| Heritage Valley Multispecialty Group, Inc. | |
|
500 Sharon Rd Beaver PA 15009-1957 | |
| (724) 728-8751 | |
| (724) 770-7927 |
| Full Name | Heritage Valley Multispecialty Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Sharon Rd, Beaver, Pennsylvania |
| Authorized Official Name and Position | Norman F Mitry (PRESIDENT & CEO) |
| Authorized Official Contact | 7247734776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Valley Multispecialty Group, Inc. 200 Ohio River Blvd Baden PA 15005-1914 Ph: (724) 773-6802 | Heritage Valley Multispecialty Group, Inc. 500 Sharon Rd Beaver PA 15009-1957 Ph: (724) 728-8751 |
| NPI Number | 1528015401 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 03/18/2021 |
| Medicare PECOS PAC ID | 0042105678 |
|---|---|
| Medicare Enrollment ID | O20040220000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528015401 | NPI | - | NPPES |
| 0015654460023 | Medicaid | PA |
| Provider Name | Robert F Yellenik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639131030 PECOS PAC ID: 1850205238 Enrollment ID: I20031119000103 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144210766 PECOS PAC ID: 2365347739 Enrollment ID: I20031201000096 |
| Provider Name | Syeda R Shergill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952381345 PECOS PAC ID: 7012815475 Enrollment ID: I20031222000847 |
| Provider Name | Geoffrey H Wilcox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447230768 PECOS PAC ID: 7517867724 Enrollment ID: I20040113000395 |
| Provider Name | Karen A Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285725242 PECOS PAC ID: 5193627743 Enrollment ID: I20040123000375 |
| Provider Name | Kathleen Osten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083630875 PECOS PAC ID: 0547241465 Enrollment ID: I20040526001550 |
| Provider Name | Brian G Everhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346262656 PECOS PAC ID: 2365428000 Enrollment ID: I20040624001589 |
| Provider Name | Michael J Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679501431 PECOS PAC ID: 6002889730 Enrollment ID: I20040819000444 |
| Provider Name | Geri L Bacu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376582700 PECOS PAC ID: 7517935489 Enrollment ID: I20040918000100 |
| Provider Name | Vikram Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053307199 PECOS PAC ID: 3375511942 Enrollment ID: I20040921001014 |
| Provider Name | Marcela Purtell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609892470 PECOS PAC ID: 8325013121 Enrollment ID: I20041109000781 |
| Provider Name | Elizabeth Ann Ruberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619940988 PECOS PAC ID: 0547209942 Enrollment ID: I20050426000514 |
| Provider Name | Denise R Ramponi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063410785 PECOS PAC ID: 9931140126 Enrollment ID: I20050518000449 |
| Provider Name | John D Lehman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275529331 PECOS PAC ID: 4587659156 Enrollment ID: I20050520000173 |
| Provider Name | Susan L Weber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265439608 PECOS PAC ID: 3375585987 Enrollment ID: I20050524000971 |
| Provider Name | George J Antalis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013938877 PECOS PAC ID: 4880637586 Enrollment ID: I20050603000435 |
| Provider Name | Gretchen R Herda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487650529 PECOS PAC ID: 0840234530 Enrollment ID: I20050614000525 |
| Provider Name | Nkiruka Nnebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982667069 PECOS PAC ID: 3577597285 Enrollment ID: I20050922000268 |
| Provider Name | Ashwini Gandhe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447278395 PECOS PAC ID: 2163445073 Enrollment ID: I20060106000139 |
| Provider Name | Elizabeth Ann Zangus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275582595 PECOS PAC ID: 2163445990 Enrollment ID: I20060111000859 |
| Provider Name | Matthew E Woodske |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114957990 PECOS PAC ID: 1153324389 Enrollment ID: I20060809000020 |
| Provider Name | David R Jansma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013974633 PECOS PAC ID: 4587606850 Enrollment ID: I20060828000244 |
| Provider Name | Deborah D Troy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285604660 PECOS PAC ID: 6800884230 Enrollment ID: I20060901000110 |
| Provider Name | Christopher P Kolibash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043228414 PECOS PAC ID: 2062417447 Enrollment ID: I20060918000192 |
| Provider Name | Peter Morgan Simon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851481972 PECOS PAC ID: 1355341066 Enrollment ID: I20070103000213 |
| Provider Name | Maninder Singh Bedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003851213 PECOS PAC ID: 4082665567 Enrollment ID: I20070105000012 |
| Provider Name | Rina Gandhi-kulkarni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164580759 PECOS PAC ID: 2365444353 Enrollment ID: I20070205000014 |
| Provider Name | Robert Palguta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841240660 PECOS PAC ID: 7113029760 Enrollment ID: I20070228000217 |
| Provider Name | Sharon R Dawso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342404 PECOS PAC ID: 4385612886 Enrollment ID: I20070524000250 |
| Provider Name | Carolyn P Engle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245230762 PECOS PAC ID: 2668570136 Enrollment ID: I20070606000611 |
| Provider Name | Vidhu K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164621090 PECOS PAC ID: 1759476641 Enrollment ID: I20071008000325 |
| Provider Name | Jeffrey A Erukhimov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295749935 PECOS PAC ID: 2860581519 Enrollment ID: I20071203000362 |
| Provider Name | Janet L Piggott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922297860 PECOS PAC ID: 5991885857 Enrollment ID: I20080104000012 |
| Provider Name | Kyung K Incorvati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306832498 PECOS PAC ID: 7618959453 Enrollment ID: I20080122000413 |
| Provider Name | Sarmad Ashfaq |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083838916 PECOS PAC ID: 8022193788 Enrollment ID: I20080306000027 |
| Provider Name | Theresa L Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194810317 PECOS PAC ID: 9133206816 Enrollment ID: I20080404000458 |
| Provider Name | Beth E Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265613566 PECOS PAC ID: 9830277318 Enrollment ID: I20080424000053 |
| Provider Name | Elizabeth Salyards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598870107 PECOS PAC ID: 2466521562 Enrollment ID: I20080515000198 |
| Provider Name | Eric E Ehrenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386679934 PECOS PAC ID: 4789754920 Enrollment ID: I20080530000592 |
| Provider Name | Samantha A Demauro-jablonski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750395596 PECOS PAC ID: 3476557794 Enrollment ID: I20080630000507 |
| Provider Name | Qurashia Manjoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321591 PECOS PAC ID: 8527133826 Enrollment ID: I20080821000254 |
| Provider Name | Michael Heinle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154343556 PECOS PAC ID: 4284794058 Enrollment ID: I20081124000517 |
| Provider Name | Linda E Lombard Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265610661 PECOS PAC ID: 9638231160 Enrollment ID: I20081217000625 |
| Provider Name | Glen R Miske |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316197080 PECOS PAC ID: 1759438500 Enrollment ID: I20090413000456 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730392697 PECOS PAC ID: 9234281148 Enrollment ID: I20090723000112 |
| Provider Name | Suzanne M Stragand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578787180 PECOS PAC ID: 6305990383 Enrollment ID: I20090811000504 |
| Provider Name | Stephen M Hagberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033205729 PECOS PAC ID: 9931254620 Enrollment ID: I20090901000643 |
| Provider Name | Anthony E Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093908774 PECOS PAC ID: 1658451398 Enrollment ID: I20091118000679 |
| Provider Name | Harsimran Bedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346425105 PECOS PAC ID: 1153464995 Enrollment ID: I20100202000881 |
| Provider Name | Mary E Kanfoush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811224439 PECOS PAC ID: 2466595194 Enrollment ID: I20100203000735 |
| Provider Name | Michael S Cratty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013917608 PECOS PAC ID: 5496880742 Enrollment ID: I20100312000004 |
| Provider Name | Femi Olokodana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245422872 PECOS PAC ID: 8820073323 Enrollment ID: I20100322000824 |
| Provider Name | Robert L Grieco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699791699 PECOS PAC ID: 6305972993 Enrollment ID: I20100408000084 |
| Provider Name | Curtis J Feldmeier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225054182 PECOS PAC ID: 4082740584 Enrollment ID: I20100408000286 |
| Provider Name | James Priola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306879838 PECOS PAC ID: 6406982909 Enrollment ID: I20100408000338 |
| Provider Name | Carl G Sestito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477586758 PECOS PAC ID: 9234265745 Enrollment ID: I20100408000443 |
| Provider Name | Kristin M Zvonar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639102916 PECOS PAC ID: 9739215245 Enrollment ID: I20100408000503 |
| Provider Name | Richard A Schollaert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962428292 PECOS PAC ID: 6800923186 Enrollment ID: I20100419000037 |
| Provider Name | Todd A Mccaslin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285656041 PECOS PAC ID: 6204963325 Enrollment ID: I20100422000037 |
| Provider Name | Stephen J Osmanski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669494985 PECOS PAC ID: 3274660394 Enrollment ID: I20100422000063 |
| Provider Name | Hans J Fuchs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124051669 PECOS PAC ID: 5991832016 Enrollment ID: I20100422000077 |
| Provider Name | Stephanie L Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104842434 PECOS PAC ID: 4486781515 Enrollment ID: I20100422000168 |
| Provider Name | Andrew S Kaye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215923305 PECOS PAC ID: 2769477249 Enrollment ID: I20100423000171 |
| Provider Name | Kenneth W House |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043216393 PECOS PAC ID: 2860529898 Enrollment ID: I20100423000268 |
| Provider Name | Michael A Karp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548286347 PECOS PAC ID: 1456488220 Enrollment ID: I20100427000704 |
| Provider Name | Jeffrey P Hein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457377715 PECOS PAC ID: 0345377909 Enrollment ID: I20100430000060 |
| Provider Name | Monica Farland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700808136 PECOS PAC ID: 6103953781 Enrollment ID: I20100430000296 |
| Provider Name | Jason A Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962428094 PECOS PAC ID: 2961539556 Enrollment ID: I20100430000384 |
| Provider Name | Annmarie Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699738435 PECOS PAC ID: 0749318392 Enrollment ID: I20100503000462 |
| Provider Name | Timothy L Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427070747 PECOS PAC ID: 7214955400 Enrollment ID: I20100503000465 |
| Provider Name | Michael J Malkowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932120581 PECOS PAC ID: 7810025384 Enrollment ID: I20100505000234 |
| Provider Name | Jasvinder S Sandhu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184646697 PECOS PAC ID: 1850429226 Enrollment ID: I20100505000336 |
| Provider Name | Matthew L Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770505174 PECOS PAC ID: 5395873582 Enrollment ID: I20100508000099 |
| Provider Name | Fouad A Bassilios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841223310 PECOS PAC ID: 3476681305 Enrollment ID: I20100513000282 |
| Provider Name | James K Tatum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083647564 PECOS PAC ID: 1052440716 Enrollment ID: I20100519000213 |
| Provider Name | Virginia Holbein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578558375 PECOS PAC ID: 9537290846 Enrollment ID: I20100701000075 |
| Provider Name | Gregg S Zernich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558387308 PECOS PAC ID: 0345373999 Enrollment ID: I20100803000257 |
| Provider Name | Matthew B Coombs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972529725 PECOS PAC ID: 4880727346 Enrollment ID: I20100804000417 |
| Provider Name | Robert M Meuser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972599082 PECOS PAC ID: 9436144912 Enrollment ID: I20101012000182 |
| Provider Name | Yijun Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477865525 PECOS PAC ID: 1153516570 Enrollment ID: I20101111000547 |
| Provider Name | Aaron G Lenhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710161336 PECOS PAC ID: 7416142534 Enrollment ID: I20101115000186 |
| Provider Name | Marco G Cavagna |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710144100 PECOS PAC ID: 4587851464 Enrollment ID: I20101203000795 |
| Provider Name | Nicholas Tapyrik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447264346 PECOS PAC ID: 7517082878 Enrollment ID: I20101203001148 |
| Provider Name | Dennis Shurmatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649572926 PECOS PAC ID: 4880874841 Enrollment ID: I20110208000481 |
| Provider Name | Christine R Popkie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598791865 PECOS PAC ID: 9133286396 Enrollment ID: I20110321000194 |
| Provider Name | Samina Naseer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245406149 PECOS PAC ID: 0941484703 Enrollment ID: I20110404000225 |
| Provider Name | Jamie L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821395450 PECOS PAC ID: 9638355662 Enrollment ID: I20110509000664 |
| Provider Name | Gauravkumar S Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386949063 PECOS PAC ID: 6204013378 Enrollment ID: I20110527000375 |
| Provider Name | Alicia F Abate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477851848 PECOS PAC ID: 4981881653 Enrollment ID: I20110606000494 |
| Provider Name | Ure Laura Mezu-chukwu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932398872 PECOS PAC ID: 9739366089 Enrollment ID: I20110614000284 |
| Provider Name | Thomas L Slokan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669762910 PECOS PAC ID: 6103004791 Enrollment ID: I20110630000217 |
| Provider Name | Thomas L Walsh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619263472 PECOS PAC ID: 6608045703 Enrollment ID: I20110805000688 |
| Provider Name | Mitchell W Pfeiffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447410964 PECOS PAC ID: 0547430712 Enrollment ID: I20110825000151 |
| Provider Name | Nathan R Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648535 PECOS PAC ID: 7911173463 Enrollment ID: I20120104000450 |
| Provider Name | John C Wohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578794244 PECOS PAC ID: 7719133222 Enrollment ID: I20120815000331 |
| Provider Name | Ashutosh Kshirsagar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184640203 PECOS PAC ID: 3678596111 Enrollment ID: I20120921000473 |
| Provider Name | Mary T Canella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568764835 PECOS PAC ID: 6305020140 Enrollment ID: I20120927000091 |
| Provider Name | Joseph Emery Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568713055 PECOS PAC ID: 7416106224 Enrollment ID: I20121010000332 |
| Provider Name | Daniel E. Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629325295 PECOS PAC ID: 3375793664 Enrollment ID: I20121023000082 |
| Provider Name | Veronica Baca |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922317726 PECOS PAC ID: 8820248099 Enrollment ID: I20121024000294 |
| Provider Name | Lea M Ochs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861742587 PECOS PAC ID: 9638329816 Enrollment ID: I20121024000442 |
| Provider Name | Michael O Brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295082725 PECOS PAC ID: 3577714963 Enrollment ID: I20121112000581 |
| Provider Name | Jeanne Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528316973 PECOS PAC ID: 4082866538 Enrollment ID: I20121206000493 |
| Provider Name | Samuel J Yakish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932338316 PECOS PAC ID: 6608028063 Enrollment ID: I20121211000052 |
| Provider Name | Kathleen A Nicol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801131727 PECOS PAC ID: 7719132406 Enrollment ID: I20130304000042 |
| Provider Name | Jennifer S Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417236050 PECOS PAC ID: 6103085170 Enrollment ID: I20130318000399 |
| Provider Name | Ellen Gerace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740118 PECOS PAC ID: 5294970398 Enrollment ID: I20130320000316 |
| Provider Name | Baowei Tang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427084607 PECOS PAC ID: 5193728137 Enrollment ID: I20130321000296 |
| Provider Name | Danielle C Murgenovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649511882 PECOS PAC ID: 1052558483 Enrollment ID: I20130502000366 |
| Provider Name | Eric J Boyle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265682512 PECOS PAC ID: 4880840339 Enrollment ID: I20130524000588 |
| Provider Name | Maryann Kopec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336487545 PECOS PAC ID: 8729226568 Enrollment ID: I20130606000037 |
| Provider Name | Stacy E Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972849529 PECOS PAC ID: 2961643861 Enrollment ID: I20130718000248 |
| Provider Name | Krista L Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720421753 PECOS PAC ID: 7214178201 Enrollment ID: I20130802000742 |
| Provider Name | Sergio J Murillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821316456 PECOS PAC ID: 5597907501 Enrollment ID: I20130803000166 |
| Provider Name | Elena Georgievskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457631467 PECOS PAC ID: 4385887389 Enrollment ID: I20130823000242 |
| Provider Name | William J Rust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982914651 PECOS PAC ID: 6800039694 Enrollment ID: I20130827000017 |
| Provider Name | Zaw Min |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629225214 PECOS PAC ID: 7315183480 Enrollment ID: I20130903000329 |
| Provider Name | Ahmed Badr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740221316 PECOS PAC ID: 1658334263 Enrollment ID: I20131012000000 |
| Provider Name | Janet L Daltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780025528 PECOS PAC ID: 2365671799 Enrollment ID: I20140206000748 |
| Provider Name | George H Baffoe Bonnie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780642090 PECOS PAC ID: 6901808435 Enrollment ID: I20140208000015 |
| Provider Name | Huma Vahora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902031743 PECOS PAC ID: 0042476095 Enrollment ID: I20140327001379 |
| Provider Name | Emily A Wohar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881015022 PECOS PAC ID: 1759504061 Enrollment ID: I20140513002256 |
| Provider Name | Anna M Kalamasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538582440 PECOS PAC ID: 9739302910 Enrollment ID: I20140515000206 |
| Provider Name | Matthew Moffa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629375688 PECOS PAC ID: 7719102748 Enrollment ID: I20140708001792 |
| Provider Name | Fiona G Suydam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528295862 PECOS PAC ID: 2466618012 Enrollment ID: I20140825002311 |
| Provider Name | Gina C Belvedere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801299144 PECOS PAC ID: 7315269677 Enrollment ID: I20141124001096 |
| Provider Name | Monika A Murillo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538431184 PECOS PAC ID: 5294057568 Enrollment ID: I20141124001546 |
| Provider Name | Stephanie Stragand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558768549 PECOS PAC ID: 3375869753 Enrollment ID: I20150302001012 |
| Provider Name | Wendy B Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629475835 PECOS PAC ID: 3274851738 Enrollment ID: I20150413001080 |
| Provider Name | Donna V Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801287818 PECOS PAC ID: 8820316300 Enrollment ID: I20150413001816 |
| Provider Name | Debra L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093118481 PECOS PAC ID: 2668792185 Enrollment ID: I20150526000780 |
| Provider Name | Matthew P Sniezek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053675405 PECOS PAC ID: 5193038347 Enrollment ID: I20150717001055 |
| Provider Name | Troy H Cover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427369610 PECOS PAC ID: 0244544799 Enrollment ID: I20150729007007 |
| Provider Name | Dane A Lundgren |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962765206 PECOS PAC ID: 9436471208 Enrollment ID: I20150812006298 |
| Provider Name | Benedict W Leung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245522259 PECOS PAC ID: 2860707643 Enrollment ID: I20150824000967 |
| Provider Name | Apoorva Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558606814 PECOS PAC ID: 9931415957 Enrollment ID: I20150904001007 |
| Provider Name | Monika M Sauber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790045326 PECOS PAC ID: 8729394689 Enrollment ID: I20150909000230 |
| Provider Name | Gineen M Ferrara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184009078 PECOS PAC ID: 9638488018 Enrollment ID: I20151026002343 |
| Provider Name | Xu Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659631885 PECOS PAC ID: 0244454031 Enrollment ID: I20151118002635 |
| Provider Name | Mouhannad Azzouz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760506018 PECOS PAC ID: 8022022664 Enrollment ID: I20151209001300 |
| Provider Name | Sheri L Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386658201 PECOS PAC ID: 8224933981 Enrollment ID: I20160111000228 |
| Provider Name | Kristin M Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841666260 PECOS PAC ID: 5395047161 Enrollment ID: I20160111002055 |
| Provider Name | Christopher M Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942501002 PECOS PAC ID: 8628372059 Enrollment ID: I20160205000673 |
| Provider Name | Tresa L Wize |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780948570 PECOS PAC ID: 8123327087 Enrollment ID: I20160427000447 |
| Provider Name | Bradley W Heiple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821433921 PECOS PAC ID: 8729384383 Enrollment ID: I20160721000048 |
| Provider Name | Amit C Ladani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518278530 PECOS PAC ID: 7911203849 Enrollment ID: I20160726000358 |
| Provider Name | Kehkeshan M Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255694436 PECOS PAC ID: 6709170491 Enrollment ID: I20160803000665 |
| Provider Name | Edward R Villella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033415732 PECOS PAC ID: 6507169638 Enrollment ID: I20160822001793 |
| Provider Name | Rikki L Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859910 PECOS PAC ID: 9335428721 Enrollment ID: I20161107001628 |
| Provider Name | Kelly E Reimold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754715 PECOS PAC ID: 1557640430 Enrollment ID: I20161116002662 |
| Provider Name | Sarah J Polantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760926927 PECOS PAC ID: 8820370786 Enrollment ID: I20170130000660 |
| Provider Name | Jenefer L Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336683960 PECOS PAC ID: 9436434123 Enrollment ID: I20170320002233 |
| Provider Name | Brian R Yorns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275077208 PECOS PAC ID: 7315222544 Enrollment ID: I20170330000370 |
| Provider Name | Amy J Harmasch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588808802 PECOS PAC ID: 9931334570 Enrollment ID: I20170424001791 |
| Provider Name | Mohamad Al-abed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780848309 PECOS PAC ID: 8224256227 Enrollment ID: I20170524001001 |
| Provider Name | Nathan R Shively |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801182332 PECOS PAC ID: 2264666189 Enrollment ID: I20170725002040 |
| Provider Name | Justine Kostrub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386057776 PECOS PAC ID: 4587969183 Enrollment ID: I20170817001501 |
| Provider Name | Karly C Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740700251 PECOS PAC ID: 9032481502 Enrollment ID: I20170817002260 |
| Provider Name | Casey R Antholz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558655308 PECOS PAC ID: 8123391893 Enrollment ID: I20170830003455 |
| Provider Name | Aaron M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157347 PECOS PAC ID: 1850666074 Enrollment ID: I20171013000940 |
| Provider Name | Stephanie A Putulowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284937 PECOS PAC ID: 2264799493 Enrollment ID: I20171127001361 |
| Provider Name | Jason Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932628484 PECOS PAC ID: 6800154253 Enrollment ID: I20171213001581 |
| Provider Name | Samantha Lee-nolan Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194239913 PECOS PAC ID: 1456610120 Enrollment ID: I20180126000057 |
| Provider Name | Benmichael Idowu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679914493 PECOS PAC ID: 4385935139 Enrollment ID: I20180126001479 |
| Provider Name | Jenna Beattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205347663 PECOS PAC ID: 8325309917 Enrollment ID: I20180222000448 |
| Provider Name | Lauren O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164937959 PECOS PAC ID: 7315208451 Enrollment ID: I20180306000661 |
| Provider Name | Shannon L Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487169249 PECOS PAC ID: 1951663202 Enrollment ID: I20180326001400 |
| Provider Name | Samantha L Silvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255857819 PECOS PAC ID: 2961760038 Enrollment ID: I20180409000852 |
| Provider Name | Stephen J Dauria |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619242815 PECOS PAC ID: 4880811843 Enrollment ID: I20180618000919 |
| Provider Name | Lucas M Heller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982970976 PECOS PAC ID: 5395090781 Enrollment ID: I20180627000032 |
| Provider Name | Bilal Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780071720 PECOS PAC ID: 9931456795 Enrollment ID: I20180725000418 |
| Provider Name | Md Didar Ul Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417331331 PECOS PAC ID: 2466703574 Enrollment ID: I20180927002955 |
| Provider Name | Amanda H Alcorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922580703 PECOS PAC ID: 2860743937 Enrollment ID: I20180928001928 |
| Provider Name | Hira Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093155764 PECOS PAC ID: 1951653864 Enrollment ID: I20181003003629 |
| Provider Name | Melanie J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871774950 PECOS PAC ID: 3375895865 Enrollment ID: I20181011000141 |
| Provider Name | Shanker Unnikrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932414521 PECOS PAC ID: 1557503141 Enrollment ID: I20181015002421 |
| Provider Name | Kelsie J Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910283 PECOS PAC ID: 5092051854 Enrollment ID: I20190115003095 |
| Provider Name | Nicole M Maietta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164948725 PECOS PAC ID: 6002181146 Enrollment ID: I20190131000133 |
| Provider Name | Amber M Prebeg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891251625 PECOS PAC ID: 3072556091 Enrollment ID: I20190405001105 |
| Provider Name | Casey N Mcquade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477915726 PECOS PAC ID: 1557657236 Enrollment ID: I20190619003433 |
| Provider Name | Andrew Core |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063875771 PECOS PAC ID: 0446544423 Enrollment ID: I20190724000236 |
| Provider Name | Michelle J Fleshner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952755001 PECOS PAC ID: 1658666250 Enrollment ID: I20190724002371 |
| Provider Name | Sarah E Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093371882 PECOS PAC ID: 6608103049 Enrollment ID: I20190808001034 |
| Provider Name | Tejas B Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124474721 PECOS PAC ID: 6103154489 Enrollment ID: I20190823002577 |
| Provider Name | Alexis E Pilato |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316389513 PECOS PAC ID: 7012262033 Enrollment ID: I20190904000193 |
| Provider Name | Ashok B Movva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104249135 PECOS PAC ID: 1557580297 Enrollment ID: I20190912001743 |
| Provider Name | Janessa L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871148833 PECOS PAC ID: 9830421411 Enrollment ID: I20191031001083 |
| Provider Name | Angela D Ersher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578100822 PECOS PAC ID: 1658707369 Enrollment ID: I20200128002315 |
| Provider Name | Stacey A Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316585474 PECOS PAC ID: 6103253539 Enrollment ID: I20200225002060 |
| Provider Name | Emily N Guhl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619395472 PECOS PAC ID: 7810114931 Enrollment ID: I20200429001176 |
| Provider Name | Julie Ann E Corcoran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083737142 PECOS PAC ID: 2062667470 Enrollment ID: I20200624003011 |
| Provider Name | Bilal Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932414166 PECOS PAC ID: 1557591641 Enrollment ID: I20200625000228 |
| Provider Name | Sarah Burgdorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20200706000490 |
| Provider Name | Benjamin K Boehme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568998599 PECOS PAC ID: 6800166737 Enrollment ID: I20200724000804 |
| Provider Name | Daniel Solomon Woredekal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477080042 PECOS PAC ID: 6608293808 Enrollment ID: I20200902002547 |
| Provider Name | Perry J Tiberio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063826337 PECOS PAC ID: 8628380995 Enrollment ID: I20200916002378 |
| Provider Name | Rachel Wojcik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184155293 PECOS PAC ID: 0941578132 Enrollment ID: I20200916002600 |
| Provider Name | Jamie Lee Auyeung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275155012 PECOS PAC ID: 0648690347 Enrollment ID: I20201019002624 |
| Provider Name | Eric Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235743691 PECOS PAC ID: 5597175323 Enrollment ID: I20201106001684 |
| Provider Name | Sawina Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730611229 PECOS PAC ID: 7618240037 Enrollment ID: I20201110000756 |
| Provider Name | Zackary J Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619578895 PECOS PAC ID: 3678985835 Enrollment ID: I20201211000042 |
| Provider Name | Andrea A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982236204 PECOS PAC ID: 0749693265 Enrollment ID: I20201230000820 |
| Provider Name | Nicolas J Pertile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538750153 PECOS PAC ID: 5092121129 Enrollment ID: I20210315001737 |
| Provider Name | Jennifer Marie Kamzelski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750909560 PECOS PAC ID: 7911315718 Enrollment ID: I20210415001810 |
| Provider Name | Katherine Hom Chin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104210368 PECOS PAC ID: 9335454271 Enrollment ID: I20210804001647 |
| Provider Name | Darrick R Dominick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134583172 PECOS PAC ID: 5496039836 Enrollment ID: I20210907000079 |
| Provider Name | Nathan Scott Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548592272 PECOS PAC ID: 4183841992 Enrollment ID: I20210927000657 |
| Provider Name | Ashley E Gehlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710651831 PECOS PAC ID: 8527465749 Enrollment ID: I20210930000337 |
| Provider Name | Samantha S Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558023325 PECOS PAC ID: 2365832409 Enrollment ID: I20211206000731 |
| Provider Name | Caitlin M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902568777 PECOS PAC ID: 6709276744 Enrollment ID: I20211206000854 |
| Provider Name | Kelsey Meuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184228488 PECOS PAC ID: 1456741412 Enrollment ID: I20211206001578 |
| Provider Name | Melissa A Christen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052403 PECOS PAC ID: 5698165355 Enrollment ID: I20211213000567 |
| Provider Name | Charlene Dziamniski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356095848 PECOS PAC ID: 6800281478 Enrollment ID: I20220317000418 |
| Provider Name | Corinne A Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710618707 PECOS PAC ID: 0042692238 Enrollment ID: I20220804001589 |
| Provider Name | Xingyi Que |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972694388 PECOS PAC ID: 6901957513 Enrollment ID: I20220815000095 |
| Provider Name | Amy L Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902534514 PECOS PAC ID: 8921484023 Enrollment ID: I20220927002110 |
| Provider Name | Justina G Angeline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215664230 PECOS PAC ID: 7618353012 Enrollment ID: I20221010000499 |
| Provider Name | Amy Vanlalthlamuani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659018679 PECOS PAC ID: 1153793401 Enrollment ID: I20230214001984 |
| Provider Name | Derik J Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871203034 PECOS PAC ID: 5294107397 Enrollment ID: I20230220001254 |
| Provider Name | Bryanne Crudden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023722147 PECOS PAC ID: 1850764143 Enrollment ID: I20230307003416 |
| Provider Name | Maximilian E Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487360905 PECOS PAC ID: 9830563733 Enrollment ID: I20230315002855 |
| Provider Name | Melissa Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770219073 PECOS PAC ID: 2264897974 Enrollment ID: I20230503000483 |
| Provider Name | Alexandra Taylor Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394652 PECOS PAC ID: 8628434891 Enrollment ID: I20230804002526 |
| Provider Name | Zachary M Sheffler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134749856 PECOS PAC ID: 1456775675 Enrollment ID: I20230910000102 |
| Provider Name | Christopher M Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760833974 PECOS PAC ID: 1254624133 Enrollment ID: I20230927002910 |
| Provider Name | Kaycee Caldrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023716966 PECOS PAC ID: 2264898584 Enrollment ID: I20231003001690 |
| Provider Name | Alyssa Wanita Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619638079 PECOS PAC ID: 8820478605 Enrollment ID: I20231005002661 |
| Provider Name | Derek Alan Lapp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679936819 PECOS PAC ID: 7719277292 Enrollment ID: I20231106003519 |
| Provider Name | Semenawit B Burka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700400983 PECOS PAC ID: 1355791153 Enrollment ID: I20231220000065 |
| Provider Name | Tonya Nicholson Quillin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568248656 PECOS PAC ID: 5294187654 Enrollment ID: I20240122001699 |
| Provider Name | Isaac Archibeque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124882634 PECOS PAC ID: 9830534692 Enrollment ID: I20240301003819 |
| Provider Name | Jennifer R Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790560670 PECOS PAC ID: 0042655623 Enrollment ID: I20240305003516 |
Hvmg Les T. Pallone D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Friendship Cir, Beaver, PA 15009 Phone: 724-773-5207 | |
Valley Medical Facilities Inc Dba Heritage Valley Beaver Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: The Medical Center, Beaver Pa, 1000 Dutch Ridge Road, Beaver, PA 15009 Phone: 724-728-7000 | |
Association Of Specialty Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 3rd St, Beaver, PA 15009 Phone: 724-775-2112 Fax: 724-775-2131 | |
Annmarie Ray Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 Third Street, Suite 3, Beaver, PA 15009 Phone: 724-770-9006 Fax: 724-770-9906 | |
Convenient Care Center-beaver Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 3rd St, Suite 100, Beaver, PA 15009 Phone: 724-774-2942 Fax: 724-774-2942 | |
Association Of Specialty Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Beaner Hollow Rd, Beaver, PA 15009 Phone: 724-775-4242 Fax: 724-775-4960 |