| Hni Hospital Services Of Florida, Llc | |
|
615 N Bonita Ave Panama City FL 32401-3623 | |
| (440) 572-5000 | |
| Not Available |
| Full Name | Hni Hospital Services Of Florida, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 N Bonita Ave, Panama City, Florida |
| Authorized Official Name and Position | Oon Soo Ung (CFO) |
| Authorized Official Contact | 5127303060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hni Hospital Services Of Florida, Llc 7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 Ph: (512) 730-3060 | Hni Hospital Services Of Florida, Llc 615 N Bonita Ave Panama City FL 32401-3623 Ph: (440) 572-5000 |
| NPI Number | 1144851411 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 04/21/2026 |
| Medicare PECOS PAC ID | 0244661353 |
|---|---|
| Medicare Enrollment ID | O20200505001799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144851411 | NPI | - | NPPES |
| Provider Name | Kennon Mcdonnell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508817800 PECOS PAC ID: 1153220579 Enrollment ID: I20040106000021 |
| Provider Name | Frances Michelle Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225251978 PECOS PAC ID: 6002718145 Enrollment ID: I20040121000295 |
| Provider Name | Mat M Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962470054 PECOS PAC ID: 8527961176 Enrollment ID: I20040130000203 |
| Provider Name | Magdy N Falestiny |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942421581 PECOS PAC ID: 8527954122 Enrollment ID: I20040223000147 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20040331001083 |
| Provider Name | Jirayos Chintanadilok |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073516274 PECOS PAC ID: 8426046087 Enrollment ID: I20040517000163 |
| Provider Name | Barrington R Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568401784 PECOS PAC ID: 8628045358 Enrollment ID: I20040913001103 |
| Provider Name | Alvin Haynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356438170 PECOS PAC ID: 4688635915 Enrollment ID: I20041020000980 |
| Provider Name | Jean F Rodney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861400343 PECOS PAC ID: 5193788834 Enrollment ID: I20041104000528 |
| Provider Name | Alyson L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689683575 PECOS PAC ID: 1355305087 Enrollment ID: I20041112000910 |
| Provider Name | Shashi Chetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417980434 PECOS PAC ID: 9436121456 Enrollment ID: I20041203000198 |
| Provider Name | Mohamed K Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528027356 PECOS PAC ID: 9234195801 Enrollment ID: I20041206000424 |
| Provider Name | Natali V Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275524654 PECOS PAC ID: 9830141787 Enrollment ID: I20050218000387 |
| Provider Name | Muhammed Mustafa Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356326995 PECOS PAC ID: 2769434539 Enrollment ID: I20050221000343 |
| Provider Name | Marie-france Scherer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194726802 PECOS PAC ID: 6608778733 Enrollment ID: I20050312000025 |
| Provider Name | Nagamanikkam Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585521 PECOS PAC ID: 6305892274 Enrollment ID: I20050323001047 |
| Provider Name | Mohamed Shaalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235103912 PECOS PAC ID: 8426020371 Enrollment ID: I20050824000145 |
| Provider Name | Sriramulu Aprameya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104830959 PECOS PAC ID: 5890729727 Enrollment ID: I20050921000116 |
| Provider Name | Roberto C Jo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629042403 PECOS PAC ID: 2365476090 Enrollment ID: I20050922000495 |
| Provider Name | Julia Cosma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194711515 PECOS PAC ID: 0749207991 Enrollment ID: I20051027000762 |
| Provider Name | Amalia V Gozum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215941539 PECOS PAC ID: 5294731394 Enrollment ID: I20061012000570 |
| Provider Name | Gustavo Adolfo Jurado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356441661 PECOS PAC ID: 5294734992 Enrollment ID: I20061206000431 |
| Provider Name | Khalid Sabha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902911068 PECOS PAC ID: 2668575325 Enrollment ID: I20070317000016 |
| Provider Name | Shaheen Faruque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386744639 PECOS PAC ID: 2264422989 Enrollment ID: I20070625000690 |
| Provider Name | Mohamed K Helmi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003883620 PECOS PAC ID: 9739176652 Enrollment ID: I20071212000216 |
| Provider Name | Courtney S Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316916265 PECOS PAC ID: 4486670486 Enrollment ID: I20071215000156 |
| Provider Name | Abdel Azim Bayoumy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942402243 PECOS PAC ID: 4183706609 Enrollment ID: I20080123000449 |
| Provider Name | Wael Farid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720205511 PECOS PAC ID: 1355434630 Enrollment ID: I20080609000122 |
| Provider Name | Elizabeth C Wonpat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952503369 PECOS PAC ID: 5698875698 Enrollment ID: I20080819000195 |
| Provider Name | Germina Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356350235 PECOS PAC ID: 0749357762 Enrollment ID: I20080917000304 |
| Provider Name | Viral N Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331176 PECOS PAC ID: 6002975729 Enrollment ID: I20081110000281 |
| Provider Name | Kamlesh P Pandya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750440020 PECOS PAC ID: 3375603624 Enrollment ID: I20081117000813 |
| Provider Name | Aiham Al Ashhab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548433949 PECOS PAC ID: 0042374001 Enrollment ID: I20090205000598 |
| Provider Name | Mario A Pulido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366602336 PECOS PAC ID: 3274681820 Enrollment ID: I20090508000190 |
| Provider Name | Masood Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851543110 PECOS PAC ID: 0244383289 Enrollment ID: I20090808000003 |
| Provider Name | Min Kyung Zimilevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750529525 PECOS PAC ID: 5193879104 Enrollment ID: I20090810000553 |
| Provider Name | Christopher J Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346326980 PECOS PAC ID: 1850374034 Enrollment ID: I20090812000486 |
| Provider Name | Tanya Renee Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407998909 PECOS PAC ID: 2365580552 Enrollment ID: I20091109000344 |
| Provider Name | Scott Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881818037 PECOS PAC ID: 9133267131 Enrollment ID: I20091111000764 |
| Provider Name | Bhavik M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730310137 PECOS PAC ID: 4789723727 Enrollment ID: I20091203000535 |
| Provider Name | Eugene Harrell Mccoskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053330787 PECOS PAC ID: 0345377719 Enrollment ID: I20100416000615 |
| Provider Name | Fadi R Chalhoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568451557 PECOS PAC ID: 8527183474 Enrollment ID: I20100915000489 |
| Provider Name | Susan Howard Culverhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790979813 PECOS PAC ID: 0648462978 Enrollment ID: I20101005001098 |
| Provider Name | Edward Jack Yazigi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285835868 PECOS PAC ID: 7517159403 Enrollment ID: I20101011000741 |
| Provider Name | Gerson Rodriguez Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912213133 PECOS PAC ID: 2264624832 Enrollment ID: I20101014000725 |
| Provider Name | Dalia Elramady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174719322 PECOS PAC ID: 9537352711 Enrollment ID: I20101020000559 |
| Provider Name | Peter Marco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013975119 PECOS PAC ID: 9032254917 Enrollment ID: I20101209000678 |
| Provider Name | Victor M Ortega-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871673392 PECOS PAC ID: 3779566302 Enrollment ID: I20110210000749 |
| Provider Name | Max O Solano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962494542 PECOS PAC ID: 3577740703 Enrollment ID: I20110615000530 |
| Provider Name | Kenneth Kalassian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700897048 PECOS PAC ID: 3173417292 Enrollment ID: I20110711000539 |
| Provider Name | Abdul Rasheed Asharaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841224169 PECOS PAC ID: 2163429267 Enrollment ID: I20110803000602 |
| Provider Name | Terance L Lamb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790751204 PECOS PAC ID: 3173597374 Enrollment ID: I20110922000145 |
| Provider Name | Cedric Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20110929000686 |
| Provider Name | Zelia Yanique Archibald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023279098 PECOS PAC ID: 6608049408 Enrollment ID: I20111021000434 |
| Provider Name | Suzanne Bell Brulte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619918042 PECOS PAC ID: 3870766215 Enrollment ID: I20111101000284 |
| Provider Name | Raghava R Vadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285932079 PECOS PAC ID: 2860669470 Enrollment ID: I20120123000769 |
| Provider Name | Anugya Poudel Chataut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215244108 PECOS PAC ID: 7618131475 Enrollment ID: I20120607000591 |
| Provider Name | Cristian O Landa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417181249 PECOS PAC ID: 2769646066 Enrollment ID: I20120618000675 |
| Provider Name | Christina Miki Araya Osorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710188453 PECOS PAC ID: 0143372144 Enrollment ID: I20120813000093 |
| Provider Name | Marla M Trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760746408 PECOS PAC ID: 5890941389 Enrollment ID: I20120816000560 |
| Provider Name | John Patrick Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275765950 PECOS PAC ID: 8325296361 Enrollment ID: I20120917000088 |
| Provider Name | Lydia T Van |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326277369 PECOS PAC ID: 5991954224 Enrollment ID: I20121002000596 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20121012000506 |
| Provider Name | Belinda L Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134450620 PECOS PAC ID: 0042460867 Enrollment ID: I20121101000039 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20130123000057 |
| Provider Name | Abdallah Kafrouni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831284645 PECOS PAC ID: 9335245570 Enrollment ID: I20130228000334 |
| Provider Name | Reuben Tovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174567705 PECOS PAC ID: 3577653534 Enrollment ID: I20130501000475 |
| Provider Name | Desiree B Touvoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816435 PECOS PAC ID: 9638310170 Enrollment ID: I20130726000238 |
| Provider Name | Aravind Babu Kadiyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461282 PECOS PAC ID: 6507009610 Enrollment ID: I20130821000223 |
| Provider Name | Mithun B Pattathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538488895 PECOS PAC ID: 7911141874 Enrollment ID: I20130913000625 |
| Provider Name | Andres Montanez- Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902039530 PECOS PAC ID: 3173772761 Enrollment ID: I20130918000299 |
| Provider Name | Huan Y Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957405 PECOS PAC ID: 7911131719 Enrollment ID: I20131010000754 |
| Provider Name | Diego R Valencia Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588896922 PECOS PAC ID: 6709037344 Enrollment ID: I20131010001261 |
| Provider Name | Affiong Nsunwara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922310457 PECOS PAC ID: 9436386810 Enrollment ID: I20131210000471 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700065091 PECOS PAC ID: 8820279581 Enrollment ID: I20131219001254 |
| Provider Name | James Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992728927 PECOS PAC ID: 9638140973 Enrollment ID: I20140210001142 |
| Provider Name | Lacey Dupuis Deneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659700284 PECOS PAC ID: 1456581875 Enrollment ID: I20140305000673 |
| Provider Name | Barbara A Mcmains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538482260 PECOS PAC ID: 3476683442 Enrollment ID: I20140505002000 |
| Provider Name | Katherine M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184991739 PECOS PAC ID: 6103079959 Enrollment ID: I20140520000477 |
| Provider Name | Rafid Fadul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619134780 PECOS PAC ID: 3072700418 Enrollment ID: I20140523001617 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20140715001732 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20140718000799 |
| Provider Name | Claire M Verna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376830984 PECOS PAC ID: 8325206659 Enrollment ID: I20141009002232 |
| Provider Name | Whitney Leuenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912318460 PECOS PAC ID: 6305068834 Enrollment ID: I20141117001030 |
| Provider Name | Eleonor Rongo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447514963 PECOS PAC ID: 5799004974 Enrollment ID: I20150511001331 |
| Provider Name | Happy Sadiek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518212547 PECOS PAC ID: 5193045318 Enrollment ID: I20150528002454 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20150923000648 |
| Provider Name | Taiwen Chen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629062385 PECOS PAC ID: 9133193246 Enrollment ID: I20151001003138 |
| Provider Name | Welena Qazizada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366702318 PECOS PAC ID: 5395053821 Enrollment ID: I20151002002288 |
| Provider Name | Pallavi Sindhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467766006 PECOS PAC ID: 2062656093 Enrollment ID: I20151008002771 |
| Provider Name | Colleen A Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807582 PECOS PAC ID: 2769791862 Enrollment ID: I20151012000568 |
| Provider Name | Hany Farag |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538362066 PECOS PAC ID: 8426100074 Enrollment ID: I20151202002861 |
| Provider Name | Srivani Sanikommu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609175454 PECOS PAC ID: 8729217278 Enrollment ID: I20160125001467 |
| Provider Name | Jason M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629417 PECOS PAC ID: 5991935389 Enrollment ID: I20160202000638 |
| Provider Name | Walter Rustmann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235116054 PECOS PAC ID: 0042251506 Enrollment ID: I20160209002010 |
| Provider Name | Luke Simon Olivera Yuhico |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740414465 PECOS PAC ID: 6608027487 Enrollment ID: I20160215001353 |
| Provider Name | Carrie Ann Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730554494 PECOS PAC ID: 8325340490 Enrollment ID: I20160226000530 |
| Provider Name | Arnold V Feliciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386018075 PECOS PAC ID: 5890086490 Enrollment ID: I20160628002072 |
| Provider Name | Helen S Kirkendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779098 PECOS PAC ID: 5294028346 Enrollment ID: I20160727000238 |
| Provider Name | Courtney Maraziti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174978118 PECOS PAC ID: 0244523165 Enrollment ID: I20160728002626 |
| Provider Name | Michael A Mccullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578531513 PECOS PAC ID: 7113993627 Enrollment ID: I20160822002719 |
| Provider Name | Angeline S Rubasingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417323791 PECOS PAC ID: 8628364825 Enrollment ID: I20160915000214 |
| Provider Name | Xiomara Velazco-vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801080346 PECOS PAC ID: 2062546898 Enrollment ID: I20161005000945 |
| Provider Name | Paola M Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295169837 PECOS PAC ID: 3476832288 Enrollment ID: I20161118001792 |
| Provider Name | Sura Jermanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053755785 PECOS PAC ID: 6507171873 Enrollment ID: I20170103000128 |
| Provider Name | Sommer L Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952857971 PECOS PAC ID: 2769764943 Enrollment ID: I20170124000592 |
| Provider Name | Timothy Ehiabor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720246622 PECOS PAC ID: 8325216807 Enrollment ID: I20170130000827 |
| Provider Name | Samuel S Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20170426000514 |
| Provider Name | Hiba T. Ghani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508144171 PECOS PAC ID: 8325278385 Enrollment ID: I20170525002740 |
| Provider Name | Leonie A Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568994564 PECOS PAC ID: 8224070198 Enrollment ID: I20170609002293 |
| Provider Name | Bassam M Doujaiji |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245777317 PECOS PAC ID: 9638447741 Enrollment ID: I20170614000844 |
| Provider Name | Melissa Cordovi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316482565 PECOS PAC ID: 7315215282 Enrollment ID: I20170616002417 |
| Provider Name | Robert D Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982135893 PECOS PAC ID: 6204105901 Enrollment ID: I20170712002469 |
| Provider Name | Marian Adedamola Babalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083026207 PECOS PAC ID: 9537385406 Enrollment ID: I20170726001969 |
| Provider Name | Abdalagani A Baher |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740206937 PECOS PAC ID: 0042312571 Enrollment ID: I20170809001787 |
| Provider Name | Marjan Rabbani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245650548 PECOS PAC ID: 6002037413 Enrollment ID: I20170815000394 |
| Provider Name | Amreeta Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578882585 PECOS PAC ID: 8820229008 Enrollment ID: I20170818002921 |
| Provider Name | Matthew P Rossmann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215375423 PECOS PAC ID: 6002132636 Enrollment ID: I20170829002881 |
| Provider Name | Dipali Kinesh Changela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811393143 PECOS PAC ID: 0840562385 Enrollment ID: I20170913001610 |
| Provider Name | Katherine A Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336673003 PECOS PAC ID: 2264707173 Enrollment ID: I20171003005743 |
| Provider Name | Raef Madanieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831471499 PECOS PAC ID: 4486971355 Enrollment ID: I20171014000168 |
| Provider Name | Jordan Lee Godbey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689092330 PECOS PAC ID: 8527334747 Enrollment ID: I20171016002173 |
| Provider Name | Meenu Marie Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013321611 PECOS PAC ID: 9830318989 Enrollment ID: I20171128000050 |
| Provider Name | Vinay Garlapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271206 PECOS PAC ID: 5294092771 Enrollment ID: I20171208001976 |
| Provider Name | Albert C Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20171209000302 |
| Provider Name | Allen Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700862794 PECOS PAC ID: 7517919053 Enrollment ID: I20180131001827 |
| Provider Name | Shelley Keller Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376077636 PECOS PAC ID: 6103186358 Enrollment ID: I20180207002174 |
| Provider Name | Oanh Tran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952676108 PECOS PAC ID: 2264715192 Enrollment ID: I20180215001210 |
| Provider Name | Shiloh Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492392 PECOS PAC ID: 4688935943 Enrollment ID: I20180301000007 |
| Provider Name | Shana Meghan Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730639725 PECOS PAC ID: 2567727183 Enrollment ID: I20180601001967 |
| Provider Name | Chaquanta Enjoli Eberheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013410844 PECOS PAC ID: 8729333059 Enrollment ID: I20180608002328 |
| Provider Name | Millely J Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831689678 PECOS PAC ID: 0749535136 Enrollment ID: I20180627000040 |
| Provider Name | Mary Kathryn Steed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619470143 PECOS PAC ID: 2567710544 Enrollment ID: I20180808000178 |
| Provider Name | Cinderella Aquino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730528613 PECOS PAC ID: 4688816440 Enrollment ID: I20180920002955 |
| Provider Name | Julio M Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174919898 PECOS PAC ID: 8426300567 Enrollment ID: I20181017003127 |
| Provider Name | Janine Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003394198 PECOS PAC ID: 9830442862 Enrollment ID: I20181022001359 |
| Provider Name | Larri Rudman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447631015 PECOS PAC ID: 7416266267 Enrollment ID: I20181101001359 |
| Provider Name | Samantha Ann Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407374077 PECOS PAC ID: 3476807694 Enrollment ID: I20181106002943 |
| Provider Name | Samantha Joan Bethel-ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275950297 PECOS PAC ID: 6507135290 Enrollment ID: I20181119000751 |
| Provider Name | Zalika T Nisbeth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902256027 PECOS PAC ID: 9436438280 Enrollment ID: I20181128002429 |
| Provider Name | Abednego F Chibungu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164739272 PECOS PAC ID: 3476722117 Enrollment ID: I20181204002516 |
| Provider Name | Liz Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831517085 PECOS PAC ID: 5597000810 Enrollment ID: I20181214000950 |
| Provider Name | Tavaris R Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609359868 PECOS PAC ID: 5496091720 Enrollment ID: I20190108001758 |
| Provider Name | Zoheb Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528453867 PECOS PAC ID: 8325384266 Enrollment ID: I20190114001352 |
| Provider Name | Jason Bernard Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557386 PECOS PAC ID: 1153660931 Enrollment ID: I20190222002206 |
| Provider Name | Brooks A Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205282688 PECOS PAC ID: 8022343623 Enrollment ID: I20190717003941 |
| Provider Name | Tarek Dammad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457555641 PECOS PAC ID: 7113089020 Enrollment ID: I20190726001626 |
| Provider Name | Shobana Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871955955 PECOS PAC ID: 2365778339 Enrollment ID: I20190729002696 |
| Provider Name | Johnique Corta Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538519640 PECOS PAC ID: 7810277936 Enrollment ID: I20190911003373 |
| Provider Name | Emilio Antonio Perez Power |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598114811 PECOS PAC ID: 1557654092 Enrollment ID: I20190912000168 |
| Provider Name | Rachel J Sigrest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528446564 PECOS PAC ID: 1951612258 Enrollment ID: I20190913000702 |
| Provider Name | Jose Enrique Bird-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871979732 PECOS PAC ID: 3173854023 Enrollment ID: I20191008002682 |
| Provider Name | Kaushambi A Parghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972989523 PECOS PAC ID: 3971892118 Enrollment ID: I20191017002712 |
| Provider Name | Akram Alashari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235457458 PECOS PAC ID: 1254558570 Enrollment ID: I20200227000420 |
| Provider Name | Falgun S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164678843 PECOS PAC ID: 0446381909 Enrollment ID: I20200324001041 |
| Provider Name | Gent Bitincka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992190631 PECOS PAC ID: 0042640054 Enrollment ID: I20200415000711 |
| Provider Name | Zalika Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457871378 PECOS PAC ID: 7719250778 Enrollment ID: I20200430001969 |
| Provider Name | Romaine R Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922520535 PECOS PAC ID: 9830462860 Enrollment ID: I20200521002391 |
| Provider Name | Nancy Austin Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528693983 PECOS PAC ID: 8527480672 Enrollment ID: I20200619000017 |
| Provider Name | Anna Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032294 PECOS PAC ID: 4183046089 Enrollment ID: I20200623001668 |
| Provider Name | Ahmed Badr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740221316 PECOS PAC ID: 1658334263 Enrollment ID: I20200715003220 |
| Provider Name | Wuju Dukja Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134105752 PECOS PAC ID: 6709833841 Enrollment ID: I20200721001137 |
| Provider Name | Richard James Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484429 PECOS PAC ID: 4981993185 Enrollment ID: I20200723000057 |
| Provider Name | Laura Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750747861 PECOS PAC ID: 8022312388 Enrollment ID: I20200812000851 |
| Provider Name | Quy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871885194 PECOS PAC ID: 5698902567 Enrollment ID: I20200820000455 |
| Provider Name | Michael Shodeinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285166157 PECOS PAC ID: 2769755149 Enrollment ID: I20200825002525 |
| Provider Name | Urvish Pradeepkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791166 PECOS PAC ID: 2466718358 Enrollment ID: I20200826003695 |
| Provider Name | David T Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306479324 PECOS PAC ID: 2264859735 Enrollment ID: I20200828001001 |
| Provider Name | Yu-chun Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003442005 PECOS PAC ID: 9133546575 Enrollment ID: I20200831000609 |
| Provider Name | Helena Sylvia Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538778378 PECOS PAC ID: 5597182972 Enrollment ID: I20200831002116 |
| Provider Name | Chanci Mascelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407470362 PECOS PAC ID: 9133547375 Enrollment ID: I20200921000363 |
| Provider Name | Kathryn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245593 PECOS PAC ID: 3779845698 Enrollment ID: I20201012001834 |
| Provider Name | Kaitlyn Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659987212 PECOS PAC ID: 3779903497 Enrollment ID: I20201020000037 |
| Provider Name | Lalita C Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578173670 PECOS PAC ID: 1759701253 Enrollment ID: I20201022002056 |
| Provider Name | Mary Joy Castro Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467088724 PECOS PAC ID: 3173935152 Enrollment ID: I20201216000386 |
| Provider Name | Clayton Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659969640 PECOS PAC ID: 5991110165 Enrollment ID: I20210222000223 |
| Provider Name | Donovan Scott Stanchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437740123 PECOS PAC ID: 2365858578 Enrollment ID: I20210315000924 |
| Provider Name | Rupinder Jeet S Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255576922 PECOS PAC ID: 5890832687 Enrollment ID: I20210323000166 |
| Provider Name | Israel Oloye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437641883 PECOS PAC ID: 7719215813 Enrollment ID: I20210330000626 |
| Provider Name | Raymond Dao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164988028 PECOS PAC ID: 2860809357 Enrollment ID: I20210330000769 |
| Provider Name | Geoffrey Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659957132 PECOS PAC ID: 1254749500 Enrollment ID: I20210426002390 |
| Provider Name | Ryan David Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720584758 PECOS PAC ID: 8123372273 Enrollment ID: I20210513000337 |
| Provider Name | Reem Louli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275948978 PECOS PAC ID: 5991925448 Enrollment ID: I20210513002208 |
| Provider Name | George Nwadiaro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063678878 PECOS PAC ID: 3274600788 Enrollment ID: I20210520001408 |
| Provider Name | Gustavo Arturo Avila Amat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437655131 PECOS PAC ID: 8628305182 Enrollment ID: I20210616000392 |
| Provider Name | Sugabramya Kuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669962189 PECOS PAC ID: 6901208180 Enrollment ID: I20210709002433 |
| Provider Name | Anthony Thomas Dupuy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656822 PECOS PAC ID: 2365796380 Enrollment ID: I20210715002088 |
| Provider Name | Megan Benedict |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093151177 PECOS PAC ID: 8921337056 Enrollment ID: I20210715002584 |
| Provider Name | Iryna Bets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710482161 PECOS PAC ID: 6901208610 Enrollment ID: I20210716000953 |
| Provider Name | Mohamed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164928248 PECOS PAC ID: 0941555726 Enrollment ID: I20210722002375 |
| Provider Name | Ahmed Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154826907 PECOS PAC ID: 2860895950 Enrollment ID: I20210727002856 |
| Provider Name | Kurt Christopher Wukitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982991972 PECOS PAC ID: 3375891542 Enrollment ID: I20210813002642 |
| Provider Name | Candace Jenna Griffith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679064604 PECOS PAC ID: 1759785629 Enrollment ID: I20210814000194 |
| Provider Name | Osama Alhajjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801233077 PECOS PAC ID: 3274820766 Enrollment ID: I20210817000843 |
| Provider Name | Ramy Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497242085 PECOS PAC ID: 0749685451 Enrollment ID: I20210818002547 |
| Provider Name | Hinid Elomari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942733258 PECOS PAC ID: 8123395035 Enrollment ID: I20210823002214 |
| Provider Name | Dhara Raginkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180026 PECOS PAC ID: 4082951496 Enrollment ID: I20210824000307 |
| Provider Name | Shelby Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255979746 PECOS PAC ID: 5496183980 Enrollment ID: I20210825004054 |
| Provider Name | Rebecca Bradley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992209662 PECOS PAC ID: 5991100182 Enrollment ID: I20210826001316 |
| Provider Name | Nicholas Manuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275037939 PECOS PAC ID: 7810392933 Enrollment ID: I20210826002581 |
| Provider Name | Rafik Massouh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639274038 PECOS PAC ID: 8022092246 Enrollment ID: I20210830003199 |
| Provider Name | Rukeme Ogaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417449273 PECOS PAC ID: 4880091040 Enrollment ID: I20210930002290 |
| Provider Name | Jasmine A Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376213611 PECOS PAC ID: 9931507092 Enrollment ID: I20211005000974 |
| Provider Name | Tigist Ayehu Degu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068318 PECOS PAC ID: 0345648838 Enrollment ID: I20211014000493 |
| Provider Name | Rose Carla Doldine Gaspard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477229151 PECOS PAC ID: 0143618371 Enrollment ID: I20211021000008 |
| Provider Name | Michael Briggs Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700413895 PECOS PAC ID: 8628408234 Enrollment ID: I20211111001180 |
| Provider Name | Laura Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972136737 PECOS PAC ID: 1355730003 Enrollment ID: I20211118000139 |
| Provider Name | Elaine Pinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447647862 PECOS PAC ID: 1456661172 Enrollment ID: I20211118001840 |
| Provider Name | George Bensabat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215252432 PECOS PAC ID: 3274774443 Enrollment ID: I20211201000496 |
| Provider Name | Jennifer Burkmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437437357 PECOS PAC ID: 4082834023 Enrollment ID: I20211210002499 |
| Provider Name | Samip Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194132126 PECOS PAC ID: 1355608662 Enrollment ID: I20211213001064 |
| Provider Name | Iffat Shaheen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568853844 PECOS PAC ID: 7113349572 Enrollment ID: I20220204001714 |
| Provider Name | George Yazji |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417417924 PECOS PAC ID: 7810225091 Enrollment ID: I20220209001462 |
| Provider Name | Inna Kogan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700870433 PECOS PAC ID: 9739146549 Enrollment ID: I20220210001239 |
| Provider Name | Kimberly Nicole Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699426080 PECOS PAC ID: 5991190456 Enrollment ID: I20220318001544 |
| Provider Name | Austin Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104498997 PECOS PAC ID: 0840686937 Enrollment ID: I20220329000883 |
| Provider Name | Austin Clay Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864137 PECOS PAC ID: 2062809577 Enrollment ID: I20220503000223 |
| Provider Name | Robert Montazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184692238 PECOS PAC ID: 6800985276 Enrollment ID: I20220510002210 |
| Provider Name | Orestes Mederos Trujillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316456528 PECOS PAC ID: 0749514800 Enrollment ID: I20220527001663 |
| Provider Name | Michelle Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134625312 PECOS PAC ID: 7113305327 Enrollment ID: I20220531001637 |
| Provider Name | Ronak K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558822528 PECOS PAC ID: 2365772043 Enrollment ID: I20220608003151 |
| Provider Name | Kellee Lorraine Randle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932449055 PECOS PAC ID: 1850533274 Enrollment ID: I20220617000883 |
| Provider Name | Elfy Payero Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447814629 PECOS PAC ID: 9133508153 Enrollment ID: I20220622002363 |
| Provider Name | Joshua W L Atwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801457916 PECOS PAC ID: 8527496371 Enrollment ID: I20220622003512 |
| Provider Name | Joseph Michael Sturdivant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053514455 PECOS PAC ID: 7517123342 Enrollment ID: I20220623001253 |
| Provider Name | Adarsh Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144585043 PECOS PAC ID: 3274755590 Enrollment ID: I20220627000723 |
| Provider Name | Rose Junie J Fleuridor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881330728 PECOS PAC ID: 7214316801 Enrollment ID: I20220628003102 |
| Provider Name | Tien My Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538725171 PECOS PAC ID: 5799165163 Enrollment ID: I20220630002807 |
| Provider Name | Fabian Latorre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265782601 PECOS PAC ID: 9436539889 Enrollment ID: I20220701002586 |
| Provider Name | James Edward Marra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043957475 PECOS PAC ID: 1759761711 Enrollment ID: I20220707003686 |
| Provider Name | Darnelle Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255890158 PECOS PAC ID: 1557798063 Enrollment ID: I20220729000298 |
| Provider Name | Almaas-qamar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710472873 PECOS PAC ID: 7719236041 Enrollment ID: I20220803000721 |
| Provider Name | Dhaval Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386149169 PECOS PAC ID: 4486059755 Enrollment ID: I20220817004039 |
| Provider Name | Adel Yazji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518200922 PECOS PAC ID: 4486077450 Enrollment ID: I20220822000423 |
| Provider Name | Cadeara L Lindenfelser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689134496 PECOS PAC ID: 7315270899 Enrollment ID: I20220824000644 |
| Provider Name | Jonathan Curtis Deneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518693712 PECOS PAC ID: 8628444742 Enrollment ID: I20221014001030 |
| Provider Name | Shabi Furhad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841853819 PECOS PAC ID: 0749516250 Enrollment ID: I20221118000274 |
| Provider Name | William Burgess Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174085914 PECOS PAC ID: 5496123630 Enrollment ID: I20221121000344 |
| Provider Name | Joshua Aaron Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396236469 PECOS PAC ID: 7719357458 Enrollment ID: I20221221002005 |
| Provider Name | Mustafa Alsaid Alkhreisat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205268588 PECOS PAC ID: 3678869153 Enrollment ID: I20221229000577 |
| Provider Name | Christina Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134729163 PECOS PAC ID: 5294106357 Enrollment ID: I20230127001049 |
| Provider Name | Joshua Harpool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043674757 PECOS PAC ID: 7810282886 Enrollment ID: I20230404001002 |
| Provider Name | Brenda Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265812424 PECOS PAC ID: 3375859309 Enrollment ID: I20230419000220 |
| Provider Name | Rajeev Nagarad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417164831 PECOS PAC ID: 7012054885 Enrollment ID: I20230421002054 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20230424000941 |
| Provider Name | Kisha Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760182893 PECOS PAC ID: 4486011426 Enrollment ID: I20230606002110 |
| Provider Name | Jenna Marie Driscoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235754979 PECOS PAC ID: 8729400189 Enrollment ID: I20230615000726 |
| Provider Name | Osman Ismaeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689202574 PECOS PAC ID: 3173918075 Enrollment ID: I20230726004142 |
| Provider Name | Amanda Brenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104445113 PECOS PAC ID: 4385067180 Enrollment ID: I20230801002779 |
| Provider Name | Mark Kwarciak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477052751 PECOS PAC ID: 2264854132 Enrollment ID: I20230802001708 |
| Provider Name | Emmanuel Iyanuloluwa Morakinyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902427156 PECOS PAC ID: 4284095225 Enrollment ID: I20230807002493 |
| Provider Name | William Joseph Seemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878956 PECOS PAC ID: 4082075072 Enrollment ID: I20230808000812 |
| Provider Name | Roberto R Gonzalez Alvarez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205450558 PECOS PAC ID: 0345602983 Enrollment ID: I20230815001204 |
| Provider Name | Bryce Coolidge Simes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710448642 PECOS PAC ID: 3173850971 Enrollment ID: I20230823001015 |
| Provider Name | Omer Ismaeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389469 PECOS PAC ID: 1456688423 Enrollment ID: I20230828003001 |
| Provider Name | Stephen Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891323069 PECOS PAC ID: 5799103305 Enrollment ID: I20230828003191 |
| Provider Name | Brian May Feijoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093342677 PECOS PAC ID: 6709208382 Enrollment ID: I20230829001753 |
| Provider Name | Melissa Bunke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205396249 PECOS PAC ID: 1658609813 Enrollment ID: I20230907003395 |
| Provider Name | Saman Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912534595 PECOS PAC ID: 1850716416 Enrollment ID: I20230913004025 |
| Provider Name | Phillip Charles Cushman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538548714 PECOS PAC ID: 2961714589 Enrollment ID: I20230918004086 |
| Provider Name | Umesh Singla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457664195 PECOS PAC ID: 1456656479 Enrollment ID: I20230926000733 |
| Provider Name | Tara Marie Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407557564 PECOS PAC ID: 8729432174 Enrollment ID: I20231004000025 |
| Provider Name | Mylene Gener Colucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790909885 PECOS PAC ID: 5991962136 Enrollment ID: I20231019000241 |
| Provider Name | Stephanie Donoso Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487276614 PECOS PAC ID: 7810310695 Enrollment ID: I20231122000039 |
| Provider Name | Harry Saag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295096360 PECOS PAC ID: 6002105103 Enrollment ID: I20240202000631 |
| Provider Name | Ali Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619591252 PECOS PAC ID: 7315384468 Enrollment ID: I20240325002139 |
| Provider Name | Haleigh Caster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518724848 PECOS PAC ID: 0446698906 Enrollment ID: I20240402004154 |
| Provider Name | Noel Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184676090 PECOS PAC ID: 1759317316 Enrollment ID: I20240411004794 |
| Provider Name | Miteshkumar Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255910 PECOS PAC ID: 2769626324 Enrollment ID: I20240522002930 |
| Provider Name | Stephanie Resurreccion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902647415 PECOS PAC ID: 1355884719 Enrollment ID: I20240613004392 |
| Provider Name | Mercedes Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376171041 PECOS PAC ID: 6800246794 Enrollment ID: I20240701003554 |
| Provider Name | Rebecca Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073138913 PECOS PAC ID: 2062816747 Enrollment ID: I20240904000134 |
| Provider Name | Loren Nicole Safille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174103105 PECOS PAC ID: 1355742073 Enrollment ID: I20240910004935 |
| Provider Name | Vanessa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063256337 PECOS PAC ID: 0143751065 Enrollment ID: I20241002004035 |
| Provider Name | Melissa Danille Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992371173 PECOS PAC ID: 7719418110 Enrollment ID: I20241008004498 |
| Provider Name | Sagar Sanjay Shahani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316516156 PECOS PAC ID: 6507267200 Enrollment ID: I20241011002272 |
| Provider Name | Belinda Fay Ancheta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578029187 PECOS PAC ID: 5890028609 Enrollment ID: I20241024004424 |
| Provider Name | Michael Menolasino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063592459 PECOS PAC ID: 5597728998 Enrollment ID: I20241029002790 |
| Provider Name | Ahmad Muneeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578146395 PECOS PAC ID: 3375077431 Enrollment ID: I20241112001574 |
| Provider Name | Rmanada Denise Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629859087 PECOS PAC ID: 7113362989 Enrollment ID: I20241112003616 |
| Provider Name | Mohamad Hekmat Sukkari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295301042 PECOS PAC ID: 1254733058 Enrollment ID: I20241113000186 |
| Provider Name | Kayla Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548007040 PECOS PAC ID: 7214463546 Enrollment ID: I20241210004611 |
| Provider Name | Hnin Lwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528547932 PECOS PAC ID: 5890038285 Enrollment ID: I20250508003271 |
Florida First Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Airport Rd, Panama City, FL 32405 Phone: 850-769-7456 Fax: 850-215-5849 | |
Sacred Heart Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 Jenks Ave Unit 5, Panama City, FL 32405 Phone: 850-804-3220 Fax: 850-804-3225 | |
Rezeq Bataineh Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 Huntcliff Ln, Panama City, FL 32405 Phone: 850-785-6272 Fax: 850-785-8686 | |
Powerback Rehabilitation Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6012 Magnolia Beach Rd, Panama City, FL 32408 Phone: 850-230-1802 | |
Doctor Spine Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Jenks Ave Unit B, Panama City, FL 32401 Phone: 850-812-8026 | |
Vickie N Harrell Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 E 6th Street, Suite 204, Panama City, FL 32401 Phone: 850-913-0018 Fax: 850-913-9137 | |
Cirque Of Towers Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 449 W 23rd St, Panama City, FL 32405 Phone: 850-769-8341 |