| Imed Physicians Billing | |
|
5121 Cottonwood St Murray UT 84107-5701 | |
| (801) 442-1400 | |
| (801) 442-0641 |
| Full Name | Imed Physicians Billing |
|---|---|
| Speciality | Clinic/Center |
| Location | 5121 Cottonwood St, Murray, Utah |
| Authorized Official Name and Position | Robert Allen (CEO) |
| Authorized Official Contact | 3855634447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imed Physicians Billing Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Imed Physicians Billing 5121 Cottonwood St Murray UT 84107-5701 Ph: (801) 442-1400 |
| NPI Number | 1629260880 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 06/11/2026 |
| Certification Date | 06/11/2026 |
| Medicare PECOS PAC ID | 1850209420 |
|---|---|
| Medicare Enrollment ID | O20031105000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629260880 | NPI | - | NPPES |
| Provider Name | Mark V Reichman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942260617 PECOS PAC ID: 4082528757 Enrollment ID: I20031117000689 |
| Provider Name | Anne M Hutchinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861461824 PECOS PAC ID: 3476467028 Enrollment ID: I20031118000165 |
| Provider Name | Bert Kamolsit Lopansri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538261292 PECOS PAC ID: 9436053626 Enrollment ID: I20031120000248 |
| Provider Name | Tristy Lee Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093753469 PECOS PAC ID: 2163326398 Enrollment ID: I20031120000470 |
| Provider Name | Brett D Christiansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073500492 PECOS PAC ID: 3274437447 Enrollment ID: I20031120000664 |
| Provider Name | Donald Wain Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942224050 PECOS PAC ID: 1456255207 Enrollment ID: I20031122000024 |
| Provider Name | Mark D Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376540955 PECOS PAC ID: 6103720784 Enrollment ID: I20031125000286 |
| Provider Name | Alberto Brizolara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164488961 PECOS PAC ID: 5193629780 Enrollment ID: I20031125000342 |
| Provider Name | Alan K Stotts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902859473 PECOS PAC ID: 0244135689 Enrollment ID: I20031128000014 |
| Provider Name | David Ware Branch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922012830 PECOS PAC ID: 6103721550 Enrollment ID: I20031129000009 |
| Provider Name | Janice L.B. Byrne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629158530 PECOS PAC ID: 1658276001 Enrollment ID: I20031129000013 |
| Provider Name | Gary L Rasmussen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366460420 PECOS PAC ID: 6709781925 Enrollment ID: I20031201000857 |
| Provider Name | Carl M Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891737094 PECOS PAC ID: 1658276894 Enrollment ID: I20031202000106 |
| Provider Name | Shane Arthur Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538273859 PECOS PAC ID: 1850295221 Enrollment ID: I20031202000206 |
| Provider Name | William E Nibley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437108974 PECOS PAC ID: 1951214360 Enrollment ID: I20031202000216 |
| Provider Name | Bruce N Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326135807 PECOS PAC ID: 5799680641 Enrollment ID: I20031203000708 |
| Provider Name | Jason Karl North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285760132 PECOS PAC ID: 1456256361 Enrollment ID: I20031204000248 |
| Provider Name | Matthew Gunn Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053346734 PECOS PAC ID: 9032014808 Enrollment ID: I20031204000651 |
| Provider Name | Michael L Draper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992769368 PECOS PAC ID: 9830094358 Enrollment ID: I20031205000715 |
| Provider Name | Mark K Dodson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275570467 PECOS PAC ID: 6901701432 Enrollment ID: I20031205000723 |
| Provider Name | Andrew P Soisson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790794568 PECOS PAC ID: 0840195335 Enrollment ID: I20031208000146 |
| Provider Name | Robert M Silver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306926217 PECOS PAC ID: 7113823147 Enrollment ID: I20031210000808 |
| Provider Name | Amy E Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922028166 PECOS PAC ID: 3971409806 Enrollment ID: I20031210000839 |
| Provider Name | Jeff Sky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992845549 PECOS PAC ID: 7113824681 Enrollment ID: I20031215000368 |
| Provider Name | David C Boorman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659344471 PECOS PAC ID: 7618874082 Enrollment ID: I20031215000391 |
| Provider Name | Darrell L Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922160530 PECOS PAC ID: 6002713484 Enrollment ID: I20031215000445 |
| Provider Name | Robert Taft Benson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609863042 PECOS PAC ID: 9638076060 Enrollment ID: I20031215000658 |
| Provider Name | Kenneth Nowers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720037641 PECOS PAC ID: 1951208826 Enrollment ID: I20031217001145 |
| Provider Name | Mary Ruth Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265534135 PECOS PAC ID: 8729986450 Enrollment ID: I20031219000446 |
| Provider Name | Lynn Roy Nimer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689635922 PECOS PAC ID: 7214835719 Enrollment ID: I20031222000484 |
| Provider Name | Stanford J Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588655856 PECOS PAC ID: 7810895372 Enrollment ID: I20031222000788 |
| Provider Name | Robert D Owen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114952389 PECOS PAC ID: 6103724562 Enrollment ID: I20031222000852 |
| Provider Name | Gordon L Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760479083 PECOS PAC ID: 5698673069 Enrollment ID: I20031222000886 |
| Provider Name | Michael O Tremea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376530782 PECOS PAC ID: 8224936695 Enrollment ID: I20031222000891 |
| Provider Name | Gregory J Litton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487603916 PECOS PAC ID: 6406769819 Enrollment ID: I20031222000945 |
| Provider Name | Troy Flint Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245310143 PECOS PAC ID: 2668370719 Enrollment ID: I20031227000020 |
| Provider Name | Sheldon L Thieszen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982651717 PECOS PAC ID: 4587562608 Enrollment ID: I20031229000393 |
| Provider Name | Steven Michael Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841348240 PECOS PAC ID: 9638077506 Enrollment ID: I20031230000274 |
| Provider Name | John R Macfarlane |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679533343 PECOS PAC ID: 9739088428 Enrollment ID: I20031231000639 |
| Provider Name | Drew H Van Boerum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710925631 PECOS PAC ID: 9638078553 Enrollment ID: I20040108000579 |
| Provider Name | Michael G Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265423594 PECOS PAC ID: 9335049618 Enrollment ID: I20040112000302 |
| Provider Name | Gary M Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598705139 PECOS PAC ID: 9830099084 Enrollment ID: I20040113000081 |
| Provider Name | Roy C. Hammond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235183781 PECOS PAC ID: 2264333251 Enrollment ID: I20040113000797 |
| Provider Name | Daniel Brennan Vine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841219375 PECOS PAC ID: 3072414598 Enrollment ID: I20040117000140 |
| Provider Name | John Albert Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326093998 PECOS PAC ID: 6709787138 Enrollment ID: I20040117000203 |
| Provider Name | Charles C Rich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851351530 PECOS PAC ID: 9234030669 Enrollment ID: I20040117000215 |
| Provider Name | Luciana De Saibro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033175765 PECOS PAC ID: 7315848744 Enrollment ID: I20040117000221 |
| Provider Name | Mark Kelly Milligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194833244 PECOS PAC ID: 1254232747 Enrollment ID: I20040126000735 |
| Provider Name | Daniel C Rapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265528723 PECOS PAC ID: 3678475977 Enrollment ID: I20040126000982 |
| Provider Name | Colleen Harker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851347959 PECOS PAC ID: 0446153852 Enrollment ID: I20040131000108 |
| Provider Name | Vazul Gabor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891796249 PECOS PAC ID: 3870496292 Enrollment ID: I20040131000196 |
| Provider Name | David E Pisani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932149119 PECOS PAC ID: 3678476090 Enrollment ID: I20040131000211 |
| Provider Name | Brett T Parkinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215977491 PECOS PAC ID: 4880597210 Enrollment ID: I20040131000254 |
| Provider Name | John Henrie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477593556 PECOS PAC ID: 3870496219 Enrollment ID: I20040131000334 |
| Provider Name | Robert Jeffrey Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548219991 PECOS PAC ID: 4587567862 Enrollment ID: I20040202000857 |
| Provider Name | Vilija Neris Avizonis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003865932 PECOS PAC ID: 9032017355 Enrollment ID: I20040202000906 |
| Provider Name | Susan Etheridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952480527 PECOS PAC ID: 9032002894 Enrollment ID: I20040205000287 |
| Provider Name | Donald Lewis Lappe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669440277 PECOS PAC ID: 6507759313 Enrollment ID: I20040205000500 |
| Provider Name | Brian Keith Whisenant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750359253 PECOS PAC ID: 7810880648 Enrollment ID: I20040205000644 |
| Provider Name | Jeffrey J Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205840642 PECOS PAC ID: 9931092699 Enrollment ID: I20040205000914 |
| Provider Name | Leland J Chappell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447351424 PECOS PAC ID: 4587557269 Enrollment ID: I20040205000971 |
| Provider Name | David M Pope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467554451 PECOS PAC ID: 8022901701 Enrollment ID: I20040205000984 |
| Provider Name | Patrick H Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679589881 PECOS PAC ID: 9234022914 Enrollment ID: I20040205001016 |
| Provider Name | Craig M Grose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003854878 PECOS PAC ID: 2466345087 Enrollment ID: I20040205001317 |
| Provider Name | John Jacobs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912947995 PECOS PAC ID: 6608769286 Enrollment ID: I20040206000238 |
| Provider Name | Randy a Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528099231 PECOS PAC ID: 7315830882 Enrollment ID: I20040206000796 |
| Provider Name | Juan Dedios Fuentes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184664245 PECOS PAC ID: 0749174183 Enrollment ID: I20040209000492 |
| Provider Name | Michael Webb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881634996 PECOS PAC ID: 0042104408 Enrollment ID: I20040209000590 |
| Provider Name | Wendell Cardwell Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083654065 PECOS PAC ID: 7416841887 Enrollment ID: I20040209000650 |
| Provider Name | Wayne D Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588665301 PECOS PAC ID: 8921905548 Enrollment ID: I20040209000798 |
| Provider Name | Kevin John Whitehead |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255421848 PECOS PAC ID: 9032004502 Enrollment ID: I20040216000590 |
| Provider Name | Shauna Whatcott-sclafani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174633408 PECOS PAC ID: 4981599453 Enrollment ID: I20040216000634 |
| Provider Name | Adam Rich Nebeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366449241 PECOS PAC ID: 5890680961 Enrollment ID: I20040218000000 |
| Provider Name | Mark C Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093812604 PECOS PAC ID: 9739074410 Enrollment ID: I20040220000471 |
| Provider Name | Paul Asmar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184626756 PECOS PAC ID: 3375430994 Enrollment ID: I20040228000571 |
| Provider Name | Clare Patricia Meysenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689697450 PECOS PAC ID: 5092602847 Enrollment ID: I20040304000484 |
| Provider Name | Antonietta a Russo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831211895 PECOS PAC ID: 5890682660 Enrollment ID: I20040304000619 |
| Provider Name | Dwight Avard Rigby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508851635 PECOS PAC ID: 4486543287 Enrollment ID: I20040311000322 |
| Provider Name | Daren Owen Gatherum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770504284 PECOS PAC ID: 4688563356 Enrollment ID: I20040315000621 |
| Provider Name | Deborah D Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548234222 PECOS PAC ID: 3375433816 Enrollment ID: I20040317001578 |
| Provider Name | William Wesley Barney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194799890 PECOS PAC ID: 4284524729 Enrollment ID: I20040317001579 |
| Provider Name | Shayne Ross Mcquivey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720199078 PECOS PAC ID: 2163414178 Enrollment ID: I20040331000799 |
| Provider Name | Marvin R Allen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831154566 PECOS PAC ID: 0446242192 Enrollment ID: I20040401000777 |
| Provider Name | Michael S Frischknecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629019229 PECOS PAC ID: 4082607304 Enrollment ID: I20040405000360 |
| Provider Name | Valerie R Bentley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912928730 PECOS PAC ID: 1850384579 Enrollment ID: I20040407000535 |
| Provider Name | Donna Dizon-townson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811918097 PECOS PAC ID: 1254324999 Enrollment ID: I20040407000652 |
| Provider Name | Richard Adair Whittington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750391322 PECOS PAC ID: 6608869185 Enrollment ID: I20040408000605 |
| Provider Name | Michael James Crookston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699868851 PECOS PAC ID: 9436142924 Enrollment ID: I20040408000669 |
| Provider Name | Kimberly Dawn Haycock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205862208 PECOS PAC ID: 3375537723 Enrollment ID: I20040409000329 |
| Provider Name | Kevin Shilling |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144233214 PECOS PAC ID: 9830183847 Enrollment ID: I20040413000501 |
| Provider Name | Mark C Foote |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619047743 PECOS PAC ID: 7214921048 Enrollment ID: I20040413001545 |
| Provider Name | Allen R Groebs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841228905 PECOS PAC ID: 8022002864 Enrollment ID: I20040413001636 |
| Provider Name | Marc S Robins |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780671453 PECOS PAC ID: 5890789697 Enrollment ID: I20040414000112 |
| Provider Name | Dean Edwards Roller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770638124 PECOS PAC ID: 8820984974 Enrollment ID: I20040414001725 |
| Provider Name | Eric L Caten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770504045 PECOS PAC ID: 0648265298 Enrollment ID: I20040414002004 |
| Provider Name | Lynn M Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053457085 PECOS PAC ID: 5092700641 Enrollment ID: I20040414002009 |
| Provider Name | Tracy Arnold Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992711253 PECOS PAC ID: 4981690484 Enrollment ID: I20040421000905 |
| Provider Name | Bradley R Melville |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407867658 PECOS PAC ID: 8224024765 Enrollment ID: I20040421001176 |
| Provider Name | Holly Major-yeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578540407 PECOS PAC ID: 5294721585 Enrollment ID: I20040422000439 |
| Provider Name | Scott Christopher Woller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508966326 PECOS PAC ID: 5991792764 Enrollment ID: I20040426001432 |
| Provider Name | Lisa M Saturnino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336362490 PECOS PAC ID: 5799772356 Enrollment ID: I20040427000882 |
| Provider Name | Debra Sue Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972543684 PECOS PAC ID: 0042207557 Enrollment ID: I20040427001397 |
| Provider Name | Joseph P Ferriter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023063575 PECOS PAC ID: 7012808371 Enrollment ID: I20040427001548 |
| Provider Name | Mark William Pulsipher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689631913 PECOS PAC ID: 2365430097 Enrollment ID: I20040503000926 |
| Provider Name | Charles Frelen Dahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912965344 PECOS PAC ID: 7315935079 Enrollment ID: I20040503001120 |
| Provider Name | Daniel Hatch |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588608582 PECOS PAC ID: 6406844851 Enrollment ID: I20040504000873 |
| Provider Name | Scott E Bingham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487612214 PECOS PAC ID: 2860483096 Enrollment ID: I20040518001211 |
| Provider Name | Kathryn Morton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891885406 PECOS PAC ID: 2062494412 Enrollment ID: I20040601001201 |
| Provider Name | Carolyn M Tometich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952328783 PECOS PAC ID: 4284617572 Enrollment ID: I20040608001355 |
| Provider Name | Richard Paul Corey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568529105 PECOS PAC ID: 1557344769 Enrollment ID: I20040609000945 |
| Provider Name | Michael Eugene Crawford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699760397 PECOS PAC ID: 5799768768 Enrollment ID: I20040610000909 |
| Provider Name | Judith S Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538112214 PECOS PAC ID: 4789667429 Enrollment ID: I20040611001201 |
| Provider Name | Bentley Rowley Mcentire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306875489 PECOS PAC ID: 3375527849 Enrollment ID: I20040614001519 |
| Provider Name | Kimball Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760420996 PECOS PAC ID: 1355325788 Enrollment ID: I20040615000345 |
| Provider Name | Kurtis Kendell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427092469 PECOS PAC ID: 8820072259 Enrollment ID: I20040618000257 |
| Provider Name | Daniel Glenn Davie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356376677 PECOS PAC ID: 5799760047 Enrollment ID: I20040621001394 |
| Provider Name | Deborah Lynn Bentley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508887043 PECOS PAC ID: 6507841434 Enrollment ID: I20040623000896 |
| Provider Name | Joel Pittman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871675132 PECOS PAC ID: 5395721872 Enrollment ID: I20040625000467 |
| Provider Name | Ryan Nielsen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821032863 PECOS PAC ID: 4385628718 Enrollment ID: I20040625000822 |
| Provider Name | Dennis Hugh Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922029495 PECOS PAC ID: 2860478302 Enrollment ID: I20040625000851 |
| Provider Name | Michael D Cragun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164528832 PECOS PAC ID: 1052397403 Enrollment ID: I20040625000989 |
| Provider Name | Lisa C French |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871513952 PECOS PAC ID: 2466438668 Enrollment ID: I20040628001287 |
| Provider Name | David Spendlove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710084736 PECOS PAC ID: 9335125558 Enrollment ID: I20040628001377 |
| Provider Name | Scott David Kendell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285674267 PECOS PAC ID: 8325024359 Enrollment ID: I20040629000610 |
| Provider Name | Liane Chow Emmett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083631428 PECOS PAC ID: 0941286991 Enrollment ID: I20040629000760 |
| Provider Name | Kimberly Olson Sieber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235162785 PECOS PAC ID: 5991782153 Enrollment ID: I20040706000739 |
| Provider Name | William B Hale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689625097 PECOS PAC ID: 2668450354 Enrollment ID: I20040709000546 |
| Provider Name | Daniel J Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164516878 PECOS PAC ID: 1759361751 Enrollment ID: I20040721000844 |
| Provider Name | Sandeep Chowdhary |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1891726162 PECOS PAC ID: 5294715207 Enrollment ID: I20040721000853 |
| Provider Name | David Craig Seegmiller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619914751 PECOS PAC ID: 3375513054 Enrollment ID: I20040729000729 |
| Provider Name | Brooks D Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487657763 PECOS PAC ID: 0941271670 Enrollment ID: I20040804001667 |
| Provider Name | Kent S Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366480162 PECOS PAC ID: 1254303944 Enrollment ID: I20040812000371 |
| Provider Name | Justin Patrick Hawes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508896226 PECOS PAC ID: 4486627684 Enrollment ID: I20040816001416 |
| Provider Name | Peter Gordon Larcom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821029869 PECOS PAC ID: 3274506118 Enrollment ID: I20040818000346 |
| Provider Name | David Kent Krzymowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730149634 PECOS PAC ID: 0143294306 Enrollment ID: I20040823001569 |
| Provider Name | Kathleen Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740235290 PECOS PAC ID: 8729053517 Enrollment ID: I20040826000305 |
| Provider Name | Brent James Christensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275570293 PECOS PAC ID: 7911972161 Enrollment ID: I20040831000791 |
| Provider Name | Steven Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417969387 PECOS PAC ID: 8820064744 Enrollment ID: I20040902000524 |
| Provider Name | David H Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740292614 PECOS PAC ID: 5597652537 Enrollment ID: I20040902000546 |
| Provider Name | June S Chen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942207048 PECOS PAC ID: 5294639498 Enrollment ID: I20040909000385 |
| Provider Name | Patrice Ann Duvernay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073543872 PECOS PAC ID: 4082681101 Enrollment ID: I20040916000589 |
| Provider Name | Elizabeth Violet Guenzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649369695 PECOS PAC ID: 3678544012 Enrollment ID: I20040917000476 |
| Provider Name | Tricia Petzold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043300668 PECOS PAC ID: 9032187067 Enrollment ID: I20040917000933 |
| Provider Name | Teresa Reading |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043259781 PECOS PAC ID: 4688642648 Enrollment ID: I20040917001150 |
| Provider Name | Karyn a Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225044217 PECOS PAC ID: 1658349535 Enrollment ID: I20040919000004 |
| Provider Name | David Scott Hollingshead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760402234 PECOS PAC ID: 7911975891 Enrollment ID: I20040919000012 |
| Provider Name | Celia Webb Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205873478 PECOS PAC ID: 4587632922 Enrollment ID: I20040922001145 |
| Provider Name | Sharlene Miner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598776239 PECOS PAC ID: 2163405507 Enrollment ID: I20040923000271 |
| Provider Name | Peter Schloesser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508806233 PECOS PAC ID: 8022086305 Enrollment ID: I20040923000969 |
| Provider Name | Sandra D Ehninger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720009285 PECOS PAC ID: 8325016595 Enrollment ID: I20040924000401 |
| Provider Name | David Richard Barnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063435873 PECOS PAC ID: 4183692353 Enrollment ID: I20040924000445 |
| Provider Name | Robert John Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790708519 PECOS PAC ID: 1153399332 Enrollment ID: I20040924000479 |
| Provider Name | Jacqueline Lee Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215908322 PECOS PAC ID: 4082683685 Enrollment ID: I20040930000304 |
| Provider Name | Matthew Scot Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013013838 PECOS PAC ID: 8729047394 Enrollment ID: I20041008000276 |
| Provider Name | Russell S Haupt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508877119 PECOS PAC ID: 0840259420 Enrollment ID: I20041008000521 |
| Provider Name | Lonnie Jefferson Miner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942220645 PECOS PAC ID: 6204896525 Enrollment ID: I20041012000830 |
| Provider Name | Abdallah Georges Kfoury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134132681 PECOS PAC ID: 1254391311 Enrollment ID: I20041013000439 |
| Provider Name | Von F Welch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134136302 PECOS PAC ID: 3678533759 Enrollment ID: I20041013000627 |
| Provider Name | Gordon E Harmston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972516748 PECOS PAC ID: 7618966433 Enrollment ID: I20041013000779 |
| Provider Name | Mark E Boschert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346252236 PECOS PAC ID: 0345200499 Enrollment ID: I20041013001141 |
| Provider Name | Barry Michael Birkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144289521 PECOS PAC ID: 0547220279 Enrollment ID: I20041015000860 |
| Provider Name | Kathryn J Waddell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891833257 PECOS PAC ID: 8022079482 Enrollment ID: I20041020000394 |
| Provider Name | Robert Bruce Burr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306895677 PECOS PAC ID: 3678560547 Enrollment ID: I20041027000559 |
| Provider Name | Tawnya M Constantino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891802591 PECOS PAC ID: 9638131212 Enrollment ID: I20041027000766 |
| Provider Name | James Lee Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669493185 PECOS PAC ID: 9638132996 Enrollment ID: I20041108000563 |
| Provider Name | Robert Wallace Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083645709 PECOS PAC ID: 4284698093 Enrollment ID: I20041111001084 |
| Provider Name | Jon B Wheiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134156565 PECOS PAC ID: 4587629233 Enrollment ID: I20041122001297 |
| Provider Name | Rebekah Amy Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306801949 PECOS PAC ID: 4486610581 Enrollment ID: I20041209000326 |
| Provider Name | Jill Bateman Faatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417981002 PECOS PAC ID: 4486611829 Enrollment ID: I20041216000809 |
| Provider Name | Julie Asch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083740070 PECOS PAC ID: 4486644028 Enrollment ID: I20041229000270 |
| Provider Name | Michael K Halliday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376555219 PECOS PAC ID: 8022076413 Enrollment ID: I20050103000208 |
| Provider Name | Dean Arthur Mayer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316915432 PECOS PAC ID: 4284682592 Enrollment ID: I20050104000213 |
| Provider Name | Brian K Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780696641 PECOS PAC ID: 5496703472 Enrollment ID: I20050106000290 |
| Provider Name | Devon E Dahlke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598866691 PECOS PAC ID: 9032167671 Enrollment ID: I20050110001048 |
| Provider Name | Amy Michelle Geroso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578643482 PECOS PAC ID: 3072561554 Enrollment ID: I20050111000876 |
| Provider Name | Gordon N Stagg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184636037 PECOS PAC ID: 2062460454 Enrollment ID: I20050112000573 |
| Provider Name | David W Drury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700804069 PECOS PAC ID: 1456300888 Enrollment ID: I20050112001001 |
| Provider Name | Kenneth Michael Handlon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629077979 PECOS PAC ID: 4385693720 Enrollment ID: I20050112001058 |
| Provider Name | Thomas J Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962425736 PECOS PAC ID: 3971552316 Enrollment ID: I20050112001099 |
| Provider Name | Eileen G Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906320 PECOS PAC ID: 9133178577 Enrollment ID: I20050112001116 |
| Provider Name | Brandon a Wolsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386664860 PECOS PAC ID: 9133178304 Enrollment ID: I20050113001088 |
| Provider Name | Michael B Noyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538173612 PECOS PAC ID: 6204885478 Enrollment ID: I20050113001104 |
| Provider Name | Eric Richard Scaife |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902996523 PECOS PAC ID: 0042269094 Enrollment ID: I20050117000205 |
| Provider Name | Theodore S Paisley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952415556 PECOS PAC ID: 3072562826 Enrollment ID: I20050119000262 |
| Provider Name | Steven John Carabine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689761165 PECOS PAC ID: 8820048093 Enrollment ID: I20050125001029 |
| Provider Name | David Louis Paulson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740252196 PECOS PAC ID: 8628028669 Enrollment ID: I20050126001198 |
| Provider Name | Jarid Gray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861409120 PECOS PAC ID: 8325098239 Enrollment ID: I20050131000263 |
| Provider Name | Ivan William Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972517043 PECOS PAC ID: 9931159548 Enrollment ID: I20050131000764 |
| Provider Name | Jason Sidney Biggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750471389 PECOS PAC ID: 7315998549 Enrollment ID: I20050204000670 |
| Provider Name | Bruce E Herman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326129115 PECOS PAC ID: 9335190347 Enrollment ID: I20050208000215 |
| Provider Name | Jerald D King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215016886 PECOS PAC ID: 7012968860 Enrollment ID: I20050209000307 |
| Provider Name | Barbara Ann Kerwin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972517639 PECOS PAC ID: 2668423377 Enrollment ID: I20050209000879 |
| Provider Name | Adam Craig Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255371878 PECOS PAC ID: 7012968738 Enrollment ID: I20050209000957 |
| Provider Name | Christian C Yost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932288503 PECOS PAC ID: 1759333933 Enrollment ID: I20050216000141 |
| Provider Name | Viet Trung Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669440152 PECOS PAC ID: 8729030713 Enrollment ID: I20050217000880 |
| Provider Name | Merin Marie Kinikini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326127895 PECOS PAC ID: 5991758476 Enrollment ID: I20050224000320 |
| Provider Name | Jill Richardson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942390562 PECOS PAC ID: 4587618640 Enrollment ID: I20050310000948 |
| Provider Name | Luz Elenia Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700923455 PECOS PAC ID: 7517911522 Enrollment ID: I20050314000210 |
| Provider Name | Jerry John |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659440543 PECOS PAC ID: 8426003476 Enrollment ID: I20050314000311 |
| Provider Name | Jeffrey W Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692400 PECOS PAC ID: 3476509308 Enrollment ID: I20050323001441 |
| Provider Name | Chun Hwang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649238080 PECOS PAC ID: 5193771020 Enrollment ID: I20050323001450 |
| Provider Name | Robert Miles Miska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417974346 PECOS PAC ID: 9739135500 Enrollment ID: I20050324000433 |
| Provider Name | John F Foley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073538047 PECOS PAC ID: 9931155710 Enrollment ID: I20050324000529 |
| Provider Name | Rodney H Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588622013 PECOS PAC ID: 3870549553 Enrollment ID: I20050324001343 |
| Provider Name | Rachelle Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730105214 PECOS PAC ID: 6103872320 Enrollment ID: I20050330000631 |
| Provider Name | Raoul Devin Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972682540 PECOS PAC ID: 6002863982 Enrollment ID: I20050402000004 |
| Provider Name | Joseph R Sherbotie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205915873 PECOS PAC ID: 9739136615 Enrollment ID: I20050402000009 |
| Provider Name | Collin G Cowley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598844169 PECOS PAC ID: 6800843780 Enrollment ID: I20050402000028 |
| Provider Name | Elizabeth a Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396824868 PECOS PAC ID: 5890742779 Enrollment ID: I20050402000036 |
| Provider Name | Jordan Andrew Kimball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386673135 PECOS PAC ID: 8426005026 Enrollment ID: I20050406000239 |
| Provider Name | G Richard Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184840597 PECOS PAC ID: 7517904477 Enrollment ID: I20050412000841 |
| Provider Name | Blake W Arnold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861412769 PECOS PAC ID: 7113964602 Enrollment ID: I20050415000553 |
| Provider Name | Michael David Puchalski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639258106 PECOS PAC ID: 3173561586 Enrollment ID: I20050418000446 |
| Provider Name | Bryan Kelly Searle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427037738 PECOS PAC ID: 9436197753 Enrollment ID: I20050418001353 |
| Provider Name | Christine Ann Cheng |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1306848338 PECOS PAC ID: 4183662315 Enrollment ID: I20050419000998 |
| Provider Name | Marlin Christianson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023124781 PECOS PAC ID: 2860430907 Enrollment ID: I20050420000305 |
| Provider Name | Ryoma Tanaka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922294214 PECOS PAC ID: 5496793499 Enrollment ID: I20050420001113 |
| Provider Name | Johannes Fredrik Grimmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477643070 PECOS PAC ID: 0143269365 Enrollment ID: I20050427001019 |
| Provider Name | Joseph D Rasband |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922059542 PECOS PAC ID: 3779522917 Enrollment ID: I20050427001129 |
| Provider Name | Patricia Anne Gurell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619005659 PECOS PAC ID: 5991744021 Enrollment ID: I20050428000474 |
| Provider Name | Alexandra Eller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922188838 PECOS PAC ID: 7214977628 Enrollment ID: I20050505000200 |
| Provider Name | Marlan Len Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184634511 PECOS PAC ID: 6800836941 Enrollment ID: I20050506000784 |
| Provider Name | Brian a Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265540009 PECOS PAC ID: 7719927854 Enrollment ID: I20050506000785 |
| Provider Name | Elizabeth Reynolds Sunderman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790723195 PECOS PAC ID: 8022058197 Enrollment ID: I20050509000230 |
| Provider Name | Dustin L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598786303 PECOS PAC ID: 3173563251 Enrollment ID: I20050509000265 |
| Provider Name | Matthew E Feil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790745271 PECOS PAC ID: 3779543087 Enrollment ID: I20050517000072 |
| Provider Name | Paul a House |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083704688 PECOS PAC ID: 6103867361 Enrollment ID: I20050518000286 |
| Provider Name | John Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215974266 PECOS PAC ID: 9133103567 Enrollment ID: I20050523001053 |
| Provider Name | Dennis Kay Heaston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548214224 PECOS PAC ID: 6800870221 Enrollment ID: I20050524000140 |
| Provider Name | Ellen H Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497868392 PECOS PAC ID: 2365484755 Enrollment ID: I20050525001065 |
| Provider Name | Gordon Scott Olsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235237744 PECOS PAC ID: 0547220915 Enrollment ID: I20050601000882 |
| Provider Name | Francis M Filloux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942389515 PECOS PAC ID: 6608819107 Enrollment ID: I20050606000961 |
| Provider Name | Gary M Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811067762 PECOS PAC ID: 2466495882 Enrollment ID: I20050607000681 |
| Provider Name | Molly a Ogorman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144339391 PECOS PAC ID: 5991749962 Enrollment ID: I20050610000883 |
| Provider Name | Lois Luann Minich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578642146 PECOS PAC ID: 9537103502 Enrollment ID: I20050610000887 |
| Provider Name | Lloyd Tani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326127994 PECOS PAC ID: 2860436714 Enrollment ID: I20050613000563 |
| Provider Name | Martin J Tristani-firouzi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669551230 PECOS PAC ID: 8729022678 Enrollment ID: I20050613000597 |
| Provider Name | J Scott Parkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316965627 PECOS PAC ID: 5698710549 Enrollment ID: I20050622000401 |
| Provider Name | Edward R Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942287719 PECOS PAC ID: 1355386095 Enrollment ID: I20050623000389 |
| Provider Name | Roland G Ruegner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871688267 PECOS PAC ID: 9335184837 Enrollment ID: I20050624000766 |
| Provider Name | Wayne O Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003822909 PECOS PAC ID: 7012952534 Enrollment ID: I20050624000899 |
| Provider Name | James M Villareal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588684062 PECOS PAC ID: 9638115397 Enrollment ID: I20050701000940 |
| Provider Name | Charles Allen Caton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750341210 PECOS PAC ID: 3476457656 Enrollment ID: I20050708000581 |
| Provider Name | Lindsay C Park |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487817516 PECOS PAC ID: 0648206656 Enrollment ID: I20050712000165 |
| Provider Name | Jamal Horani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770585564 PECOS PAC ID: 2163458761 Enrollment ID: I20050714000942 |
| Provider Name | Brent D Stephenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366482432 PECOS PAC ID: 6507893641 Enrollment ID: I20050720000965 |
| Provider Name | Stephen Daryl Scharmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295805117 PECOS PAC ID: 0244267391 Enrollment ID: I20050720001040 |
| Provider Name | Kristian R Kemp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154381689 PECOS PAC ID: 9638107717 Enrollment ID: I20050729000844 |
| Provider Name | Richard Andrew Dal Canto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114978533 PECOS PAC ID: 0143258780 Enrollment ID: I20050803000910 |
| Provider Name | Christopher Coulson Rich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245328053 PECOS PAC ID: 3678502994 Enrollment ID: I20050808000370 |
| Provider Name | Kerri Naifeh Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528086865 PECOS PAC ID: 5193754802 Enrollment ID: I20050811000900 |
| Provider Name | Nicole Anne Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760598411 PECOS PAC ID: 2163452657 Enrollment ID: I20050815000642 |
| Provider Name | Ann Elizabeth Burelbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275594368 PECOS PAC ID: 5698705069 Enrollment ID: I20050816000273 |
| Provider Name | Geoffrey M Crockett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780645697 PECOS PAC ID: 7911937131 Enrollment ID: I20050817000844 |
| Provider Name | Stacey Frampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760499461 PECOS PAC ID: 6406843952 Enrollment ID: I20050825000759 |
| Provider Name | Jeanne Marie Falk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588673974 PECOS PAC ID: 4981635885 Enrollment ID: I20050830000434 |
| Provider Name | Kenneth Hicken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609344373 PECOS PAC ID: 3870525736 Enrollment ID: I20050831000641 |
| Provider Name | Thomas J Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245254739 PECOS PAC ID: 2961435680 Enrollment ID: I20050914000164 |
| Provider Name | Scott Frederick Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235212192 PECOS PAC ID: 1557394665 Enrollment ID: I20050917000516 |
| Provider Name | Lorie Ann Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154315521 PECOS PAC ID: 9830165851 Enrollment ID: I20050926001202 |
| Provider Name | Bradley a Yoder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598844060 PECOS PAC ID: 2466487384 Enrollment ID: I20050929000449 |
| Provider Name | Brant Wahlen Fonnesbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033156849 PECOS PAC ID: 3274558564 Enrollment ID: I20051005001126 |
| Provider Name | Zachary W Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255356275 PECOS PAC ID: 3678598976 Enrollment ID: I20051005001176 |
| Provider Name | Anthony S Gordon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811983380 PECOS PAC ID: 5193759710 Enrollment ID: I20051007000902 |
| Provider Name | Jeffrey Mcclellan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518910108 PECOS PAC ID: 7113901539 Enrollment ID: I20051008000222 |
| Provider Name | Rex a Outtrim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558355313 PECOS PAC ID: 4385632918 Enrollment ID: I20051015000082 |
| Provider Name | Tom Vernon Cloward |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1053407726 PECOS PAC ID: 5294751665 Enrollment ID: I20051015000144 |
| Provider Name | Charles Gregory Elliott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538253372 PECOS PAC ID: 9830115203 Enrollment ID: I20051015000148 |
| Provider Name | Boyd Marshall Eastman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942217443 PECOS PAC ID: 8426074790 Enrollment ID: I20051017000859 |
| Provider Name | Claudia G Gerard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750471355 PECOS PAC ID: 4789600982 Enrollment ID: I20051018000075 |
| Provider Name | Bonnie Bateman Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154355204 PECOS PAC ID: 1456377571 Enrollment ID: I20051018001101 |
| Provider Name | Julie Anne Gainer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538106414 PECOS PAC ID: 4385660240 Enrollment ID: I20051020000021 |
| Provider Name | Sharon a Korhel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003830761 PECOS PAC ID: 5890711634 Enrollment ID: I20051020000523 |
| Provider Name | Clyde Dejong Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568496958 PECOS PAC ID: 0446277925 Enrollment ID: I20051025000558 |
| Provider Name | George a Vargyas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922032978 PECOS PAC ID: 3476570490 Enrollment ID: I20051028000878 |
| Provider Name | Christopher Conrad Bell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669592069 PECOS PAC ID: 6204853013 Enrollment ID: I20051101000159 |
| Provider Name | Jamile Sarah Woods |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114931540 PECOS PAC ID: 7012934763 Enrollment ID: I20051101000517 |
| Provider Name | Charles T Ivester |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376585372 PECOS PAC ID: 4284621418 Enrollment ID: I20051102001222 |
| Provider Name | Mark Gerard Oraskovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083634562 PECOS PAC ID: 6305864844 Enrollment ID: I20051103000526 |
| Provider Name | Marc Leon Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447320163 PECOS PAC ID: 8921026303 Enrollment ID: I20051103000939 |
| Provider Name | John Fredrick Lund |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477578557 PECOS PAC ID: 9133147424 Enrollment ID: I20051104000479 |
| Provider Name | Felix Leung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265446090 PECOS PAC ID: 8527086651 Enrollment ID: I20051108000247 |
| Provider Name | Brian Gregory Crandall |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669440269 PECOS PAC ID: 0547238461 Enrollment ID: I20051108000380 |
| Provider Name | James Everett Pearl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417959206 PECOS PAC ID: 7416975222 Enrollment ID: I20051109000854 |
| Provider Name | Jeffrey Lance Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265441109 PECOS PAC ID: 8224056049 Enrollment ID: I20051109000968 |
| Provider Name | Stanton B Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982636890 PECOS PAC ID: 0749208593 Enrollment ID: I20051109001156 |
| Provider Name | Stephen Douglas Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336185784 PECOS PAC ID: 1557380151 Enrollment ID: I20051114000157 |
| Provider Name | Allen Merrill Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518908110 PECOS PAC ID: 2062431695 Enrollment ID: I20051114000432 |
| Provider Name | David a Valenti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720001589 PECOS PAC ID: 7719906197 Enrollment ID: I20051115000461 |
| Provider Name | Layne Keliiokalam Kamalu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104987916 PECOS PAC ID: 9335048701 Enrollment ID: I20051116000272 |
| Provider Name | Craig L Shane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144240623 PECOS PAC ID: 9931128238 Enrollment ID: I20051116000301 |
| Provider Name | Cherie Pratt Brunker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215039961 PECOS PAC ID: 5294754487 Enrollment ID: I20051116000962 |
| Provider Name | Brent J Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477660389 PECOS PAC ID: 3274552096 Enrollment ID: I20051121001024 |
| Provider Name | Michael G Oldroyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356360192 PECOS PAC ID: 4880615806 Enrollment ID: I20051216000754 |
| Provider Name | Wayne Richard Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699781054 PECOS PAC ID: 9931120995 Enrollment ID: I20051219000199 |
| Provider Name | Kismet Dogu Rasmusson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265441059 PECOS PAC ID: 3678595659 Enrollment ID: I20051220000171 |
| Provider Name | Morton Pellatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376651885 PECOS PAC ID: 8325060114 Enrollment ID: I20051221000255 |
| Provider Name | David Kent Tensmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336169176 PECOS PAC ID: 3779505508 Enrollment ID: I20051221000366 |
| Provider Name | Cynthia L Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770530495 PECOS PAC ID: 2163401290 Enrollment ID: I20051222000176 |
| Provider Name | Lynn M Gaufin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205857158 PECOS PAC ID: 8820010382 Enrollment ID: I20051227000332 |
| Provider Name | Kevin J Walsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609845734 PECOS PAC ID: 5395767883 Enrollment ID: I20051227000576 |
| Provider Name | Bryan Joe Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386719227 PECOS PAC ID: 4688696172 Enrollment ID: I20051227000643 |
| Provider Name | Chad Lynn Merrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730176512 PECOS PAC ID: 5991727422 Enrollment ID: I20051228000332 |
| Provider Name | Steve Roe Souter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265450530 PECOS PAC ID: 8628090156 Enrollment ID: I20051228000334 |
| Provider Name | Adam Fredrick Ghiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154349413 PECOS PAC ID: 8729000104 Enrollment ID: I20051229000029 |
| Provider Name | Jeffrey Scott Osborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043288368 PECOS PAC ID: 3173591096 Enrollment ID: I20051230000024 |
| Provider Name | Glenn K Schemmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689628992 PECOS PAC ID: 7517989734 Enrollment ID: I20051230000363 |
| Provider Name | Harlan R Muntz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255421863 PECOS PAC ID: 5193747350 Enrollment ID: I20051230000654 |
| Provider Name | Robert E Fowles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811927965 PECOS PAC ID: 8224050331 Enrollment ID: I20060103000423 |
| Provider Name | Polly P Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639271398 PECOS PAC ID: 7214959329 Enrollment ID: I20060103000432 |
| Provider Name | Patrick Raphael Mcdermott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883280 PECOS PAC ID: 9739101866 Enrollment ID: I20060103000578 |
| Provider Name | George D Pitts |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851320642 PECOS PAC ID: 1557383692 Enrollment ID: I20060103000668 |
| Provider Name | Russell Nelson Hirst |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871587774 PECOS PAC ID: 3476576596 Enrollment ID: I20060104000388 |
| Provider Name | Ronald H Crouch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952342248 PECOS PAC ID: 3274556089 Enrollment ID: I20060106000882 |
| Provider Name | Lindell Ken Weaver |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1447270699 PECOS PAC ID: 2769405588 Enrollment ID: I20060107000038 |
| Provider Name | Rodney W Merrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932196771 PECOS PAC ID: 2668495482 Enrollment ID: I20060107000046 |
| Provider Name | Stephen John Warner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164453106 PECOS PAC ID: 9537182209 Enrollment ID: I20060109000483 |
| Provider Name | Gregory P Tayler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043297815 PECOS PAC ID: 8729001334 Enrollment ID: I20060110000673 |
| Provider Name | Lynn S Chidester |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932156247 PECOS PAC ID: 3577586007 Enrollment ID: I20060110000922 |
| Provider Name | Michael W Mangelson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114944790 PECOS PAC ID: 6709809288 Enrollment ID: I20060111000145 |
| Provider Name | Alan Ross Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518069020 PECOS PAC ID: 6901829498 Enrollment ID: I20060111000224 |
| Provider Name | Raymond Richard Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386669018 PECOS PAC ID: 5890718217 Enrollment ID: I20060111000483 |
| Provider Name | Jeffrey Michael Mcnally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093733354 PECOS PAC ID: 5496778821 Enrollment ID: I20060111000622 |
| Provider Name | Joseph Brent Muhlestein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689683435 PECOS PAC ID: 7012930449 Enrollment ID: I20060111000643 |
| Provider Name | Paul K Gardner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821012832 PECOS PAC ID: 0042233405 Enrollment ID: I20060111000899 |
| Provider Name | James M Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780627273 PECOS PAC ID: 2567485931 Enrollment ID: I20060111000946 |
| Provider Name | Joel G Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417977075 PECOS PAC ID: 3375566599 Enrollment ID: I20060112001072 |
| Provider Name | Howard Reed Reichman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932123940 PECOS PAC ID: 7810910031 Enrollment ID: I20060112001078 |
| Provider Name | Johnnie Vance Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104934280 PECOS PAC ID: 5193749380 Enrollment ID: I20060113000714 |
| Provider Name | Tod L Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497713648 PECOS PAC ID: 7315961513 Enrollment ID: I20060113000764 |
| Provider Name | Eric H Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356364038 PECOS PAC ID: 3678597887 Enrollment ID: I20060113000874 |
| Provider Name | Douglas Paul Plowman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255362273 PECOS PAC ID: 5991602732 Enrollment ID: I20060113000891 |
| Provider Name | Stephanie Sue Gelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114017712 PECOS PAC ID: 3577587708 Enrollment ID: I20060114000021 |
| Provider Name | Ali Ahmed Fazili |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013994813 PECOS PAC ID: 6800810037 Enrollment ID: I20060114000062 |
| Provider Name | Scott Mckenzie Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336169788 PECOS PAC ID: 8426072661 Enrollment ID: I20060116000076 |
| Provider Name | Michael Cary Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902827322 PECOS PAC ID: 2062436207 Enrollment ID: I20060116000082 |
| Provider Name | Robert Sheldon Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679598312 PECOS PAC ID: 1951325190 Enrollment ID: I20060116000098 |
| Provider Name | Michael James Mclaughlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841213691 PECOS PAC ID: 0941224190 Enrollment ID: I20060116000116 |
| Provider Name | Rudolf Otrusinik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003922394 PECOS PAC ID: 4789576406 Enrollment ID: I20060116000223 |
| Provider Name | Michael Stanley Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326061920 PECOS PAC ID: 4981628161 Enrollment ID: I20060116000355 |
| Provider Name | Mark S Asay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114962180 PECOS PAC ID: 0941280812 Enrollment ID: I20060117000557 |
| Provider Name | Edward Hunter Redd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578597647 PECOS PAC ID: 0749204816 Enrollment ID: I20060117000790 |
| Provider Name | Carl Preston Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376651448 PECOS PAC ID: 0042234064 Enrollment ID: I20060118000053 |
| Provider Name | Kenneth M Jorgensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083648026 PECOS PAC ID: 0042234098 Enrollment ID: I20060118000279 |
| Provider Name | Kirk Grant Watkins |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1326220559 PECOS PAC ID: 2961432729 Enrollment ID: I20060118000587 |
| Provider Name | Hildegard K Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003820754 PECOS PAC ID: 5890719421 Enrollment ID: I20060120000851 |
| Provider Name | Kara a Alexander Agresta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235146937 PECOS PAC ID: 8921022559 Enrollment ID: I20060121000018 |
| Provider Name | Kevin Alan Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083641385 PECOS PAC ID: 3678597994 Enrollment ID: I20060125000338 |
| Provider Name | David T Tullis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548340714 PECOS PAC ID: 3971517129 Enrollment ID: I20060126001047 |
| Provider Name | Kari K Evans |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992545966 PECOS PAC ID: 7113931999 Enrollment ID: I20060131000912 |
| Provider Name | David J Kotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487615852 PECOS PAC ID: 9133133937 Enrollment ID: I20060201000089 |
| Provider Name | Matthew J Badger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912029778 PECOS PAC ID: 3072527746 Enrollment ID: I20060201000818 |
| Provider Name | Susan Marie Kons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770500456 PECOS PAC ID: 8224042841 Enrollment ID: I20060202000383 |
| Provider Name | Michael P Collins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366577256 PECOS PAC ID: 6608881032 Enrollment ID: I20060207000338 |
| Provider Name | Mccall Fagan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528052289 PECOS PAC ID: 9739194036 Enrollment ID: I20060207001000 |
| Provider Name | Nathan C Dean |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063437770 PECOS PAC ID: 2961417027 Enrollment ID: I20060209000674 |
| Provider Name | Teresa L Such-neibar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013924158 PECOS PAC ID: 4880609304 Enrollment ID: I20060220000365 |
| Provider Name | Randall Lynn Steinfeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578598298 PECOS PAC ID: 6406861921 Enrollment ID: I20060220000386 |
| Provider Name | Todd Lenard Shelby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275556870 PECOS PAC ID: 8921013442 Enrollment ID: I20060220000407 |
| Provider Name | James R Revenaugh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316915952 PECOS PAC ID: 6800864729 Enrollment ID: I20060222000165 |
| Provider Name | Steven Winder Wynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962510040 PECOS PAC ID: 0941216378 Enrollment ID: I20060222000617 |
| Provider Name | John Harold Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003975145 PECOS PAC ID: 2466468657 Enrollment ID: I20060224000486 |
| Provider Name | David Reed Glassford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285854612 PECOS PAC ID: 1456367432 Enrollment ID: I20060228000619 |
| Provider Name | Clayton Allen Bass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972598506 PECOS PAC ID: 1456300979 Enrollment ID: I20060320000590 |
| Provider Name | Teri Lynn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225129976 PECOS PAC ID: 1052329026 Enrollment ID: I20060403000273 |
| Provider Name | Tareq Shehadeh Harb |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407851488 PECOS PAC ID: 6901898709 Enrollment ID: I20060403000292 |
| Provider Name | Jennifer Lynne Sorensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891708319 PECOS PAC ID: 8426068560 Enrollment ID: I20060503000500 |
| Provider Name | Donald R Morris |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306806963 PECOS PAC ID: 9436128444 Enrollment ID: I20060504000295 |
| Provider Name | Melvin Eric Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700815834 PECOS PAC ID: 1850295775 Enrollment ID: I20060719000118 |
| Provider Name | Tyler L Crawford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629029319 PECOS PAC ID: 0143251397 Enrollment ID: I20060720000065 |
| Provider Name | John a Owen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336126796 PECOS PAC ID: 9335183532 Enrollment ID: I20060802000393 |
| Provider Name | Andre K Crouch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255357927 PECOS PAC ID: 2264435098 Enrollment ID: I20060817000380 |
| Provider Name | Maylinda Rose Reeves |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497770895 PECOS PAC ID: 8224031661 Enrollment ID: I20060824000393 |
| Provider Name | Diane Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659397545 PECOS PAC ID: 5294730552 Enrollment ID: I20060921000049 |
| Provider Name | Jeffery Lynn Bleazard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003836024 PECOS PAC ID: 7719982602 Enrollment ID: I20060928000004 |
| Provider Name | Marta Heilbrun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447204672 PECOS PAC ID: 0547298804 Enrollment ID: I20061002000701 |
| Provider Name | Daniel Sommers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720191216 PECOS PAC ID: 6800892118 Enrollment ID: I20061010000474 |
| Provider Name | Amrapali Mahendra Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407889033 PECOS PAC ID: 3173529922 Enrollment ID: I20061018000419 |
| Provider Name | Eric N Eiting |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447363577 PECOS PAC ID: 1951307677 Enrollment ID: I20061019000434 |
| Provider Name | Daniel Turner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457336729 PECOS PAC ID: 3476517541 Enrollment ID: I20061020000008 |
| Provider Name | Scot Bram Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538112610 PECOS PAC ID: 4082610746 Enrollment ID: I20061020000120 |
| Provider Name | Spencer Lee Scoville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821192436 PECOS PAC ID: 5092758607 Enrollment ID: I20061026000484 |
| Provider Name | Karen Anna Rymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821002262 PECOS PAC ID: 9830196278 Enrollment ID: I20061027000436 |
| Provider Name | Jennifer J Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255348942 PECOS PAC ID: 1355348608 Enrollment ID: I20061028000000 |
| Provider Name | Eugene R Worth |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1801816061 PECOS PAC ID: 1557392388 Enrollment ID: I20061028000001 |
| Provider Name | Mariam Nabil Nassif |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326043209 PECOS PAC ID: 2163412032 Enrollment ID: I20061028000004 |
| Provider Name | Robert Clark Moesinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497717011 PECOS PAC ID: 4981601234 Enrollment ID: I20061028000005 |
| Provider Name | Erick Bernard Gerday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538172606 PECOS PAC ID: 6709883051 Enrollment ID: I20061028000007 |
| Provider Name | Erik Reinhard Riessen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619086493 PECOS PAC ID: 1759341639 Enrollment ID: I20061030000042 |
| Provider Name | David Nathan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194731240 PECOS PAC ID: 1254374903 Enrollment ID: I20061102000643 |
| Provider Name | Troy Edward Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689609240 PECOS PAC ID: 9638112600 Enrollment ID: I20061117000242 |
| Provider Name | Scott C Gardner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720192966 PECOS PAC ID: 0749288983 Enrollment ID: I20061122000035 |
| Provider Name | Kelly Diane Nolan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881709889 PECOS PAC ID: 1355372012 Enrollment ID: I20061122000481 |
| Provider Name | Erin Anne Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457305757 PECOS PAC ID: 9335147354 Enrollment ID: I20061129000133 |
| Provider Name | Meghan Lynn Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174617773 PECOS PAC ID: 5890794465 Enrollment ID: I20061208000010 |
| Provider Name | Chad Ryan Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639288715 PECOS PAC ID: 0941209548 Enrollment ID: I20061208000328 |
| Provider Name | Samuel Morris Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013998947 PECOS PAC ID: 2769452507 Enrollment ID: I20061221000520 |
| Provider Name | Robert Louis Mazzola |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1629142898 PECOS PAC ID: 4284691437 Enrollment ID: I20061227000365 |
| Provider Name | Masarret Ashfaq Fazili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417918145 PECOS PAC ID: 7618977547 Enrollment ID: I20061228000053 |
| Provider Name | Michael Chad Wallis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558384388 PECOS PAC ID: 6406856046 Enrollment ID: I20070105000192 |
| Provider Name | Susan Steffen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518988799 PECOS PAC ID: 2264432509 Enrollment ID: I20070110000223 |
| Provider Name | Steven R Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134157613 PECOS PAC ID: 9931175346 Enrollment ID: I20070116000247 |
| Provider Name | Michael R Kline |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073531331 PECOS PAC ID: 8325049273 Enrollment ID: I20070120000105 |
| Provider Name | Donald W Childs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427069152 PECOS PAC ID: 3375572118 Enrollment ID: I20070122000154 |
| Provider Name | Mark L Wardle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639274574 PECOS PAC ID: 2163423393 Enrollment ID: I20070130000648 |
| Provider Name | Jennifer Johnson Tittensor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568497634 PECOS PAC ID: 5890774137 Enrollment ID: I20070130000688 |
| Provider Name | Shane Harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265519748 PECOS PAC ID: 9931101128 Enrollment ID: I20070131000496 |
| Provider Name | Robert a Mehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376648212 PECOS PAC ID: 8022010016 Enrollment ID: I20070205000071 |
| Provider Name | Jennifer S Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134224090 PECOS PAC ID: 7618979303 Enrollment ID: I20070208000670 |
| Provider Name | Scott Bryant Mckay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013008408 PECOS PAC ID: 8224030622 Enrollment ID: I20070214000268 |
| Provider Name | Lisa Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255304408 PECOS PAC ID: 0446287627 Enrollment ID: I20070215000749 |
| Provider Name | Jared Ben Hains |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780750091 PECOS PAC ID: 3870695950 Enrollment ID: I20070220000329 |
| Provider Name | Steve M Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891764965 PECOS PAC ID: 9436253267 Enrollment ID: I20070403000467 |
| Provider Name | Jason M Stinnett |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861501694 PECOS PAC ID: 5799745899 Enrollment ID: I20070411000078 |
| Provider Name | Matthew James Hegewald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710094065 PECOS PAC ID: 5294639472 Enrollment ID: I20070412000168 |
| Provider Name | Karen Marlena Frieden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043289820 PECOS PAC ID: 8820051501 Enrollment ID: I20070419000291 |
| Provider Name | Lara Cooley Portmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972669182 PECOS PAC ID: 4183720121 Enrollment ID: I20070508000146 |
| Provider Name | Christina Atkinson Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306908264 PECOS PAC ID: 6709982762 Enrollment ID: I20070508000354 |
| Provider Name | Lee Walker Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588660773 PECOS PAC ID: 6305942368 Enrollment ID: I20070508000394 |
| Provider Name | Jeremy Todd Booth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710999685 PECOS PAC ID: 9032215868 Enrollment ID: I20070510000465 |
| Provider Name | Thomas W White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831184175 PECOS PAC ID: 8628967882 Enrollment ID: I20070516000083 |
| Provider Name | Mustufa T Saifee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568428357 PECOS PAC ID: 9537266135 Enrollment ID: I20070516000089 |
| Provider Name | David Turley Cragun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821005349 PECOS PAC ID: 4284536087 Enrollment ID: I20070517000274 |
| Provider Name | Charles Michael Ayers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649224940 PECOS PAC ID: 6709984628 Enrollment ID: I20070531000043 |
| Provider Name | Warren Lewis Butterfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891819843 PECOS PAC ID: 0244338507 Enrollment ID: I20070611000092 |
| Provider Name | Melanie Corbett Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417945023 PECOS PAC ID: 9537268552 Enrollment ID: I20070615000330 |
| Provider Name | Jay Todd Bishoff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477531705 PECOS PAC ID: 5092718510 Enrollment ID: I20070625000423 |
| Provider Name | Mindy a Norris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114133154 PECOS PAC ID: 3173623055 Enrollment ID: I20070706000074 |
| Provider Name | Joshua David Bradley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366651671 PECOS PAC ID: 8527168384 Enrollment ID: I20070709000252 |
| Provider Name | David Elden Schow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033238209 PECOS PAC ID: 6103926951 Enrollment ID: I20070710000518 |
| Provider Name | Greg Eric Halliday |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366431918 PECOS PAC ID: 6204875602 Enrollment ID: I20070718000088 |
| Provider Name | Colby B Petersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740229913 PECOS PAC ID: 4880795707 Enrollment ID: I20070723000453 |
| Provider Name | Heather Michelle Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700860350 PECOS PAC ID: 1658472352 Enrollment ID: I20070725000324 |
| Provider Name | Robert John Bunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659494680 PECOS PAC ID: 2365543766 Enrollment ID: I20070730000634 |
| Provider Name | Derek R Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194731091 PECOS PAC ID: 3678664968 Enrollment ID: I20070731000582 |
| Provider Name | Clark Joseph Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134136906 PECOS PAC ID: 9335230119 Enrollment ID: I20070808000478 |
| Provider Name | Robert R Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497701270 PECOS PAC ID: 2860463593 Enrollment ID: I20070809000075 |
| Provider Name | Matthew E Nokes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528280385 PECOS PAC ID: 4587756580 Enrollment ID: I20070822000935 |
| Provider Name | Christopher James Hanrahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659406288 PECOS PAC ID: 9739271685 Enrollment ID: I20070822001561 |
| Provider Name | David Cottam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356309512 PECOS PAC ID: 3971515495 Enrollment ID: I20070823000155 |
| Provider Name | Robert Jackson Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225023088 PECOS PAC ID: 6901990985 Enrollment ID: I20070921000103 |
| Provider Name | Yuri Valerievich Khodakov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700099983 PECOS PAC ID: 2062506785 Enrollment ID: I20070925000541 |
| Provider Name | Jed C Southwick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366651481 PECOS PAC ID: 3274627948 Enrollment ID: I20070926000260 |
| Provider Name | Jennifer Lynn Malone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578784047 PECOS PAC ID: 2062492028 Enrollment ID: I20071002000107 |
| Provider Name | Allison E Tonkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811940794 PECOS PAC ID: 8426042607 Enrollment ID: I20071002000276 |
| Provider Name | Berkeley Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932121787 PECOS PAC ID: 3476559758 Enrollment ID: I20071002000536 |
| Provider Name | Chaya R Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679767842 PECOS PAC ID: 4880789759 Enrollment ID: I20071008000186 |
| Provider Name | Deserae J Goble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366415770 PECOS PAC ID: 6002830239 Enrollment ID: I20071011000091 |
| Provider Name | Spencer C Debry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194797738 PECOS PAC ID: 9133215718 Enrollment ID: I20071011000625 |
| Provider Name | Gregg J Stephany |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487747515 PECOS PAC ID: 0345259057 Enrollment ID: I20071019000109 |
| Provider Name | Elizabeth Leeanne Darling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114115862 PECOS PAC ID: 5890881791 Enrollment ID: I20071023000201 |
| Provider Name | David Aaron Nydegger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609818137 PECOS PAC ID: 3274572912 Enrollment ID: I20071025000010 |
| Provider Name | Michael Wheeler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922093053 PECOS PAC ID: 9436042991 Enrollment ID: I20071030000155 |
| Provider Name | Anna Lind Petersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750577813 PECOS PAC ID: 6901993559 Enrollment ID: I20071030000459 |
| Provider Name | Kent Guy Meredith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598966822 PECOS PAC ID: 2365530714 Enrollment ID: I20071119000098 |
| Provider Name | Lance F Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801089214 PECOS PAC ID: 9335238377 Enrollment ID: I20071129000021 |
| Provider Name | Andras Zoltan Nemeth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932189032 PECOS PAC ID: 2062406234 Enrollment ID: I20071219000224 |
| Provider Name | Todd James Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780877191 PECOS PAC ID: 0941390512 Enrollment ID: I20071219000636 |
| Provider Name | Douglas C Dillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912075771 PECOS PAC ID: 0143300186 Enrollment ID: I20080103000541 |
| Provider Name | Edward Q Shepherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720039928 PECOS PAC ID: 6901829209 Enrollment ID: I20080111000271 |
| Provider Name | Matthew James Parsons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356459010 PECOS PAC ID: 8729183108 Enrollment ID: I20080124000625 |
| Provider Name | Jennifer Lynn Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841413820 PECOS PAC ID: 6002998325 Enrollment ID: I20080125000293 |
| Provider Name | Jeremy William Broadhurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114115664 PECOS PAC ID: 0446332761 Enrollment ID: I20080125000315 |
| Provider Name | Sarah W Daly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457549263 PECOS PAC ID: 8224110549 Enrollment ID: I20080125000341 |
| Provider Name | Elizabeth Demos Nicholson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245262229 PECOS PAC ID: 6103821459 Enrollment ID: I20080128000274 |
| Provider Name | Heather L Heileson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649244252 PECOS PAC ID: 0446332506 Enrollment ID: I20080128000676 |
| Provider Name | Lisa Lloyd Giles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841408309 PECOS PAC ID: 7719069699 Enrollment ID: I20080131000037 |
| Provider Name | Erin M Monroy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396839239 PECOS PAC ID: 7315029154 Enrollment ID: I20080131000601 |
| Provider Name | Sujata Devi Kaushal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851437321 PECOS PAC ID: 0749384063 Enrollment ID: I20080207000097 |
| Provider Name | Brandi L Bolton Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811176761 PECOS PAC ID: 3375626583 Enrollment ID: I20080212000125 |
| Provider Name | David Lyle Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326248022 PECOS PAC ID: 1951484013 Enrollment ID: I20080212000655 |
| Provider Name | Patrick C Cartwright |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467542050 PECOS PAC ID: 7719969419 Enrollment ID: I20080220000691 |
| Provider Name | Steven Aaron O Klomp |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588611602 PECOS PAC ID: 3971533258 Enrollment ID: I20080304000010 |
| Provider Name | Mark John Ott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003889262 PECOS PAC ID: 4082799671 Enrollment ID: I20080306000339 |
| Provider Name | Matthew M Grinsell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346364429 PECOS PAC ID: 3870678469 Enrollment ID: I20080306000368 |
| Provider Name | Rebecca J Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700818911 PECOS PAC ID: 9537244157 Enrollment ID: I20080306000595 |
| Provider Name | Colin Kerst Grissom |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124044532 PECOS PAC ID: 9931284569 Enrollment ID: I20080306000652 |
| Provider Name | Don Howard Van Boerum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780798033 PECOS PAC ID: 0042225922 Enrollment ID: I20080312000406 |
| Provider Name | William Richard Duehlmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528124732 PECOS PAC ID: 9739264946 Enrollment ID: I20080312000501 |
| Provider Name | Craig R French |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376731083 PECOS PAC ID: 5294810248 Enrollment ID: I20080314000259 |
| Provider Name | Douglas C Vogel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356364129 PECOS PAC ID: 0648234682 Enrollment ID: I20080318000713 |
| Provider Name | Justin D Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285671446 PECOS PAC ID: 2769481829 Enrollment ID: I20080319000180 |
| Provider Name | Jeffrey Alan Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225221807 PECOS PAC ID: 8729164413 Enrollment ID: I20080320000320 |
| Provider Name | Dustin Andrew Armstrong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790841849 PECOS PAC ID: 4082791827 Enrollment ID: I20080404000079 |
| Provider Name | Steven Wayne Shamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235231747 PECOS PAC ID: 2365341377 Enrollment ID: I20080404000200 |
| Provider Name | Francis X Yubero |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922010925 PECOS PAC ID: 7315841640 Enrollment ID: I20080408000401 |
| Provider Name | Virgil Welch Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245275270 PECOS PAC ID: 5890687115 Enrollment ID: I20080408000759 |
| Provider Name | Steven B Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467471284 PECOS PAC ID: 8729001029 Enrollment ID: I20080410000634 |
| Provider Name | Tracy Orr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023037850 PECOS PAC ID: 1456374750 Enrollment ID: I20080410000652 |
| Provider Name | Sarah Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124204052 PECOS PAC ID: 9133207046 Enrollment ID: I20080417000386 |
| Provider Name | Eliotte Hirshberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255502217 PECOS PAC ID: 7810989779 Enrollment ID: I20080428000134 |
| Provider Name | Jody L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801982376 PECOS PAC ID: 8426136631 Enrollment ID: I20080428000618 |
| Provider Name | Erica S Chenoweth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679756373 PECOS PAC ID: 8921186131 Enrollment ID: I20080428000641 |
| Provider Name | Isaac J Bingham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144411489 PECOS PAC ID: 4880772029 Enrollment ID: I20080429000172 |
| Provider Name | Scott J Samuelson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922288588 PECOS PAC ID: 3971682964 Enrollment ID: I20080501000501 |
| Provider Name | Gregory Lowell Gochnour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326118506 PECOS PAC ID: 7618983776 Enrollment ID: I20080505000078 |
| Provider Name | Steven Richard Granger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174670582 PECOS PAC ID: 2062504616 Enrollment ID: I20080508000086 |
| Provider Name | Mark Kringlen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326256314 PECOS PAC ID: 9830278241 Enrollment ID: I20080509000128 |
| Provider Name | Kraig Lynn Packer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518959535 PECOS PAC ID: 3779471412 Enrollment ID: I20080520000842 |
| Provider Name | Jonathan Silverstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639175144 PECOS PAC ID: 5597663245 Enrollment ID: I20080529000109 |
| Provider Name | Joshua WB Klatt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063683209 PECOS PAC ID: 7911077102 Enrollment ID: I20080530000121 |
| Provider Name | Laura L Sells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407844046 PECOS PAC ID: 5193895779 Enrollment ID: I20080609000637 |
| Provider Name | Brendan F Cummins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598794901 PECOS PAC ID: 5395780779 Enrollment ID: I20080616000651 |
| Provider Name | Jason D Henrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629252424 PECOS PAC ID: 5092886986 Enrollment ID: I20080620000133 |
| Provider Name | Kelly M Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467674218 PECOS PAC ID: 1355412248 Enrollment ID: I20080620000148 |
| Provider Name | Mengjing Huan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447459151 PECOS PAC ID: 1052482817 Enrollment ID: I20080623000097 |
| Provider Name | Milton Nathan Starr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750578852 PECOS PAC ID: 4688746852 Enrollment ID: I20080702000672 |
| Provider Name | Kory T Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922137140 PECOS PAC ID: 3375615560 Enrollment ID: I20080703000116 |
| Provider Name | Timothy Michael Trask |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003832551 PECOS PAC ID: 7416029368 Enrollment ID: I20080709000429 |
| Provider Name | Kimberly Dawn Megwalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356508857 PECOS PAC ID: 9133292774 Enrollment ID: I20080715000863 |
| Provider Name | Ronald Firth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477562767 PECOS PAC ID: 3870666274 Enrollment ID: I20080717000736 |
| Provider Name | Claude a Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376561688 PECOS PAC ID: 0345313409 Enrollment ID: I20080722000762 |
| Provider Name | William F Gowski |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1275714115 PECOS PAC ID: 3072686054 Enrollment ID: I20080724000209 |
| Provider Name | Jodi Morstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942488002 PECOS PAC ID: 4284708082 Enrollment ID: I20080728000508 |
| Provider Name | Edward John Frech |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942496757 PECOS PAC ID: 8123192622 Enrollment ID: I20080731000804 |
| Provider Name | Daniel C Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669672366 PECOS PAC ID: 2668546821 Enrollment ID: I20080806000194 |
| Provider Name | Shannon L Gullett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669559118 PECOS PAC ID: 9335213255 Enrollment ID: I20080811000211 |
| Provider Name | Henry Herrod |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700092319 PECOS PAC ID: 5698840262 Enrollment ID: I20080815000338 |
| Provider Name | Matthew T Ahern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639107543 PECOS PAC ID: 6002819612 Enrollment ID: I20080820000305 |
| Provider Name | David C Wang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649491440 PECOS PAC ID: 7416022702 Enrollment ID: I20080821000200 |
| Provider Name | Matthew Stephen Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245496397 PECOS PAC ID: 5092880252 Enrollment ID: I20080822000162 |
| Provider Name | Michael D Rollins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770707713 PECOS PAC ID: 2567538473 Enrollment ID: I20080828000589 |
| Provider Name | Joel R Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053500736 PECOS PAC ID: 1355417841 Enrollment ID: I20080908000106 |
| Provider Name | Shane M Kjar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013932342 PECOS PAC ID: 7517033806 Enrollment ID: I20080911000031 |
| Provider Name | Brady Paul Barker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588863880 PECOS PAC ID: 0749357655 Enrollment ID: I20080918000317 |
| Provider Name | Hyong T Kim |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427236082 PECOS PAC ID: 3577630086 Enrollment ID: I20080925000419 |
| Provider Name | Jared Abraham Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992952287 PECOS PAC ID: 0749357176 Enrollment ID: I20080925000746 |
| Provider Name | Brian C Lofgran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558518845 PECOS PAC ID: 7618044066 Enrollment ID: I20080926000145 |
| Provider Name | Matthew Mcnairy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265404834 PECOS PAC ID: 8628023652 Enrollment ID: I20080930000752 |
| Provider Name | Jeffrey L Bell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992869598 PECOS PAC ID: 1759349327 Enrollment ID: I20081007000594 |
| Provider Name | Christian Mclain Neff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164619474 PECOS PAC ID: 8022186378 Enrollment ID: I20081014000263 |
| Provider Name | Katherine M Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790979268 PECOS PAC ID: 4587732847 Enrollment ID: I20081014000363 |
| Provider Name | Justin T Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104913425 PECOS PAC ID: 8628014271 Enrollment ID: I20081027000247 |
| Provider Name | Thomas Alexander Pilcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437247582 PECOS PAC ID: 2567440548 Enrollment ID: I20081028000177 |
| Provider Name | Matthew Butrum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710187133 PECOS PAC ID: 0143388629 Enrollment ID: I20081028000378 |
| Provider Name | Lucinda L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831340389 PECOS PAC ID: 5698834505 Enrollment ID: I20081106000862 |
| Provider Name | Kristin Kimberly Dascomb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861688939 PECOS PAC ID: 4688733249 Enrollment ID: I20081111000744 |
| Provider Name | Adon Pearson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003998659 PECOS PAC ID: 3971501222 Enrollment ID: I20081113000730 |
| Provider Name | Daniel Justet Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902095631 PECOS PAC ID: 7113087503 Enrollment ID: I20081114000389 |
| Provider Name | Amy Stowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649429887 PECOS PAC ID: 4284794587 Enrollment ID: I20081117000366 |
| Provider Name | Robert Greally |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649214867 PECOS PAC ID: 2567419799 Enrollment ID: I20081117000661 |
| Provider Name | Kelly L Konopa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033272489 PECOS PAC ID: 3779643010 Enrollment ID: I20081117000689 |
| Provider Name | Jennifer Anne Reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326118274 PECOS PAC ID: 2264431899 Enrollment ID: I20081124000358 |
| Provider Name | Michelle Francis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841443892 PECOS PAC ID: 7416017215 Enrollment ID: I20081124000757 |
| Provider Name | Lynette M Brown |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902943988 PECOS PAC ID: 4880764349 Enrollment ID: I20081126000479 |
| Provider Name | Jenifer K Lingeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467650119 PECOS PAC ID: 8921169566 Enrollment ID: I20081202000080 |
| Provider Name | Thomas Gadsby Asturias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336334135 PECOS PAC ID: 3173613031 Enrollment ID: I20081203000220 |
| Provider Name | Paul Bomin Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316951890 PECOS PAC ID: 4587725510 Enrollment ID: I20081209000192 |
| Provider Name | James Forrest Orme |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003836255 PECOS PAC ID: 0840352514 Enrollment ID: I20081215000684 |
| Provider Name | Oliver L Mcpherson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053302786 PECOS PAC ID: 2264594860 Enrollment ID: I20081216000212 |
| Provider Name | Cindy Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841470879 PECOS PAC ID: 4688736028 Enrollment ID: I20081219000095 |
| Provider Name | Ellen Michelle Arch |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1154411890 PECOS PAC ID: 6002840246 Enrollment ID: I20081229000590 |
| Provider Name | Brooke Hammond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548344492 PECOS PAC ID: 6002983244 Enrollment ID: I20081231000503 |
| Provider Name | Wendy a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245422617 PECOS PAC ID: 9638232655 Enrollment ID: I20090116000103 |
| Provider Name | Tavia W Mathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487802914 PECOS PAC ID: 0345304945 Enrollment ID: I20090127000146 |
| Provider Name | Kristen Rae Bolke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467617084 PECOS PAC ID: 2163586793 Enrollment ID: I20090127000436 |
| Provider Name | Joseph Robert Bledsoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760656391 PECOS PAC ID: 0648334748 Enrollment ID: I20090205000046 |
| Provider Name | Owen Bennett Ginocchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568669158 PECOS PAC ID: 9830253814 Enrollment ID: I20090206000100 |
| Provider Name | Justin D Abbott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184814436 PECOS PAC ID: 5890850523 Enrollment ID: I20090212000712 |
| Provider Name | Christopher S Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306997630 PECOS PAC ID: 0143385476 Enrollment ID: I20090219000417 |
| Provider Name | Elizabeth Mabey Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427108240 PECOS PAC ID: 9436188166 Enrollment ID: I20090219000630 |
| Provider Name | James Langley Orford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902843931 PECOS PAC ID: 1951375880 Enrollment ID: I20090223000248 |
| Provider Name | Rebecca T Carman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417101445 PECOS PAC ID: 9335148147 Enrollment ID: I20090331000108 |
| Provider Name | Sara Sue Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720228091 PECOS PAC ID: 7618024845 Enrollment ID: I20090406000091 |
| Provider Name | Curt C Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295863694 PECOS PAC ID: 6608774682 Enrollment ID: I20090414000278 |
| Provider Name | Christy Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083869101 PECOS PAC ID: 8921155698 Enrollment ID: I20090415000331 |
| Provider Name | Bradley J Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205938958 PECOS PAC ID: 2163570441 Enrollment ID: I20090423000794 |
| Provider Name | Dallon Dudley Whitney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891914941 PECOS PAC ID: 8224186515 Enrollment ID: I20090424000113 |
| Provider Name | James Robert Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427157148 PECOS PAC ID: 7214085307 Enrollment ID: I20090429000334 |
| Provider Name | Charlene Blood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376675231 PECOS PAC ID: 9739237413 Enrollment ID: I20090507000240 |
| Provider Name | Burke M Hatch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770769895 PECOS PAC ID: 8022167519 Enrollment ID: I20090512000287 |
| Provider Name | Aaron Pugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306097639 PECOS PAC ID: 2769531201 Enrollment ID: I20090512000653 |
| Provider Name | Wesley Reed Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174770440 PECOS PAC ID: 8729138318 Enrollment ID: I20090602000261 |
| Provider Name | Deirdre a Caplin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649360231 PECOS PAC ID: 0648320259 Enrollment ID: I20090602000362 |
| Provider Name | Colby R Hansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245429018 PECOS PAC ID: 5991855504 Enrollment ID: I20090602000377 |
| Provider Name | Anne M Coleman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578570032 PECOS PAC ID: 4385794932 Enrollment ID: I20090603000022 |
| Provider Name | Kelly Ramsay Oneal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053401240 PECOS PAC ID: 8921190505 Enrollment ID: I20090612000271 |
| Provider Name | Alison Giavanna Desano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902912611 PECOS PAC ID: 9638220239 Enrollment ID: I20090622000253 |
| Provider Name | Edward Christian Miner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447387386 PECOS PAC ID: 0244131001 Enrollment ID: I20090625000163 |
| Provider Name | Jamison Cullimore Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205031549 PECOS PAC ID: 4587715867 Enrollment ID: I20090626000116 |
| Provider Name | Matthew Jason Hancey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174737548 PECOS PAC ID: 7810048915 Enrollment ID: I20090701000325 |
| Provider Name | Peter H Maughan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700066768 PECOS PAC ID: 9133271968 Enrollment ID: I20090713000553 |
| Provider Name | Jeremy R Hopkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558467084 PECOS PAC ID: 8123124633 Enrollment ID: I20090714000588 |
| Provider Name | Rami Alharethi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851306369 PECOS PAC ID: 3779504931 Enrollment ID: I20090715000736 |
| Provider Name | Jeremy S Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326233669 PECOS PAC ID: 0244398295 Enrollment ID: I20090724000718 |
| Provider Name | Jonathan B Gunther |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023073459 PECOS PAC ID: 5496826505 Enrollment ID: I20090727000723 |
| Provider Name | Jeffrey Paul Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174662118 PECOS PAC ID: 0042381154 Enrollment ID: I20090728000262 |
| Provider Name | Boyd Neil Cole |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114065893 PECOS PAC ID: 6800949587 Enrollment ID: I20090728000398 |
| Provider Name | Daniel T Robrecht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033258223 PECOS PAC ID: 6608961461 Enrollment ID: I20090803000020 |
| Provider Name | Sara Elizabeth Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033147137 PECOS PAC ID: 3375697212 Enrollment ID: I20090812000406 |
| Provider Name | Luisa Edith Todd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366694812 PECOS PAC ID: 1153475918 Enrollment ID: I20090817000388 |
| Provider Name | Deidra D Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700020369 PECOS PAC ID: 5799839098 Enrollment ID: I20090820000890 |
| Provider Name | Peter Crossno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083761936 PECOS PAC ID: 2264586361 Enrollment ID: I20090824000220 |
| Provider Name | Spencer Robertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225172661 PECOS PAC ID: 5193828747 Enrollment ID: I20090826000947 |
| Provider Name | Jennifer P Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578746996 PECOS PAC ID: 6002961794 Enrollment ID: I20090901000664 |
| Provider Name | William Beninati |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902880685 PECOS PAC ID: 3678558947 Enrollment ID: I20090902000117 |
| Provider Name | Jesse N Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629206149 PECOS PAC ID: 9638224975 Enrollment ID: I20090909000780 |
| Provider Name | Jonathan M Guenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619006426 PECOS PAC ID: 9133275316 Enrollment ID: I20090914000679 |
| Provider Name | Spencer J Proctor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447472956 PECOS PAC ID: 7618023722 Enrollment ID: I20090915000264 |
| Provider Name | Kyle Andrews Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013187525 PECOS PAC ID: 0840346961 Enrollment ID: I20090915000330 |
| Provider Name | Harland Norman Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982733796 PECOS PAC ID: 7214083336 Enrollment ID: I20090915000409 |
| Provider Name | Matthew David Ashton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790946002 PECOS PAC ID: 8921154055 Enrollment ID: I20090915000428 |
| Provider Name | Jonathan Morris Bowen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619193026 PECOS PAC ID: 7214001528 Enrollment ID: I20090915000445 |
| Provider Name | Allison Oki |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063689750 PECOS PAC ID: 8123174067 Enrollment ID: I20090918000154 |
| Provider Name | Amy K Wight |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356558407 PECOS PAC ID: 8921154774 Enrollment ID: I20090918000385 |
| Provider Name | Karl M Francis Jr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669521571 PECOS PAC ID: 1052494929 Enrollment ID: I20091002000270 |
| Provider Name | Andrew M Strong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912130311 PECOS PAC ID: 6204972771 Enrollment ID: I20091014000290 |
| Provider Name | Charles D Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619105236 PECOS PAC ID: 8123165370 Enrollment ID: I20091021000391 |
| Provider Name | Viktoria Kaplan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669422457 PECOS PAC ID: 3173567427 Enrollment ID: I20091103000366 |
| Provider Name | Jodi L Parker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548594666 PECOS PAC ID: 0244378602 Enrollment ID: I20091105000387 |
| Provider Name | Gary David Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306022603 PECOS PAC ID: 0941348296 Enrollment ID: I20091106000527 |
| Provider Name | Tate L Viehweg |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1063492981 PECOS PAC ID: 5799823761 Enrollment ID: I20091111000569 |
| Provider Name | Brayden Thomas Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831363225 PECOS PAC ID: 7517005457 Enrollment ID: I20091112000489 |
| Provider Name | Myung Hoon Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518121771 PECOS PAC ID: 4183787559 Enrollment ID: I20091208000099 |
| Provider Name | Massimo Testa |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1699751008 PECOS PAC ID: 7719934264 Enrollment ID: I20091210000596 |
| Provider Name | William J Conover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316044381 PECOS PAC ID: 5092858621 Enrollment ID: I20100204000741 |
| Provider Name | Bradley John Bentley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952354789 PECOS PAC ID: 7113949231 Enrollment ID: I20100215000531 |
| Provider Name | David George Dienhart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184601940 PECOS PAC ID: 4183768849 Enrollment ID: I20100218000213 |
| Provider Name | Dan J Daley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700806890 PECOS PAC ID: 2668517764 Enrollment ID: I20100301000398 |
| Provider Name | Sunny Pandita |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023095809 PECOS PAC ID: 4284779158 Enrollment ID: I20100303000301 |
| Provider Name | Patricia Landon Nelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629051206 PECOS PAC ID: 9234274150 Enrollment ID: I20100303000781 |
| Provider Name | Sara J Pieper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134159106 PECOS PAC ID: 8426193202 Enrollment ID: I20100304000285 |
| Provider Name | Amy Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598991275 PECOS PAC ID: 6103951363 Enrollment ID: I20100315000095 |
| Provider Name | Gary Halversen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487625869 PECOS PAC ID: 1557496643 Enrollment ID: I20100315000445 |
| Provider Name | Mindy B Crockett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225297419 PECOS PAC ID: 7012043003 Enrollment ID: I20100329001118 |
| Provider Name | Craig Sheldon Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851347090 PECOS PAC ID: 7416083407 Enrollment ID: I20100329001193 |
| Provider Name | R Richard Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528008588 PECOS PAC ID: 9234265224 Enrollment ID: I20100329001196 |
| Provider Name | Laura Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013246925 PECOS PAC ID: 0648306555 Enrollment ID: I20100330001177 |
| Provider Name | Douglas L Brockmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942390521 PECOS PAC ID: 9931237534 Enrollment ID: I20100430000696 |
| Provider Name | Kim M Corbin Lewis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750403523 PECOS PAC ID: 8224166285 Enrollment ID: I20100512000485 |
| Provider Name | Natalie C Haws |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710110713 PECOS PAC ID: 4587792494 Enrollment ID: I20100513001168 |
| Provider Name | Ashley L Iwasaki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356675797 PECOS PAC ID: 6204965791 Enrollment ID: I20100520001064 |
| Provider Name | Donna Lucille Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861721086 PECOS PAC ID: 0143359901 Enrollment ID: I20100603000876 |
| Provider Name | Layne T Summers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528087848 PECOS PAC ID: 8921136730 Enrollment ID: I20100624000953 |
| Provider Name | David Patrick John Garry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497702252 PECOS PAC ID: 4688705023 Enrollment ID: I20100628001020 |
| Provider Name | Aaron Newey Weaver |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750594222 PECOS PAC ID: 7911038021 Enrollment ID: I20100706000103 |
| Provider Name | Derek Brent Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962605857 PECOS PAC ID: 6901939552 Enrollment ID: I20100803000236 |
| Provider Name | Thomas Briggs Sanders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629266317 PECOS PAC ID: 9133206014 Enrollment ID: I20100803000805 |
| Provider Name | David Francom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497953384 PECOS PAC ID: 7810021201 Enrollment ID: I20100820000691 |
| Provider Name | David W Guidry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912116674 PECOS PAC ID: 7618091653 Enrollment ID: I20100827000899 |
| Provider Name | Daniel Corey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033371760 PECOS PAC ID: 5294859179 Enrollment ID: I20100830000256 |
| Provider Name | Seth Cardall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831298900 PECOS PAC ID: 6507916541 Enrollment ID: I20100830000291 |
| Provider Name | Jennifer Lynn Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013230598 PECOS PAC ID: 9335264654 Enrollment ID: I20100909001207 |
| Provider Name | Theophilus Ekpong Owan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982682647 PECOS PAC ID: 3375456312 Enrollment ID: I20100922001007 |
| Provider Name | John R Kestle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871683474 PECOS PAC ID: 4385760586 Enrollment ID: I20100924000852 |
| Provider Name | Denitza P Blagev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871728469 PECOS PAC ID: 0547312688 Enrollment ID: I20100924001052 |
| Provider Name | Michael Sebastian Galindo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861417057 PECOS PAC ID: 1355386749 Enrollment ID: I20100925000079 |
| Provider Name | Troy Stonely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124109970 PECOS PAC ID: 3274684139 Enrollment ID: I20100925000117 |
| Provider Name | Shiloh V Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114136132 PECOS PAC ID: 6608992730 Enrollment ID: I20100927000879 |
| Provider Name | Clair Richard Hopkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235138017 PECOS PAC ID: 0941104533 Enrollment ID: I20100929000262 |
| Provider Name | Joseph Lawrence Sartori |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821240243 PECOS PAC ID: 8224220579 Enrollment ID: I20101005001294 |
| Provider Name | David R Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215969837 PECOS PAC ID: 8729091178 Enrollment ID: I20101006000905 |
| Provider Name | Matthew Mainord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912194150 PECOS PAC ID: 8123164316 Enrollment ID: I20101011000733 |
| Provider Name | Danielle Mercedes Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699957886 PECOS PAC ID: 7719179506 Enrollment ID: I20101012000932 |
| Provider Name | Howard Colman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437258498 PECOS PAC ID: 4183740418 Enrollment ID: I20101013000193 |
| Provider Name | Mark Montgomery Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700023348 PECOS PAC ID: 1951593631 Enrollment ID: I20101013000674 |
| Provider Name | Karen Conner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902094667 PECOS PAC ID: 8527118611 Enrollment ID: I20101019001427 |
| Provider Name | Benjamin James Widmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871760439 PECOS PAC ID: 6002009297 Enrollment ID: I20101020000684 |
| Provider Name | Tiffany Quinn Rees |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336450691 PECOS PAC ID: 2567655467 Enrollment ID: I20101025000171 |
| Provider Name | Rusty a Moore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205813474 PECOS PAC ID: 6709866577 Enrollment ID: I20101025000186 |
| Provider Name | John Milton Nichols |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114906252 PECOS PAC ID: 9133312960 Enrollment ID: I20101025000656 |
| Provider Name | Christopher R Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447562764 PECOS PAC ID: 2365636982 Enrollment ID: I20101027001461 |
| Provider Name | Brooke Elizabeth Drollinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538497524 PECOS PAC ID: 2264626464 Enrollment ID: I20101102000301 |
| Provider Name | Blake Mortenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427056860 PECOS PAC ID: 4981508009 Enrollment ID: I20101105000721 |
| Provider Name | Jeffrey Job |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669479341 PECOS PAC ID: 2668446600 Enrollment ID: I20101115001255 |
| Provider Name | Tawnya Lynn Bowles |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1679554141 PECOS PAC ID: 7810948189 Enrollment ID: I20101202001234 |
| Provider Name | Robert Eugene Hoesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295889699 PECOS PAC ID: 4688741929 Enrollment ID: I20101207001241 |
| Provider Name | Mark W Corry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033347158 PECOS PAC ID: 5698962801 Enrollment ID: I20101213001199 |
| Provider Name | Lynsey Jean Drew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194953216 PECOS PAC ID: 2769679976 Enrollment ID: I20101213001217 |
| Provider Name | Cheryl Scholes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184952822 PECOS PAC ID: 9032306980 Enrollment ID: I20101220000542 |
| Provider Name | Kellee J Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497868400 PECOS PAC ID: 4981601127 Enrollment ID: I20101220001167 |
| Provider Name | Eric Randy Robinson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265639223 PECOS PAC ID: 3577751916 Enrollment ID: I20101229000309 |
| Provider Name | Richard a Sorensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184751547 PECOS PAC ID: 4486567328 Enrollment ID: I20110106001223 |
| Provider Name | Annika S Kay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760791966 PECOS PAC ID: 5092904532 Enrollment ID: I20110113000895 |
| Provider Name | Phillip K Downing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255653101 PECOS PAC ID: 9032398375 Enrollment ID: I20110119000679 |
| Provider Name | Jeremy R Hadley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093943078 PECOS PAC ID: 2062691454 Enrollment ID: I20110201000682 |
| Provider Name | J Cameron Kesler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225189020 PECOS PAC ID: 9931254059 Enrollment ID: I20110228000852 |
| Provider Name | James L Hoffman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760687974 PECOS PAC ID: 2769666320 Enrollment ID: I20110406000787 |
| Provider Name | David Shane Pendley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548217896 PECOS PAC ID: 5698788677 Enrollment ID: I20110413000957 |
| Provider Name | Monica Patricia Moreno Daza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669679379 PECOS PAC ID: 7012196421 Enrollment ID: I20110415000213 |
| Provider Name | Clint Larsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861656332 PECOS PAC ID: 8921283177 Enrollment ID: I20110503000409 |
| Provider Name | Shawn Michael Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720126154 PECOS PAC ID: 9335245877 Enrollment ID: I20110503000740 |
| Provider Name | Bradley J Crosby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821268343 PECOS PAC ID: 3678617107 Enrollment ID: I20110504000524 |
| Provider Name | Kary E Woodruff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407166556 PECOS PAC ID: 6901082767 Enrollment ID: I20110512000774 |
| Provider Name | Michele Marie Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437455482 PECOS PAC ID: 5193626695 Enrollment ID: I20110516000614 |
| Provider Name | Jodi M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740583863 PECOS PAC ID: 8527244748 Enrollment ID: I20110523000655 |
| Provider Name | Jeffrey L Mccann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528210085 PECOS PAC ID: 2466639463 Enrollment ID: I20110531000179 |
| Provider Name | Charlie Ed Brunson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780639500 PECOS PAC ID: 3779563655 Enrollment ID: I20110608000015 |
| Provider Name | Nathan Alma Allred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386889236 PECOS PAC ID: 9436337185 Enrollment ID: I20110628000188 |
| Provider Name | Leon Harvey Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245549773 PECOS PAC ID: 3173701836 Enrollment ID: I20110628000324 |
| Provider Name | Michael J Lanspa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275740078 PECOS PAC ID: 0840389169 Enrollment ID: I20110629000056 |
| Provider Name | Chesley Ellen Wells |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316191174 PECOS PAC ID: 3971771833 Enrollment ID: I20110719000829 |
| Provider Name | Daniel Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841449030 PECOS PAC ID: 0547438335 Enrollment ID: I20110721000682 |
| Provider Name | Fernando Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508905514 PECOS PAC ID: 7911044771 Enrollment ID: I20110725000000 |
| Provider Name | Jonathan Shakespear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033367065 PECOS PAC ID: 9436344611 Enrollment ID: I20110726000086 |
| Provider Name | Adam Grant Balls |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265532717 PECOS PAC ID: 2466452768 Enrollment ID: I20110726000223 |
| Provider Name | Benjamin Hollis James Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689860850 PECOS PAC ID: 2264592484 Enrollment ID: I20110728000275 |
| Provider Name | Douglas S Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992726509 PECOS PAC ID: 9133252455 Enrollment ID: I20110809000887 |
| Provider Name | Jeremy Meier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225012610 PECOS PAC ID: 3678606324 Enrollment ID: I20110818000623 |
| Provider Name | Kimberly Dee Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114113677 PECOS PAC ID: 2264602580 Enrollment ID: I20110824000442 |
| Provider Name | Joshua D Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821250846 PECOS PAC ID: 7113197294 Enrollment ID: I20110829000119 |
| Provider Name | Brett Christian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003089624 PECOS PAC ID: 2567512510 Enrollment ID: I20110830000765 |
| Provider Name | Todd Ryan Grunander |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336396340 PECOS PAC ID: 9234309964 Enrollment ID: I20110907000860 |
| Provider Name | Nicole Lorraine Erkelens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568756393 PECOS PAC ID: 9335319011 Enrollment ID: I20110907001482 |
| Provider Name | David Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336102979 PECOS PAC ID: 5496711772 Enrollment ID: I20110912000567 |
| Provider Name | Jon-david Ethington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891984290 PECOS PAC ID: 8022190750 Enrollment ID: I20110912000663 |
| Provider Name | Logan Mclean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518128552 PECOS PAC ID: 2860663317 Enrollment ID: I20110914000305 |
| Provider Name | Shane Darrell Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588831861 PECOS PAC ID: 8426112343 Enrollment ID: I20110920000013 |
| Provider Name | Joseph Trent Merrill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881758985 PECOS PAC ID: 6608068655 Enrollment ID: I20110923000105 |
| Provider Name | David Matthew Fedor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568571461 PECOS PAC ID: 9830281591 Enrollment ID: I20110927000265 |
| Provider Name | Katherine Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831236314 PECOS PAC ID: 5193909190 Enrollment ID: I20110928000379 |
| Provider Name | Sarah Dawn Majercik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609873595 PECOS PAC ID: 9234199035 Enrollment ID: I20110928000459 |
| Provider Name | Ben W Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154512937 PECOS PAC ID: 0941472559 Enrollment ID: I20111004000193 |
| Provider Name | Wyatt Jonathan West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730497108 PECOS PAC ID: 3577735984 Enrollment ID: I20111007000026 |
| Provider Name | Critt Farr Aardema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891003265 PECOS PAC ID: 7911179320 Enrollment ID: I20111007000048 |
| Provider Name | Scott Rex Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982913679 PECOS PAC ID: 1052583465 Enrollment ID: I20111007000116 |
| Provider Name | Ashley W Kernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346558517 PECOS PAC ID: 1951573377 Enrollment ID: I20111007000138 |
| Provider Name | Jordan Brett Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548558927 PECOS PAC ID: 8123290251 Enrollment ID: I20111013000172 |
| Provider Name | Alyson Elaine Edmunds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306043682 PECOS PAC ID: 7517090186 Enrollment ID: I20111027000426 |
| Provider Name | Peter Anthony Colasurdo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679774970 PECOS PAC ID: 4385817618 Enrollment ID: I20111102000688 |
| Provider Name | Shahrzad Christopher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891996195 PECOS PAC ID: 6901079235 Enrollment ID: I20111102000718 |
| Provider Name | Dustin John Hopkin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265690028 PECOS PAC ID: 0143493015 Enrollment ID: I20111109000712 |
| Provider Name | Karen King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376823138 PECOS PAC ID: 0840463725 Enrollment ID: I20111109000857 |
| Provider Name | Kelsy Ann Bingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700167418 PECOS PAC ID: 1951576461 Enrollment ID: I20111212000885 |
| Provider Name | Allison Beth Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588963250 PECOS PAC ID: 6305011735 Enrollment ID: I20111213000340 |
| Provider Name | Isaac R Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548586431 PECOS PAC ID: 7416122890 Enrollment ID: I20111213000959 |
| Provider Name | Stephen Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841516747 PECOS PAC ID: 8921273236 Enrollment ID: I20111215000524 |
| Provider Name | Lori E Passey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982984555 PECOS PAC ID: 7719153774 Enrollment ID: I20111222000430 |
| Provider Name | Dori Lynne Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528367752 PECOS PAC ID: 7113193970 Enrollment ID: I20111228000201 |
| Provider Name | Minerva Abeleda Dantis Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164715124 PECOS PAC ID: 5193991750 Enrollment ID: I20120103000204 |
| Provider Name | Jannette Jolley Yorgason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053418111 PECOS PAC ID: 4486668233 Enrollment ID: I20120125000866 |
| Provider Name | Mary Gretchen Mooers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609823889 PECOS PAC ID: 1456518455 Enrollment ID: I20120202000471 |
| Provider Name | Betty Wade |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528079449 PECOS PAC ID: 5294993598 Enrollment ID: I20120215000871 |
| Provider Name | Cameron Judd Egbert |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1033320957 PECOS PAC ID: 4385802917 Enrollment ID: I20120228000438 |
| Provider Name | Todd a Hamblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093092678 PECOS PAC ID: 5890954283 Enrollment ID: I20120305000002 |
| Provider Name | Stephen Jones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578617601 PECOS PAC ID: 6507924495 Enrollment ID: I20120319000791 |
| Provider Name | Darin Wesley Bloomfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760750368 PECOS PAC ID: 3173783578 Enrollment ID: I20120321000893 |
| Provider Name | Michael Kyle Jensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154480507 PECOS PAC ID: 6709048200 Enrollment ID: I20120430000249 |
| Provider Name | Kevin Ray Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437212941 PECOS PAC ID: 5698937068 Enrollment ID: I20120501000293 |
| Provider Name | Matthew Stephen Mciff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437358280 PECOS PAC ID: 0244386654 Enrollment ID: I20120619000159 |
| Provider Name | John Alexander Heflin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588840102 PECOS PAC ID: 6901061720 Enrollment ID: I20120629000131 |
| Provider Name | Gregory C Chipman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457493967 PECOS PAC ID: 0042363384 Enrollment ID: I20120711000285 |
| Provider Name | Sarah Janice Beesley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841420817 PECOS PAC ID: 3779739925 Enrollment ID: I20120803000587 |
| Provider Name | Barbu R Gociman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396900841 PECOS PAC ID: 2860648995 Enrollment ID: I20120806000619 |
| Provider Name | Brandon B Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063675171 PECOS PAC ID: 8325294085 Enrollment ID: I20120813000062 |
| Provider Name | Gurjeet Singh Grover |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972721801 PECOS PAC ID: 3072613231 Enrollment ID: I20120813000801 |
| Provider Name | Eliza Jane Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902032295 PECOS PAC ID: 2668628108 Enrollment ID: I20120815000803 |
| Provider Name | Daniel Preece |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639306889 PECOS PAC ID: 3476719790 Enrollment ID: I20120816000265 |
| Provider Name | Caroline G Vines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912141714 PECOS PAC ID: 2466609870 Enrollment ID: I20120820000795 |
| Provider Name | Devone N Burton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104069871 PECOS PAC ID: 0446407829 Enrollment ID: I20120821000508 |
| Provider Name | John Hille |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831352277 PECOS PAC ID: 4587811708 Enrollment ID: I20120823000203 |
| Provider Name | Aaron Eckhauser |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083761951 PECOS PAC ID: 3476700535 Enrollment ID: I20120823000845 |
| Provider Name | Paul B Mendenhall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396011490 PECOS PAC ID: 1456517309 Enrollment ID: I20120829000900 |
| Provider Name | Shaneen U Doctor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073747887 PECOS PAC ID: 2264689835 Enrollment ID: I20120904000730 |
| Provider Name | Nathan C Littlefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568747707 PECOS PAC ID: 5799933982 Enrollment ID: I20120912000895 |
| Provider Name | Richard B Iverson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568788602 PECOS PAC ID: 7113175209 Enrollment ID: I20120914000211 |
| Provider Name | Eric Schenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003042375 PECOS PAC ID: 7810145638 Enrollment ID: I20120919000452 |
| Provider Name | Kyle Michael Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902059157 PECOS PAC ID: 3375791106 Enrollment ID: I20120919000584 |
| Provider Name | Phillip E Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265686281 PECOS PAC ID: 7315195948 Enrollment ID: I20120924000427 |
| Provider Name | Imran Mohammad Raja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649424409 PECOS PAC ID: 1850549486 Enrollment ID: I20120924000447 |
| Provider Name | Mary-marie Austin Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770872319 PECOS PAC ID: 2961651211 Enrollment ID: I20121002000770 |
| Provider Name | Jeffrey Lynn Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528026978 PECOS PAC ID: 3375557762 Enrollment ID: I20121003000563 |
| Provider Name | Grant Kirton Hunter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972776342 PECOS PAC ID: 2062661150 Enrollment ID: I20121004000762 |
| Provider Name | Daniel Kip Sperry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700165578 PECOS PAC ID: 1254580350 Enrollment ID: I20121004000873 |
| Provider Name | Jonathan Mark Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154600922 PECOS PAC ID: 3072762178 Enrollment ID: I20121004000876 |
| Provider Name | Daniel James Flanagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982983755 PECOS PAC ID: 6709035801 Enrollment ID: I20121004000879 |
| Provider Name | Kurtis D Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013150218 PECOS PAC ID: 7214103514 Enrollment ID: I20121015000569 |
| Provider Name | Scott Alexander Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659357093 PECOS PAC ID: 6204091226 Enrollment ID: I20121016000174 |
| Provider Name | Jeffrey Kimball Bigelow |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1790962587 PECOS PAC ID: 8325218001 Enrollment ID: I20121016000256 |
| Provider Name | John Robert Hyngstrom |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780832469 PECOS PAC ID: 7517159114 Enrollment ID: I20121019000693 |
| Provider Name | James W Moyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730436890 PECOS PAC ID: 2062662471 Enrollment ID: I20121020000032 |
| Provider Name | Todd a Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477714483 PECOS PAC ID: 7618127051 Enrollment ID: I20121022000314 |
| Provider Name | Ryan Meier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659537447 PECOS PAC ID: 2062662414 Enrollment ID: I20121022000344 |
| Provider Name | Kara a Frame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811124514 PECOS PAC ID: 7911157292 Enrollment ID: I20121022000780 |
| Provider Name | Ute Gawlick |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356634976 PECOS PAC ID: 5698925568 Enrollment ID: I20121031000136 |
| Provider Name | Lindsey Marie Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528323508 PECOS PAC ID: 1951552611 Enrollment ID: I20121107000031 |
| Provider Name | Thomas Louis Lombardi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063611986 PECOS PAC ID: 0547411126 Enrollment ID: I20121107000324 |
| Provider Name | Mary Hunt Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033311071 PECOS PAC ID: 5294986162 Enrollment ID: I20121127000562 |
| Provider Name | Lynn Marie Mulvihill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619179140 PECOS PAC ID: 2567545171 Enrollment ID: I20121218000395 |
| Provider Name | Cody B Nielson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609127885 PECOS PAC ID: 3072766005 Enrollment ID: I20121226000363 |
| Provider Name | Daniel Knox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821259144 PECOS PAC ID: 4183877079 Enrollment ID: I20121228000163 |
| Provider Name | Meredith Leigh Seamon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053357251 PECOS PAC ID: 3476706383 Enrollment ID: I20121228000381 |
| Provider Name | David L Deaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104844224 PECOS PAC ID: 2264420850 Enrollment ID: I20130109000444 |
| Provider Name | Jonathan J Ahern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437400447 PECOS PAC ID: 4284887860 Enrollment ID: I20130109000714 |
| Provider Name | Jeanette Crosbie Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578811220 PECOS PAC ID: 0042463655 Enrollment ID: I20130110000167 |
| Provider Name | Brandon Scott Hermansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508116450 PECOS PAC ID: 1658524053 Enrollment ID: I20130115000476 |
| Provider Name | William Bentley Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043450760 PECOS PAC ID: 3274786538 Enrollment ID: I20130117000111 |
| Provider Name | Christopher R Gordon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922232867 PECOS PAC ID: 9830342088 Enrollment ID: I20130121000150 |
| Provider Name | Christopher M Saxey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346508876 PECOS PAC ID: 8022271741 Enrollment ID: I20130124000249 |
| Provider Name | Nanette M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518218023 PECOS PAC ID: 0042464042 Enrollment ID: I20130128000501 |
| Provider Name | Jeffrey Dwayne Riekhof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336484740 PECOS PAC ID: 4587818927 Enrollment ID: I20130212000112 |
| Provider Name | Amy Elizabeth Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013260694 PECOS PAC ID: 8325293046 Enrollment ID: I20130304000328 |
| Provider Name | Kelleen Gayle Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1205191483 PECOS PAC ID: 3274788781 Enrollment ID: I20130308000083 |
| Provider Name | Rebecca Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245229483 PECOS PAC ID: 3274778378 Enrollment ID: I20130320000332 |
| Provider Name | Robert J Bollo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013129584 PECOS PAC ID: 6305017286 Enrollment ID: I20130426000289 |
| Provider Name | Breeanna Jean Holdaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962749010 PECOS PAC ID: 6608013966 Enrollment ID: I20130506000523 |
| Provider Name | Blake Isaac Gardner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134301997 PECOS PAC ID: 0840322954 Enrollment ID: I20130514000448 |
| Provider Name | Kenneth L Seely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083730725 PECOS PAC ID: 3476791989 Enrollment ID: I20130522000494 |
| Provider Name | Brian L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033354717 PECOS PAC ID: 6901044247 Enrollment ID: I20130529000251 |
| Provider Name | Zachary R Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134372584 PECOS PAC ID: 4688860422 Enrollment ID: I20130613000078 |
| Provider Name | Elizabeth H Knackstedt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932371358 PECOS PAC ID: 8426297383 Enrollment ID: I20130625000756 |
| Provider Name | Erin Kristin Zinkhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033362264 PECOS PAC ID: 2769621648 Enrollment ID: I20130626000056 |
| Provider Name | Lincoln D Nadauld |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548414097 PECOS PAC ID: 4486804614 Enrollment ID: I20130626000345 |
| Provider Name | Eric K Cannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134362304 PECOS PAC ID: 0446445712 Enrollment ID: I20130626000564 |
| Provider Name | Leslie Kate Rasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962784504 PECOS PAC ID: 7810137437 Enrollment ID: I20130702000639 |
| Provider Name | Hayley Dawn Mollard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770929036 PECOS PAC ID: 9436399060 Enrollment ID: I20130702000776 |
| Provider Name | Scott Clements |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649478512 PECOS PAC ID: 1254571516 Enrollment ID: I20130709000764 |
| Provider Name | Chee Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114185915 PECOS PAC ID: 9234379595 Enrollment ID: I20130709000796 |
| Provider Name | Sean Collins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295966372 PECOS PAC ID: 7911147145 Enrollment ID: I20130710000915 |
| Provider Name | Benjamin F Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689991358 PECOS PAC ID: 6608016852 Enrollment ID: I20130711000156 |
| Provider Name | Dustin Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306053897 PECOS PAC ID: 7012157225 Enrollment ID: I20130711000835 |
| Provider Name | Scott Marc Robins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346495678 PECOS PAC ID: 4183878663 Enrollment ID: I20130712000004 |
| Provider Name | Marcus D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336377472 PECOS PAC ID: 5799925699 Enrollment ID: I20130716000780 |
| Provider Name | John B Sutherland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932387198 PECOS PAC ID: 1456591361 Enrollment ID: I20130716000880 |
| Provider Name | Rhett Foster Crapo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720309578 PECOS PAC ID: 0840445177 Enrollment ID: I20130718000246 |
| Provider Name | Chad a Spain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093039521 PECOS PAC ID: 0941441166 Enrollment ID: I20130730000558 |
| Provider Name | Meghan S Candee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154575843 PECOS PAC ID: 4688815855 Enrollment ID: I20130731000147 |
| Provider Name | Stacia Lynn Moyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760616775 PECOS PAC ID: 1850538117 Enrollment ID: I20130731000201 |
| Provider Name | Bilal Aijaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205957198 PECOS PAC ID: 4688749062 Enrollment ID: I20130731000236 |
| Provider Name | Sanjiv Anand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992991921 PECOS PAC ID: 9830336205 Enrollment ID: I20130731000330 |
| Provider Name | Jeffery T Hirschi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639308745 PECOS PAC ID: 7315189230 Enrollment ID: I20130806000338 |
| Provider Name | Tyler Cameron Delange |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700923273 PECOS PAC ID: 6002909298 Enrollment ID: I20130806000405 |
| Provider Name | Keli M Kwok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053586651 PECOS PAC ID: 6800947441 Enrollment ID: I20130806000465 |
| Provider Name | Mark T Nary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861704397 PECOS PAC ID: 9032351556 Enrollment ID: I20130813000795 |
| Provider Name | David S Aamodt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619928140 PECOS PAC ID: 3274592019 Enrollment ID: I20130819000113 |
| Provider Name | Andrew L Dorais |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801113295 PECOS PAC ID: 3779726732 Enrollment ID: I20130823000874 |
| Provider Name | Lynette Erika Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760733224 PECOS PAC ID: 7911140595 Enrollment ID: I20130829000437 |
| Provider Name | Jennifer Anne Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083055347 PECOS PAC ID: 5890938476 Enrollment ID: I20130829000488 |
| Provider Name | James L Stayner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992021471 PECOS PAC ID: 4688817109 Enrollment ID: I20130903000520 |
| Provider Name | Nathan George Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568663425 PECOS PAC ID: 6305093618 Enrollment ID: I20130906000354 |
| Provider Name | Wojciech Janowski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316150477 PECOS PAC ID: 9234280629 Enrollment ID: I20130910000190 |
| Provider Name | Emily Ann Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316370901 PECOS PAC ID: 6709020985 Enrollment ID: I20130910000846 |
| Provider Name | Mohammad M Dbeisi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689686370 PECOS PAC ID: 9931103504 Enrollment ID: I20130911000106 |
| Provider Name | Richard Irion |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679738744 PECOS PAC ID: 4082858451 Enrollment ID: I20130925000440 |
| Provider Name | Benjamin Levi Sill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790824704 PECOS PAC ID: 1658427414 Enrollment ID: I20131023000298 |
| Provider Name | Jamie Nielsen Treseder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043427495 PECOS PAC ID: 1254422462 Enrollment ID: I20131030001298 |
| Provider Name | Daniel S Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902161482 PECOS PAC ID: 0547496333 Enrollment ID: I20131127000745 |
| Provider Name | Scott Bayles Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811257462 PECOS PAC ID: 6103053707 Enrollment ID: I20131205000534 |
| Provider Name | Maria Lynn Kinmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619201951 PECOS PAC ID: 6709013337 Enrollment ID: I20131205001369 |
| Provider Name | Randall T Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831459361 PECOS PAC ID: 6709013956 Enrollment ID: I20131212001861 |
| Provider Name | Saphu Pradhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215170709 PECOS PAC ID: 3577716166 Enrollment ID: I20131216001875 |
| Provider Name | Lindsay Mccauley Leither |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285878256 PECOS PAC ID: 2365670494 Enrollment ID: I20140116000929 |
| Provider Name | Andrew Chilberg Judd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104186758 PECOS PAC ID: 2567690589 Enrollment ID: I20140120000119 |
| Provider Name | Jeff Wayne Muhlestein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760822563 PECOS PAC ID: 3577792746 Enrollment ID: I20140210001677 |
| Provider Name | Stephanie Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043520489 PECOS PAC ID: 4587819826 Enrollment ID: I20140228001861 |
| Provider Name | Mary Lee Jorgensen Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538592142 PECOS PAC ID: 7810127164 Enrollment ID: I20140305001936 |
| Provider Name | Saima Husain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427237007 PECOS PAC ID: 0345403473 Enrollment ID: I20140310001825 |
| Provider Name | Elizabeth Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508010174 PECOS PAC ID: 1850521931 Enrollment ID: I20140312000112 |
| Provider Name | Katalin Krivian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285649954 PECOS PAC ID: 4688814643 Enrollment ID: I20140314001405 |
| Provider Name | Spencer Tell Naser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760747240 PECOS PAC ID: 8123259553 Enrollment ID: I20140327000581 |
| Provider Name | Jeanette Marie Ricci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114340650 PECOS PAC ID: 8022249366 Enrollment ID: I20140328002224 |
| Provider Name | Roger a Paulman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760404974 PECOS PAC ID: 7618977679 Enrollment ID: I20140408001454 |
| Provider Name | Bridget Erin Penick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922338698 PECOS PAC ID: 9436315363 Enrollment ID: I20140417001269 |
| Provider Name | Kendell Klingler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003172495 PECOS PAC ID: 3870725039 Enrollment ID: I20140422002382 |
| Provider Name | Ivo Hanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740605963 PECOS PAC ID: 1658504337 Enrollment ID: I20140502001876 |
| Provider Name | Ricky Lane Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588892954 PECOS PAC ID: 4082882782 Enrollment ID: I20140520000502 |
| Provider Name | Andrew Hulet Avery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609203660 PECOS PAC ID: 4385867290 Enrollment ID: I20140522000423 |
| Provider Name | Ralph Jensen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750351029 PECOS PAC ID: 7810167012 Enrollment ID: I20140604001365 |
| Provider Name | Kristi Jo Reinschmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154639276 PECOS PAC ID: 4880818038 Enrollment ID: I20140610001302 |
| Provider Name | David Rick Sutherland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588953160 PECOS PAC ID: 6800020967 Enrollment ID: I20140611002322 |
| Provider Name | Cyrus M Veil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255620407 PECOS PAC ID: 1254555071 Enrollment ID: I20140618001467 |
| Provider Name | Dan Dan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326043472 PECOS PAC ID: 0143275438 Enrollment ID: I20140618001936 |
| Provider Name | Joan Denise Miles |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1376764282 PECOS PAC ID: 4486819281 Enrollment ID: I20140620001141 |
| Provider Name | Michael Austin Healey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659577674 PECOS PAC ID: 4587808506 Enrollment ID: I20140625002473 |
| Provider Name | Jared K Pearson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548402951 PECOS PAC ID: 8527209568 Enrollment ID: I20140626000415 |
| Provider Name | David Thomas Cowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720429491 PECOS PAC ID: 0143445577 Enrollment ID: I20140627000676 |
| Provider Name | Burton Maxfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114244068 PECOS PAC ID: 9931331121 Enrollment ID: I20140701000114 |
| Provider Name | Brad S Nance |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932426954 PECOS PAC ID: 0446473573 Enrollment ID: I20140703002168 |
| Provider Name | Benjamin Romney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780815027 PECOS PAC ID: 9830321512 Enrollment ID: I20140708000518 |
| Provider Name | David Mathias Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770763732 PECOS PAC ID: 9436375995 Enrollment ID: I20140719000065 |
| Provider Name | Laura Marie Bennett Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669898540 PECOS PAC ID: 8921224379 Enrollment ID: I20140722000332 |
| Provider Name | Glen Thomas Robinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992017800 PECOS PAC ID: 9234375379 Enrollment ID: I20140728000248 |
| Provider Name | Matthew John Swenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134355001 PECOS PAC ID: 7416189089 Enrollment ID: I20140728001725 |
| Provider Name | Sean Christian Horsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366717159 PECOS PAC ID: 3375704497 Enrollment ID: I20140729000475 |
| Provider Name | Chad Jeremy Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346339496 PECOS PAC ID: 4284784588 Enrollment ID: I20140729002014 |
| Provider Name | Troy S Koch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306042957 PECOS PAC ID: 5092979294 Enrollment ID: I20140731002394 |
| Provider Name | Rhett R Frei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528352077 PECOS PAC ID: 3577706118 Enrollment ID: I20140807000604 |
| Provider Name | Benjamin W Risenmay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831490648 PECOS PAC ID: 9436382546 Enrollment ID: I20140811001478 |
| Provider Name | Stephen Lloyd Daisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982941480 PECOS PAC ID: 8820215023 Enrollment ID: I20140812001872 |
| Provider Name | Carrie Anne Willis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811151020 PECOS PAC ID: 8729275870 Enrollment ID: I20140827002999 |
| Provider Name | Jason L Dorais |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295029304 PECOS PAC ID: 2769614593 Enrollment ID: I20140902001502 |
| Provider Name | Dorian J Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295989630 PECOS PAC ID: 1153549001 Enrollment ID: I20140905002097 |
| Provider Name | Randy Don Lamb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437303914 PECOS PAC ID: 4981828316 Enrollment ID: I20140905002386 |
| Provider Name | Stephen J Fenton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649490228 PECOS PAC ID: 2264571652 Enrollment ID: I20140917000000 |
| Provider Name | Hallie Megan French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336439405 PECOS PAC ID: 2062639651 Enrollment ID: I20141001000977 |
| Provider Name | Shane Harold Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740697218 PECOS PAC ID: 5193945566 Enrollment ID: I20141007000868 |
| Provider Name | Dongngan Truong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447434006 PECOS PAC ID: 5395891907 Enrollment ID: I20141009000468 |
| Provider Name | Brandon John Webb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750540522 PECOS PAC ID: 5193855781 Enrollment ID: I20141016000481 |
| Provider Name | Brianne Moffitt Galbraith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710395041 PECOS PAC ID: 9133340094 Enrollment ID: I20141020000535 |
| Provider Name | Rhett Roger Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568800209 PECOS PAC ID: 6305067141 Enrollment ID: I20141021001210 |
| Provider Name | Kia Afshar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043356637 PECOS PAC ID: 0749311793 Enrollment ID: I20141022001031 |
| Provider Name | Yonathan F Melman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952569931 PECOS PAC ID: 8325200918 Enrollment ID: I20141023001270 |
| Provider Name | Andrew Davis Moffat |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1942512751 PECOS PAC ID: 8729200985 Enrollment ID: I20141104001444 |
| Provider Name | Camille King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982947123 PECOS PAC ID: 3971725458 Enrollment ID: I20141118001439 |
| Provider Name | Betsy E Ostrander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679739395 PECOS PAC ID: 6901028380 Enrollment ID: I20141119002739 |
| Provider Name | Jonathan E Middlemiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013317361 PECOS PAC ID: 5395067979 Enrollment ID: I20141210001046 |
| Provider Name | Vivian Yung Shung Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740201300 PECOS PAC ID: 5698672715 Enrollment ID: I20141211001942 |
| Provider Name | Robert Bannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366877029 PECOS PAC ID: 7719200047 Enrollment ID: I20141217002575 |
| Provider Name | David Q Hua |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043216542 PECOS PAC ID: 2163513904 Enrollment ID: I20141219000364 |
| Provider Name | Ryan Larry Thueson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023359080 PECOS PAC ID: 1759520059 Enrollment ID: I20141222001994 |
| Provider Name | Gaylinn Breeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023412434 PECOS PAC ID: 6204865439 Enrollment ID: I20150115001129 |
| Provider Name | Tiffany Ann Castagno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679840276 PECOS PAC ID: 0547584781 Enrollment ID: I20150119000505 |
| Provider Name | Eric Roy Griffiths |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811187958 PECOS PAC ID: 1951625870 Enrollment ID: I20150126001095 |
| Provider Name | Emily B Zurcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336380377 PECOS PAC ID: 1355599689 Enrollment ID: I20150126002078 |
| Provider Name | Kelley Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659775955 PECOS PAC ID: 9032434584 Enrollment ID: I20150204002191 |
| Provider Name | Nancy Sengmanichanh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689072753 PECOS PAC ID: 6608191051 Enrollment ID: I20150206001132 |
| Provider Name | Lindsay J Florek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174806236 PECOS PAC ID: 1355517913 Enrollment ID: I20150207000417 |
| Provider Name | Clark Nile Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699112326 PECOS PAC ID: 4284959529 Enrollment ID: I20150209002108 |
| Provider Name | Thomas L Bauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801033360 PECOS PAC ID: 1759422413 Enrollment ID: I20150213001557 |
| Provider Name | Brett Wayne Martindale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164860573 PECOS PAC ID: 0547586265 Enrollment ID: I20150224000218 |
| Provider Name | Todd D Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114182128 PECOS PAC ID: 5092963645 Enrollment ID: I20150227000989 |
| Provider Name | Steven Allen Bernards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023191772 PECOS PAC ID: 2769483148 Enrollment ID: I20150302001089 |
| Provider Name | Stephen Brent Smith |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720199615 PECOS PAC ID: 0345468278 Enrollment ID: I20150305000956 |
| Provider Name | David B Mabey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578799342 PECOS PAC ID: 7012166044 Enrollment ID: I20150312000003 |
| Provider Name | Kristine Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912952615 PECOS PAC ID: 3274516604 Enrollment ID: I20150331002601 |
| Provider Name | Steven J Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235387432 PECOS PAC ID: 3779753413 Enrollment ID: I20150506000116 |
| Provider Name | Michelle Moody Matson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760875264 PECOS PAC ID: 6103145578 Enrollment ID: I20150506001559 |
| Provider Name | Lisa a Fraleigh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558478115 PECOS PAC ID: 7810092749 Enrollment ID: I20150512002724 |
| Provider Name | Nathan C Mckellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508844853 PECOS PAC ID: 2567376668 Enrollment ID: I20150513002385 |
| Provider Name | Langley Lewis Kushman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831475748 PECOS PAC ID: 1153595939 Enrollment ID: I20150515002098 |
| Provider Name | Sarah Anne Cordingley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619383494 PECOS PAC ID: 9638499478 Enrollment ID: I20150519002463 |
| Provider Name | Linda Sue Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679974059 PECOS PAC ID: 1153641782 Enrollment ID: I20150522000571 |
| Provider Name | Chelsea Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922363795 PECOS PAC ID: 4880918697 Enrollment ID: I20150522001258 |
| Provider Name | Christopher Stanley Evensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558696757 PECOS PAC ID: 3476772013 Enrollment ID: I20150528002828 |
| Provider Name | Kamile M Weischedel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225327927 PECOS PAC ID: 8426275710 Enrollment ID: I20150529000924 |
| Provider Name | Dustin G Dayton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649412925 PECOS PAC ID: 9739400748 Enrollment ID: I20150602003083 |
| Provider Name | Wendy Marie Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326455478 PECOS PAC ID: 6204157936 Enrollment ID: I20150608000519 |
| Provider Name | Anthony J Schaeffer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700939402 PECOS PAC ID: 4284955840 Enrollment ID: I20150608001487 |
| Provider Name | Joshua Arjaan Dekker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518226091 PECOS PAC ID: 1951544741 Enrollment ID: I20150615000975 |
| Provider Name | Dustin Watson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114160934 PECOS PAC ID: 0840418307 Enrollment ID: I20150616002441 |
| Provider Name | Matthew Wagaman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083906952 PECOS PAC ID: 7012134968 Enrollment ID: I20150622002519 |
| Provider Name | Cabe Riso Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184851230 PECOS PAC ID: 2860612033 Enrollment ID: I20150622002675 |
| Provider Name | Trenton Overall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841575032 PECOS PAC ID: 2062658826 Enrollment ID: I20150625002334 |
| Provider Name | Nathan Buck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487808242 PECOS PAC ID: 3971737479 Enrollment ID: I20150630000029 |
| Provider Name | Brian Thomas Bucher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972620888 PECOS PAC ID: 3375855570 Enrollment ID: I20150630002795 |
| Provider Name | Scott G Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881980399 PECOS PAC ID: 0941433718 Enrollment ID: I20150701000199 |
| Provider Name | Amanda Melanie Jocelyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376739102 PECOS PAC ID: 4789996943 Enrollment ID: I20150701001460 |
| Provider Name | Tamara D Moores Todd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285990945 PECOS PAC ID: 3173755733 Enrollment ID: I20150706000489 |
| Provider Name | Chase Petersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407144702 PECOS PAC ID: 6507099637 Enrollment ID: I20150706002259 |
| Provider Name | Saloni a Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356668677 PECOS PAC ID: 4587899620 Enrollment ID: I20150708000781 |
| Provider Name | Daniel Alan Cox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629277348 PECOS PAC ID: 5597943084 Enrollment ID: I20150709000620 |
| Provider Name | John Skaggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437449279 PECOS PAC ID: 1052530961 Enrollment ID: I20150710001484 |
| Provider Name | Eric Melvin Lindley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629221841 PECOS PAC ID: 8921230673 Enrollment ID: I20150716002395 |
| Provider Name | Mark Hamaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023244530 PECOS PAC ID: 2961715982 Enrollment ID: I20150721000292 |
| Provider Name | Brian S Galovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205195229 PECOS PAC ID: 5698907590 Enrollment ID: I20150722004896 |
| Provider Name | Jason James Ginos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891925723 PECOS PAC ID: 5890913784 Enrollment ID: I20150730013858 |
| Provider Name | Jacob Owen Robson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063672038 PECOS PAC ID: 5698947398 Enrollment ID: I20150731014530 |
| Provider Name | Sarah Zobell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013202472 PECOS PAC ID: 7416261672 Enrollment ID: I20150731015250 |
| Provider Name | Lafe Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932469871 PECOS PAC ID: 6608199344 Enrollment ID: I20150803002069 |
| Provider Name | John Emil Wennergren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053545434 PECOS PAC ID: 7911144647 Enrollment ID: I20150806012634 |
| Provider Name | Nathaniel Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326309139 PECOS PAC ID: 4880828664 Enrollment ID: I20150812008829 |
| Provider Name | Antony Eugin Martin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174805162 PECOS PAC ID: 9133434673 Enrollment ID: I20150813009578 |
| Provider Name | Jeffrey D Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780947911 PECOS PAC ID: 8820303100 Enrollment ID: I20150814014403 |
| Provider Name | Michael L Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497742829 PECOS PAC ID: 0446235808 Enrollment ID: I20150824001995 |
| Provider Name | Jace Paul Fullmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306145776 PECOS PAC ID: 6608007612 Enrollment ID: I20150824002501 |
| Provider Name | Sidney Lincoln Baucom |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629210372 PECOS PAC ID: 4486960077 Enrollment ID: I20150827000752 |
| Provider Name | Colby Scott Engar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659518678 PECOS PAC ID: 7214177831 Enrollment ID: I20150827002967 |
| Provider Name | Alexandra C Fine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386984987 PECOS PAC ID: 2365678190 Enrollment ID: I20150827003264 |
| Provider Name | Lindsay Jennifer May |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821378704 PECOS PAC ID: 2769798289 Enrollment ID: I20150828001936 |
| Provider Name | Nathan L Holman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235440959 PECOS PAC ID: 8820213986 Enrollment ID: I20150914002070 |
| Provider Name | Tyler Jolley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568725893 PECOS PAC ID: 9234446782 Enrollment ID: I20150915003103 |
| Provider Name | John R Edwards |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568692887 PECOS PAC ID: 2163669466 Enrollment ID: I20150917000501 |
| Provider Name | Denise Evans Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316192321 PECOS PAC ID: 8820305212 Enrollment ID: I20150917000761 |
| Provider Name | Jared Colton Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619261021 PECOS PAC ID: 1254648470 Enrollment ID: I20150919000183 |
| Provider Name | William Province |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790001915 PECOS PAC ID: 7315196151 Enrollment ID: I20150922002893 |
| Provider Name | Troy W Finlayson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487812251 PECOS PAC ID: 6406002385 Enrollment ID: I20150923002057 |
| Provider Name | Chelsea Jennifer Slade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730591876 PECOS PAC ID: 8123336872 Enrollment ID: I20150930001760 |
| Provider Name | Nathan a Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891163010 PECOS PAC ID: 4880902287 Enrollment ID: I20151005002898 |
| Provider Name | Ann Rogerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770953317 PECOS PAC ID: 4981912268 Enrollment ID: I20151006003094 |
| Provider Name | Miriam C Padilla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104833979 PECOS PAC ID: 8426052515 Enrollment ID: I20151012000235 |
| Provider Name | Naomi Shea Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407237217 PECOS PAC ID: 1951610922 Enrollment ID: I20151014002907 |
| Provider Name | Jared Allen West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821418500 PECOS PAC ID: 2163730979 Enrollment ID: I20151015000468 |
| Provider Name | Melissa Anne Baugh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871980599 PECOS PAC ID: 8628387487 Enrollment ID: I20151016001228 |
| Provider Name | Matthew Scott Dustin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861720047 PECOS PAC ID: 5597074302 Enrollment ID: I20151019000966 |
| Provider Name | Candice Denise Fike |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184711210 PECOS PAC ID: 5395781868 Enrollment ID: I20151020001244 |
| Provider Name | Belinda Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811175920 PECOS PAC ID: 7012171127 Enrollment ID: I20151021001862 |
| Provider Name | Bradley Michael Prestwich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215357942 PECOS PAC ID: 8921315938 Enrollment ID: I20151022000400 |
| Provider Name | Heather Webb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114119484 PECOS PAC ID: 7719162916 Enrollment ID: I20151022000944 |
| Provider Name | Elizabeth Ann Monson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912998451 PECOS PAC ID: 9032004908 Enrollment ID: I20151023000838 |
| Provider Name | Ithan Daniel Peltan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558598003 PECOS PAC ID: 3476716044 Enrollment ID: I20151027000967 |
| Provider Name | Nora Katherine Switchenko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558622746 PECOS PAC ID: 0648493395 Enrollment ID: I20151029000332 |
| Provider Name | Joshua T Peay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245609866 PECOS PAC ID: 1153631320 Enrollment ID: I20151030001960 |
| Provider Name | Nicholas James Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821355827 PECOS PAC ID: 6406088129 Enrollment ID: I20151103002773 |
| Provider Name | Aaron Jay Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972883 PECOS PAC ID: 9436469459 Enrollment ID: I20151103002971 |
| Provider Name | Jared Michael Madeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053789917 PECOS PAC ID: 4880904838 Enrollment ID: I20151104000654 |
| Provider Name | Celestia Hollis Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619344413 PECOS PAC ID: 7012227861 Enrollment ID: I20151105002437 |
| Provider Name | Nirmal Teja Sunkara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396908141 PECOS PAC ID: 4486823911 Enrollment ID: I20151112000638 |
| Provider Name | Robin Leigh Mengis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558755090 PECOS PAC ID: 1759691066 Enrollment ID: I20151116002597 |
| Provider Name | Hollynn Lee Larrabee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043381437 PECOS PAC ID: 7416974290 Enrollment ID: I20151120002023 |
| Provider Name | Debra Valori Mcquade |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1417083429 PECOS PAC ID: 5890701460 Enrollment ID: I20151124001195 |
| Provider Name | Laura Anne Antinarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760882948 PECOS PAC ID: 7911207584 Enrollment ID: I20151203002274 |
| Provider Name | Cassie Broadhead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083087944 PECOS PAC ID: 2062712557 Enrollment ID: I20151207000869 |
| Provider Name | Max Epperson Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174995500 PECOS PAC ID: 5395046452 Enrollment ID: I20151214001885 |
| Provider Name | Stuart Alan Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093797037 PECOS PAC ID: 0749179406 Enrollment ID: I20160107000894 |
| Provider Name | Brittany Poulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053788257 PECOS PAC ID: 4284936998 Enrollment ID: I20160112000918 |
| Provider Name | Jordan Reichman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235392747 PECOS PAC ID: 9537285408 Enrollment ID: I20160114002749 |
| Provider Name | Matthew Kirk Eastman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952344962 PECOS PAC ID: 8527084417 Enrollment ID: I20160119001245 |
| Provider Name | Miranda T Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326418351 PECOS PAC ID: 3173826187 Enrollment ID: I20160126001443 |
| Provider Name | Kirk Ute Knowlton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376591339 PECOS PAC ID: 8527182906 Enrollment ID: I20160204002352 |
| Provider Name | Chaz a Whitbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730551805 PECOS PAC ID: 4688978893 Enrollment ID: I20160209001695 |
| Provider Name | Nathan Howard Jenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033370960 PECOS PAC ID: 8022296086 Enrollment ID: I20160210001173 |
| Provider Name | Elisa Ann Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831558204 PECOS PAC ID: 0749585123 Enrollment ID: I20160223000901 |
| Provider Name | Ivan Rodrigo Zendejas Ruiz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760542054 PECOS PAC ID: 3476741851 Enrollment ID: I20160229001388 |
| Provider Name | Summer Rae Kottsick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720473390 PECOS PAC ID: 1355661265 Enrollment ID: I20160308001102 |
| Provider Name | Cindy W Tom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811104433 PECOS PAC ID: 6608780440 Enrollment ID: I20160309001780 |
| Provider Name | Donald Carter Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902845712 PECOS PAC ID: 1456394287 Enrollment ID: I20160321001094 |
| Provider Name | Matthew Ryan Meek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144513722 PECOS PAC ID: 7618274127 Enrollment ID: I20160329001448 |
| Provider Name | Sean R Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467713842 PECOS PAC ID: 6901103381 Enrollment ID: I20160330001016 |
| Provider Name | Jennifer Holt Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144465402 PECOS PAC ID: 7416125646 Enrollment ID: I20160414002080 |
| Provider Name | John Brigham Fulton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316177967 PECOS PAC ID: 0446305718 Enrollment ID: I20160420002634 |
| Provider Name | Massimiliano Romanelli-gobbi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811262025 PECOS PAC ID: 3577795350 Enrollment ID: I20160427000781 |
| Provider Name | Jeremy D Huntington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225272842 PECOS PAC ID: 7911163886 Enrollment ID: I20160427001792 |
| Provider Name | Jacob Dunkley Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942526801 PECOS PAC ID: 2668603200 Enrollment ID: I20160505001989 |
| Provider Name | Megan P Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285862003 PECOS PAC ID: 3375788342 Enrollment ID: I20160505002179 |
| Provider Name | Adam L Ware |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073838058 PECOS PAC ID: 4688806136 Enrollment ID: I20160511001949 |
| Provider Name | Chad Michael Agy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730522277 PECOS PAC ID: 7911224217 Enrollment ID: I20160512000325 |
| Provider Name | Richard Gilroy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255389060 PECOS PAC ID: 6608969233 Enrollment ID: I20160512002224 |
| Provider Name | Konrad Kennington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114283371 PECOS PAC ID: 8325270010 Enrollment ID: I20160517001943 |
| Provider Name | Khanh Lai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447559778 PECOS PAC ID: 3476842105 Enrollment ID: I20160518002312 |
| Provider Name | Adam Clinton Blanchard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053687194 PECOS PAC ID: 1254564354 Enrollment ID: I20160523000901 |
| Provider Name | Tyson Willis Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073642914 PECOS PAC ID: 8022163666 Enrollment ID: I20160523001732 |
| Provider Name | Patrik Luzny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245537208 PECOS PAC ID: 2163655937 Enrollment ID: I20160531000974 |
| Provider Name | Michael Dorrough |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962698746 PECOS PAC ID: 8527110402 Enrollment ID: I20160531001496 |
| Provider Name | Davis Wendell Ogitani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427314764 PECOS PAC ID: 9830489947 Enrollment ID: I20160601002953 |
| Provider Name | Michael R Rasmussen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336373851 PECOS PAC ID: 0042456741 Enrollment ID: I20160602002026 |
| Provider Name | Benjamin R Randall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154640134 PECOS PAC ID: 0143461848 Enrollment ID: I20160603001937 |
| Provider Name | Megan Diane Barratt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780993097 PECOS PAC ID: 7719163450 Enrollment ID: I20160607001692 |
| Provider Name | Georgia Talula Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972892396 PECOS PAC ID: 8224328885 Enrollment ID: I20160609002300 |
| Provider Name | Martha Anice Andrea Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295001105 PECOS PAC ID: 5890927628 Enrollment ID: I20160614001142 |
| Provider Name | Daniel Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326345257 PECOS PAC ID: 1951612167 Enrollment ID: I20160614002562 |
| Provider Name | Ann Louise Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992047286 PECOS PAC ID: 4486875515 Enrollment ID: I20160615001076 |
| Provider Name | Eric Keith Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508096843 PECOS PAC ID: 6800044918 Enrollment ID: I20160617001551 |
| Provider Name | Richard Leake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033405485 PECOS PAC ID: 7012208242 Enrollment ID: I20160620000972 |
| Provider Name | Scott Stern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770525826 PECOS PAC ID: 3072556802 Enrollment ID: I20160620001684 |
| Provider Name | Riley Alexander |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427378603 PECOS PAC ID: 2567775141 Enrollment ID: I20160705000916 |
| Provider Name | Kelly H Woodward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548243645 PECOS PAC ID: 0749356517 Enrollment ID: I20160707000401 |
| Provider Name | Sarha Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558375402 PECOS PAC ID: 9133107428 Enrollment ID: I20160707001945 |
| Provider Name | John Bassam Hijjawi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114979812 PECOS PAC ID: 4688647829 Enrollment ID: I20160714002309 |
| Provider Name | Antony R Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962841494 PECOS PAC ID: 1153614797 Enrollment ID: I20160720001099 |
| Provider Name | Anna Leigh Hronek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538500731 PECOS PAC ID: 3678866167 Enrollment ID: I20160720002909 |
| Provider Name | Aaron Keith Starbuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336288034 PECOS PAC ID: 6901124163 Enrollment ID: I20160725003089 |
| Provider Name | Nathan E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437598091 PECOS PAC ID: 7113141466 Enrollment ID: I20160726001494 |
| Provider Name | Maurine Cobabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265877096 PECOS PAC ID: 7416274931 Enrollment ID: I20160728002186 |
| Provider Name | Bryant Oliverson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568789295 PECOS PAC ID: 7719270693 Enrollment ID: I20160729001877 |
| Provider Name | Ramya Thota |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154551273 PECOS PAC ID: 4880850130 Enrollment ID: I20160802000218 |
| Provider Name | Jesse William Hawkes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609219740 PECOS PAC ID: 5991023640 Enrollment ID: I20160802002506 |
| Provider Name | Christopher James Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407296247 PECOS PAC ID: 0547400467 Enrollment ID: I20160805000400 |
| Provider Name | Glen Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982994042 PECOS PAC ID: 2567608136 Enrollment ID: I20160809001854 |
| Provider Name | Ashley Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205297041 PECOS PAC ID: 8426342379 Enrollment ID: I20160816000669 |
| Provider Name | Kassie Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336590595 PECOS PAC ID: 7911292875 Enrollment ID: I20160817001667 |
| Provider Name | Joey Alan Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457730962 PECOS PAC ID: 9537454673 Enrollment ID: I20160829000506 |
| Provider Name | Marcy Porritt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659780369 PECOS PAC ID: 9032405915 Enrollment ID: I20160831002365 |
| Provider Name | Erin Bathurst Helms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053653436 PECOS PAC ID: 1355562455 Enrollment ID: I20160906001423 |
| Provider Name | Daniel Fred Goold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225349863 PECOS PAC ID: 4688960065 Enrollment ID: I20160912000804 |
| Provider Name | David Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760406474 PECOS PAC ID: 0244234383 Enrollment ID: I20160912002425 |
| Provider Name | Colten Dirk Bracken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073993283 PECOS PAC ID: 6709172968 Enrollment ID: I20160914001810 |
| Provider Name | Nicholas Norman Allan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962606012 PECOS PAC ID: 6800061862 Enrollment ID: I20160914001894 |
| Provider Name | Jonathan S Bassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245541952 PECOS PAC ID: 8123257243 Enrollment ID: I20160914001937 |
| Provider Name | Ryan Madsen Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780945832 PECOS PAC ID: 2163719295 Enrollment ID: I20160916002280 |
| Provider Name | Darren C White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063755106 PECOS PAC ID: 3870715253 Enrollment ID: I20160916002396 |
| Provider Name | Toby Paulson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235264169 PECOS PAC ID: 7719081579 Enrollment ID: I20160922001363 |
| Provider Name | Erinn K Hama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356667620 PECOS PAC ID: 6305071028 Enrollment ID: I20160923000797 |
| Provider Name | Marilyn Jean Mckasson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053600858 PECOS PAC ID: 6507089620 Enrollment ID: I20160927002560 |
| Provider Name | Mariesa Nichole Norton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023467800 PECOS PAC ID: 3274821319 Enrollment ID: I20161005002264 |
| Provider Name | Amanda Catharine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548613219 PECOS PAC ID: 7810285806 Enrollment ID: I20161006000929 |
| Provider Name | Sean Michael Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386703478 PECOS PAC ID: 0446285076 Enrollment ID: I20161010002008 |
| Provider Name | Melony Atwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316983588 PECOS PAC ID: 5294706461 Enrollment ID: I20161017002140 |
| Provider Name | Daniel Marlin Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932656808 PECOS PAC ID: 4183902141 Enrollment ID: I20161025002999 |
| Provider Name | Nikolette G Pazell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944934 PECOS PAC ID: 6103104153 Enrollment ID: I20161026002941 |
| Provider Name | Camille Michael Minder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518100924 PECOS PAC ID: 3577728492 Enrollment ID: I20161026002954 |
| Provider Name | Angela Sherril Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790135002 PECOS PAC ID: 2062790843 Enrollment ID: I20161028002034 |
| Provider Name | Theadora Wu Sakata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922439 PECOS PAC ID: 5698907681 Enrollment ID: I20161103002357 |
| Provider Name | Grant Bennett Belnap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356481790 PECOS PAC ID: 5890789127 Enrollment ID: I20161108001517 |
| Provider Name | Justin James Archibald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841740958 PECOS PAC ID: 2466731716 Enrollment ID: I20161109002372 |
| Provider Name | Michael K Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023569241 PECOS PAC ID: 5092094342 Enrollment ID: I20161109002446 |
| Provider Name | Maria Fugate |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982915864 PECOS PAC ID: 7618111360 Enrollment ID: I20161114002436 |
| Provider Name | Brett Lavar Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417405044 PECOS PAC ID: 4789963760 Enrollment ID: I20161115001053 |
| Provider Name | Allison R Smego |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326364175 PECOS PAC ID: 6507145398 Enrollment ID: I20161118001172 |
| Provider Name | Todd Vento |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487630802 PECOS PAC ID: 1557599248 Enrollment ID: I20161123000000 |
| Provider Name | Mark Andrew Lewis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801051578 PECOS PAC ID: 2769550441 Enrollment ID: I20161123001934 |
| Provider Name | Nathan Michael Finnerty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346680808 PECOS PAC ID: 6507093770 Enrollment ID: I20161130001129 |
| Provider Name | Jonathan Grant |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861738189 PECOS PAC ID: 1951616374 Enrollment ID: I20161202001526 |
| Provider Name | Curtis Daniel Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871946871 PECOS PAC ID: 7517247570 Enrollment ID: I20161208000848 |
| Provider Name | Bryan David Whetton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972932986 PECOS PAC ID: 7517197825 Enrollment ID: I20161208001161 |
| Provider Name | Jeffrey James Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891083374 PECOS PAC ID: 9537487863 Enrollment ID: I20161208001978 |
| Provider Name | Cody Christensen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205156056 PECOS PAC ID: 2567783145 Enrollment ID: I20161209002032 |
| Provider Name | Anastasiya Mankouski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003366766 PECOS PAC ID: 6002197498 Enrollment ID: I20161222001132 |
| Provider Name | Eva Losaline Tukuafu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255713582 PECOS PAC ID: 7214218221 Enrollment ID: I20170106000427 |
| Provider Name | Aaron Bennion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659709848 PECOS PAC ID: 9133357171 Enrollment ID: I20170106001009 |
| Provider Name | Anne Mary Torkelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992059927 PECOS PAC ID: 2769634864 Enrollment ID: I20170120001021 |
| Provider Name | Mori Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952564627 PECOS PAC ID: 2365662046 Enrollment ID: I20170120002070 |
| Provider Name | Seth T Herway |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326350398 PECOS PAC ID: 1658597646 Enrollment ID: I20170124000537 |
| Provider Name | David Farkas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043294101 PECOS PAC ID: 5890692925 Enrollment ID: I20170130002661 |
| Provider Name | Olive Sein Konana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811179088 PECOS PAC ID: 8729221544 Enrollment ID: I20170202000843 |
| Provider Name | Allison Jo Judkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912149949 PECOS PAC ID: 6103062500 Enrollment ID: I20170222001950 |
| Provider Name | Anna Niarchos Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336690775 PECOS PAC ID: 7214211903 Enrollment ID: I20170223002548 |
| Provider Name | Jennifer a Uyematsu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871686311 PECOS PAC ID: 7315221066 Enrollment ID: I20170224002207 |
| Provider Name | Linda Maria Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376083147 PECOS PAC ID: 1254616501 Enrollment ID: I20170328002774 |
| Provider Name | Brett Allen Nance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144515610 PECOS PAC ID: 0042595340 Enrollment ID: I20170329001596 |
| Provider Name | Trevor Scott Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629516166 PECOS PAC ID: 2769767904 Enrollment ID: I20170330000822 |
| Provider Name | Jessica a Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780980532 PECOS PAC ID: 0446411391 Enrollment ID: I20170403001525 |
| Provider Name | Jonathan M Baugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578882759 PECOS PAC ID: 0244475333 Enrollment ID: I20170410001740 |
| Provider Name | Peter Hayes Grubb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811084940 PECOS PAC ID: 9830130939 Enrollment ID: I20170501002261 |
| Provider Name | Patrick Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700062072 PECOS PAC ID: 3476610254 Enrollment ID: I20170503002475 |
| Provider Name | Bradford Ence |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255770392 PECOS PAC ID: 2062639032 Enrollment ID: I20170508001687 |
| Provider Name | Christopher Ryan Trimble |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568774826 PECOS PAC ID: 2466745625 Enrollment ID: I20170519000924 |
| Provider Name | Kimberly Catherine Warburton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477818151 PECOS PAC ID: 6507001260 Enrollment ID: I20170522000898 |
| Provider Name | Ronald Matthew Mylott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992249437 PECOS PAC ID: 1658648670 Enrollment ID: I20170523001987 |
| Provider Name | Justin R Gardner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386011021 PECOS PAC ID: 7113294828 Enrollment ID: I20170601000411 |
| Provider Name | Sneha Nutan Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386063386 PECOS PAC ID: 6103120290 Enrollment ID: I20170602001981 |
| Provider Name | Bennett Jay Mohlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851703524 PECOS PAC ID: 6305162025 Enrollment ID: I20170605002112 |
| Provider Name | Joshua Knowlton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811940166 PECOS PAC ID: 1951678382 Enrollment ID: I20170606001595 |
| Provider Name | Robert E Stoker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306285234 PECOS PAC ID: 4880829688 Enrollment ID: I20170607001367 |
| Provider Name | Brandon P Egbert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821359316 PECOS PAC ID: 8921399833 Enrollment ID: I20170607002417 |
| Provider Name | Justin Charles Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487945135 PECOS PAC ID: 9739499054 Enrollment ID: I20170613002843 |
| Provider Name | Scott Simonson Short |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326209735 PECOS PAC ID: 8820314743 Enrollment ID: I20170613002853 |
| Provider Name | Austin Brown Froerer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043626112 PECOS PAC ID: 4981820974 Enrollment ID: I20170614002270 |
| Provider Name | Kristopher M Foote |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194083980 PECOS PAC ID: 3173755832 Enrollment ID: I20170619002180 |
| Provider Name | Kristin Croughwell Washburn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578707824 PECOS PAC ID: 3476783796 Enrollment ID: I20170619002666 |
| Provider Name | Irma Clarita Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740731330 PECOS PAC ID: 4981972510 Enrollment ID: I20170622001131 |
| Provider Name | Mathew Ray Coddington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336576560 PECOS PAC ID: 5991928103 Enrollment ID: I20170623002436 |
| Provider Name | Shaun Peter Garff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093135816 PECOS PAC ID: 6002037181 Enrollment ID: I20170626001306 |
| Provider Name | Jonathan Gochnour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144513623 PECOS PAC ID: 2163655929 Enrollment ID: I20170628003092 |
| Provider Name | Kathryn Ann Maurer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275859654 PECOS PAC ID: 3274759295 Enrollment ID: I20170629002919 |
| Provider Name | Eric Randall Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770823361 PECOS PAC ID: 5193094399 Enrollment ID: I20170630002603 |
| Provider Name | Amanda Best Breviu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043654189 PECOS PAC ID: 3375867393 Enrollment ID: I20170703001017 |
| Provider Name | Vanessa Marie Galli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649699828 PECOS PAC ID: 3274836598 Enrollment ID: I20170703001418 |
| Provider Name | Virginia B Hebl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245424597 PECOS PAC ID: 4183770332 Enrollment ID: I20170705001098 |
| Provider Name | James Freeman Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417214958 PECOS PAC ID: 4688976657 Enrollment ID: I20170706001857 |
| Provider Name | Matthew Harrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134486251 PECOS PAC ID: 5092084079 Enrollment ID: I20170706002836 |
| Provider Name | Carrie B Torr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346538808 PECOS PAC ID: 2567689664 Enrollment ID: I20170707001288 |
| Provider Name | James Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629377098 PECOS PAC ID: 4688943525 Enrollment ID: I20170707002175 |
| Provider Name | Eric Stoker Okelberry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205254828 PECOS PAC ID: 5991003618 Enrollment ID: I20170707002831 |
| Provider Name | Tyler Matthew Ferris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629496526 PECOS PAC ID: 2860781135 Enrollment ID: I20170713002135 |
| Provider Name | Erica Jane Colvin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003235151 PECOS PAC ID: 5092012104 Enrollment ID: I20170718002295 |
| Provider Name | Mark W Dodson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710275599 PECOS PAC ID: 6709009442 Enrollment ID: I20170719002924 |
| Provider Name | Nicholas Howland |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659666295 PECOS PAC ID: 1658641816 Enrollment ID: I20170720000881 |
| Provider Name | Hayley Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316477342 PECOS PAC ID: 5799055976 Enrollment ID: I20170720001634 |
| Provider Name | Eric Charles Sorenson |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1205089455 PECOS PAC ID: 6507158169 Enrollment ID: I20170720002189 |
| Provider Name | John T Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306199898 PECOS PAC ID: 8022332279 Enrollment ID: I20170726003718 |
| Provider Name | Jonathan B Mckean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831432723 PECOS PAC ID: 4880836170 Enrollment ID: I20170727000567 |
| Provider Name | Zachary Kastenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518191915 PECOS PAC ID: 3072883727 Enrollment ID: I20170727004153 |
| Provider Name | Brian David Parmenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700324985 PECOS PAC ID: 7113298696 Enrollment ID: I20170801003385 |
| Provider Name | Steven Sugden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366416489 PECOS PAC ID: 5092796987 Enrollment ID: I20170802000936 |
| Provider Name | David Earl Perry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295029528 PECOS PAC ID: 6305069501 Enrollment ID: I20170811002287 |
| Provider Name | Scott J Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730447186 PECOS PAC ID: 9830340264 Enrollment ID: I20170814001568 |
| Provider Name | Scott Ruel Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891157210 PECOS PAC ID: 1850663469 Enrollment ID: I20170816004117 |
| Provider Name | Theron Liddell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528515939 PECOS PAC ID: 2668744673 Enrollment ID: I20170824002839 |
| Provider Name | Michael F Osborn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639584147 PECOS PAC ID: 0749409886 Enrollment ID: I20170825002780 |
| Provider Name | Anna Kasabyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063934784 PECOS PAC ID: 9335412055 Enrollment ID: I20170831001619 |
| Provider Name | Alison Leigh Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598004087 PECOS PAC ID: 9335442375 Enrollment ID: I20170901003197 |
| Provider Name | Laura Elise Juarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407398639 PECOS PAC ID: 3577838499 Enrollment ID: I20171003006036 |
| Provider Name | Brian Jon Pontius |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356869879 PECOS PAC ID: 0143595991 Enrollment ID: I20171004003684 |
| Provider Name | Anna M Siciliano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104947233 PECOS PAC ID: 7416222716 Enrollment ID: I20171012003033 |
| Provider Name | Brett L Baumgartner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962816561 PECOS PAC ID: 9931425063 Enrollment ID: I20171020002393 |
| Provider Name | Stanley Eugene Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346508637 PECOS PAC ID: 2860638509 Enrollment ID: I20171031001907 |
| Provider Name | Sarah Y Asaki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821318411 PECOS PAC ID: 5193081024 Enrollment ID: I20171109002298 |
| Provider Name | Jessica M. Davidson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861620064 PECOS PAC ID: 9032419783 Enrollment ID: I20171120003141 |
| Provider Name | Daniel D Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609076926 PECOS PAC ID: 1052446358 Enrollment ID: I20171127001583 |
| Provider Name | Sabrina Renee Malone Jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134416183 PECOS PAC ID: 0941427165 Enrollment ID: I20171206002095 |
| Provider Name | Scott P Kagie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881960987 PECOS PAC ID: 2163711649 Enrollment ID: I20171219001207 |
| Provider Name | Danele Rae Cebrowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093226250 PECOS PAC ID: 0648538611 Enrollment ID: I20171220001900 |
| Provider Name | Cristina Dawn Berkholder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386155273 PECOS PAC ID: 3678831302 Enrollment ID: I20171229000541 |
| Provider Name | Samuel H Cheshier |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790942043 PECOS PAC ID: 4486841541 Enrollment ID: I20180109001843 |
| Provider Name | Brett Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265876171 PECOS PAC ID: 8820317571 Enrollment ID: I20180110002597 |
| Provider Name | Holly Cushing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487173928 PECOS PAC ID: 2668731886 Enrollment ID: I20180116002511 |
| Provider Name | Karyn E Peirce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184148447 PECOS PAC ID: 2163781105 Enrollment ID: I20180118002870 |
| Provider Name | Syed Adil Husain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790845873 PECOS PAC ID: 5597766402 Enrollment ID: I20180119002727 |
| Provider Name | Jason W Jorgensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366953754 PECOS PAC ID: 7416216379 Enrollment ID: I20180122003266 |
| Provider Name | Austin J Schwab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518391218 PECOS PAC ID: 7517235971 Enrollment ID: I20180124003246 |
| Provider Name | Xondra Alexis Driggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063648590 PECOS PAC ID: 0244488518 Enrollment ID: I20180131002737 |
| Provider Name | John Walker Lelis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275812208 PECOS PAC ID: 9436325032 Enrollment ID: I20180205000623 |
| Provider Name | Aimee Ogden Hersh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497960900 PECOS PAC ID: 4688746001 Enrollment ID: I20180206001667 |
| Provider Name | Mayra Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104274448 PECOS PAC ID: 2860752102 Enrollment ID: I20180207001050 |
| Provider Name | Jonathan Daniel Ricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568996502 PECOS PAC ID: 1052671146 Enrollment ID: I20180209002494 |
| Provider Name | Kelly Jean Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396504 PECOS PAC ID: 2567724222 Enrollment ID: I20180319000791 |
| Provider Name | Katherine L. Harris |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447588728 PECOS PAC ID: 8325348394 Enrollment ID: I20180320001118 |
| Provider Name | Brian J Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740780964 PECOS PAC ID: 8426310707 Enrollment ID: I20180326002966 |
| Provider Name | Sabrina Rae Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225562259 PECOS PAC ID: 2961764089 Enrollment ID: I20180329000274 |
| Provider Name | Joanie Marie Limb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164951737 PECOS PAC ID: 0840553541 Enrollment ID: I20180411000437 |
| Provider Name | Brian Andrew Breviu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790129831 PECOS PAC ID: 7719200252 Enrollment ID: I20180412001163 |
| Provider Name | Megan B. Rowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538318506 PECOS PAC ID: 3678619970 Enrollment ID: I20180419001056 |
| Provider Name | Erick Bryan Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750807095 PECOS PAC ID: 2961766084 Enrollment ID: I20180425002509 |
| Provider Name | Bryce L Egbert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053677906 PECOS PAC ID: 5698066785 Enrollment ID: I20180507001913 |
| Provider Name | Gregory Lynn Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578066080 PECOS PAC ID: 6204190895 Enrollment ID: I20180507002733 |
| Provider Name | Michelle R B Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841427978 PECOS PAC ID: 3173746815 Enrollment ID: I20180525001975 |
| Provider Name | Daniel Cotoi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255656005 PECOS PAC ID: 0648490805 Enrollment ID: I20180607002194 |
| Provider Name | James Robert Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760802250 PECOS PAC ID: 9830471754 Enrollment ID: I20180612001485 |
| Provider Name | Parker R Hill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508286444 PECOS PAC ID: 6305191537 Enrollment ID: I20180612001577 |
| Provider Name | J Michael Coombs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336529163 PECOS PAC ID: 9931414455 Enrollment ID: I20180614000724 |
| Provider Name | Marija Margaret Lum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417375387 PECOS PAC ID: 1254637036 Enrollment ID: I20180615001461 |
| Provider Name | Michael Larochelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306100706 PECOS PAC ID: 5597983676 Enrollment ID: I20180618002027 |
| Provider Name | Spencer K Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174898647 PECOS PAC ID: 1456606193 Enrollment ID: I20180620001346 |
| Provider Name | Amanda J Shike |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902311467 PECOS PAC ID: 9638424252 Enrollment ID: I20180621001808 |
| Provider Name | Kyle Milton Fusselman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571363 PECOS PAC ID: 1456655976 Enrollment ID: I20180622001726 |
| Provider Name | Chantel Leigh Duffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093236895 PECOS PAC ID: 3274888755 Enrollment ID: I20180625002602 |
| Provider Name | Teresa Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407246135 PECOS PAC ID: 1850619297 Enrollment ID: I20180626002044 |
| Provider Name | Diane Marie Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992191324 PECOS PAC ID: 6406160290 Enrollment ID: I20180628002478 |
| Provider Name | Cole a Gibbons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679991574 PECOS PAC ID: 4082960018 Enrollment ID: I20180705002973 |
| Provider Name | Neal Griffith Moores |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427374636 PECOS PAC ID: 2163741927 Enrollment ID: I20180713002733 |
| Provider Name | Shulun Zang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306230842 PECOS PAC ID: 2668787722 Enrollment ID: I20180716001399 |
| Provider Name | Alison D Craven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992191332 PECOS PAC ID: 0042590994 Enrollment ID: I20180730001856 |
| Provider Name | Spencer Bangerter Hyde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083031371 PECOS PAC ID: 0446478556 Enrollment ID: I20180806002221 |
| Provider Name | Benjamin Philip Draleau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508383738 PECOS PAC ID: 1052669983 Enrollment ID: I20180808002672 |
| Provider Name | Richard Blair Willis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366883324 PECOS PAC ID: 0042514457 Enrollment ID: I20180809005232 |
| Provider Name | Jeffery Mccleve |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043705866 PECOS PAC ID: 9537418520 Enrollment ID: I20180824000800 |
| Provider Name | Andrew Robert Badke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063708725 PECOS PAC ID: 4688895576 Enrollment ID: I20180907002427 |
| Provider Name | Jonathan Seth Bingham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700172368 PECOS PAC ID: 1456581115 Enrollment ID: I20180918001954 |
| Provider Name | Earl W Stuker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487074514 PECOS PAC ID: 5991001430 Enrollment ID: I20180919001561 |
| Provider Name | Zachary R Krahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518306240 PECOS PAC ID: 7810248465 Enrollment ID: I20180921000496 |
| Provider Name | Joe Sammy Mendez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578819827 PECOS PAC ID: 7911136106 Enrollment ID: I20181004002890 |
| Provider Name | Brandon Winslett Kirkland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033437215 PECOS PAC ID: 2860639606 Enrollment ID: I20181015003162 |
| Provider Name | Chad R Crowther |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548400088 PECOS PAC ID: 3971759085 Enrollment ID: I20181017003254 |
| Provider Name | Eugene Young Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669738696 PECOS PAC ID: 0345479408 Enrollment ID: I20181024002681 |
| Provider Name | Edward Thomas Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306231006 PECOS PAC ID: 6709192750 Enrollment ID: I20181025000896 |
| Provider Name | Alisha Wursten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457847675 PECOS PAC ID: 2567715261 Enrollment ID: I20181026000334 |
| Provider Name | Lauren Elizabeth Willis Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407275787 PECOS PAC ID: 3072816818 Enrollment ID: I20181026000727 |
| Provider Name | Paul Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245596410 PECOS PAC ID: 0345511127 Enrollment ID: I20181027000183 |
| Provider Name | Kristina Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215324025 PECOS PAC ID: 0143579920 Enrollment ID: I20181029001603 |
| Provider Name | Kevin Meier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104143825 PECOS PAC ID: 7517199193 Enrollment ID: I20181029001940 |
| Provider Name | Craig Evan Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253955 PECOS PAC ID: 1658624150 Enrollment ID: I20181031000771 |
| Provider Name | Faryal M Turtle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174918163 PECOS PAC ID: 5799080842 Enrollment ID: I20181031002641 |
| Provider Name | Travis Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386900595 PECOS PAC ID: 2062646268 Enrollment ID: I20181102001964 |
| Provider Name | Vance B Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417369471 PECOS PAC ID: 6002034485 Enrollment ID: I20181213002386 |
| Provider Name | Joseph R Whitnah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255345823 PECOS PAC ID: 2365497617 Enrollment ID: I20181214002887 |
| Provider Name | Alison Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104211747 PECOS PAC ID: 1557640315 Enrollment ID: I20181219002527 |
| Provider Name | Emily Rae Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386902120 PECOS PAC ID: 1254577463 Enrollment ID: I20181221001979 |
| Provider Name | Karl Theodore Martineau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144602822 PECOS PAC ID: 7214241355 Enrollment ID: I20190102002911 |
| Provider Name | Hayley Ann Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124411426 PECOS PAC ID: 9739408188 Enrollment ID: I20190102003122 |
| Provider Name | John M Hendrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780002261 PECOS PAC ID: 7315247129 Enrollment ID: I20190103000870 |
| Provider Name | Jack Edward Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073991915 PECOS PAC ID: 2163782855 Enrollment ID: I20190103001338 |
| Provider Name | Melissa Christine Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366848608 PECOS PAC ID: 0244555951 Enrollment ID: I20190103002345 |
| Provider Name | Jonathan Terry Kemp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164804811 PECOS PAC ID: 9931411360 Enrollment ID: I20190107001079 |
| Provider Name | Ian Macgregor Lindsay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558505305 PECOS PAC ID: 6901198274 Enrollment ID: I20190107002652 |
| Provider Name | Carey Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255698726 PECOS PAC ID: 9032342563 Enrollment ID: I20190108000892 |
| Provider Name | Brittany Marie Cross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891277950 PECOS PAC ID: 7012254121 Enrollment ID: I20190128003187 |
| Provider Name | Christina Marie Pelo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528587672 PECOS PAC ID: 0749527752 Enrollment ID: I20190129003810 |
| Provider Name | Tara Lynn Dupont |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104047265 PECOS PAC ID: 2567634637 Enrollment ID: I20190204003063 |
| Provider Name | Brian Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710416649 PECOS PAC ID: 2961740584 Enrollment ID: I20190206002105 |
| Provider Name | Suzanne Gordon Martin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275012718 PECOS PAC ID: 6002154275 Enrollment ID: I20190213001600 |
| Provider Name | Hans Puttgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851447569 PECOS PAC ID: 4789739228 Enrollment ID: I20190214002525 |
| Provider Name | Lyssa T Haase |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053709634 PECOS PAC ID: 5092053181 Enrollment ID: I20190215000284 |
| Provider Name | Brigid a O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245743640 PECOS PAC ID: 4284993916 Enrollment ID: I20190225002295 |
| Provider Name | Afton Leuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902308455 PECOS PAC ID: 5698014215 Enrollment ID: I20190226002725 |
| Provider Name | Matthew Ryan Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801377767 PECOS PAC ID: 1951640440 Enrollment ID: I20190227002610 |
| Provider Name | Matthew Todd Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700881950 PECOS PAC ID: 5294708087 Enrollment ID: I20190304002801 |
| Provider Name | Loren Kyle Gulbranson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124598198 PECOS PAC ID: 6901146992 Enrollment ID: I20190329001873 |
| Provider Name | Leslie Rose Orton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932687514 PECOS PAC ID: 6103167135 Enrollment ID: I20190401001042 |
| Provider Name | Eva Maria Comollo Angerhofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801326137 PECOS PAC ID: 0446591374 Enrollment ID: I20190403000173 |
| Provider Name | Ross a Butschek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548522956 PECOS PAC ID: 5698085363 Enrollment ID: I20190410002454 |
| Provider Name | Betty Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497248272 PECOS PAC ID: 7113268558 Enrollment ID: I20190411001139 |
| Provider Name | Ted M Pagoaga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780745430 PECOS PAC ID: 6507107976 Enrollment ID: I20190411002500 |
| Provider Name | Lindsey A. Gakenheimer-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356703516 PECOS PAC ID: 9830455435 Enrollment ID: I20190417001066 |
| Provider Name | Lisa Ladle Archibald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770053167 PECOS PAC ID: 5092057018 Enrollment ID: I20190423001747 |
| Provider Name | Dallin Shaw Gallacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700301637 PECOS PAC ID: 5799047999 Enrollment ID: I20190423002666 |
| Provider Name | Jeremy Robert Chidester |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1194015693 PECOS PAC ID: 9436416609 Enrollment ID: I20190425000423 |
| Provider Name | Reid Joseph Leinart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023416047 PECOS PAC ID: 3274842166 Enrollment ID: I20190426001295 |
| Provider Name | Fernando Rivero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063992022 PECOS PAC ID: 4587906805 Enrollment ID: I20190506002730 |
| Provider Name | Bruce Calvin Ferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942796644 PECOS PAC ID: 9537402763 Enrollment ID: I20190509002880 |
| Provider Name | Matthew Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255630745 PECOS PAC ID: 1153612023 Enrollment ID: I20190531000343 |
| Provider Name | Robert M Brickley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700262524 PECOS PAC ID: 0840559936 Enrollment ID: I20190603001176 |
| Provider Name | Brett Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386067478 PECOS PAC ID: 9638434384 Enrollment ID: I20190603001584 |
| Provider Name | Anthony Wayne Bacon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154611986 PECOS PAC ID: 4385957166 Enrollment ID: I20190605000578 |
| Provider Name | Austin Taylor Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376962100 PECOS PAC ID: 3971805102 Enrollment ID: I20190606000547 |
| Provider Name | Jordan J Ash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295054500 PECOS PAC ID: 8628216520 Enrollment ID: I20190606002966 |
| Provider Name | Jessica Ivanka Treidl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275920373 PECOS PAC ID: 7810290830 Enrollment ID: I20190607000906 |
| Provider Name | Michelle Suzu Ploutz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013144450 PECOS PAC ID: 5799056024 Enrollment ID: I20190611002755 |
| Provider Name | Mark Andrew Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518233352 PECOS PAC ID: 8820220593 Enrollment ID: I20190617001565 |
| Provider Name | Kelli Lund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386887081 PECOS PAC ID: 8224346630 Enrollment ID: I20190618002535 |
| Provider Name | Ethan Patrick Baham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740635556 PECOS PAC ID: 4385978733 Enrollment ID: I20190619000952 |
| Provider Name | William B Ennen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770743403 PECOS PAC ID: 3678723368 Enrollment ID: I20190620003313 |
| Provider Name | Steven James Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275925919 PECOS PAC ID: 3274831979 Enrollment ID: I20190625001780 |
| Provider Name | Alison E Wynne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750300877 PECOS PAC ID: 4082646203 Enrollment ID: I20190626000832 |
| Provider Name | Angela King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922475508 PECOS PAC ID: 4587964218 Enrollment ID: I20190626002650 |
| Provider Name | Jason W Curtis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619311792 PECOS PAC ID: 1759645070 Enrollment ID: I20190626003607 |
| Provider Name | Travis Scoresby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003167594 PECOS PAC ID: 2567612997 Enrollment ID: I20190627001929 |
| Provider Name | Robert Daniel Wilcoxson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952644239 PECOS PAC ID: 0941590210 Enrollment ID: I20190628000264 |
| Provider Name | Cody Roger Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386986057 PECOS PAC ID: 2961757778 Enrollment ID: I20190701001838 |
| Provider Name | Karleena Dawn Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679939755 PECOS PAC ID: 4486940657 Enrollment ID: I20190703002540 |
| Provider Name | Rebecca Faye Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265907497 PECOS PAC ID: 7416282819 Enrollment ID: I20190708001333 |
| Provider Name | Cheryl Lyn Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710272026 PECOS PAC ID: 6709039308 Enrollment ID: I20190710000665 |
| Provider Name | Joshua C Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104203959 PECOS PAC ID: 6305142852 Enrollment ID: I20190710001455 |
| Provider Name | Evan Brownie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346507456 PECOS PAC ID: 4587999628 Enrollment ID: I20190711003492 |
| Provider Name | Lonny Dee Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528523206 PECOS PAC ID: 0547595522 Enrollment ID: I20190712001685 |
| Provider Name | Michelle Marie Matheu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134563307 PECOS PAC ID: 4284931171 Enrollment ID: I20190716002712 |
| Provider Name | Jeff D Jensen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437598422 PECOS PAC ID: 6002040631 Enrollment ID: I20190717002112 |
| Provider Name | Shannon Dawn O'keefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417116955 PECOS PAC ID: 1456515139 Enrollment ID: I20190717004111 |
| Provider Name | Timothy Ronald Leclair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598054124 PECOS PAC ID: 8426359597 Enrollment ID: I20190726001217 |
| Provider Name | Mohammad Omer Syed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497977722 PECOS PAC ID: 4587700653 Enrollment ID: I20190805002985 |
| Provider Name | Kelsey Patricia Gaid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578096897 PECOS PAC ID: 9234406323 Enrollment ID: I20190812001285 |
| Provider Name | Jedediah James Shutler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801378880 PECOS PAC ID: 9234466277 Enrollment ID: I20190813003157 |
| Provider Name | Lauren Michelle Becker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659518587 PECOS PAC ID: 5395894729 Enrollment ID: I20190814003610 |
| Provider Name | Jeffrey R Skanchy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649625419 PECOS PAC ID: 3072840883 Enrollment ID: I20190815002631 |
| Provider Name | Zoe Raleigh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265774764 PECOS PAC ID: 1052635216 Enrollment ID: I20190820000202 |
| Provider Name | Gaurav Dagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508027541 PECOS PAC ID: 7416180088 Enrollment ID: I20190820003512 |
| Provider Name | Shane Rulon Stratford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508347006 PECOS PAC ID: 2062741952 Enrollment ID: I20190830001817 |
| Provider Name | Spencer Gordon Nielson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962992768 PECOS PAC ID: 5193054039 Enrollment ID: I20190903000644 |
| Provider Name | Daniel Noall Bennett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013200997 PECOS PAC ID: 7719264431 Enrollment ID: I20190904003073 |
| Provider Name | Preston Eiswirth |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023452737 PECOS PAC ID: 1951521053 Enrollment ID: I20190905001530 |
| Provider Name | Brittany Lynn Gallegos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396219564 PECOS PAC ID: 1153651104 Enrollment ID: I20190918001541 |
| Provider Name | Sarah Roseman Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386106698 PECOS PAC ID: 2163752643 Enrollment ID: I20190925004052 |
| Provider Name | Jonathan Hastings Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326331133 PECOS PAC ID: 7719132521 Enrollment ID: I20191015002989 |
| Provider Name | Robert Lindsay Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659427243 PECOS PAC ID: 5991877284 Enrollment ID: I20191030002113 |
| Provider Name | Brennen Rick Holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831552066 PECOS PAC ID: 2961763016 Enrollment ID: I20191101001054 |
| Provider Name | Sandra Lee Stoker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831691393 PECOS PAC ID: 8123350428 Enrollment ID: I20191105001898 |
| Provider Name | David Stephen Stoker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588866347 PECOS PAC ID: 1850601345 Enrollment ID: I20191106000141 |
| Provider Name | Mary Louise Sydney Leguyader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588027684 PECOS PAC ID: 1052677564 Enrollment ID: I20191106000761 |
| Provider Name | Kyle Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194161588 PECOS PAC ID: 9931464591 Enrollment ID: I20191106000973 |
| Provider Name | Ashley Christine Seawright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316505571 PECOS PAC ID: 6406188788 Enrollment ID: I20191106001764 |
| Provider Name | Jessica Christine Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255890075 PECOS PAC ID: 4385976679 Enrollment ID: I20191106002386 |
| Provider Name | Sean Damian Slack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699160598 PECOS PAC ID: 4789964214 Enrollment ID: I20191108002621 |
| Provider Name | Travis John Clyde |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457700262 PECOS PAC ID: 7214229095 Enrollment ID: I20191109000094 |
| Provider Name | Robert Reginald Snowden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427231091 PECOS PAC ID: 3476586009 Enrollment ID: I20191111000042 |
| Provider Name | Heather Nicole Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720508336 PECOS PAC ID: 0345672598 Enrollment ID: I20191111000093 |
| Provider Name | Michael S Doherty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609313360 PECOS PAC ID: 7416234885 Enrollment ID: I20191112001656 |
| Provider Name | Trevor B Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528453644 PECOS PAC ID: 5597071910 Enrollment ID: I20191113000224 |
| Provider Name | William Haws West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073961439 PECOS PAC ID: 6800182304 Enrollment ID: I20191113000613 |
| Provider Name | Jeanette Lynn Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427602507 PECOS PAC ID: 6507298536 Enrollment ID: I20191113002051 |
| Provider Name | Antonio Gabriel Cabrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851328603 PECOS PAC ID: 5092730044 Enrollment ID: I20191114000172 |
| Provider Name | Anne Bradford Porter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902268493 PECOS PAC ID: 5890061329 Enrollment ID: I20191114003157 |
| Provider Name | Mark Jeffrey Carlberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982059010 PECOS PAC ID: 4385910801 Enrollment ID: I20191114003271 |
| Provider Name | Brent Lee Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063863876 PECOS PAC ID: 9931531712 Enrollment ID: I20191115002159 |
| Provider Name | Thomas Lamb Corson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639641681 PECOS PAC ID: 2961834585 Enrollment ID: I20191119002215 |
| Provider Name | Justin Layne Knowles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659456861 PECOS PAC ID: 6204853948 Enrollment ID: I20191121003043 |
| Provider Name | Jennifer Christine Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003478801 PECOS PAC ID: 7810329224 Enrollment ID: I20191122000649 |
| Provider Name | Abbey Jo Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184184632 PECOS PAC ID: 1557794617 Enrollment ID: I20191203001473 |
| Provider Name | Sandra Jo Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386051407 PECOS PAC ID: 3072734961 Enrollment ID: I20191204002137 |
| Provider Name | Kira Salmond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891294989 PECOS PAC ID: 7719233907 Enrollment ID: I20191212001787 |
| Provider Name | Jessica Potter Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938936 PECOS PAC ID: 8820422231 Enrollment ID: I20191217003314 |
| Provider Name | Katelyn a Garel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447653399 PECOS PAC ID: 6608194329 Enrollment ID: I20191218001964 |
| Provider Name | Aaron Bress |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770712879 PECOS PAC ID: 8022339548 Enrollment ID: I20191231000680 |
| Provider Name | Catalina Maria Jaramillo Castrillon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467718569 PECOS PAC ID: 4284945072 Enrollment ID: I20200108002819 |
| Provider Name | Kimberly Ann Folkman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073794228 PECOS PAC ID: 2860828191 Enrollment ID: I20200205002102 |
| Provider Name | Vasanth Jayaraman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639714082 PECOS PAC ID: 9335575356 Enrollment ID: I20200210002374 |
| Provider Name | Steven Kyle Throneberry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073932851 PECOS PAC ID: 4082912845 Enrollment ID: I20200211000279 |
| Provider Name | Christian Lee Barney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689229650 PECOS PAC ID: 6507292315 Enrollment ID: I20200213002265 |
| Provider Name | Kenneth Ross Deitch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558300855 PECOS PAC ID: 8820160518 Enrollment ID: I20200227001249 |
| Provider Name | Anna Lynn Gustaveson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659820231 PECOS PAC ID: 4688952617 Enrollment ID: I20200228000812 |
| Provider Name | Christopher R Alsup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134572712 PECOS PAC ID: 8022305978 Enrollment ID: I20200228002447 |
| Provider Name | Hillary Dawn Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770057861 PECOS PAC ID: 7012344039 Enrollment ID: I20200303001648 |
| Provider Name | Alexis Jenson Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962051938 PECOS PAC ID: 8527495514 Enrollment ID: I20200304001818 |
| Provider Name | Chelbi Danielle Wilde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710494562 PECOS PAC ID: 3577991306 Enrollment ID: I20200310000940 |
| Provider Name | Tyler Ross Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376187757 PECOS PAC ID: 6709214281 Enrollment ID: I20200316001799 |
| Provider Name | Dyllan J Almond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023656592 PECOS PAC ID: 4082042247 Enrollment ID: I20200322000143 |
| Provider Name | Lindsey Marie Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376182295 PECOS PAC ID: 1052749157 Enrollment ID: I20200324002713 |
| Provider Name | Kate Anne Turner Grygiel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396112918 PECOS PAC ID: 2860702008 Enrollment ID: I20200326003492 |
| Provider Name | Preston Mangum Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154703841 PECOS PAC ID: 2668770074 Enrollment ID: I20200328000156 |
| Provider Name | Paul Jacob Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972159952 PECOS PAC ID: 2365871175 Enrollment ID: I20200330003462 |
| Provider Name | Jason Rutter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972992253 PECOS PAC ID: 8628397932 Enrollment ID: I20200331000872 |
| Provider Name | Kari Potter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730686668 PECOS PAC ID: 7911242094 Enrollment ID: I20200331001631 |
| Provider Name | Sonda Bluemel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710138854 PECOS PAC ID: 5799834222 Enrollment ID: I20200331002608 |
| Provider Name | Rachel Lucinda Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073173928 PECOS PAC ID: 0143659813 Enrollment ID: I20200331002636 |
| Provider Name | Keshav Anand |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922419290 PECOS PAC ID: 5991134520 Enrollment ID: I20200402003486 |
| Provider Name | Matthew Stephen Douglass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013322494 PECOS PAC ID: 0648491639 Enrollment ID: I20200409003319 |
| Provider Name | Suzanne Tremblay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871139972 PECOS PAC ID: 5496185100 Enrollment ID: I20200421001366 |
| Provider Name | Christopher I Eppich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770016925 PECOS PAC ID: 4688903834 Enrollment ID: I20200423000874 |
| Provider Name | Swati Laroia Coon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306284765 PECOS PAC ID: 8224255492 Enrollment ID: I20200428002117 |
| Provider Name | Diane Marie Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760403299 PECOS PAC ID: 9830148360 Enrollment ID: I20200506002393 |
| Provider Name | Sarah Elizabeth Hudson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083189880 PECOS PAC ID: 4789015728 Enrollment ID: I20200507001707 |
| Provider Name | John T Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588224604 PECOS PAC ID: 9436580222 Enrollment ID: I20200511003516 |
| Provider Name | Symbree R Minniear |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720623614 PECOS PAC ID: 5991136624 Enrollment ID: I20200514000086 |
| Provider Name | Wesley M Pedicini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548792187 PECOS PAC ID: 1254684657 Enrollment ID: I20200518000707 |
| Provider Name | Diego Ize-ludlow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063455699 PECOS PAC ID: 6002816600 Enrollment ID: I20200518000840 |
| Provider Name | David Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649383027 PECOS PAC ID: 8820992472 Enrollment ID: I20200529001359 |
| Provider Name | Laura Moncrief |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073622049 PECOS PAC ID: 5496176372 Enrollment ID: I20200601002501 |
| Provider Name | Merrit Bart Cherry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760912281 PECOS PAC ID: 1254698822 Enrollment ID: I20200611002305 |
| Provider Name | Eric Hu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1770900672 PECOS PAC ID: 3072814136 Enrollment ID: I20200612001431 |
| Provider Name | Nam Keun Yoon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194083915 PECOS PAC ID: 4183922966 Enrollment ID: I20200617001985 |
| Provider Name | Craig William Speight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700087004 PECOS PAC ID: 5597825158 Enrollment ID: I20200617003312 |
| Provider Name | Michael K Neilson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306378823 PECOS PAC ID: 1355612946 Enrollment ID: I20200624000248 |
| Provider Name | Jennifer Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093188211 PECOS PAC ID: 5698034221 Enrollment ID: I20200625001699 |
| Provider Name | Michelle J. Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982970943 PECOS PAC ID: 7214238229 Enrollment ID: I20200629000365 |
| Provider Name | Jon Adam Kimball |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053720565 PECOS PAC ID: 3678809407 Enrollment ID: I20200629003542 |
| Provider Name | Zachary Ware Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437774643 PECOS PAC ID: 6002239027 Enrollment ID: I20200709002550 |
| Provider Name | Nicholas Finlinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376017459 PECOS PAC ID: 8729329842 Enrollment ID: I20200722003695 |
| Provider Name | Nathan J Kartchner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215340146 PECOS PAC ID: 3577782697 Enrollment ID: I20200805001101 |
| Provider Name | Katherine Marie Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780292318 PECOS PAC ID: 7315362324 Enrollment ID: I20200807002665 |
| Provider Name | Jacob Donald Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396275434 PECOS PAC ID: 9436401684 Enrollment ID: I20200810002912 |
| Provider Name | Travis David Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013322809 PECOS PAC ID: 1951611490 Enrollment ID: I20200810003083 |
| Provider Name | Brent Lambson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548729734 PECOS PAC ID: 4789000589 Enrollment ID: I20200811002014 |
| Provider Name | Brock Bleazard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548608763 PECOS PAC ID: 7113258039 Enrollment ID: I20200818002738 |
| Provider Name | Joseph Alexander Palatinus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063850956 PECOS PAC ID: 1951661198 Enrollment ID: I20200819000888 |
| Provider Name | Chase Lynn Sessions |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1366702813 PECOS PAC ID: 7012238843 Enrollment ID: I20200819002231 |
| Provider Name | Chad William Seiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215170311 PECOS PAC ID: 2466629597 Enrollment ID: I20200821002814 |
| Provider Name | Kelly a Cadogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871012153 PECOS PAC ID: 3779843735 Enrollment ID: I20200821002855 |
| Provider Name | Souha Haydoura |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740419274 PECOS PAC ID: 6204060403 Enrollment ID: I20200825002967 |
| Provider Name | Erin Blackstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790123339 PECOS PAC ID: 7012144173 Enrollment ID: I20200825003305 |
| Provider Name | Faraz Khan Luni |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891070942 PECOS PAC ID: 1850512567 Enrollment ID: I20200827003127 |
| Provider Name | Dany Ramez Saad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457514721 PECOS PAC ID: 9931343423 Enrollment ID: I20200901001058 |
| Provider Name | Taylor Jean Stoddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780247817 PECOS PAC ID: 8527485762 Enrollment ID: I20200902000743 |
| Provider Name | Lindsay Leech |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295266856 PECOS PAC ID: 7719230150 Enrollment ID: I20200903003222 |
| Provider Name | Paul a Katigbak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417390410 PECOS PAC ID: 1850634452 Enrollment ID: I20200908001636 |
| Provider Name | Erica Mulcaire-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437577541 PECOS PAC ID: 3173827680 Enrollment ID: I20200910001921 |
| Provider Name | Karli Alyn Sibley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922476118 PECOS PAC ID: 1951664432 Enrollment ID: I20200911001583 |
| Provider Name | Ryan L Cooley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255308813 PECOS PAC ID: 8820032527 Enrollment ID: I20200914002304 |
| Provider Name | Andrea Archambault Brock |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912341009 PECOS PAC ID: 1951624501 Enrollment ID: I20200915002343 |
| Provider Name | Karissa Keagan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164055109 PECOS PAC ID: 4183042666 Enrollment ID: I20200915002665 |
| Provider Name | Ashley Sefcovic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598317844 PECOS PAC ID: 5890113294 Enrollment ID: I20200917000568 |
| Provider Name | Joseph Redman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780003780 PECOS PAC ID: 6204106248 Enrollment ID: I20200921000043 |
| Provider Name | Corbin Michael Allred |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306256359 PECOS PAC ID: 2668773813 Enrollment ID: I20200922001830 |
| Provider Name | Patrick Annunziato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831560119 PECOS PAC ID: 9234557323 Enrollment ID: I20200922003020 |
| Provider Name | David Winslow Lloyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922400209 PECOS PAC ID: 0749599173 Enrollment ID: I20200925001691 |
| Provider Name | Gerrit Ian Van Schalkwyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811242381 PECOS PAC ID: 2466720875 Enrollment ID: I20200925002027 |
| Provider Name | Michael Conrad Hunter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376939827 PECOS PAC ID: 9537449988 Enrollment ID: I20200930003504 |
| Provider Name | Amara Julie Westheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134498314 PECOS PAC ID: 8123455425 Enrollment ID: I20201001001975 |
| Provider Name | Jeffrey Mohlman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336535848 PECOS PAC ID: 8022437581 Enrollment ID: I20201001002928 |
| Provider Name | Amy Faust |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275057804 PECOS PAC ID: 4981023496 Enrollment ID: I20201002001310 |
| Provider Name | Chelsea Jane Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245767607 PECOS PAC ID: 8820344716 Enrollment ID: I20201002002451 |
| Provider Name | Krystal Jennifer Bischoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386258119 PECOS PAC ID: 1557780871 Enrollment ID: I20201006000409 |
| Provider Name | Katelynn Torgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306450267 PECOS PAC ID: 3173942380 Enrollment ID: I20201007000685 |
| Provider Name | Christopher Danford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790123321 PECOS PAC ID: 3678701406 Enrollment ID: I20201007003062 |
| Provider Name | Megan Leann Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285769 PECOS PAC ID: 6305266586 Enrollment ID: I20201009001887 |
| Provider Name | In-hei Hahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962575647 PECOS PAC ID: 1658469424 Enrollment ID: I20201012001062 |
| Provider Name | Gary Robert Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922425800 PECOS PAC ID: 1456661800 Enrollment ID: I20201013001501 |
| Provider Name | Jenessa Wilson Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831515246 PECOS PAC ID: 0648596650 Enrollment ID: I20201019001472 |
| Provider Name | Heather Dangerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124504915 PECOS PAC ID: 7315367703 Enrollment ID: I20201023002758 |
| Provider Name | Nina Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265090922 PECOS PAC ID: 5991125288 Enrollment ID: I20201027001381 |
| Provider Name | Justin Richard Degooyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578172904 PECOS PAC ID: 8729498084 Enrollment ID: I20201028001046 |
| Provider Name | Kyle a Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811477359 PECOS PAC ID: 5799195061 Enrollment ID: I20201028001232 |
| Provider Name | Jacob Chad Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245766393 PECOS PAC ID: 0547514168 Enrollment ID: I20201028001438 |
| Provider Name | Michelle Lee Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754756 PECOS PAC ID: 9133555907 Enrollment ID: I20201123001878 |
| Provider Name | Michael Adam Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437578085 PECOS PAC ID: 1759613748 Enrollment ID: I20201125000899 |
| Provider Name | David Pomeranz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922345875 PECOS PAC ID: 1951529189 Enrollment ID: I20201201000679 |
| Provider Name | Cassandra J. Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871138313 PECOS PAC ID: 3577975036 Enrollment ID: I20201208000595 |
| Provider Name | Brogan Kyle Crane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316599673 PECOS PAC ID: 3173935467 Enrollment ID: I20201210000564 |
| Provider Name | Josiah Moulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942640875 PECOS PAC ID: 7315240710 Enrollment ID: I20201216002710 |
| Provider Name | Sarah Stern |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194171942 PECOS PAC ID: 4688965262 Enrollment ID: I20201217002020 |
| Provider Name | Jason Roy Carr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104244714 PECOS PAC ID: 8123336757 Enrollment ID: I20201217002353 |
| Provider Name | Meghan Cirulis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649690744 PECOS PAC ID: 8022310804 Enrollment ID: I20201217002421 |
| Provider Name | Jessica Dawn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487291639 PECOS PAC ID: 2062842115 Enrollment ID: I20201223002251 |
| Provider Name | Whitnee Joe Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578853842 PECOS PAC ID: 7618122433 Enrollment ID: I20210104000491 |
| Provider Name | Kate Lynn Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023671211 PECOS PAC ID: 5395158711 Enrollment ID: I20210104001012 |
| Provider Name | Justin Scott Coles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003479213 PECOS PAC ID: 6507279601 Enrollment ID: I20210111001082 |
| Provider Name | Aamir Raza |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578710158 PECOS PAC ID: 9931370954 Enrollment ID: I20210113002983 |
| Provider Name | Jasmine Furnish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841892601 PECOS PAC ID: 2961815733 Enrollment ID: I20210115002025 |
| Provider Name | Alyssa Marie Scordo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730697137 PECOS PAC ID: 5496019424 Enrollment ID: I20210128001387 |
| Provider Name | Angela Marianne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093092090 PECOS PAC ID: 1850705005 Enrollment ID: I20210128002575 |
| Provider Name | Lauren Alexandra Brunhoeber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497126403 PECOS PAC ID: 5496055188 Enrollment ID: I20210203001267 |
| Provider Name | John Christopher Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336679430 PECOS PAC ID: 2466720065 Enrollment ID: I20210204002999 |
| Provider Name | Brandi Bertine Dawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184245920 PECOS PAC ID: 1456766252 Enrollment ID: I20210208002231 |
| Provider Name | Siqin Luo Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578128443 PECOS PAC ID: 3870908213 Enrollment ID: I20210217003047 |
| Provider Name | Joseph Samuel Bircher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265827307 PECOS PAC ID: 1052660719 Enrollment ID: I20210223002369 |
| Provider Name | Skylar Ted Alsop |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114133584 PECOS PAC ID: 5294921441 Enrollment ID: I20210223002439 |
| Provider Name | Blake Stephen Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114458262 PECOS PAC ID: 6103179106 Enrollment ID: I20210225003338 |
| Provider Name | Laura Elizabeth Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417503996 PECOS PAC ID: 5597171942 Enrollment ID: I20210309002215 |
| Provider Name | Morgan Grace Roskelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376914838 PECOS PAC ID: 8628388311 Enrollment ID: I20210311001153 |
| Provider Name | Sara Lauren Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760077515 PECOS PAC ID: 5193132066 Enrollment ID: I20210322002424 |
| Provider Name | Lindsey Gray Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033702832 PECOS PAC ID: 6901213743 Enrollment ID: I20210324000187 |
| Provider Name | D Anderson Millar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679727432 PECOS PAC ID: 7416190467 Enrollment ID: I20210416001928 |
| Provider Name | April Michelle Griffith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831553353 PECOS PAC ID: 6800162322 Enrollment ID: I20210419002516 |
| Provider Name | Leslie Diane Koberstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629555727 PECOS PAC ID: 0941550420 Enrollment ID: I20210420000131 |
| Provider Name | Joshua Lewis Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841401916 PECOS PAC ID: 9537322128 Enrollment ID: I20210421001741 |
| Provider Name | Nicole Rose Mcdougal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790321842 PECOS PAC ID: 4789092230 Enrollment ID: I20210421001947 |
| Provider Name | James Fierbaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376048090 PECOS PAC ID: 3577996529 Enrollment ID: I20210426002332 |
| Provider Name | Anne Elizabeth Oesterling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831630284 PECOS PAC ID: 8820362569 Enrollment ID: I20210427001129 |
| Provider Name | Gabriel Michael Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174188742 PECOS PAC ID: 6103235361 Enrollment ID: I20210429002310 |
| Provider Name | Mallory Michele Iverson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174147961 PECOS PAC ID: 9739507062 Enrollment ID: I20210429002463 |
| Provider Name | John Scott Zingelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215523956 PECOS PAC ID: 9234548603 Enrollment ID: I20210514002138 |
| Provider Name | Chetan Shawn Irwin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629303177 PECOS PAC ID: 2668603945 Enrollment ID: I20210527000660 |
| Provider Name | Ian a Schlieder |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073956793 PECOS PAC ID: 6709218076 Enrollment ID: I20210610003138 |
| Provider Name | Zachary George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548215825 PECOS PAC ID: 1355356080 Enrollment ID: I20210611002179 |
| Provider Name | Shellie Rae Crossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215246731 PECOS PAC ID: 8325448277 Enrollment ID: I20210614002991 |
| Provider Name | Jonathan Gray Holbrook |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710307384 PECOS PAC ID: 3274896964 Enrollment ID: I20210617000807 |
| Provider Name | Robert Swendiman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457765919 PECOS PAC ID: 1456643006 Enrollment ID: I20210623003945 |
| Provider Name | Megan B Keate |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881130466 PECOS PAC ID: 1355743709 Enrollment ID: I20210708001207 |
| Provider Name | Ronald Chong-yik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497199228 PECOS PAC ID: 2769602648 Enrollment ID: I20210713001805 |
| Provider Name | Frank John Zadravecz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326542242 PECOS PAC ID: 6204269004 Enrollment ID: I20210804001884 |
| Provider Name | Adam Kimball Bevan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992110787 PECOS PAC ID: 6709006117 Enrollment ID: I20210804003260 |
| Provider Name | Samuel Lynn Southam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104868850 PECOS PAC ID: 7416954474 Enrollment ID: I20210806002589 |
| Provider Name | Robert James Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841628666 PECOS PAC ID: 4385048578 Enrollment ID: I20210810003239 |
| Provider Name | Donya Mohebali |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669886164 PECOS PAC ID: 5890003586 Enrollment ID: I20210813002178 |
| Provider Name | Cassie L Port |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912671272 PECOS PAC ID: 4587069406 Enrollment ID: I20210816002370 |
| Provider Name | Katie Rousseau Jeans |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093151862 PECOS PAC ID: 4981933447 Enrollment ID: I20210823000666 |
| Provider Name | Alex Thomas Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700296381 PECOS PAC ID: 5698171429 Enrollment ID: I20210902001988 |
| Provider Name | Sarah Bernstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568858785 PECOS PAC ID: 5799095154 Enrollment ID: I20210908001351 |
| Provider Name | Beth Anne Pickett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073098125 PECOS PAC ID: 6103222567 Enrollment ID: I20210909002635 |
| Provider Name | Emily Olsen Payne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932874104 PECOS PAC ID: 5193122620 Enrollment ID: I20210924002489 |
| Provider Name | Brian William Locke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295199313 PECOS PAC ID: 5890051411 Enrollment ID: I20210924002997 |
| Provider Name | Jeffrey Paul Rice |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164586939 PECOS PAC ID: 9335313329 Enrollment ID: I20210924003063 |
| Provider Name | Jenifer Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790322667 PECOS PAC ID: 3779980156 Enrollment ID: I20210928001429 |
| Provider Name | Christian Max Garrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225704984 PECOS PAC ID: 0042617243 Enrollment ID: I20210929003495 |
| Provider Name | Danae Michelle Titensor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902574676 PECOS PAC ID: 0840697041 Enrollment ID: I20210929003572 |
| Provider Name | Matthew Mark Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588112585 PECOS PAC ID: 5294152013 Enrollment ID: I20211001002529 |
| Provider Name | Justin Blue Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053782698 PECOS PAC ID: 9830597673 Enrollment ID: I20211008002715 |
| Provider Name | Sean Lawless |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720475122 PECOS PAC ID: 6406149236 Enrollment ID: I20211014001385 |
| Provider Name | Elizabeth Anne Foxley Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336781913 PECOS PAC ID: 8729476833 Enrollment ID: I20211021003287 |
| Provider Name | Zubair Saeed Zafar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174930051 PECOS PAC ID: 7416227897 Enrollment ID: I20211026001539 |
| Provider Name | Sandra Sophia Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689283699 PECOS PAC ID: 8224426630 Enrollment ID: I20211103001992 |
| Provider Name | Michael Travis Ivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528695533 PECOS PAC ID: 3476942632 Enrollment ID: I20211110001574 |
| Provider Name | Claire K Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275640518 PECOS PAC ID: 9133389042 Enrollment ID: I20211112001234 |
| Provider Name | Thomas J Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477087138 PECOS PAC ID: 0648548313 Enrollment ID: I20211113000233 |
| Provider Name | Nicholas Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073837506 PECOS PAC ID: 8820317399 Enrollment ID: I20211119001245 |
| Provider Name | Chad Michael Simpkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124563432 PECOS PAC ID: 0143553222 Enrollment ID: I20211129002696 |
| Provider Name | Kelsey Marie Bench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568045763 PECOS PAC ID: 5991195257 Enrollment ID: I20211201002123 |
| Provider Name | Chance Victor Basinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881219004 PECOS PAC ID: 3072815638 Enrollment ID: I20211210001166 |
| Provider Name | Kimberly Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811571474 PECOS PAC ID: 5496146607 Enrollment ID: I20211223000802 |
| Provider Name | Jaron Santelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760742654 PECOS PAC ID: 2163725664 Enrollment ID: I20211228001744 |
| Provider Name | Alexa Rachel Moorman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689105017 PECOS PAC ID: 5193091403 Enrollment ID: I20220107000267 |
| Provider Name | Barbara Kelly Gleason Han |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346280351 PECOS PAC ID: 8820985518 Enrollment ID: I20220110002173 |
| Provider Name | Ashley Marie Pinawin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376961862 PECOS PAC ID: 3577834415 Enrollment ID: I20220125000174 |
| Provider Name | Kathleen Lopez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184828832 PECOS PAC ID: 4486747870 Enrollment ID: I20220216002132 |
| Provider Name | Daniel Honneyman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861842064 PECOS PAC ID: 4587993795 Enrollment ID: I20220304000387 |
| Provider Name | Jessica Ruth Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760743033 PECOS PAC ID: 7618361767 Enrollment ID: I20220307000704 |
| Provider Name | Kyle Kevin Sleight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720734973 PECOS PAC ID: 4284029018 Enrollment ID: I20220315000416 |
| Provider Name | Kim Lee Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790973998 PECOS PAC ID: 3173918331 Enrollment ID: I20220325000000 |
| Provider Name | Sarah Rathnam Akkina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467847467 PECOS PAC ID: 3577877018 Enrollment ID: I20220331002527 |
| Provider Name | Philippe Paci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003462136 PECOS PAC ID: 8729317946 Enrollment ID: I20220404002046 |
| Provider Name | April Dawn Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821746256 PECOS PAC ID: 9931595600 Enrollment ID: I20220405002438 |
| Provider Name | Amanda Barbara Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376806802 PECOS PAC ID: 2668790395 Enrollment ID: I20220408001271 |
| Provider Name | Jason Bruce Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982017232 PECOS PAC ID: 3971804840 Enrollment ID: I20220408001973 |
| Provider Name | David Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891159273 PECOS PAC ID: 0244639821 Enrollment ID: I20220413000557 |
| Provider Name | Taylor Mcclellan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942663562 PECOS PAC ID: 9638579956 Enrollment ID: I20220414002227 |
| Provider Name | Megan Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194122838 PECOS PAC ID: 9739576703 Enrollment ID: I20220420003138 |
| Provider Name | Rohit Ram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235493693 PECOS PAC ID: 4981961182 Enrollment ID: I20220428000517 |
| Provider Name | Brady Monte Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922634971 PECOS PAC ID: 2365829256 Enrollment ID: I20220516000235 |
| Provider Name | Chad Allen Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598424608 PECOS PAC ID: 3375920218 Enrollment ID: I20220516002331 |
| Provider Name | Kyle Earl Nielsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912384637 PECOS PAC ID: 3577811710 Enrollment ID: I20220519002355 |
| Provider Name | Melisa Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157473 PECOS PAC ID: 0941687511 Enrollment ID: I20220519002850 |
| Provider Name | Jane Jingyuan He |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902288384 PECOS PAC ID: 4880908383 Enrollment ID: I20220528000168 |
| Provider Name | Roger Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962778340 PECOS PAC ID: 8224416409 Enrollment ID: I20220531000721 |
| Provider Name | Mark Ogilvie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043579873 PECOS PAC ID: 3971866559 Enrollment ID: I20220609001468 |
| Provider Name | Taumoha Ghosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801138144 PECOS PAC ID: 3476851932 Enrollment ID: I20220609003104 |
| Provider Name | Ameena N Husain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245680669 PECOS PAC ID: 5597056234 Enrollment ID: I20220616002391 |
| Provider Name | Jason Tyler Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780358671 PECOS PAC ID: 2062891112 Enrollment ID: I20220620001077 |
| Provider Name | Jennifer Jo Kucifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184381303 PECOS PAC ID: 4385023324 Enrollment ID: I20220621003096 |
| Provider Name | Bassel S Saksouk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528301660 PECOS PAC ID: 9436371317 Enrollment ID: I20220622001848 |
| Provider Name | Holli Barbera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487395851 PECOS PAC ID: 7012396971 Enrollment ID: I20220623000440 |
| Provider Name | Kadie Dawn Egbert-brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487279444 PECOS PAC ID: 3072992940 Enrollment ID: I20220623001039 |
| Provider Name | Alisa Fallows Corry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003586876 PECOS PAC ID: 2466831110 Enrollment ID: I20220627001074 |
| Provider Name | Matthew Harrison Weingard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851719108 PECOS PAC ID: 1850716374 Enrollment ID: I20220629002753 |
| Provider Name | Christopher Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184039059 PECOS PAC ID: 2163716986 Enrollment ID: I20220629003376 |
| Provider Name | Spencer Dyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245785492 PECOS PAC ID: 5193097251 Enrollment ID: I20220706003113 |
| Provider Name | Spencer Evan Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053842914 PECOS PAC ID: 0840549267 Enrollment ID: I20220708002696 |
| Provider Name | Joshua James Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851706691 PECOS PAC ID: 1153644794 Enrollment ID: I20220712000517 |
| Provider Name | Addison W. Alley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457888349 PECOS PAC ID: 3577966647 Enrollment ID: I20220712003345 |
| Provider Name | Miguel Pineda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174057400 PECOS PAC ID: 2365797479 Enrollment ID: I20220715001549 |
| Provider Name | Nicole Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740800085 PECOS PAC ID: 9739560533 Enrollment ID: I20220725001741 |
| Provider Name | Richard Dana Hobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467590174 PECOS PAC ID: 8224188198 Enrollment ID: I20220726003870 |
| Provider Name | Chelsea Ann Hoopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730763335 PECOS PAC ID: 9739561341 Enrollment ID: I20220728003359 |
| Provider Name | Maddison Jolene Heyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215448071 PECOS PAC ID: 5698157667 Enrollment ID: I20220808002104 |
| Provider Name | Brett Larsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750744421 PECOS PAC ID: 5991112336 Enrollment ID: I20220809003915 |
| Provider Name | Samuel Harry Van Rensburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063067346 PECOS PAC ID: 2769712967 Enrollment ID: I20220810001263 |
| Provider Name | Allison Lauren Pearl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659390086 PECOS PAC ID: 1658386115 Enrollment ID: I20220823003418 |
| Provider Name | Christopher Gerald Wilkerson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629481015 PECOS PAC ID: 4981983459 Enrollment ID: I20220825001457 |
| Provider Name | Craig Porter Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902347198 PECOS PAC ID: 1759651623 Enrollment ID: I20220905000402 |
| Provider Name | Sheenali Patel Kansagra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194396275 PECOS PAC ID: 6406230648 Enrollment ID: I20220907001606 |
| Provider Name | Zackary Keith Cowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912583519 PECOS PAC ID: 0244614436 Enrollment ID: I20220907003366 |
| Provider Name | John Egbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598119588 PECOS PAC ID: 9537568795 Enrollment ID: I20220912001149 |
| Provider Name | Mitchell D Barneck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154755452 PECOS PAC ID: 2961823398 Enrollment ID: I20220914000312 |
| Provider Name | Lisa M Pabst |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1740642578 PECOS PAC ID: 9931493467 Enrollment ID: I20220916000729 |
| Provider Name | Kaytelin Gill Suslavich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114582392 PECOS PAC ID: 3173941044 Enrollment ID: I20220919002118 |
| Provider Name | Lindsey Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881047967 PECOS PAC ID: 5193099463 Enrollment ID: I20220922000950 |
| Provider Name | Abbie Ryan Sugihara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164079067 PECOS PAC ID: 7911383666 Enrollment ID: I20221003002819 |
| Provider Name | Carrie Ann Jaworski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982757993 PECOS PAC ID: 3577510569 Enrollment ID: I20221005001126 |
| Provider Name | Corinne Ruth Espinoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104590165 PECOS PAC ID: 7416333976 Enrollment ID: I20221006001452 |
| Provider Name | Jean Frederick Botha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982661344 PECOS PAC ID: 5991762429 Enrollment ID: I20221007000799 |
| Provider Name | Evan N Strobelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093211641 PECOS PAC ID: 0143576710 Enrollment ID: I20221010000377 |
| Provider Name | Douglas Meek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336192970 PECOS PAC ID: 1153311055 Enrollment ID: I20221020002365 |
| Provider Name | Jessica Michelle Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568788495 PECOS PAC ID: 0042433179 Enrollment ID: I20221026002105 |
| Provider Name | Judith a Lacy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487764601 PECOS PAC ID: 3870598485 Enrollment ID: I20221114002089 |
| Provider Name | Sheba John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558781674 PECOS PAC ID: 2163830266 Enrollment ID: I20221114003129 |
| Provider Name | Lisa Marie Stoddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184294878 PECOS PAC ID: 6507234085 Enrollment ID: I20221115002494 |
| Provider Name | Alayna Louise Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457089112 PECOS PAC ID: 1951779321 Enrollment ID: I20221116002746 |
| Provider Name | Jana Marie Delgado-jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851818181 PECOS PAC ID: 5395072540 Enrollment ID: I20221117002824 |
| Provider Name | Amanda Guadalupe Sandoval Karamian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538553193 PECOS PAC ID: 0345618583 Enrollment ID: I20221121000551 |
| Provider Name | Jennifer Abigale Jurynec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447425897 PECOS PAC ID: 4880062942 Enrollment ID: I20221121001486 |
| Provider Name | Melissa Glenn Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083353643 PECOS PAC ID: 8921476953 Enrollment ID: I20221123001905 |
| Provider Name | Natalia Priscilla Arizmendez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740642446 PECOS PAC ID: 0840628913 Enrollment ID: I20221123002605 |
| Provider Name | Bronwynne Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801464292 PECOS PAC ID: 6901274885 Enrollment ID: I20221128000500 |
| Provider Name | Seth H Iverson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316108152 PECOS PAC ID: 0547401150 Enrollment ID: I20221130002172 |
| Provider Name | Arwen Michelle Marker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821720954 PECOS PAC ID: 8527436153 Enrollment ID: I20221201001732 |
| Provider Name | Erinn Noelani Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558705061 PECOS PAC ID: 8426303223 Enrollment ID: I20221205002797 |
| Provider Name | Jessica Lynn Deckart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952035750 PECOS PAC ID: 1355710203 Enrollment ID: I20221215001001 |
| Provider Name | Amelia Lauren Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982137162 PECOS PAC ID: 8022380989 Enrollment ID: I20230119000011 |
| Provider Name | Maxwell Quinn Vetter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457933657 PECOS PAC ID: 3971974429 Enrollment ID: I20230120001866 |
| Provider Name | Brooke Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487221511 PECOS PAC ID: 8022480896 Enrollment ID: I20230206000942 |
| Provider Name | Kelley Ann Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912641390 PECOS PAC ID: 8224400742 Enrollment ID: I20230209002821 |
| Provider Name | Jenifer Alice Cosentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407601 PECOS PAC ID: 9335511872 Enrollment ID: I20230210000325 |
| Provider Name | Motaz Selim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962645176 PECOS PAC ID: 6507997525 Enrollment ID: I20230213000264 |
| Provider Name | Jade G Jaques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205563210 PECOS PAC ID: 1052783289 Enrollment ID: I20230215002700 |
| Provider Name | Kevin Mark Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831826759 PECOS PAC ID: 5294107439 Enrollment ID: I20230216000086 |
| Provider Name | Peter Hannon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811943335 PECOS PAC ID: 1557359783 Enrollment ID: I20230216001078 |
| Provider Name | Alyssa Claire Puttkammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477016574 PECOS PAC ID: 2264774058 Enrollment ID: I20230216001278 |
| Provider Name | Barrett Andrew Fellows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558745604 PECOS PAC ID: 8820306665 Enrollment ID: I20230223001109 |
| Provider Name | Chenelle Lau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538878087 PECOS PAC ID: 8527431212 Enrollment ID: I20230228000917 |
| Provider Name | Heather Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750088803 PECOS PAC ID: 6002289568 Enrollment ID: I20230302002309 |
| Provider Name | Zachary Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114343415 PECOS PAC ID: 9335363910 Enrollment ID: I20230315001536 |
| Provider Name | Dania Shane Lees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699973842 PECOS PAC ID: 6002909785 Enrollment ID: I20230321000030 |
| Provider Name | Trisha Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023733441 PECOS PAC ID: 9234503418 Enrollment ID: I20230330001122 |
| Provider Name | Brian Berg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083143564 PECOS PAC ID: 8426319633 Enrollment ID: I20230421000953 |
| Provider Name | Skylar Jon Rackham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568100501 PECOS PAC ID: 0244695377 Enrollment ID: I20230425001983 |
| Provider Name | Jacqueline Trinidad Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356735914 PECOS PAC ID: 2466761648 Enrollment ID: I20230425002830 |
| Provider Name | Kylie Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255061719 PECOS PAC ID: 5890150700 Enrollment ID: I20230428000736 |
| Provider Name | Tyler Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356633143 PECOS PAC ID: 1557653839 Enrollment ID: I20230428002301 |
| Provider Name | Louis D Bailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659682573 PECOS PAC ID: 0345568655 Enrollment ID: I20230502002488 |
| Provider Name | Jim Wakefield Ladle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134701253 PECOS PAC ID: 9234595554 Enrollment ID: I20230511002087 |
| Provider Name | Elizabeth B. Albert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295362887 PECOS PAC ID: 7911322425 Enrollment ID: I20230515002019 |
| Provider Name | Tasha Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700528445 PECOS PAC ID: 5496111551 Enrollment ID: I20230515002660 |
| Provider Name | Peguy Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578073250 PECOS PAC ID: 0547626434 Enrollment ID: I20230518002949 |
| Provider Name | Michael Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184121675 PECOS PAC ID: 2769815505 Enrollment ID: I20230519002353 |
| Provider Name | Rebecca Harbuck Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518461573 PECOS PAC ID: 4183973662 Enrollment ID: I20230524003393 |
| Provider Name | Moises Christian Terrazas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487207478 PECOS PAC ID: 6507222007 Enrollment ID: I20230524003491 |
| Provider Name | Travis J Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639533144 PECOS PAC ID: 9436430774 Enrollment ID: I20230526000242 |
| Provider Name | Keri Kathleen Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811099203 PECOS PAC ID: 4284534934 Enrollment ID: I20230530000164 |
| Provider Name | Melanie Barber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114500055 PECOS PAC ID: 1658738026 Enrollment ID: I20230531002243 |
| Provider Name | Blake Henry Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003526468 PECOS PAC ID: 1355708678 Enrollment ID: I20230601000874 |
| Provider Name | Ryan Benjamin Stinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194266387 PECOS PAC ID: 8527331560 Enrollment ID: I20230602002472 |
| Provider Name | Allison Elizabeth Rouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730886557 PECOS PAC ID: 7214395896 Enrollment ID: I20230614003198 |
| Provider Name | Kelsey Christine Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417654286 PECOS PAC ID: 9335507896 Enrollment ID: I20230615002344 |
| Provider Name | Brittany N Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962102129 PECOS PAC ID: 9234597626 Enrollment ID: I20230616000197 |
| Provider Name | Mark Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992224018 PECOS PAC ID: 8325384472 Enrollment ID: I20230622003099 |
| Provider Name | Taylor Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598296667 PECOS PAC ID: 5395076558 Enrollment ID: I20230623001227 |
| Provider Name | Tiffany Han |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770018301 PECOS PAC ID: 9931589579 Enrollment ID: I20230623001530 |
| Provider Name | Paige Jolynn Stodtmeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013613793 PECOS PAC ID: 0042678948 Enrollment ID: I20230626001597 |
| Provider Name | Taylor Noelle Tripp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144927013 PECOS PAC ID: 1658739495 Enrollment ID: I20230626003173 |
| Provider Name | Kerry Sackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326352840 PECOS PAC ID: 0244356129 Enrollment ID: I20230628001963 |
| Provider Name | Courtney Elizabeth Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023461068 PECOS PAC ID: 4587024138 Enrollment ID: I20230714001685 |
| Provider Name | Phoebe King |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760630321 PECOS PAC ID: 5496932618 Enrollment ID: I20230717003225 |
| Provider Name | Danyi Zheng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629501051 PECOS PAC ID: 3173900859 Enrollment ID: I20230719002798 |
| Provider Name | Hannah L Jelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306378617 PECOS PAC ID: 2668726316 Enrollment ID: I20230719003690 |
| Provider Name | David Lehmkuhl |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1316473887 PECOS PAC ID: 7012377195 Enrollment ID: I20230720003214 |
| Provider Name | Kristina Rae Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366153637 PECOS PAC ID: 3779943741 Enrollment ID: I20230721002711 |
| Provider Name | Spencer Bradley Barfuss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972992832 PECOS PAC ID: 2567728215 Enrollment ID: I20230724001009 |
| Provider Name | Michelle C Meder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912431438 PECOS PAC ID: 3971856493 Enrollment ID: I20230724001829 |
| Provider Name | Wesley Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578060711 PECOS PAC ID: 1759741689 Enrollment ID: I20230724002315 |
| Provider Name | Jared Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023265840 PECOS PAC ID: 1951565902 Enrollment ID: I20230725003829 |
| Provider Name | Nigeen H Janisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396199246 PECOS PAC ID: 5890080824 Enrollment ID: I20230727000264 |
| Provider Name | Sarah Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265084511 PECOS PAC ID: 0143681916 Enrollment ID: I20230727000551 |
| Provider Name | Corbin Metcalf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598394785 PECOS PAC ID: 4082020433 Enrollment ID: I20230727002275 |
| Provider Name | Aaron Hewlett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093386153 PECOS PAC ID: 8921497413 Enrollment ID: I20230727003927 |
| Provider Name | Rhiannon Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730660796 PECOS PAC ID: 7416384631 Enrollment ID: I20230808003788 |
| Provider Name | Tanner Miles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265963680 PECOS PAC ID: 7618240979 Enrollment ID: I20230811001738 |
| Provider Name | Tracy Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518218577 PECOS PAC ID: 7012291115 Enrollment ID: I20230811002252 |
| Provider Name | Chad T. Christensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730421918 PECOS PAC ID: 0446583967 Enrollment ID: I20230814002252 |
| Provider Name | James Robert Barrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285088591 PECOS PAC ID: 4183917263 Enrollment ID: I20230815003159 |
| Provider Name | Stephen Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215202197 PECOS PAC ID: 0749444271 Enrollment ID: I20230815003254 |
| Provider Name | Isabella Lara Greenspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912608159 PECOS PAC ID: 4587026992 Enrollment ID: I20230817000710 |
| Provider Name | Leah Enright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720234776 PECOS PAC ID: 6901026814 Enrollment ID: I20230818000298 |
| Provider Name | Ryan M Gil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235635368 PECOS PAC ID: 5496188476 Enrollment ID: I20230818001292 |
| Provider Name | Jason T Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245351899 PECOS PAC ID: 8729440946 Enrollment ID: I20230818001917 |
| Provider Name | Amy J Theos |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811917735 PECOS PAC ID: 2466417225 Enrollment ID: I20230822002019 |
| Provider Name | Janesa Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114636776 PECOS PAC ID: 2567825342 Enrollment ID: I20230825003428 |
| Provider Name | Lauren Baumann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891113254 PECOS PAC ID: 9335366798 Enrollment ID: I20230828002099 |
| Provider Name | Kelsea Michelle Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306316849 PECOS PAC ID: 2365805967 Enrollment ID: I20230830001252 |
| Provider Name | Angela Robins Rohatinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093438855 PECOS PAC ID: 9739542259 Enrollment ID: I20230831002344 |
| Provider Name | Kelsey Marie Ropp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598354441 PECOS PAC ID: 7315351947 Enrollment ID: I20230907001771 |
| Provider Name | Jeannette Mathieu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285169714 PECOS PAC ID: 0446614390 Enrollment ID: I20230912001615 |
| Provider Name | Sarah Mcdowell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134801665 PECOS PAC ID: 6103270228 Enrollment ID: I20230922003345 |
| Provider Name | Reema Kirit Padia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558628537 PECOS PAC ID: 5890927446 Enrollment ID: I20230925002999 |
| Provider Name | Dustin M Blodgett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700346525 PECOS PAC ID: 5597175174 Enrollment ID: I20230927003892 |
| Provider Name | Brooke Mastroianni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003347923 PECOS PAC ID: 6709122096 Enrollment ID: I20230929001088 |
| Provider Name | John Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447756879 PECOS PAC ID: 7214337435 Enrollment ID: I20230929002318 |
| Provider Name | Oriana Gema Vanegas Calderon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316469356 PECOS PAC ID: 1759651482 Enrollment ID: I20230929003280 |
| Provider Name | Sean Robin Pyper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518232776 PECOS PAC ID: 4587960273 Enrollment ID: I20231004001047 |
| Provider Name | Jessica Lauren Stahl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336464759 PECOS PAC ID: 5496987265 Enrollment ID: I20231004002570 |
| Provider Name | Mckenzi Rose Yocus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306595947 PECOS PAC ID: 9133574445 Enrollment ID: I20231005003799 |
| Provider Name | Rebecca Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366930968 PECOS PAC ID: 7719310614 Enrollment ID: I20231006001278 |
| Provider Name | Matthew Koster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467941229 PECOS PAC ID: 5799032066 Enrollment ID: I20231006002662 |
| Provider Name | Mckenna Clawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437883162 PECOS PAC ID: 0244685402 Enrollment ID: I20231009002724 |
| Provider Name | Nicole Harlan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679866560 PECOS PAC ID: 0547552549 Enrollment ID: I20231012001226 |
| Provider Name | Jennifer Kay Ren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619657087 PECOS PAC ID: 2163877036 Enrollment ID: I20231012001394 |
| Provider Name | Olivia Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154944791 PECOS PAC ID: 9537558911 Enrollment ID: I20231012001858 |
| Provider Name | Suaka Kagbo-kue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073968707 PECOS PAC ID: 8224303714 Enrollment ID: I20231012002057 |
| Provider Name | Candace Lee Slater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649790114 PECOS PAC ID: 3870948656 Enrollment ID: I20231013002782 |
| Provider Name | Brian Sheehan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063808707 PECOS PAC ID: 3779862156 Enrollment ID: I20231017000177 |
| Provider Name | Elizabeth F Nelson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194171298 PECOS PAC ID: 7618370420 Enrollment ID: I20231017003491 |
| Provider Name | Chase Thomas Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831848175 PECOS PAC ID: 6103271606 Enrollment ID: I20231018000470 |
| Provider Name | Samantha Marlee Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427733625 PECOS PAC ID: 2668828989 Enrollment ID: I20231023003222 |
| Provider Name | Jay E Cottle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134148430 PECOS PAC ID: 9436505609 Enrollment ID: I20231024002043 |
| Provider Name | Todd L Huffman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962425876 PECOS PAC ID: 1951757145 Enrollment ID: I20231024003107 |
| Provider Name | Annabelle Evans Wilcox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619639853 PECOS PAC ID: 1456745546 Enrollment ID: I20231024003295 |
| Provider Name | Leslie K Iverson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417967035 PECOS PAC ID: 2365456449 Enrollment ID: I20231026004272 |
| Provider Name | David Bitner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801452131 PECOS PAC ID: 1850626748 Enrollment ID: I20231031002224 |
| Provider Name | Christine Elizabeth Burns Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811418981 PECOS PAC ID: 4082060678 Enrollment ID: I20231102003123 |
| Provider Name | Rachael Anne Pia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366214587 PECOS PAC ID: 3072960616 Enrollment ID: I20231103001728 |
| Provider Name | Patrick Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811255425 PECOS PAC ID: 1355798794 Enrollment ID: I20231107002850 |
| Provider Name | Michele Lee Nassin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417272741 PECOS PAC ID: 7810281706 Enrollment ID: I20231108001285 |
| Provider Name | Abigail Catherine Jolley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831874254 PECOS PAC ID: 8628425949 Enrollment ID: I20231108002086 |
| Provider Name | Martin Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043897259 PECOS PAC ID: 0941603823 Enrollment ID: I20231109000433 |
| Provider Name | Kimber Farnsworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871174888 PECOS PAC ID: 0244687051 Enrollment ID: I20231115001611 |
| Provider Name | Baylee Bankhead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720772353 PECOS PAC ID: 6204283096 Enrollment ID: I20231116001006 |
| Provider Name | Ivan Petrovitch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063541993 PECOS PAC ID: 3577662618 Enrollment ID: I20231128000359 |
| Provider Name | Alison Marie Meagher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184859654 PECOS PAC ID: 0244688273 Enrollment ID: I20231130002501 |
| Provider Name | Lauren Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932849908 PECOS PAC ID: 5193173086 Enrollment ID: I20231204001382 |
| Provider Name | Kaitlin Hawkins Hansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790471662 PECOS PAC ID: 4486002276 Enrollment ID: I20231205001835 |
| Provider Name | Harmony Mitchell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962877142 PECOS PAC ID: 9234588807 Enrollment ID: I20231207001776 |
| Provider Name | Jerry Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891475257 PECOS PAC ID: 2062869753 Enrollment ID: I20231207001945 |
| Provider Name | Shaun P Dahle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003823816 PECOS PAC ID: 4688023203 Enrollment ID: I20231207003984 |
| Provider Name | Ezra Burch |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346687894 PECOS PAC ID: 6305065608 Enrollment ID: I20231211001963 |
| Provider Name | Chelsea Williamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629759238 PECOS PAC ID: 2668821984 Enrollment ID: I20231212003579 |
| Provider Name | Aysha Amjad |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1881941557 PECOS PAC ID: 2466670674 Enrollment ID: I20231212003843 |
| Provider Name | Amanda Jane Woodford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265138861 PECOS PAC ID: 0840649026 Enrollment ID: I20231213001843 |
| Provider Name | Kendal Lena Bjella |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811773054 PECOS PAC ID: 6507215571 Enrollment ID: I20231215002345 |
| Provider Name | Catherine Elizabeth Fairgrieve Appel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013256569 PECOS PAC ID: 1355755562 Enrollment ID: I20231218001840 |
| Provider Name | Christa Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922756949 PECOS PAC ID: 7911356878 Enrollment ID: I20231218002427 |
| Provider Name | Robert J. Baird |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891819942 PECOS PAC ID: 4486004983 Enrollment ID: I20231226000686 |
| Provider Name | Talen Tremea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700458445 PECOS PAC ID: 4284023722 Enrollment ID: I20231226001098 |
| Provider Name | Sean C Shughrou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083306369 PECOS PAC ID: 5496105801 Enrollment ID: I20231227003234 |
| Provider Name | Suzanne Jensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982638334 PECOS PAC ID: 7012905433 Enrollment ID: I20231229001010 |
| Provider Name | Adam Michael Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669852992 PECOS PAC ID: 8325498496 Enrollment ID: I20240102002848 |
| Provider Name | Tanya Zaist |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1083104665 PECOS PAC ID: 3375951650 Enrollment ID: I20240103000331 |
| Provider Name | Eliza Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487335675 PECOS PAC ID: 2062863921 Enrollment ID: I20240104004684 |
| Provider Name | Jonathan Rhee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689838542 PECOS PAC ID: 0042481590 Enrollment ID: I20240105003721 |
| Provider Name | Tiffiny Hunsaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831552033 PECOS PAC ID: 3678860046 Enrollment ID: I20240108006040 |
| Provider Name | Nikki Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922872274 PECOS PAC ID: 7810348216 Enrollment ID: I20240110002790 |
| Provider Name | Scott Downs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386937936 PECOS PAC ID: 9436500790 Enrollment ID: I20240110005329 |
| Provider Name | Amelia Beth Davidson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255688685 PECOS PAC ID: 6103277306 Enrollment ID: I20240112000583 |
| Provider Name | Cherokee Carrillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588204705 PECOS PAC ID: 3375973175 Enrollment ID: I20240115001602 |
| Provider Name | Clarissa Story |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023741832 PECOS PAC ID: 6608228655 Enrollment ID: I20240116002065 |
| Provider Name | Douglas L Packer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194703942 PECOS PAC ID: 1052449949 Enrollment ID: I20240118004556 |
| Provider Name | Aidan Schmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801200985 PECOS PAC ID: 6709113228 Enrollment ID: I20240119002210 |
| Provider Name | Grace N Goodfellow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508483678 PECOS PAC ID: 7618329947 Enrollment ID: I20240122004527 |
| Provider Name | Madison Marie Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346027588 PECOS PAC ID: 8921450115 Enrollment ID: I20240124000557 |
| Provider Name | Cherise Larsen Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073228318 PECOS PAC ID: 0244683480 Enrollment ID: I20240124002612 |
| Provider Name | Marleen Dian Park Neumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689314445 PECOS PAC ID: 2264885052 Enrollment ID: I20240129001224 |
| Provider Name | Jennifer Cayabyab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629414826 PECOS PAC ID: 9133356744 Enrollment ID: I20240205003975 |
| Provider Name | Sarah Schaefer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285958082 PECOS PAC ID: 1557595527 Enrollment ID: I20240208002979 |
| Provider Name | Jose Torres Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730447723 PECOS PAC ID: 0244566925 Enrollment ID: I20240209001848 |
| Provider Name | Cameron Nichols |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730411455 PECOS PAC ID: 8527193267 Enrollment ID: I20240213004889 |
| Provider Name | Kevin Glenn Baird |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023134434 PECOS PAC ID: 7012351224 Enrollment ID: I20240215002451 |
| Provider Name | Mackenzie B Bean |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639883895 PECOS PAC ID: 9133563380 Enrollment ID: I20240215003873 |
| Provider Name | Ranae Lynn Layton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013023225 PECOS PAC ID: 1850735747 Enrollment ID: I20240219003518 |
| Provider Name | Shawn Christensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457605362 PECOS PAC ID: 2567727639 Enrollment ID: I20240226002846 |
| Provider Name | Reagan Critchfield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386326189 PECOS PAC ID: 1153766522 Enrollment ID: I20240226002939 |
| Provider Name | Rachel Morin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407584451 PECOS PAC ID: 5698110856 Enrollment ID: I20240227002755 |
| Provider Name | William Wes Bird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396199584 PECOS PAC ID: 8325483506 Enrollment ID: I20240227003554 |
| Provider Name | Alexandra Weaver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194598938 PECOS PAC ID: 5193160240 Enrollment ID: I20240228001757 |
| Provider Name | Brent Blaisdell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528461241 PECOS PAC ID: 1557706264 Enrollment ID: I20240304001356 |
| Provider Name | Megan Jensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245855113 PECOS PAC ID: 0143665828 Enrollment ID: I20240304003546 |
| Provider Name | Gregory Smith Peirce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831401728 PECOS PAC ID: 0143588103 Enrollment ID: I20240305004140 |
| Provider Name | Victoria Marie Frecentese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942884630 PECOS PAC ID: 5496191058 Enrollment ID: I20240306002009 |
| Provider Name | Tycen Flygare |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952092090 PECOS PAC ID: 6608212972 Enrollment ID: I20240308001000 |
| Provider Name | Daniel Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548767288 PECOS PAC ID: 7416294038 Enrollment ID: I20240309000742 |
| Provider Name | Bailee Goddard-hymas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861913014 PECOS PAC ID: 3577836154 Enrollment ID: I20240311003593 |
| Provider Name | Stephanie Hansen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891573820 PECOS PAC ID: 8729424684 Enrollment ID: I20240313003591 |
| Provider Name | Madeline Thayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003483207 PECOS PAC ID: 2961847256 Enrollment ID: I20240319003026 |
| Provider Name | Daniella Longan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740852755 PECOS PAC ID: 6204273543 Enrollment ID: I20240322001772 |
| Provider Name | Sarah Brianne Brook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841936036 PECOS PAC ID: 1456798552 Enrollment ID: I20240325004016 |
| Provider Name | Kyle Harrison |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720757289 PECOS PAC ID: 9234576356 Enrollment ID: I20240326000472 |
| Provider Name | Alyssa Myers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245701077 PECOS PAC ID: 1153768163 Enrollment ID: I20240326004040 |
| Provider Name | Christiana Garber Barker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922737881 PECOS PAC ID: 6002253887 Enrollment ID: I20240328002653 |
| Provider Name | Carly Alba |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033856539 PECOS PAC ID: 2668819459 Enrollment ID: I20240328002932 |
| Provider Name | Christopher Ray Andrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033825732 PECOS PAC ID: 2163860958 Enrollment ID: I20240328003209 |
| Provider Name | Clark Stephenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053973966 PECOS PAC ID: 6406182476 Enrollment ID: I20240404003780 |
| Provider Name | Tyler Clyff Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356802938 PECOS PAC ID: 0840638144 Enrollment ID: I20240405000895 |
| Provider Name | Krista Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316577018 PECOS PAC ID: 7416395629 Enrollment ID: I20240408001646 |
| Provider Name | James F. Trotter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225128903 PECOS PAC ID: 7113991191 Enrollment ID: I20240410003784 |
| Provider Name | Megan Mcclenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457068025 PECOS PAC ID: 5597104414 Enrollment ID: I20240411002786 |
| Provider Name | Annie Elizabeth Ayre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205602018 PECOS PAC ID: 0446699045 Enrollment ID: I20240416001114 |
| Provider Name | Cindy Jo Emmett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184499923 PECOS PAC ID: 2860831310 Enrollment ID: I20240416003319 |
| Provider Name | Jennifer Lee Carlsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235434010 PECOS PAC ID: 8022290709 Enrollment ID: I20240424002109 |
| Provider Name | Tyson Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346701448 PECOS PAC ID: 9739569898 Enrollment ID: I20240429000828 |
| Provider Name | Elizabeth Lynda Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083351498 PECOS PAC ID: 0143661926 Enrollment ID: I20240510000750 |
| Provider Name | Jeffrey D Graham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760879498 PECOS PAC ID: 2163734690 Enrollment ID: I20240514003894 |
| Provider Name | Eric Mhc Bylund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043884034 PECOS PAC ID: 0648612887 Enrollment ID: I20240520003391 |
| Provider Name | James Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790367373 PECOS PAC ID: 2567864184 Enrollment ID: I20240521002965 |
| Provider Name | Spencer Larson Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073176996 PECOS PAC ID: 7517291420 Enrollment ID: I20240528002526 |
| Provider Name | Bill Quach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912403114 PECOS PAC ID: 2062768088 Enrollment ID: I20240610002689 |
| Provider Name | Brennan Dwight Rigby |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740644574 PECOS PAC ID: 2668767286 Enrollment ID: I20240611001851 |
| Provider Name | Patrick Frias |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437655255 PECOS PAC ID: 9830448109 Enrollment ID: I20240618001049 |
| Provider Name | Wei Lin Ouyang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033613880 PECOS PAC ID: 5799159042 Enrollment ID: I20240624001781 |
| Provider Name | David Moss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952036055 PECOS PAC ID: 9537602131 Enrollment ID: I20240624005068 |
| Provider Name | Kyle Lacy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356847834 PECOS PAC ID: 1759638711 Enrollment ID: I20240625003033 |
| Provider Name | Justin Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184129272 PECOS PAC ID: 6901154541 Enrollment ID: I20240703002753 |
| Provider Name | Justyna O'conor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285124784 PECOS PAC ID: 0547508012 Enrollment ID: I20240705003167 |
| Provider Name | Courtney Edrington |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336913805 PECOS PAC ID: 2860937182 Enrollment ID: I20240711000601 |
| Provider Name | David R Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255969739 PECOS PAC ID: 3678977782 Enrollment ID: I20240711001437 |
| Provider Name | Breeanne Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801570080 PECOS PAC ID: 6305381559 Enrollment ID: I20240711002129 |
| Provider Name | Fabiola Cano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730858218 PECOS PAC ID: 9032654207 Enrollment ID: I20240711003005 |
| Provider Name | Blake Bartholomew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619539749 PECOS PAC ID: 8123356037 Enrollment ID: I20240712001772 |
| Provider Name | Joseph Albright |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376035964 PECOS PAC ID: 4082969209 Enrollment ID: I20240718003518 |
| Provider Name | Claire Elizabeth Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154176857 PECOS PAC ID: 2961948559 Enrollment ID: I20240718004176 |
| Provider Name | Jeremie Scharnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982179735 PECOS PAC ID: 7810230372 Enrollment ID: I20240723002461 |
| Provider Name | Mari Freedberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235665001 PECOS PAC ID: 7416226022 Enrollment ID: I20240726000873 |
| Provider Name | Sunny Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801401344 PECOS PAC ID: 4486064433 Enrollment ID: I20240726002148 |
| Provider Name | Garrett Comfort |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043667595 PECOS PAC ID: 1052652351 Enrollment ID: I20240729001366 |
| Provider Name | Leticia Khendek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639859598 PECOS PAC ID: 1153868849 Enrollment ID: I20240730003635 |
| Provider Name | Tyler Scott Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881465359 PECOS PAC ID: 9335686708 Enrollment ID: I20240802001079 |
| Provider Name | Madison Bangert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235666918 PECOS PAC ID: 8123409745 Enrollment ID: I20240805002674 |
| Provider Name | Miranda Berchtold Ipsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871369827 PECOS PAC ID: 2365989415 Enrollment ID: I20240806004811 |
| Provider Name | Rachelle Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619506870 PECOS PAC ID: 5698199883 Enrollment ID: I20240808001939 |
| Provider Name | Darrin S Townsend |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467649236 PECOS PAC ID: 1254358872 Enrollment ID: I20240816000533 |
| Provider Name | Alicia H. Bowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053872366 PECOS PAC ID: 0840618294 Enrollment ID: I20240816001060 |
| Provider Name | Nicole Droz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285077966 PECOS PAC ID: 3375771678 Enrollment ID: I20240816002092 |
| Provider Name | Andrew Mckernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972198901 PECOS PAC ID: 1850798372 Enrollment ID: I20240816003803 |
| Provider Name | Haley M. Svensson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275112625 PECOS PAC ID: 3971989500 Enrollment ID: I20240819002545 |
| Provider Name | Matthew R Glick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053803619 PECOS PAC ID: 1850656166 Enrollment ID: I20240821002485 |
| Provider Name | Andrew S Baird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548752132 PECOS PAC ID: 1658621198 Enrollment ID: I20240823003483 |
| Provider Name | Brian Sprang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821595059 PECOS PAC ID: 6103178140 Enrollment ID: I20240905001187 |
| Provider Name | Christie Hewlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202640 PECOS PAC ID: 2466992417 Enrollment ID: I20240905002488 |
| Provider Name | Dustin M Anderson-bell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659834182 PECOS PAC ID: 6406183102 Enrollment ID: I20240906000236 |
| Provider Name | Talmage Fulton Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215611744 PECOS PAC ID: 8527508001 Enrollment ID: I20240911001212 |
| Provider Name | Dallin Val Christensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932661154 PECOS PAC ID: 8729401831 Enrollment ID: I20240916001673 |
| Provider Name | Clifton Hartwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386104297 PECOS PAC ID: 4688908692 Enrollment ID: I20240916003691 |
| Provider Name | Ofer Faig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841441334 PECOS PAC ID: 5597935759 Enrollment ID: I20240918000543 |
| Provider Name | Madison Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245931393 PECOS PAC ID: 5890236822 Enrollment ID: I20240918001685 |
| Provider Name | John Dallin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821878174 PECOS PAC ID: 5799226676 Enrollment ID: I20240918003850 |
| Provider Name | Jesse P. Wackerbarth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902303613 PECOS PAC ID: 5395154702 Enrollment ID: I20240920000375 |
| Provider Name | Savannah Hancock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710684667 PECOS PAC ID: 3274996913 Enrollment ID: I20240923001616 |
| Provider Name | Scott Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225492952 PECOS PAC ID: 3577850874 Enrollment ID: I20240923003362 |
| Provider Name | Jared Hilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396308961 PECOS PAC ID: 8921426404 Enrollment ID: I20240923003443 |
| Provider Name | Rachel Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639919392 PECOS PAC ID: 7416498894 Enrollment ID: I20240925002955 |
| Provider Name | Emily Elizabeth Bigler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306511357 PECOS PAC ID: 5496296881 Enrollment ID: I20240925003468 |
| Provider Name | Kelsey Kay Zaugg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821739079 PECOS PAC ID: 8921539222 Enrollment ID: I20240926003699 |
| Provider Name | Teressa R Ju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649834649 PECOS PAC ID: 9931585049 Enrollment ID: I20241007001905 |
| Provider Name | Samuel T Keane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801459037 PECOS PAC ID: 6507285152 Enrollment ID: I20241010003232 |
| Provider Name | Sumit J. Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740743210 PECOS PAC ID: 9032444047 Enrollment ID: I20241010003257 |
| Provider Name | Darren Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760542021 PECOS PAC ID: 4486661964 Enrollment ID: I20241024001464 |
| Provider Name | Rachelle Leach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922023936 PECOS PAC ID: 7113966912 Enrollment ID: I20241030004264 |
| Provider Name | Michael Fenlon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851779052 PECOS PAC ID: 7416203708 Enrollment ID: I20241101001603 |
| Provider Name | Parker Eugene Ludwig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043833569 PECOS PAC ID: 6901227941 Enrollment ID: I20241104002474 |
| Provider Name | Virginia Hutton Manay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942951553 PECOS PAC ID: 8426582057 Enrollment ID: I20241105002819 |
| Provider Name | Katy Lynn Bodily |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376009415 PECOS PAC ID: 0143754218 Enrollment ID: I20241112002125 |
| Provider Name | Sarah Wallace |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891405015 PECOS PAC ID: 1456885557 Enrollment ID: I20241112003510 |
| Provider Name | Ty Mangum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194340158 PECOS PAC ID: 9032503586 Enrollment ID: I20241116000172 |
| Provider Name | Brenda Villalobos Huitron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528812500 PECOS PAC ID: 2365976008 Enrollment ID: I20241118000590 |
| Provider Name | Nolan Nathaniel Padilla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174213532 PECOS PAC ID: 5193250769 Enrollment ID: I20241120001748 |
| Provider Name | Erin M Barton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780357970 PECOS PAC ID: 3375078777 Enrollment ID: I20241121003762 |
| Provider Name | Anna-marie Ayotte |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588217038 PECOS PAC ID: 0446785885 Enrollment ID: I20241122000844 |
| Provider Name | Lynn M. Sipsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871120089 PECOS PAC ID: 3678997137 Enrollment ID: I20241125002193 |
| Provider Name | Brooke Walters |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821837782 PECOS PAC ID: 0547795726 Enrollment ID: I20241125002423 |
| Provider Name | Andrea Barney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063244861 PECOS PAC ID: 9537694633 Enrollment ID: I20241126003807 |
| Provider Name | Cody Bair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811721236 PECOS PAC ID: 3274068242 Enrollment ID: I20241127002431 |
| Provider Name | Lauren Jane Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134807761 PECOS PAC ID: 6103352265 Enrollment ID: I20241212001071 |
| Provider Name | Tomas E Liskutin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770089005 PECOS PAC ID: 1759638315 Enrollment ID: I20241217001067 |
| Provider Name | Michelle Marie Griffen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700523404 PECOS PAC ID: 1254868078 Enrollment ID: I20241218001088 |
| Provider Name | Amanda Meier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730838343 PECOS PAC ID: 2769919240 Enrollment ID: I20241223000389 |
| Provider Name | Elizabeth Hill |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659903797 PECOS PAC ID: 0547641474 Enrollment ID: I20241226001870 |
| Provider Name | Andrew Thomas Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407535636 PECOS PAC ID: 3971030966 Enrollment ID: I20250103000505 |
| Provider Name | Allison Shippen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124761572 PECOS PAC ID: 9234667775 Enrollment ID: I20250110001929 |
| Provider Name | Sara Fausett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023416138 PECOS PAC ID: 9335481993 Enrollment ID: I20250115003629 |
| Provider Name | Jessica Oliver Hatch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306244868 PECOS PAC ID: 7911436811 Enrollment ID: I20250122001227 |
| Provider Name | Kimberly Anne Funk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396233292 PECOS PAC ID: 6507110566 Enrollment ID: I20250122002589 |
| Provider Name | Lauren Mccreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649094145 PECOS PAC ID: 1254860703 Enrollment ID: I20250128004214 |
| Provider Name | Kylie Peterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699134809 PECOS PAC ID: 1254673817 Enrollment ID: I20250129001878 |
| Provider Name | Christen Spikula |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447806765 PECOS PAC ID: 5395077044 Enrollment ID: I20250205002739 |
| Provider Name | Scott Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477384493 PECOS PAC ID: 9335679208 Enrollment ID: I20250206002589 |
| Provider Name | Amanda Kuypers Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871322362 PECOS PAC ID: 5597091520 Enrollment ID: I20250212002426 |
| Provider Name | Hans Christian Reinemer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346366283 PECOS PAC ID: 3274063714 Enrollment ID: I20250212002754 |
| Provider Name | Michelle Caskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316301419 PECOS PAC ID: 9537699012 Enrollment ID: I20250213000787 |
| Provider Name | Ryan Richard Blad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902657570 PECOS PAC ID: 5294278412 Enrollment ID: I20250214002476 |
| Provider Name | Adam Fredrick Christensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316391543 PECOS PAC ID: 7113214362 Enrollment ID: I20250225003538 |
| Provider Name | Kelzie Devitt Layne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700609559 PECOS PAC ID: 7810410982 Enrollment ID: I20250328002871 |
| Provider Name | Brodon Kenneth Urrutia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306080312 PECOS PAC ID: 7517144264 Enrollment ID: I20250411000816 |
| Provider Name | Amber Grace Hoffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477366474 PECOS PAC ID: 3476077371 Enrollment ID: I20250414000436 |
| Provider Name | Rachel Lani Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346075686 PECOS PAC ID: 5193249928 Enrollment ID: I20250414001367 |
| Provider Name | Alexandra Weisz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356940811 PECOS PAC ID: 9830615475 Enrollment ID: I20250428001907 |
| Provider Name | Mitchell Rohrback |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053816736 PECOS PAC ID: 0143687483 Enrollment ID: I20250502002888 |
| Provider Name | Meghan Schott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952695041 PECOS PAC ID: 0749550754 Enrollment ID: I20250507002145 |
| Provider Name | Quinn Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013572775 PECOS PAC ID: 7214266725 Enrollment ID: I20250509002569 |
| Provider Name | Andrew Pittington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437349040 PECOS PAC ID: 5799856373 Enrollment ID: I20250520001007 |
| Provider Name | Natalie Michelle Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124835830 PECOS PAC ID: 4880113323 Enrollment ID: I20250528001259 |
| Provider Name | Joshua Feriante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891255907 PECOS PAC ID: 7911233267 Enrollment ID: I20250528003173 |
| Provider Name | Mckell Lemmon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154174613 PECOS PAC ID: 3870002678 Enrollment ID: I20250603002759 |
| Provider Name | William Christopher Tolen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760638068 PECOS PAC ID: 3577072990 Enrollment ID: I20250605001403 |
| Provider Name | Seth Bohman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588313894 PECOS PAC ID: 4587003710 Enrollment ID: I20250610002642 |
| Provider Name | Olivia Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760273221 PECOS PAC ID: 2365952124 Enrollment ID: I20250610003348 |
| Provider Name | Taisha Lee Hardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558102541 PECOS PAC ID: 3577074053 Enrollment ID: I20250612003901 |
| Provider Name | Kristie Deon Whinery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639986128 PECOS PAC ID: 1355852724 Enrollment ID: I20250613001970 |
| Provider Name | Cheryl Bixby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619685526 PECOS PAC ID: 6002328523 Enrollment ID: I20250620002997 |
| Provider Name | Ryan Hirschi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285297861 PECOS PAC ID: 6103159157 Enrollment ID: I20250624001091 |
| Provider Name | Tyler Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487004529 PECOS PAC ID: 8527350800 Enrollment ID: I20250711002425 |
| Provider Name | Jennifer L Hyde |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477340701 PECOS PAC ID: 5890201693 Enrollment ID: I20250718003108 |
| Provider Name | Alexandra Montena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306403936 PECOS PAC ID: 3779099379 Enrollment ID: I20250721003627 |
| Provider Name | Louthilia Mose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407523079 PECOS PAC ID: 3173039294 Enrollment ID: I20250723004374 |
| Provider Name | Benjamin Evans Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922341015 PECOS PAC ID: 9335497924 Enrollment ID: I20250724001632 |
| Provider Name | Tanner Henrie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003376385 PECOS PAC ID: 8224362355 Enrollment ID: I20250724003532 |
| Provider Name | Brittany Shaye Mccart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326655002 PECOS PAC ID: 6800241654 Enrollment ID: I20250730003108 |
| Provider Name | Tyler Lacy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861955049 PECOS PAC ID: 0941718233 Enrollment ID: I20250806003734 |
| Provider Name | Joseph Adachi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245817766 PECOS PAC ID: 4183028350 Enrollment ID: I20250807003170 |
| Provider Name | Ashley Magistrelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174329015 PECOS PAC ID: 9537667522 Enrollment ID: I20250808002928 |
| Provider Name | David Charles Gage |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508427469 PECOS PAC ID: 6305344961 Enrollment ID: I20250812003838 |
| Provider Name | Elizabeth Echo Bigelow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609243724 PECOS PAC ID: 1153631460 Enrollment ID: I20250814000000 |
| Provider Name | Tomoki Sempokuya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013370725 PECOS PAC ID: 3274865605 Enrollment ID: I20250827002440 |
| Provider Name | Ryan Kelley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922685239 PECOS PAC ID: 4385028877 Enrollment ID: I20250830000439 |
| Provider Name | Alexis Ann Gashler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104675016 PECOS PAC ID: 4486155496 Enrollment ID: I20250831000105 |
| Provider Name | Christopher Falslev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962942185 PECOS PAC ID: 8123382165 Enrollment ID: I20250905001222 |
| Provider Name | Elsie Carpenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346041910 PECOS PAC ID: 0941702880 Enrollment ID: I20250909000565 |
| Provider Name | Madison Lynn Boeh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316416084 PECOS PAC ID: 2567965858 Enrollment ID: I20250912000152 |
| Provider Name | Kaylor Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750918827 PECOS PAC ID: 3870953078 Enrollment ID: I20250918001110 |
| Provider Name | Jennifer Lynn Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790594265 PECOS PAC ID: 9739684754 Enrollment ID: I20250922003649 |
| Provider Name | Matthew Borkovich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518492420 PECOS PAC ID: 4082958046 Enrollment ID: I20250923003988 |
| Provider Name | Andrew Scott Biesinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013717909 PECOS PAC ID: 6800392424 Enrollment ID: I20251002002594 |
| Provider Name | Alaina Ingham Neary |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225659501 PECOS PAC ID: 5698272854 Enrollment ID: I20251007000304 |
| Provider Name | Zachary Rivera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134004740 PECOS PAC ID: 8729585617 Enrollment ID: I20251007004092 |
| Provider Name | Heidi Christine Vikari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710729199 PECOS PAC ID: 3173020708 Enrollment ID: I20251008004224 |
| Provider Name | Diana Lindsay Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396267399 PECOS PAC ID: 9234626342 Enrollment ID: I20251014000680 |
| Provider Name | Ashton Densley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467910646 PECOS PAC ID: 1254756554 Enrollment ID: I20251023003132 |
| Provider Name | Kevin Kain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811571771 PECOS PAC ID: 1951705599 Enrollment ID: I20251103002680 |
| Provider Name | Kelsey N. Tuttle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447839873 PECOS PAC ID: 1850775008 Enrollment ID: I20251106002484 |
| Provider Name | William Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013545433 PECOS PAC ID: 1759743958 Enrollment ID: I20251106003506 |
| Provider Name | Margaux Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578191144 PECOS PAC ID: 5890191779 Enrollment ID: I20251106003610 |
| Provider Name | Jordan Eatough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205428232 PECOS PAC ID: 4789085762 Enrollment ID: I20251112003812 |
| Provider Name | Franco Bernard Rondon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881405447 PECOS PAC ID: 1759872682 Enrollment ID: I20251118003525 |
| Provider Name | Bryan K. Wilde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942430863 PECOS PAC ID: 8325530686 Enrollment ID: I20251124002839 |
| Provider Name | Rachel Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184415788 PECOS PAC ID: 1658864590 Enrollment ID: I20251201000548 |
| Provider Name | Ashley Brooke Jamsa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932957032 PECOS PAC ID: 7012400849 Enrollment ID: I20251201003118 |
| Provider Name | Brandi Hicks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942497797 PECOS PAC ID: 0547421208 Enrollment ID: I20251205000589 |
| Provider Name | Andrea Michelle Delgado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164110391 PECOS PAC ID: 8022502046 Enrollment ID: I20251208003404 |
| Provider Name | David K Hooper |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245284397 PECOS PAC ID: 6800899923 Enrollment ID: I20251211000004 |
| Provider Name | Jocelyn Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457164428 PECOS PAC ID: 7517452527 Enrollment ID: I20251217002777 |
| Provider Name | Neeta Chaudhary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235309543 PECOS PAC ID: 9638334121 Enrollment ID: I20251217002868 |
| Provider Name | Olivia Akerley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164214102 PECOS PAC ID: 8921593872 Enrollment ID: I20251218002528 |
| Provider Name | Michael Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245264399 PECOS PAC ID: 7012948961 Enrollment ID: I20251220000714 |
| Provider Name | Kaylee Starbird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699662726 PECOS PAC ID: 8527545722 Enrollment ID: I20260120000861 |
| Provider Name | Ethan Rosenfeld |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609223064 PECOS PAC ID: 7416344452 Enrollment ID: I20260126000558 |
| Provider Name | Alexis Bennett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255294419 PECOS PAC ID: 5193204980 Enrollment ID: I20260211002963 |
| Provider Name | Delia Moctezuma |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467817775 PECOS PAC ID: 7214232354 Enrollment ID: I20260226004252 |
| Provider Name | Lucia Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679438147 PECOS PAC ID: 1658853387 Enrollment ID: I20260303002644 |
| Provider Name | Ry Hayler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952069809 PECOS PAC ID: 7517358534 Enrollment ID: I20260303002764 |
| Provider Name | Shawn PA Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942583703 PECOS PAC ID: 7618138272 Enrollment ID: I20260407003020 |
| Provider Name | Hana Brannigan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770436982 PECOS PAC ID: 6800361809 Enrollment ID: I20260407003210 |
| Provider Name | Camilla Sosa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174497614 PECOS PAC ID: 2769958925 Enrollment ID: I20260415004002 |
| Provider Name | Whitney Ann Nelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497601918 PECOS PAC ID: 1658847512 Enrollment ID: I20260417001313 |
| Provider Name | Andrew R Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033852249 PECOS PAC ID: 1850831595 Enrollment ID: I20260504007405 |
| Provider Name | Mary Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932054053 PECOS PAC ID: 3577031616 Enrollment ID: I20260506002908 |
| Provider Name | Nicole Latgis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194398800 PECOS PAC ID: 4587033048 Enrollment ID: I20260512003100 |
| Provider Name | Sabrina Frierson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720075948 PECOS PAC ID: 9931113669 Enrollment ID: I20260518002696 |
| Provider Name | Jeffrey Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700049392 PECOS PAC ID: 2961676168 Enrollment ID: I20260519000010 |
| Provider Name | Emily Bahr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295567345 PECOS PAC ID: 4385113315 Enrollment ID: I20260519002438 |
| Provider Name | Alejandro Sanz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659664753 PECOS PAC ID: 3173700424 Enrollment ID: I20260603000121 |
| Provider Name | Faithe Ann Felt Conners |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336671080 PECOS PAC ID: 7012489925 Enrollment ID: I20260611002138 |
| Provider Name | Melanie Hicken Holden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366210254 PECOS PAC ID: 8527530666 Enrollment ID: I20260618004170 |
Peter V Sundwall MD Pca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4815 Center St, Murray, UT 84107 Phone: 801-262-2443 Fax: 801-262-8869 |
Murray Family Medicine PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4815 S Center St, Murray, UT 84107 Phone: 801-262-2443 Fax: 801-262-8869 |
Holistic Elements Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 E 5600 S Ste 200, Murray, UT 84107 Phone: 801-262-5418 Fax: 801-262-5468 |
Intermountain Medical Group Denver, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5373 S Green St Ste 400, Murray, UT 84123 Phone: 801-442-2647 |
Option Care Infusion Suites, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 348 E 4500 S Ste 220, Murray, UT 84107 Phone: 801-577-7055 |
The Orthopedic Specialty Hospital Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5848 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4100 |