| Hospital Medicine Associates Llc | |
|
17000 Medical Center Dr Baton Rouge LA 70816-3246 | |
| (225) 752-2470 | |
| Not Available |
| Full Name | Hospital Medicine Associates Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 17000 Medical Center Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Rohit Uppal (PRESIDENT) |
| Authorized Official Contact | 9544751300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Medicine Associates Llc 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Hospital Medicine Associates Llc 17000 Medical Center Dr Baton Rouge LA 70816-3246 Ph: (225) 752-2470 |
| NPI Number | 1093758781 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 10/21/2020 |
| Medicare PECOS PAC ID | 9234156985 |
|---|---|
| Medicare Enrollment ID | O20061002000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093758781 | NPI | - | NPPES |
| 05839514 | Medicaid | MS | |
| 1459151 | Medicaid | LA | |
| DF5580 | Other | LA | RAILROAD MEDICARE |
| 3075932 | Medicaid | NH | |
| DO1041 | Other | MS | RAILROAD MEDICARE |
| DR1613 | Other | NH | RAILROAD MEDICARE |
| Provider Name | Adedoyin B0dinrin Dosunmu-ogunbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306817184 PECOS PAC ID: 0941114086 Enrollment ID: I20031230000763 |
| Provider Name | Connie M Swillie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003927831 PECOS PAC ID: 7315939162 Enrollment ID: I20040401000078 |
| Provider Name | Jeremy E Lindley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285724104 PECOS PAC ID: 5193718377 Enrollment ID: I20040405000824 |
| Provider Name | Bruce M Pava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821083569 PECOS PAC ID: 1153391917 Enrollment ID: I20040728001597 |
| Provider Name | Ronald S Stroud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376519256 PECOS PAC ID: 6709829674 Enrollment ID: I20050602000538 |
| Provider Name | Margaret D Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669486767 PECOS PAC ID: 3173538774 Enrollment ID: I20060220000176 |
| Provider Name | Mary S Corkern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740298116 PECOS PAC ID: 3173521838 Enrollment ID: I20061114000152 |
| Provider Name | William M Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780663732 PECOS PAC ID: 0446259667 Enrollment ID: I20061215000089 |
| Provider Name | Alison L Daggett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548284193 PECOS PAC ID: 1254229149 Enrollment ID: I20061219000204 |
| Provider Name | Christopher A Monty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558375667 PECOS PAC ID: 4486656170 Enrollment ID: I20070208000659 |
| Provider Name | Joseph D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164546800 PECOS PAC ID: 4789782335 Enrollment ID: I20070606000249 |
| Provider Name | Andrew Wynn Murkett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184793531 PECOS PAC ID: 7618069675 Enrollment ID: I20070822000587 |
| Provider Name | Melissa Bess Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114931284 PECOS PAC ID: 7315039385 Enrollment ID: I20070822000732 |
| Provider Name | Alicia S Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720036411 PECOS PAC ID: 8325041213 Enrollment ID: I20071019000396 |
| Provider Name | Kathy T Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215978390 PECOS PAC ID: 3577633908 Enrollment ID: I20080528000338 |
| Provider Name | Thomas Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578776209 PECOS PAC ID: 8527133925 Enrollment ID: I20080820000136 |
| Provider Name | Haritha V Guttikonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912162504 PECOS PAC ID: 3678641842 Enrollment ID: I20081001000707 |
| Provider Name | Randall K Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376681676 PECOS PAC ID: 2163580481 Enrollment ID: I20081015000202 |
| Provider Name | Katherine Takundwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225224025 PECOS PAC ID: 9830257310 Enrollment ID: I20081028000410 |
| Provider Name | Amita R Hazariwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548472442 PECOS PAC ID: 0547310948 Enrollment ID: I20090605000125 |
| Provider Name | Robert Edward Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881705614 PECOS PAC ID: 4183778483 Enrollment ID: I20090821000033 |
| Provider Name | Karen S Faircloth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265760060 PECOS PAC ID: 0547301038 Enrollment ID: I20100106000192 |
| Provider Name | Yi Jia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891907515 PECOS PAC ID: 5698817716 Enrollment ID: I20100127000449 |
| Provider Name | Kimberley G Edge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376723908 PECOS PAC ID: 0345383964 Enrollment ID: I20100204000681 |
| Provider Name | Yung Hsien Hsien Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770764649 PECOS PAC ID: 5092850065 Enrollment ID: I20100302000259 |
| Provider Name | John Michael Cantrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609020866 PECOS PAC ID: 3678697190 Enrollment ID: I20100903000665 |
| Provider Name | Ryan C Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114056652 PECOS PAC ID: 3971796236 Enrollment ID: I20101019000570 |
| Provider Name | Dahlia H Mckinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609849033 PECOS PAC ID: 3971520263 Enrollment ID: I20101021000565 |
| Provider Name | Mustafa Mohiuddin Akif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396773024 PECOS PAC ID: 2163591397 Enrollment ID: I20101117000516 |
| Provider Name | Bhupesh Panwar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093997967 PECOS PAC ID: 6305032327 Enrollment ID: I20101201001365 |
| Provider Name | George Nwadiaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063678878 PECOS PAC ID: 3274600788 Enrollment ID: I20110215000230 |
| Provider Name | Adetunji Adaraloye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457589350 PECOS PAC ID: 9537338934 Enrollment ID: I20110801000370 |
| Provider Name | Janelle Marie Townes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801076500 PECOS PAC ID: 8426194705 Enrollment ID: I20120731000835 |
| Provider Name | Paul C. Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780811158 PECOS PAC ID: 4183871072 Enrollment ID: I20120828000857 |
| Provider Name | Aaron Bee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649520883 PECOS PAC ID: 8628228400 Enrollment ID: I20121102000054 |
| Provider Name | Robert Wyatt Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396992137 PECOS PAC ID: 8123285491 Enrollment ID: I20130208000256 |
| Provider Name | Messalina C Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114218039 PECOS PAC ID: 2860647237 Enrollment ID: I20130311000148 |
| Provider Name | Ammar A Almehmi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497798219 PECOS PAC ID: 1658345335 Enrollment ID: I20130619000583 |
| Provider Name | Peter S Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922325273 PECOS PAC ID: 0244477990 Enrollment ID: I20130729000461 |
| Provider Name | Shanker Unnikrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932414521 PECOS PAC ID: 1557503141 Enrollment ID: I20130812000028 |
| Provider Name | Jiger C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295046951 PECOS PAC ID: 5890937122 Enrollment ID: I20130815000310 |
| Provider Name | Alex Iannone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033425764 PECOS PAC ID: 2860628989 Enrollment ID: I20131120000946 |
| Provider Name | Kim R Paisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811122138 PECOS PAC ID: 3375783459 Enrollment ID: I20140128000442 |
| Provider Name | Ayodeji George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255521126 PECOS PAC ID: 1052405511 Enrollment ID: I20140829001070 |
| Provider Name | Dustin L Millican |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396090445 PECOS PAC ID: 9032358296 Enrollment ID: I20140904001632 |
| Provider Name | Amanda E Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154611374 PECOS PAC ID: 8325268899 Enrollment ID: I20141003001936 |
| Provider Name | Edina E Von Rottenthaler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770632341 PECOS PAC ID: 2163561895 Enrollment ID: I20141010002226 |
| Provider Name | Kenny J Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487913836 PECOS PAC ID: 6608010012 Enrollment ID: I20141023001291 |
| Provider Name | Alian A Al Balas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184936304 PECOS PAC ID: 2365606704 Enrollment ID: I20141209001716 |
| Provider Name | Julie T Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750632774 PECOS PAC ID: 1557500626 Enrollment ID: I20141230001816 |
| Provider Name | Jose M Rodriguez-barrantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952656001 PECOS PAC ID: 7416107123 Enrollment ID: I20141231001390 |
| Provider Name | Jacqueline W Kabukuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386047199 PECOS PAC ID: 4284952128 Enrollment ID: I20150406001073 |
| Provider Name | Kimberly Shani Forte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568782738 PECOS PAC ID: 4183852023 Enrollment ID: I20150424000501 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20150708000417 |
| Provider Name | Teri M Lord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659357945 PECOS PAC ID: 3678758729 Enrollment ID: I20150709000448 |
| Provider Name | Paul C Chukelu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376830174 PECOS PAC ID: 5092939652 Enrollment ID: I20150722005762 |
| Provider Name | Reaford Blackburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376800409 PECOS PAC ID: 4880844810 Enrollment ID: I20150821013414 |
| Provider Name | Onyinyechi Joy Okike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114287380 PECOS PAC ID: 5395901789 Enrollment ID: I20151015001558 |
| Provider Name | Brandi N Blackburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932466083 PECOS PAC ID: 2062662091 Enrollment ID: I20151113000512 |
| Provider Name | Amena Samar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942515531 PECOS PAC ID: 1153556501 Enrollment ID: I20151116001753 |
| Provider Name | Ruo P. Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407119019 PECOS PAC ID: 7012217326 Enrollment ID: I20151118001007 |
| Provider Name | Kimberly P Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285009928 PECOS PAC ID: 7315248390 Enrollment ID: I20151216001342 |
| Provider Name | Brandon D White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235463803 PECOS PAC ID: 3870617012 Enrollment ID: I20151217000175 |
| Provider Name | James Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659637122 PECOS PAC ID: 7315170842 Enrollment ID: I20151231000097 |
| Provider Name | Tiffany D Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124484308 PECOS PAC ID: 5991000424 Enrollment ID: I20160222002029 |
| Provider Name | Ashley N Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114395852 PECOS PAC ID: 8921307786 Enrollment ID: I20160428001350 |
| Provider Name | Joseph Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20160503002123 |
| Provider Name | Asha K Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619297686 PECOS PAC ID: 0244555043 Enrollment ID: I20160719000929 |
| Provider Name | Seneca Hastings Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972953081 PECOS PAC ID: 6608169198 Enrollment ID: I20160720002820 |
| Provider Name | Kiara Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982096145 PECOS PAC ID: 6709105612 Enrollment ID: I20160809000525 |
| Provider Name | Darla M Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689121170 PECOS PAC ID: 3274829437 Enrollment ID: I20160914001733 |
| Provider Name | Carleigh N Fryrear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669817177 PECOS PAC ID: 5698909893 Enrollment ID: I20161011001926 |
| Provider Name | Devin Scott Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760934467 PECOS PAC ID: 5395025290 Enrollment ID: I20161212001563 |
| Provider Name | Andrew David Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891052924 PECOS PAC ID: 2860642899 Enrollment ID: I20161227000871 |
| Provider Name | Vnss Sailaja Radha R Varanasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871925909 PECOS PAC ID: 9931420221 Enrollment ID: I20170207001248 |
| Provider Name | Crystal G Nwagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689110645 PECOS PAC ID: 3375827249 Enrollment ID: I20170222000423 |
| Provider Name | Andrea Thomas Donalexis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982951687 PECOS PAC ID: 3072763978 Enrollment ID: I20170227000745 |
| Provider Name | Etagbo Oqua Eta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487974630 PECOS PAC ID: 9931343241 Enrollment ID: I20170308001133 |
| Provider Name | Mohamed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063836765 PECOS PAC ID: 2961789177 Enrollment ID: I20170425002513 |
| Provider Name | William Samuel Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982143228 PECOS PAC ID: 5395022545 Enrollment ID: I20170426000921 |
| Provider Name | Faiza Ferdousy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366853921 PECOS PAC ID: 5890006142 Enrollment ID: I20170626002952 |
| Provider Name | Aisha Waheed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225472954 PECOS PAC ID: 6709008410 Enrollment ID: I20171006001077 |
| Provider Name | Richard Cooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861911687 PECOS PAC ID: 1658637715 Enrollment ID: I20171107001370 |
| Provider Name | Tyler Sechrist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609287598 PECOS PAC ID: 2264657030 Enrollment ID: I20171202000326 |
| Provider Name | Kireet Agrawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780831719 PECOS PAC ID: 5890945232 Enrollment ID: I20171205002272 |
| Provider Name | Sravani Santhosh Bantu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033524897 PECOS PAC ID: 4789902651 Enrollment ID: I20171213002958 |
| Provider Name | Andrew Wootson Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418401 PECOS PAC ID: 6002031630 Enrollment ID: I20180104000633 |
| Provider Name | Livia Cara Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760923510 PECOS PAC ID: 0941569974 Enrollment ID: I20180118002511 |
| Provider Name | Franklin Chinagorom Ohiagbaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972749034 PECOS PAC ID: 4789854365 Enrollment ID: I20180417001811 |
| Provider Name | Thomas David Catron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851787931 PECOS PAC ID: 8729376066 Enrollment ID: I20180604003072 |
| Provider Name | Elizabeth Lee Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982106753 PECOS PAC ID: 8628323219 Enrollment ID: I20180622001412 |
| Provider Name | Sonia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922501006 PECOS PAC ID: 1052667946 Enrollment ID: I20180706002579 |
| Provider Name | Muhammad Noorani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861876542 PECOS PAC ID: 0547568172 Enrollment ID: I20180725003359 |
| Provider Name | Christopher Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770086324 PECOS PAC ID: 6507115136 Enrollment ID: I20180815002149 |
| Provider Name | Andrew A Kuklinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275944357 PECOS PAC ID: 7214286400 Enrollment ID: I20180821003299 |
| Provider Name | Raymond Kostromin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578668992 PECOS PAC ID: 7810110947 Enrollment ID: I20181022002370 |
| Provider Name | Amy Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154833531 PECOS PAC ID: 6507119476 Enrollment ID: I20181022003602 |
| Provider Name | Stephanie Nicole Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255839841 PECOS PAC ID: 2860745478 Enrollment ID: I20181029003086 |
| Provider Name | Tucker Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700387628 PECOS PAC ID: 0143573600 Enrollment ID: I20181030002594 |
| Provider Name | Charles Max King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689187213 PECOS PAC ID: 7810240264 Enrollment ID: I20181031003288 |
| Provider Name | Erin Lynn Nail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558750810 PECOS PAC ID: 1456605625 Enrollment ID: I20181107002124 |
| Provider Name | Shannon D Glaze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568961811 PECOS PAC ID: 7214281005 Enrollment ID: I20181114001433 |
| Provider Name | Richard James Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484429 PECOS PAC ID: 4981993185 Enrollment ID: I20181116002206 |
| Provider Name | Emily Daffron Fortenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871069096 PECOS PAC ID: 0244574028 Enrollment ID: I20181205001380 |
| Provider Name | Andrea Suzane Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003140971 PECOS PAC ID: 1254570708 Enrollment ID: I20181205002035 |
| Provider Name | Clelata N. Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093290991 PECOS PAC ID: 5799020046 Enrollment ID: I20181214002179 |
| Provider Name | David T Steele |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215348396 PECOS PAC ID: 0042436586 Enrollment ID: I20190114002193 |
| Provider Name | Scott R Merriman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578959524 PECOS PAC ID: 1850603937 Enrollment ID: I20190116002017 |
| Provider Name | Hingwan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861790487 PECOS PAC ID: 3072800366 Enrollment ID: I20190318001600 |
| Provider Name | Sheena D Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902360787 PECOS PAC ID: 7214270974 Enrollment ID: I20190521000245 |
| Provider Name | Kerri Walton Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407311541 PECOS PAC ID: 9032443759 Enrollment ID: I20190628000785 |
| Provider Name | Maurice L Furdge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962792093 PECOS PAC ID: 4486977758 Enrollment ID: I20190813002264 |
| Provider Name | Brittany Marie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639633258 PECOS PAC ID: 0840528550 Enrollment ID: I20190820000446 |
| Provider Name | Melissa Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104351816 PECOS PAC ID: 6709114234 Enrollment ID: I20190822000733 |
| Provider Name | Joshua Thomas Gautney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346602752 PECOS PAC ID: 5395078240 Enrollment ID: I20190826001484 |
| Provider Name | Nazrul Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124345830 PECOS PAC ID: 8628204450 Enrollment ID: I20190829004337 |
| Provider Name | Muhammad Ehsan Faquih |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508216797 PECOS PAC ID: 1153673298 Enrollment ID: I20190910002498 |
| Provider Name | Jordan L. Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346804697 PECOS PAC ID: 8325378201 Enrollment ID: I20190918002898 |
| Provider Name | Hyewon Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982147658 PECOS PAC ID: 9234469966 Enrollment ID: I20190924000686 |
| Provider Name | Kelsey W Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720472863 PECOS PAC ID: 7911205604 Enrollment ID: I20190925003283 |
| Provider Name | Jodie E Mcdonald-beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649667171 PECOS PAC ID: 4587940697 Enrollment ID: I20190930000034 |
| Provider Name | Rachel H Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831748094 PECOS PAC ID: 1850723156 Enrollment ID: I20191106003248 |
| Provider Name | Carla Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477950830 PECOS PAC ID: 0042642126 Enrollment ID: I20191111001656 |
| Provider Name | Ramy Ismail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508233172 PECOS PAC ID: 6608165170 Enrollment ID: I20191114002283 |
| Provider Name | Ryne Scott Duren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003466228 PECOS PAC ID: 9032541784 Enrollment ID: I20191118002409 |
| Provider Name | Brian Bruce Blackburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568405520 PECOS PAC ID: 4183699085 Enrollment ID: I20191122001625 |
| Provider Name | Paul W Ward |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952644825 PECOS PAC ID: 6002044583 Enrollment ID: I20191205000765 |
| Provider Name | Nazia Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962852053 PECOS PAC ID: 1759677016 Enrollment ID: I20191214000421 |
| Provider Name | Sheree Evette Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598928624 PECOS PAC ID: 3779898325 Enrollment ID: I20200108002500 |
| Provider Name | Rhonda Brannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417503087 PECOS PAC ID: 7315372224 Enrollment ID: I20200123001621 |
| Provider Name | Khurram Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053666420 PECOS PAC ID: 2860709938 Enrollment ID: I20200218001816 |
| Provider Name | Nidhiben P Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548800956 PECOS PAC ID: 9739517285 Enrollment ID: I20200316000824 |
| Provider Name | Thuyanh T Culver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932497658 PECOS PAC ID: 7214152479 Enrollment ID: I20200318002565 |
| Provider Name | Michael A Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104984871 PECOS PAC ID: 3577516384 Enrollment ID: I20200321000301 |
| Provider Name | Shashi Dhar Rajuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144576075 PECOS PAC ID: 4486973682 Enrollment ID: I20200408001805 |
| Provider Name | Matthew J Mabery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881104388 PECOS PAC ID: 1254761000 Enrollment ID: I20200420001544 |
| Provider Name | Noelle C Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578190617 PECOS PAC ID: 0446680722 Enrollment ID: I20200429001436 |
| Provider Name | Stacy I Ejem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376993725 PECOS PAC ID: 7618243783 Enrollment ID: I20200506000679 |
| Provider Name | Mary Kathryn Konrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205463338 PECOS PAC ID: 1456782838 Enrollment ID: I20200519002776 |
| Provider Name | Shivaraj Nagalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073947818 PECOS PAC ID: 6103133608 Enrollment ID: I20200814000347 |
| Provider Name | Muhammad Faisal Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356863062 PECOS PAC ID: 6608115274 Enrollment ID: I20200824003438 |
| Provider Name | Amanda T Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619498698 PECOS PAC ID: 4385061704 Enrollment ID: I20200831003366 |
| Provider Name | Harry Shao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669902375 PECOS PAC ID: 0547687824 Enrollment ID: I20200901002066 |
| Provider Name | Kashyap Bathini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528442746 PECOS PAC ID: 6901157189 Enrollment ID: I20200904001905 |
| Provider Name | Anam Umar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942720560 PECOS PAC ID: 6204254345 Enrollment ID: I20200922000988 |
| Provider Name | Christopher W Mcatee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881126175 PECOS PAC ID: 7113346107 Enrollment ID: I20200924000795 |
| Provider Name | Steven Hotz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912405507 PECOS PAC ID: 6608286919 Enrollment ID: I20201027002470 |
| Provider Name | Anna Worth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023528726 PECOS PAC ID: 9931519840 Enrollment ID: I20201104002122 |
| Provider Name | Anand Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649406281 PECOS PAC ID: 4183875057 Enrollment ID: I20201112002082 |
| Provider Name | Mohammed Alsakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417243296 PECOS PAC ID: 3274771241 Enrollment ID: I20210217002036 |
| Provider Name | Ross C Schumacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922549203 PECOS PAC ID: 5597172486 Enrollment ID: I20210319001270 |
| Provider Name | Shahdeen Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851898399 PECOS PAC ID: 7416365903 Enrollment ID: I20210422000590 |
| Provider Name | Naga Swetha Samji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417233644 PECOS PAC ID: 9638300395 Enrollment ID: I20210630001841 |
| Provider Name | Crystal Medici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518537406 PECOS PAC ID: 4082017546 Enrollment ID: I20210722000506 |
| Provider Name | Zachary Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417542796 PECOS PAC ID: 1355745688 Enrollment ID: I20210810000604 |
| Provider Name | Mark Jason Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689207391 PECOS PAC ID: 7214334101 Enrollment ID: I20210920002052 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790280618 PECOS PAC ID: 7517364813 Enrollment ID: I20210929002970 |
| Provider Name | Kuntal Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538655022 PECOS PAC ID: 3173921194 Enrollment ID: I20211006000304 |
| Provider Name | Girmay G Hailu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841605201 PECOS PAC ID: 1658646351 Enrollment ID: I20211021001707 |
| Provider Name | Marian Adedamola Babalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083026207 PECOS PAC ID: 9537385406 Enrollment ID: I20220107001616 |
| Provider Name | Ashley Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386302552 PECOS PAC ID: 1153713920 Enrollment ID: I20220128001034 |
| Provider Name | Kirk M Brisnehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649596628 PECOS PAC ID: 2365753415 Enrollment ID: I20220202002837 |
| Provider Name | Luke Andrew Foshee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497304299 PECOS PAC ID: 5597158071 Enrollment ID: I20220204000856 |
| Provider Name | Paola M Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295169837 PECOS PAC ID: 3476832288 Enrollment ID: I20220210001452 |
| Provider Name | Jeremias Georgiadis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194423 PECOS PAC ID: 5597174656 Enrollment ID: I20220322001628 |
| Provider Name | Rajeshwar Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841724457 PECOS PAC ID: 3274947460 Enrollment ID: I20220616001661 |
| Provider Name | Eva Clay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639564024 PECOS PAC ID: 4385989110 Enrollment ID: I20220721000595 |
| Provider Name | Ashley Gail Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215661939 PECOS PAC ID: 0345622528 Enrollment ID: I20220804001418 |
| Provider Name | Tundun Oreoluwa Babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972063576 PECOS PAC ID: 8022416783 Enrollment ID: I20220829003558 |
| Provider Name | Valerie Ann Henslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841655586 PECOS PAC ID: 7911202692 Enrollment ID: I20220923001558 |
| Provider Name | Sheila Denniss Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356906747 PECOS PAC ID: 9739565417 Enrollment ID: I20221004000591 |
| Provider Name | Jeffrey Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285287714 PECOS PAC ID: 1355727884 Enrollment ID: I20221006000102 |
| Provider Name | Sudhansu Kothary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669864856 PECOS PAC ID: 8325353428 Enrollment ID: I20221018001818 |
| Provider Name | Reema George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740740109 PECOS PAC ID: 1355675166 Enrollment ID: I20221123001388 |
| Provider Name | Charles Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871921445 PECOS PAC ID: 2264747088 Enrollment ID: I20221230000138 |
| Provider Name | Dhara Raginkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180026 PECOS PAC ID: 4082951496 Enrollment ID: I20230119002374 |
| Provider Name | Matthew Tyler Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790463826 PECOS PAC ID: 9436510609 Enrollment ID: I20230803003416 |
| Provider Name | Audrey Ann Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679073431 PECOS PAC ID: 7113289414 Enrollment ID: I20230816003386 |
| Provider Name | Yuzhou Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386096535 PECOS PAC ID: 4789920067 Enrollment ID: I20230915001875 |
| Provider Name | Steven Richard Debiase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184252355 PECOS PAC ID: 1951762814 Enrollment ID: I20230919002493 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285131045 PECOS PAC ID: 6305193962 Enrollment ID: I20230928000726 |
| Provider Name | Mosumi Majumder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619216124 PECOS PAC ID: 5294021333 Enrollment ID: I20231009000157 |
| Provider Name | Tyler Bryant Colvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225657638 PECOS PAC ID: 7517380132 Enrollment ID: I20231119000077 |
| Provider Name | Mckenzie Alexandra Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043839301 PECOS PAC ID: 0840620043 Enrollment ID: I20231129002213 |
| Provider Name | Dyan Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467077917 PECOS PAC ID: 1355743071 Enrollment ID: I20240306001084 |
| Provider Name | Margaret Rawls Barringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619730058 PECOS PAC ID: 4981041829 Enrollment ID: I20240327001154 |
| Provider Name | Garret William Duron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053894774 PECOS PAC ID: 1759619711 Enrollment ID: I20240409001404 |
| Provider Name | Joseph Shnouda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184818866 PECOS PAC ID: 8325135171 Enrollment ID: I20240430000346 |
| Provider Name | Iris Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134172588 PECOS PAC ID: 5395777130 Enrollment ID: I20240502001282 |
| Provider Name | Payton Nicholas Prins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144816240 PECOS PAC ID: 2466892690 Enrollment ID: I20240503002813 |
| Provider Name | Kirsten Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033646757 PECOS PAC ID: 1759651862 Enrollment ID: I20240521002854 |
| Provider Name | Jason Szymala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851330807 PECOS PAC ID: 1557368818 Enrollment ID: I20240522001782 |
| Provider Name | Brandon Toy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609403872 PECOS PAC ID: 8820414634 Enrollment ID: I20240715002751 |
| Provider Name | Kathy H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588654685 PECOS PAC ID: 6406754829 Enrollment ID: I20240809002230 |
| Provider Name | Isha Rajeev Dabke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417534124 PECOS PAC ID: 5799226353 Enrollment ID: I20240923002396 |
| Provider Name | Adam Joseph Fulcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013532126 PECOS PAC ID: 9931524774 Enrollment ID: I20240930002525 |
| Provider Name | Muhammad Haleef Khawaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346913365 PECOS PAC ID: 6406388164 Enrollment ID: I20241018002234 |
| Provider Name | Anna E. Fuller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720371594 PECOS PAC ID: 3779717772 Enrollment ID: I20241023000923 |
| Provider Name | John Kirk Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023638954 PECOS PAC ID: 1557894292 Enrollment ID: I20241101001968 |
| Provider Name | Emily Claire Knowling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669050688 PECOS PAC ID: 9638603152 Enrollment ID: I20241106002832 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124693064 PECOS PAC ID: 1052845468 Enrollment ID: I20241107002623 |
| Provider Name | Parth Bhupendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497332134 PECOS PAC ID: 7012326705 Enrollment ID: I20241121004081 |
| Provider Name | Bereket Tessema Lodebo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710475942 PECOS PAC ID: 0749697860 Enrollment ID: I20241129000356 |
| Provider Name | John Everett Craver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134748296 PECOS PAC ID: 0143651224 Enrollment ID: I20241218003122 |
| Provider Name | Tigist Gemechu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20250113000586 |
| Provider Name | Annecie Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457883100 PECOS PAC ID: 9133462914 Enrollment ID: I20250129002794 |
| Provider Name | Decica Rachele Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437567419 PECOS PAC ID: 7911126537 Enrollment ID: I20250220003508 |
| Provider Name | David Benjamin Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245817345 PECOS PAC ID: 2668875030 Enrollment ID: I20250225001810 |
| Provider Name | Jonathan Pious |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124787262 PECOS PAC ID: 8224550140 Enrollment ID: I20250320002015 |
| Provider Name | Herbert Evan Zeiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558929299 PECOS PAC ID: 2466822390 Enrollment ID: I20250401000451 |
Charlie H Bridges Md, Facs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808 Phone: 225-767-0394 Fax: 225-767-3904 | |
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