| Healthlinc - Valparaiso | |
|
1001 Sturdy Rd Valparaiso IN 46383 | |
| (219) 462-7173 | |
| (219) 462-7504 |
| Full Name | Healthlinc - Valparaiso |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 Sturdy Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Melissa Mitchell (CEO) |
| Authorized Official Contact | 2194659503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthlinc - Valparaiso 2401 Valley Dr Valparaiso IN 46383-2520 Ph: (219) 413-5100 | Healthlinc - Valparaiso 1001 Sturdy Rd Valparaiso IN 46383 Ph: (219) 462-7173 |
| NPI Number | 1528262581 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7618929373 |
|---|---|
| Medicare Enrollment ID | O20050210000929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528262581 | NPI | - | NPPES |
| 200317310A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS06662 (Indiana) | Primary |
| Provider Name | Brandon William Zabukovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710962915 PECOS PAC ID: 6204749344 Enrollment ID: I20031106000119 |
| Provider Name | Kathleen A Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831113026 PECOS PAC ID: 5193612182 Enrollment ID: I20040303000936 |
| Provider Name | Elizabeth Ann Rutherford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083653711 PECOS PAC ID: 6002704293 Enrollment ID: I20040309000718 |
| Provider Name | Crystal A Strickland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700947462 PECOS PAC ID: 5597655621 Enrollment ID: I20040319001096 |
| Provider Name | Kristin J Kile |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447241179 PECOS PAC ID: 5092703751 Enrollment ID: I20040503001160 |
| Provider Name | Linda G Munson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477542561 PECOS PAC ID: 5698674687 Enrollment ID: I20040804001387 |
| Provider Name | Rajendra V Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013961333 PECOS PAC ID: 4183684822 Enrollment ID: I20041015000932 |
| Provider Name | Sloan S Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326093451 PECOS PAC ID: 0345202305 Enrollment ID: I20041102000064 |
| Provider Name | Judith A Weaver Yoder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700828829 PECOS PAC ID: 5092778225 Enrollment ID: I20041109000749 |
| Provider Name | Lourdes H Lorino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003877796 PECOS PAC ID: 1951345602 Enrollment ID: I20050614000959 |
| Provider Name | Razia Begum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598750309 PECOS PAC ID: 3870524101 Enrollment ID: I20050826000331 |
| Provider Name | John Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033104849 PECOS PAC ID: 7810928041 Enrollment ID: I20050826000481 |
| Provider Name | Laura Ann Hannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154339935 PECOS PAC ID: 1557396181 Enrollment ID: I20051003000052 |
| Provider Name | Kristi Michelle Troyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215959606 PECOS PAC ID: 5698781219 Enrollment ID: I20060306000456 |
| Provider Name | William P Roman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760442271 PECOS PAC ID: 9133185010 Enrollment ID: I20061226000065 |
| Provider Name | Lee Jennifer Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982706412 PECOS PAC ID: 3173437175 Enrollment ID: I20070330000339 |
| Provider Name | Katherine A Lisoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780601351 PECOS PAC ID: 5799880985 Enrollment ID: I20070417000402 |
| Provider Name | Michael P Roach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689711665 PECOS PAC ID: 4486746245 Enrollment ID: I20070824000045 |
| Provider Name | Tamara Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205023199 PECOS PAC ID: 2365513397 Enrollment ID: I20080619000345 |
| Provider Name | Christine E Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144479460 PECOS PAC ID: 2567478175 Enrollment ID: I20081212000511 |
| Provider Name | Dion A Snider |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699750125 PECOS PAC ID: 6002897675 Enrollment ID: I20090810000245 |
| Provider Name | Rosina Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447437397 PECOS PAC ID: 5092855049 Enrollment ID: I20091222000705 |
| Provider Name | Janelle R Blickensderfer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477505543 PECOS PAC ID: 4981744976 Enrollment ID: I20091223000364 |
| Provider Name | Mary Hope Griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659402220 PECOS PAC ID: 2668480690 Enrollment ID: I20100126000505 |
| Provider Name | Laura T Mabry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184952848 PECOS PAC ID: 8628113461 Enrollment ID: I20100304000901 |
| Provider Name | Deborah Lynn Wickenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225218746 PECOS PAC ID: 7315072527 Enrollment ID: I20100312000704 |
| Provider Name | Mary Ann Meyer Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073525200 PECOS PAC ID: 4486780517 Enrollment ID: I20100415000869 |
| Provider Name | Debra A Zack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750362901 PECOS PAC ID: 0143357079 Enrollment ID: I20100423000389 |
| Provider Name | Christopher M Wirsing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104838309 PECOS PAC ID: 9032245162 Enrollment ID: I20100426000077 |
| Provider Name | Norma P Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518296342 PECOS PAC ID: 0446443063 Enrollment ID: I20101014001379 |
| Provider Name | Edward J Durbin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194715581 PECOS PAC ID: 4082701933 Enrollment ID: I20101026000621 |
| Provider Name | Daniel J Triezenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124100698 PECOS PAC ID: 1052508298 Enrollment ID: I20101214000401 |
| Provider Name | Cheryl D Short |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790846517 PECOS PAC ID: 1850281973 Enrollment ID: I20110104000108 |
| Provider Name | Patricia A Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699763409 PECOS PAC ID: 5193914802 Enrollment ID: I20110112000193 |
| Provider Name | John Joseph Wernert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851364780 PECOS PAC ID: 1153371257 Enrollment ID: I20110118000420 |
| Provider Name | Jay Timothy Ames |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538158134 PECOS PAC ID: 3375727613 Enrollment ID: I20110411000380 |
| Provider Name | Daniel F Czarnecki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124224373 PECOS PAC ID: 7911176128 Enrollment ID: I20110804000236 |
| Provider Name | Jennifer Marguerite Maya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518161686 PECOS PAC ID: 6901076074 Enrollment ID: I20110826000686 |
| Provider Name | Marybeth Witcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629120878 PECOS PAC ID: 6507036217 Enrollment ID: I20110906000615 |
| Provider Name | Rachel E Whitcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548201684 PECOS PAC ID: 1951572007 Enrollment ID: I20110921000139 |
| Provider Name | Anand P Popli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619964814 PECOS PAC ID: 8628960960 Enrollment ID: I20111020000052 |
| Provider Name | Keith Gingerich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346211612 PECOS PAC ID: 7416981956 Enrollment ID: I20111215000502 |
| Provider Name | Kumud Aggarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992776546 PECOS PAC ID: 1557536653 Enrollment ID: I20111227000524 |
| Provider Name | Daniel L. Kinsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306880109 PECOS PAC ID: 5395912497 Enrollment ID: I20120112000465 |
| Provider Name | Gerard S Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922088285 PECOS PAC ID: 6507023967 Enrollment ID: I20120214000125 |
| Provider Name | John Busch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699885723 PECOS PAC ID: 6103722673 Enrollment ID: I20120228000327 |
| Provider Name | Jennifer K Vanmeter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982978763 PECOS PAC ID: 9032373998 Enrollment ID: I20120606000230 |
| Provider Name | Melissa L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831422518 PECOS PAC ID: 2961667282 Enrollment ID: I20120711000229 |
| Provider Name | Carlos R Bolden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386818599 PECOS PAC ID: 8820244841 Enrollment ID: I20120807000816 |
| Provider Name | Thomas Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376817510 PECOS PAC ID: 2466608278 Enrollment ID: I20120810000233 |
| Provider Name | Dean Allen Webb |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306107057 PECOS PAC ID: 4981854015 Enrollment ID: I20121025000206 |
| Provider Name | Milcah Wanjiku Gichuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700132941 PECOS PAC ID: 3678724226 Enrollment ID: I20121108000359 |
| Provider Name | Dineke Jaspers Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619222163 PECOS PAC ID: 4486806494 Enrollment ID: I20121219000542 |
| Provider Name | Jennifer Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063781532 PECOS PAC ID: 7315192705 Enrollment ID: I20130311000352 |
| Provider Name | Dayna M Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144489790 PECOS PAC ID: 4183875073 Enrollment ID: I20130419000167 |
| Provider Name | Susana Diaz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972857704 PECOS PAC ID: 7315183993 Enrollment ID: I20130426000559 |
| Provider Name | Renae C Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700122579 PECOS PAC ID: 7911144456 Enrollment ID: I20130501000029 |
| Provider Name | Lisa Marie Budka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275879025 PECOS PAC ID: 1850538166 Enrollment ID: I20130506000087 |
| Provider Name | Shannon G Markle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295077782 PECOS PAC ID: 5799926242 Enrollment ID: I20130725000133 |
| Provider Name | Elizabeth A Loudenber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417259045 PECOS PAC ID: 9931341039 Enrollment ID: I20130819000743 |
| Provider Name | Rebecca Ann Bauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366762445 PECOS PAC ID: 7214175280 Enrollment ID: I20131003000340 |
| Provider Name | Jennifer Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346586112 PECOS PAC ID: 1951530542 Enrollment ID: I20140130001147 |
| Provider Name | Nikkole Renee Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831522085 PECOS PAC ID: 4981834900 Enrollment ID: I20140312001989 |
| Provider Name | Diana Garcia Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386950566 PECOS PAC ID: 2668602699 Enrollment ID: I20140313000247 |
| Provider Name | Kari L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861838252 PECOS PAC ID: 2961632922 Enrollment ID: I20140313001301 |
| Provider Name | Rachel E Whitcomb |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548201684 PECOS PAC ID: 1951572007 Enrollment ID: I20140321000746 |
| Provider Name | Rebekah R Kottkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881018729 PECOS PAC ID: 4587897244 Enrollment ID: I20140502001437 |
| Provider Name | Lilia Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023040458 PECOS PAC ID: 4587897277 Enrollment ID: I20140505000167 |
| Provider Name | Thalia R Pachiyannakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275860314 PECOS PAC ID: 0345473732 Enrollment ID: I20140509001742 |
| Provider Name | Patricia Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700925138 PECOS PAC ID: 4385772524 Enrollment ID: I20140529000353 |
| Provider Name | Lauren Reimink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578996443 PECOS PAC ID: 9234354762 Enrollment ID: I20140625002060 |
| Provider Name | Allen R Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891013967 PECOS PAC ID: 0941425680 Enrollment ID: I20140714000373 |
| Provider Name | Jeffrey Warren Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093860090 PECOS PAC ID: 0547222697 Enrollment ID: I20140729002895 |
| Provider Name | Michael S Kozak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558623686 PECOS PAC ID: 3274786306 Enrollment ID: I20140916001590 |
| Provider Name | Michelle Streb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861897688 PECOS PAC ID: 0143544395 Enrollment ID: I20150119000739 |
| Provider Name | Amanda Jean Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427205814 PECOS PAC ID: 5698945483 Enrollment ID: I20150218000113 |
| Provider Name | Melissa Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083958920 PECOS PAC ID: 6507182458 Enrollment ID: I20150311002499 |
| Provider Name | Isaac Nathan Zeckel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528349800 PECOS PAC ID: 6800115775 Enrollment ID: I20150428001745 |
| Provider Name | Lisa Pina-awosika |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336444793 PECOS PAC ID: 1153642608 Enrollment ID: I20150609001308 |
| Provider Name | Melissa Mary Ilg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225083371 PECOS PAC ID: 5496762486 Enrollment ID: I20150619000670 |
| Provider Name | Ellen E Cuddeback |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497053599 PECOS PAC ID: 5597997528 Enrollment ID: I20150623000572 |
| Provider Name | Praveen Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760746531 PECOS PAC ID: 3870805062 Enrollment ID: I20150630002587 |
| Provider Name | George Politakis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376981522 PECOS PAC ID: 6901119700 Enrollment ID: I20150723006700 |
| Provider Name | Noemi Adame |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730274556 PECOS PAC ID: 1355368978 Enrollment ID: I20150805006668 |
| Provider Name | Lindsay B Bonaventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558605485 PECOS PAC ID: 2668787417 Enrollment ID: I20150824000041 |
| Provider Name | John Rafael Avila |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952423840 PECOS PAC ID: 7012224611 Enrollment ID: I20150915000921 |
| Provider Name | Juana Maria Ambriz De Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083081129 PECOS PAC ID: 0446568265 Enrollment ID: I20150929000154 |
| Provider Name | Lois Wagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538530506 PECOS PAC ID: 2466761861 Enrollment ID: I20151027000225 |
| Provider Name | Jana Voskuil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393145 PECOS PAC ID: 9032412275 Enrollment ID: I20160122000554 |
| Provider Name | Sheilah Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871983833 PECOS PAC ID: 6002135928 Enrollment ID: I20160122001057 |
| Provider Name | Brooke Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114385879 PECOS PAC ID: 5496053860 Enrollment ID: I20160419000321 |
| Provider Name | Ashley Fugate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281583 PECOS PAC ID: 6002115045 Enrollment ID: I20160426001830 |
| Provider Name | Carl Toren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700827128 PECOS PAC ID: 6103126461 Enrollment ID: I20160429001199 |
| Provider Name | Kathy Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952582 PECOS PAC ID: 6002109139 Enrollment ID: I20160726002964 |
| Provider Name | Erica Garrett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851748693 PECOS PAC ID: 9436449782 Enrollment ID: I20160802001666 |
| Provider Name | Manogna Katakam |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124456926 PECOS PAC ID: 2163700386 Enrollment ID: I20161024000162 |
| Provider Name | Jamie Elizabeth Ail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407304504 PECOS PAC ID: 6901184456 Enrollment ID: I20161103001116 |
| Provider Name | Leah Ann Osorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225396633 PECOS PAC ID: 2668792326 Enrollment ID: I20161103001326 |
| Provider Name | Lauren S Reisberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124578653 PECOS PAC ID: 3476831934 Enrollment ID: I20161103001448 |
| Provider Name | Belinda J Lafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568632339 PECOS PAC ID: 4183904345 Enrollment ID: I20161205000808 |
| Provider Name | Sonya M Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508186925 PECOS PAC ID: 5890933527 Enrollment ID: I20161229000892 |
| Provider Name | Umparrys Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336799 PECOS PAC ID: 8022399161 Enrollment ID: I20170103000765 |
| Provider Name | David C Reed |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588858252 PECOS PAC ID: 3577844612 Enrollment ID: I20170103000772 |
| Provider Name | Matthew E Sherwood |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710115373 PECOS PAC ID: 7012299985 Enrollment ID: I20170130001090 |
| Provider Name | Kayti L Bonczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619425980 PECOS PAC ID: 6305129867 Enrollment ID: I20170207000895 |
| Provider Name | Tina A Crum |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003350067 PECOS PAC ID: 6406139930 Enrollment ID: I20170208000545 |
| Provider Name | Jessica Jean Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790132678 PECOS PAC ID: 1153605969 Enrollment ID: I20170222002348 |
| Provider Name | Jana Schenkel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023487428 PECOS PAC ID: 0244513588 Enrollment ID: I20170301000518 |
| Provider Name | Stacy Hendershott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255875472 PECOS PAC ID: 5698059624 Enrollment ID: I20170310001438 |
| Provider Name | Susana Lagunas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619418332 PECOS PAC ID: 1557646056 Enrollment ID: I20170324000708 |
| Provider Name | Charita Weekly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497094304 PECOS PAC ID: 8921248543 Enrollment ID: I20170330000318 |
| Provider Name | Jessica Marie Basham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164764890 PECOS PAC ID: 6608170717 Enrollment ID: I20170519000667 |
| Provider Name | Firas Adhami |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518349497 PECOS PAC ID: 9436432879 Enrollment ID: I20170626001656 |
| Provider Name | James Strycker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134533565 PECOS PAC ID: 1254557804 Enrollment ID: I20170629000120 |
| Provider Name | Ryan S Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952836884 PECOS PAC ID: 7315218757 Enrollment ID: I20170803002442 |
| Provider Name | Dante Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104277516 PECOS PAC ID: 6507130614 Enrollment ID: I20170929001327 |
| Provider Name | Melanie A Pergiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508830613 PECOS PAC ID: 8527075225 Enrollment ID: I20171019000651 |
| Provider Name | Brittanie Lee Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164950101 PECOS PAC ID: 0547536872 Enrollment ID: I20171031003135 |
| Provider Name | Claire M Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457860801 PECOS PAC ID: 6507122793 Enrollment ID: I20171103000448 |
| Provider Name | Raji Susan Royce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144758491 PECOS PAC ID: 6103184353 Enrollment ID: I20171218002444 |
| Provider Name | Asha Koshy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013441641 PECOS PAC ID: 2668730771 Enrollment ID: I20171219002067 |
| Provider Name | Victoria Schwarten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834372 PECOS PAC ID: 2466710579 Enrollment ID: I20171219002166 |
| Provider Name | Iryna Cribley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508139023 PECOS PAC ID: 3072776939 Enrollment ID: I20180123001068 |
| Provider Name | Carmen Bonita Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104009000 PECOS PAC ID: 7810257805 Enrollment ID: I20180213001233 |
| Provider Name | Samantha Lynn Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275041865 PECOS PAC ID: 0749540565 Enrollment ID: I20180215002096 |
| Provider Name | Nadine Salman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598281487 PECOS PAC ID: 7810258639 Enrollment ID: I20180219000810 |
| Provider Name | Andrea Edgerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922506948 PECOS PAC ID: 0941561872 Enrollment ID: I20180309001102 |
| Provider Name | Olivia Rudnicki |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790219384 PECOS PAC ID: 2365719861 Enrollment ID: I20180717000861 |
| Provider Name | Andrea L Ramthun |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841640521 PECOS PAC ID: 3577843705 Enrollment ID: I20180813000248 |
| Provider Name | Reem Jamal Mohammad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407268378 PECOS PAC ID: 0648579839 Enrollment ID: I20180828000234 |
| Provider Name | Kendall S Hochstedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502689 PECOS PAC ID: 9638429384 Enrollment ID: I20180830001881 |
| Provider Name | Trista Wyman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871073478 PECOS PAC ID: 4082966312 Enrollment ID: I20181015000753 |
| Provider Name | Eliza J Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790264828 PECOS PAC ID: 6204188535 Enrollment ID: I20181015000944 |
| Provider Name | Karen E Cercone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651920 PECOS PAC ID: 9032462106 Enrollment ID: I20181019001956 |
| Provider Name | Christine Lynn Romack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538641105 PECOS PAC ID: 9133473366 Enrollment ID: I20181107000430 |
| Provider Name | Ahmed Sabry Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730564246 PECOS PAC ID: 3779888953 Enrollment ID: I20181126003693 |
| Provider Name | Arnie Lou Salazar Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487132973 PECOS PAC ID: 6507101052 Enrollment ID: I20190102003039 |
| Provider Name | Melissa E. Holderread |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477977767 PECOS PAC ID: 2668604943 Enrollment ID: I20190114002321 |
| Provider Name | Victoria Rae Redar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245507169 PECOS PAC ID: 1355689712 Enrollment ID: I20190208002035 |
| Provider Name | Courtney E Glos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053760728 PECOS PAC ID: 5092006858 Enrollment ID: I20190830000357 |
| Provider Name | Priscah Ouma Odongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194372409 PECOS PAC ID: 4284963141 Enrollment ID: I20190903001570 |
| Provider Name | Ashley Brunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932678679 PECOS PAC ID: 9436488319 Enrollment ID: I20190903002194 |
| Provider Name | Tracy Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437705522 PECOS PAC ID: 8628307485 Enrollment ID: I20190904003004 |
| Provider Name | Latonya R Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477892065 PECOS PAC ID: 1456681782 Enrollment ID: I20190928000107 |
| Provider Name | Joshua Douglas Majerus |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992361158 PECOS PAC ID: 0143552315 Enrollment ID: I20191022000755 |
| Provider Name | Steven A Foley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194700179 PECOS PAC ID: 8224932090 Enrollment ID: I20191115000344 |
| Provider Name | Yvonne Chaadulia Lindeire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184255093 PECOS PAC ID: 2769812684 Enrollment ID: I20200416002910 |
| Provider Name | Cristina Emch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356803134 PECOS PAC ID: 8921438615 Enrollment ID: I20200421000431 |
| Provider Name | Erica L Corradino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699390872 PECOS PAC ID: 7810310539 Enrollment ID: I20200713003490 |
| Provider Name | Rebecca Louise Kray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528679891 PECOS PAC ID: 3476979428 Enrollment ID: I20200820002318 |
| Provider Name | Joshua Daniel Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952913279 PECOS PAC ID: 7214356088 Enrollment ID: I20200928002084 |
| Provider Name | Tara Lee Nimtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104437631 PECOS PAC ID: 3274953310 Enrollment ID: I20201012001646 |
| Provider Name | Kelli L Liechty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689861809 PECOS PAC ID: 0345660494 Enrollment ID: I20201012002267 |
| Provider Name | Bianca Yasmin Rafidia Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760519 PECOS PAC ID: 0941620710 Enrollment ID: I20201015002973 |
| Provider Name | Rolyn Munah Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598388407 PECOS PAC ID: 9133549595 Enrollment ID: I20201023001658 |
| Provider Name | Heather Lee Jackson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669090049 PECOS PAC ID: 3173933934 Enrollment ID: I20201105001481 |
| Provider Name | Alexander Tokarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134730062 PECOS PAC ID: 8820408487 Enrollment ID: I20201110002028 |
| Provider Name | Gaurav Desai |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235582792 PECOS PAC ID: 1759678006 Enrollment ID: I20201231001444 |
| Provider Name | Drew Evan Schmucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912311887 PECOS PAC ID: 7012132756 Enrollment ID: I20210106001446 |
| Provider Name | Nicole A Scheidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760082002 PECOS PAC ID: 4981017837 Enrollment ID: I20210113002444 |
| Provider Name | William Edward Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154915072 PECOS PAC ID: 6608282405 Enrollment ID: I20210302002280 |
| Provider Name | Josh Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497308035 PECOS PAC ID: 3274949607 Enrollment ID: I20210310001680 |
| Provider Name | Mary Elizabeth Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932696291 PECOS PAC ID: 6709131923 Enrollment ID: I20210722002012 |
| Provider Name | Khushbu Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891380341 PECOS PAC ID: 3072916147 Enrollment ID: I20210727002239 |
| Provider Name | Karen J Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114463502 PECOS PAC ID: 5698042489 Enrollment ID: I20210806000257 |
| Provider Name | Paul Brian Sexton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265914428 PECOS PAC ID: 9638573082 Enrollment ID: I20210806000392 |
| Provider Name | Jeremy Michaelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316611361 PECOS PAC ID: 9133525058 Enrollment ID: I20210901001094 |
| Provider Name | Monica Renee Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447822697 PECOS PAC ID: 2860898715 Enrollment ID: I20210901002080 |
| Provider Name | Matthew A Nash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740257930 PECOS PAC ID: 0143260588 Enrollment ID: I20211115002493 |
| Provider Name | Jennifer Marie Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740774793 PECOS PAC ID: 3779973029 Enrollment ID: I20211201001199 |
| Provider Name | Joel Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285738435 PECOS PAC ID: 7214915313 Enrollment ID: I20211217000809 |
| Provider Name | Tesha Geraghty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457002644 PECOS PAC ID: 5698169753 Enrollment ID: I20220307001200 |
| Provider Name | Laura Stablein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194474809 PECOS PAC ID: 3779970314 Enrollment ID: I20220428001423 |
| Provider Name | Hannah Grace Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083360812 PECOS PAC ID: 5193112662 Enrollment ID: I20220502001269 |
| Provider Name | Daphne Pontius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403581 PECOS PAC ID: 2365829132 Enrollment ID: I20220517000610 |
| Provider Name | Tabitha Lynn Sherrill |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003555202 PECOS PAC ID: 7214316660 Enrollment ID: I20220615002345 |
| Provider Name | Leonid Kats |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356804363 PECOS PAC ID: 4284016999 Enrollment ID: I20220727003197 |
| Provider Name | Sarah Feeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598490963 PECOS PAC ID: 3476936295 Enrollment ID: I20220811001645 |
| Provider Name | Nicole Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528786936 PECOS PAC ID: 7113301029 Enrollment ID: I20220826000249 |
| Provider Name | Tiara Z. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982339982 PECOS PAC ID: 6608250584 Enrollment ID: I20220909002346 |
| Provider Name | Devesh K Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417407875 PECOS PAC ID: 8224314166 Enrollment ID: I20221012002720 |
| Provider Name | Winna Pham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457077158 PECOS PAC ID: 8527434182 Enrollment ID: I20221022000049 |
| Provider Name | Jessica Danielle Oppolo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477273969 PECOS PAC ID: 2860869161 Enrollment ID: I20221028002260 |
| Provider Name | Julie Anne Paston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295253490 PECOS PAC ID: 2264809086 Enrollment ID: I20221108003422 |
| Provider Name | Michelle L Wright |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154057818 PECOS PAC ID: 6709255359 Enrollment ID: I20221205000267 |
| Provider Name | Irene Katherina Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699484758 PECOS PAC ID: 0547630980 Enrollment ID: I20221230000400 |
| Provider Name | Valerie Alice Allmon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194441584 PECOS PAC ID: 5597135947 Enrollment ID: I20221230000751 |
| Provider Name | Kellie Marilynn Hurst |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437843323 PECOS PAC ID: 7618337247 Enrollment ID: I20230714001017 |
| Provider Name | Erica Garver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568149904 PECOS PAC ID: 7416301585 Enrollment ID: I20230922001104 |
| Provider Name | Nicholas Joseph Walter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568099042 PECOS PAC ID: 2163844234 Enrollment ID: I20231005003247 |
| Provider Name | Jacqueline Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386872448 PECOS PAC ID: 9335595172 Enrollment ID: I20231030003511 |
| Provider Name | Krista A Morris-lehman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902544257 PECOS PAC ID: 5294183729 Enrollment ID: I20231122000993 |
| Provider Name | Gary Todd Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770900011 PECOS PAC ID: 5890143622 Enrollment ID: I20231204003276 |
| Provider Name | Melissa J Quiroz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003495094 PECOS PAC ID: 5395196950 Enrollment ID: I20240108004550 |
| Provider Name | Valerie Lynn Fase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407539448 PECOS PAC ID: 9830540400 Enrollment ID: I20240108004938 |
| Provider Name | Catherine Aileen Groves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558790766 PECOS PAC ID: 6608230511 Enrollment ID: I20240111001249 |
| Provider Name | Nicole Toyi Jackson-musenja |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710181722 PECOS PAC ID: 5395197388 Enrollment ID: I20240116000175 |
| Provider Name | Jenny Lopez Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689366676 PECOS PAC ID: 5597109322 Enrollment ID: I20240220001626 |
| Provider Name | Lawrence Ramunno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013910884 PECOS PAC ID: 9739403361 Enrollment ID: I20240229002516 |
| Provider Name | Carol Salas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700262235 PECOS PAC ID: 1052764420 Enrollment ID: I20240301003112 |
Healthlinc - Porter-starke Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Wall St, Valparaiso, IN 46383 Phone: 219-299-8419 Fax: 219-462-7504 | |
Indiana Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 E Lincolnway, Valparaiso, IN 46383 Phone: 888-339-7339 | |
New Beginnings Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Fordwick Ln, Valparaiso, IN 46383 Phone: 219-671-1881 | |
B Waldo Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3000 Pepper Creek Bridge Pkwy, Valparaiso, IN 46385 Phone: 773-520-1950 | |
Sudhakar Garlapati Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Wall St, Valparaiso, IN 46383 Phone: 219-462-2106 | |
Michigan City In Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2206 Roosevelt Rd, Ste A, Valparaiso, IN 46383 Phone: 219-464-9507 Fax: 219-477-4690 | |
James E. Taylor Medical Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 Evans Ave, Suite 111, Valparaiso, IN 46383 Phone: 219-464-9521 |