| Griffin Faculty Physicians, Inc. | |
|
67 Maple Ave 2nd Floor Derby CT 06418-1328 | |
| (203) 732-1330 | |
| (203) 732-1332 |
| Full Name | Griffin Faculty Physicians, Inc. |
|---|---|
| Speciality | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Location | 67 Maple Ave, Derby, Connecticut |
| Authorized Official Name and Position | Lori Anne Vinci (VP) |
| Authorized Official Contact | 2037321330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffin Faculty Physicians, Inc. 67 Maple Ave 2nd Floor Derby CT 06418-1328 Ph: (203) 732-1330 | Griffin Faculty Physicians, Inc. 67 Maple Ave 2nd Floor Derby CT 06418-1328 Ph: (203) 732-1330 |
| NPI Number | 1598755605 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Medicare PECOS PAC ID | 7618871997 |
|---|---|
| Medicare Enrollment ID | O20031120000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598755605 | NPI | - | NPPES |
| Provider Name | Magdalen S Mauriello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770666059 PECOS PAC ID: 0749186393 Enrollment ID: I20031212000298 |
| Provider Name | Katherine N Bunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164526646 PECOS PAC ID: 4385636992 Enrollment ID: I20040402000058 |
| Provider Name | Scott Vander Vennet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427087980 PECOS PAC ID: 3577559277 Enrollment ID: I20040420001361 |
| Provider Name | Frederick a Browne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588641955 PECOS PAC ID: 1456335900 Enrollment ID: I20040614001348 |
| Provider Name | Linda M Hricz Borges |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528016755 PECOS PAC ID: 2466436639 Enrollment ID: I20040615001391 |
| Provider Name | Kathleen M Chaisson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932130259 PECOS PAC ID: 7113906223 Enrollment ID: I20040714000272 |
| Provider Name | Kristina D Labonte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699786582 PECOS PAC ID: 9931164589 Enrollment ID: I20041123000832 |
| Provider Name | Andrew Onshing Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376583245 PECOS PAC ID: 3375509284 Enrollment ID: I20041202000578 |
| Provider Name | Dinesh Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346225638 PECOS PAC ID: 4385548197 Enrollment ID: I20041214000935 |
| Provider Name | Janelle Gagne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245332105 PECOS PAC ID: 4981654209 Enrollment ID: I20050125000549 |
| Provider Name | Deanna L Wolff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053369264 PECOS PAC ID: 2163477423 Enrollment ID: I20050318000804 |
| Provider Name | Michael Luberti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669583308 PECOS PAC ID: 4385684380 Enrollment ID: I20050510000237 |
| Provider Name | Michael T Lipcan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770624447 PECOS PAC ID: 6103878293 Enrollment ID: I20050526000263 |
| Provider Name | Leon M Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619933389 PECOS PAC ID: 2961446109 Enrollment ID: I20050617000518 |
| Provider Name | Leland J Soto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801823729 PECOS PAC ID: 8325940992 Enrollment ID: I20050719000256 |
| Provider Name | Jennifer L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164409587 PECOS PAC ID: 1850316415 Enrollment ID: I20051012000819 |
| Provider Name | Monika Hoang-skawinska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063427599 PECOS PAC ID: 9830119478 Enrollment ID: I20051129000219 |
| Provider Name | Carolyn C Cruz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760408249 PECOS PAC ID: 3476574062 Enrollment ID: I20051212000012 |
| Provider Name | Wajahat Zafar Mehal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487637781 PECOS PAC ID: 9830113547 Enrollment ID: I20060120000684 |
| Provider Name | Holly Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215034806 PECOS PAC ID: 0941209126 Enrollment ID: I20061218000010 |
| Provider Name | Akiva Bronstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164458204 PECOS PAC ID: 7517947450 Enrollment ID: I20061221000441 |
| Provider Name | Rhianon N Iassogna Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457422057 PECOS PAC ID: 1456351022 Enrollment ID: I20070104000214 |
| Provider Name | Denise Barajas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689787210 PECOS PAC ID: 8426050964 Enrollment ID: I20070212000679 |
| Provider Name | Joseph a Camilleri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376560813 PECOS PAC ID: 2668416124 Enrollment ID: I20070302000209 |
| Provider Name | Jennifer L Salinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811055247 PECOS PAC ID: 2365546306 Enrollment ID: I20070330000208 |
| Provider Name | Brian L Beaulieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588608384 PECOS PAC ID: 7214032341 Enrollment ID: I20070419000046 |
| Provider Name | Liqun Song |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699839852 PECOS PAC ID: 9032217377 Enrollment ID: I20070609000069 |
| Provider Name | Susan W Ade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447447008 PECOS PAC ID: 7315036050 Enrollment ID: I20071204000425 |
| Provider Name | Robert J Wasnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508057571 PECOS PAC ID: 9739278060 Enrollment ID: I20071210000054 |
| Provider Name | Jeffrey T Dreznick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902895436 PECOS PAC ID: 9739260928 Enrollment ID: I20080114000437 |
| Provider Name | Jennifer a Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659557643 PECOS PAC ID: 4284718321 Enrollment ID: I20080227000577 |
| Provider Name | Richard P Salzano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033157714 PECOS PAC ID: 7911082714 Enrollment ID: I20080304000372 |
| Provider Name | Natalie Elizabeth Coulis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427006261 PECOS PAC ID: 3274607965 Enrollment ID: I20080729000457 |
| Provider Name | Ayesha Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841450657 PECOS PAC ID: 5496829582 Enrollment ID: I20080814000013 |
| Provider Name | Maria Cutrali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063672780 PECOS PAC ID: 6305912684 Enrollment ID: I20080910000541 |
| Provider Name | David R Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841486149 PECOS PAC ID: 7315014719 Enrollment ID: I20080926000588 |
| Provider Name | Mark Marieb |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508862632 PECOS PAC ID: 1951307768 Enrollment ID: I20081107000650 |
| Provider Name | Jonathan T Simon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073565511 PECOS PAC ID: 4385634583 Enrollment ID: I20090210000634 |
| Provider Name | Jennifer a Pielech |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285870121 PECOS PAC ID: 7416013511 Enrollment ID: I20090225000303 |
| Provider Name | Matthew Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548241490 PECOS PAC ID: 6305842972 Enrollment ID: I20090408000254 |
| Provider Name | Ihor Ponomarenko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568491181 PECOS PAC ID: 7012935836 Enrollment ID: I20090429000440 |
| Provider Name | Grace Y Biggs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992901508 PECOS PAC ID: 8022162270 Enrollment ID: I20090910000484 |
| Provider Name | Michael a Sergi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184867723 PECOS PAC ID: 5799831822 Enrollment ID: I20090915000453 |
| Provider Name | Amir Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952578809 PECOS PAC ID: 8729124615 Enrollment ID: I20091007000098 |
| Provider Name | Shobha Jagadeesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174538508 PECOS PAC ID: 5193720571 Enrollment ID: I20091123000384 |
| Provider Name | Aimee L Jaquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689710980 PECOS PAC ID: 0648319384 Enrollment ID: I20091209000307 |
| Provider Name | Olugbenga Arole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679738017 PECOS PAC ID: 3577631795 Enrollment ID: I20091229000009 |
| Provider Name | Marianne T Cosentino |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376700609 PECOS PAC ID: 1456423532 Enrollment ID: I20100106000167 |
| Provider Name | Robert Nelson Hyde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902011885 PECOS PAC ID: 0345381307 Enrollment ID: I20100113000176 |
| Provider Name | Jock D Lawrason |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629042296 PECOS PAC ID: 7416099809 Enrollment ID: I20100122000726 |
| Provider Name | Richard N Biondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619931623 PECOS PAC ID: 2769526300 Enrollment ID: I20100219000266 |
| Provider Name | Katherine L Boxberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427388461 PECOS PAC ID: 8527192103 Enrollment ID: I20100818000469 |
| Provider Name | Samuel William Streit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952467672 PECOS PAC ID: 6800931692 Enrollment ID: I20100901000332 |
| Provider Name | Elliot Keith Mathias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871669978 PECOS PAC ID: 0547305336 Enrollment ID: I20100901000379 |
| Provider Name | Kenneth Andrew Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386700201 PECOS PAC ID: 5991840787 Enrollment ID: I20100901000438 |
| Provider Name | Frank Peter Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770642100 PECOS PAC ID: 4082759873 Enrollment ID: I20100901000468 |
| Provider Name | Sharon Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508986563 PECOS PAC ID: 1557487899 Enrollment ID: I20100924000033 |
| Provider Name | Madhu S Gowda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104856921 PECOS PAC ID: 9537351812 Enrollment ID: I20101005000490 |
| Provider Name | Xiaolan Fei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548571037 PECOS PAC ID: 1254523459 Enrollment ID: I20101006000732 |
| Provider Name | Judith Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134191604 PECOS PAC ID: 7911194196 Enrollment ID: I20101214000829 |
| Provider Name | Shyla D Muriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558387571 PECOS PAC ID: 5597953604 Enrollment ID: I20101215001213 |
| Provider Name | David Moll |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831186584 PECOS PAC ID: 1153373907 Enrollment ID: I20110121000001 |
| Provider Name | Jeffrey Howard Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780651745 PECOS PAC ID: 6305025073 Enrollment ID: I20110127000028 |
| Provider Name | Gerald G Fette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043396112 PECOS PAC ID: 1456329176 Enrollment ID: I20110207000241 |
| Provider Name | Veronica Catalina Genovez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396055000 PECOS PAC ID: 8325229701 Enrollment ID: I20110217000456 |
| Provider Name | William Johns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598773160 PECOS PAC ID: 4789869223 Enrollment ID: I20110427000782 |
| Provider Name | Susan Storck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962700252 PECOS PAC ID: 1850576968 Enrollment ID: I20110504000398 |
| Provider Name | John a Farens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427133354 PECOS PAC ID: 2466486642 Enrollment ID: I20110509000193 |
| Provider Name | Jennifer Dodge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558402230 PECOS PAC ID: 9335312735 Enrollment ID: I20111031000654 |
| Provider Name | Kenneth V Schwartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588727549 PECOS PAC ID: 2466541735 Enrollment ID: I20111117000263 |
| Provider Name | Cynthia Mary Ronan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346251659 PECOS PAC ID: 8123295946 Enrollment ID: I20120119000471 |
| Provider Name | Haq Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841273919 PECOS PAC ID: 3577720952 Enrollment ID: I20120214000276 |
| Provider Name | Maria D Dawe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659609204 PECOS PAC ID: 0143488569 Enrollment ID: I20120214000858 |
| Provider Name | Patsy Gerckens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821219080 PECOS PAC ID: 3678731015 Enrollment ID: I20120215000057 |
| Provider Name | Sreelakshmi L Reddivari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093075038 PECOS PAC ID: 1456515675 Enrollment ID: I20120619000245 |
| Provider Name | Jaspreet Loyal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750543138 PECOS PAC ID: 5395901490 Enrollment ID: I20120718000031 |
| Provider Name | Laura F Reddington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932487238 PECOS PAC ID: 1254597206 Enrollment ID: I20120719000588 |
| Provider Name | William a Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033402862 PECOS PAC ID: 7911163688 Enrollment ID: I20120724000819 |
| Provider Name | Abraham Fridman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205074945 PECOS PAC ID: 2264603455 Enrollment ID: I20120912000411 |
| Provider Name | Sara E Altieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518210558 PECOS PAC ID: 2769634955 Enrollment ID: I20121217000116 |
| Provider Name | Jacquelyn L Browne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457585267 PECOS PAC ID: 8325211519 Enrollment ID: I20130411000042 |
| Provider Name | Seema Dsouza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851373187 PECOS PAC ID: 1850538372 Enrollment ID: I20130430000582 |
| Provider Name | Colleen L Linari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972845147 PECOS PAC ID: 2163669953 Enrollment ID: I20130515000503 |
| Provider Name | Brenton R Dempsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528310067 PECOS PAC ID: 8022258078 Enrollment ID: I20130716000013 |
| Provider Name | Brittany Schnepp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780012161 PECOS PAC ID: 3971730011 Enrollment ID: I20131216001213 |
| Provider Name | Jaclyn M Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316388077 PECOS PAC ID: 9537390232 Enrollment ID: I20140321001377 |
| Provider Name | Brittany E Varga-eaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942636733 PECOS PAC ID: 0446473706 Enrollment ID: I20140514001687 |
| Provider Name | Yoonjeong Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528480548 PECOS PAC ID: 0648493809 Enrollment ID: I20140516000590 |
| Provider Name | Roman Spivak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780889493 PECOS PAC ID: 0941425433 Enrollment ID: I20140625000378 |
| Provider Name | Sarah E Olivier-cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316237936 PECOS PAC ID: 3779708573 Enrollment ID: I20140711000952 |
| Provider Name | Unknown Bilori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760762090 PECOS PAC ID: 4284850421 Enrollment ID: I20140724002185 |
| Provider Name | Yiannis Apergis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104176122 PECOS PAC ID: 1153548219 Enrollment ID: I20140813001473 |
| Provider Name | Elizabeth Arbia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225329238 PECOS PAC ID: 9032337241 Enrollment ID: I20140902000215 |
| Provider Name | Brian Ullman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871902502 PECOS PAC ID: 8426279936 Enrollment ID: I20141027002020 |
| Provider Name | Kathryn Loughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588961742 PECOS PAC ID: 9537482070 Enrollment ID: I20150108000770 |
| Provider Name | Leslie Lindgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902203037 PECOS PAC ID: 5799001301 Enrollment ID: I20150225002027 |
| Provider Name | Andrea H Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053702845 PECOS PAC ID: 4385961739 Enrollment ID: I20150323001963 |
| Provider Name | Jessica M Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619367141 PECOS PAC ID: 6507187416 Enrollment ID: I20150604000177 |
| Provider Name | Samuel Antwi-boasiako |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700152063 PECOS PAC ID: 7810208253 Enrollment ID: I20150625001757 |
| Provider Name | Kaitlynn M Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619392370 PECOS PAC ID: 9739492935 Enrollment ID: I20150716002646 |
| Provider Name | Daisy Bang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356579460 PECOS PAC ID: 0648435487 Enrollment ID: I20150812008678 |
| Provider Name | Jessica L Bursell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073848495 PECOS PAC ID: 1658687983 Enrollment ID: I20150902000291 |
| Provider Name | Jennifer E Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700148962 PECOS PAC ID: 9537488531 Enrollment ID: I20151013000271 |
| Provider Name | Stephanie G Pettingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205258605 PECOS PAC ID: 4587882949 Enrollment ID: I20151016000343 |
| Provider Name | Kanwardeep Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508026428 PECOS PAC ID: 4486728516 Enrollment ID: I20151026000616 |
| Provider Name | Chelsea Teresa Hinchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891115754 PECOS PAC ID: 7113237769 Enrollment ID: I20151110002834 |
| Provider Name | Brian C Dorcy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912168808 PECOS PAC ID: 2567785256 Enrollment ID: I20160201002891 |
| Provider Name | Alexis L Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316264617 PECOS PAC ID: 3375848732 Enrollment ID: I20160223000581 |
| Provider Name | Jacqueline Braunworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649665936 PECOS PAC ID: 3274831425 Enrollment ID: I20160421000436 |
| Provider Name | Michelle L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144680430 PECOS PAC ID: 4082903448 Enrollment ID: I20160525001569 |
| Provider Name | Amy Miklos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235501099 PECOS PAC ID: 8022309947 Enrollment ID: I20160624000334 |
| Provider Name | Christian Daniel Espana Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245527316 PECOS PAC ID: 5092959460 Enrollment ID: I20160726002676 |
| Provider Name | Alexander Hayden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336592013 PECOS PAC ID: 7214222868 Enrollment ID: I20160823000134 |
| Provider Name | Jocelyn N Mendes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548713621 PECOS PAC ID: 9133414188 Enrollment ID: I20160830000890 |
| Provider Name | Dena a Skowronski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265831093 PECOS PAC ID: 7214250620 Enrollment ID: I20160929000861 |
| Provider Name | Amy K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962956623 PECOS PAC ID: 0244528339 Enrollment ID: I20161005000468 |
| Provider Name | Jenna R Liguori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595366 PECOS PAC ID: 5294023800 Enrollment ID: I20161014001074 |
| Provider Name | Katherine Roarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407177496 PECOS PAC ID: 1759669658 Enrollment ID: I20161027001698 |
| Provider Name | Manik Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649566332 PECOS PAC ID: 1759509540 Enrollment ID: I20161230000567 |
| Provider Name | Stephanie M Decesare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962890681 PECOS PAC ID: 3375834385 Enrollment ID: I20170103001405 |
| Provider Name | Vanessa Tania Damm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699124461 PECOS PAC ID: 8729360045 Enrollment ID: I20170123000828 |
| Provider Name | Kaylan C Mcdowell-smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255789129 PECOS PAC ID: 5496038150 Enrollment ID: I20170203001914 |
| Provider Name | Alexis Gopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477800241 PECOS PAC ID: 6901180603 Enrollment ID: I20170224000046 |
| Provider Name | Cayla Daniele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770025132 PECOS PAC ID: 2264717891 Enrollment ID: I20170323000098 |
| Provider Name | Allison Altenburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033503230 PECOS PAC ID: 7113239088 Enrollment ID: I20170705001903 |
| Provider Name | Kornelia Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134500051 PECOS PAC ID: 6204107113 Enrollment ID: I20170810000560 |
| Provider Name | Tiana Larsow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841533858 PECOS PAC ID: 4284921800 Enrollment ID: I20170922001593 |
| Provider Name | Morakinyo Araoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174939615 PECOS PAC ID: 6608142732 Enrollment ID: I20171018000116 |
| Provider Name | Diana Bytyqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336665009 PECOS PAC ID: 8921367210 Enrollment ID: I20180111002822 |
| Provider Name | Hilda M Boateng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578087375 PECOS PAC ID: 3577839729 Enrollment ID: I20180419001422 |
| Provider Name | Dayne Romano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235537663 PECOS PAC ID: 2860756921 Enrollment ID: I20180426001419 |
| Provider Name | CHI Tang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013263870 PECOS PAC ID: 9133492085 Enrollment ID: I20180514002119 |
| Provider Name | Heidi M Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780802751 PECOS PAC ID: 6507112893 Enrollment ID: I20180628001307 |
| Provider Name | Paula Andrea Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619358124 PECOS PAC ID: 0840547790 Enrollment ID: I20180724000288 |
| Provider Name | Felix Xavier De Jesus Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386055069 PECOS PAC ID: 6901104330 Enrollment ID: I20180726000573 |
| Provider Name | Jennifer Chovitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689058695 PECOS PAC ID: 8820346299 Enrollment ID: I20180801000584 |
| Provider Name | Swati Srivastava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316253123 PECOS PAC ID: 2567696693 Enrollment ID: I20180828000335 |
| Provider Name | Daniel Sylvan Lavy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1578841797 PECOS PAC ID: 3678823523 Enrollment ID: I20180913002618 |
| Provider Name | Sarah Knauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588150643 PECOS PAC ID: 9436400322 Enrollment ID: I20180914001265 |
| Provider Name | Sharon Dragich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730594821 PECOS PAC ID: 9133470461 Enrollment ID: I20180925002503 |
| Provider Name | Miranda Warunek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518453646 PECOS PAC ID: 0547514341 Enrollment ID: I20181114001633 |
| Provider Name | Brianna Marie Gain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194217570 PECOS PAC ID: 5991059503 Enrollment ID: I20181119001387 |
| Provider Name | Ashish Malhotra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750589883 PECOS PAC ID: 5496845844 Enrollment ID: I20181126001746 |
| Provider Name | Margarita Kolitsas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326528670 PECOS PAC ID: 7315281805 Enrollment ID: I20181211001223 |
| Provider Name | Magna M Dias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609886381 PECOS PAC ID: 6406902832 Enrollment ID: I20181212003338 |
| Provider Name | Reshma V Nayak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659850485 PECOS PAC ID: 5092053124 Enrollment ID: I20190214001299 |
| Provider Name | Cathie Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194911586 PECOS PAC ID: 5890037691 Enrollment ID: I20190426001166 |
| Provider Name | William Henry Ruml |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194286781 PECOS PAC ID: 2860726379 Enrollment ID: I20190702002640 |
| Provider Name | Shaun Michael Najarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568824589 PECOS PAC ID: 5496089948 Enrollment ID: I20190703000199 |
| Provider Name | Scott Arnold Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528554094 PECOS PAC ID: 1951636919 Enrollment ID: I20190712001049 |
| Provider Name | Hannah Catherine Schnepp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841854874 PECOS PAC ID: 4880929751 Enrollment ID: I20190715002202 |
| Provider Name | David Maslak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477916179 PECOS PAC ID: 2163701293 Enrollment ID: I20190723002797 |
| Provider Name | Elena Aragona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912131483 PECOS PAC ID: 1951550821 Enrollment ID: I20190815002107 |
| Provider Name | Rebecca Pritchard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972168177 PECOS PAC ID: 3971831652 Enrollment ID: I20190819002767 |
| Provider Name | James P Doney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487017281 PECOS PAC ID: 8123312246 Enrollment ID: I20190827002508 |
| Provider Name | Daniel Lax |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205254075 PECOS PAC ID: 2466700562 Enrollment ID: I20190905003493 |
| Provider Name | Michael J Naso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538423488 PECOS PAC ID: 2668701947 Enrollment ID: I20190911003102 |
| Provider Name | Kate Krempasky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629499157 PECOS PAC ID: 6002047222 Enrollment ID: I20191024000215 |
| Provider Name | Bianca N Shuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942853957 PECOS PAC ID: 4587099619 Enrollment ID: I20200120001101 |
| Provider Name | Nelle Manuel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811392830 PECOS PAC ID: 8123454873 Enrollment ID: I20200129000303 |
| Provider Name | Nicholas Stroumbakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871002147 PECOS PAC ID: 8224464854 Enrollment ID: I20200204002742 |
| Provider Name | Meghan Galli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053945204 PECOS PAC ID: 9931537156 Enrollment ID: I20200320001935 |
| Provider Name | James Koola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609257757 PECOS PAC ID: 9931537057 Enrollment ID: I20200323003135 |
| Provider Name | Taylor Alexandra Babin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871125401 PECOS PAC ID: 7315377132 Enrollment ID: I20200420000315 |
| Provider Name | Gena M Borgman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164700092 PECOS PAC ID: 3375785280 Enrollment ID: I20200511002029 |
| Provider Name | Natalie Marte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972044188 PECOS PAC ID: 3274879507 Enrollment ID: I20200715001723 |
| Provider Name | Vivek Dhungana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467805598 PECOS PAC ID: 0143597450 Enrollment ID: I20200722001518 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104347665 PECOS PAC ID: 5799022596 Enrollment ID: I20200723000304 |
| Provider Name | Ranjit Singh Chandpuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205375227 PECOS PAC ID: 9931525854 Enrollment ID: I20200821001537 |
| Provider Name | Kristen H Magner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255955530 PECOS PAC ID: 8921425695 Enrollment ID: I20200826000889 |
| Provider Name | Alexa Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639787013 PECOS PAC ID: 4385064526 Enrollment ID: I20201009000016 |
| Provider Name | David S Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720646672 PECOS PAC ID: 8527478130 Enrollment ID: I20201111000787 |
| Provider Name | Christie Czarnecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255993762 PECOS PAC ID: 2567875172 Enrollment ID: I20201228001808 |
| Provider Name | Kaitlyn Shortell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336742949 PECOS PAC ID: 0345654059 Enrollment ID: I20210120002060 |
| Provider Name | Ellen Ormond Zummo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336741719 PECOS PAC ID: 4284048828 Enrollment ID: I20210122001080 |
| Provider Name | Megan Emily Martocchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962031336 PECOS PAC ID: 7012321557 Enrollment ID: I20210125002598 |
| Provider Name | Parnian Kiamanesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598052946 PECOS PAC ID: 2264746676 Enrollment ID: I20210318000370 |
| Provider Name | Don-andre Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508250952 PECOS PAC ID: 5395080717 Enrollment ID: I20210324001182 |
| Provider Name | Heather Lee Eckenrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194242008 PECOS PAC ID: 7012252547 Enrollment ID: I20210405000330 |
| Provider Name | Cynthia Renee Groves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073046561 PECOS PAC ID: 0749698843 Enrollment ID: I20210408002235 |
| Provider Name | Richard K Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003858952 PECOS PAC ID: 7618979022 Enrollment ID: I20210413000623 |
| Provider Name | Bryan Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213997 PECOS PAC ID: 0749689503 Enrollment ID: I20210527000599 |
| Provider Name | Michael Howard Siev |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093161895 PECOS PAC ID: 0143510024 Enrollment ID: I20210615002930 |
| Provider Name | Rachel Bernstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063947372 PECOS PAC ID: 4880096957 Enrollment ID: I20210712003337 |
| Provider Name | Sana Hanif |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841607397 PECOS PAC ID: 6406111491 Enrollment ID: I20210715002993 |
| Provider Name | Barbara M Scarpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811565237 PECOS PAC ID: 7517361900 Enrollment ID: I20210806001783 |
| Provider Name | Daniel Underhill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083251490 PECOS PAC ID: 3779987052 Enrollment ID: I20210809002483 |
| Provider Name | Tammie C Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205398286 PECOS PAC ID: 6002140407 Enrollment ID: I20210812002352 |
| Provider Name | Aisha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265939540 PECOS PAC ID: 1658776885 Enrollment ID: I20210825003123 |
| Provider Name | Bharvi Ashok Balar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487187498 PECOS PAC ID: 9739584970 Enrollment ID: I20210825003221 |
| Provider Name | Courtney Chenault |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881219186 PECOS PAC ID: 4880090976 Enrollment ID: I20210915002574 |
| Provider Name | Kristi Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164006128 PECOS PAC ID: 8820496599 Enrollment ID: I20211011000793 |
| Provider Name | Johnson Tsui |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023376969 PECOS PAC ID: 2062763501 Enrollment ID: I20211029001801 |
| Provider Name | Melissa Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194187070 PECOS PAC ID: 5698052645 Enrollment ID: I20211102002208 |
| Provider Name | Mariya a Mayer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275106338 PECOS PAC ID: 6901204817 Enrollment ID: I20211208000236 |
| Provider Name | Chelsea Rebecca Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609366194 PECOS PAC ID: 4082952130 Enrollment ID: I20220404001435 |
| Provider Name | Anna Z Aranzullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619623725 PECOS PAC ID: 5496141764 Enrollment ID: I20220413002376 |
| Provider Name | Ahtsham Yousaf Chaudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295398899 PECOS PAC ID: 6204219033 Enrollment ID: I20220811002007 |
| Provider Name | Joyce Wamsele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407238165 PECOS PAC ID: 5294036182 Enrollment ID: I20220902001781 |
| Provider Name | Hannah Perlroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811657711 PECOS PAC ID: 8820464373 Enrollment ID: I20221025000745 |
| Provider Name | Elizabeth Noelle Songer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851026512 PECOS PAC ID: 6800262254 Enrollment ID: I20221026001757 |
| Provider Name | Shaker Saad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710032131 PECOS PAC ID: 7810988227 Enrollment ID: I20221117001757 |
| Provider Name | Unity Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770215279 PECOS PAC ID: 8921476565 Enrollment ID: I20221201002051 |
| Provider Name | Nicole L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154092344 PECOS PAC ID: 0547639155 Enrollment ID: I20221202001794 |
| Provider Name | Alessandra Musso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336866581 PECOS PAC ID: 7517336134 Enrollment ID: I20221202002505 |
| Provider Name | Nicole Marie Wolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932821345 PECOS PAC ID: 1456720788 Enrollment ID: I20221208002347 |
| Provider Name | Stephanie J Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770212748 PECOS PAC ID: 8628447406 Enrollment ID: I20221219000640 |
| Provider Name | Esmeralda Christopher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497429559 PECOS PAC ID: 7911370390 Enrollment ID: I20230306001772 |
| Provider Name | Jessica Zaret |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437376373 PECOS PAC ID: 7618155011 Enrollment ID: I20230322001397 |
| Provider Name | Chidi Okoroafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932668886 PECOS PAC ID: 7810222866 Enrollment ID: I20230427001317 |
| Provider Name | Genevieve Cecile Kela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003466160 PECOS PAC ID: 1153780374 Enrollment ID: I20230706002811 |
| Provider Name | Blerina Petitti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073290441 PECOS PAC ID: 5698138378 Enrollment ID: I20230829000376 |
| Provider Name | Alexander Ferravante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083498562 PECOS PAC ID: 1759745219 Enrollment ID: I20230915003235 |
| Provider Name | Sevde Felek Boyvat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902301849 PECOS PAC ID: 0446507768 Enrollment ID: I20231115002643 |
| Provider Name | Roshini Zachariah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164953865 PECOS PAC ID: 3072883149 Enrollment ID: I20231128002208 |
| Provider Name | Angelina Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760264543 PECOS PAC ID: 5294173274 Enrollment ID: I20240410000989 |
| Provider Name | Eva Slomiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700519352 PECOS PAC ID: 3375919517 Enrollment ID: I20240508001962 |
| Provider Name | Michelle Louise Bicking |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568750354 PECOS PAC ID: 9638611775 Enrollment ID: I20240605000600 |
| Provider Name | Vanessa Barber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144884651 PECOS PAC ID: 4082949169 Enrollment ID: I20240612004077 |
| Provider Name | Michael Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730124793 PECOS PAC ID: 0143233312 Enrollment ID: I20240613000859 |
| Provider Name | Deepali Jain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013203082 PECOS PAC ID: 2860621281 Enrollment ID: I20240613001877 |
| Provider Name | Timothy Akojenu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508149220 PECOS PAC ID: 5193959591 Enrollment ID: I20240723003399 |
| Provider Name | Vikalp Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497190912 PECOS PAC ID: 5193950913 Enrollment ID: I20240731000213 |
| Provider Name | Feng Guo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336594399 PECOS PAC ID: 1456751189 Enrollment ID: I20240829001507 |
| Provider Name | Angela Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043059157 PECOS PAC ID: 8325572639 Enrollment ID: I20241108003046 |
| Provider Name | Aileen Shaughnessy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841998184 PECOS PAC ID: 5698202323 Enrollment ID: I20241219002089 |
| Provider Name | Veronica Altagracia Balbuena Hurtado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700522703 PECOS PAC ID: 7810426673 Enrollment ID: I20250123000577 |
| Provider Name | Alexis Christina Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871303099 PECOS PAC ID: 5395265219 Enrollment ID: I20250224000021 |
| Provider Name | Natalia Aleksandrovna Sheptukhina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871276923 PECOS PAC ID: 9436679107 Enrollment ID: I20250225001977 |
| Provider Name | Shannon a Mcenerney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831931112 PECOS PAC ID: 1355863234 Enrollment ID: I20250320000935 |
| Provider Name | Sheetal Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437967288 PECOS PAC ID: 7810412988 Enrollment ID: I20250422000995 |
| Provider Name | Kaitlyn a Lyver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194274746 PECOS PAC ID: 8325564123 Enrollment ID: I20250424002012 |
| Provider Name | Solangel Isabelle Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508584343 PECOS PAC ID: 3577075548 Enrollment ID: I20250625001207 |
| Provider Name | Banya Myo Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043960206 PECOS PAC ID: 4082126065 Enrollment ID: I20250625001476 |
| Provider Name | Shakira Jacqueline Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588422778 PECOS PAC ID: 1254845019 Enrollment ID: I20250704000385 |
| Provider Name | Alexandra Sotiros-lowry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467035600 PECOS PAC ID: 5395250880 Enrollment ID: I20250714003481 |
| Provider Name | Nadine Vidor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477747962 PECOS PAC ID: 4486883386 Enrollment ID: I20250730000868 |
| Provider Name | Alvin Alfredo Gil Ventura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598499634 PECOS PAC ID: 6800394990 Enrollment ID: I20250808000341 |
| Provider Name | Jilian Acevedo-genao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083207427 PECOS PAC ID: 7517460389 Enrollment ID: I20250909004825 |
| Provider Name | Andreas Terestenyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306589833 PECOS PAC ID: 0941706840 Enrollment ID: I20250930003205 |
| Provider Name | Barbara Awuor Odac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053061663 PECOS PAC ID: 0042717035 Enrollment ID: I20251007002221 |
| Provider Name | Elizabeth Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184193583 PECOS PAC ID: 2062752504 Enrollment ID: I20251030005014 |
| Provider Name | Daphne Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073267357 PECOS PAC ID: 3476042243 Enrollment ID: I20251030005055 |
| Provider Name | Racha Mohamed Abi Melhem |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902471352 PECOS PAC ID: 8820575236 Enrollment ID: I20260115003838 |
| Provider Name | Ashlyn Maria Augustine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962198705 PECOS PAC ID: 6305329707 Enrollment ID: I20260313001970 |
| Provider Name | Julien Chedid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215665351 PECOS PAC ID: 9638653421 Enrollment ID: I20260319001979 |
| Provider Name | Shivani Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396521951 PECOS PAC ID: 3870078215 Enrollment ID: I20260402002232 |
| Provider Name | Arslan Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639813363 PECOS PAC ID: 4486139821 Enrollment ID: I20260402002305 |
| Provider Name | Justin Rackley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407353105 PECOS PAC ID: 1759631062 Enrollment ID: I20260424003052 |
| Provider Name | Mariam Elkeik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407559644 PECOS PAC ID: 2860969672 Enrollment ID: I20260429003288 |
| Provider Name | Divya Mamootil |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134794050 PECOS PAC ID: 1658840608 Enrollment ID: I20260519002808 |
| Provider Name | Jovana Vidovic |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922680909 PECOS PAC ID: 4880034081 Enrollment ID: I20260522002377 |
Internal Medicine & Pediatrics LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 New Haven Ave, Derby, CT 06418 Phone: 203-736-9214 Fax: 203-736-9172 |
Internacional Clinical Services & Behavior Health Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Iannotti Ln, Derby, CT 06418 Phone: 203-361-9099 |