| Good Samaritan Hospital Physician Services, Inc | |
|
520 S 7th St Vincennes IN 47591-1038 | |
| (812) 885-3333 | |
| (812) 885-3737 |
| Full Name | Good Samaritan Hospital Physician Services, Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 520 S 7th St, Vincennes, Indiana |
| Authorized Official Name and Position | Robert D Mclin (CEO) |
| Authorized Official Contact | 8128853333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Hospital Physician Services, Inc 1160 E Saint Clair St Vincennes IN 47591-4853 Ph: (812) 885-3453 | Good Samaritan Hospital Physician Services, Inc 520 S 7th St Vincennes IN 47591-1038 Ph: (812) 885-3333 |
| NPI Number | 1649432071 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 3971671330 |
|---|---|
| Medicare Enrollment ID | O20081013000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649432071 | NPI | - | NPPES |
| 201092760 | Medicaid | IN | |
| 200922190 | Medicaid | IN | |
| 201205250 | Other | IN | MEDICAID |
| 153904 | Other | IN | MEDICARE/OSCAR CERTIFICATION |
| 258190 | Other | MEDICARE | |
| 201092760 | Other | IN | MEDICAID |
| Provider Name | Cathy Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063434470 PECOS PAC ID: 6002702388 Enrollment ID: I20040224000734 |
| Provider Name | Stephen L Cullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760456305 PECOS PAC ID: 0547154833 Enrollment ID: I20040507000487 |
| Provider Name | Derek A Besing |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003903378 PECOS PAC ID: 3870577661 Enrollment ID: I20040617001211 |
| Provider Name | Anita F Conte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295706646 PECOS PAC ID: 2961488820 Enrollment ID: I20040629001588 |
| Provider Name | Lee Mckinley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619933876 PECOS PAC ID: 1052382116 Enrollment ID: I20040803000467 |
| Provider Name | Cathy L Freeman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235126798 PECOS PAC ID: 2466424361 Enrollment ID: I20040811000412 |
| Provider Name | Brendan J Wrynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215960380 PECOS PAC ID: 9234128422 Enrollment ID: I20040913000681 |
| Provider Name | Karen F Neeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609810563 PECOS PAC ID: 6901882067 Enrollment ID: I20040928000204 |
| Provider Name | Robert B Avena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598772428 PECOS PAC ID: 0840268587 Enrollment ID: I20041005000567 |
| Provider Name | Brian L Arnold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194833012 PECOS PAC ID: 1658357561 Enrollment ID: I20041021000559 |
| Provider Name | Michael B Dulin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114927456 PECOS PAC ID: 5193701001 Enrollment ID: I20041030000255 |
| Provider Name | Alan H Hendrix |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376543629 PECOS PAC ID: 2264418185 Enrollment ID: I20041030000256 |
| Provider Name | Carl E Holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558356683 PECOS PAC ID: 2163485277 Enrollment ID: I20041110000390 |
| Provider Name | Karl Wayne Sash |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902883291 PECOS PAC ID: 1759345002 Enrollment ID: I20041201000917 |
| Provider Name | Christina Ginder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508866856 PECOS PAC ID: 4486550530 Enrollment ID: I20041220000737 |
| Provider Name | William K Mayfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619974284 PECOS PAC ID: 8527026392 Enrollment ID: I20041227000388 |
| Provider Name | Molly H Weiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730142548 PECOS PAC ID: 8426018367 Enrollment ID: I20050211000165 |
| Provider Name | Maqbool Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023022118 PECOS PAC ID: 7810989977 Enrollment ID: I20050215000226 |
| Provider Name | Andrea L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548339005 PECOS PAC ID: 7113967779 Enrollment ID: I20050503001347 |
| Provider Name | Scott L Sinnott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366401184 PECOS PAC ID: 9234158890 Enrollment ID: I20051114000624 |
| Provider Name | John D Lang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902852775 PECOS PAC ID: 9931197084 Enrollment ID: I20060120000701 |
| Provider Name | Virginia B Hemelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710984638 PECOS PAC ID: 1456346717 Enrollment ID: I20060206000846 |
| Provider Name | Madelaine M Sgroi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184835951 PECOS PAC ID: 5395754071 Enrollment ID: I20060406000696 |
| Provider Name | Thomas P Orourke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245292341 PECOS PAC ID: 8921010828 Enrollment ID: I20060614000118 |
| Provider Name | Daniel A Neumann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568542769 PECOS PAC ID: 8224942768 Enrollment ID: I20070328000107 |
| Provider Name | Rong Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972683928 PECOS PAC ID: 6204930407 Enrollment ID: I20070328000141 |
| Provider Name | Charles E Hendrix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437101128 PECOS PAC ID: 5698871432 Enrollment ID: I20070510000525 |
| Provider Name | Siddharth B Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497757595 PECOS PAC ID: 4880672427 Enrollment ID: I20070514000472 |
| Provider Name | Emilian F Armeanu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619938552 PECOS PAC ID: 4688619984 Enrollment ID: I20070608000564 |
| Provider Name | Maria Cynthia Lawless |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508834375 PECOS PAC ID: 3274626874 Enrollment ID: I20070912000169 |
| Provider Name | Reynaldo A Carandang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316915895 PECOS PAC ID: 8224124334 Enrollment ID: I20071022000197 |
| Provider Name | Gerry M Hippensteel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356319115 PECOS PAC ID: 1254428055 Enrollment ID: I20071025000471 |
| Provider Name | Jason R Bickel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093709750 PECOS PAC ID: 6901885458 Enrollment ID: I20071121000531 |
| Provider Name | Natasha R De Hosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932390739 PECOS PAC ID: 5496830432 Enrollment ID: I20080314000236 |
| Provider Name | Alan D Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003956178 PECOS PAC ID: 8224115522 Enrollment ID: I20080410000810 |
| Provider Name | Larry D Herron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487745972 PECOS PAC ID: 7517036783 Enrollment ID: I20080514000786 |
| Provider Name | Catherine S Mouzin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073587341 PECOS PAC ID: 8224107172 Enrollment ID: I20080519000013 |
| Provider Name | Jerick C Pacheco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992781181 PECOS PAC ID: 9739259516 Enrollment ID: I20080605000335 |
| Provider Name | Amy M Archer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497972251 PECOS PAC ID: 9436224557 Enrollment ID: I20080823000051 |
| Provider Name | Elizabeth M Ashworth |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396833448 PECOS PAC ID: 6103874698 Enrollment ID: I20081001000363 |
| Provider Name | Maria Herron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831189919 PECOS PAC ID: 0143388181 Enrollment ID: I20081021000297 |
| Provider Name | Mark Stutz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861420499 PECOS PAC ID: 6800809658 Enrollment ID: I20081106000447 |
| Provider Name | Jane M Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528148434 PECOS PAC ID: 6800956723 Enrollment ID: I20081124000037 |
| Provider Name | Daniel J Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124096672 PECOS PAC ID: 9335204692 Enrollment ID: I20090220000018 |
| Provider Name | Harvinder S Gill |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346356821 PECOS PAC ID: 3274532676 Enrollment ID: I20090522000071 |
| Provider Name | Moayyed Moallem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760445050 PECOS PAC ID: 2062416019 Enrollment ID: I20090715000767 |
| Provider Name | Richard Walter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114927886 PECOS PAC ID: 9133270390 Enrollment ID: I20090729000778 |
| Provider Name | Alissa N Worstell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952544991 PECOS PAC ID: 0840344149 Enrollment ID: I20090821000007 |
| Provider Name | Ruben Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609974922 PECOS PAC ID: 8022105550 Enrollment ID: I20091013000417 |
| Provider Name | Sabrina Atkinson-dornhoefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942295324 PECOS PAC ID: 1557405529 Enrollment ID: I20100216000043 |
| Provider Name | Henry J Matick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881679819 PECOS PAC ID: 3375687155 Enrollment ID: I20100217000223 |
| Provider Name | Scott A Stine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457329245 PECOS PAC ID: 0345383766 Enrollment ID: I20100218000119 |
| Provider Name | Kristin A Mahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487622957 PECOS PAC ID: 9436293180 Enrollment ID: I20100218000135 |
| Provider Name | Noel O Suanes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265400915 PECOS PAC ID: 8527101948 Enrollment ID: I20100228000001 |
| Provider Name | Kathleen B Stutz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962571463 PECOS PAC ID: 7214062462 Enrollment ID: I20100313000007 |
| Provider Name | Tom S Kirkwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801894621 PECOS PAC ID: 1951437441 Enrollment ID: I20100414000360 |
| Provider Name | Michael J Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811972128 PECOS PAC ID: 4284699976 Enrollment ID: I20100416000118 |
| Provider Name | Philip Vincent Bacidore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891793634 PECOS PAC ID: 1557418969 Enrollment ID: I20100715000194 |
| Provider Name | Bart J Debrock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538155890 PECOS PAC ID: 4183774045 Enrollment ID: I20100812000880 |
| Provider Name | Philip Dean Watson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558368308 PECOS PAC ID: 7416031828 Enrollment ID: I20100813000540 |
| Provider Name | Yuri Zelenin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154378776 PECOS PAC ID: 8022012152 Enrollment ID: I20100823000861 |
| Provider Name | William R Vaughn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699761957 PECOS PAC ID: 5092629543 Enrollment ID: I20100825000758 |
| Provider Name | Shalin E Arnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346450053 PECOS PAC ID: 6507980125 Enrollment ID: I20100902000497 |
| Provider Name | Heather R Nichols |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366642365 PECOS PAC ID: 9739375148 Enrollment ID: I20101124000908 |
| Provider Name | Wendy L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619286325 PECOS PAC ID: 0547457939 Enrollment ID: I20101210000747 |
| Provider Name | Vonetta M Vories |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205047040 PECOS PAC ID: 9638350309 Enrollment ID: I20110301000395 |
| Provider Name | Kenneth G Fortress |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487650180 PECOS PAC ID: 3173705753 Enrollment ID: I20110303000866 |
| Provider Name | Amanda E Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104124163 PECOS PAC ID: 1759564438 Enrollment ID: I20110318000339 |
| Provider Name | David G Purdom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437282134 PECOS PAC ID: 2264533090 Enrollment ID: I20110408000546 |
| Provider Name | Felicitas Gatchalian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897509 PECOS PAC ID: 5890724157 Enrollment ID: I20110426000158 |
| Provider Name | Andrea M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255615597 PECOS PAC ID: 3375718760 Enrollment ID: I20111214000082 |
| Provider Name | Sugata Sensarma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083604748 PECOS PAC ID: 7416985635 Enrollment ID: I20120216000077 |
| Provider Name | Teresa Elaine Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578835922 PECOS PAC ID: 1355509688 Enrollment ID: I20120216000128 |
| Provider Name | Jennifer L Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073879136 PECOS PAC ID: 3577725431 Enrollment ID: I20120510000396 |
| Provider Name | Karim Anwar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053350140 PECOS PAC ID: 8224080825 Enrollment ID: I20120524000129 |
| Provider Name | Mark E Fons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699863647 PECOS PAC ID: 3274798384 Enrollment ID: I20120622000116 |
| Provider Name | Naeem Raza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447214994 PECOS PAC ID: 7517861859 Enrollment ID: I20120709000236 |
| Provider Name | Austin R Muranaka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316219819 PECOS PAC ID: 2163688144 Enrollment ID: I20120718000808 |
| Provider Name | Ann D Staggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457601551 PECOS PAC ID: 7719139658 Enrollment ID: I20121128000710 |
| Provider Name | Heather M Ludwig-akers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134352339 PECOS PAC ID: 6507018207 Enrollment ID: I20121203000564 |
| Provider Name | Kara J Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841547726 PECOS PAC ID: 6002061843 Enrollment ID: I20130301000074 |
| Provider Name | Johnathan Grant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740272251 PECOS PAC ID: 5890779342 Enrollment ID: I20130830000180 |
| Provider Name | April L Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417155169 PECOS PAC ID: 2163679218 Enrollment ID: I20130830000223 |
| Provider Name | Vikash Khurana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649341025 PECOS PAC ID: 9032215082 Enrollment ID: I20130904000573 |
| Provider Name | Patricia B Ochs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669812038 PECOS PAC ID: 3678717691 Enrollment ID: I20130912000794 |
| Provider Name | Manga D Kodali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881635118 PECOS PAC ID: 3173603164 Enrollment ID: I20130925000885 |
| Provider Name | Gregory M Whitsett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548293160 PECOS PAC ID: 0345245627 Enrollment ID: I20131014000886 |
| Provider Name | Julia J Compton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942435797 PECOS PAC ID: 8820234800 Enrollment ID: I20131118000251 |
| Provider Name | Candido Guiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417901596 PECOS PAC ID: 5991767535 Enrollment ID: I20140114001455 |
| Provider Name | Erica L Story |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002883 PECOS PAC ID: 0143459727 Enrollment ID: I20140130000783 |
| Provider Name | Oluwagbenga Serrano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235131806 PECOS PAC ID: 3678485877 Enrollment ID: I20140213001611 |
| Provider Name | Joyce Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720119589 PECOS PAC ID: 2668603960 Enrollment ID: I20140331001284 |
| Provider Name | Thalia R Pachiyannakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275860314 PECOS PAC ID: 0345473732 Enrollment ID: I20140509001742 |
| Provider Name | Patricia D Copley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619912979 PECOS PAC ID: 5294768206 Enrollment ID: I20140623001302 |
| Provider Name | Elaine Burcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003135864 PECOS PAC ID: 6709001217 Enrollment ID: I20140625001149 |
| Provider Name | Harold G Hebard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588638605 PECOS PAC ID: 0749385318 Enrollment ID: I20140822002163 |
| Provider Name | Theresa A Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710067830 PECOS PAC ID: 4284852468 Enrollment ID: I20140829001606 |
| Provider Name | Adrian Singson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992096085 PECOS PAC ID: 7214177393 Enrollment ID: I20140909001891 |
| Provider Name | Miranda K Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205237203 PECOS PAC ID: 2860613130 Enrollment ID: I20141030000646 |
| Provider Name | Linda J Linneweber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053713586 PECOS PAC ID: 5991926263 Enrollment ID: I20141030000889 |
| Provider Name | Sally J Bodensteiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851580823 PECOS PAC ID: 2365527983 Enrollment ID: I20141118001926 |
| Provider Name | Stacy A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982000568 PECOS PAC ID: 1850614900 Enrollment ID: I20141223000282 |
| Provider Name | Rama Shankar Kulkarni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790884880 PECOS PAC ID: 2466440037 Enrollment ID: I20150601000464 |
| Provider Name | Caroline S Steinman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750643573 PECOS PAC ID: 9739491291 Enrollment ID: I20150713000321 |
| Provider Name | Bret Robert Huber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821319526 PECOS PAC ID: 9931335411 Enrollment ID: I20150729007188 |
| Provider Name | Sarah B Jacob |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336463272 PECOS PAC ID: 2961630025 Enrollment ID: I20150730010563 |
| Provider Name | Lynnette M Matteson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497124192 PECOS PAC ID: 9931107141 Enrollment ID: I20151013000040 |
| Provider Name | Trudy J Wessell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720458227 PECOS PAC ID: 0941366975 Enrollment ID: I20151021000454 |
| Provider Name | Trista K Armes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710345335 PECOS PAC ID: 2365748118 Enrollment ID: I20160304001134 |
| Provider Name | Amanda K Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457718389 PECOS PAC ID: 9830496843 Enrollment ID: I20160318000045 |
| Provider Name | Howard E Feldman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447234729 PECOS PAC ID: 5890821094 Enrollment ID: I20160415001039 |
| Provider Name | Stephanie Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548622178 PECOS PAC ID: 6507165735 Enrollment ID: I20160422000364 |
| Provider Name | Philip H Hanneman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356788202 PECOS PAC ID: 5395987846 Enrollment ID: I20160624000490 |
| Provider Name | Jennifer Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033566203 PECOS PAC ID: 5092007534 Enrollment ID: I20160701001561 |
| Provider Name | David D Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174811905 PECOS PAC ID: 6305150699 Enrollment ID: I20160721001567 |
| Provider Name | Jill M Cucinella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285087973 PECOS PAC ID: 3971898867 Enrollment ID: I20160816002301 |
| Provider Name | Kerri S Remmel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639177884 PECOS PAC ID: 8921016908 Enrollment ID: I20161010001768 |
| Provider Name | Elizabeth Hillery Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609926047 PECOS PAC ID: 2668610312 Enrollment ID: I20161102001032 |
| Provider Name | Tracy L Kerzan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629529334 PECOS PAC ID: 3577842673 Enrollment ID: I20161114000090 |
| Provider Name | Daria B Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235199613 PECOS PAC ID: 5092731893 Enrollment ID: I20161115001837 |
| Provider Name | Kari D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972979557 PECOS PAC ID: 9032428198 Enrollment ID: I20161116001285 |
| Provider Name | Brittany Serratos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346598521 PECOS PAC ID: 0244519759 Enrollment ID: I20161123001851 |
| Provider Name | Jason A Mancini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528502572 PECOS PAC ID: 0244512952 Enrollment ID: I20170112001836 |
| Provider Name | Bryant V Mciver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720252661 PECOS PAC ID: 5991089195 Enrollment ID: I20170308000686 |
| Provider Name | Lindsey H Vanschoyck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083153878 PECOS PAC ID: 0244517449 Enrollment ID: I20170425002008 |
| Provider Name | Allison J Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316470016 PECOS PAC ID: 1355628140 Enrollment ID: I20170504000130 |
| Provider Name | Anthony J Voelkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780826784 PECOS PAC ID: 3779739719 Enrollment ID: I20170710000379 |
| Provider Name | William C Collyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225096621 PECOS PAC ID: 6800821364 Enrollment ID: I20170718001030 |
| Provider Name | Stephanie K Lowrance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417495300 PECOS PAC ID: 1557646692 Enrollment ID: I20170727003235 |
| Provider Name | Julie K Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770890592 PECOS PAC ID: 0749473809 Enrollment ID: I20170802003469 |
| Provider Name | Lindsey A Fleshman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508152554 PECOS PAC ID: 6103055710 Enrollment ID: I20170817000486 |
| Provider Name | Steven M Maynard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578995023 PECOS PAC ID: 3971729054 Enrollment ID: I20170825001061 |
| Provider Name | Anitra Simone Graves |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285669739 PECOS PAC ID: 5496769226 Enrollment ID: I20170907000995 |
| Provider Name | Peter Pingkwong Lai |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629085022 PECOS PAC ID: 8224016290 Enrollment ID: I20170912000739 |
| Provider Name | Matthew Hermansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437418324 PECOS PAC ID: 8921372376 Enrollment ID: I20170922002520 |
| Provider Name | Melissa A Lough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902315104 PECOS PAC ID: 3779849666 Enrollment ID: I20171109000485 |
| Provider Name | Nadir Ismat Ishag Osman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942429485 PECOS PAC ID: 9335318047 Enrollment ID: I20171127000175 |
| Provider Name | Lynna R Titsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912204041 PECOS PAC ID: 1759564909 Enrollment ID: I20180207000970 |
| Provider Name | Michael A Haboubi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740410117 PECOS PAC ID: 1850535600 Enrollment ID: I20180307000371 |
| Provider Name | Thong D Pham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720376338 PECOS PAC ID: 4385957893 Enrollment ID: I20180426001733 |
| Provider Name | Cassandra L Memering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538663331 PECOS PAC ID: 8123382900 Enrollment ID: I20180502001399 |
| Provider Name | Christopher Michael Carter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639378250 PECOS PAC ID: 3971769225 Enrollment ID: I20180525001623 |
| Provider Name | Tracy M Ander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801121355 PECOS PAC ID: 2769621036 Enrollment ID: I20180627002707 |
| Provider Name | Kristina A Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184092819 PECOS PAC ID: 5698084473 Enrollment ID: I20180712002961 |
| Provider Name | Josette Jovero-clodfelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659857886 PECOS PAC ID: 5890043574 Enrollment ID: I20180813002837 |
| Provider Name | John S Pidgeon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306050257 PECOS PAC ID: 2860545712 Enrollment ID: I20180817002086 |
| Provider Name | Brian J Gebhardt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669816807 PECOS PAC ID: 0840549168 Enrollment ID: I20180821000083 |
| Provider Name | Britni Lynn Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477035509 PECOS PAC ID: 4880946532 Enrollment ID: I20181009000913 |
| Provider Name | Michael Switzer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215290192 PECOS PAC ID: 4486962800 Enrollment ID: I20181009003816 |
| Provider Name | Jamie L Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550165 PECOS PAC ID: 6305844887 Enrollment ID: I20181012001746 |
| Provider Name | Sarah Elizabeth Mccullough |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225468291 PECOS PAC ID: 1052663101 Enrollment ID: I20181017003580 |
| Provider Name | Meagan L Keyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467933523 PECOS PAC ID: 2567715469 Enrollment ID: I20181023001129 |
| Provider Name | Amberly Renee Neeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548742877 PECOS PAC ID: 7416201124 Enrollment ID: I20181115002655 |
| Provider Name | Zakiya Douglas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386940781 PECOS PAC ID: 8628229077 Enrollment ID: I20181120003270 |
| Provider Name | Kelsey Dawn Mccaslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659853273 PECOS PAC ID: 9739424003 Enrollment ID: I20181214003011 |
| Provider Name | Amanda N Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649754474 PECOS PAC ID: 0749525947 Enrollment ID: I20181217000935 |
| Provider Name | Ravi Kamepalli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669464681 PECOS PAC ID: 1658404652 Enrollment ID: I20181219003457 |
| Provider Name | Amy Lynn Scamman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639648652 PECOS PAC ID: 8022353051 Enrollment ID: I20181220000355 |
| Provider Name | Margaret M Beliveau Ficalora |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568435907 PECOS PAC ID: 6608913652 Enrollment ID: I20190116001378 |
| Provider Name | Robert D Ficalora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568441020 PECOS PAC ID: 7315994522 Enrollment ID: I20190125002534 |
| Provider Name | Anastasia Leigh Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376889071 PECOS PAC ID: 8123264306 Enrollment ID: I20190219002696 |
| Provider Name | Debra Lynn Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952877144 PECOS PAC ID: 1658610506 Enrollment ID: I20190311002818 |
| Provider Name | Amy M Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578022109 PECOS PAC ID: 6002140696 Enrollment ID: I20190702001753 |
| Provider Name | Sumit Rishi Chawla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407122740 PECOS PAC ID: 1951697531 Enrollment ID: I20190703000946 |
| Provider Name | Dustin Patrick Blackwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841682374 PECOS PAC ID: 4789950858 Enrollment ID: I20190803000136 |
| Provider Name | Courtney Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366094880 PECOS PAC ID: 7315274156 Enrollment ID: I20190816000294 |
| Provider Name | Georges Debal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316386386 PECOS PAC ID: 4880923085 Enrollment ID: I20190913000957 |
| Provider Name | William Cyrus Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598259319 PECOS PAC ID: 4284980491 Enrollment ID: I20191111001716 |
| Provider Name | Nicholas Rensing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134569908 PECOS PAC ID: 5092067322 Enrollment ID: I20200213001312 |
| Provider Name | Cassi N Fiscus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689207946 PECOS PAC ID: 5193154813 Enrollment ID: I20200401001190 |
| Provider Name | Leeann Rachelle Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831710581 PECOS PAC ID: 2163853102 Enrollment ID: I20200507002094 |
| Provider Name | James Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497275473 PECOS PAC ID: 0143590752 Enrollment ID: I20200603002909 |
| Provider Name | Maya J Dominique |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942658497 PECOS PAC ID: 0446672596 Enrollment ID: I20200619000418 |
| Provider Name | Veronica L Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003457839 PECOS PAC ID: 5092139337 Enrollment ID: I20200721000761 |
| Provider Name | Allison Brooke Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538554001 PECOS PAC ID: 1759708654 Enrollment ID: I20200824001656 |
| Provider Name | Meng M Yu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861882763 PECOS PAC ID: 9133449556 Enrollment ID: I20200914000454 |
| Provider Name | Taryn M Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346858479 PECOS PAC ID: 9739509852 Enrollment ID: I20201012001080 |
| Provider Name | Navid Etemadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417303074 PECOS PAC ID: 1951694454 Enrollment ID: I20201106001928 |
| Provider Name | Kelli Jeanne Carie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689298622 PECOS PAC ID: 2668883679 Enrollment ID: I20201124000489 |
| Provider Name | Jennifer L Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851711469 PECOS PAC ID: 0244530632 Enrollment ID: I20210129000971 |
| Provider Name | Bradly Vo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306232665 PECOS PAC ID: 4981010147 Enrollment ID: I20210312001184 |
| Provider Name | Nancy Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083731061 PECOS PAC ID: 6103926514 Enrollment ID: I20210426001449 |
| Provider Name | Julia Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487240792 PECOS PAC ID: 7911316476 Enrollment ID: I20210513000197 |
| Provider Name | Lauren Acevedo Molina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316333669 PECOS PAC ID: 5991034316 Enrollment ID: I20210527000973 |
| Provider Name | Monica B Corzo Pedrosa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649683566 PECOS PAC ID: 5294069340 Enrollment ID: I20210527001009 |
| Provider Name | Jon Karl D Velasco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417342817 PECOS PAC ID: 0749536977 Enrollment ID: I20210527001448 |
| Provider Name | Marwa Elnazeir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114372141 PECOS PAC ID: 0244521599 Enrollment ID: I20210528001629 |
| Provider Name | Aijaz Yazdani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447222781 PECOS PAC ID: 2769407519 Enrollment ID: I20210610001339 |
| Provider Name | Lachelle Andrea Ahlert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689265993 PECOS PAC ID: 4183024227 Enrollment ID: I20210611001045 |
| Provider Name | Vetta Higgs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851313993 PECOS PAC ID: 4880626647 Enrollment ID: I20210727002333 |
| Provider Name | Lirim Krveshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255759536 PECOS PAC ID: 2567760143 Enrollment ID: I20210802002130 |
| Provider Name | Alice Leeann Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235769381 PECOS PAC ID: 6406251057 Enrollment ID: I20210820000779 |
| Provider Name | Tonya Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295279149 PECOS PAC ID: 6800292574 Enrollment ID: I20210903000284 |
| Provider Name | Dana D Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013447853 PECOS PAC ID: 9739450388 Enrollment ID: I20210921000172 |
| Provider Name | Tara L Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551322 PECOS PAC ID: 4284031717 Enrollment ID: I20210924002485 |
| Provider Name | Stuart A Offner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508950692 PECOS PAC ID: 5193870830 Enrollment ID: I20211005000541 |
| Provider Name | Haylie Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114699212 PECOS PAC ID: 6901295591 Enrollment ID: I20211122000522 |
| Provider Name | Brittany N Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962862532 PECOS PAC ID: 8820487390 Enrollment ID: I20211123000959 |
| Provider Name | Audra Mcquade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316694961 PECOS PAC ID: 1759776206 Enrollment ID: I20220318001312 |
| Provider Name | Magdalena J Skrzek |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124772959 PECOS PAC ID: 9830586122 Enrollment ID: I20220512001082 |
| Provider Name | Maria B Lawless |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457888646 PECOS PAC ID: 2365716131 Enrollment ID: I20220517001807 |
| Provider Name | Oksana Karpov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821294414 PECOS PAC ID: 6002008042 Enrollment ID: I20220715000470 |
| Provider Name | Eugene A Veley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235204173 PECOS PAC ID: 3577662667 Enrollment ID: I20220727003713 |
| Provider Name | Syed Gilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447451182 PECOS PAC ID: 3678646288 Enrollment ID: I20220729002409 |
| Provider Name | Jessica Danielle Wilkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447902093 PECOS PAC ID: 0446632491 Enrollment ID: I20220808001128 |
| Provider Name | Laura Reedy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396325759 PECOS PAC ID: 1254716590 Enrollment ID: I20220922000945 |
| Provider Name | Shawn J Curry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043758733 PECOS PAC ID: 5395079933 Enrollment ID: I20221026000338 |
| Provider Name | Sarah Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124736897 PECOS PAC ID: 0749658474 Enrollment ID: I20221130000851 |
| Provider Name | Saad Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437686649 PECOS PAC ID: 5395082762 Enrollment ID: I20221215002746 |
| Provider Name | Christopher Keen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528324050 PECOS PAC ID: 9133346943 Enrollment ID: I20230311000353 |
| Provider Name | Dalvir Gill |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285017491 PECOS PAC ID: 5092063651 Enrollment ID: I20230418001937 |
| Provider Name | Harmanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235592510 PECOS PAC ID: 7315232980 Enrollment ID: I20230614000395 |
| Provider Name | Mohanad Soliman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942619408 PECOS PAC ID: 9638440126 Enrollment ID: I20230615000348 |
| Provider Name | Scott Jeffrey Fraser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114553138 PECOS PAC ID: 8820419542 Enrollment ID: I20230712004230 |
| Provider Name | John R Majewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255967352 PECOS PAC ID: 5092146662 Enrollment ID: I20230713002428 |
| Provider Name | Michael I Carson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427684547 PECOS PAC ID: 1456782028 Enrollment ID: I20230719001156 |
| Provider Name | Warren V Carrigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326282153 PECOS PAC ID: 2466690847 Enrollment ID: I20230721000832 |
| Provider Name | Sushant Tiwari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629631148 PECOS PAC ID: 2062742117 Enrollment ID: I20230725002732 |
| Provider Name | Maria T Decastro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558326470 PECOS PAC ID: 6305732587 Enrollment ID: I20230822003633 |
| Provider Name | Mason Flaningam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720769094 PECOS PAC ID: 6002279049 Enrollment ID: I20230824000592 |
| Provider Name | Robert David Siegel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518901545 PECOS PAC ID: 0446289086 Enrollment ID: I20230905001437 |
| Provider Name | Kyle Redding Humphrey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942706536 PECOS PAC ID: 4789937178 Enrollment ID: I20240207000815 |
| Provider Name | Mikiel A Ewida |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417726779 PECOS PAC ID: 9931542651 Enrollment ID: I20240209002450 |
| Provider Name | Mary S Deshields |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952411795 PECOS PAC ID: 0244120848 Enrollment ID: I20240514000778 |
| Provider Name | Roger J Rembecki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396816880 PECOS PAC ID: 2264535343 Enrollment ID: I20240523001171 |
| Provider Name | Spencer Douglas Bonnerup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376129411 PECOS PAC ID: 9830599034 Enrollment ID: I20240606002669 |
| Provider Name | Joshua Gerard Vollmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518595529 PECOS PAC ID: 1254755770 Enrollment ID: I20240701002523 |
| Provider Name | Jasanjeet Jawanda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972030815 PECOS PAC ID: 4789956392 Enrollment ID: I20240703001376 |
| Provider Name | Mohammed Ismael |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063073393 PECOS PAC ID: 2668916313 Enrollment ID: I20240705000166 |
| Provider Name | Kourtney Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265131031 PECOS PAC ID: 5294272860 Enrollment ID: I20240731002659 |
| Provider Name | Andrews Adjapong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609402684 PECOS PAC ID: 3476974874 Enrollment ID: I20240807000604 |
| Provider Name | Anna Wanahita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20240807003434 |
| Provider Name | Imad Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245498906 PECOS PAC ID: 3870764285 Enrollment ID: I20240807003776 |
| Provider Name | Stephen A Mikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20240808000268 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871858548 PECOS PAC ID: 7618297441 Enrollment ID: I20240815000788 |
| Provider Name | Suraj Suku |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20240827002384 |
| Provider Name | Pavankumar Bommasamudram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20240914000436 |
| Provider Name | Mark Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20240919002697 |
| Provider Name | Aimee Borazanci |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053522847 PECOS PAC ID: 1850422197 Enrollment ID: I20240924000170 |
| Provider Name | Dolly B Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20241014001160 |
| Provider Name | Zulfiqar Turk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20241019000054 |
| Provider Name | Jaron Marriott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396106837 PECOS PAC ID: 9931444320 Enrollment ID: I20241230000255 |
| Provider Name | Adam S Mednick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922015643 PECOS PAC ID: 8426140617 Enrollment ID: I20250129000412 |
| Provider Name | Courtney Tafesse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760870265 PECOS PAC ID: 2365776358 Enrollment ID: I20250303000109 |
| Provider Name | Rujul R Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255727871 PECOS PAC ID: 5991018533 Enrollment ID: I20250303000177 |
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