID: 7113264524 Enrollment ID: I20210813002249 |
| Provider Name | Bridget R Westerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356919849 PECOS PAC ID: 2062817430 Enrollment ID: I20210823002931 |
| Provider Name | Ahmad Mafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003312455 PECOS PAC ID: 9931446200 Enrollment ID: I20210824001657 |
| Provider Name | Paige Burrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982378881 PECOS PAC ID: 1951707926 Enrollment ID: I20210831002359 |
| Provider Name | Michele Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588184808 PECOS PAC ID: 0547666745 Enrollment ID: I20210914002554 |
| Provider Name | Stephanie M Lapiana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477229920 PECOS PAC ID: 4587061676 Enrollment ID: I20210915003169 |
| Provider Name | Robert Setlik |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487635678 PECOS PAC ID: 4385897552 Enrollment ID: I20210915003219 |
| Provider Name | Aalia J Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891288650 PECOS PAC ID: 6406194976 Enrollment ID: I20210916003428 |
| Provider Name | Sheila M Lekanka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528644853 PECOS PAC ID: 9335546902 Enrollment ID: I20210923003066 |
| Provider Name | Roshia Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740464171 PECOS PAC ID: 2769889294 Enrollment ID: I20210924002304 |
| Provider Name | Josefina Juarbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770188021 PECOS PAC ID: 0446657860 Enrollment ID: I20210927002472 |
| Provider Name | Jeannette a Willer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538707104 PECOS PAC ID: 2668879941 Enrollment ID: I20210929002191 |
| Provider Name | Catherine Elaine Almeter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003480195 PECOS PAC ID: 3577961358 Enrollment ID: I20211008000394 |
| Provider Name | Ashley N Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202434 PECOS PAC ID: 7911305537 Enrollment ID: I20211013000817 |
| Provider Name | Mayada Ismail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740663962 PECOS PAC ID: 9436450913 Enrollment ID: I20211021000477 |
| Provider Name | Qiana Withers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164099685 PECOS PAC ID: 9739577131 Enrollment ID: I20211103001735 |
| Provider Name | Shaylynn Skorka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952073959 PECOS PAC ID: 7911396429 Enrollment ID: I20211122001789 |
| Provider Name | Christina Vogel-rosbrook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700435831 PECOS PAC ID: 2668804931 Enrollment ID: I20211207000794 |
| Provider Name | Nicole Ashley Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780340356 PECOS PAC ID: 8224429287 Enrollment ID: I20211229002247 |
| Provider Name | Sina Karimpour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104246081 PECOS PAC ID: 5496023483 Enrollment ID: I20220105002422 |
| Provider Name | Katherine Joan Trawinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215693072 PECOS PAC ID: 5597157677 Enrollment ID: I20220124000148 |
| Provider Name | Victoria Ann Rabidue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346908415 PECOS PAC ID: 2365835345 Enrollment ID: I20220216000353 |
| Provider Name | Marissa Krzyzan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205598521 PECOS PAC ID: 4284028861 Enrollment ID: I20220224000759 |
| Provider Name | Jordan R Verrall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902578313 PECOS PAC ID: 4385038843 Enrollment ID: I20220225001494 |
| Provider Name | Alicia Mandujano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114106119 PECOS PAC ID: 5890840169 Enrollment ID: I20220322000953 |
| Provider Name | Brandon Arthur Rogers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700346186 PECOS PAC ID: 2668867086 Enrollment ID: I20220322002809 |
| Provider Name | Mark Anthony Diiulio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063875763 PECOS PAC ID: 7911253422 Enrollment ID: I20220330001859 |
| Provider Name | Merrie Wiyana Oei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801247713 PECOS PAC ID: 9931501749 Enrollment ID: I20220330002507 |
| Provider Name | Stephanie Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285386276 PECOS PAC ID: 5496141137 Enrollment ID: I20220406002051 |
| Provider Name | Kayla M Flynn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831686013 PECOS PAC ID: 8123363942 Enrollment ID: I20220422002406 |
| Provider Name | Alex Shelleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730836750 PECOS PAC ID: 9234526609 Enrollment ID: I20220504000567 |
| Provider Name | Christina N Schunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558014183 PECOS PAC ID: 7810375706 Enrollment ID: I20220606001114 |
| Provider Name | Kearsten Ann Pipkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447918982 PECOS PAC ID: 8123406899 Enrollment ID: I20220608002024 |
| Provider Name | Jordan L Natale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922437342 PECOS PAC ID: 6406085067 Enrollment ID: I20220621001865 |
| Provider Name | Parikshit Padhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528356037 PECOS PAC ID: 5597053108 Enrollment ID: I20220621002504 |
| Provider Name | Michael Popescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801242086 PECOS PAC ID: 9133455058 Enrollment ID: I20220708003472 |
| Provider Name | Michael E Farrell |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972811628 PECOS PAC ID: 8426450628 Enrollment ID: I20220727001921 |
| Provider Name | Maira T Ilahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548828015 PECOS PAC ID: 2264814359 Enrollment ID: I20220805002465 |
| Provider Name | Timothy James Busher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598358442 PECOS PAC ID: 6608277579 Enrollment ID: I20220901000398 |
| Provider Name | Amela Nezha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215672498 PECOS PAC ID: 6305220807 Enrollment ID: I20220901001479 |
| Provider Name | Alyse N Sireika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619438090 PECOS PAC ID: 0840527099 Enrollment ID: I20220901002334 |
| Provider Name | Robin Kennery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427798321 PECOS PAC ID: 0042694317 Enrollment ID: I20220906001523 |
| Provider Name | Brooke Porto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861131021 PECOS PAC ID: 6103201025 Enrollment ID: I20220913003390 |
| Provider Name | Sarah Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962145086 PECOS PAC ID: 4486039260 Enrollment ID: I20220914002688 |
| Provider Name | Kaitlyn Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306573571 PECOS PAC ID: 7113302753 Enrollment ID: I20220916002435 |
| Provider Name | Alia Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720744873 PECOS PAC ID: 0749665107 Enrollment ID: I20220921001053 |
| Provider Name | Mustafa Mohmand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871099085 PECOS PAC ID: 8820335250 Enrollment ID: I20221004002991 |
| Provider Name | Delaney Froebel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376273946 PECOS PAC ID: 7517333859 Enrollment ID: I20221012000699 |
| Provider Name | Martyna Zukowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306566781 PECOS PAC ID: 8022484195 Enrollment ID: I20221013002860 |
| Provider Name | Jessica a Witte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013576545 PECOS PAC ID: 0749515476 Enrollment ID: I20221014002852 |
| Provider Name | Clara Maria Gomez Quinonez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669979860 PECOS PAC ID: 0345587747 Enrollment ID: I20221017002769 |
| Provider Name | Katelyn R Heist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831827609 PECOS PAC ID: 7113393737 Enrollment ID: I20221021001152 |
| Provider Name | Ashley a Mcgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033833884 PECOS PAC ID: 2769859537 Enrollment ID: I20221108001140 |
| Provider Name | Stephanie M Latoszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760146450 PECOS PAC ID: 4981071453 Enrollment ID: I20221114001314 |
| Provider Name | Nisha Sarna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992358808 PECOS PAC ID: 6800123811 Enrollment ID: I20221117002665 |
| Provider Name | Josephine Arnone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437878113 PECOS PAC ID: 1850760208 Enrollment ID: I20221207002115 |
| Provider Name | Caleb D Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891417887 PECOS PAC ID: 3274903893 Enrollment ID: I20221222002433 |
| Provider Name | Katy Bigelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588385215 PECOS PAC ID: 8527438977 Enrollment ID: I20221230000582 |
| Provider Name | Adam Badgley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578288494 PECOS PAC ID: 2961874813 Enrollment ID: I20230202002239 |
| Provider Name | Julie Baumgartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326767070 PECOS PAC ID: 1355713181 Enrollment ID: I20230203002467 |
| Provider Name | Jenna Mae Rejman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780393231 PECOS PAC ID: 5991177479 Enrollment ID: I20230209001172 |
| Provider Name | Katelyn Cefali |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528781622 PECOS PAC ID: 6901278399 Enrollment ID: I20230213001087 |
| Provider Name | Kacy Saundra Scarpa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508405259 PECOS PAC ID: 0244669497 Enrollment ID: I20230213001471 |
| Provider Name | Adam Edward Karalus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982338562 PECOS PAC ID: 9931572617 Enrollment ID: I20230228000673 |
| Provider Name | Melanie Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730895095 PECOS PAC ID: 6406220474 Enrollment ID: I20230315001447 |
| Provider Name | Mikaela Rose Ditonto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922522259 PECOS PAC ID: 0749654564 Enrollment ID: I20230317002145 |
| Provider Name | Kevin H Frodey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114450251 PECOS PAC ID: 3779820071 Enrollment ID: I20230418000623 |
| Provider Name | Joshua Mancini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164110342 PECOS PAC ID: 2365808409 Enrollment ID: I20230516002889 |
| Provider Name | Nathan Charles Sedlacek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790473742 PECOS PAC ID: 5395101398 Enrollment ID: I20230517003162 |
| Provider Name | Alex Wellington Dodge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184311698 PECOS PAC ID: 8628434404 Enrollment ID: I20230522000531 |
| Provider Name | Daniel Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356847818 PECOS PAC ID: 3072851567 Enrollment ID: I20230525002285 |
| Provider Name | Dawei David D Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326400177 PECOS PAC ID: 8820335243 Enrollment ID: I20230530001738 |
| Provider Name | Jamie L Hoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407545189 PECOS PAC ID: 5193182723 Enrollment ID: I20230613000873 |
| Provider Name | Devinderpal Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225072648 PECOS PAC ID: 8325045792 Enrollment ID: I20230615003008 |
| Provider Name | Bryana Baer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700589181 PECOS PAC ID: 9830558196 Enrollment ID: I20230705000616 |
| Provider Name | Steven S Rood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881087542 PECOS PAC ID: 6103151337 Enrollment ID: I20230717000449 |
| Provider Name | Mary Kate Frauenheim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891257705 PECOS PAC ID: 3577890896 Enrollment ID: I20230717002265 |
| Provider Name | Jane K James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104468040 PECOS PAC ID: 4688034937 Enrollment ID: I20230718002079 |
| Provider Name | Aneesha Thobani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356882583 PECOS PAC ID: 7911278643 Enrollment ID: I20230720000340 |
| Provider Name | Sadie Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932809035 PECOS PAC ID: 6305206244 Enrollment ID: I20230724002765 |
| Provider Name | Alicia Marie Odrobina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184316416 PECOS PAC ID: 0749641504 Enrollment ID: I20230727000255 |
| Provider Name | Chelsea L Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861196677 PECOS PAC ID: 0446611875 Enrollment ID: I20230802001412 |
| Provider Name | Nicole Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225713993 PECOS PAC ID: 5294197133 Enrollment ID: I20230809003344 |
| Provider Name | Zachary Miner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093404972 PECOS PAC ID: 6406218668 Enrollment ID: I20230821000678 |
| Provider Name | Syuzanna Leigh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609568815 PECOS PAC ID: 8224490420 Enrollment ID: I20230821002107 |
| Provider Name | Anna Elizabeth Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457045700 PECOS PAC ID: 7517320633 Enrollment ID: I20230822004050 |
| Provider Name | Erica Lee Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972280832 PECOS PAC ID: 6204299175 Enrollment ID: I20230824002484 |
| Provider Name | Jaspinderpal S Bhullar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487275749 PECOS PAC ID: 2961865811 Enrollment ID: I20230825001103 |
| Provider Name | Allison Hausberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558048579 PECOS PAC ID: 3577926310 Enrollment ID: I20230828002136 |
| Provider Name | Vaibhaviben Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063025641 PECOS PAC ID: 9830552017 Enrollment ID: I20230906001426 |
| Provider Name | Elenor S Zaccaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160386 PECOS PAC ID: 3173986353 Enrollment ID: I20230906001592 |
| Provider Name | Todd M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811676646 PECOS PAC ID: 0941610992 Enrollment ID: I20230913001968 |
| Provider Name | Ramandeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598283228 PECOS PAC ID: 5395019533 Enrollment ID: I20231023002730 |
| Provider Name | Katie Alsheimer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457663130 PECOS PAC ID: 3870763170 Enrollment ID: I20231107000369 |
| Provider Name | George Radich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720026669 PECOS PAC ID: 8325041700 Enrollment ID: I20231114000190 |
| Provider Name | Lee-ming Liou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760686646 PECOS PAC ID: 4789751744 Enrollment ID: I20231115000490 |
| Provider Name | Harry Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902007339 PECOS PAC ID: 1658463658 Enrollment ID: I20231115000889 |
| Provider Name | Jenny a Sheffield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316627599 PECOS PAC ID: 3274981550 Enrollment ID: I20231127002779 |
| Provider Name | Abdullah Alsakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326567629 PECOS PAC ID: 4284045618 Enrollment ID: I20231130000807 |
| Provider Name | Ellen R Kahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689006009 PECOS PAC ID: 2163871856 Enrollment ID: I20231206002377 |
| Provider Name | Rakhi Shah Barkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043458367 PECOS PAC ID: 6305985706 Enrollment ID: I20231212001073 |
| Provider Name | Lauren E Ewell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568198901 PECOS PAC ID: 7315396504 Enrollment ID: I20231213002169 |
| Provider Name | John Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215987508 PECOS PAC ID: 3476516303 Enrollment ID: I20240105000318 |
| Provider Name | Jennifer Ann Pangelinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831571223 PECOS PAC ID: 0749632701 Enrollment ID: I20240116002209 |
| Provider Name | Megan James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902688443 PECOS PAC ID: 6800248345 Enrollment ID: I20240119002044 |
| Provider Name | Daniella Andrea Sawma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295490282 PECOS PAC ID: 5092159988 Enrollment ID: I20240219003718 |
| Provider Name | Keith Balram Shankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225657364 PECOS PAC ID: 3173968450 Enrollment ID: I20240226003695 |
| Provider Name | Benjamin Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942731039 PECOS PAC ID: 5496121030 Enrollment ID: I20240311004027 |
| Provider Name | Aleena Arshad Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649891144 PECOS PAC ID: 4385080027 Enrollment ID: I20240315002268 |
| Provider Name | Tahir Chauhdry |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1861444978 PECOS PAC ID: 0749252575 Enrollment ID: I20240409000618 |
| Provider Name | Dakota Rose Coles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326664335 PECOS PAC ID: 0648618660 Enrollment ID: I20240409004102 |
| Provider Name | Krystie Lynn Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386416626 PECOS PAC ID: 4284072208 Enrollment ID: I20240409004125 |
| Provider Name | Zachary Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316713597 PECOS PAC ID: 0941648844 Enrollment ID: I20240410001962 |
| Provider Name | Katherine C Eck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871351601 PECOS PAC ID: 7214376003 Enrollment ID: I20240412001218 |
| Provider Name | Alyssa Marie Hourihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270787 PECOS PAC ID: 9335589233 Enrollment ID: I20240425001512 |
| Provider Name | Fathi Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306695937 PECOS PAC ID: 7719329036 Enrollment ID: I20240531000757 |
| Provider Name | Aris Quinn Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962974691 PECOS PAC ID: 8820530041 Enrollment ID: I20240604000079 |
| Provider Name | Stephen Weidner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235848524 PECOS PAC ID: 5193268472 Enrollment ID: I20240614001082 |
| Provider Name | Lea Marie Finocchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760242119 PECOS PAC ID: 4880137496 Enrollment ID: I20240624000681 |
| Provider Name | Christina Yancey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316325129 PECOS PAC ID: 9133471154 Enrollment ID: I20240627000665 |
| Provider Name | Fiyinfolu Odemuyiwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104347558 PECOS PAC ID: 3870915390 Enrollment ID: I20240702001244 |
| Provider Name | Michael Joseph Rodman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275094658 PECOS PAC ID: 3375969579 Enrollment ID: I20240709001837 |
| Provider Name | Gina Sparacino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821594151 PECOS PAC ID: 6406193713 Enrollment ID: I20240709003200 |
| Provider Name | Sheda Monfared Beheshti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386165942 PECOS PAC ID: 4981974763 Enrollment ID: I20240710003116 |
| Provider Name | Sarah K Hy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932959764 PECOS PAC ID: 1658816657 Enrollment ID: I20240715002039 |
| Provider Name | Alexis Platek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013538784 PECOS PAC ID: 8022433630 Enrollment ID: I20240724002482 |
| Provider Name | Kaitlyn Brekovsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619505831 PECOS PAC ID: 2365988318 Enrollment ID: I20240725003382 |
| Provider Name | Lauren Anne Hardner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790531911 PECOS PAC ID: 7416494893 Enrollment ID: I20240802001515 |
| Provider Name | Ashley Ryann Beutel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598520249 PECOS PAC ID: 9436696846 Enrollment ID: I20240802002705 |
| Provider Name | Haneen Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588199855 PECOS PAC ID: 1557808680 Enrollment ID: I20240806004223 |
| Provider Name | Alice Marie Blackley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124862669 PECOS PAC ID: 3173060217 Enrollment ID: I20240806004328 |
| Provider Name | Golbon Foroughi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962079848 PECOS PAC ID: 7416494505 Enrollment ID: I20240807001487 |
| Provider Name | Ashley M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285478362 PECOS PAC ID: 6406394642 Enrollment ID: I20240819002579 |
| Provider Name | Kate Tucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194421180 PECOS PAC ID: 0547709685 Enrollment ID: I20240903002685 |
| Provider Name | Maureen Frauenheim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457115206 PECOS PAC ID: 5597205526 Enrollment ID: I20240905001881 |
| Provider Name | Kristen Deacon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154036093 PECOS PAC ID: 0941740989 Enrollment ID: I20240905001940 |
| Provider Name | John Gideon Symons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932304797 PECOS PAC ID: 3375789019 Enrollment ID: I20240906002950 |
| Provider Name | Divjot Kaur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285466532 PECOS PAC ID: 0042750754 Enrollment ID: I20240909003722 |
| Provider Name | Caitlyn Mae Tiedemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720825755 PECOS PAC ID: 4688114176 Enrollment ID: I20240911001402 |
| Provider Name | Bethany Deborah Harvey |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386176709 PECOS PAC ID: 7012254097 Enrollment ID: I20240920001182 |
| Provider Name | Lauren a Czosek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396343612 PECOS PAC ID: 8224579693 Enrollment ID: I20240925002579 |
| Provider Name | Grace Elizabeth Ferguson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740035104 PECOS PAC ID: 0345771986 Enrollment ID: I20241007001465 |
| Provider Name | Elayna Rose Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386308443 PECOS PAC ID: 2163954520 Enrollment ID: I20241010002436 |
| Provider Name | Ryan Stehlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033954797 PECOS PAC ID: 6800329061 Enrollment ID: I20241025001836 |
| Provider Name | Lara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922825694 PECOS PAC ID: 4486189727 Enrollment ID: I20241125000593 |
| Provider Name | Samantha Olewnik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568293363 PECOS PAC ID: 4587199559 Enrollment ID: I20241127002266 |
| Provider Name | Alexandra Derosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861954679 PECOS PAC ID: 1658807391 Enrollment ID: I20241205000698 |
| Provider Name | Katie Pirger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538986179 PECOS PAC ID: 5698202448 Enrollment ID: I20241218002312 |
| Provider Name | Talal Roshan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699358549 PECOS PAC ID: 1759818354 Enrollment ID: I20241220000592 |
| Provider Name | Alexis R Gill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841038429 PECOS PAC ID: 9931637469 Enrollment ID: I20250113001058 |
| Provider Name | Mohammed Alsaggaf |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1750816021 PECOS PAC ID: 7719422013 Enrollment ID: I20250116002918 |
| Provider Name | Jacob Chenez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013479039 PECOS PAC ID: 8426381260 Enrollment ID: I20250117000902 |
| Provider Name | Natalie G Niemel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619758927 PECOS PAC ID: 7214466895 Enrollment ID: I20250128001724 |
| Provider Name | Rabina Sippy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982369633 PECOS PAC ID: 0941739122 Enrollment ID: I20250203001368 |
| Provider Name | Gary Ritten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437211307 PECOS PAC ID: 6800795980 Enrollment ID: I20250213002754 |
| Provider Name | Rosalie Pfohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780409367 PECOS PAC ID: 8224558275 Enrollment ID: I20250221000398 |
| Provider Name | Samantha Nawrocki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275358533 PECOS PAC ID: 0840712667 Enrollment ID: I20250320002318 |
| Provider Name | Nicholas Skezas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588616189 PECOS PAC ID: 2365335726 Enrollment ID: I20250327002935 |
| Provider Name | Mudassir Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518429018 PECOS PAC ID: 7618202045 Enrollment ID: I20250404001039 |
| Provider Name | Sharmin Menzel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518534650 PECOS PAC ID: 9739603374 Enrollment ID: I20250404001846 |
| Provider Name | Mina Shehata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841826179 PECOS PAC ID: 8224497367 Enrollment ID: I20250411001454 |
| Provider Name | Catherine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760281729 PECOS PAC ID: 7911422803 Enrollment ID: I20250423002869 |
| Provider Name | Valerie Swoboda-curry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134925290 PECOS PAC ID: 9931625779 Enrollment ID: I20250424002693 |
| Provider Name | Rebecca Casimina Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962207126 PECOS PAC ID: 7810413358 Enrollment ID: I20250429000295 |
| Provider Name | Megan Shumway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548073505 PECOS PAC ID: 4284150673 Enrollment ID: I20250429001707 |
| Provider Name | Heather Lynn Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134924061 PECOS PAC ID: 9537685896 Enrollment ID: I20250429003153 |
| Provider Name | Sarah Stahley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225800931 PECOS PAC ID: 2365885589 Enrollment ID: I20250519003449 |
| Provider Name | Zacchaeus Akinleye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831577071 PECOS PAC ID: 0547692667 Enrollment ID: I20250604000716 |
| Provider Name | Myriah Ashley Magaris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235877473 PECOS PAC ID: 6305350471 Enrollment ID: I20250709004228 |
| Provider Name | Andrew Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811637101 PECOS PAC ID: 1951815042 Enrollment ID: I20250710000017 |
| Provider Name | Wenxin Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417516923 PECOS PAC ID: 1951636620 Enrollment ID: I20250710001010 |
| Provider Name | Alexander Sotolongo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811418437 PECOS PAC ID: 4284904996 Enrollment ID: I20250710003156 |
| Provider Name | Maria Elizabeth Brzozowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548849169 PECOS PAC ID: 1557876950 Enrollment ID: I20250715001702 |
| Provider Name | Urvi Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346828506 PECOS PAC ID: 2163823683 Enrollment ID: I20250716003043 |
| Provider Name | James Russell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285165969 PECOS PAC ID: 2264702372 Enrollment ID: I20250717002781 |
| Provider Name | Marrium Sahar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194462176 PECOS PAC ID: 4486160900 Enrollment ID: I20250722002259 |
| Provider Name | Marie Christina Cuccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780471458 PECOS PAC ID: 0648786962 Enrollment ID: I20250723000616 |
| Provider Name | Joshua Kiehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831775923 PECOS PAC ID: 2062810187 Enrollment ID: I20250723002373 |
| Provider Name | Wahab Kahloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174256424 PECOS PAC ID: 2264816339 Enrollment ID: I20250725000595 |
| Provider Name | Becker T Steinemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275283962 PECOS PAC ID: 1759898760 Enrollment ID: I20250725000668 |
| Provider Name | Jenna Joslyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427848688 PECOS PAC ID: 8527575752 Enrollment ID: I20250730003639 |
| Provider Name | Emily Nicosia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205722485 PECOS PAC ID: 1153839972 Enrollment ID: I20250804001529 |
| Provider Name | Lauren Murphy French |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477349710 PECOS PAC ID: 9032627559 Enrollment ID: I20250805001754 |
| Provider Name | Masihullah Barat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346802535 PECOS PAC ID: 3173021326 Enrollment ID: I20250807003528 |
| Provider Name | Mian Mohammad Hammas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003557281 PECOS PAC ID: 7719362920 Enrollment ID: I20250808000211 |
| Provider Name | Sina Salehi Omran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326434176 PECOS PAC ID: 7719292010 Enrollment ID: I20250814000630 |
| Provider Name | Zoe Alexi Kyriakopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417845082 PECOS PAC ID: 6002315462 Enrollment ID: I20250814001928 |
| Provider Name | Cody Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275269235 PECOS PAC ID: 3971986209 Enrollment ID: I20250814003322 |
| Provider Name | Arroj Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124588983 PECOS PAC ID: 7810496726 Enrollment ID: I20250818003377 |
| Provider Name | Alexander Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710629308 PECOS PAC ID: 9436657061 Enrollment ID: I20250818003784 |
| Provider Name | Zuhair Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255991592 PECOS PAC ID: 3870828874 Enrollment ID: I20250818004296 |
| Provider Name | Saadat S Badruddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194461079 PECOS PAC ID: 5092214841 Enrollment ID: I20250818004366 |
| Provider Name | Sarah Abubakr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770226102 PECOS PAC ID: 3870092489 Enrollment ID: I20250819003780 |
| Provider Name | Nimra Shafiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053055764 PECOS PAC ID: 2163805391 Enrollment ID: I20250820003440 |
| Provider Name | Rumman Ahmed Khalid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689212854 PECOS PAC ID: 4688175037 Enrollment ID: I20250828002056 |
| Provider Name | Emily Elera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538055983 PECOS PAC ID: 0840792339 Enrollment ID: I20250904002623 |
| Provider Name | Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639818321 PECOS PAC ID: 1254714041 Enrollment ID: I20250905002478 |
| Provider Name | Nicholas Robert Lott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184512329 PECOS PAC ID: 6800398140 Enrollment ID: I20250905004064 |
| Provider Name | Amanda Maki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124900477 PECOS PAC ID: 8224531181 Enrollment ID: I20250915002754 |
| Provider Name | Thomas John Drago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215678099 PECOS PAC ID: 3476058447 Enrollment ID: I20250923001345 |
| Provider Name | Abdelaziz Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699769307 PECOS PAC ID: 3779501101 Enrollment ID: I20250923002280 |
| Provider Name | Jordyn Alyssa Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811798622 PECOS PAC ID: 4688171218 Enrollment ID: I20251008004245 |
| Provider Name | Djulie Anne De Lemos Zanatta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245971811 PECOS PAC ID: 6901393347 Enrollment ID: I20251017001785 |
| Provider Name | Jessica Cordelia Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831071893 PECOS PAC ID: 6406345982 Enrollment ID: I20251027002732 |
| Provider Name | Siobhan Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356220073 PECOS PAC ID: 5395234272 Enrollment ID: I20251030002548 |
| Provider Name | Olayiwola Bolaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124587175 PECOS PAC ID: 2769929793 Enrollment ID: I20251031001036 |
| Provider Name | Azam Ghafoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811239759 PECOS PAC ID: 9638302425 Enrollment ID: I20251114002047 |
| Provider Name | Alexander Christian Papa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538747191 PECOS PAC ID: 6608367925 Enrollment ID: I20251114002140 |
| Provider Name | Claire Emilia Maywalt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902795685 PECOS PAC ID: 9830680966 Enrollment ID: I20251117001127 |
| Provider Name | Michael Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447719380 PECOS PAC ID: 6002146941 Enrollment ID: I20251120001708 |
| Provider Name | Yousaf Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336721950 PECOS PAC ID: 4880132893 Enrollment ID: I20251120002028 |
| Provider Name | Lauren Seymour |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689467631 PECOS PAC ID: 4880186030 Enrollment ID: I20251125000933 |
| Provider Name | Lindsey Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285518092 PECOS PAC ID: 9931692472 Enrollment ID: I20251203002867 |
| Provider Name | Carlo Pasquale Junior Savoia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700523784 PECOS PAC ID: 3678067998 Enrollment ID: I20251212003102 |
| Provider Name | Umrozia Tariq |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164305595 PECOS PAC ID: 0446745913 Enrollment ID: I20251222002441 |
| Provider Name | Matthew Del Giudice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740446582 PECOS PAC ID: 2567604176 Enrollment ID: I20251222003437 |
| Provider Name | Ian T Lesniak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790665461 PECOS PAC ID: 4082109459 Enrollment ID: I20251223001810 |
| Provider Name | Danielle Lapoint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679152631 PECOS PAC ID: 6800372707 Enrollment ID: I20260109003781 |
| Provider Name | Hailey Schoenhardt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962372631 PECOS PAC ID: 3476031824 Enrollment ID: I20260128002117 |
| Provider Name | Randy Cheung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720540883 PECOS PAC ID: 8224365515 Enrollment ID: I20260130002744 |
| Provider Name | Matthew Witte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750940284 PECOS PAC ID: 4880929520 Enrollment ID: I20260204003443 |
| Provider Name | Jasmeet Brar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427928696 PECOS PAC ID: 4082193271 Enrollment ID: I20260209001432 |
| Provider Name | Tori Riter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679433254 PECOS PAC ID: 1052891645 Enrollment ID: I20260213000599 |
| Provider Name | Jessica Michelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871355420 PECOS PAC ID: 5395226773 Enrollment ID: I20260224002691 |
| Provider Name | Amanda Lynn Olander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235002940 PECOS PAC ID: 2163905001 Enrollment ID: I20260310002128 |
| Provider Name | James Velasquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891654901 PECOS PAC ID: 1850868381 Enrollment ID: I20260422001106 |
Tat Sum Lee, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3898 Vineyard Dr, Dunkirk, NY 14048 Phone: 716-363-1515 Fax: 716-363-7677 |
Chautauqua Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 E 3rd St, Dunkirk, NY 14048 Phone: 716-363-6050 Fax: 716-363-6333 |
C & S Medical Bldg. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 Lake Shore Dr W, Dunkirk, NY 14048 Phone: 716-363-6377 |