| Holzer Clinic, LLC | |
|
100 Jackson Pike Gallipolis OH 45631-1560 | |
| (740) 446-5385 | |
| (740) 446-5310 |
| Full Name | Holzer Clinic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| Authorized Official Name and Position | Stout B Rodney (CEO) |
| Authorized Official Contact | 7404465000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holzer Clinic, LLC 90 Jackson Pike Gallipolis OH 45631-1560 Ph: (740) 446-5385 | Holzer Clinic, LLC 100 Jackson Pike Gallipolis OH 45631-1560 Ph: (740) 446-5385 |
| NPI Number | 1508817248 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 01/28/2026 |
| Certification Date | 01/28/2026 |
| Medicare PECOS PAC ID | 5890606008 |
|---|---|
| Medicare Enrollment ID | O20031215000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508817248 | NPI | - | NPPES |
| 0006817002 | Medicaid | WV | |
| 4046428 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 152WV0400X | Optometrist - Vision Therapy | () | Secondary |
| 246RM2200X | Technician, Pathology - Medical Laboratory | () | Secondary |
| Provider Name | John Sacco |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336133685 PECOS PAC ID: 7214849686 Enrollment ID: I20031119000861 |
| Provider Name | John R Kashubeck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396702155 PECOS PAC ID: 6800798786 Enrollment ID: I20040122000011 |
| Provider Name | Marla G Haller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407951452 PECOS PAC ID: 2769385012 Enrollment ID: I20040202000664 |
| Provider Name | Naeem Akhtar Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073525309 PECOS PAC ID: 4688569247 Enrollment ID: I20040220000979 |
| Provider Name | Nitin Yogendra Bhatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801809256 PECOS PAC ID: 7810883105 Enrollment ID: I20040224000812 |
| Provider Name | Martha Rachedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295712784 PECOS PAC ID: 6204829351 Enrollment ID: I20040406000162 |
| Provider Name | Philip T Diaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114930476 PECOS PAC ID: 0547255879 Enrollment ID: I20040416000946 |
| Provider Name | William a Ramsey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083655500 PECOS PAC ID: 8921096538 Enrollment ID: I20040503001525 |
| Provider Name | Utpal Kumar Bhanja |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003801689 PECOS PAC ID: 2163410457 Enrollment ID: I20040505000244 |
| Provider Name | Margaret J Lionberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497709893 PECOS PAC ID: 8820088370 Enrollment ID: I20040516000000 |
| Provider Name | Christopher Bennet Clark |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1639123995 PECOS PAC ID: 5698766277 Enrollment ID: I20040521000678 |
| Provider Name | James J Sardo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992750145 PECOS PAC ID: 4880676675 Enrollment ID: I20040607000033 |
| Provider Name | Aundrea Jill Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518975945 PECOS PAC ID: 7517940596 Enrollment ID: I20040610000957 |
| Provider Name | Robert Duane Mullins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295792422 PECOS PAC ID: 7214910900 Enrollment ID: I20040611001527 |
| Provider Name | Vasantha Kumar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1124084959 PECOS PAC ID: 8921083239 Enrollment ID: I20040622001271 |
| Provider Name | Aref M Amro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740266717 PECOS PAC ID: 3779568894 Enrollment ID: I20040622001707 |
| Provider Name | Venkatarama Reddy Gaddam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710976733 PECOS PAC ID: 2567448491 Enrollment ID: I20040629001338 |
| Provider Name | Douglas Damien Massick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881666287 PECOS PAC ID: 9436119104 Enrollment ID: I20041017000002 |
| Provider Name | Raul J Gagucas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144273053 PECOS PAC ID: 0840253712 Enrollment ID: I20041111000092 |
| Provider Name | Lori Sargeant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467490219 PECOS PAC ID: 7810893815 Enrollment ID: I20041210000214 |
| Provider Name | Robert S Gershkowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598713836 PECOS PAC ID: 9739130311 Enrollment ID: I20050201001045 |
| Provider Name | Choudhary Rayani |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376596692 PECOS PAC ID: 7618924812 Enrollment ID: I20050331000037 |
| Provider Name | Stephen C Shy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598737991 PECOS PAC ID: 4789631987 Enrollment ID: I20050331000056 |
| Provider Name | Tammy Agnes Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639259880 PECOS PAC ID: 0840237780 Enrollment ID: I20050413000059 |
| Provider Name | Kevin R Bargmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467407874 PECOS PAC ID: 0446294961 Enrollment ID: I20050615000961 |
| Provider Name | Timothy Michael Peasak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720142391 PECOS PAC ID: 0446242549 Enrollment ID: I20050802001399 |
| Provider Name | Daniel P Geisler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467488585 PECOS PAC ID: 9537199245 Enrollment ID: I20050926000109 |
| Provider Name | Khai T Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316912199 PECOS PAC ID: 9931125655 Enrollment ID: I20051021000043 |
| Provider Name | Robert Scott Bradley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194740266 PECOS PAC ID: 4385662915 Enrollment ID: I20051102000859 |
| Provider Name | Jared a Sheets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023059227 PECOS PAC ID: 0941221907 Enrollment ID: I20051219000189 |
| Provider Name | Zoran Naumovski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326041138 PECOS PAC ID: 9133134786 Enrollment ID: I20060217000540 |
| Provider Name | Matthew C Exline |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518918283 PECOS PAC ID: 3173536422 Enrollment ID: I20060803000237 |
| Provider Name | Danielle Theresa Cappelletti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255362927 PECOS PAC ID: 7012912173 Enrollment ID: I20060922000443 |
| Provider Name | Jerome E Stasek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689642597 PECOS PAC ID: 4880690031 Enrollment ID: I20061011000035 |
| Provider Name | Douglas Martin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811915291 PECOS PAC ID: 5395713267 Enrollment ID: I20061211000482 |
| Provider Name | Donald Michael Roach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376626507 PECOS PAC ID: 3870593551 Enrollment ID: I20070102000464 |
| Provider Name | Sean Duane Stiltner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821156472 PECOS PAC ID: 0143220889 Enrollment ID: I20070103000428 |
| Provider Name | John R Ellison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669427118 PECOS PAC ID: 1052371242 Enrollment ID: I20070314000178 |
| Provider Name | Khawaja K Hamid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326085374 PECOS PAC ID: 3375512361 Enrollment ID: I20070322000371 |
| Provider Name | John Wayne Wells |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831119791 PECOS PAC ID: 2163529801 Enrollment ID: I20070515000243 |
| Provider Name | Daniel Black |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598719882 PECOS PAC ID: 3173624806 Enrollment ID: I20070725000644 |
| Provider Name | David V Blevins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427002732 PECOS PAC ID: 0345201505 Enrollment ID: I20070725000655 |
| Provider Name | Mark G Christopher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699729913 PECOS PAC ID: 2668432857 Enrollment ID: I20070726000498 |
| Provider Name | Neal W Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457370363 PECOS PAC ID: 5890684096 Enrollment ID: I20070726000551 |
| Provider Name | Glenn a Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245283621 PECOS PAC ID: 8921068107 Enrollment ID: I20070727000360 |
| Provider Name | Lyndon B Gaines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225075260 PECOS PAC ID: 6507825999 Enrollment ID: I20070727000497 |
| Provider Name | Glen P Imlay |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053364828 PECOS PAC ID: 1759342736 Enrollment ID: I20070730000570 |
| Provider Name | Nicolette M Jones |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114974110 PECOS PAC ID: 9436128592 Enrollment ID: I20070730000639 |
| Provider Name | Il Hyong Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396782314 PECOS PAC ID: 0648230003 Enrollment ID: I20070730000864 |
| Provider Name | Laurel a Kirkhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376583476 PECOS PAC ID: 1951360304 Enrollment ID: I20070731000315 |
| Provider Name | Ajay K Kottapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174560148 PECOS PAC ID: 3274502364 Enrollment ID: I20070731000360 |
| Provider Name | Phillip B Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770520330 PECOS PAC ID: 7517936461 Enrollment ID: I20070731000540 |
| Provider Name | Santpal S Mavi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770534497 PECOS PAC ID: 9133198237 Enrollment ID: I20070801000444 |
| Provider Name | Gregory Mickunas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225076458 PECOS PAC ID: 7517058886 Enrollment ID: I20070801000512 |
| Provider Name | Michael C Myers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831139138 PECOS PAC ID: 6507835352 Enrollment ID: I20070801000707 |
| Provider Name | Kelly J Roush Icenhower |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629018320 PECOS PAC ID: 4789775909 Enrollment ID: I20070802000213 |
| Provider Name | Dean a Siciliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699715300 PECOS PAC ID: 8022087808 Enrollment ID: I20070802000438 |
| Provider Name | Rodney Barry Stout |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184668253 PECOS PAC ID: 5991774069 Enrollment ID: I20070802000626 |
| Provider Name | Shyam Bhakta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417094780 PECOS PAC ID: 5890887905 Enrollment ID: I20070822000083 |
| Provider Name | Michael Todd Tatro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558363143 PECOS PAC ID: 1355355587 Enrollment ID: I20070828000017 |
| Provider Name | Gregory C Kloehn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740269711 PECOS PAC ID: 6002905866 Enrollment ID: I20071130000426 |
| Provider Name | Patricia Lynne Debruin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083696215 PECOS PAC ID: 7517048028 Enrollment ID: I20080122000507 |
| Provider Name | Kimberly S Starks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033398219 PECOS PAC ID: 6800979394 Enrollment ID: I20080206000532 |
| Provider Name | Stephen S Henry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104845924 PECOS PAC ID: 3375644875 Enrollment ID: I20080320000610 |
| Provider Name | Mathew J Cosenza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356323000 PECOS PAC ID: 3072547744 Enrollment ID: I20080409000169 |
| Provider Name | Tammy Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780855072 PECOS PAC ID: 2466530811 Enrollment ID: I20080424000714 |
| Provider Name | Seth Andrew Kearney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669492930 PECOS PAC ID: 2163426362 Enrollment ID: I20080617000506 |
| Provider Name | Troy Allen Schaffernocker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043434640 PECOS PAC ID: 1658442637 Enrollment ID: I20080618000685 |
| Provider Name | Glen Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124168406 PECOS PAC ID: 7517030117 Enrollment ID: I20080715000534 |
| Provider Name | Nathan Brummel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720203417 PECOS PAC ID: 9335213479 Enrollment ID: I20080807000196 |
| Provider Name | Loretta L Lauder |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710903398 PECOS PAC ID: 9133295215 Enrollment ID: I20080915000314 |
| Provider Name | Jeri S Kitchen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073764775 PECOS PAC ID: 1951461508 Enrollment ID: I20081129000053 |
| Provider Name | Christopher Todd Marazon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700803699 PECOS PAC ID: 6204992100 Enrollment ID: I20090302000187 |
| Provider Name | Kyle Edward Mccausland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932297934 PECOS PAC ID: 2264404433 Enrollment ID: I20090325000780 |
| Provider Name | Clyde J Rorrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811944804 PECOS PAC ID: 2365348257 Enrollment ID: I20090520000053 |
| Provider Name | Diana Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295971661 PECOS PAC ID: 7113076027 Enrollment ID: I20090526000429 |
| Provider Name | Emily E Amin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689890071 PECOS PAC ID: 9830240092 Enrollment ID: I20090629000290 |
| Provider Name | Julie C Lew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932305273 PECOS PAC ID: 6002999547 Enrollment ID: I20091130000412 |
| Provider Name | Laura Sue Wills |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285838243 PECOS PAC ID: 5991835399 Enrollment ID: I20100610001199 |
| Provider Name | Shana a Vore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144424698 PECOS PAC ID: 7719011055 Enrollment ID: I20100823000284 |
| Provider Name | Michael Glueckert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295902237 PECOS PAC ID: 6608991393 Enrollment ID: I20100917001139 |
| Provider Name | Sheila Whiteley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629227798 PECOS PAC ID: 4082808613 Enrollment ID: I20101028000027 |
| Provider Name | Alicia Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134434830 PECOS PAC ID: 6204020480 Enrollment ID: I20101101001620 |
| Provider Name | Stephen Craig Kincaid |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700958279 PECOS PAC ID: 8022205194 Enrollment ID: I20101215000611 |
| Provider Name | Amanda N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164724787 PECOS PAC ID: 3375724628 Enrollment ID: I20110221000527 |
| Provider Name | Sandra L Troester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881986834 PECOS PAC ID: 5496923666 Enrollment ID: I20110714000685 |
| Provider Name | Nathan a Clark |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588898373 PECOS PAC ID: 1153590468 Enrollment ID: I20110802000816 |
| Provider Name | Amy N Hendrix |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720288228 PECOS PAC ID: 2264601202 Enrollment ID: I20110809000707 |
| Provider Name | Adam D Ritchie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356541858 PECOS PAC ID: 3678743101 Enrollment ID: I20110819000124 |
| Provider Name | Joanna Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073894242 PECOS PAC ID: 3173795929 Enrollment ID: I20111020000499 |
| Provider Name | David Nash |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578628400 PECOS PAC ID: 3274610746 Enrollment ID: I20120215000502 |
| Provider Name | Staci C Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558576454 PECOS PAC ID: 1951425412 Enrollment ID: I20120615000295 |
| Provider Name | Michael Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588892194 PECOS PAC ID: 3870788177 Enrollment ID: I20120720000026 |
| Provider Name | Xuan N Huang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639308232 PECOS PAC ID: 3678729217 Enrollment ID: I20120814000245 |
| Provider Name | Amanda N Mcconnell-mack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740424076 PECOS PAC ID: 8729235619 Enrollment ID: I20120828000832 |
| Provider Name | Christy D Massie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972858843 PECOS PAC ID: 9436306115 Enrollment ID: I20120831000362 |
| Provider Name | Margaret Poznalska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275834665 PECOS PAC ID: 8527218189 Enrollment ID: I20121017000692 |
| Provider Name | Carlton W Herald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053302836 PECOS PAC ID: 9739087867 Enrollment ID: I20130424000315 |
| Provider Name | Julio C Galindo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508144064 PECOS PAC ID: 8820239601 Enrollment ID: I20130719000512 |
| Provider Name | Vincent G Esguerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598084220 PECOS PAC ID: 3779724539 Enrollment ID: I20130722000255 |
| Provider Name | Steven D. Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063673085 PECOS PAC ID: 7214176064 Enrollment ID: I20130723001056 |
| Provider Name | Jennifer D Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265775712 PECOS PAC ID: 5395986657 Enrollment ID: I20130729000854 |
| Provider Name | Carleen Risaliti Spitzer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073832606 PECOS PAC ID: 2365683232 Enrollment ID: I20130801000453 |
| Provider Name | Robin M. Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598197618 PECOS PAC ID: 0446485890 Enrollment ID: I20131021001304 |
| Provider Name | Christy Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801859160 PECOS PAC ID: 2062479504 Enrollment ID: I20140327001947 |
| Provider Name | Kristin L Bierhup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477979508 PECOS PAC ID: 7517199946 Enrollment ID: I20140416002157 |
| Provider Name | Katherine Holter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093139958 PECOS PAC ID: 9537384961 Enrollment ID: I20140627000552 |
| Provider Name | Michael J Wert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053636308 PECOS PAC ID: 9133360894 Enrollment ID: I20140709001832 |
| Provider Name | Jason J Cox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407088982 PECOS PAC ID: 1052538139 Enrollment ID: I20140813002179 |
| Provider Name | Fredrick H Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083021166 PECOS PAC ID: 1759500085 Enrollment ID: I20140917003141 |
| Provider Name | Megan G Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063811560 PECOS PAC ID: 7012138126 Enrollment ID: I20141014001892 |
| Provider Name | Bobbi J. Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279363 PECOS PAC ID: 6002138146 Enrollment ID: I20141201001296 |
| Provider Name | Christine Pearl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194128561 PECOS PAC ID: 2264754225 Enrollment ID: I20141201002144 |
| Provider Name | Adam R Alley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356609390 PECOS PAC ID: 2961641642 Enrollment ID: I20141216001650 |
| Provider Name | Jonathan a Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063770014 PECOS PAC ID: 7012156227 Enrollment ID: I20141216002424 |
| Provider Name | Tina M Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427453703 PECOS PAC ID: 9133442379 Enrollment ID: I20141219001360 |
| Provider Name | Rebecca J Stump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164821930 PECOS PAC ID: 1355665225 Enrollment ID: I20150123002019 |
| Provider Name | Jeremy C Cuzzourt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013948694 PECOS PAC ID: 1153334487 Enrollment ID: I20150223001474 |
| Provider Name | Meredith Fallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780071258 PECOS PAC ID: 1951622349 Enrollment ID: I20150610002633 |
| Provider Name | Muchun Tsai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285900845 PECOS PAC ID: 3870734585 Enrollment ID: I20150716002027 |
| Provider Name | Tina Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093191298 PECOS PAC ID: 1951619188 Enrollment ID: I20151007002250 |
| Provider Name | Susan L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942678529 PECOS PAC ID: 9537479084 Enrollment ID: I20151112001488 |
| Provider Name | Chelsea Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922470798 PECOS PAC ID: 3678873809 Enrollment ID: I20151119002259 |
| Provider Name | Brianne Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457723389 PECOS PAC ID: 9335440635 Enrollment ID: I20151210000641 |
| Provider Name | Julie L Addis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518336098 PECOS PAC ID: 6800197476 Enrollment ID: I20151228000389 |
| Provider Name | Joshua a Englert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881746584 PECOS PAC ID: 1658530662 Enrollment ID: I20160107000140 |
| Provider Name | Joellen Quillen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780011148 PECOS PAC ID: 0143522938 Enrollment ID: I20160111002577 |
| Provider Name | Sherri Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447625033 PECOS PAC ID: 5496059313 Enrollment ID: I20160212000570 |
| Provider Name | Sarah a Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764918 PECOS PAC ID: 1153641873 Enrollment ID: I20160317000392 |
| Provider Name | Suzanna Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861852139 PECOS PAC ID: 1355630658 Enrollment ID: I20160510000179 |
| Provider Name | Tammy Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699139931 PECOS PAC ID: 3072805191 Enrollment ID: I20160711002393 |
| Provider Name | Tammy L Smathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457708711 PECOS PAC ID: 6406149996 Enrollment ID: I20160720002892 |
| Provider Name | Stephanie Dewitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063791689 PECOS PAC ID: 1254635212 Enrollment ID: I20160804001126 |
| Provider Name | Matthew Colvin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023413226 PECOS PAC ID: 5991927220 Enrollment ID: I20160818000990 |
| Provider Name | Lynn a Fussner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548581200 PECOS PAC ID: 2163694266 Enrollment ID: I20160829001700 |
| Provider Name | Brittany Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710338736 PECOS PAC ID: 3375839269 Enrollment ID: I20160831002850 |
| Provider Name | Tiffany Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073961678 PECOS PAC ID: 9335435577 Enrollment ID: I20160914001040 |
| Provider Name | Deron Hammack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194963769 PECOS PAC ID: 9638363203 Enrollment ID: I20160920001771 |
| Provider Name | Rajesh Rajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154642098 PECOS PAC ID: 0941446645 Enrollment ID: I20160920002549 |
| Provider Name | Glenn Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093265837 PECOS PAC ID: 1456631902 Enrollment ID: I20161129002543 |
| Provider Name | James P Flanagan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316963978 PECOS PAC ID: 4385631886 Enrollment ID: I20161206002111 |
| Provider Name | Amber Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639629835 PECOS PAC ID: 3971883802 Enrollment ID: I20161209001180 |
| Provider Name | Ben O'kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912295338 PECOS PAC ID: 8527348432 Enrollment ID: I20161212002136 |
| Provider Name | David Paul Peasak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316987001 PECOS PAC ID: 9335137074 Enrollment ID: I20170105000032 |
| Provider Name | Amy Parke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447557400 PECOS PAC ID: 8022390046 Enrollment ID: I20170126000679 |
| Provider Name | Robert Idzakovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994048 PECOS PAC ID: 6608159892 Enrollment ID: I20170214001381 |
| Provider Name | Tina Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583196 PECOS PAC ID: 8820371743 Enrollment ID: I20170220000198 |
| Provider Name | Aasia Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053721803 PECOS PAC ID: 7719261999 Enrollment ID: I20170307002567 |
| Provider Name | Kelly Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699219469 PECOS PAC ID: 2264716380 Enrollment ID: I20170308001678 |
| Provider Name | Crystal Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299770 PECOS PAC ID: 2668522871 Enrollment ID: I20170309001297 |
| Provider Name | Matthew Dawson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003159021 PECOS PAC ID: 9638475122 Enrollment ID: I20170720001340 |
| Provider Name | Clyde Jay Rorrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255775235 PECOS PAC ID: 1759651771 Enrollment ID: I20170725001908 |
| Provider Name | Brian Torski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164709770 PECOS PAC ID: 5890934467 Enrollment ID: I20170809002612 |
| Provider Name | Nirav Parekh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1053687053 PECOS PAC ID: 6406156611 Enrollment ID: I20170811002738 |
| Provider Name | Thomas Rittinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639242381 PECOS PAC ID: 2466351127 Enrollment ID: I20170814002959 |
| Provider Name | Elizabeth B Yeager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194136200 PECOS PAC ID: 4284851890 Enrollment ID: I20170815000391 |
| Provider Name | Jason Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912345984 PECOS PAC ID: 7911136007 Enrollment ID: I20170815003964 |
| Provider Name | Ronald Brownfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730125766 PECOS PAC ID: 6507829769 Enrollment ID: I20170815004417 |
| Provider Name | Jennifer M. Calafato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215353388 PECOS PAC ID: 0244534766 Enrollment ID: I20170828004184 |
| Provider Name | Zachary Orion Bosley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952717571 PECOS PAC ID: 2567762990 Enrollment ID: I20170906001555 |
| Provider Name | Tracy R Copley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114451143 PECOS PAC ID: 3577836634 Enrollment ID: I20170912001339 |
| Provider Name | Charles Zierenberg Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801025200 PECOS PAC ID: 6103111448 Enrollment ID: I20170915003248 |
| Provider Name | Christina a Hively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568980803 PECOS PAC ID: 4880968361 Enrollment ID: I20170921002806 |
| Provider Name | Emily L Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629030218 PECOS PAC ID: 2264466184 Enrollment ID: I20170921003385 |
| Provider Name | Lesley a Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591373 PECOS PAC ID: 1557620622 Enrollment ID: I20180117002328 |
| Provider Name | Ronald L Tawney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578062188 PECOS PAC ID: 2668734658 Enrollment ID: I20180403002533 |
| Provider Name | Rosanna Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477052066 PECOS PAC ID: 4880957240 Enrollment ID: I20180417001875 |
| Provider Name | Samantha J Yelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386050375 PECOS PAC ID: 7517220718 Enrollment ID: I20180423001711 |
| Provider Name | Kelsey L Black |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538555768 PECOS PAC ID: 4789984592 Enrollment ID: I20180502000227 |
| Provider Name | Jarrod Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982108718 PECOS PAC ID: 7113282773 Enrollment ID: I20180531002012 |
| Provider Name | Timothy D Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154721645 PECOS PAC ID: 1254628704 Enrollment ID: I20180626003681 |
| Provider Name | Kyle R Stinehart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437544681 PECOS PAC ID: 2961711460 Enrollment ID: I20180629002507 |
| Provider Name | Emily Kirsten Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528412459 PECOS PAC ID: 9830488055 Enrollment ID: I20180705000912 |
| Provider Name | Jonathan Mathis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063890200 PECOS PAC ID: 0244540086 Enrollment ID: I20180802000620 |
| Provider Name | Bradley C Sevy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437530896 PECOS PAC ID: 1557667987 Enrollment ID: I20180827002895 |
| Provider Name | Antony Valentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679956262 PECOS PAC ID: 1254637648 Enrollment ID: I20181001001746 |
| Provider Name | Elizabeth Nicole Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629558804 PECOS PAC ID: 5597000943 Enrollment ID: I20181213000834 |
| Provider Name | Tanya Danielle Morrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356798094 PECOS PAC ID: 0840578258 Enrollment ID: I20181214002507 |
| Provider Name | Mary Elizabeth Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966287 PECOS PAC ID: 4486999497 Enrollment ID: I20181219003042 |
| Provider Name | Karrie Joanne Lansing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497223192 PECOS PAC ID: 8921345927 Enrollment ID: I20190129003400 |
| Provider Name | Cynthia Dawn Jefferson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194280321 PECOS PAC ID: 6406196203 Enrollment ID: I20190313002830 |
| Provider Name | Hannah Davidson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538723283 PECOS PAC ID: 1658604046 Enrollment ID: I20190618002044 |
| Provider Name | Derrick D. Herman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063755205 PECOS PAC ID: 0143459990 Enrollment ID: I20190627002069 |
| Provider Name | Joseph Stanley Bednash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114293677 PECOS PAC ID: 2264787456 Enrollment ID: I20190718003410 |
| Provider Name | Avraham Z. Cooper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871931501 PECOS PAC ID: 2860700309 Enrollment ID: I20190808002691 |
| Provider Name | Magdy H W Eskander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598142622 PECOS PAC ID: 3173814076 Enrollment ID: I20190809001383 |
| Provider Name | Douglas Millard Poe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457744435 PECOS PAC ID: 4385933613 Enrollment ID: I20190813003727 |
| Provider Name | Charles J Bishop |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023428653 PECOS PAC ID: 2365779253 Enrollment ID: I20190815001597 |
| Provider Name | Melissa J Nibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134789217 PECOS PAC ID: 8921336421 Enrollment ID: I20190821004137 |
| Provider Name | Andrea Rae Roush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487206421 PECOS PAC ID: 0547599409 Enrollment ID: I20190903001589 |
| Provider Name | Andrew Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467848556 PECOS PAC ID: 3476806621 Enrollment ID: I20190916000240 |
| Provider Name | Kristin Michele Lydick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588229090 PECOS PAC ID: 1052644689 Enrollment ID: I20191010000897 |
| Provider Name | Hannah Rose Bachtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477105674 PECOS PAC ID: 1759714017 Enrollment ID: I20191127002415 |
| Provider Name | Jeffrey C Horowitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619059524 PECOS PAC ID: 6204803208 Enrollment ID: I20191223001269 |
| Provider Name | Agnes a Enrico-simon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003910670 PECOS PAC ID: 3870526007 Enrollment ID: I20200320002552 |
| Provider Name | Tonya Gail Ruby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801132964 PECOS PAC ID: 0941514376 Enrollment ID: I20200406003308 |
| Provider Name | Arindam Ghosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184069791 PECOS PAC ID: 3173837119 Enrollment ID: I20200506002597 |
| Provider Name | John Brandenburg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912131079 PECOS PAC ID: 7719155639 Enrollment ID: I20200515001765 |
| Provider Name | Ciprian Crismaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043266190 PECOS PAC ID: 2567412687 Enrollment ID: I20200521001074 |
| Provider Name | Sarah M. Macdowell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457712382 PECOS PAC ID: 7618264334 Enrollment ID: I20200616000606 |
| Provider Name | Westley Cameron Mullins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247348 PECOS PAC ID: 5496025835 Enrollment ID: I20200616003170 |
| Provider Name | Joshua I Gordon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801328174 PECOS PAC ID: 9436429339 Enrollment ID: I20200622001156 |
| Provider Name | Jennica N Johns |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649615212 PECOS PAC ID: 0840429593 Enrollment ID: I20200629002776 |
| Provider Name | Arindam Singha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891114864 PECOS PAC ID: 9739406497 Enrollment ID: I20200707003347 |
| Provider Name | Elie L Homsy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205178332 PECOS PAC ID: 0042447211 Enrollment ID: I20200714000904 |
| Provider Name | Megan E Conroy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104269851 PECOS PAC ID: 4981037579 Enrollment ID: I20200723002529 |
| Provider Name | Stella B Ogake |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326468695 PECOS PAC ID: 2567752967 Enrollment ID: I20200730000391 |
| Provider Name | Jacob Pessia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093248478 PECOS PAC ID: 8224388277 Enrollment ID: I20200813002025 |
| Provider Name | Katherine Ernst Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096453 PECOS PAC ID: 5799072427 Enrollment ID: I20200818003672 |
| Provider Name | Joseph Hossein Esmaeili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124569330 PECOS PAC ID: 5597184556 Enrollment ID: I20200924003422 |
| Provider Name | Robin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245794049 PECOS PAC ID: 2567872682 Enrollment ID: I20201030002352 |
| Provider Name | Casey Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902412422 PECOS PAC ID: 0648680678 Enrollment ID: I20201103002182 |
| Provider Name | Christina D Richendollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407451503 PECOS PAC ID: 2365855624 Enrollment ID: I20210105001311 |
| Provider Name | Brenda Jo Mershon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710597224 PECOS PAC ID: 9931428257 Enrollment ID: I20210122002533 |
| Provider Name | Erica Ryan Hersman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891398988 PECOS PAC ID: 1951715150 Enrollment ID: I20210129001226 |
| Provider Name | Marie Alyson Lear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114388501 PECOS PAC ID: 8729493960 Enrollment ID: I20210219001511 |
| Provider Name | Amy Michelle Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134718182 PECOS PAC ID: 8426464801 Enrollment ID: I20210309003300 |
| Provider Name | Amy Maggard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235686585 PECOS PAC ID: 8325456197 Enrollment ID: I20210415000604 |
| Provider Name | Rebecca Michelle Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588244917 PECOS PAC ID: 3274932959 Enrollment ID: I20210528002474 |
| Provider Name | Ryan D Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932780251 PECOS PAC ID: 9638571292 Enrollment ID: I20210706002187 |
| Provider Name | Kevin Ho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194136101 PECOS PAC ID: 3375843113 Enrollment ID: I20210708000635 |
| Provider Name | Arthur Waverly Huntley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750871646 PECOS PAC ID: 3173860111 Enrollment ID: I20210805003586 |
| Provider Name | Stefanie K Wolf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689028656 PECOS PAC ID: 7416240106 Enrollment ID: I20210810001989 |
| Provider Name | Adriane Breshea Eastman-esmaeili |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376030577 PECOS PAC ID: 8820494750 Enrollment ID: I20210901001302 |
| Provider Name | Susan M Kerns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184085409 PECOS PAC ID: 6103182639 Enrollment ID: I20211116002036 |
| Provider Name | Jordon Kenneth March |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679009831 PECOS PAC ID: 8224427869 Enrollment ID: I20211227000459 |
| Provider Name | Lisa Kay Ehman-chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982368429 PECOS PAC ID: 9234521956 Enrollment ID: I20220110000413 |
| Provider Name | Sarah P Cohen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588059828 PECOS PAC ID: 9032502752 Enrollment ID: I20220201002821 |
| Provider Name | Kiley Cosgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073265518 PECOS PAC ID: 5294120689 Enrollment ID: I20220322001400 |
| Provider Name | Richard Ryan Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881340180 PECOS PAC ID: 5496141210 Enrollment ID: I20220404002642 |
| Provider Name | Evelyn Corinne Stumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225618036 PECOS PAC ID: 9335535863 Enrollment ID: I20220408000475 |
| Provider Name | Angela Faith Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053055202 PECOS PAC ID: 3375923592 Enrollment ID: I20220706002334 |
| Provider Name | Tasha a Kashubeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528538832 PECOS PAC ID: 0749661684 Enrollment ID: I20220722002113 |
| Provider Name | Aron Hart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770046724 PECOS PAC ID: 2466782172 Enrollment ID: I20220725000628 |
| Provider Name | Gregory J Eisinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689758500 PECOS PAC ID: 0446577548 Enrollment ID: I20220817001614 |
| Provider Name | Joshua Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245896539 PECOS PAC ID: 2466835004 Enrollment ID: I20220817001762 |
| Provider Name | John Odackal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093177511 PECOS PAC ID: 2860785664 Enrollment ID: I20220817003003 |
| Provider Name | Nicole Lee Gates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073251708 PECOS PAC ID: 8527441575 Enrollment ID: I20220824000854 |
| Provider Name | Jodie Lynn Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104956259 PECOS PAC ID: 0244614287 Enrollment ID: I20220825001069 |
| Provider Name | Jonathan Sedeyn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851704217 PECOS PAC ID: 2264864297 Enrollment ID: I20220915000460 |
| Provider Name | Chelsea D Gerena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326577230 PECOS PAC ID: 5799051793 Enrollment ID: I20220928002751 |
| Provider Name | Sydney Stoops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710640149 PECOS PAC ID: 6800272436 Enrollment ID: I20221004003103 |
| Provider Name | Courtney Michelle Abfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528798261 PECOS PAC ID: 1254707623 Enrollment ID: I20221026002956 |
| Provider Name | Amy Nichole Mcfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639802838 PECOS PAC ID: 6608243498 Enrollment ID: I20221108002076 |
| Provider Name | Kerry Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053032706 PECOS PAC ID: 0042687857 Enrollment ID: I20221108002579 |
| Provider Name | Jessica L Calaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023742590 PECOS PAC ID: 6406224625 Enrollment ID: I20221119000104 |
| Provider Name | Rachelle Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114165065 PECOS PAC ID: 2769853175 Enrollment ID: I20230123001911 |
| Provider Name | Khadijeh Zarkoob |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295705630 PECOS PAC ID: 1153343207 Enrollment ID: I20230207001244 |
| Provider Name | Brandon Lasseter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861104218 PECOS PAC ID: 8527430032 Enrollment ID: I20230209002587 |
| Provider Name | Marwan Jarmakani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972572386 PECOS PAC ID: 4688754377 Enrollment ID: I20230308001209 |
| Provider Name | Akhter Saeed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699783340 PECOS PAC ID: 8921236449 Enrollment ID: I20230309000525 |
| Provider Name | Jonna L Rice |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790728087 PECOS PAC ID: 2365331709 Enrollment ID: I20230324000741 |
| Provider Name | Stanley Perecko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255563474 PECOS PAC ID: 0143417295 Enrollment ID: I20230512001669 |
| Provider Name | Stephanie M. Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508555483 PECOS PAC ID: 7517324395 Enrollment ID: I20230609001680 |
| Provider Name | Anthony Fabiano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487283057 PECOS PAC ID: 5991124513 Enrollment ID: I20230613003378 |
| Provider Name | Matthew Shy-szuan Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013302579 PECOS PAC ID: 5698086130 Enrollment ID: I20230629002617 |
| Provider Name | Carissa Pessia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558873661 PECOS PAC ID: 9133487556 Enrollment ID: I20230711000246 |
| Provider Name | Victoria Suzanne Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124711056 PECOS PAC ID: 0648630442 Enrollment ID: I20230712000774 |
| Provider Name | Daniel Argotte Vilchez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316329824 PECOS PAC ID: 2062701568 Enrollment ID: I20230721002210 |
| Provider Name | Kathleen Mccauley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558998633 PECOS PAC ID: 7214358837 Enrollment ID: I20230822002657 |
| Provider Name | Andrea D Merry-sperry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609397926 PECOS PAC ID: 6103191705 Enrollment ID: I20230901003013 |
| Provider Name | Lorie Lynn Siders |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669019501 PECOS PAC ID: 3375979495 Enrollment ID: I20231006001280 |
| Provider Name | Kameron Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225718935 PECOS PAC ID: 9537514229 Enrollment ID: I20231016002612 |
| Provider Name | Corey Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811422900 PECOS PAC ID: 0143566521 Enrollment ID: I20231116002872 |
| Provider Name | Olusola Olubowale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962923805 PECOS PAC ID: 9638593031 Enrollment ID: I20231121002234 |
| Provider Name | Tosa Ann Broome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275037434 PECOS PAC ID: 1557714227 Enrollment ID: I20240129004428 |
| Provider Name | Cathalene Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679342380 PECOS PAC ID: 4183067895 Enrollment ID: I20240209002228 |
| Provider Name | Cassandra K Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366940355 PECOS PAC ID: 7214381524 Enrollment ID: I20240216002905 |
| Provider Name | Adrienne Mays Kingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457589079 PECOS PAC ID: 6305093055 Enrollment ID: I20240220002803 |
| Provider Name | Matthew David Oram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891322285 PECOS PAC ID: 6507297017 Enrollment ID: I20240319002462 |
| Provider Name | Danielle Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154183291 PECOS PAC ID: 8325485188 Enrollment ID: I20240328002016 |
| Provider Name | Arjayra Lynne Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710541198 PECOS PAC ID: 3375982150 Enrollment ID: I20240412000907 |
| Provider Name | Nicholas Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619202744 PECOS PAC ID: 8022258847 Enrollment ID: I20240510001489 |
| Provider Name | Aqsa I Khan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982136883 PECOS PAC ID: 8820333511 Enrollment ID: I20240510001750 |
| Provider Name | Laura a Leuenberger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295229649 PECOS PAC ID: 6507112505 Enrollment ID: I20240513003202 |
| Provider Name | Ian David Bentley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649777350 PECOS PAC ID: 2668724220 Enrollment ID: I20240524000329 |
| Provider Name | Sajeel Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023337961 PECOS PAC ID: 5092015032 Enrollment ID: I20240814000146 |
| Provider Name | Daniel Crow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851967731 PECOS PAC ID: 4789085481 Enrollment ID: I20240822000824 |
| Provider Name | Yuriy Iskrenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720573066 PECOS PAC ID: 5496151706 Enrollment ID: I20240911001006 |
| Provider Name | Jacob Edward Riffle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477129500 PECOS PAC ID: 6204238363 Enrollment ID: I20240912004497 |
| Provider Name | Adil Baig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710310487 PECOS PAC ID: 6103193404 Enrollment ID: I20240916000314 |
| Provider Name | Dylan Jacob Lewis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346701349 PECOS PAC ID: 2769715390 Enrollment ID: I20240917000633 |
| Provider Name | Amanda Emmalene Rose Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669216495 PECOS PAC ID: 6305387051 Enrollment ID: I20240920002163 |
| Provider Name | Samantha Fresia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619710563 PECOS PAC ID: 7719428341 Enrollment ID: I20240923001026 |
| Provider Name | Erica Barringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134175961 PECOS PAC ID: 7214079870 Enrollment ID: I20240926001146 |
| Provider Name | Maxwell Tran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922595057 PECOS PAC ID: 0648528414 Enrollment ID: I20241014002784 |
| Provider Name | Thomas Sibert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710416243 PECOS PAC ID: 1254678980 Enrollment ID: I20241016000476 |
| Provider Name | Maneesh Bhargava |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407892755 PECOS PAC ID: 8022036011 Enrollment ID: I20241025000189 |
| Provider Name | Mary Smiley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427709542 PECOS PAC ID: 2567816077 Enrollment ID: I20241105003348 |
| Provider Name | Kayla Shato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033947320 PECOS PAC ID: 5193259604 Enrollment ID: I20241106002281 |
| Provider Name | Raza Zaidi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093277162 PECOS PAC ID: 5890194120 Enrollment ID: I20241111002839 |
| Provider Name | Kayla Marie Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538989595 PECOS PAC ID: 6709311301 Enrollment ID: I20241119003706 |
| Provider Name | Tracy Lynn Steger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134949977 PECOS PAC ID: 5890221634 Enrollment ID: I20241204000977 |
| Provider Name | Brycen Minton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336977628 PECOS PAC ID: 8325574031 Enrollment ID: I20241204004291 |
| Provider Name | Danielle Schabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164248043 PECOS PAC ID: 5496283061 Enrollment ID: I20250109002814 |
| Provider Name | Jenna Barbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154810398 PECOS PAC ID: 0749531036 Enrollment ID: I20250124002750 |
| Provider Name | Rachel Michelle Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821818006 PECOS PAC ID: 7113447756 Enrollment ID: I20250226000316 |
| Provider Name | Darian Paige Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225849664 PECOS PAC ID: 5698295152 Enrollment ID: I20250227001269 |
| Provider Name | Britni Courts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881356806 PECOS PAC ID: 5395143614 Enrollment ID: I20250227001397 |
| Provider Name | Anthony Alberico |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174581409 PECOS PAC ID: 6507955242 Enrollment ID: I20250401002661 |
| Provider Name | Allison Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300785 PECOS PAC ID: 4880937150 Enrollment ID: I20250404000350 |
| Provider Name | Nicolas Phan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437328192 PECOS PAC ID: 5890854566 Enrollment ID: I20250404002745 |
| Provider Name | Rachel Beirne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548715840 PECOS PAC ID: 5991085250 Enrollment ID: I20250422000520 |
| Provider Name | Patrick Kramer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528562949 PECOS PAC ID: 6103341136 Enrollment ID: I20250422002954 |
| Provider Name | Christina Kay Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215741673 PECOS PAC ID: 4981120953 Enrollment ID: I20250502001196 |
| Provider Name | Andrew Wodarcyk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104387943 PECOS PAC ID: 2668706680 Enrollment ID: I20250502001390 |
| Provider Name | Florah Deann Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821313354 PECOS PAC ID: 7618496860 Enrollment ID: I20250521002246 |
| Provider Name | Gift Eze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457384588 PECOS PAC ID: 8224017736 Enrollment ID: I20250612003318 |
| Provider Name | Misty King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033918370 PECOS PAC ID: 2769994383 Enrollment ID: I20250620000565 |
| Provider Name | Richard Himes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548760168 PECOS PAC ID: 9436413838 Enrollment ID: I20250725003494 |
| Provider Name | Brandon Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689319659 PECOS PAC ID: 2062894264 Enrollment ID: I20250801002125 |
| Provider Name | Mary Kaitlin Timney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154068583 PECOS PAC ID: 7911387212 Enrollment ID: I20250830000696 |
| Provider Name | Lori Fedorczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659455699 PECOS PAC ID: 4183004633 Enrollment ID: I20250912000844 |
| Provider Name | Ashley L. Monsrud |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518429091 PECOS PAC ID: 1759884935 Enrollment ID: I20250912001973 |
| Provider Name | Austin Mccloud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487336616 PECOS PAC ID: 7618471244 Enrollment ID: I20250917003060 |
| Provider Name | Craig Cade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134173370 PECOS PAC ID: 5698721926 Enrollment ID: I20250926002887 |
| Provider Name | Allie Morris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972483659 PECOS PAC ID: 0042707655 Enrollment ID: I20251016003048 |
| Provider Name | Parth Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922365568 PECOS PAC ID: 0749535151 Enrollment ID: I20251120001166 |
| Provider Name | Marina Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083588370 PECOS PAC ID: 7810483054 Enrollment ID: I20251226001222 |
| Provider Name | Zainab Mirza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306588751 PECOS PAC ID: 7113413758 Enrollment ID: I20260102001249 |
| Provider Name | Joseph Riffle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437042421 PECOS PAC ID: 9335625482 Enrollment ID: I20260108002961 |
| Provider Name | Staci C Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558576454 PECOS PAC ID: 1951425412 Enrollment ID: I20260203003517 |
| Provider Name | Sophia Jane Carleton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700721958 PECOS PAC ID: 2961972062 Enrollment ID: I20260529002694 |
| Provider Name | Amanda Hager Goodrich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447771605 PECOS PAC ID: 9931670023 Enrollment ID: I20260609004155 |
Hopewell Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Holly Ln, Gallipolis, OH 45631 Phone: 740-794-6019 Fax: 740-794-6022 |
Ovp Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 936 State Route 160, Gallipolis, OH 45631 Phone: 740-716-7086 |
Hopewell Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 West Ave, Gallipolis, OH 45631 Phone: 740-446-5554 |
Hopewell Health Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 |
Hopewell Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Holly Ln, Gallipolis, OH 45631 Phone: 740-794-6019 Fax: 740-794-6022 |
Ctr Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Upper River Rd, Gallipolis, OH 45631 Phone: 740-446-4211 Fax: 888-442-4167 |