| Gundersen Clinic, Ltd. | |
|
1836 South Ave La Crosse WI 54601-5429 | |
| (608) 782-7300 | |
| (608) 775-7440 |
| Full Name | Gundersen Clinic, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Authorized Official Name and Position | Kari B Adank (CCO) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Clinic, Ltd. 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gundersen Clinic, Ltd. 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 |
| NPI Number | 1851343115 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/06/2021 |
| Medicare PECOS PAC ID | 9638082779 |
|---|---|
| Medicare Enrollment ID | O20031106000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851343115 | NPI | - | NPPES |
| 32746100 | Medicaid | WI | |
| 0900753 | Medicaid | IA | |
| 793310000 | Medicaid | MN |
| Provider Name | Stephen C Copps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548265804 PECOS PAC ID: 8325942360 Enrollment ID: I20031121000442 |
| Provider Name | James V Bounds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831162346 PECOS PAC ID: 9335044635 Enrollment ID: I20031201000256 |
| Provider Name | Michael J Ebersold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093770752 PECOS PAC ID: 6800791112 Enrollment ID: I20031201000307 |
| Provider Name | Roger W Kwong |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740286855 PECOS PAC ID: 4082512538 Enrollment ID: I20031222000728 |
| Provider Name | Rachel M Bassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649247222 PECOS PAC ID: 5395646053 Enrollment ID: I20040115000887 |
| Provider Name | James C Graf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316923675 PECOS PAC ID: 2062313430 Enrollment ID: I20040119000170 |
| Provider Name | Emmanuel A Omoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346342342 PECOS PAC ID: 7517868938 Enrollment ID: I20040119000403 |
| Provider Name | Lynne M Gaustad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417952128 PECOS PAC ID: 1153222401 Enrollment ID: I20040119000609 |
| Provider Name | Kurt R Oettel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770585051 PECOS PAC ID: 2860393121 Enrollment ID: I20040119000664 |
| Provider Name | Larry C Studt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235237538 PECOS PAC ID: 3476455999 Enrollment ID: I20040124000230 |
| Provider Name | Jeannette Gasal Spilde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182169 PECOS PAC ID: 4486557949 Enrollment ID: I20040130000890 |
| Provider Name | James E Lean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003913112 PECOS PAC ID: 6608769179 Enrollment ID: I20040206000834 |
| Provider Name | John W Haeberlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477650109 PECOS PAC ID: 9436043593 Enrollment ID: I20040210000536 |
| Provider Name | Aaron M Butler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962450775 PECOS PAC ID: 4385543149 Enrollment ID: I20040214000173 |
| Provider Name | Troy D Mckay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851344204 PECOS PAC ID: 4587559174 Enrollment ID: I20040223000024 |
| Provider Name | Murray S Donovan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598747263 PECOS PAC ID: 9638066236 Enrollment ID: I20040228000458 |
| Provider Name | Gregory E Salton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861502023 PECOS PAC ID: 4688561087 Enrollment ID: I20040301001108 |
| Provider Name | Shekhar S Sane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740207711 PECOS PAC ID: 9830086248 Enrollment ID: I20040301001145 |
| Provider Name | Uma Suriyanarayanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841217809 PECOS PAC ID: 9638066053 Enrollment ID: I20040301001222 |
| Provider Name | Daniel C Bloomgarden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821019639 PECOS PAC ID: 7517854961 Enrollment ID: I20040302000091 |
| Provider Name | Christopher P Born |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134123805 PECOS PAC ID: 5294622189 Enrollment ID: I20040304000147 |
| Provider Name | Juliana E Wypyszynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871598102 PECOS PAC ID: 1557250461 Enrollment ID: I20040310001313 |
| Provider Name | Kimberly J Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063485878 PECOS PAC ID: 5193614972 Enrollment ID: I20040311000224 |
| Provider Name | Michael James Dolan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982609186 PECOS PAC ID: 9739098088 Enrollment ID: I20040313000129 |
| Provider Name | Gordon L Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932105061 PECOS PAC ID: 2668361098 Enrollment ID: I20040313000292 |
| Provider Name | Walter R Boisvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003810821 PECOS PAC ID: 1658260963 Enrollment ID: I20040315000134 |
| Provider Name | Rochelle L Neisius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881698306 PECOS PAC ID: 5799674016 Enrollment ID: I20040315000171 |
| Provider Name | Jennifer E Kleven |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275539512 PECOS PAC ID: 9234029604 Enrollment ID: I20040318000911 |
| Provider Name | Joseph C Lehner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700876240 PECOS PAC ID: 1254221500 Enrollment ID: I20040318001485 |
| Provider Name | Pieter John Vanderlijn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437188091 PECOS PAC ID: 5698666717 Enrollment ID: I20040320000078 |
| Provider Name | Parnjai J Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912903477 PECOS PAC ID: 5395636120 Enrollment ID: I20040322001700 |
| Provider Name | Paul Kuck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801892062 PECOS PAC ID: 4183516008 Enrollment ID: I20040326000109 |
| Provider Name | Daniel F Schraith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316941388 PECOS PAC ID: 1759374952 Enrollment ID: I20040405000968 |
| Provider Name | Kristie K Shappell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013911981 PECOS PAC ID: 5193719656 Enrollment ID: I20040408001311 |
| Provider Name | Aleksandra I Stuparic-stancic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861496655 PECOS PAC ID: 0648166132 Enrollment ID: I20040515000487 |
| Provider Name | Emily D Rae |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659373827 PECOS PAC ID: 5597755736 Enrollment ID: I20040518000582 |
| Provider Name | Richard Strauss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891799680 PECOS PAC ID: 4284615972 Enrollment ID: I20040527001212 |
| Provider Name | Kellie A Backman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639171895 PECOS PAC ID: 3476535857 Enrollment ID: I20040601001418 |
| Provider Name | Philip Richard Albert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073619623 PECOS PAC ID: 1052395647 Enrollment ID: I20040614000081 |
| Provider Name | Jane M Mitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831193317 PECOS PAC ID: 3678557147 Enrollment ID: I20040614001497 |
| Provider Name | Lana L Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376505933 PECOS PAC ID: 7214912823 Enrollment ID: I20040618001271 |
| Provider Name | Kenneth S Horth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154326684 PECOS PAC ID: 3577548783 Enrollment ID: I20040622000791 |
| Provider Name | Rachel M Hawker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710982350 PECOS PAC ID: 2365428158 Enrollment ID: I20040624000527 |
| Provider Name | Magali Fournier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740274323 PECOS PAC ID: 7517943418 Enrollment ID: I20040629001150 |
| Provider Name | Raymond C List |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811976129 PECOS PAC ID: 8325025679 Enrollment ID: I20040702001267 |
| Provider Name | Robb E Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972509222 PECOS PAC ID: 1254318272 Enrollment ID: I20040707000510 |
| Provider Name | Matthew Todd Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700881950 PECOS PAC ID: 5294708087 Enrollment ID: I20040819000084 |
| Provider Name | Steven W Whitford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073507075 PECOS PAC ID: 5597739193 Enrollment ID: I20040820000206 |
| Provider Name | Mary L Goodsett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053316778 PECOS PAC ID: 4789658014 Enrollment ID: I20040823001269 |
| Provider Name | Michael D Redman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386648665 PECOS PAC ID: 5092780601 Enrollment ID: I20040827000736 |
| Provider Name | Brigitte L Weymiller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669477048 PECOS PAC ID: 0345215380 Enrollment ID: I20040901000718 |
| Provider Name | Joseph Michael Endrizzi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417952573 PECOS PAC ID: 8022083062 Enrollment ID: I20040901000759 |
| Provider Name | Laurie J Polubinsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285640557 PECOS PAC ID: 6507836582 Enrollment ID: I20040902000638 |
| Provider Name | Raju G Ailiani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831192194 PECOS PAC ID: 8426024647 Enrollment ID: I20040908001130 |
| Provider Name | Mary E Kuffel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215933478 PECOS PAC ID: 0042283210 Enrollment ID: I20040909001335 |
| Provider Name | Jacqueline A Proper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457353641 PECOS PAC ID: 8123094190 Enrollment ID: I20040909001370 |
| Provider Name | Christopher M Eberlein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629073739 PECOS PAC ID: 3375510324 Enrollment ID: I20040910000600 |
| Provider Name | Julio J Bird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407850381 PECOS PAC ID: 9638088982 Enrollment ID: I20040910001027 |
| Provider Name | Lori Sue Stoey Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235133976 PECOS PAC ID: 8426025362 Enrollment ID: I20040910001289 |
| Provider Name | Jeffrey E Rodzak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104828151 PECOS PAC ID: 6103893433 Enrollment ID: I20040915000513 |
| Provider Name | Jennifer L Kirsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194729848 PECOS PAC ID: 3971570227 Enrollment ID: I20040915000628 |
| Provider Name | Benjamin T Jarman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003801580 PECOS PAC ID: 6507834538 Enrollment ID: I20040917000995 |
| Provider Name | Alan D Pratt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871595074 PECOS PAC ID: 8921076985 Enrollment ID: I20040917001180 |
| Provider Name | Kimberley E Culp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912902149 PECOS PAC ID: 5991773673 Enrollment ID: I20040921000421 |
| Provider Name | Rajah S Sundaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922002724 PECOS PAC ID: 1658349097 Enrollment ID: I20040922001161 |
| Provider Name | Kenneth W Merkitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215930888 PECOS PAC ID: 9234117375 Enrollment ID: I20040922001189 |
| Provider Name | Lea Ann Schroeter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699773887 PECOS PAC ID: 8022917061 Enrollment ID: I20040927001101 |
| Provider Name | Lisa A Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326029935 PECOS PAC ID: 7113996976 Enrollment ID: I20040928001141 |
| Provider Name | Balaji Srinivasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467456244 PECOS PAC ID: 9335118058 Enrollment ID: I20040929000895 |
| Provider Name | Kathryn A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801891056 PECOS PAC ID: 6406825785 Enrollment ID: I20041004000011 |
| Provider Name | Leah L Dietrich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578568762 PECOS PAC ID: 4284694944 Enrollment ID: I20041016000135 |
| Provider Name | Edwin M Overholt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073515342 PECOS PAC ID: 0648189993 Enrollment ID: I20041016000146 |
| Provider Name | Jennifer S Lahmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366448474 PECOS PAC ID: 0042270589 Enrollment ID: I20041019000161 |
| Provider Name | Mary S Alvarado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962404194 PECOS PAC ID: 8325000672 Enrollment ID: I20041029000580 |
| Provider Name | Stephen J Handrich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265454003 PECOS PAC ID: 5496717621 Enrollment ID: I20041101000128 |
| Provider Name | Matthew R Runde |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619979663 PECOS PAC ID: 6507829983 Enrollment ID: I20041106000048 |
| Provider Name | Michael Case |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497750459 PECOS PAC ID: 3779546155 Enrollment ID: I20041106000055 |
| Provider Name | Thomas A Londergan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417953324 PECOS PAC ID: 9133182512 Enrollment ID: I20041106000064 |
| Provider Name | Steven R Manson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396748141 PECOS PAC ID: 1658335427 Enrollment ID: I20041112000428 |
| Provider Name | Judy L Klevan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134125479 PECOS PAC ID: 2062476476 Enrollment ID: I20041116000515 |
| Provider Name | Ewa Plagman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548262744 PECOS PAC ID: 4981668985 Enrollment ID: I20041118000925 |
| Provider Name | Steven Schlack Haerer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568466142 PECOS PAC ID: 1759345663 Enrollment ID: I20041118001148 |
| Provider Name | Karl R Noll |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972505261 PECOS PAC ID: 1557325461 Enrollment ID: I20041118001166 |
| Provider Name | Wendell D Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922102508 PECOS PAC ID: 1355307901 Enrollment ID: I20041206000202 |
| Provider Name | Scott W Rathgaber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336141498 PECOS PAC ID: 0749247781 Enrollment ID: I20041211000154 |
| Provider Name | Sara M Heffernan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467457903 PECOS PAC ID: 6709834062 Enrollment ID: I20050104000667 |
| Provider Name | Gregory P Thompson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174527816 PECOS PAC ID: 3375437262 Enrollment ID: I20050105000672 |
| Provider Name | Brian R Manske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043213895 PECOS PAC ID: 1557264850 Enrollment ID: I20050106000861 |
| Provider Name | Mark Aram Nigogosyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255333555 PECOS PAC ID: 4880597129 Enrollment ID: I20050106000873 |
| Provider Name | Lincoln H Gundersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811993066 PECOS PAC ID: 8729981121 Enrollment ID: I20050107000172 |
| Provider Name | Alcee J Jumonville |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144226531 PECOS PAC ID: 4486611142 Enrollment ID: I20050111001102 |
| Provider Name | Kurt J Ziegelbein |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205830809 PECOS PAC ID: 6901709260 Enrollment ID: I20050117000126 |
| Provider Name | Lonnie D Simmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851395735 PECOS PAC ID: 2668386707 Enrollment ID: I20050117000212 |
| Provider Name | Stephanie L Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942205356 PECOS PAC ID: 0345292033 Enrollment ID: I20050210000352 |
| Provider Name | Jerry A Davis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760487573 PECOS PAC ID: 0042262313 Enrollment ID: I20050215000394 |
| Provider Name | David E Carney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174528582 PECOS PAC ID: 3375595655 Enrollment ID: I20050215000427 |
| Provider Name | Sadie J Zebell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679533293 PECOS PAC ID: 4486606241 Enrollment ID: I20050221000271 |
| Provider Name | Paula A Bank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295808921 PECOS PAC ID: 3476506460 Enrollment ID: I20050302000486 |
| Provider Name | Barbara E Kaufmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598761900 PECOS PAC ID: 9234183948 Enrollment ID: I20050307000046 |
| Provider Name | Joan L Kortbein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245236538 PECOS PAC ID: 3577517945 Enrollment ID: I20050309000072 |
| Provider Name | Michael L Polito |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184793432 PECOS PAC ID: 0244204741 Enrollment ID: I20050317000209 |
| Provider Name | Jon D Radcliffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619979895 PECOS PAC ID: 1850346107 Enrollment ID: I20050318000761 |
| Provider Name | Aditya A Sukhwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881259 PECOS PAC ID: 8527014570 Enrollment ID: I20050323000822 |
| Provider Name | Nancy L Ernst |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366447435 PECOS PAC ID: 8123074341 Enrollment ID: I20050330000614 |
| Provider Name | Ellen M Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710981154 PECOS PAC ID: 0840247615 Enrollment ID: I20050404000858 |
| Provider Name | Steven J Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982600052 PECOS PAC ID: 8820045354 Enrollment ID: I20050406000583 |
| Provider Name | Christine M Justus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104822501 PECOS PAC ID: 6901843879 Enrollment ID: I20050412000896 |
| Provider Name | Jill K Wenthe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962407387 PECOS PAC ID: 1658318498 Enrollment ID: I20050413000170 |
| Provider Name | Victoria L Boortz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699771592 PECOS PAC ID: 9537106232 Enrollment ID: I20050414000230 |
| Provider Name | Kevin M Jaeger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144226697 PECOS PAC ID: 9335186816 Enrollment ID: I20050415000525 |
| Provider Name | Jon M Williamson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932104114 PECOS PAC ID: 3072551191 Enrollment ID: I20050420000202 |
| Provider Name | Kent D Summerfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609871839 PECOS PAC ID: 7517905631 Enrollment ID: I20050420000218 |
| Provider Name | Andrew W Nahas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427052927 PECOS PAC ID: 1254379217 Enrollment ID: I20050420000554 |
| Provider Name | Ann Budzak Garza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801890470 PECOS PAC ID: 4486692928 Enrollment ID: I20050425000418 |
| Provider Name | Robert G Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245304823 PECOS PAC ID: 3870531312 Enrollment ID: I20050425000476 |
| Provider Name | Concepcion Santillan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083647408 PECOS PAC ID: 2567402100 Enrollment ID: I20050503001186 |
| Provider Name | Paul M Jacobs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588660609 PECOS PAC ID: 8729028600 Enrollment ID: I20050510000859 |
| Provider Name | Crystal L Kirchner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871599886 PECOS PAC ID: 8628018462 Enrollment ID: I20050511000138 |
| Provider Name | Jeffrey P Scheidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932104379 PECOS PAC ID: 7416998950 Enrollment ID: I20050516000412 |
| Provider Name | Dana M Benden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184628042 PECOS PAC ID: 1557302346 Enrollment ID: I20050523000356 |
| Provider Name | Anwer A Dhala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932178407 PECOS PAC ID: 6608760517 Enrollment ID: I20050613001199 |
| Provider Name | Shannan Stephens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295739084 PECOS PAC ID: 7911941505 Enrollment ID: I20050614001386 |
| Provider Name | Thomas J Trannel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699858811 PECOS PAC ID: 0941244081 Enrollment ID: I20050620000288 |
| Provider Name | Daniel K Short |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376547257 PECOS PAC ID: 9537112313 Enrollment ID: I20050621000977 |
| Provider Name | Jill P H Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740285998 PECOS PAC ID: 9436186673 Enrollment ID: I20050720000264 |
| Provider Name | Laura K Marchiando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568466183 PECOS PAC ID: 1759282585 Enrollment ID: I20050722000527 |
| Provider Name | Kerry Jedele |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1356336754 PECOS PAC ID: 8921080292 Enrollment ID: I20050817000354 |
| Provider Name | Gordon G Zeng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801891460 PECOS PAC ID: 1658304951 Enrollment ID: I20050916000515 |
| Provider Name | Isam Hasan Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588636435 PECOS PAC ID: 9234164963 Enrollment ID: I20051001000022 |
| Provider Name | Joel A Burnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427009141 PECOS PAC ID: 3971521436 Enrollment ID: I20051103000675 |
| Provider Name | Daniel C Maccharles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205839198 PECOS PAC ID: 2163442625 Enrollment ID: I20051129000462 |
| Provider Name | Wayne A Bottner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255335931 PECOS PAC ID: 0042230112 Enrollment ID: I20051205000242 |
| Provider Name | Leah I Metz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467404855 PECOS PAC ID: 4385665298 Enrollment ID: I20051207000609 |
| Provider Name | Molly E Willenbring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225006646 PECOS PAC ID: 4183645856 Enrollment ID: I20051208000903 |
| Provider Name | Craig P Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700881182 PECOS PAC ID: 8426944331 Enrollment ID: I20051227000328 |
| Provider Name | Amit P Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710939996 PECOS PAC ID: 5698780211 Enrollment ID: I20060217000228 |
| Provider Name | David F Bleidorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801824461 PECOS PAC ID: 1759391493 Enrollment ID: I20060426000308 |
| Provider Name | Barbara L Knisely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326083874 PECOS PAC ID: 0749291623 Enrollment ID: I20060505000916 |
| Provider Name | Anna M Myklebust |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114956232 PECOS PAC ID: 5294746178 Enrollment ID: I20060505000926 |
| Provider Name | Kevin Richard Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134155658 PECOS PAC ID: 6507878022 Enrollment ID: I20060628000139 |
| Provider Name | Mandy Mae Rutta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841228509 PECOS PAC ID: 7012920077 Enrollment ID: I20060718000052 |
| Provider Name | Todd J Kowalski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790757227 PECOS PAC ID: 4688687544 Enrollment ID: I20060718000112 |
| Provider Name | Antoinette M Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184646556 PECOS PAC ID: 8527061183 Enrollment ID: I20060821000373 |
| Provider Name | Bruce A Polender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992707194 PECOS PAC ID: 0345243952 Enrollment ID: I20060822000232 |
| Provider Name | Kristof T Gehrke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396765699 PECOS PAC ID: 3779587894 Enrollment ID: I20060901000367 |
| Provider Name | Mark E Domroese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265468680 PECOS PAC ID: 4789688821 Enrollment ID: I20060905000129 |
| Provider Name | John C Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568431021 PECOS PAC ID: 1658375795 Enrollment ID: I20060905000168 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568402188 PECOS PAC ID: 0547283509 Enrollment ID: I20060906000466 |
| Provider Name | Carrie L Gerhard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669441556 PECOS PAC ID: 6901800721 Enrollment ID: I20060911000401 |
| Provider Name | Robert S Zink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730183336 PECOS PAC ID: 7719981430 Enrollment ID: I20060911000414 |
| Provider Name | Michelle M Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538261367 PECOS PAC ID: 3072510460 Enrollment ID: I20061027000050 |
| Provider Name | Jacob R Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1235249442 PECOS PAC ID: 5496752669 Enrollment ID: I20061031000529 |
| Provider Name | Sharon I Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477647584 PECOS PAC ID: 9830196906 Enrollment ID: I20061102000277 |
| Provider Name | Shelly Ann Tully |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629176250 PECOS PAC ID: 3072510858 Enrollment ID: I20061109000228 |
| Provider Name | Catherine Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972683134 PECOS PAC ID: 5092714907 Enrollment ID: I20061204000077 |
| Provider Name | Matthew T Sdano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376648378 PECOS PAC ID: 9638178478 Enrollment ID: I20061205000603 |
| Provider Name | David G Gerhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902861982 PECOS PAC ID: 0749289254 Enrollment ID: I20061211000555 |
| Provider Name | Steven C Borene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851345383 PECOS PAC ID: 1153398615 Enrollment ID: I20070125000020 |
| Provider Name | Joshua J Potaracke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538223409 PECOS PAC ID: 9133121239 Enrollment ID: I20070202000040 |
| Provider Name | Benjamin Wedro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477557114 PECOS PAC ID: 1052346988 Enrollment ID: I20070216000337 |
| Provider Name | Ahmad S Qureshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710962907 PECOS PAC ID: 7416980255 Enrollment ID: I20070223000377 |
| Provider Name | Patricia A Karpinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952465544 PECOS PAC ID: 8022110493 Enrollment ID: I20070305000094 |
| Provider Name | Andrew T Saterbak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922002500 PECOS PAC ID: 2668576703 Enrollment ID: I20070330000076 |
| Provider Name | Barbara Assel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407815293 PECOS PAC ID: 2163478454 Enrollment ID: I20070409000121 |
| Provider Name | Douglas G Gold |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063492957 PECOS PAC ID: 5395716054 Enrollment ID: I20070419000063 |
| Provider Name | Susan Berger Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467404954 PECOS PAC ID: 4486674835 Enrollment ID: I20070419000205 |
| Provider Name | Michael J Henry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366447815 PECOS PAC ID: 0345346755 Enrollment ID: I20070501000662 |
| Provider Name | Bryan W Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235357088 PECOS PAC ID: 3678670148 Enrollment ID: I20070517000211 |
| Provider Name | Susan Beth Janicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669535092 PECOS PAC ID: 4880790542 Enrollment ID: I20070601000131 |
| Provider Name | John Farnen |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1467457432 PECOS PAC ID: 3274631080 Enrollment ID: I20070601000236 |
| Provider Name | Kelly J Fehrenbacher |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831157114 PECOS PAC ID: 9537267976 Enrollment ID: I20070607000424 |
| Provider Name | Angela M Connely |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356544423 PECOS PAC ID: 8224138755 Enrollment ID: I20070712000230 |
| Provider Name | Philip Holzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447239264 PECOS PAC ID: 0244321065 Enrollment ID: I20070808000780 |
| Provider Name | Martin J Koop |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639158660 PECOS PAC ID: 3173615200 Enrollment ID: I20070822000265 |
| Provider Name | Deborah A Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487619524 PECOS PAC ID: 3274625314 Enrollment ID: I20070822000374 |
| Provider Name | Julie R Gerig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306046636 PECOS PAC ID: 5496847543 Enrollment ID: I20070822000425 |
| Provider Name | Paul T Klas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316942444 PECOS PAC ID: 7517059512 Enrollment ID: I20070822001017 |
| Provider Name | George Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083792014 PECOS PAC ID: 6800988585 Enrollment ID: I20070827000180 |
| Provider Name | Jennifer Drexler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750594461 PECOS PAC ID: 4789776303 Enrollment ID: I20070827000594 |
| Provider Name | Jack T Lund |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710028600 PECOS PAC ID: 5799877361 Enrollment ID: I20070828000137 |
| Provider Name | Michael A Kalinosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770551269 PECOS PAC ID: 4183717374 Enrollment ID: I20070904000492 |
| Provider Name | Lisa M Miller Schinke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407047525 PECOS PAC ID: 9638262785 Enrollment ID: I20070905000419 |
| Provider Name | Micca K Donohue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629288048 PECOS PAC ID: 9234223371 Enrollment ID: I20070919000776 |
| Provider Name | Jill E Boulden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508077520 PECOS PAC ID: 0749375095 Enrollment ID: I20071001000742 |
| Provider Name | Angela S Manke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265440606 PECOS PAC ID: 5395740864 Enrollment ID: I20071005000611 |
| Provider Name | Kumari Usha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861443020 PECOS PAC ID: 9234141243 Enrollment ID: I20071030000325 |
| Provider Name | Jennifer J Gregas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578759122 PECOS PAC ID: 3870680374 Enrollment ID: I20071031000193 |
| Provider Name | Pamela J Mattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558557108 PECOS PAC ID: 1456448984 Enrollment ID: I20071031000438 |
| Provider Name | Ann M Prell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992991046 PECOS PAC ID: 8527155068 Enrollment ID: I20071031000457 |
| Provider Name | John R Houskamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023063732 PECOS PAC ID: 6709880966 Enrollment ID: I20071031000465 |
| Provider Name | Janet L Bahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619163276 PECOS PAC ID: 4587751979 Enrollment ID: I20071101000253 |
| Provider Name | Michael W Barba |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033304704 PECOS PAC ID: 8729175856 Enrollment ID: I20071106000307 |
| Provider Name | Barbara J Vandreese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588851406 PECOS PAC ID: 0749378537 Enrollment ID: I20071112000558 |
| Provider Name | Andrea Rae Maliszewski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124218995 PECOS PAC ID: 5597853101 Enrollment ID: I20071115000300 |
| Provider Name | James R Feltes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750386538 PECOS PAC ID: 3870674179 Enrollment ID: I20080111000727 |
| Provider Name | Mark Heberlein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891791067 PECOS PAC ID: 7416038716 Enrollment ID: I20080111000730 |
| Provider Name | Jeffrey M Lawrence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144226127 PECOS PAC ID: 3779664073 Enrollment ID: I20080111000733 |
| Provider Name | Richard E Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215933122 PECOS PAC ID: 4587745880 Enrollment ID: I20080111000736 |
| Provider Name | John F Merchlewitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609886100 PECOS PAC ID: 3870674195 Enrollment ID: I20080112000150 |
| Provider Name | Donna L Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932104452 PECOS PAC ID: 3971684689 Enrollment ID: I20080121000001 |
| Provider Name | Jayne M Laylan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457532988 PECOS PAC ID: 0547342776 Enrollment ID: I20080128000369 |
| Provider Name | Paul T Abicht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528061843 PECOS PAC ID: 0648355172 Enrollment ID: I20080308000025 |
| Provider Name | Chi Seng Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013913136 PECOS PAC ID: 5991880908 Enrollment ID: I20080313000654 |
| Provider Name | Iyad Saleh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1205831641 PECOS PAC ID: 7810990678 Enrollment ID: I20080313000668 |
| Provider Name | Robert J Stupi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891790267 PECOS PAC ID: 7416032420 Enrollment ID: I20080313000681 |
| Provider Name | Kristen F Brinks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619971371 PECOS PAC ID: 7911082946 Enrollment ID: I20080314000065 |
| Provider Name | Jessica J Rohde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700056793 PECOS PAC ID: 6002992237 Enrollment ID: I20080327000567 |
| Provider Name | Colleen S Walz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609045301 PECOS PAC ID: 2264518414 Enrollment ID: I20080327000678 |
| Provider Name | Jodi S Symons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912175225 PECOS PAC ID: 1254417314 Enrollment ID: I20080328000783 |
| Provider Name | Jennifer L Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629011697 PECOS PAC ID: 0446337422 Enrollment ID: I20080402000350 |
| Provider Name | Peter Frosio Nichol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245320852 PECOS PAC ID: 3476531146 Enrollment ID: I20080404000661 |
| Provider Name | Karen R Amann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396915575 PECOS PAC ID: 9133028541 Enrollment ID: I20080408000863 |
| Provider Name | Mat Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508862640 PECOS PAC ID: 3779660964 Enrollment ID: I20080412000022 |
| Provider Name | Mary G Dudley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558366658 PECOS PAC ID: 8022195213 Enrollment ID: I20080412000034 |
| Provider Name | Eric Bjerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588668362 PECOS PAC ID: 5193802387 Enrollment ID: I20080412000039 |
| Provider Name | Mary C Nofftz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104820638 PECOS PAC ID: 2365529559 Enrollment ID: I20080412000051 |
| Provider Name | Gina M Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649274192 PECOS PAC ID: 8527145721 Enrollment ID: I20080412000057 |
| Provider Name | Connie Huggett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508862038 PECOS PAC ID: 5597842799 Enrollment ID: I20080412000063 |
| Provider Name | Belinda C Hickey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578568051 PECOS PAC ID: 4587741780 Enrollment ID: I20080412000072 |
| Provider Name | Kim W Dowat |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043215247 PECOS PAC ID: 6204913403 Enrollment ID: I20080412000083 |
| Provider Name | Linn M Duga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396921391 PECOS PAC ID: 4880773068 Enrollment ID: I20080430000299 |
| Provider Name | Sheryl L Helstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376713560 PECOS PAC ID: 1254410327 Enrollment ID: I20080501000196 |
| Provider Name | Susanne R Mlsna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285638767 PECOS PAC ID: 4981783560 Enrollment ID: I20080507000522 |
| Provider Name | Ibrahim M Al-sanouri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356452833 PECOS PAC ID: 2668361239 Enrollment ID: I20080527000265 |
| Provider Name | Rick Alan Erdman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952306011 PECOS PAC ID: 8224108535 Enrollment ID: I20080529000355 |
| Provider Name | Charles W Schauberger |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1740284322 PECOS PAC ID: 2264405430 Enrollment ID: I20080530000085 |
| Provider Name | John Michael Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780686006 PECOS PAC ID: 4880764646 Enrollment ID: I20080605000172 |
| Provider Name | Indrajit Choudhuri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467621110 PECOS PAC ID: 9931270899 Enrollment ID: I20080619000712 |
| Provider Name | Michael D Jefferies |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982750519 PECOS PAC ID: 8325110307 Enrollment ID: I20080708000600 |
| Provider Name | Chris A Hofland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457322422 PECOS PAC ID: 7911079900 Enrollment ID: I20080708000658 |
| Provider Name | Chad M Thurman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801890660 PECOS PAC ID: 6901978725 Enrollment ID: I20080710000286 |
| Provider Name | Mariana K Vosika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730184615 PECOS PAC ID: 5698847416 Enrollment ID: I20080710000311 |
| Provider Name | Charles E Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689713018 PECOS PAC ID: 7214009943 Enrollment ID: I20080711000430 |
| Provider Name | Maryanne C Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982685954 PECOS PAC ID: 9931091899 Enrollment ID: I20080717000331 |
| Provider Name | Elizabeth R Hansen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568631059 PECOS PAC ID: 9638242092 Enrollment ID: I20080717000384 |
| Provider Name | Collin D Driscoll |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538254925 PECOS PAC ID: 4688747546 Enrollment ID: I20080725000143 |
| Provider Name | Jody M Riherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922041623 PECOS PAC ID: 1052484888 Enrollment ID: I20080726000008 |
| Provider Name | Angela M Schlack Haerer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194986646 PECOS PAC ID: 7517031701 Enrollment ID: I20080806000461 |
| Provider Name | Holly B Burrichter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114115250 PECOS PAC ID: 6901994516 Enrollment ID: I20080902000164 |
| Provider Name | Gabriela M Dumitran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831393164 PECOS PAC ID: 8123194800 Enrollment ID: I20080903000444 |
| Provider Name | Joel D. Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225023997 PECOS PAC ID: 5890862924 Enrollment ID: I20080916000137 |
| Provider Name | Shawn T Sedgwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559298 PECOS PAC ID: 3072595677 Enrollment ID: I20080916000266 |
| Provider Name | Brandi C Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508862475 PECOS PAC ID: 9931003019 Enrollment ID: I20080924000300 |
| Provider Name | Rebecca V Cripe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053567909 PECOS PAC ID: 9739257023 Enrollment ID: I20081014000686 |
| Provider Name | Jeffrey B Trohkimoinen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003029141 PECOS PAC ID: 2769572817 Enrollment ID: I20081022000471 |
| Provider Name | Amanda J Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730335365 PECOS PAC ID: 6406915396 Enrollment ID: I20081106000764 |
| Provider Name | Quinn H Holzheimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497700769 PECOS PAC ID: 0648283283 Enrollment ID: I20081108000044 |
| Provider Name | Alexander D Wade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720245244 PECOS PAC ID: 1557422235 Enrollment ID: I20081213000089 |
| Provider Name | Jennifer L Eissfeldt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609839174 PECOS PAC ID: 7113937871 Enrollment ID: I20090108000772 |
| Provider Name | Janice L Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831344134 PECOS PAC ID: 8628131729 Enrollment ID: I20090115000718 |
| Provider Name | Allison K Harbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316973167 PECOS PAC ID: 3274616636 Enrollment ID: I20090212000155 |
| Provider Name | Carmen A Scudiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770682734 PECOS PAC ID: 6103840517 Enrollment ID: I20090305000475 |
| Provider Name | Richard Antonio Cayasso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073648440 PECOS PAC ID: 0143386763 Enrollment ID: I20090306000150 |
| Provider Name | Michael A Witcik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568625713 PECOS PAC ID: 3072679372 Enrollment ID: I20090312000174 |
| Provider Name | Scott L Bierman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750385613 PECOS PAC ID: 9133186000 Enrollment ID: I20090325000545 |
| Provider Name | Kathryn J Lynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922102037 PECOS PAC ID: 3476610916 Enrollment ID: I20090327000021 |
| Provider Name | Laura Rhee |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265695472 PECOS PAC ID: 7810054368 Enrollment ID: I20090327000052 |
| Provider Name | Lara S Head |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730328329 PECOS PAC ID: 9133286453 Enrollment ID: I20090331000413 |
| Provider Name | Patricia A Wickert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508005760 PECOS PAC ID: 0648337923 Enrollment ID: I20090401000340 |
| Provider Name | Duane Kyle Undeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811150048 PECOS PAC ID: 3870640550 Enrollment ID: I20090415000496 |
| Provider Name | Peter H Strauss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407993512 PECOS PAC ID: 7012064645 Enrollment ID: I20090416000325 |
| Provider Name | Jill A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144461963 PECOS PAC ID: 2264589787 Enrollment ID: I20090420000363 |
| Provider Name | Kerry H Pischke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164661153 PECOS PAC ID: 4082761465 Enrollment ID: I20090422000493 |
| Provider Name | Brian M Sieck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427052307 PECOS PAC ID: 9436116373 Enrollment ID: I20090428000504 |
| Provider Name | Joni L Nalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922002435 PECOS PAC ID: 9234287301 Enrollment ID: I20090429000100 |
| Provider Name | Stacy L Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952551525 PECOS PAC ID: 2961550793 Enrollment ID: I20090504000587 |
| Provider Name | Sharon M Bartosh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710953419 PECOS PAC ID: 7719035278 Enrollment ID: I20090511000519 |
| Provider Name | Kathryn M Moen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215915970 PECOS PAC ID: 1052460862 Enrollment ID: I20090604000482 |
| Provider Name | Benny Kusuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073734133 PECOS PAC ID: 5698825883 Enrollment ID: I20090610000023 |
| Provider Name | Sarah R Hughes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922063239 PECOS PAC ID: 8820149438 Enrollment ID: I20090622000332 |
| Provider Name | Daren G Tobert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962406728 PECOS PAC ID: 9739171521 Enrollment ID: I20090630000614 |
| Provider Name | Arnold A Asp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700888922 PECOS PAC ID: 2961554290 Enrollment ID: I20090717000427 |
| Provider Name | Barbara M Rugen Rendler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124023551 PECOS PAC ID: 6507918729 Enrollment ID: I20090720000416 |
| Provider Name | Carl William Decker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154421279 PECOS PAC ID: 3375592975 Enrollment ID: I20090724000137 |
| Provider Name | Jennifer Gipp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154520666 PECOS PAC ID: 8729189899 Enrollment ID: I20090728000141 |
| Provider Name | Heather L Chestelson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710175997 PECOS PAC ID: 8426101445 Enrollment ID: I20090807000496 |
| Provider Name | Kimberly M Coyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689694465 PECOS PAC ID: 3375697964 Enrollment ID: I20090817000369 |
| Provider Name | Suzanne M Falkenberry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780730390 PECOS PAC ID: 5890868269 Enrollment ID: I20090820000347 |
| Provider Name | Kazi Zahir Rayhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508060229 PECOS PAC ID: 1456405679 Enrollment ID: I20090821000239 |
| Provider Name | Douglas W White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316964836 PECOS PAC ID: 5597761023 Enrollment ID: I20090909000675 |
| Provider Name | Steven Klein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316982390 PECOS PAC ID: 0648344309 Enrollment ID: I20090918000375 |
| Provider Name | Julie A Marthaler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699907089 PECOS PAC ID: 9234275819 Enrollment ID: I20091013000312 |
| Provider Name | Michael A Leone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275794109 PECOS PAC ID: 9133292576 Enrollment ID: I20091021000075 |
| Provider Name | Mary Ann Campbell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972507572 PECOS PAC ID: 7315085016 Enrollment ID: I20091118000320 |
| Provider Name | Mary B Balder Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407850472 PECOS PAC ID: 1052450673 Enrollment ID: I20091120000127 |
| Provider Name | Jessica Robin Stefanski-williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194946608 PECOS PAC ID: 4880788736 Enrollment ID: I20091123000055 |
| Provider Name | Linda C Groon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548265101 PECOS PAC ID: 1759420896 Enrollment ID: I20091202000281 |
| Provider Name | John J Conzemius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568467827 PECOS PAC ID: 1557400611 Enrollment ID: I20091202000422 |
| Provider Name | David A Momont |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649272964 PECOS PAC ID: 3476692534 Enrollment ID: I20091202000512 |
| Provider Name | Corrina Kettner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174756753 PECOS PAC ID: 2567509367 Enrollment ID: I20091229000284 |
| Provider Name | Christopher J Christian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821261272 PECOS PAC ID: 5597806612 Enrollment ID: I20100111000549 |
| Provider Name | Amy L Strain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598713950 PECOS PAC ID: 9830231703 Enrollment ID: I20100115000520 |
| Provider Name | Darin Dean Damstra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558503102 PECOS PAC ID: 6901943679 Enrollment ID: I20100116000285 |
| Provider Name | Karl O Borge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831193507 PECOS PAC ID: 2163565813 Enrollment ID: I20100203000873 |
| Provider Name | Edward H Riley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962404921 PECOS PAC ID: 6507909256 Enrollment ID: I20100203000894 |
| Provider Name | Ricky J Waniger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366446098 PECOS PAC ID: 0143116970 Enrollment ID: I20100206000205 |
| Provider Name | John P Guelig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407809247 PECOS PAC ID: 8022152636 Enrollment ID: I20100220000207 |
| Provider Name | Bradford P Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598718348 PECOS PAC ID: 9830233444 Enrollment ID: I20100220000218 |
| Provider Name | Kristine A Brink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407076599 PECOS PAC ID: 7214037399 Enrollment ID: I20100303000972 |
| Provider Name | Joan E Filla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851396741 PECOS PAC ID: 8022153659 Enrollment ID: I20100306000029 |
| Provider Name | Traci A Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669701744 PECOS PAC ID: 6507901147 Enrollment ID: I20100306000122 |
| Provider Name | James R Kauphusman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396741708 PECOS PAC ID: 6608911904 Enrollment ID: I20100310000633 |
| Provider Name | Sheila L Momont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285636506 PECOS PAC ID: 3870638174 Enrollment ID: I20100310000644 |
| Provider Name | Paul T Stanton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528092160 PECOS PAC ID: 1951436146 Enrollment ID: I20100312000509 |
| Provider Name | Elizabeth A Cogbill |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174628689 PECOS PAC ID: 3072649623 Enrollment ID: I20100407000444 |
| Provider Name | David Dehart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912997438 PECOS PAC ID: 5991832941 Enrollment ID: I20100422000480 |
| Provider Name | Pragyan Patro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457307092 PECOS PAC ID: 5698802569 Enrollment ID: I20100423000886 |
| Provider Name | Lisa A Veglahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710140959 PECOS PAC ID: 8325176779 Enrollment ID: I20100506000055 |
| Provider Name | Amanda Strosahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063416857 PECOS PAC ID: 6305974205 Enrollment ID: I20100513001019 |
| Provider Name | William Allan Agger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982607263 PECOS PAC ID: 4183533433 Enrollment ID: I20100526001034 |
| Provider Name | Daniel S Landdeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760451165 PECOS PAC ID: 4587762687 Enrollment ID: I20100601000176 |
| Provider Name | Rajiv M Naik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902808215 PECOS PAC ID: 8123157088 Enrollment ID: I20100602000552 |
| Provider Name | Timothy A Harbst |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225033830 PECOS PAC ID: 8022092592 Enrollment ID: I20100604000770 |
| Provider Name | Richard A Olson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023010378 PECOS PAC ID: 6709916539 Enrollment ID: I20100604000811 |
| Provider Name | Venki Paramesh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962404210 PECOS PAC ID: 6305976135 Enrollment ID: I20100604000858 |
| Provider Name | Brenda K Jenkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610301 PECOS PAC ID: 4688704448 Enrollment ID: I20100604001146 |
| Provider Name | Brian M Mulrennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515391 PECOS PAC ID: 1850442286 Enrollment ID: I20100604001150 |
| Provider Name | Marilu Bintz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750385621 PECOS PAC ID: 8729997077 Enrollment ID: I20100607000487 |
| Provider Name | Richard L Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447255500 PECOS PAC ID: 6305749706 Enrollment ID: I20100607000650 |
| Provider Name | Brian Hagan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225033822 PECOS PAC ID: 2264562727 Enrollment ID: I20100609000471 |
| Provider Name | Luis A Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497711196 PECOS PAC ID: 1951431493 Enrollment ID: I20100610000384 |
| Provider Name | Kimberly M Lansing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720084858 PECOS PAC ID: 3577693837 Enrollment ID: I20100611000851 |
| Provider Name | Sarah T Trane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902846744 PECOS PAC ID: 7517097637 Enrollment ID: I20100615000808 |
| Provider Name | Michael Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558351056 PECOS PAC ID: 3072684703 Enrollment ID: I20100618000696 |
| Provider Name | Rodney A Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528058021 PECOS PAC ID: 1850421785 Enrollment ID: I20100618000764 |
| Provider Name | Joseph B Binegar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053315929 PECOS PAC ID: 9537299474 Enrollment ID: I20100618000841 |
| Provider Name | James H Munn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417959735 PECOS PAC ID: 3173653011 Enrollment ID: I20100618000845 |
| Provider Name | Charles H Hayden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699770230 PECOS PAC ID: 8527198464 Enrollment ID: I20100618000850 |
| Provider Name | Sarah S Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891797106 PECOS PAC ID: 4981734829 Enrollment ID: I20100618000858 |
| Provider Name | Cheng Her |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356346803 PECOS PAC ID: 8426188368 Enrollment ID: I20100618000863 |
| Provider Name | Mary A Zaky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265437610 PECOS PAC ID: 1153451091 Enrollment ID: I20100618000866 |
| Provider Name | John L Sterling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992700355 PECOS PAC ID: 5991836827 Enrollment ID: I20100622000015 |
| Provider Name | Padmavathi Mali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043483936 PECOS PAC ID: 7719054071 Enrollment ID: I20100622000090 |
| Provider Name | Justin O Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962492405 PECOS PAC ID: 7315078060 Enrollment ID: I20100624000805 |
| Provider Name | Kyla R Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841296837 PECOS PAC ID: 4486785938 Enrollment ID: I20100626000409 |
| Provider Name | Patrick D Conway |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841295102 PECOS PAC ID: 4284765736 Enrollment ID: I20100626000435 |
| Provider Name | Robert T Key |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801886312 PECOS PAC ID: 5597896860 Enrollment ID: I20100630000493 |
| Provider Name | Margaret E Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679577316 PECOS PAC ID: 1254462377 Enrollment ID: I20100706000148 |
| Provider Name | Robyn A Borge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528062296 PECOS PAC ID: 5698806743 Enrollment ID: I20100706000584 |
| Provider Name | Michelle M Hauck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801091269 PECOS PAC ID: 0840322871 Enrollment ID: I20100709000460 |
| Provider Name | Melissa J Stein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538374608 PECOS PAC ID: 2365414158 Enrollment ID: I20100720000206 |
| Provider Name | Bobbi Jo Rivera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346563806 PECOS PAC ID: 1658403035 Enrollment ID: I20100721000005 |
| Provider Name | Sigurd Bjarne Gundersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720084973 PECOS PAC ID: 7810806163 Enrollment ID: I20100722000356 |
| Provider Name | Christine D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366445934 PECOS PAC ID: 8628100914 Enrollment ID: I20100722000378 |
| Provider Name | Scott Escher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700881877 PECOS PAC ID: 1254463540 Enrollment ID: I20100722000392 |
| Provider Name | Virginia G Wintersteen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497759146 PECOS PAC ID: 0244362531 Enrollment ID: I20100722000403 |
| Provider Name | Carol L Danning |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184629313 PECOS PAC ID: 3779614698 Enrollment ID: I20100723000858 |
| Provider Name | Kurt K Mueller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083616304 PECOS PAC ID: 2163554809 Enrollment ID: I20100727000328 |
| Provider Name | Bradley Fowler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316942246 PECOS PAC ID: 4385777440 Enrollment ID: I20100727000545 |
| Provider Name | Gregory M Knorr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053317305 PECOS PAC ID: 6002949161 Enrollment ID: I20100727000564 |
| Provider Name | David M Dawson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285639427 PECOS PAC ID: 0143374538 Enrollment ID: I20100729000765 |
| Provider Name | Ellyn M English |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003835711 PECOS PAC ID: 1850424615 Enrollment ID: I20100729000890 |
| Provider Name | John Udell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922002799 PECOS PAC ID: 8325171788 Enrollment ID: I20100805000393 |
| Provider Name | John S Purdue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467456830 PECOS PAC ID: 5597898957 Enrollment ID: I20100805000418 |
| Provider Name | Jeffrey Evan Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285638049 PECOS PAC ID: 3274442538 Enrollment ID: I20100806000157 |
| Provider Name | Kathleen L Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639400641 PECOS PAC ID: 5092848333 Enrollment ID: I20100806000194 |
| Provider Name | James L Tomlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376548768 PECOS PAC ID: 5799818969 Enrollment ID: I20100809000987 |
| Provider Name | Eugene E Kolaczkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265438535 PECOS PAC ID: 3678607652 Enrollment ID: I20100812000392 |
| Provider Name | Thomas M Edwards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417952524 PECOS PAC ID: 0749314771 Enrollment ID: I20100812000947 |
| Provider Name | Daniel J Ecklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356346464 PECOS PAC ID: 4183758113 Enrollment ID: I20100812000968 |
| Provider Name | Gregory G Fischer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295730190 PECOS PAC ID: 2163556192 Enrollment ID: I20100812000989 |
| Provider Name | Stephen B Shapiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114921087 PECOS PAC ID: 2264576776 Enrollment ID: I20100812001012 |
| Provider Name | Ward M Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720082381 PECOS PAC ID: 5991774879 Enrollment ID: I20100813001017 |
| Provider Name | John F Herath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740286913 PECOS PAC ID: 4981738804 Enrollment ID: I20100813001028 |
| Provider Name | Elizabeth A Ault Brinker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528060738 PECOS PAC ID: 7416081336 Enrollment ID: I20100813001047 |
| Provider Name | Michael L Bottcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922002609 PECOS PAC ID: 1052445970 Enrollment ID: I20100813001053 |
| Provider Name | Sylvia A Moser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952306854 PECOS PAC ID: 7618976010 Enrollment ID: I20100813001078 |
| Provider Name | Laurence Clifford Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437153392 PECOS PAC ID: 5597864561 Enrollment ID: I20100816001043 |
| Provider Name | Scott D Brunk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497759062 PECOS PAC ID: 8426182106 Enrollment ID: I20100817000723 |
| Provider Name | Ross M Cerniglia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578640793 PECOS PAC ID: 6507990215 Enrollment ID: I20100817001001 |
| Provider Name | Todd A Verdon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770588170 PECOS PAC ID: 6608857644 Enrollment ID: I20100818000082 |
| Provider Name | Jonathan A Zlabek |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1881698496 PECOS PAC ID: 3577614908 Enrollment ID: I20100818000135 |
| Provider Name | Richard D Hutter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588660013 PECOS PAC ID: 6800920471 Enrollment ID: I20100818000325 |
| Provider Name | William C Bucknam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548206360 PECOS PAC ID: 7012921943 Enrollment ID: I20100820001127 |
| Provider Name | Brooke A Tappe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508861980 PECOS PAC ID: 7618930173 Enrollment ID: I20100826000425 |
| Provider Name | Catherine L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154326080 PECOS PAC ID: 2466515655 Enrollment ID: I20100908000857 |
| Provider Name | Jedadiah J Schaller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790964773 PECOS PAC ID: 9234263070 Enrollment ID: I20100914001159 |
| Provider Name | Filomena C Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215933395 PECOS PAC ID: 8820113707 Enrollment ID: I20100915000840 |
| Provider Name | Wanda Ducharme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922003029 PECOS PAC ID: 6002931516 Enrollment ID: I20100921000145 |
| Provider Name | Frank J Aberger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396748711 PECOS PAC ID: 8628018678 Enrollment ID: I20100921000162 |
| Provider Name | Stephen C Wissink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114921863 PECOS PAC ID: 3971628496 Enrollment ID: I20100921000196 |
| Provider Name | Clark A Davis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316942121 PECOS PAC ID: 9133244650 Enrollment ID: I20100921000215 |
| Provider Name | Mary L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962407320 PECOS PAC ID: 1254463094 Enrollment ID: I20100925000307 |
| Provider Name | Abigail K Deyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447461025 PECOS PAC ID: 0345366480 Enrollment ID: I20100927000975 |
| Provider Name | Eric W Voter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558365288 PECOS PAC ID: 2567494701 Enrollment ID: I20100928000504 |
| Provider Name | Piraon Sutthiwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740252345 PECOS PAC ID: 1951338615 Enrollment ID: I20101005000061 |
| Provider Name | Connie M Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992700421 PECOS PAC ID: 4385837699 Enrollment ID: I20101019001199 |
| Provider Name | John J Pershing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871597104 PECOS PAC ID: 9133312457 Enrollment ID: I20101019001290 |
| Provider Name | Stephen E Carlisle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114921715 PECOS PAC ID: 1254524572 Enrollment ID: I20101019001374 |
| Provider Name | Joan Matey Romeyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588667174 PECOS PAC ID: 1153514492 Enrollment ID: I20101019001556 |
| Provider Name | James L Groskreutz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548265127 PECOS PAC ID: 9234184243 Enrollment ID: I20101020001437 |
| Provider Name | Joseph C Benacci |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295739142 PECOS PAC ID: 6800089921 Enrollment ID: I20101021000995 |
| Provider Name | Todd A Mahr |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659374411 PECOS PAC ID: 5193782878 Enrollment ID: I20101026000800 |
| Provider Name | Paul P Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538211008 PECOS PAC ID: 9234322983 Enrollment ID: I20101026000839 |
| Provider Name | David J Morrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548262868 PECOS PAC ID: 5597958256 Enrollment ID: I20101026000871 |
| Provider Name | Zoran Stancic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538163316 PECOS PAC ID: 3476746132 Enrollment ID: I20101026000908 |
| Provider Name | Forrest J Krause |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831195031 PECOS PAC ID: 1153514823 Enrollment ID: I20101026001118 |
| Provider Name | Steven B Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356343693 PECOS PAC ID: 7113110891 Enrollment ID: I20101026001181 |
| Provider Name | Daniel P Wolbrink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700041274 PECOS PAC ID: 6507910460 Enrollment ID: I20101102001463 |
| Provider Name | Monica B Stanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033114491 PECOS PAC ID: 0547454571 Enrollment ID: I20101103000489 |
| Provider Name | Carleen Poellinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780688143 PECOS PAC ID: 5597959320 Enrollment ID: I20101104001655 |
| Provider Name | Prem Rabindranauth |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538161724 PECOS PAC ID: 1052506870 Enrollment ID: I20101105001111 |
| Provider Name | Katrina R Hammel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780894527 PECOS PAC ID: 7012084965 Enrollment ID: I20101108000728 |
| Provider Name | Kathleen J Rowan-koenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780688184 PECOS PAC ID: 3779778121 Enrollment ID: I20101110001161 |
| Provider Name | Ann E Van Atta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629073028 PECOS PAC ID: 1153516596 Enrollment ID: I20101111000713 |
| Provider Name | Julie S Zink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669476263 PECOS PAC ID: 9133314487 Enrollment ID: I20101111001042 |
| Provider Name | Matthew H Guzzo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669440376 PECOS PAC ID: 9133024565 Enrollment ID: I20101111001318 |
| Provider Name | Kristen A Olson Baines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649498387 PECOS PAC ID: 7214122498 Enrollment ID: I20101112001079 |
| Provider Name | Milton J Schmida |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669477006 PECOS PAC ID: 4789740697 Enrollment ID: I20101112001197 |
| Provider Name | Michael J Rogge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023008539 PECOS PAC ID: 1658566542 Enrollment ID: I20101117001245 |
| Provider Name | James C Baumgaertner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942204839 PECOS PAC ID: 9830156512 Enrollment ID: I20101119001098 |
| Provider Name | Daniel M Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649439951 PECOS PAC ID: 7012104086 Enrollment ID: I20101203000552 |
| Provider Name | David P Larsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417953308 PECOS PAC ID: 3870780133 Enrollment ID: I20101213000500 |
| Provider Name | Shanu Nikhil Kothari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063418366 PECOS PAC ID: 7618165648 Enrollment ID: I20101217000291 |
| Provider Name | Susan G Maclellan-tobert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952304834 PECOS PAC ID: 0941498984 Enrollment ID: I20101217000352 |
| Provider Name | Margaret J Myhre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851395248 PECOS PAC ID: 2466640420 Enrollment ID: I20101217000687 |
| Provider Name | Kelley A Bahr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366441297 PECOS PAC ID: 4880882851 Enrollment ID: I20101217000747 |
| Provider Name | Leanna M Duerst |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104131796 PECOS PAC ID: 1557559275 Enrollment ID: I20101222000593 |
| Provider Name | Jeffrey D Hillesland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730184219 PECOS PAC ID: 5395933881 Enrollment ID: I20101228000574 |
| Provider Name | Robert R Groshek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003811688 PECOS PAC ID: 3577751072 Enrollment ID: I20101228000708 |
| Provider Name | Erin Maslowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235285834 PECOS PAC ID: 7911050752 Enrollment ID: I20110103000032 |
| Provider Name | Catherine R Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164424115 PECOS PAC ID: 8729277843 Enrollment ID: I20110105000590 |
| Provider Name | Kathleen M Kett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689670994 PECOS PAC ID: 1557550613 Enrollment ID: I20110105001128 |
| Provider Name | Janine B Engen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477863207 PECOS PAC ID: 2860681848 Enrollment ID: I20110106000171 |
| Provider Name | John D Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013913912 PECOS PAC ID: 8123217189 Enrollment ID: I20110106001061 |
| Provider Name | Steven L Overholt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275535528 PECOS PAC ID: 0042406860 Enrollment ID: I20110113000752 |
| Provider Name | Richard J Wittchow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477557122 PECOS PAC ID: 8022114669 Enrollment ID: I20110117000173 |
| Provider Name | David J Lofgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346247236 PECOS PAC ID: 0446220602 Enrollment ID: I20110118000219 |
| Provider Name | Ngozi Nduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902137201 PECOS PAC ID: 3476682246 Enrollment ID: I20110124000786 |
| Provider Name | Diane C Perrone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326042771 PECOS PAC ID: 2466648498 Enrollment ID: I20110125000874 |
| Provider Name | Rhonda Heun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306840988 PECOS PAC ID: 4082893706 Enrollment ID: I20110127000615 |
| Provider Name | William R Scorby |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1972507804 PECOS PAC ID: 1658352505 Enrollment ID: I20110128000507 |
| Provider Name | Milan E Folkers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619064094 PECOS PAC ID: 2365449626 Enrollment ID: I20110201000151 |
| Provider Name | John A Patterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336144708 PECOS PAC ID: 6204016637 Enrollment ID: I20110202000280 |
| Provider Name | Kelly E Hodgson Kline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508862699 PECOS PAC ID: 1658551999 Enrollment ID: I20110203000854 |
| Provider Name | Gregory D Prichett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588668958 PECOS PAC ID: 4183804313 Enrollment ID: I20110204000920 |
| Provider Name | Rosemary S Presser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225032691 PECOS PAC ID: 6800076035 Enrollment ID: I20110204000933 |
| Provider Name | John C Burelbach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316941982 PECOS PAC ID: 0840470738 Enrollment ID: I20110209001013 |
| Provider Name | Faith P Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841295987 PECOS PAC ID: 9436339199 Enrollment ID: I20110211000921 |
| Provider Name | John Peter Temple |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961366 PECOS PAC ID: 1456531003 Enrollment ID: I20110214000849 |
| Provider Name | Matthew D Haberl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366693285 PECOS PAC ID: 8426238932 Enrollment ID: I20110215000620 |
| Provider Name | Rhonda J Madsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790789311 PECOS PAC ID: 3072793595 Enrollment ID: I20110215000739 |
| Provider Name | Barbara J Stafslien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356310361 PECOS PAC ID: 8921288457 Enrollment ID: I20110215000805 |
| Provider Name | Jacqueline S Redmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831393958 PECOS PAC ID: 9638350150 Enrollment ID: I20110216000804 |
| Provider Name | David R Mcnamara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760455232 PECOS PAC ID: 2365425964 Enrollment ID: I20110224000632 |
| Provider Name | Rose A Wolbrink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093990368 PECOS PAC ID: 6406933613 Enrollment ID: I20110301000164 |
| Provider Name | Sumaiya Siddiqi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679607709 PECOS PAC ID: 9931206638 Enrollment ID: I20110311000315 |
| Provider Name | Harvey A Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811992498 PECOS PAC ID: 1153503073 Enrollment ID: I20110314000224 |
| Provider Name | Carrie L Lapham |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821094905 PECOS PAC ID: 6204842206 Enrollment ID: I20110315000918 |
| Provider Name | Kimberly R Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952606493 PECOS PAC ID: 7517140155 Enrollment ID: I20110321000221 |
| Provider Name | James G Kleven |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205832540 PECOS PAC ID: 6406039890 Enrollment ID: I20110322001007 |
| Provider Name | Ragasri Kumar Merkes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699930594 PECOS PAC ID: 5799969523 Enrollment ID: I20110401000867 |
| Provider Name | Kelly J Nest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720160492 PECOS PAC ID: 7113102401 Enrollment ID: I20110502000403 |
| Provider Name | Dixon Blake Kaufman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871527176 PECOS PAC ID: 3274676002 Enrollment ID: I20110505000745 |
| Provider Name | Marcus A Crosby |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689803579 PECOS PAC ID: 8729264544 Enrollment ID: I20110512000198 |
| Provider Name | Mark S Topolski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386618916 PECOS PAC ID: 0941497762 Enrollment ID: I20110621000574 |
| Provider Name | Mason G Fisher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245452549 PECOS PAC ID: 1658559265 Enrollment ID: I20110630000463 |
| Provider Name | Jerald F Tabbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497807796 PECOS PAC ID: 7810175221 Enrollment ID: I20110706000354 |
| Provider Name | Amy E Harter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366685356 PECOS PAC ID: 4880872282 Enrollment ID: I20110708000053 |
| Provider Name | Jean C Griesel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598815599 PECOS PAC ID: 6002824901 Enrollment ID: I20110712000302 |
| Provider Name | Alexis Norelle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699709774 PECOS PAC ID: 6709778483 Enrollment ID: I20110720000577 |
| Provider Name | Nicole M Hennessy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851552418 PECOS PAC ID: 1254509912 Enrollment ID: I20110722000701 |
| Provider Name | Sarah C Rudie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780650952 PECOS PAC ID: 5890728711 Enrollment ID: I20110725000561 |
| Provider Name | Michelle M Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467749184 PECOS PAC ID: 9739357369 Enrollment ID: I20110726000165 |
| Provider Name | Stephanie R Niec |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619141785 PECOS PAC ID: 2860661261 Enrollment ID: I20110801000428 |
| Provider Name | Michael O Ojelabi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760699003 PECOS PAC ID: 8820267248 Enrollment ID: I20110801000625 |
| Provider Name | Emily M Farmer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871684100 PECOS PAC ID: 1951293810 Enrollment ID: I20110803000466 |
| Provider Name | William A Bishop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487819223 PECOS PAC ID: 3072790740 Enrollment ID: I20110808000571 |
| Provider Name | Andrew Weiss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356509384 PECOS PAC ID: 3375671449 Enrollment ID: I20110808000594 |
| Provider Name | Gabriel L Marsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114182045 PECOS PAC ID: 9234308297 Enrollment ID: I20110808000615 |
| Provider Name | Karina Conlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619287943 PECOS PAC ID: 0941479943 Enrollment ID: I20110809000168 |
| Provider Name | Melissa L Schulze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861786865 PECOS PAC ID: 7810166543 Enrollment ID: I20110812000550 |
| Provider Name | Melanie M Solum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740443977 PECOS PAC ID: 3971772641 Enrollment ID: I20110815000393 |
| Provider Name | Mateen Fatima Abidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730333980 PECOS PAC ID: 9830369073 Enrollment ID: I20110826000242 |
| Provider Name | Eric M Jakubowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326266867 PECOS PAC ID: 5890965032 Enrollment ID: I20110826000300 |
| Provider Name | Carrie L Kramer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861518409 PECOS PAC ID: 3375713340 Enrollment ID: I20110830000481 |
| Provider Name | Jared H Linebarger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912164393 PECOS PAC ID: 6305024076 Enrollment ID: I20110830000484 |
| Provider Name | Andrea J Van Wyk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396902631 PECOS PAC ID: 3173794674 Enrollment ID: I20110913000630 |
| Provider Name | Justin K Shurts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225291420 PECOS PAC ID: 6608047915 Enrollment ID: I20110919000127 |
| Provider Name | Casandra L Grube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033319694 PECOS PAC ID: 8527251214 Enrollment ID: I20110928000339 |
| Provider Name | Gregory J Valkosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356307185 PECOS PAC ID: 7315959616 Enrollment ID: I20110928000769 |
| Provider Name | Sajjad H Rizvi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851386676 PECOS PAC ID: 4880650050 Enrollment ID: I20111003000757 |
| Provider Name | Joni L Downs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386957371 PECOS PAC ID: 4789856287 Enrollment ID: I20111005000450 |
| Provider Name | John A Zernia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124022728 PECOS PAC ID: 5496889420 Enrollment ID: I20111019000845 |
| Provider Name | Matthew P Roth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841573482 PECOS PAC ID: 8820261506 Enrollment ID: I20111025000073 |
| Provider Name | Gary Lenth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710983705 PECOS PAC ID: 4880651868 Enrollment ID: I20111027000735 |
| Provider Name | Benjamin S Orozco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407017833 PECOS PAC ID: 5890963136 Enrollment ID: I20111102000057 |
| Provider Name | Bradley Abicht |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962632166 PECOS PAC ID: 5799958765 Enrollment ID: I20111108000402 |
| Provider Name | Mitchelle L Schroader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396789392 PECOS PAC ID: 5294775623 Enrollment ID: I20111111000608 |
| Provider Name | Sarah A Clements |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245515543 PECOS PAC ID: 3779758453 Enrollment ID: I20111207000708 |
| Provider Name | Tammy L Plondke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881976041 PECOS PAC ID: 2264608207 Enrollment ID: I20111222000208 |
| Provider Name | Erin E Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568739787 PECOS PAC ID: 0547427577 Enrollment ID: I20120202000847 |
| Provider Name | Robyn J Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063786101 PECOS PAC ID: 6608036348 Enrollment ID: I20120404000507 |
| Provider Name | Katrine K Sorum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205072535 PECOS PAC ID: 2668633751 Enrollment ID: I20120417000603 |
| Provider Name | Graig A Aders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265758734 PECOS PAC ID: 3971766049 Enrollment ID: I20120530000266 |
| Provider Name | Todd L Ebbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366641383 PECOS PAC ID: 5395911754 Enrollment ID: I20120627000426 |
| Provider Name | Thomas S Mackenzie |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205814407 PECOS PAC ID: 6507021342 Enrollment ID: I20120629000285 |
| Provider Name | Vijay Bandhakavi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184887473 PECOS PAC ID: 1951557859 Enrollment ID: I20120808000880 |
| Provider Name | James R Baumgart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932334216 PECOS PAC ID: 6305092842 Enrollment ID: I20120815000792 |
| Provider Name | Christine M Brose |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518118975 PECOS PAC ID: 7214183623 Enrollment ID: I20120816000875 |
| Provider Name | Leah Rose Moellers Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053547562 PECOS PAC ID: 1951570530 Enrollment ID: I20120820000655 |
| Provider Name | Heather J Wichman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043471972 PECOS PAC ID: 7618124090 Enrollment ID: I20120821000401 |
| Provider Name | Kimberly A Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811215734 PECOS PAC ID: 2860658648 Enrollment ID: I20120824000283 |
| Provider Name | Michael W Herde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619238722 PECOS PAC ID: 8820246689 Enrollment ID: I20120919000815 |
| Provider Name | Eric R Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801152186 PECOS PAC ID: 4082863410 Enrollment ID: I20120928000640 |
| Provider Name | Stephanie A Neuman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063617157 PECOS PAC ID: 4183791361 Enrollment ID: I20121001000461 |
| Provider Name | Irina Shakhnovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881806529 PECOS PAC ID: 2860641909 Enrollment ID: I20121004000239 |
| Provider Name | Michael Alan Zimmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477712750 PECOS PAC ID: 2860670841 Enrollment ID: I20121012000817 |
| Provider Name | Brian T Jubeck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285852889 PECOS PAC ID: 2961651641 Enrollment ID: I20121012000831 |
| Provider Name | Lucas J Hammell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528252764 PECOS PAC ID: 7315020641 Enrollment ID: I20121022000515 |
| Provider Name | Sarah A Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629359898 PECOS PAC ID: 0547410862 Enrollment ID: I20121023000485 |
| Provider Name | Anne E Gisvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093065401 PECOS PAC ID: 3971753161 Enrollment ID: I20121024000599 |
| Provider Name | Kelly D Howell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841426277 PECOS PAC ID: 0446400568 Enrollment ID: I20121026000464 |
| Provider Name | Lindsey L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609126671 PECOS PAC ID: 0244480234 Enrollment ID: I20121029000624 |
| Provider Name | Deborah Jahnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972852622 PECOS PAC ID: 8325299076 Enrollment ID: I20121106000625 |
| Provider Name | Erin L Beinborn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790099497 PECOS PAC ID: 0749431351 Enrollment ID: I20121107000662 |
| Provider Name | Neil J Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306136346 PECOS PAC ID: 6901057546 Enrollment ID: I20121108000270 |
| Provider Name | Sarah A Harter |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851641120 PECOS PAC ID: 1153572250 Enrollment ID: I20121120000242 |
| Provider Name | Lalit Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952341968 PECOS PAC ID: 0042200230 Enrollment ID: I20121220000288 |
| Provider Name | Joshua J Whitson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437441730 PECOS PAC ID: 6002068079 Enrollment ID: I20121221000076 |
| Provider Name | Alexander Macario Villareal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609094457 PECOS PAC ID: 1658462445 Enrollment ID: I20130123000568 |
| Provider Name | Naomi Summer Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750635157 PECOS PAC ID: 9830343961 Enrollment ID: I20130125000163 |
| Provider Name | Julie C Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841499431 PECOS PAC ID: 0749337137 Enrollment ID: I20130130000373 |
| Provider Name | Jill Cruise Obrien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568420248 PECOS PAC ID: 6800976390 Enrollment ID: I20130201000349 |
| Provider Name | Patricia J Olijnyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851304430 PECOS PAC ID: 6103929310 Enrollment ID: I20130212000512 |
| Provider Name | Mary B Klonecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336421460 PECOS PAC ID: 8527233907 Enrollment ID: I20130403000480 |
| Provider Name | Ehteshamul H Anjum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932229390 PECOS PAC ID: 7911093323 Enrollment ID: I20130409000334 |
| Provider Name | Asma Arayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245551977 PECOS PAC ID: 7012155484 Enrollment ID: I20130523000539 |
| Provider Name | Charles M Leys |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073660940 PECOS PAC ID: 6800933987 Enrollment ID: I20130618000674 |
| Provider Name | Marcia A Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811978851 PECOS PAC ID: 7416141007 Enrollment ID: I20130709000390 |
| Provider Name | Mary J Crissler Belanger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366493439 PECOS PAC ID: 4688669328 Enrollment ID: I20130710000404 |
| Provider Name | Tiffany Marinier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144343161 PECOS PAC ID: 6901992981 Enrollment ID: I20130806000114 |
| Provider Name | Aaron J Zivney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174834568 PECOS PAC ID: 7315189222 Enrollment ID: I20130806000189 |
| Provider Name | Eric T Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417156142 PECOS PAC ID: 9638210339 Enrollment ID: I20130808000119 |
| Provider Name | Victor Uko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639348832 PECOS PAC ID: 0547424376 Enrollment ID: I20130812000743 |
| Provider Name | Jason Robert Darrah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447577176 PECOS PAC ID: 7719129196 Enrollment ID: I20130814000681 |
| Provider Name | Travis Jon Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740443803 PECOS PAC ID: 5799941506 Enrollment ID: I20130814000735 |
| Provider Name | Hjalti Gudmundsson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164632980 PECOS PAC ID: 1759415672 Enrollment ID: I20130816000402 |
| Provider Name | Connie S Mccullick |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013358787 PECOS PAC ID: 9436391687 Enrollment ID: I20130816000880 |
| Provider Name | Bryan J Kolberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669812293 PECOS PAC ID: 6709029762 Enrollment ID: I20130823000956 |
| Provider Name | Ezana Muluneh Azene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073715975 PECOS PAC ID: 3476708322 Enrollment ID: I20130823001105 |
| Provider Name | Julia M Kasprzak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023247442 PECOS PAC ID: 6507009248 Enrollment ID: I20130919000574 |
| Provider Name | Mary C Bassing |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629395355 PECOS PAC ID: 5193969608 Enrollment ID: I20130924000634 |
| Provider Name | Deepa Rosetta Ovian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194033407 PECOS PAC ID: 6305080797 Enrollment ID: I20130925000673 |
| Provider Name | Rachel C Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063856250 PECOS PAC ID: 7719121045 Enrollment ID: I20130926000245 |
| Provider Name | David Edward Marinier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851412555 PECOS PAC ID: 0042444358 Enrollment ID: I20130927000430 |
| Provider Name | Jennifer A Mclellan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164620480 PECOS PAC ID: 4284881426 Enrollment ID: I20131002000123 |
| Provider Name | Ryan M Manz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407028459 PECOS PAC ID: 7416108550 Enrollment ID: I20131007000788 |
| Provider Name | Scott R Bassuener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639337397 PECOS PAC ID: 2567619232 Enrollment ID: I20131009000126 |
| Provider Name | Christy D Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659699833 PECOS PAC ID: 5799910055 Enrollment ID: I20131023000730 |
| Provider Name | Rachel M Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114188703 PECOS PAC ID: 9931334679 Enrollment ID: I20131105000386 |
| Provider Name | Michelle M Frischmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376978775 PECOS PAC ID: 2769618909 Enrollment ID: I20131119000205 |
| Provider Name | John J Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386651735 PECOS PAC ID: 3577799717 Enrollment ID: I20131119000260 |
| Provider Name | Deborah A Hatanpa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033382155 PECOS PAC ID: 0446421952 Enrollment ID: I20131119000803 |
| Provider Name | Janet Torkelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093149627 PECOS PAC ID: 5092941120 Enrollment ID: I20131120001436 |
| Provider Name | Meggan Mary Baudek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333287 PECOS PAC ID: 2668608597 Enrollment ID: I20131122001032 |
| Provider Name | Jennifer H Mcgeorge |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366878886 PECOS PAC ID: 9234365818 Enrollment ID: I20131204001573 |
| Provider Name | Jason K Waddell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437474392 PECOS PAC ID: 6406083948 Enrollment ID: I20131209000694 |
| Provider Name | Hailey A Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033546528 PECOS PAC ID: 6406083625 Enrollment ID: I20131216000225 |
| Provider Name | Anna J Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902122138 PECOS PAC ID: 7911134135 Enrollment ID: I20131216000314 |
| Provider Name | Douglas G Hughes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811019409 PECOS PAC ID: 8325288442 Enrollment ID: I20131219000620 |
| Provider Name | Anneliese K Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417386871 PECOS PAC ID: 9335376144 Enrollment ID: I20131223001300 |
| Provider Name | Brehn N Pagel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447505938 PECOS PAC ID: 4880845825 Enrollment ID: I20131224000010 |
| Provider Name | Kevin L Schoepel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841211067 PECOS PAC ID: 6800861105 Enrollment ID: I20140122001325 |
| Provider Name | David I Baumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003182205 PECOS PAC ID: 7012144827 Enrollment ID: I20140327000848 |
| Provider Name | Amy J Belling-dunn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376968156 PECOS PAC ID: 7113159153 Enrollment ID: I20140407000656 |
| Provider Name | Erica R Neumeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225118698 PECOS PAC ID: 3274434105 Enrollment ID: I20140409000032 |
| Provider Name | Michael P Sytsma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164525036 PECOS PAC ID: 4385661008 Enrollment ID: I20140411000881 |
| Provider Name | Maria Mayorga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558457127 PECOS PAC ID: 4880730977 Enrollment ID: I20140412000000 |
| Provider Name | Stephen J Randall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326243593 PECOS PAC ID: 0941473904 Enrollment ID: I20140516000595 |
| Provider Name | Christen Chamberland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194984716 PECOS PAC ID: 7416171624 Enrollment ID: I20140610000049 |
| Provider Name | C. Nathan Vannatta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699186528 PECOS PAC ID: 5799900965 Enrollment ID: I20140701001509 |
| Provider Name | Nathaniel L Stepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942491030 PECOS PAC ID: 0244492262 Enrollment ID: I20140729002887 |
| Provider Name | Jennifer M Lamps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295056588 PECOS PAC ID: 4688890569 Enrollment ID: I20140730000267 |
| Provider Name | Charles A Czeczok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770808404 PECOS PAC ID: 0244463404 Enrollment ID: I20140804001706 |
| Provider Name | San Y Thida |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063643195 PECOS PAC ID: 2365675816 Enrollment ID: I20140808000395 |
| Provider Name | Evan R Kemp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639457856 PECOS PAC ID: 7214160753 Enrollment ID: I20140808000778 |
| Provider Name | Yongxue D Yao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952629701 PECOS PAC ID: 2769622521 Enrollment ID: I20140811001728 |
| Provider Name | Andrew A Lehman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437391539 PECOS PAC ID: 4981871563 Enrollment ID: I20140820002194 |
| Provider Name | Elizabeth A Przybylski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295807139 PECOS PAC ID: 8921107509 Enrollment ID: I20140822000274 |
| Provider Name | Lori J Rosenstein |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1760568794 PECOS PAC ID: 3072666866 Enrollment ID: I20140917001922 |
| Provider Name | Jennifer S Karnowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528386554 PECOS PAC ID: 0648402974 Enrollment ID: I20140919000025 |
| Provider Name | Emily N Carroll-pagel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447669536 PECOS PAC ID: 0345460036 Enrollment ID: I20140930003172 |
| Provider Name | Christine J Waller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588826705 PECOS PAC ID: 0840432415 Enrollment ID: I20141001001346 |
| Provider Name | David Peter Megremis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982606620 PECOS PAC ID: 2163493396 Enrollment ID: I20141006002402 |
| Provider Name | Natasha Rae Minnaert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851687891 PECOS PAC ID: 9830346980 Enrollment ID: I20141022001855 |
| Provider Name | Benjamin Parsons |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164688834 PECOS PAC ID: 0547494098 Enrollment ID: I20141108000026 |
| Provider Name | Jennifer M Orozco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316110463 PECOS PAC ID: 2163644824 Enrollment ID: I20141112002100 |
| Provider Name | Luke N Peterson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467689109 PECOS PAC ID: 8921220690 Enrollment ID: I20141112002402 |
| Provider Name | Lisa Belling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619377207 PECOS PAC ID: 8426270919 Enrollment ID: I20141118001881 |
| Provider Name | Courtney M Van Auken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649674672 PECOS PAC ID: 5395967756 Enrollment ID: I20141119001804 |
| Provider Name | Robert A Holness |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396066387 PECOS PAC ID: 1759603871 Enrollment ID: I20141201000313 |
| Provider Name | Sarah Holthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360619 PECOS PAC ID: 9436471596 Enrollment ID: I20141201001731 |
| Provider Name | Carl J Drago |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205831302 PECOS PAC ID: 2264754928 Enrollment ID: I20141208001293 |
| Provider Name | Christopher M Lowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445008 PECOS PAC ID: 5294963112 Enrollment ID: I20150102000836 |
| Provider Name | Devin C Simonson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760749626 PECOS PAC ID: 1153643580 Enrollment ID: I20150109002029 |
| Provider Name | Rebecca Jo Stetzer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295064871 PECOS PAC ID: 5294059572 Enrollment ID: I20150114001588 |
| Provider Name | Brea C Veldboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322878 PECOS PAC ID: 6507091337 Enrollment ID: I20150115000965 |
| Provider Name | Amanda K Kalisz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831595859 PECOS PAC ID: 4082938824 Enrollment ID: I20150126002272 |
| Provider Name | Vicki R Monk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508094582 PECOS PAC ID: 6204151087 Enrollment ID: I20150219001561 |
| Provider Name | Inbar Saporta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821434267 PECOS PAC ID: 4587892906 Enrollment ID: I20150302001455 |
| Provider Name | Holly M Glanville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750779013 PECOS PAC ID: 3072839109 Enrollment ID: I20150306001260 |
| Provider Name | Tara K Deigmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013312123 PECOS PAC ID: 9739406984 Enrollment ID: I20150326001674 |
| Provider Name | Shawn P Pritchard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245676683 PECOS PAC ID: 2567690985 Enrollment ID: I20150402000664 |
| Provider Name | Sherri L Reutlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851780993 PECOS PAC ID: 8426376245 Enrollment ID: I20150407001897 |
| Provider Name | Ryan Anthony Vaca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700222148 PECOS PAC ID: 8224266648 Enrollment ID: I20150408001547 |
| Provider Name | Stacie K Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003205386 PECOS PAC ID: 3375861073 Enrollment ID: I20150408002818 |
| Provider Name | Yazhini Vallatharasu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508207895 PECOS PAC ID: 4385872712 Enrollment ID: I20150409001197 |
| Provider Name | Ryan L Waterbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902299282 PECOS PAC ID: 6204154495 Enrollment ID: I20150420001542 |
| Provider Name | Mark T Endrizzi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790776920 PECOS PAC ID: 5496074767 Enrollment ID: I20150507002389 |
| Provider Name | Russell J Norris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669488144 PECOS PAC ID: 6800964818 Enrollment ID: I20150512002855 |
| Provider Name | Tanya F Waterbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972934180 PECOS PAC ID: 8426281049 Enrollment ID: I20150522000656 |
| Provider Name | Esosa G Odigie-okon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588815914 PECOS PAC ID: 0446573240 Enrollment ID: I20150603001080 |
| Provider Name | Colleen R Sibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730587015 PECOS PAC ID: 2860713666 Enrollment ID: I20150604002850 |
| Provider Name | Jessica L Hamilton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427242296 PECOS PAC ID: 0244307783 Enrollment ID: I20150618002693 |
| Provider Name | Swapnil Sunil Lanjewar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003170671 PECOS PAC ID: 6507177201 Enrollment ID: I20150622002719 |
| Provider Name | Emily J Mahutga |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417338666 PECOS PAC ID: 9830400431 Enrollment ID: I20150624000302 |
| Provider Name | Sunil A Mutgi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225358906 PECOS PAC ID: 8729228226 Enrollment ID: I20150706002556 |
| Provider Name | Travis Schamber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891061990 PECOS PAC ID: 1557674074 Enrollment ID: I20150713002143 |
| Provider Name | Jared I Darveaux |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306140439 PECOS PAC ID: 2466685029 Enrollment ID: I20150720001795 |
| Provider Name | John M Reynen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669750774 PECOS PAC ID: 3476786807 Enrollment ID: I20150721000484 |
| Provider Name | Andrew Colburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639420888 PECOS PAC ID: 5890008825 Enrollment ID: I20150721000533 |
| Provider Name | Zachary R Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689933434 PECOS PAC ID: 3072828763 Enrollment ID: I20150810001439 |
| Provider Name | Jared M Gorsuch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013208347 PECOS PAC ID: 2860707379 Enrollment ID: I20150812008979 |
| Provider Name | Kylie E Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861874067 PECOS PAC ID: 3274848692 Enrollment ID: I20150813012293 |
| Provider Name | Abdul Rehman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487846903 PECOS PAC ID: 6002946936 Enrollment ID: I20150813012413 |
| Provider Name | Jonathan E Kohler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134231293 PECOS PAC ID: 8325353659 Enrollment ID: I20150817000795 |
| Provider Name | Kristen M Reierson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073992194 PECOS PAC ID: 2062728660 Enrollment ID: I20150827001020 |
| Provider Name | Cindy S Calderon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912212788 PECOS PAC ID: 5294973087 Enrollment ID: I20150827001531 |
| Provider Name | Brad W Collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609242155 PECOS PAC ID: 4688980089 Enrollment ID: I20150831002471 |
| Provider Name | Pratima Kamada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801113790 PECOS PAC ID: 6901112010 Enrollment ID: I20150904000394 |
| Provider Name | Lauren M Castro |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699035576 PECOS PAC ID: 0143536060 Enrollment ID: I20150908002039 |
| Provider Name | Ashley K Stehl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669857678 PECOS PAC ID: 5092021931 Enrollment ID: I20150908002665 |
| Provider Name | Andrew M Nevitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386011229 PECOS PAC ID: 0941517858 Enrollment ID: I20150909002410 |
| Provider Name | Diana Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821470022 PECOS PAC ID: 6901113778 Enrollment ID: I20150911001597 |
| Provider Name | Ashley J Woychik |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912373374 PECOS PAC ID: 3274840905 Enrollment ID: I20150914001298 |
| Provider Name | Andrew Elliott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801232335 PECOS PAC ID: 9931416385 Enrollment ID: I20150916003230 |
| Provider Name | Mark S Moeller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083895510 PECOS PAC ID: 3779890892 Enrollment ID: I20150922000593 |
| Provider Name | Christine E Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467614289 PECOS PAC ID: 0143543884 Enrollment ID: I20150922000627 |
| Provider Name | Afton Koball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235577404 PECOS PAC ID: 5890929483 Enrollment ID: I20150922001712 |
| Provider Name | Peter K Jantz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396112165 PECOS PAC ID: 5799092763 Enrollment ID: I20150923003233 |
| Provider Name | Ricardo A Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609243906 PECOS PAC ID: 4880902824 Enrollment ID: I20150924002462 |
| Provider Name | Deepa T Sathiah |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053582916 PECOS PAC ID: 1850520263 Enrollment ID: I20151001002829 |
| Provider Name | Rachel A Biemiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790927390 PECOS PAC ID: 0042453680 Enrollment ID: I20151002002623 |
| Provider Name | Lisa A Horstman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437528114 PECOS PAC ID: 6800833807 Enrollment ID: I20151023000787 |
| Provider Name | Jason K Klipsic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386055812 PECOS PAC ID: 2365437316 Enrollment ID: I20151029002833 |
| Provider Name | Craig D Destree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154732063 PECOS PAC ID: 2062722895 Enrollment ID: I20151106002246 |
| Provider Name | Stephen Wade Rieke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780054015 PECOS PAC ID: 0042520587 Enrollment ID: I20151112001221 |
| Provider Name | Catherine Carole Schuman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508817743 PECOS PAC ID: 0749264398 Enrollment ID: I20151113001467 |
| Provider Name | Julie A Sonsalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003285511 PECOS PAC ID: 2365742376 Enrollment ID: I20151124000621 |
| Provider Name | Shareene M Berti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205208832 PECOS PAC ID: 6103126917 Enrollment ID: I20151201001251 |
| Provider Name | Karen S Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306216940 PECOS PAC ID: 4486955770 Enrollment ID: I20151210000396 |
| Provider Name | Kelley Zhovtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093054074 PECOS PAC ID: 2062713118 Enrollment ID: I20151215002495 |
| Provider Name | Teresa M Susmaras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710357017 PECOS PAC ID: 1355643578 Enrollment ID: I20160105002529 |
| Provider Name | Debra L Wade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689673212 PECOS PAC ID: 9830169135 Enrollment ID: I20160107001777 |
| Provider Name | Angela K Darveaux |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194735118 PECOS PAC ID: 0042215014 Enrollment ID: I20160114002063 |
| Provider Name | Fatemeh S Jannati |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174878706 PECOS PAC ID: 8729204789 Enrollment ID: I20160216002415 |
| Provider Name | Halley A Molstad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235522699 PECOS PAC ID: 5890090963 Enrollment ID: I20160226002019 |
| Provider Name | Carol L Young |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407853328 PECOS PAC ID: 4183755267 Enrollment ID: I20160331001801 |
| Provider Name | Eric M Blaschke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386957678 PECOS PAC ID: 0941515365 Enrollment ID: I20160513000825 |
| Provider Name | Rebecca S Krambeer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023472966 PECOS PAC ID: 8022307768 Enrollment ID: I20160518002632 |
| Provider Name | Carolina Q See |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831135201 PECOS PAC ID: 4284630195 Enrollment ID: I20160519001442 |
| Provider Name | April L Farrell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144386335 PECOS PAC ID: 5193731339 Enrollment ID: I20160608000378 |
| Provider Name | Tara R Lang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366414328 PECOS PAC ID: 0446278675 Enrollment ID: I20160610001757 |
| Provider Name | Grzegorz T Gurda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255652061 PECOS PAC ID: 8820249618 Enrollment ID: I20160802001116 |
| Provider Name | John Renelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861465478 PECOS PAC ID: 6103736145 Enrollment ID: I20160804000359 |
| Provider Name | Jacob Pederson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932441318 PECOS PAC ID: 3577857184 Enrollment ID: I20160804001087 |
| Provider Name | Andrew J Barthel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639522501 PECOS PAC ID: 7618261892 Enrollment ID: I20160810002745 |
| Provider Name | Trixie L Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174976203 PECOS PAC ID: 3870887995 Enrollment ID: I20160811001224 |
| Provider Name | Devin S Wenrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073953972 PECOS PAC ID: 4789818303 Enrollment ID: I20160812000764 |
| Provider Name | Abigail L Taub |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417222605 PECOS PAC ID: 6608090972 Enrollment ID: I20160815001287 |
| Provider Name | Alaina J Webb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851623227 PECOS PAC ID: 9234371055 Enrollment ID: I20160817001698 |
| Provider Name | Mark N Griffith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710912399 PECOS PAC ID: 9234190109 Enrollment ID: I20160818002448 |
| Provider Name | Atif Ahmed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437396116 PECOS PAC ID: 2668692005 Enrollment ID: I20160818002700 |
| Provider Name | Sarah Ria Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598100950 PECOS PAC ID: 3375838360 Enrollment ID: I20160830002189 |
| Provider Name | David E Ludden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073773834 PECOS PAC ID: 5698899607 Enrollment ID: I20160907001913 |
| Provider Name | Andrew D Prather |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790947943 PECOS PAC ID: 9133415615 Enrollment ID: I20160912001700 |
| Provider Name | Jennifer L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073915146 PECOS PAC ID: 0749576080 Enrollment ID: I20160913000373 |
| Provider Name | Allison M Burbach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437508595 PECOS PAC ID: 3779879051 Enrollment ID: I20160913001347 |
| Provider Name | Thomas C Leece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497987168 PECOS PAC ID: 2264697085 Enrollment ID: I20160914001551 |
| Provider Name | Rachel B Kang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124439872 PECOS PAC ID: 7012203110 Enrollment ID: I20160915000508 |
| Provider Name | Melissa R Revels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760935043 PECOS PAC ID: 0749578730 Enrollment ID: I20161006001230 |
| Provider Name | Sean T Naughton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194178434 PECOS PAC ID: 5294023172 Enrollment ID: I20161010000095 |
| Provider Name | Anita Marie Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184171084 PECOS PAC ID: 9739467556 Enrollment ID: I20161031000531 |
| Provider Name | Alacia M Pierce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962957712 PECOS PAC ID: 3971881467 Enrollment ID: I20161103002478 |
| Provider Name | Lyndell M Wedyke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174744494 PECOS PAC ID: 3375725948 Enrollment ID: I20161116000880 |
| Provider Name | Candace M Hundt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912228859 PECOS PAC ID: 0345520003 Enrollment ID: I20161215000673 |
| Provider Name | Krysta A Bever |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326395195 PECOS PAC ID: 1052692381 Enrollment ID: I20161228002444 |
| Provider Name | Vanessa A Bablitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336534213 PECOS PAC ID: 5698057040 Enrollment ID: I20170120000678 |
| Provider Name | Robert Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427401983 PECOS PAC ID: 1850685025 Enrollment ID: I20170209001720 |
| Provider Name | Kelly M Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629513783 PECOS PAC ID: 1355624792 Enrollment ID: I20170210000269 |
| Provider Name | Nathan Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679864912 PECOS PAC ID: 0446498133 Enrollment ID: I20170224001837 |
| Provider Name | Adam P Zorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073795761 PECOS PAC ID: 1759516651 Enrollment ID: I20170313001820 |
| Provider Name | David R Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186161 PECOS PAC ID: 6002136074 Enrollment ID: I20170414000131 |
| Provider Name | Laurence P Skendzel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124019252 PECOS PAC ID: 4385748631 Enrollment ID: I20170601000529 |
| Provider Name | Beth Vanderwielen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447593462 PECOS PAC ID: 3678842770 Enrollment ID: I20170705002596 |
| Provider Name | Lisa L Roepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548701543 PECOS PAC ID: 5294004149 Enrollment ID: I20170707002700 |
| Provider Name | Alejandro Castro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114338274 PECOS PAC ID: 9032415252 Enrollment ID: I20170727004068 |
| Provider Name | Edward Rodenkirch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326458951 PECOS PAC ID: 0143513556 Enrollment ID: I20170807002174 |
| Provider Name | Kara K Petrashek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750724357 PECOS PAC ID: 5890015721 Enrollment ID: I20170808000499 |
| Provider Name | George Niforos Bouras |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881129120 PECOS PAC ID: 7810269222 Enrollment ID: I20170831003477 |
| Provider Name | Saurabh Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538573068 PECOS PAC ID: 3678846235 Enrollment ID: I20170901000132 |
| Provider Name | Mark James Ringstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134486756 PECOS PAC ID: 3375851975 Enrollment ID: I20170901000558 |
| Provider Name | Peter J Hordyk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538555073 PECOS PAC ID: 9032402532 Enrollment ID: I20170918002418 |
| Provider Name | Brent A Fuerbringer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831586239 PECOS PAC ID: 3173816543 Enrollment ID: I20170918003661 |
| Provider Name | Justin D Atherton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316293525 PECOS PAC ID: 4688820616 Enrollment ID: I20171005001034 |
| Provider Name | Amy M Atherton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386053429 PECOS PAC ID: 6002036746 Enrollment ID: I20171005001395 |
| Provider Name | Amanda S Remus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407223381 PECOS PAC ID: 6406121870 Enrollment ID: I20171011001371 |
| Provider Name | Frederick William Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629451588 PECOS PAC ID: 4880969294 Enrollment ID: I20171011002656 |
| Provider Name | Melissa M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073252 PECOS PAC ID: 0941575104 Enrollment ID: I20171013002557 |
| Provider Name | Isidora S Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068254 PECOS PAC ID: 2365718111 Enrollment ID: I20171023000648 |
| Provider Name | Kristin Gail Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022622 PECOS PAC ID: 3779859103 Enrollment ID: I20171030001786 |
| Provider Name | Anne M Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609385970 PECOS PAC ID: 9638435290 Enrollment ID: I20171114003494 |
| Provider Name | Deena M Athas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457526170 PECOS PAC ID: 9032287537 Enrollment ID: I20171122001518 |
| Provider Name | Jimmy Viet Ninh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104088939 PECOS PAC ID: 6608913835 Enrollment ID: I20171127002601 |
| Provider Name | Sherri L Bohlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786487 PECOS PAC ID: 9830343896 Enrollment ID: I20171129000959 |
| Provider Name | Kenneth S Yew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396717419 PECOS PAC ID: 7810185626 Enrollment ID: I20171213001264 |
| Provider Name | Loucresie Nichelle Rupert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295056471 PECOS PAC ID: 5597913194 Enrollment ID: I20180228001659 |
| Provider Name | Salil T Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467853929 PECOS PAC ID: 5799005781 Enrollment ID: I20180330000570 |
| Provider Name | Donna Jean Kettner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619158151 PECOS PAC ID: 1456614254 Enrollment ID: I20180409001471 |
| Provider Name | Mary A Stockus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639176852 PECOS PAC ID: 4385682640 Enrollment ID: I20180413000694 |
| Provider Name | Janel Lanae Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285885087 PECOS PAC ID: 8527255603 Enrollment ID: I20180418000817 |
| Provider Name | Marcus W Bickford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285070722 PECOS PAC ID: 7810125945 Enrollment ID: I20180531001920 |
| Provider Name | Joshua Michal Kucharski |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881972974 PECOS PAC ID: 3072887413 Enrollment ID: I20180625000841 |
| Provider Name | Alexandra J Docken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437649472 PECOS PAC ID: 9234484791 Enrollment ID: I20180625001840 |
| Provider Name | Martha A Clemmensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689821357 PECOS PAC ID: 4981959343 Enrollment ID: I20180626002823 |
| Provider Name | Joseph D Verzwyvelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801186127 PECOS PAC ID: 6800036914 Enrollment ID: I20180711000966 |
| Provider Name | John M Billings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235495524 PECOS PAC ID: 6901033935 Enrollment ID: I20180719000983 |
| Provider Name | David Sosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760801799 PECOS PAC ID: 8022237858 Enrollment ID: I20180731002634 |
| Provider Name | Emily M Bresette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013302173 PECOS PAC ID: 4082907498 Enrollment ID: I20180731003924 |
| Provider Name | Hafiz Fakih |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730434119 PECOS PAC ID: 2062727480 Enrollment ID: I20180803001767 |
| Provider Name | Anthony P Zbacnik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346508033 PECOS PAC ID: 2163705922 Enrollment ID: I20180809006071 |
| Provider Name | Erin Marie Gutowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447670963 PECOS PAC ID: 7719283936 Enrollment ID: I20180810003109 |
| Provider Name | Stephanie A Hendrickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134578503 PECOS PAC ID: 0648529396 Enrollment ID: I20180814002392 |
| Provider Name | Tripurari Mishra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609213230 PECOS PAC ID: 5092013763 Enrollment ID: I20180814003059 |
| Provider Name | Maude L Kettenmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760611057 PECOS PAC ID: 5991922494 Enrollment ID: I20180815001448 |
| Provider Name | Arick P Sabin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700143229 PECOS PAC ID: 9830494483 Enrollment ID: I20180818000111 |
| Provider Name | Heather Douthitt Stief |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730507310 PECOS PAC ID: 7618265109 Enrollment ID: I20180820000478 |
| Provider Name | Mark James Erickson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144587551 PECOS PAC ID: 5395069280 Enrollment ID: I20180820002411 |
| Provider Name | Jessica Anne Schwarz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750644175 PECOS PAC ID: 7416193271 Enrollment ID: I20180821002212 |
| Provider Name | Chaithanya Bhaskar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306193925 PECOS PAC ID: 2163730631 Enrollment ID: I20180823003117 |
| Provider Name | Laura B Zitelman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023420106 PECOS PAC ID: 3274750583 Enrollment ID: I20180824000352 |
| Provider Name | Heidi Racquel Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467848077 PECOS PAC ID: 0941516512 Enrollment ID: I20180907001169 |
| Provider Name | Anna Marie Batterson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346660339 PECOS PAC ID: 3870710874 Enrollment ID: I20180911001471 |
| Provider Name | Claire A Piepkorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851877278 PECOS PAC ID: 4688924756 Enrollment ID: I20180911002647 |
| Provider Name | Matthew C Ferroni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700171675 PECOS PAC ID: 4587931167 Enrollment ID: I20180913000351 |
| Provider Name | Victoria Anne Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275996076 PECOS PAC ID: 8123313509 Enrollment ID: I20180918000529 |
| Provider Name | Martin Williamson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740778646 PECOS PAC ID: 2567719768 Enrollment ID: I20180920000262 |
| Provider Name | Abdallah Sanaani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689919144 PECOS PAC ID: 8628328580 Enrollment ID: I20180924000228 |
| Provider Name | Ramunas Rolius |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598101933 PECOS PAC ID: 5496983827 Enrollment ID: I20180924000642 |
| Provider Name | Heather B Riese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417375783 PECOS PAC ID: 1850510439 Enrollment ID: I20180925004246 |
| Provider Name | Winnie Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679955090 PECOS PAC ID: 3072827229 Enrollment ID: I20181008000203 |
| Provider Name | Mark Kenneth Magnus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710340724 PECOS PAC ID: 2264729128 Enrollment ID: I20181015002148 |
| Provider Name | Alyssa Marie Mckeeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255810800 PECOS PAC ID: 9739432717 Enrollment ID: I20181020000340 |
| Provider Name | Candace Elizabeth Hoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457841884 PECOS PAC ID: 8921351933 Enrollment ID: I20181022000441 |
| Provider Name | Rebecca J Lyle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770063547 PECOS PAC ID: 2769735653 Enrollment ID: I20181023000997 |
| Provider Name | Noran Barry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467763300 PECOS PAC ID: 3678851326 Enrollment ID: I20181027000147 |
| Provider Name | Joy D Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477817567 PECOS PAC ID: 0547403479 Enrollment ID: I20181112000036 |
| Provider Name | Reggie M Thomes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457713448 PECOS PAC ID: 0042506743 Enrollment ID: I20181204002373 |
| Provider Name | Suren Ravuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104063536 PECOS PAC ID: 2860647682 Enrollment ID: I20181210001581 |
| Provider Name | Jordan Matthew Thompson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780940155 PECOS PAC ID: 9537460001 Enrollment ID: I20181215000043 |
| Provider Name | Ralph G. Althouse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477636405 PECOS PAC ID: 3678463387 Enrollment ID: I20181217000605 |
| Provider Name | Gregory A Hutcheson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841340379 PECOS PAC ID: 9537405931 Enrollment ID: I20190107000013 |
| Provider Name | Christopher Tookey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912439639 PECOS PAC ID: 7315291572 Enrollment ID: I20190131001722 |
| Provider Name | Jordan L Ludwigson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538693783 PECOS PAC ID: 6002186772 Enrollment ID: I20190212000071 |
| Provider Name | Aaron D Christians |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376077578 PECOS PAC ID: 5294004875 Enrollment ID: I20190213001167 |
| Provider Name | Ashok V Kondru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629054382 PECOS PAC ID: 4587682539 Enrollment ID: I20190222000781 |
| Provider Name | Arti R Muralidhara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245496678 PECOS PAC ID: 1951536333 Enrollment ID: I20190222001252 |
| Provider Name | Shaista Shaik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689968430 PECOS PAC ID: 0648574723 Enrollment ID: I20190227002880 |
| Provider Name | Phillip S Yee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306840061 PECOS PAC ID: 3870577505 Enrollment ID: I20190313001729 |
| Provider Name | Richard J Unger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245267939 PECOS PAC ID: 7911901665 Enrollment ID: I20190322000740 |
| Provider Name | Wesley Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659734697 PECOS PAC ID: 8729371422 Enrollment ID: I20190325002726 |
| Provider Name | Michael F Labelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275784464 PECOS PAC ID: 3476722695 Enrollment ID: I20190326000855 |
| Provider Name | Mihaella Biserova Bozadjieva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427530799 PECOS PAC ID: 4486905452 Enrollment ID: I20190326001118 |
| Provider Name | Erin E Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922259811 PECOS PAC ID: 0446591184 Enrollment ID: I20190408001307 |
| Provider Name | Rachel Ann Robarge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619435948 PECOS PAC ID: 7618218041 Enrollment ID: I20190411000380 |
| Provider Name | Jessica A. Steine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565674 PECOS PAC ID: 2769723030 Enrollment ID: I20190415001323 |
| Provider Name | Sarah M Ashbrook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972073302 PECOS PAC ID: 8729329891 Enrollment ID: I20190418001320 |
| Provider Name | Kelly Jean Pronschinske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952880338 PECOS PAC ID: 7113269218 Enrollment ID: I20190419000208 |
| Provider Name | Andrew M Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821522210 PECOS PAC ID: 6507136116 Enrollment ID: I20190430000038 |
| Provider Name | Yince N Loh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720020894 PECOS PAC ID: 0547293417 Enrollment ID: I20190430001717 |
| Provider Name | Melanie Bratcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791144 PECOS PAC ID: 0840533923 Enrollment ID: I20190513000170 |
| Provider Name | Onyekachi Sunny Onyeabor |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467864694 PECOS PAC ID: 3779859996 Enrollment ID: I20190521000349 |
| Provider Name | Lenny M Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730397878 PECOS PAC ID: 2769576230 Enrollment ID: I20190524002006 |
| Provider Name | Daniel L Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417319112 PECOS PAC ID: 3375836497 Enrollment ID: I20190610001077 |
| Provider Name | Brianne Herlitzke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992268551 PECOS PAC ID: 8022342229 Enrollment ID: I20190621001269 |
| Provider Name | Lindsay Marie Hoffman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700444791 PECOS PAC ID: 8426382110 Enrollment ID: I20190701000611 |
| Provider Name | Teri S Gjerseth |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538484407 PECOS PAC ID: 9739413436 Enrollment ID: I20190701000987 |
| Provider Name | Sudheer Reddy Muduganti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538335948 PECOS PAC ID: 6507990249 Enrollment ID: I20190712000685 |
| Provider Name | Andrew Jesson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114371713 PECOS PAC ID: 2163775024 Enrollment ID: I20190717002457 |
| Provider Name | Warangkana Chokesuwattanaskul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306030481 PECOS PAC ID: 4789717034 Enrollment ID: I20190723002551 |
| Provider Name | Nida Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952744732 PECOS PAC ID: 2062710775 Enrollment ID: I20190723003034 |
| Provider Name | Justin B Otis |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1962817619 PECOS PAC ID: 6800141060 Enrollment ID: I20190725000018 |
| Provider Name | Aimee Violette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578026738 PECOS PAC ID: 3173859881 Enrollment ID: I20190801001122 |
| Provider Name | Mark D Rostad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093160806 PECOS PAC ID: 2769777903 Enrollment ID: I20190813003150 |
| Provider Name | Siegfried Yu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386842565 PECOS PAC ID: 4486788262 Enrollment ID: I20190822004203 |
| Provider Name | Samantha Mae Knox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659613263 PECOS PAC ID: 4385871664 Enrollment ID: I20190823002294 |
| Provider Name | Kaylyn D Sinicrope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316350762 PECOS PAC ID: 1153638374 Enrollment ID: I20190828002520 |
| Provider Name | Michael David Gillins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528323102 PECOS PAC ID: 0345578324 Enrollment ID: I20190829001011 |
| Provider Name | Gil E Harmon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104265339 PECOS PAC ID: 2860633625 Enrollment ID: I20190903002093 |
| Provider Name | Kayla Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154977379 PECOS PAC ID: 1153650684 Enrollment ID: I20190909004200 |
| Provider Name | Mitchell J Thompson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568996692 PECOS PAC ID: 2961775127 Enrollment ID: I20190910001557 |
| Provider Name | Wah Wah Htun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083943179 PECOS PAC ID: 9032412465 Enrollment ID: I20190913000771 |
| Provider Name | Lisa M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851702112 PECOS PAC ID: 8022326164 Enrollment ID: I20190919001508 |
| Provider Name | Candice Ann Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740595552 PECOS PAC ID: 3173717287 Enrollment ID: I20191014000108 |
| Provider Name | Stephanie Dawn Baka Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871141929 PECOS PAC ID: 3375874993 Enrollment ID: I20191014001282 |
| Provider Name | Elizabeth V White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366805186 PECOS PAC ID: 1658663505 Enrollment ID: I20191030001585 |
| Provider Name | Amber M Crawford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427286129 PECOS PAC ID: 9133350895 Enrollment ID: I20191104001427 |
| Provider Name | Heidi L Hodgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497092225 PECOS PAC ID: 6507001963 Enrollment ID: I20191105000833 |
| Provider Name | Samir S Hadi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861746935 PECOS PAC ID: 9830335629 Enrollment ID: I20191108002884 |
| Provider Name | Abhishek Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811276587 PECOS PAC ID: 3274806823 Enrollment ID: I20191112001445 |
| Provider Name | Anika Nina Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073776126 PECOS PAC ID: 2062668064 Enrollment ID: I20191204001269 |
| Provider Name | Carly J Gerardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457908790 PECOS PAC ID: 1153754163 Enrollment ID: I20191205001575 |
| Provider Name | Theresa M Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851332688 PECOS PAC ID: 2163463035 Enrollment ID: I20191217001218 |
| Provider Name | Renata Chalfin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043637143 PECOS PAC ID: 4486988383 Enrollment ID: I20191218002634 |
| Provider Name | Jonathan B Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245491182 PECOS PAC ID: 5092936542 Enrollment ID: I20200102000715 |
| Provider Name | Shivani Kapur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710411087 PECOS PAC ID: 3870928104 Enrollment ID: I20200115000771 |
| Provider Name | Victor A Thonn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972674299 PECOS PAC ID: 0244247799 Enrollment ID: I20200121001426 |
| Provider Name | Scott B Raymond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194080010 PECOS PAC ID: 9436386448 Enrollment ID: I20200130002051 |
| Provider Name | Anne K Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801251285 PECOS PAC ID: 8527364033 Enrollment ID: I20200320000220 |
| Provider Name | Kelsey S Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679026942 PECOS PAC ID: 5395173462 Enrollment ID: I20200324001373 |
| Provider Name | Daniel Dunbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174020986 PECOS PAC ID: 5092044149 Enrollment ID: I20200501002175 |
| Provider Name | Jason A Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568969715 PECOS PAC ID: 5092062299 Enrollment ID: I20200518001291 |
| Provider Name | Shannon K Groth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992243596 PECOS PAC ID: 5597020982 Enrollment ID: I20200520000389 |
| Provider Name | Jonathan E Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376596536 PECOS PAC ID: 6507873247 Enrollment ID: I20200521000772 |
| Provider Name | Abdurahman Said Elkhetali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023495413 PECOS PAC ID: 3577844216 Enrollment ID: I20200521001719 |
| Provider Name | Sonya April Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234773 PECOS PAC ID: 5799106977 Enrollment ID: I20200526000166 |
| Provider Name | Nicole M Dockendorff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033348040 PECOS PAC ID: 1850444993 Enrollment ID: I20200527000280 |
| Provider Name | Corinne Billet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871115485 PECOS PAC ID: 7214358332 Enrollment ID: I20200528000279 |
| Provider Name | Dylan Allen Hartley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124491998 PECOS PAC ID: 7113223793 Enrollment ID: I20200601001136 |
| Provider Name | Randall Nall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831696772 PECOS PAC ID: 0749537827 Enrollment ID: I20200619000430 |
| Provider Name | Daniel S Crawley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326260191 PECOS PAC ID: 4082784467 Enrollment ID: I20200623001839 |
| Provider Name | Christopher Martin Laylan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629574769 PECOS PAC ID: 8325395429 Enrollment ID: I20200717000832 |
| Provider Name | Megan Marie Hafner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477182079 PECOS PAC ID: 4284057514 Enrollment ID: I20200720001929 |
| Provider Name | Michael Khalil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124080015 PECOS PAC ID: 4688695638 Enrollment ID: I20200803000863 |
| Provider Name | Stefan M Brettfeld |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154718005 PECOS PAC ID: 2668786583 Enrollment ID: I20200806001022 |
| Provider Name | Adam J Haggerty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043741507 PECOS PAC ID: 7214278647 Enrollment ID: I20200812002229 |
| Provider Name | Benjamin D Andrew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083000863 PECOS PAC ID: 2264741552 Enrollment ID: I20200812003463 |
| Provider Name | Ryan S Stever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417488958 PECOS PAC ID: 9739429184 Enrollment ID: I20200813002352 |
| Provider Name | Yacki Hayashi-tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487031894 PECOS PAC ID: 1153691761 Enrollment ID: I20200818003138 |
| Provider Name | Carlos Roberto Astorga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154784114 PECOS PAC ID: 8628494846 Enrollment ID: I20200819001369 |
| Provider Name | Luke Wenzel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669823571 PECOS PAC ID: 8123313285 Enrollment ID: I20200827000526 |
| Provider Name | Taeha Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457762205 PECOS PAC ID: 4486922671 Enrollment ID: I20200901003313 |
| Provider Name | George N Ntui-ayuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796775 PECOS PAC ID: 7719134386 Enrollment ID: I20200902002810 |
| Provider Name | Kara Ann Kamps-schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841725173 PECOS PAC ID: 0840541215 Enrollment ID: I20200908000997 |
| Provider Name | Patrick A Self |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225458300 PECOS PAC ID: 3375848435 Enrollment ID: I20200909001319 |
| Provider Name | Michael Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265826762 PECOS PAC ID: 9032452685 Enrollment ID: I20200914001440 |
| Provider Name | Paul Spanel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134387798 PECOS PAC ID: 3971865080 Enrollment ID: I20200923000216 |
| Provider Name | Laura Lee Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083148472 PECOS PAC ID: 1153691837 Enrollment ID: I20201002000044 |
| Provider Name | Makay Bryant Neilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124303276 PECOS PAC ID: 5395164008 Enrollment ID: I20201007000432 |
| Provider Name | Taj Kattapuram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699902569 PECOS PAC ID: 3375702418 Enrollment ID: I20201007001736 |
| Provider Name | Emma Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134563869 PECOS PAC ID: 1153548748 Enrollment ID: I20201008000318 |
| Provider Name | Darren J Knox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892869 PECOS PAC ID: 8921379884 Enrollment ID: I20201008000603 |
| Provider Name | Sarah E Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124553474 PECOS PAC ID: 8022388891 Enrollment ID: I20201012000982 |
| Provider Name | Munish Kaushik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801327390 PECOS PAC ID: 0143579870 Enrollment ID: I20201015000316 |
| Provider Name | Justin C Dyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962666271 PECOS PAC ID: 8426228941 Enrollment ID: I20201015000835 |
| Provider Name | Mark C Wickre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063830628 PECOS PAC ID: 9436454451 Enrollment ID: I20201105000580 |
| Provider Name | Thomas Ceballos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215975719 PECOS PAC ID: 7719089242 Enrollment ID: I20201117000723 |
| Provider Name | Thomas S Kollodge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689055931 PECOS PAC ID: 5799098109 Enrollment ID: I20201123003194 |
| Provider Name | Ian J Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326544537 PECOS PAC ID: 3173870284 Enrollment ID: I20201210001257 |
| Provider Name | Sandra Milena Suarez Hoyos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750813150 PECOS PAC ID: 7315359478 Enrollment ID: I20201214001729 |
| Provider Name | Samantha L Stark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962866343 PECOS PAC ID: 2567744857 Enrollment ID: I20201230000188 |
| Provider Name | Stephen F Israel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376539700 PECOS PAC ID: 8628045176 Enrollment ID: I20210107001265 |
| Provider Name | Jacob D Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346747177 PECOS PAC ID: 8426305012 Enrollment ID: I20210112000685 |
| Provider Name | Montserrat S. Del Olmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295223568 PECOS PAC ID: 5991119406 Enrollment ID: I20210125001309 |
| Provider Name | Matthew J Allred |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548521719 PECOS PAC ID: 9537573928 Enrollment ID: I20210126001873 |
| Provider Name | Carol A Ogea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013918051 PECOS PAC ID: 1557793353 Enrollment ID: I20210127002212 |
| Provider Name | Andrea Cifaldi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053817379 PECOS PAC ID: 3476800442 Enrollment ID: I20210215000215 |
| Provider Name | Ellen Cynthia Barton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699263996 PECOS PAC ID: 1153736681 Enrollment ID: I20210216001566 |
| Provider Name | Gilda Boroumand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326363102 PECOS PAC ID: 3375766348 Enrollment ID: I20210216001803 |
| Provider Name | Daniel Bade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376631077 PECOS PAC ID: 3173548450 Enrollment ID: I20210223002210 |
| Provider Name | Barry Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295217636 PECOS PAC ID: 5698028702 Enrollment ID: I20210401001292 |
| Provider Name | Randy C Lehman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912388414 PECOS PAC ID: 4981916830 Enrollment ID: I20210422000295 |
| Provider Name | Luke C Helland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457617193 PECOS PAC ID: 3678898558 Enrollment ID: I20210607001062 |
| Provider Name | Meredith Caroline Schaffner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932468576 PECOS PAC ID: 0840417515 Enrollment ID: I20210608001275 |
| Provider Name | Jeannie W Ribbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588245609 PECOS PAC ID: 2567862832 Enrollment ID: I20210609000746 |
| Provider Name | Stephen J Bloechl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316181795 PECOS PAC ID: 8022231943 Enrollment ID: I20210615001681 |
| Provider Name | Matthew William Besch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144608084 PECOS PAC ID: 9739580275 Enrollment ID: I20210622002005 |
| Provider Name | Joshua Westbrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851773204 PECOS PAC ID: 4981006525 Enrollment ID: I20210706001729 |
| Provider Name | Joseph Gary Mueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863188 PECOS PAC ID: 5294069837 Enrollment ID: I20210713000632 |
| Provider Name | Melinda A Beyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326535485 PECOS PAC ID: 4082962402 Enrollment ID: I20210728000303 |
| Provider Name | Vikas S.r Koppurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235512922 PECOS PAC ID: 3678880580 Enrollment ID: I20210809000818 |
| Provider Name | Jared Richard Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093196552 PECOS PAC ID: 3274837901 Enrollment ID: I20210809003770 |
| Provider Name | Michael Ermolaos Dinos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780632182 PECOS PAC ID: 0345644324 Enrollment ID: I20210812003547 |
| Provider Name | Kelly Marie Diehl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649683004 PECOS PAC ID: 5698993475 Enrollment ID: I20210819000890 |
| Provider Name | Zachary C April |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114423845 PECOS PAC ID: 5799034096 Enrollment ID: I20210913001107 |
| Provider Name | Blaine G Stott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180612 PECOS PAC ID: 1355777293 Enrollment ID: I20210914000190 |
| Provider Name | Kim Thi Truong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932528387 PECOS PAC ID: 7810393196 Enrollment ID: I20210914001947 |
| Provider Name | Laura Klingbeil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003293713 PECOS PAC ID: 9931444155 Enrollment ID: I20210923000946 |
| Provider Name | Jasmin R Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588926372 PECOS PAC ID: 9739339706 Enrollment ID: I20210924000103 |
| Provider Name | Christopher Raymund Diroff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982132288 PECOS PAC ID: 8325319270 Enrollment ID: I20210928000112 |
| Provider Name | Sarah C Deyoung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780252759 PECOS PAC ID: 3173921137 Enrollment ID: I20211006002011 |
| Provider Name | Thanh Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992237770 PECOS PAC ID: 6002157377 Enrollment ID: I20211007002945 |
| Provider Name | Matthew R Huspeni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467993022 PECOS PAC ID: 6608140157 Enrollment ID: I20211011001843 |
| Provider Name | Danielle Bosshart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679134779 PECOS PAC ID: 7810395332 Enrollment ID: I20211013001300 |
| Provider Name | Meagan Janelle Tucker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205415270 PECOS PAC ID: 4082012802 Enrollment ID: I20211013001406 |
| Provider Name | Randy Folker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649296914 PECOS PAC ID: 2365431848 Enrollment ID: I20211016000037 |
| Provider Name | Megan Redman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942962238 PECOS PAC ID: 7618366055 Enrollment ID: I20211105000961 |
| Provider Name | Molly E Peverada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184157158 PECOS PAC ID: 2961826458 Enrollment ID: I20211106000219 |
| Provider Name | Lauren Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114210572 PECOS PAC ID: 3870806979 Enrollment ID: I20211109001015 |
| Provider Name | Rachel Lindsey Warner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154903953 PECOS PAC ID: 7214326339 Enrollment ID: I20211111000807 |
| Provider Name | April Jean Pluym |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396417143 PECOS PAC ID: 9234528134 Enrollment ID: I20211116000062 |
| Provider Name | Alexander Ralph Tokarski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700349719 PECOS PAC ID: 7315271855 Enrollment ID: I20211124001346 |
| Provider Name | Mariah A. Wittenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114689874 PECOS PAC ID: 9234529280 Enrollment ID: I20211206001304 |
| Provider Name | Ruth Ceulemans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730140062 PECOS PAC ID: 2567521438 Enrollment ID: I20211206001833 |
| Provider Name | Martin Erlandson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639732555 PECOS PAC ID: 9931437647 Enrollment ID: I20211210002379 |
| Provider Name | Randel T Stolee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730100959 PECOS PAC ID: 3375515539 Enrollment ID: I20211218000159 |
| Provider Name | Natalie E Schmit |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578144358 PECOS PAC ID: 9032500210 Enrollment ID: I20211222002587 |
| Provider Name | Caitlyn Rae Besch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285286708 PECOS PAC ID: 0345631172 Enrollment ID: I20220105000186 |
| Provider Name | Thomas Luers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104270354 PECOS PAC ID: 3678865805 Enrollment ID: I20220111002271 |
| Provider Name | Melissa Fuhrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851843155 PECOS PAC ID: 8628350071 Enrollment ID: I20220126002962 |
| Provider Name | Matthew Sieloff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902369952 PECOS PAC ID: 0749515278 Enrollment ID: I20220210001483 |
| Provider Name | Brittany Jean Schultz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417609587 PECOS PAC ID: 4486049368 Enrollment ID: I20220310001858 |
| Provider Name | Ananth K Ravi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184856478 PECOS PAC ID: 6608186341 Enrollment ID: I20220408001834 |
| Provider Name | Mathew L Brasic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477208627 PECOS PAC ID: 6507253218 Enrollment ID: I20220427003118 |
| Provider Name | Ivica Vucic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779371 PECOS PAC ID: 5395872857 Enrollment ID: I20220428002090 |
| Provider Name | Margaret J Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871234070 PECOS PAC ID: 0547647539 Enrollment ID: I20220512001432 |
| Provider Name | Suzette L Reilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275281693 PECOS PAC ID: 0446637284 Enrollment ID: I20220516002398 |
| Provider Name | Elizabeth Ann Beseler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356639975 PECOS PAC ID: 8123278314 Enrollment ID: I20220711002888 |
| Provider Name | Samuel Wenzlaff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043777329 PECOS PAC ID: 2860873346 Enrollment ID: I20220714001939 |
| Provider Name | Derek J Scheevel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063823656 PECOS PAC ID: 9739400540 Enrollment ID: I20220718002290 |
| Provider Name | Neelakanta Atkuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902213424 PECOS PAC ID: 6406102961 Enrollment ID: I20220719002193 |
| Provider Name | Jessica Mcilrath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447577424 PECOS PAC ID: 0648400473 Enrollment ID: I20220802002818 |
| Provider Name | Kjersten Renae Folstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033868369 PECOS PAC ID: 2860872504 Enrollment ID: I20220816001891 |
| Provider Name | Robert Funk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356845614 PECOS PAC ID: 8224387303 Enrollment ID: I20220817001595 |
| Provider Name | Jamal Janjua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366894370 PECOS PAC ID: 3274821426 Enrollment ID: I20220817002094 |
| Provider Name | Benjamin S Mixis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635935 PECOS PAC ID: 3173893393 Enrollment ID: I20220818003783 |
| Provider Name | Abigail L Strong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316442437 PECOS PAC ID: 1557784709 Enrollment ID: I20220824002134 |
| Provider Name | Jennie Marie Tomlinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568103711 PECOS PAC ID: 0345624052 Enrollment ID: I20220909000668 |
| Provider Name | Abolade Oduyemi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588306641 PECOS PAC ID: 4688058373 Enrollment ID: I20220909002442 |
| Provider Name | Kimberly Megan Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669107199 PECOS PAC ID: 4587049325 Enrollment ID: I20220915001249 |
| Provider Name | Maheedhar Gedela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104231216 PECOS PAC ID: 1658598651 Enrollment ID: I20220919002213 |
| Provider Name | Jason T Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679004733 PECOS PAC ID: 3072998566 Enrollment ID: I20220920001695 |
| Provider Name | Lacey J Schrader |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093165656 PECOS PAC ID: 5092137737 Enrollment ID: I20220927002312 |
| Provider Name | Donna Marie Hecker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164863064 PECOS PAC ID: 0446232615 Enrollment ID: I20221024002660 |
| Provider Name | Christina R Deboer-collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083145148 PECOS PAC ID: 1355764622 Enrollment ID: I20221119000381 |
| Provider Name | Gabriel Nicole Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366115578 PECOS PAC ID: 1557739513 Enrollment ID: I20221122002231 |
| Provider Name | Michaela Eckstein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699483412 PECOS PAC ID: 3577931369 Enrollment ID: I20221129001984 |
| Provider Name | Angela R Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588843700 PECOS PAC ID: 0749347847 Enrollment ID: I20221130002096 |
| Provider Name | Erin K Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396088787 PECOS PAC ID: 1557663093 Enrollment ID: I20221212000567 |
| Provider Name | Clara Marie Wiencek Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063125979 PECOS PAC ID: 7315318870 Enrollment ID: I20230119001375 |
| Provider Name | Jacob Timothy Wagner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790304442 PECOS PAC ID: 2961827795 Enrollment ID: I20230127002045 |
| Provider Name | Caroline Marie Muzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235858101 PECOS PAC ID: 5294106167 Enrollment ID: I20230201001261 |
| Provider Name | Deborah K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790769990 PECOS PAC ID: 3476680190 Enrollment ID: I20230208001919 |
| Provider Name | Shailer Brett Martin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043849367 PECOS PAC ID: 2365866076 Enrollment ID: I20230301001489 |
| Provider Name | Angela Marie Onsgard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013263466 PECOS PAC ID: 1456725332 Enrollment ID: I20230315002026 |
| Provider Name | Ashley Herde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033473343 PECOS PAC ID: 3779733522 Enrollment ID: I20230515001651 |
| Provider Name | Matthieu Mayer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564861 PECOS PAC ID: 5991052078 Enrollment ID: I20230522001330 |
| Provider Name | Christopher S Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568665529 PECOS PAC ID: 5890887731 Enrollment ID: I20230531002179 |
| Provider Name | Paige L Woggon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811642143 PECOS PAC ID: 2961862792 Enrollment ID: I20230712001882 |
| Provider Name | Katherine Joy Cleven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831883164 PECOS PAC ID: 8729440482 Enrollment ID: I20230811000951 |
| Provider Name | Nathaniel J Lucey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659996221 PECOS PAC ID: 5496179327 Enrollment ID: I20230816001635 |
| Provider Name | Lindsay Morris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447747431 PECOS PAC ID: 0749537355 Enrollment ID: I20230817001953 |
| Provider Name | Ivan Kaspruk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649890195 PECOS PAC ID: 1355703588 Enrollment ID: I20230818002468 |
| Provider Name | Michelle K Raabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912535311 PECOS PAC ID: 2264813690 Enrollment ID: I20230827000133 |
| Provider Name | Laura Jean Keatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972214591 PECOS PAC ID: 3870956584 Enrollment ID: I20230829001870 |
| Provider Name | Xiangyun John Duan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083121941 PECOS PAC ID: 7810310851 Enrollment ID: I20230830000540 |
| Provider Name | Benjamin H Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568083608 PECOS PAC ID: 7911321716 Enrollment ID: I20230906003444 |
| Provider Name | Samuel K Soda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194411850 PECOS PAC ID: 9335502970 Enrollment ID: I20230908000862 |
| Provider Name | Luke James Flunker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710678560 PECOS PAC ID: 8729441597 Enrollment ID: I20230914002715 |
| Provider Name | Emily A Wangen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851089296 PECOS PAC ID: 7113381161 Enrollment ID: I20230918003937 |
| Provider Name | Mark Richard Wittchow |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083175087 PECOS PAC ID: 4486008190 Enrollment ID: I20230929000482 |
| Provider Name | Michelle Marie Cancel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093245581 PECOS PAC ID: 8224307095 Enrollment ID: I20231005000631 |
| Provider Name | Hannah L Jaime |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881296598 PECOS PAC ID: 4284027749 Enrollment ID: I20231011002602 |
| Provider Name | Ryan M Pritham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457973737 PECOS PAC ID: 5092134478 Enrollment ID: I20231012000455 |
| Provider Name | Timothy Whitehead |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871752428 PECOS PAC ID: 6800011636 Enrollment ID: I20231027001431 |
| Provider Name | Joseph Paul Steingraeber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851584122 PECOS PAC ID: 9234586785 Enrollment ID: I20231106002165 |
| Provider Name | Ashley E Spacek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679152672 PECOS PAC ID: 3779986195 Enrollment ID: I20231107000576 |
| Provider Name | Rasleen Kanwal Saluja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821477829 PECOS PAC ID: 8921402884 Enrollment ID: I20231108000581 |
| Provider Name | Laura E Hohlfeld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669915112 PECOS PAC ID: 1658721675 Enrollment ID: I20240103000604 |
| Provider Name | Scott A Klaeser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720089105 PECOS PAC ID: 5496106452 Enrollment ID: I20240104000771 |
| Provider Name | Katerri Jean Sanford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528495231 PECOS PAC ID: 6507217437 Enrollment ID: I20240104003934 |
| Provider Name | Christopher G. Schmid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669718763 PECOS PAC ID: 7517318330 Enrollment ID: I20240105002513 |
| Provider Name | Molly C Skinner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780152603 PECOS PAC ID: 2668823246 Enrollment ID: I20240108005339 |
| Provider Name | Marsha A Lukasek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467453985 PECOS PAC ID: 9032560875 Enrollment ID: I20240124002033 |
| Provider Name | Megan E Barber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407274533 PECOS PAC ID: 6002118890 Enrollment ID: I20240213000615 |
| Provider Name | Chalen Yang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497334155 PECOS PAC ID: 8628471091 Enrollment ID: I20240213003654 |
Premise Health Of Wisconsin Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Kwik Trip Way, La Crosse, WI 54603 Phone: 608-781-4460 Fax: 608-781-5587 | |
Durtsche Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 32nd St S, La Crosse, WI 54601 Phone: 608-788-1170 | |
Gundersen Lutheran Express Care La Crosse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 State Rd, La Crosse, WI 54601 Phone: 608-782-7300 | |
Uw - La Crosse Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Badger St, Suite 1030, La Crosse, WI 54601 Phone: 608-785-8558 Fax: 608-785-8746 | |
Scenic Bluffs Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Copeland Ave, Suite 203, La Crosse, WI 54603 Phone: 608-654-5100 Fax: 608-654-5120 | |
Gundersen Healthy Living Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Main St, La Crosse, WI 54601 Phone: 608-782-9622 | |
Glmc Prof Services Bldg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 Sims Place, La Crosse, WI 54601 Phone: 608-782-7300 |