| Hospitalist Medicine Physicians Of North Carolina Pllc | |
|
1200 N Elm St 5th Floor Greensboro NC 27401-1004 | |
| (336) 832-5777 | |
| (330) 451-4031 |
| Full Name | Hospitalist Medicine Physicians Of North Carolina Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 N Elm St, Greensboro, North Carolina |
| Authorized Official Name and Position | Stephen L Houff (PRESIDENT) |
| Authorized Official Contact | 6153714436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of North Carolina Pllc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5600 | Hospitalist Medicine Physicians Of North Carolina Pllc 1200 N Elm St 5th Floor Greensboro NC 27401-1004 Ph: (336) 832-5777 |
| NPI Number | 1164724902 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 09/19/2012 |
| Medicare PECOS PAC ID | 0143409185 |
|---|---|
| Medicare Enrollment ID | O20110124000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164724902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jo Lin D Metts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265428627 PECOS PAC ID: 7113820952 Enrollment ID: I20040129000743 |
| Provider Name | Sona A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770554834 PECOS PAC ID: 5597669762 Enrollment ID: I20040319000459 |
| Provider Name | Ronnie L Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205898483 PECOS PAC ID: 9032000336 Enrollment ID: I20040324001006 |
| Provider Name | Noemi Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508874173 PECOS PAC ID: 3173515335 Enrollment ID: I20040330001696 |
| Provider Name | Alan C Stimson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881649911 PECOS PAC ID: 6901898907 Enrollment ID: I20040331000703 |
| Provider Name | Scott M Woodburn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508800087 PECOS PAC ID: 4981690971 Enrollment ID: I20040423001110 |
| Provider Name | Lakshmi M R Narasimhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841298619 PECOS PAC ID: 7012907538 Enrollment ID: I20040517000543 |
| Provider Name | William B Harden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811955222 PECOS PAC ID: 1456333699 Enrollment ID: I20040602001087 |
| Provider Name | John Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649241894 PECOS PAC ID: 9436133865 Enrollment ID: I20040615000305 |
| Provider Name | Godfrey D Onime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598752198 PECOS PAC ID: 7315922663 Enrollment ID: I20040621001411 |
| Provider Name | Shyamal K Mitra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467437079 PECOS PAC ID: 2860478120 Enrollment ID: I20040628000190 |
| Provider Name | Longinus Olewuike Agor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265494686 PECOS PAC ID: 9638141211 Enrollment ID: I20040812001071 |
| Provider Name | Mark J Zawodniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366411407 PECOS PAC ID: 3678562006 Enrollment ID: I20040818001429 |
| Provider Name | Stephanie D Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952350241 PECOS PAC ID: 5799750394 Enrollment ID: I20040827000529 |
| Provider Name | Jan A Mansy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093782484 PECOS PAC ID: 5193785301 Enrollment ID: I20041012001546 |
| Provider Name | Carrie Sheek Kent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821077629 PECOS PAC ID: 6709846736 Enrollment ID: I20041014000466 |
| Provider Name | Jorge E Polanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346211455 PECOS PAC ID: 7416918107 Enrollment ID: I20041026000301 |
| Provider Name | Jeffrey Francis Severa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928403 PECOS PAC ID: 7618942475 Enrollment ID: I20041103001038 |
| Provider Name | William H Bobbitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336194521 PECOS PAC ID: 9739145962 Enrollment ID: I20041208000958 |
| Provider Name | Stephen B Irvin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053316562 PECOS PAC ID: 4587621107 Enrollment ID: I20041215000777 |
| Provider Name | Edwin L Bell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336195551 PECOS PAC ID: 4082672035 Enrollment ID: I20041222000557 |
| Provider Name | Millard Fillmore Banker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245223197 PECOS PAC ID: 5597723403 Enrollment ID: I20041223000211 |
| Provider Name | Vivian M Peterson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083653778 PECOS PAC ID: 6002869849 Enrollment ID: I20050222000265 |
| Provider Name | Peter T Fortkort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649362138 PECOS PAC ID: 7719930429 Enrollment ID: I20050222000908 |
| Provider Name | Ahmad Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770558553 PECOS PAC ID: 7719925833 Enrollment ID: I20050422000658 |
| Provider Name | Shreyang H Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265456289 PECOS PAC ID: 0042259806 Enrollment ID: I20050502000037 |
| Provider Name | Thomas J Beckett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699781112 PECOS PAC ID: 4688626096 Enrollment ID: I20050511000146 |
| Provider Name | Purna P Manne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513697 PECOS PAC ID: 6002851003 Enrollment ID: I20050621000467 |
| Provider Name | Renaldo Andrew Jarrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821160722 PECOS PAC ID: 1951396290 Enrollment ID: I20050708000718 |
| Provider Name | Charles Kanayo Agunobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609864446 PECOS PAC ID: 0749220440 Enrollment ID: I20050711000131 |
| Provider Name | Tara M Staton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649253360 PECOS PAC ID: 4981632676 Enrollment ID: I20050803000420 |
| Provider Name | Terry W Mccall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467412205 PECOS PAC ID: 3779514120 Enrollment ID: I20050825000170 |
| Provider Name | Sherry Z Ikalowych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366419624 PECOS PAC ID: 2365468915 Enrollment ID: I20051021000851 |
| Provider Name | Ahmed M Ibn-mahfoudh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457320970 PECOS PAC ID: 8820019946 Enrollment ID: I20051222000280 |
| Provider Name | Arnaud Pierre Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750352514 PECOS PAC ID: 0840191367 Enrollment ID: I20060130000772 |
| Provider Name | Rashid A Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952400343 PECOS PAC ID: 5799799110 Enrollment ID: I20060206000360 |
| Provider Name | Yasmin Heater Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396721718 PECOS PAC ID: 4082621073 Enrollment ID: I20060316000136 |
| Provider Name | Sara Lynn Borcherding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831113885 PECOS PAC ID: 1355359423 Enrollment ID: I20060331000036 |
| Provider Name | Ndofunsu Mabeka Badika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114915758 PECOS PAC ID: 8426067687 Enrollment ID: I20060417000323 |
| Provider Name | Edavally Narayan Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154378420 PECOS PAC ID: 8921057902 Enrollment ID: I20060421000372 |
| Provider Name | Mahendrabhai Nagjibhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841240298 PECOS PAC ID: 0244258903 Enrollment ID: I20060703000061 |
| Provider Name | Daniel Roy Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992764591 PECOS PAC ID: 6002828233 Enrollment ID: I20060706000361 |
| Provider Name | Lynn A Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700873486 PECOS PAC ID: 5496701559 Enrollment ID: I20060831000315 |
| Provider Name | Emmanuel O Nwamara-aka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023120185 PECOS PAC ID: 3971501255 Enrollment ID: I20061121000175 |
| Provider Name | Charles Ofosu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982637062 PECOS PAC ID: 6002817061 Enrollment ID: I20070118000445 |
| Provider Name | Mohini Pandiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699848945 PECOS PAC ID: 9830190313 Enrollment ID: I20070125000505 |
| Provider Name | Frederick K Asare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821195090 PECOS PAC ID: 1557464567 Enrollment ID: I20070313000158 |
| Provider Name | Grace M Auten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639176316 PECOS PAC ID: 1951391937 Enrollment ID: I20070313000348 |
| Provider Name | Snehalatha Konidena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457463549 PECOS PAC ID: 3779688262 Enrollment ID: I20070411000265 |
| Provider Name | John Stewart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083715007 PECOS PAC ID: 9931204369 Enrollment ID: I20070413000275 |
| Provider Name | Jorge Martin Paulino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841397866 PECOS PAC ID: 9830295476 Enrollment ID: I20070427000561 |
| Provider Name | Ava M Swayze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073541678 PECOS PAC ID: 7810957875 Enrollment ID: I20070518000097 |
| Provider Name | Marvin D Brauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043219314 PECOS PAC ID: 2769584168 Enrollment ID: I20070716000405 |
| Provider Name | Chiedu Okocha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851409817 PECOS PAC ID: 9436051620 Enrollment ID: I20070723000326 |
| Provider Name | Larry Douglas Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235261827 PECOS PAC ID: 7810088945 Enrollment ID: I20070803000428 |
| Provider Name | Robert John Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851374706 PECOS PAC ID: 0941228415 Enrollment ID: I20070829000942 |
| Provider Name | Pavan Pyreddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255450532 PECOS PAC ID: 0446343719 Enrollment ID: I20070831000127 |
| Provider Name | Sital Mody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265571251 PECOS PAC ID: 6002909397 Enrollment ID: I20070831000292 |
| Provider Name | Phillip W Moye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184761868 PECOS PAC ID: 3072606631 Enrollment ID: I20070912000681 |
| Provider Name | Veselin S Gizdarski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326244658 PECOS PAC ID: 3678667227 Enrollment ID: I20070913000532 |
| Provider Name | Margaret A Scannell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205954310 PECOS PAC ID: 3577536796 Enrollment ID: I20071017000940 |
| Provider Name | Suman A Lamsal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235179698 PECOS PAC ID: 4587627179 Enrollment ID: I20071018000156 |
| Provider Name | Richard J Wieting |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639158678 PECOS PAC ID: 7416053707 Enrollment ID: I20071030000563 |
| Provider Name | Ramesh Mutyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679507651 PECOS PAC ID: 4486741881 Enrollment ID: I20071101000342 |
| Provider Name | Robert Earle Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659373140 PECOS PAC ID: 6204726920 Enrollment ID: I20071101000716 |
| Provider Name | Abdelaziz Ali Elsanjak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518151620 PECOS PAC ID: 7315034485 Enrollment ID: I20071106000610 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20071107000226 |
| Provider Name | Pamela Lowry Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639227978 PECOS PAC ID: 0648369173 Enrollment ID: I20071205000437 |
| Provider Name | Surafeal Abraha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306930631 PECOS PAC ID: 6103848874 Enrollment ID: I20071210000564 |
| Provider Name | Mohammad Abul Kalam Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538131974 PECOS PAC ID: 4183714371 Enrollment ID: I20071211000784 |
| Provider Name | Robert Dorlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144261355 PECOS PAC ID: 0840380614 Enrollment ID: I20071217000506 |
| Provider Name | Lasongia Morton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376579573 PECOS PAC ID: 0244229847 Enrollment ID: I20080229000182 |
| Provider Name | Khalil Taha Abulatifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467650366 PECOS PAC ID: 1153406574 Enrollment ID: I20080310000625 |
| Provider Name | Timothy Alan Busteed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215907902 PECOS PAC ID: 3375616097 Enrollment ID: I20080714000404 |
| Provider Name | Amir A Firozvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114110400 PECOS PAC ID: 9931285319 Enrollment ID: I20080717000729 |
| Provider Name | Andre Dean Frederick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932308384 PECOS PAC ID: 2264505080 Enrollment ID: I20080725000657 |
| Provider Name | William Thomas Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194729186 PECOS PAC ID: 9436043270 Enrollment ID: I20081006000252 |
| Provider Name | Vipul S Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568648335 PECOS PAC ID: 6103994892 Enrollment ID: I20081008000234 |
| Provider Name | Vanessa Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336305440 PECOS PAC ID: 1153489976 Enrollment ID: I20081023000379 |
| Provider Name | Fernando Crotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619968864 PECOS PAC ID: 5092610030 Enrollment ID: I20081104000481 |
| Provider Name | Ryan W Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629193594 PECOS PAC ID: 7719046226 Enrollment ID: I20081112000334 |
| Provider Name | Vivek Jagdish Sainani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902968555 PECOS PAC ID: 0042318743 Enrollment ID: I20090122000654 |
| Provider Name | Kevin A Lopez-shirley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083620462 PECOS PAC ID: 4183708902 Enrollment ID: I20090126000730 |
| Provider Name | Adeel M Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609812338 PECOS PAC ID: 5890852818 Enrollment ID: I20090318000684 |
| Provider Name | Kevin R Torrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861589210 PECOS PAC ID: 2466519137 Enrollment ID: I20090324000587 |
| Provider Name | Bindit Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568618874 PECOS PAC ID: 7618034802 Enrollment ID: I20090428000598 |
| Provider Name | Syed F Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467639070 PECOS PAC ID: 0941358667 Enrollment ID: I20090506000200 |
| Provider Name | Asra Jaffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841476157 PECOS PAC ID: 0749339133 Enrollment ID: I20090513000611 |
| Provider Name | Aruna Gouru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659518793 PECOS PAC ID: 5294885810 Enrollment ID: I20090602000453 |
| Provider Name | Kamran N Lateef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013110865 PECOS PAC ID: 5597819185 Enrollment ID: I20090817000427 |
| Provider Name | Christopher R Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821082975 PECOS PAC ID: 6901905462 Enrollment ID: I20090819000727 |
| Provider Name | Amusa N Ntatin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816322 PECOS PAC ID: 4981758166 Enrollment ID: I20090822000178 |
| Provider Name | Deborah A Milkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033112123 PECOS PAC ID: 5092747238 Enrollment ID: I20090827000260 |
| Provider Name | Jude O Ojie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376742015 PECOS PAC ID: 6103971163 Enrollment ID: I20090827000547 |
| Provider Name | Juliet A Ekatan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124279054 PECOS PAC ID: 8628123692 Enrollment ID: I20090827000676 |
| Provider Name | Robert J Fisher |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801836903 PECOS PAC ID: 0941356794 Enrollment ID: I20090918000364 |
| Provider Name | Ononlunose Arhuidese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841523131 PECOS PAC ID: 7517003551 Enrollment ID: I20091006000293 |
| Provider Name | Muhammad A Ghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235359696 PECOS PAC ID: 6507903531 Enrollment ID: I20091023000651 |
| Provider Name | Kai Miao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265425391 PECOS PAC ID: 1658469168 Enrollment ID: I20091230000639 |
| Provider Name | Indira D Velasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245484211 PECOS PAC ID: 6103969993 Enrollment ID: I20100202000400 |
| Provider Name | David A Henderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821065095 PECOS PAC ID: 3577608520 Enrollment ID: I20100302000946 |
| Provider Name | Mark E Kinter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366434557 PECOS PAC ID: 9537162169 Enrollment ID: I20100316000247 |
| Provider Name | Montell Dupree Salary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699896712 PECOS PAC ID: 6800974130 Enrollment ID: I20100405000372 |
| Provider Name | Tamas P Bathory |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699754689 PECOS PAC ID: 8022145416 Enrollment ID: I20100415000770 |
| Provider Name | Sanjay Mehra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629136205 PECOS PAC ID: 1153352117 Enrollment ID: I20100623000867 |
| Provider Name | Richard M Stewart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952463523 PECOS PAC ID: 1456254648 Enrollment ID: I20100708000285 |
| Provider Name | Ranjana N Mitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003012451 PECOS PAC ID: 7113015124 Enrollment ID: I20100714000332 |
| Provider Name | Adrienne E S Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942405618 PECOS PAC ID: 5890829691 Enrollment ID: I20100816000757 |
| Provider Name | Radhika Kalisetti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376711713 PECOS PAC ID: 6800910217 Enrollment ID: I20100907000725 |
| Provider Name | Ekta V Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720281405 PECOS PAC ID: 9234254699 Enrollment ID: I20100909000275 |
| Provider Name | Marcel Ikwuoma Akuneme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336398387 PECOS PAC ID: 2466577556 Enrollment ID: I20100913000896 |
| Provider Name | Patricia Michelle Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871536581 PECOS PAC ID: 0648462697 Enrollment ID: I20101008000233 |
| Provider Name | Siddharth Khanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225238611 PECOS PAC ID: 8628144433 Enrollment ID: I20101021001233 |
| Provider Name | Qing Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477882009 PECOS PAC ID: 4688867641 Enrollment ID: I20101022000148 |
| Provider Name | Marie Molina Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326200262 PECOS PAC ID: 9931394657 Enrollment ID: I20101108001018 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20110119000379 |
| Provider Name | Nilima R Mosaly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417166067 PECOS PAC ID: 4385715242 Enrollment ID: I20110222000522 |
| Provider Name | Lourdes Teresa Benitez-concepcion |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1760688774 PECOS PAC ID: 8224210349 Enrollment ID: I20110310000923 |
| Provider Name | Abinet Mulat Boku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477731248 PECOS PAC ID: 2062567845 Enrollment ID: I20110318000720 |
| Provider Name | Debby Crosley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285824961 PECOS PAC ID: 1153404868 Enrollment ID: I20110413000911 |
| Provider Name | Kathia Desronvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760669659 PECOS PAC ID: 5597840637 Enrollment ID: I20110629000434 |
| Provider Name | Eduardo Borja Lascurain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760406219 PECOS PAC ID: 6507875101 Enrollment ID: I20110630000462 |
| Provider Name | Juan R Aviles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417283268 PECOS PAC ID: 3173791811 Enrollment ID: I20110722000432 |
| Provider Name | Madhvi H Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912160995 PECOS PAC ID: 5597934570 Enrollment ID: I20110809000004 |
| Provider Name | Franklin Chinagorom Ohiagbaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972749034 PECOS PAC ID: 4789854365 Enrollment ID: I20110909002635 |
| Provider Name | Joseph Daniel Gottfried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801829262 PECOS PAC ID: 4486799483 Enrollment ID: I20110915000514 |
| Provider Name | Krishnamurthy Venkata Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629213566 PECOS PAC ID: 0547431462 Enrollment ID: I20110924000008 |
| Provider Name | Hitesh Avaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916415 PECOS PAC ID: 6406028893 Enrollment ID: I20111006000664 |
| Provider Name | Hany Lotfy Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235438524 PECOS PAC ID: 8325216393 Enrollment ID: I20111010000005 |
| Provider Name | Simonne Stahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417020660 PECOS PAC ID: 9830003151 Enrollment ID: I20111110000370 |
| Provider Name | Michael E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982986675 PECOS PAC ID: 9739353210 Enrollment ID: I20111118000128 |
| Provider Name | Chiedozie Eke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669636494 PECOS PAC ID: 9133394158 Enrollment ID: I20111209000506 |
| Provider Name | Kristen Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316049125 PECOS PAC ID: 8527198712 Enrollment ID: I20120111000533 |
| Provider Name | May Mokbelpur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750541462 PECOS PAC ID: 6800089020 Enrollment ID: I20120225000177 |
| Provider Name | Olatokunbo Baruwa Obayomi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194772921 PECOS PAC ID: 5991796724 Enrollment ID: I20120322000007 |
| Provider Name | Laxman R Pokhrel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255564977 PECOS PAC ID: 8729240130 Enrollment ID: I20120501000678 |
| Provider Name | Elizabeth Kimbrough Burpee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386783397 PECOS PAC ID: 2769532506 Enrollment ID: I20120524000317 |
| Provider Name | Warren M Ancheta Thorp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609039353 PECOS PAC ID: 9234327297 Enrollment ID: I20120724000467 |
| Provider Name | Benjamin L Glover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932158201 PECOS PAC ID: 8224075833 Enrollment ID: I20120801000822 |
| Provider Name | Susan Lee Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154683217 PECOS PAC ID: 5799931317 Enrollment ID: I20120813000802 |
| Provider Name | David J Hegerich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013164680 PECOS PAC ID: 2668661588 Enrollment ID: I20120913000419 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20120924000377 |
| Provider Name | Adam Oneal Padgett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073771663 PECOS PAC ID: 6204015878 Enrollment ID: I20121013000034 |
| Provider Name | Ali A Hijazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225033368 PECOS PAC ID: 3476656174 Enrollment ID: I20121109000477 |
| Provider Name | Julie A Szczypkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902158587 PECOS PAC ID: 7719130251 Enrollment ID: I20130110000562 |
| Provider Name | Phuong D Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356647929 PECOS PAC ID: 3678733763 Enrollment ID: I20130111000046 |
| Provider Name | Deborah Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114946001 PECOS PAC ID: 7618986803 Enrollment ID: I20130125000150 |
| Provider Name | Micheline S Tantchou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043481401 PECOS PAC ID: 4981756483 Enrollment ID: I20130129000439 |
| Provider Name | Patty Sue Ohrum-bergmueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639164957 PECOS PAC ID: 2961482062 Enrollment ID: I20130131000174 |
| Provider Name | Srikar Reddy Sudini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578794780 PECOS PAC ID: 4082861604 Enrollment ID: I20130219000385 |
| Provider Name | Christopher C Ezeihuaku |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275672099 PECOS PAC ID: 2567553894 Enrollment ID: I20130710000890 |
| Provider Name | Dawn M Grinenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699790527 PECOS PAC ID: 1850425117 Enrollment ID: I20130731000563 |
| Provider Name | Arinze Okwudili Ikeme |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740444710 PECOS PAC ID: 3577703271 Enrollment ID: I20130831000013 |
| Provider Name | Roberto Sanchez Gutierrez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164625182 PECOS PAC ID: 6608064472 Enrollment ID: I20130904000810 |
| Provider Name | Sri Jegan Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427296557 PECOS PAC ID: 9335280585 Enrollment ID: I20130905000965 |
| Provider Name | Cecilia R Nashatizadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194754275 PECOS PAC ID: 8224262191 Enrollment ID: I20131008000997 |
| Provider Name | Worku Mengesha Wondafrash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215233002 PECOS PAC ID: 8325229248 Enrollment ID: I20131111000866 |
| Provider Name | Min Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922356385 PECOS PAC ID: 8224264312 Enrollment ID: I20131120000169 |
| Provider Name | Sophia Nadine Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730406133 PECOS PAC ID: 5294919783 Enrollment ID: I20131203002058 |
| Provider Name | Sunil A Kumta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710202460 PECOS PAC ID: 6800023631 Enrollment ID: I20131226000031 |
| Provider Name | Satcha Borgella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669609772 PECOS PAC ID: 7911135249 Enrollment ID: I20140114000620 |
| Provider Name | Wendy G Roca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619290731 PECOS PAC ID: 1557590650 Enrollment ID: I20140213000985 |
| Provider Name | Demetria L Yarbrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134375488 PECOS PAC ID: 8123171485 Enrollment ID: I20140222000432 |
| Provider Name | Nicole L Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598195182 PECOS PAC ID: 1951531284 Enrollment ID: I20140305001293 |
| Provider Name | Samuel K Kolleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154635027 PECOS PAC ID: 5092950873 Enrollment ID: I20140326002212 |
| Provider Name | Tram N Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912931791 PECOS PAC ID: 1355534215 Enrollment ID: I20140507000039 |
| Provider Name | Samantha L Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548498835 PECOS PAC ID: 5890947006 Enrollment ID: I20140527001739 |
| Provider Name | Chun Xiang Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295152601 PECOS PAC ID: 5294958633 Enrollment ID: I20140603001573 |
| Provider Name | Karin D Looper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508161274 PECOS PAC ID: 9830317544 Enrollment ID: I20140821001093 |
| Provider Name | Russell Raymond Wilford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114213162 PECOS PAC ID: 5294953873 Enrollment ID: I20140822001421 |
| Provider Name | Andrew Dennis Timothy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245525633 PECOS PAC ID: 5092934984 Enrollment ID: I20140908001448 |
| Provider Name | Sameer Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851688410 PECOS PAC ID: 7517186281 Enrollment ID: I20140910002036 |
| Provider Name | Steven Saul Hauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437444221 PECOS PAC ID: 2961621974 Enrollment ID: I20140923002136 |
| Provider Name | Jitendra K Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265728281 PECOS PAC ID: 6002035045 Enrollment ID: I20140924000418 |
| Provider Name | Jason Alexis Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821301862 PECOS PAC ID: 9537312251 Enrollment ID: I20141008002411 |
| Provider Name | David Kemp Hower |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871881466 PECOS PAC ID: 5496975583 Enrollment ID: I20141014000537 |
| Provider Name | Nancy Nicola Sage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678876 PECOS PAC ID: 0941421960 Enrollment ID: I20141016000924 |
| Provider Name | Tabitha Marie Bedini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003104092 PECOS PAC ID: 7618109950 Enrollment ID: I20141027001771 |
| Provider Name | Francis Michael Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760523369 PECOS PAC ID: 4880788132 Enrollment ID: I20141205000249 |
| Provider Name | Anuja Mukesh Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366683419 PECOS PAC ID: 8426101338 Enrollment ID: I20150211002372 |
| Provider Name | Mila Berdecia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549970 PECOS PAC ID: 4981684206 Enrollment ID: I20150330001138 |
| Provider Name | Ahmed Abubaker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134548407 PECOS PAC ID: 8022336676 Enrollment ID: I20150413000647 |
| Provider Name | Egya Nyameke Chinbuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689989204 PECOS PAC ID: 6002008620 Enrollment ID: I20150519001116 |
| Provider Name | Samuel J Kleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407851124 PECOS PAC ID: 8325032956 Enrollment ID: I20150619002208 |
| Provider Name | Frantzley James Leroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932592235 PECOS PAC ID: 6709191901 Enrollment ID: I20150818003603 |
| Provider Name | Ahmed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639560162 PECOS PAC ID: 1456667088 Enrollment ID: I20150827002252 |
| Provider Name | David F Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982961181 PECOS PAC ID: 6800102310 Enrollment ID: I20150828001743 |
| Provider Name | Deo Mulindwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881092385 PECOS PAC ID: 3476869587 Enrollment ID: I20150904000332 |
| Provider Name | Joseph A Camarato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306107883 PECOS PAC ID: 7810139896 Enrollment ID: I20150915000220 |
| Provider Name | Sujatha Soma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912160375 PECOS PAC ID: 2264607092 Enrollment ID: I20150915003541 |
| Provider Name | Tawana M Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946950 PECOS PAC ID: 5092022368 Enrollment ID: I20150918000856 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20150929001773 |
| Provider Name | Fidelis Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20151028000496 |
| Provider Name | Zehra Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922276625 PECOS PAC ID: 8820307044 Enrollment ID: I20151028002310 |
| Provider Name | Howis Yvette Aros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033126156 PECOS PAC ID: 8628071214 Enrollment ID: I20151029001577 |
| Provider Name | Valencia Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604875 PECOS PAC ID: 1153626593 Enrollment ID: I20160224000001 |
| Provider Name | Elizabeth Joan Hotaling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326232893 PECOS PAC ID: 7911091772 Enrollment ID: I20160302001201 |
| Provider Name | Anton Marek Clemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225163454 PECOS PAC ID: 5799868451 Enrollment ID: I20160315002232 |
| Provider Name | Eddy Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790042513 PECOS PAC ID: 5597074278 Enrollment ID: I20160502000512 |
| Provider Name | Juliana Efua Quagraine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194184523 PECOS PAC ID: 6800195504 Enrollment ID: I20160502001622 |
| Provider Name | Matthew K Storey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801195268 PECOS PAC ID: 8921224825 Enrollment ID: I20160615000403 |
| Provider Name | Phillip Michael Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851611834 PECOS PAC ID: 3375779101 Enrollment ID: I20160711000826 |
| Provider Name | James Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164713756 PECOS PAC ID: 0941421887 Enrollment ID: I20160719000995 |
| Provider Name | Ahmad Hamad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235414681 PECOS PAC ID: 4486971280 Enrollment ID: I20160805001989 |
| Provider Name | Jennifer Lee Cunningham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770710154 PECOS PAC ID: 8426365743 Enrollment ID: I20160810000841 |
| Provider Name | Crystal A Lublin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003277948 PECOS PAC ID: 7618262742 Enrollment ID: I20160829000211 |
| Provider Name | Patrick Twum-barimah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003253931 PECOS PAC ID: 6709178940 Enrollment ID: I20160831002141 |
| Provider Name | Adam Ray Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366738569 PECOS PAC ID: 8820315294 Enrollment ID: I20160907000638 |
| Provider Name | Noah Bedford Wouk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679911879 PECOS PAC ID: 2668697145 Enrollment ID: I20160908000964 |
| Provider Name | Elli B Saraceno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154697563 PECOS PAC ID: 3476851403 Enrollment ID: I20160912000666 |
| Provider Name | Bryan Wayne Howington |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184062416 PECOS PAC ID: 8426370008 Enrollment ID: I20160914000592 |
| Provider Name | Amy Pietri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790124436 PECOS PAC ID: 6103111745 Enrollment ID: I20160922001940 |
| Provider Name | Elaine Atef Youssef Ibrahim Shehata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912341272 PECOS PAC ID: 8224271929 Enrollment ID: I20161003002126 |
| Provider Name | Mary Ann Rather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336054 PECOS PAC ID: 5890083760 Enrollment ID: I20161007001485 |
| Provider Name | Philip J Doherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144267345 PECOS PAC ID: 1052373362 Enrollment ID: I20161018000700 |
| Provider Name | Tushar Mathur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174713689 PECOS PAC ID: 4284766148 Enrollment ID: I20161018002502 |
| Provider Name | Aliyi A Aliyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558700468 PECOS PAC ID: 6507167822 Enrollment ID: I20161024001272 |
| Provider Name | Tom Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174958698 PECOS PAC ID: 3476842311 Enrollment ID: I20161026000028 |
| Provider Name | Alexandria Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477937787 PECOS PAC ID: 8729382411 Enrollment ID: I20161101001587 |
| Provider Name | James Thelbert Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023087277 PECOS PAC ID: 1658376553 Enrollment ID: I20161101002239 |
| Provider Name | Solianny Desouza Kennerly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780022335 PECOS PAC ID: 0345461687 Enrollment ID: I20161116002706 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356622419 PECOS PAC ID: 8820261332 Enrollment ID: I20161128000392 |
| Provider Name | Imran Quyyum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942576863 PECOS PAC ID: 2860798873 Enrollment ID: I20161130000605 |
| Provider Name | Ramesh K C |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396024055 PECOS PAC ID: 5991924466 Enrollment ID: I20161208001448 |
| Provider Name | Efemwonkiekie Williams Iyamu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649409301 PECOS PAC ID: 9830345248 Enrollment ID: I20170313000576 |
| Provider Name | Jennifer Diane Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518406354 PECOS PAC ID: 4981989324 Enrollment ID: I20170327000495 |
| Provider Name | Kuber P Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205115359 PECOS PAC ID: 2163640905 Enrollment ID: I20170418000818 |
| Provider Name | Nikita Patil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881906030 PECOS PAC ID: 6800197781 Enrollment ID: I20170502002090 |
| Provider Name | Nizar T Talaat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790018166 PECOS PAC ID: 3072759018 Enrollment ID: I20170607002181 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144566712 PECOS PAC ID: 4880828391 Enrollment ID: I20170620000774 |
| Provider Name | Katrina Ellen Meachem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003232992 PECOS PAC ID: 4183993306 Enrollment ID: I20170703000834 |
| Provider Name | Amy Byassee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518235456 PECOS PAC ID: 8527234905 Enrollment ID: I20170717002937 |
| Provider Name | Calbee D Cooper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013327550 PECOS PAC ID: 4981820057 Enrollment ID: I20170801000583 |
| Provider Name | Alexis Hugelmeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225288632 PECOS PAC ID: 9830258656 Enrollment ID: I20170823001328 |
| Provider Name | Katrina Sidney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306372487 PECOS PAC ID: 1355614272 Enrollment ID: I20170829000373 |
| Provider Name | Angela Payne Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396029187 PECOS PAC ID: 3678731395 Enrollment ID: I20170906000660 |
| Provider Name | Elizabeth A Ouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730618455 PECOS PAC ID: 7618240953 Enrollment ID: I20170907001895 |
| Provider Name | Dileep Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033477781 PECOS PAC ID: 9133417983 Enrollment ID: I20170912001485 |
| Provider Name | Nadia Parchment |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295056430 PECOS PAC ID: 3678793130 Enrollment ID: I20171005003821 |
| Provider Name | Elizabeth Univa Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355060 PECOS PAC ID: 1850657677 Enrollment ID: I20171113000024 |
| Provider Name | Siddharth Hemant Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982947008 PECOS PAC ID: 3476771882 Enrollment ID: I20180110002397 |
| Provider Name | Sean Tyler Kitch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558774497 PECOS PAC ID: 6305065442 Enrollment ID: I20180131001670 |
| Provider Name | Avijeet Kumar Dut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912303785 PECOS PAC ID: 8628339850 Enrollment ID: I20180302000265 |
| Provider Name | Isaac J.t. Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809555 PECOS PAC ID: 0941298780 Enrollment ID: I20180322001242 |
| Provider Name | Elizabeth Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033583257 PECOS PAC ID: 6305108648 Enrollment ID: I20180326000973 |
| Provider Name | Nilima R Bhirud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801955232 PECOS PAC ID: 0345345468 Enrollment ID: I20180409002222 |
| Provider Name | Olexander Barchan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659361798 PECOS PAC ID: 9537110531 Enrollment ID: I20180420000597 |
| Provider Name | Shyam Parshottam Kasundra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942615562 PECOS PAC ID: 1951697143 Enrollment ID: I20180426001755 |
| Provider Name | Angela Maria Maier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609978154 PECOS PAC ID: 5496847006 Enrollment ID: I20180427000354 |
| Provider Name | Charles Kaighn Morlok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902291792 PECOS PAC ID: 6901188218 Enrollment ID: I20180821004158 |
| Provider Name | Rex Edward Roda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427433937 PECOS PAC ID: 6406149608 Enrollment ID: I20180827000531 |
| Provider Name | Kenechukwu Obiokoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417204546 PECOS PAC ID: 3678792975 Enrollment ID: I20180827002275 |
| Provider Name | Elizabeth D Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639489966 PECOS PAC ID: 9830312800 Enrollment ID: I20180905003854 |
| Provider Name | Enrico John Versace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699740480 PECOS PAC ID: 3375455520 Enrollment ID: I20180924002862 |
| Provider Name | Hassan A Elhewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457668139 PECOS PAC ID: 5991947038 Enrollment ID: I20181001002187 |
| Provider Name | Lutf R Sroush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104207711 PECOS PAC ID: 0345594917 Enrollment ID: I20181116002707 |
| Provider Name | Maighan Seagrove |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598170797 PECOS PAC ID: 7214243385 Enrollment ID: I20181116002722 |
| Provider Name | Oyakhire C Ofori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063962710 PECOS PAC ID: 1355639865 Enrollment ID: I20181119001584 |
| Provider Name | Malini Fonseka Chandra Serharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497131353 PECOS PAC ID: 6800199142 Enrollment ID: I20181211002132 |
| Provider Name | Aaron Richard Farmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821225129 PECOS PAC ID: 8022244987 Enrollment ID: I20181212001941 |
| Provider Name | Ekong Ito Eta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598945081 PECOS PAC ID: 6800821026 Enrollment ID: I20181219000221 |
| Provider Name | Alia Abida Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699165944 PECOS PAC ID: 1658640180 Enrollment ID: I20190109001970 |
| Provider Name | Ebenezer Ofori Appah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730525213 PECOS PAC ID: 4688955578 Enrollment ID: I20190115001515 |
| Provider Name | Liudmila Yesaulava |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457779944 PECOS PAC ID: 6709002058 Enrollment ID: I20190220002151 |
| Provider Name | Prasanna Sridharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619237971 PECOS PAC ID: 1355647397 Enrollment ID: I20190314000747 |
| Provider Name | Edward Erwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528451036 PECOS PAC ID: 0840585212 Enrollment ID: I20190502002041 |
| Provider Name | Naga Purna Chand Meka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548491004 PECOS PAC ID: 4981847449 Enrollment ID: I20190807000004 |
| Provider Name | Katy Dodd Mayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906230 PECOS PAC ID: 4981931128 Enrollment ID: I20190809001417 |
| Provider Name | Sholabomi Oyewole-eletu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922461128 PECOS PAC ID: 0446597751 Enrollment ID: I20190821004349 |
| Provider Name | Obiajulu Kanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104207844 PECOS PAC ID: 7810245438 Enrollment ID: I20200114001994 |
| Provider Name | Thomas Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124088364 PECOS PAC ID: 5193739621 Enrollment ID: I20200124000224 |
| Provider Name | Andrew Core |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063875771 PECOS PAC ID: 0446544423 Enrollment ID: I20200406001243 |
| Provider Name | Akanksha Singh Kashyap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568997740 PECOS PAC ID: 6305269242 Enrollment ID: I20200709003696 |
| Provider Name | Atena Kamali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609294719 PECOS PAC ID: 7810110830 Enrollment ID: I20200723002099 |
| Provider Name | Omar Assasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346610722 PECOS PAC ID: 5698065977 Enrollment ID: I20200807002180 |
| Provider Name | Srinivas Gaddam Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861926354 PECOS PAC ID: 0345667606 Enrollment ID: I20200901001401 |
| Provider Name | Abegail Pena Cabalona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306361829 PECOS PAC ID: 7113346206 Enrollment ID: I20200923000150 |
| Provider Name | Abel Helebo Gimisso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700318714 PECOS PAC ID: 2961727623 Enrollment ID: I20201022004051 |
| Provider Name | Kumar Ashish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609361377 PECOS PAC ID: 4486051562 Enrollment ID: I20210916003189 |
Greensboro True Health Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Elam Ave Ste C, Greensboro, NC 27403 Phone: 336-866-0340 | |
3ehome Visiting Provider Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7614 Cedar Chase Dr, Greensboro, NC 27455 Phone: 702-328-1646 | |
Guilford Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1593 Yanceyville St, Suite 100, Bldg A, Greensboro, NC 27405 Phone: 336-275-1306 Fax: 336-275-1307 | |
Eagle Physicians And Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 W Friendly Ave Ste 200, Greensboro, NC 27410 Phone: 336-373-1996 Fax: 336-482-2320 | |
Infocus Eyewear Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Green Valley Rd, Ste 303 B, Greensboro, NC 27408 Phone: 336-235-2577 Fax: 336-235-2578 | |
The Moses H. Cone Memorial Hospital Operating Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 509-e North Elam Avenue, 3rd Floor, Greensboro, NC 27403 Phone: 336-832-1970 Fax: 336-832-1988 | |
Viarenew Greensboro, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5587 Garden Village Way, Ste E, Greensboro, NC 27410 Phone: 336-763-1600 Fax: 336-763-6796 |