| Inova Physician Partners, Llc | |
|
3914 Centreville Rd Suite 250 Chantilly VA 20151-3289 | |
| (703) 321-2609 | |
| Not Available |
| Full Name | Inova Physician Partners, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3914 Centreville Rd, Chantilly, Virginia |
| Authorized Official Name and Position | Alice Pope (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7032892048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inova Physician Partners, Llc Po Box 37189 Baltimore MD 21297-3189 Ph: (571) 423-5699 | Inova Physician Partners, Llc 3914 Centreville Rd Suite 250 Chantilly VA 20151-3289 Ph: (703) 321-2609 |
| NPI Number | 1215264916 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 05/08/2023 |
| Medicare PECOS PAC ID | 2466581772 |
|---|---|
| Medicare Enrollment ID | O20100525000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215264916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Z Chris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568525392 PECOS PAC ID: 7810892585 Enrollment ID: I20031210000832 |
| Provider Name | Grace L Keenan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770518821 PECOS PAC ID: 6406849413 Enrollment ID: I20040406000613 |
| Provider Name | Maryann Giordano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326010604 PECOS PAC ID: 5496740870 Enrollment ID: I20040415001072 |
| Provider Name | Mark E Franke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114934650 PECOS PAC ID: 5395738017 Enrollment ID: I20040507000293 |
| Provider Name | Anita G Rentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265426555 PECOS PAC ID: 9830188416 Enrollment ID: I20040510000154 |
| Provider Name | Cynthia June Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437327095 PECOS PAC ID: 6103815550 Enrollment ID: I20040510001657 |
| Provider Name | Nathan N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981475 PECOS PAC ID: 8426049453 Enrollment ID: I20040519001135 |
| Provider Name | John Youk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760478176 PECOS PAC ID: 7416930011 Enrollment ID: I20040612000118 |
| Provider Name | Sandy F Ibrahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437299658 PECOS PAC ID: 2062492648 Enrollment ID: I20040723000411 |
| Provider Name | Neeta Goel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609891316 PECOS PAC ID: 3072585918 Enrollment ID: I20040810001496 |
| Provider Name | Elizabeth A Intermill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689668980 PECOS PAC ID: 7113999855 Enrollment ID: I20040923000110 |
| Provider Name | Sandra Tirado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154315570 PECOS PAC ID: 7618937202 Enrollment ID: I20041018000992 |
| Provider Name | Christine H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881838 PECOS PAC ID: 3072574128 Enrollment ID: I20041021000703 |
| Provider Name | Aman Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326005315 PECOS PAC ID: 4183685241 Enrollment ID: I20041021000768 |
| Provider Name | Garry W Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558328534 PECOS PAC ID: 0749241420 Enrollment ID: I20041026000255 |
| Provider Name | Toni L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336134675 PECOS PAC ID: 3870557697 Enrollment ID: I20041112000072 |
| Provider Name | Heather M Stec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972676575 PECOS PAC ID: 3971567330 Enrollment ID: I20041116000088 |
| Provider Name | Janine R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699771394 PECOS PAC ID: 5799740486 Enrollment ID: I20041124000609 |
| Provider Name | Mylene M Kedrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528052685 PECOS PAC ID: 6901862762 Enrollment ID: I20041203000711 |
| Provider Name | Suzan Elizabeth Shibla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174519227 PECOS PAC ID: 1052378916 Enrollment ID: I20041213000888 |
| Provider Name | Jeffry T Waldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548266117 PECOS PAC ID: 0244297729 Enrollment ID: I20041216000233 |
| Provider Name | David W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093794067 PECOS PAC ID: 6709823248 Enrollment ID: I20050415000169 |
| Provider Name | Sandra I Tandeciarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981129 PECOS PAC ID: 0547209447 Enrollment ID: I20050429000605 |
| Provider Name | Christopher P Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790710721 PECOS PAC ID: 3870575368 Enrollment ID: I20050629000121 |
| Provider Name | Ran Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578590428 PECOS PAC ID: 8325095953 Enrollment ID: I20050629000216 |
| Provider Name | Buffy Ivany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437122306 PECOS PAC ID: 3375516685 Enrollment ID: I20050721000693 |
| Provider Name | Andrew J Harding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699769745 PECOS PAC ID: 6608775655 Enrollment ID: I20050802000314 |
| Provider Name | Terry A Garvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669436309 PECOS PAC ID: 8527085281 Enrollment ID: I20051101000649 |
| Provider Name | Andrew William Bazemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609864099 PECOS PAC ID: 4789603572 Enrollment ID: I20051205000754 |
| Provider Name | Kathryn R Colcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740244128 PECOS PAC ID: 1355352238 Enrollment ID: I20060505000847 |
| Provider Name | Hari V Veligeti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598794893 PECOS PAC ID: 1557394822 Enrollment ID: I20061129000284 |
| Provider Name | Atitegeb Tibebu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225190168 PECOS PAC ID: 7719988948 Enrollment ID: I20070130000626 |
| Provider Name | Sunitha Venkatachallam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205949815 PECOS PAC ID: 6103827399 Enrollment ID: I20070131000401 |
| Provider Name | Shawn Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043285091 PECOS PAC ID: 9436251444 Enrollment ID: I20070222000155 |
| Provider Name | Ali Kamran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487690129 PECOS PAC ID: 1850494162 Enrollment ID: I20070307000091 |
| Provider Name | Hye Gin Helen Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982607297 PECOS PAC ID: 8022111731 Enrollment ID: I20070816000686 |
| Provider Name | Shriprakash N Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568532596 PECOS PAC ID: 4183674922 Enrollment ID: I20070914000200 |
| Provider Name | Jeremy G Spinks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477645760 PECOS PAC ID: 2567557051 Enrollment ID: I20070928000110 |
| Provider Name | Michael G Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619036597 PECOS PAC ID: 8729173513 Enrollment ID: I20071009000706 |
| Provider Name | Daniele M Nunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366502429 PECOS PAC ID: 6002904083 Enrollment ID: I20071109000196 |
| Provider Name | Matthew G Poffenroth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487645347 PECOS PAC ID: 4587565288 Enrollment ID: I20071119000559 |
| Provider Name | Kathryn Wilson Hare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396946109 PECOS PAC ID: 5991879439 Enrollment ID: I20080801000287 |
| Provider Name | Catherine M Pipan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326040569 PECOS PAC ID: 9830267053 Enrollment ID: I20081001000227 |
| Provider Name | Pratima S Fozdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659427896 PECOS PAC ID: 3173691474 Enrollment ID: I20081013000504 |
| Provider Name | Emily R Faltemier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770759524 PECOS PAC ID: 0244390342 Enrollment ID: I20081119000537 |
| Provider Name | Ludmila M Kissi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477723260 PECOS PAC ID: 9830141886 Enrollment ID: I20090223000258 |
| Provider Name | Francis G Oconnor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316925340 PECOS PAC ID: 2163589771 Enrollment ID: I20090326000394 |
| Provider Name | Nicolas Pablo Posa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801934559 PECOS PAC ID: 7214096692 Enrollment ID: I20090522000058 |
| Provider Name | Deena B Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386857498 PECOS PAC ID: 6204985054 Enrollment ID: I20090527000368 |
| Provider Name | Raafat A Shabti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574010 PECOS PAC ID: 0547237158 Enrollment ID: I20090730000231 |
| Provider Name | Daniel Jon Merenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780748822 PECOS PAC ID: 5597811026 Enrollment ID: I20090924000087 |
| Provider Name | Hakima Bouhouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710153440 PECOS PAC ID: 4981750478 Enrollment ID: I20090924000704 |
| Provider Name | Cheryl Anne Ostrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467682153 PECOS PAC ID: 3375689367 Enrollment ID: I20091005000641 |
| Provider Name | Prem P Manchanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063578060 PECOS PAC ID: 2567509250 Enrollment ID: I20091029000221 |
| Provider Name | Anna Zamskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659418903 PECOS PAC ID: 5890832455 Enrollment ID: I20091030000265 |
| Provider Name | Joanne F Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033169941 PECOS PAC ID: 3375538622 Enrollment ID: I20091109000036 |
| Provider Name | Lerato N Kitleli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487804290 PECOS PAC ID: 4880736826 Enrollment ID: I20100128000682 |
| Provider Name | Brickte L Debass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861500050 PECOS PAC ID: 4880729011 Enrollment ID: I20100312000901 |
| Provider Name | Ellie Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790893980 PECOS PAC ID: 8628103322 Enrollment ID: I20100319000701 |
| Provider Name | Anjali Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992713754 PECOS PAC ID: 4385779933 Enrollment ID: I20100322000077 |
| Provider Name | Roma A Edoo-sowah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720011224 PECOS PAC ID: 1658406202 Enrollment ID: I20100322000083 |
| Provider Name | Ellen M Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518075704 PECOS PAC ID: 7719012392 Enrollment ID: I20100322000389 |
| Provider Name | Kenneth J Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669582318 PECOS PAC ID: 7012042419 Enrollment ID: I20100323000814 |
| Provider Name | Veena K Chawla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457566796 PECOS PAC ID: 7810023389 Enrollment ID: I20100414000125 |
| Provider Name | Nicole C Pelham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821104969 PECOS PAC ID: 6608881230 Enrollment ID: I20100414000679 |
| Provider Name | Rex B Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063418762 PECOS PAC ID: 8729115597 Enrollment ID: I20100427000702 |
| Provider Name | Michael A Filak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487657136 PECOS PAC ID: 7113054909 Enrollment ID: I20100428000013 |
| Provider Name | Lenore L Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245236926 PECOS PAC ID: 7911034699 Enrollment ID: I20100429000201 |
| Provider Name | Julie F Overholtzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790781474 PECOS PAC ID: 2163559840 Enrollment ID: I20100429000250 |
| Provider Name | Sharon M Yuras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548256894 PECOS PAC ID: 2668500273 Enrollment ID: I20100503000031 |
| Provider Name | Kavita R Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801002449 PECOS PAC ID: 5799815817 Enrollment ID: I20100615000819 |
| Provider Name | David B Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689734386 PECOS PAC ID: 0648301457 Enrollment ID: I20100623000102 |
| Provider Name | Po N Storrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447407309 PECOS PAC ID: 2062544471 Enrollment ID: I20100721000313 |
| Provider Name | John H Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255427266 PECOS PAC ID: 4082644117 Enrollment ID: I20100803001048 |
| Provider Name | Harry A Schumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194804120 PECOS PAC ID: 0143344077 Enrollment ID: I20100830000933 |
| Provider Name | John J Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215963129 PECOS PAC ID: 7214030428 Enrollment ID: I20100831000610 |
| Provider Name | Sharon Elizabeth Malcolm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588721112 PECOS PAC ID: 8729987433 Enrollment ID: I20100902000176 |
| Provider Name | Sharayu Sawant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417160144 PECOS PAC ID: 2769507847 Enrollment ID: I20100913000860 |
| Provider Name | Homaira Behsudi Wali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700942711 PECOS PAC ID: 7113119546 Enrollment ID: I20101004001266 |
| Provider Name | Gwen H Chu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699962456 PECOS PAC ID: 8921293150 Enrollment ID: I20101112000542 |
| Provider Name | Daniel J Hermes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972546042 PECOS PAC ID: 3678769288 Enrollment ID: I20101122000871 |
| Provider Name | Paul G Durr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280601 PECOS PAC ID: 3678589553 Enrollment ID: I20101124000011 |
| Provider Name | Nghi H Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740271675 PECOS PAC ID: 4688860653 Enrollment ID: I20101202000465 |
| Provider Name | Terence James Mccormally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255325890 PECOS PAC ID: 9335048396 Enrollment ID: I20101206000141 |
| Provider Name | Oladapo B Olarinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518194976 PECOS PAC ID: 8820285521 Enrollment ID: I20101207000927 |
| Provider Name | Janice L Keyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194810358 PECOS PAC ID: 1658560602 Enrollment ID: I20110106000960 |
| Provider Name | Donald J Brideau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891807269 PECOS PAC ID: 3678535937 Enrollment ID: I20110107000080 |
| Provider Name | Foster R Montalbano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568574101 PECOS PAC ID: 8123080488 Enrollment ID: I20110107000153 |
| Provider Name | Kevin J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194952978 PECOS PAC ID: 0648469114 Enrollment ID: I20110114000005 |
| Provider Name | Heba K Elzawahry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356507990 PECOS PAC ID: 3971631516 Enrollment ID: I20110120000180 |
| Provider Name | Janet S Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598960205 PECOS PAC ID: 1658550785 Enrollment ID: I20110121000456 |
| Provider Name | Michael A Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225267495 PECOS PAC ID: 6305026121 Enrollment ID: I20110211000323 |
| Provider Name | Sung Tae Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841424074 PECOS PAC ID: 6204968373 Enrollment ID: I20110224000830 |
| Provider Name | Amy Yoshiko Nobu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750352738 PECOS PAC ID: 9638350481 Enrollment ID: I20110226000001 |
| Provider Name | Deborah Leavens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407840788 PECOS PAC ID: 2769381714 Enrollment ID: I20110302000435 |
| Provider Name | Eric M Thomson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013144419 PECOS PAC ID: 5991987422 Enrollment ID: I20110304000490 |
| Provider Name | David W Gehring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396707170 PECOS PAC ID: 2567461981 Enrollment ID: I20110315000979 |
| Provider Name | Augustine A Dolcich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346234648 PECOS PAC ID: 8527241298 Enrollment ID: I20110318000264 |
| Provider Name | Matthew D Scripps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396803516 PECOS PAC ID: 3375601487 Enrollment ID: I20110318000449 |
| Provider Name | Marc G Plescia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497749121 PECOS PAC ID: 5496938045 Enrollment ID: I20110321000269 |
| Provider Name | Jeffrey Cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558354183 PECOS PAC ID: 5395733091 Enrollment ID: I20110322000076 |
| Provider Name | Camille A Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154315117 PECOS PAC ID: 4981888153 Enrollment ID: I20110413000026 |
| Provider Name | Michael A Silverstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982698270 PECOS PAC ID: 7214836279 Enrollment ID: I20110428000523 |
| Provider Name | Jason Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053305102 PECOS PAC ID: 6406755453 Enrollment ID: I20110428000560 |
| Provider Name | Kenneth H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205820354 PECOS PAC ID: 8729263066 Enrollment ID: I20110429000466 |
| Provider Name | Su C Yi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568456861 PECOS PAC ID: 3779768015 Enrollment ID: I20110429000513 |
| Provider Name | Jeffrey D Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739686 PECOS PAC ID: 9739364076 Enrollment ID: I20110429000543 |
| Provider Name | Louise D Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558355602 PECOS PAC ID: 2860391810 Enrollment ID: I20110502000054 |
| Provider Name | Anjali Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922265164 PECOS PAC ID: 1254518319 Enrollment ID: I20110527000316 |
| Provider Name | Stuart Henochowicz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902818925 PECOS PAC ID: 9830285071 Enrollment ID: I20110531000051 |
| Provider Name | Joan D Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183128 PECOS PAC ID: 8123927175 Enrollment ID: I20110601000878 |
| Provider Name | Edwin H Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881763217 PECOS PAC ID: 9234232968 Enrollment ID: I20110609000265 |
| Provider Name | Craig E Cheifetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366478265 PECOS PAC ID: 4486822848 Enrollment ID: I20110729000541 |
| Provider Name | January F Dumlao-umayam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962664698 PECOS PAC ID: 1254513898 Enrollment ID: I20110819000323 |
| Provider Name | Navleen Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215966403 PECOS PAC ID: 4183694144 Enrollment ID: I20110831000253 |
| Provider Name | Christina A Bauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376700500 PECOS PAC ID: 9436329638 Enrollment ID: I20110831000338 |
| Provider Name | Kathryn K Morcom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821309030 PECOS PAC ID: 6608047154 Enrollment ID: I20110914000395 |
| Provider Name | Vibha Thakral-saalinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609966258 PECOS PAC ID: 3375635675 Enrollment ID: I20110914000591 |
| Provider Name | Noriko S Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487732475 PECOS PAC ID: 5799863486 Enrollment ID: I20111011000545 |
| Provider Name | Mysore V Maitri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073697082 PECOS PAC ID: 3870787302 Enrollment ID: I20111026000493 |
| Provider Name | Tushar G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174636716 PECOS PAC ID: 1153344551 Enrollment ID: I20111026000556 |
| Provider Name | Leslie H Gavora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174688915 PECOS PAC ID: 5890960942 Enrollment ID: I20111219000694 |
| Provider Name | Charleen K Nosar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376791483 PECOS PAC ID: 9739362054 Enrollment ID: I20120228000514 |
| Provider Name | Victoria L Merkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053306308 PECOS PAC ID: 3577462530 Enrollment ID: I20120228000597 |
| Provider Name | Marjorie A.l. Hermes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144214784 PECOS PAC ID: 0143129197 Enrollment ID: I20120229000552 |
| Provider Name | Thomas P Ehrlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447244181 PECOS PAC ID: 4981896529 Enrollment ID: I20120305000222 |
| Provider Name | Alexander H Krist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629062872 PECOS PAC ID: 8325236615 Enrollment ID: I20120305000248 |
| Provider Name | Sandra Ratterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487649984 PECOS PAC ID: 4688866262 Enrollment ID: I20120306000698 |
| Provider Name | Samuel Moseley Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215921762 PECOS PAC ID: 3476452434 Enrollment ID: I20120307000275 |
| Provider Name | Maura Jean Sughrue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881688844 PECOS PAC ID: 2365341336 Enrollment ID: I20120313000150 |
| Provider Name | Lee Irwin Blecher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336133875 PECOS PAC ID: 9335324334 Enrollment ID: I20120503000239 |
| Provider Name | Ira C. Marathe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861585374 PECOS PAC ID: 6204098239 Enrollment ID: I20120508000596 |
| Provider Name | Nitu V Pandit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760597843 PECOS PAC ID: 2961688064 Enrollment ID: I20120510000422 |
| Provider Name | Robert Leroy Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437143591 PECOS PAC ID: 1456537026 Enrollment ID: I20120515000051 |
| Provider Name | Seetha Durbhakula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013115112 PECOS PAC ID: 9436313178 Enrollment ID: I20120611000181 |
| Provider Name | Nelly M Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053352997 PECOS PAC ID: 5597707711 Enrollment ID: I20120726000205 |
| Provider Name | Shiva Vatankhahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861635427 PECOS PAC ID: 8820244106 Enrollment ID: I20120802000531 |
| Provider Name | Jessica L Mcafee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548556012 PECOS PAC ID: 5991952954 Enrollment ID: I20120827000139 |
| Provider Name | Clair M Oja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558681478 PECOS PAC ID: 4587812391 Enrollment ID: I20120920000469 |
| Provider Name | Kathleen M Langan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538455001 PECOS PAC ID: 7517116486 Enrollment ID: I20121009000708 |
| Provider Name | Trina J Monty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063617678 PECOS PAC ID: 0941459754 Enrollment ID: I20121108000576 |
| Provider Name | Faiqa Mahmud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891954673 PECOS PAC ID: 4183890866 Enrollment ID: I20130103000468 |
| Provider Name | Yasmin Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447234513 PECOS PAC ID: 3870517782 Enrollment ID: I20130123000173 |
| Provider Name | Maria Castillo-catoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386804136 PECOS PAC ID: 4880862143 Enrollment ID: I20130204000056 |
| Provider Name | Christiane G Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316283914 PECOS PAC ID: 3375788581 Enrollment ID: I20130318000040 |
| Provider Name | Maureen Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386950475 PECOS PAC ID: 2668617168 Enrollment ID: I20130405000004 |
| Provider Name | Fola O Oluwehinmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912017690 PECOS PAC ID: 6204811607 Enrollment ID: I20130617000378 |
| Provider Name | Miriam S Lender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134389612 PECOS PAC ID: 5991960312 Enrollment ID: I20130717000373 |
| Provider Name | Melissa J Wisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790003598 PECOS PAC ID: 5698916245 Enrollment ID: I20130725000028 |
| Provider Name | Shruthi Edunuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073769113 PECOS PAC ID: 5698945996 Enrollment ID: I20130801000171 |
| Provider Name | Marc A Childress |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124117015 PECOS PAC ID: 4082856992 Enrollment ID: I20130806000145 |
| Provider Name | Richard A Broderick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801098124 PECOS PAC ID: 2365685252 Enrollment ID: I20130824000032 |
| Provider Name | Bao G Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275777963 PECOS PAC ID: 7517123532 Enrollment ID: I20130912000139 |
| Provider Name | Heon Soo Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043573561 PECOS PAC ID: 4789828096 Enrollment ID: I20130926000042 |
| Provider Name | Benjamin D Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316200652 PECOS PAC ID: 0648404574 Enrollment ID: I20131009000734 |
| Provider Name | Ramon R Blanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337185 PECOS PAC ID: 3678717956 Enrollment ID: I20131014001436 |
| Provider Name | Kathleen Sharon Rodgers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346526191 PECOS PAC ID: 8123253960 Enrollment ID: I20131101000409 |
| Provider Name | Scott M Vejcik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215002928 PECOS PAC ID: 7810999067 Enrollment ID: I20131216000272 |
| Provider Name | Rachel P Spiegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881905156 PECOS PAC ID: 5395989289 Enrollment ID: I20131218000333 |
| Provider Name | Jennifer S Choi-blanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063649440 PECOS PAC ID: 9234366246 Enrollment ID: I20131219001239 |
| Provider Name | Ana M Born |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699934489 PECOS PAC ID: 6901078716 Enrollment ID: I20140206001416 |
| Provider Name | Sheri Ann Lofton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114988730 PECOS PAC ID: 8325183064 Enrollment ID: I20140416000724 |
| Provider Name | Aisha K Keplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881016210 PECOS PAC ID: 8325270531 Enrollment ID: I20140513000453 |
| Provider Name | Camille E Horton Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649270331 PECOS PAC ID: 7214993534 Enrollment ID: I20140611001877 |
| Provider Name | Manpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104113570 PECOS PAC ID: 9537391164 Enrollment ID: I20140805002542 |
| Provider Name | Ali Shahcheraghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306079108 PECOS PAC ID: 2860610177 Enrollment ID: I20140828001405 |
| Provider Name | Mina M. Garrett-scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902998552 PECOS PAC ID: 8426141193 Enrollment ID: I20140905001465 |
| Provider Name | Rhodaline Tootell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063547867 PECOS PAC ID: 2860564424 Enrollment ID: I20140922000861 |
| Provider Name | Padmaja Balaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982903381 PECOS PAC ID: 9638390784 Enrollment ID: I20141015000792 |
| Provider Name | Ilya Rabkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760822324 PECOS PAC ID: 9335360288 Enrollment ID: I20141020000062 |
| Provider Name | Shreelakshmi Ramaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639304876 PECOS PAC ID: 2567614415 Enrollment ID: I20141208000196 |
| Provider Name | Minh D Ta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386930287 PECOS PAC ID: 7911229315 Enrollment ID: I20141212001459 |
| Provider Name | Douglas J Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144620022 PECOS PAC ID: 7315262599 Enrollment ID: I20150210001749 |
| Provider Name | Susan H Burroughs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518951052 PECOS PAC ID: 4082513049 Enrollment ID: I20150714001020 |
| Provider Name | John K Mcconnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437418118 PECOS PAC ID: 3577791375 Enrollment ID: I20150803002195 |
| Provider Name | Sheel K Dahal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336347939 PECOS PAC ID: 0345331070 Enrollment ID: I20150929001258 |
| Provider Name | Andrew-thanh H Pho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881945228 PECOS PAC ID: 0547578205 Enrollment ID: I20150929002079 |
| Provider Name | Tawanna N King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265793707 PECOS PAC ID: 8426277070 Enrollment ID: I20150930000857 |
| Provider Name | Jaime L Magin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760765143 PECOS PAC ID: 1254653041 Enrollment ID: I20151006001569 |
| Provider Name | Nana E Apedoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952785313 PECOS PAC ID: 5294044418 Enrollment ID: I20151028002633 |
| Provider Name | Robin S Witlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164847174 PECOS PAC ID: 6608186705 Enrollment ID: I20151102001088 |
| Provider Name | Da Hye Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962631184 PECOS PAC ID: 6103073283 Enrollment ID: I20151109000915 |
| Provider Name | Andrew K Mazur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902899719 PECOS PAC ID: 9133372055 Enrollment ID: I20151202000177 |
| Provider Name | Qudsia I Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871601138 PECOS PAC ID: 6103875265 Enrollment ID: I20151229000293 |
| Provider Name | Sean Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891054938 PECOS PAC ID: 4789818816 Enrollment ID: I20151229000592 |
| Provider Name | Clare Gosek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230929 PECOS PAC ID: 1254633803 Enrollment ID: I20160113002249 |
| Provider Name | Lauren B Cianciaruso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992764401 PECOS PAC ID: 0749233781 Enrollment ID: I20160126001849 |
| Provider Name | Stacey P Vial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144437062 PECOS PAC ID: 1254431612 Enrollment ID: I20160223000333 |
| Provider Name | Lisa Malloy Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295729341 PECOS PAC ID: 1951382373 Enrollment ID: I20160408001596 |
| Provider Name | Graham T Dondlinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316172885 PECOS PAC ID: 4981845583 Enrollment ID: I20160408001708 |
| Provider Name | Holger Noelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417988197 PECOS PAC ID: 8123045853 Enrollment ID: I20160408001877 |
| Provider Name | Meaghan V Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386002640 PECOS PAC ID: 4385941988 Enrollment ID: I20160411002256 |
| Provider Name | Hannah E Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538380415 PECOS PAC ID: 8123110939 Enrollment ID: I20160411002343 |
| Provider Name | Stephanie L Pylypko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528357068 PECOS PAC ID: 6901026061 Enrollment ID: I20160412002314 |
| Provider Name | Heather Cade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861894347 PECOS PAC ID: 2365764248 Enrollment ID: I20160413000029 |
| Provider Name | Liana Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083084776 PECOS PAC ID: 2961700620 Enrollment ID: I20160413000044 |
| Provider Name | Angela M Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710355375 PECOS PAC ID: 5294036075 Enrollment ID: I20160413000766 |
| Provider Name | Julia B Levenson-bleicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750798468 PECOS PAC ID: 8224258371 Enrollment ID: I20160413001567 |
| Provider Name | Carleigh A Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870448 PECOS PAC ID: 3274781810 Enrollment ID: I20160414000785 |
| Provider Name | Heidi Renee Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551862 PECOS PAC ID: 1850695263 Enrollment ID: I20160414001503 |
| Provider Name | Alica C Alden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134521628 PECOS PAC ID: 2163727009 Enrollment ID: I20160419000096 |
| Provider Name | Amanda M Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477943801 PECOS PAC ID: 9032437090 Enrollment ID: I20160419000185 |
| Provider Name | Stacy Allouche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366804320 PECOS PAC ID: 3375832264 Enrollment ID: I20160517000035 |
| Provider Name | Alvaro A Puig-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003064270 PECOS PAC ID: 2860649878 Enrollment ID: I20160517002471 |
| Provider Name | Laura Billiet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558621706 PECOS PAC ID: 0345532719 Enrollment ID: I20160705000721 |
| Provider Name | Leah Harley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265880876 PECOS PAC ID: 4486946639 Enrollment ID: I20160707002055 |
| Provider Name | Marsabeth Amhayes Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710145339 PECOS PAC ID: 7012209059 Enrollment ID: I20160712000837 |
| Provider Name | Messay Balcha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821155094 PECOS PAC ID: 1557653367 Enrollment ID: I20160714000432 |
| Provider Name | Marian Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992149827 PECOS PAC ID: 4486897386 Enrollment ID: I20160719001176 |
| Provider Name | Cindy Feely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447416078 PECOS PAC ID: 8921169434 Enrollment ID: I20160720001259 |
| Provider Name | Michel Bornacelly Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831354265 PECOS PAC ID: 0042476145 Enrollment ID: I20160802001412 |
| Provider Name | Timothy J Yu |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457613879 PECOS PAC ID: 0547582538 Enrollment ID: I20160812001021 |
| Provider Name | Mary Spare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154874220 PECOS PAC ID: 4486940236 Enrollment ID: I20160906000660 |
| Provider Name | Jocelyn Patricia Serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285856013 PECOS PAC ID: 2466546031 Enrollment ID: I20160912001305 |
| Provider Name | Gandhrav Telhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669819389 PECOS PAC ID: 7315241387 Enrollment ID: I20160916001356 |
| Provider Name | Hamiyet K Outzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819144 PECOS PAC ID: 7719275031 Enrollment ID: I20161019000702 |
| Provider Name | Manpreet Multani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649449166 PECOS PAC ID: 9335285634 Enrollment ID: I20161019001106 |
| Provider Name | Dawn Tutone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790233872 PECOS PAC ID: 4284913831 Enrollment ID: I20161128000168 |
| Provider Name | Madhavi Kalavakuri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154771574 PECOS PAC ID: 9638457062 Enrollment ID: I20170126001797 |
| Provider Name | Jaclyn Michelle Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992356 PECOS PAC ID: 9133402811 Enrollment ID: I20170202001570 |
| Provider Name | Kristina K Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336695592 PECOS PAC ID: 3577841360 Enrollment ID: I20170411002031 |
| Provider Name | John W Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235163668 PECOS PAC ID: 2860441276 Enrollment ID: I20170420000729 |
| Provider Name | Lama Alsamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518301076 PECOS PAC ID: 8325288749 Enrollment ID: I20170525000373 |
| Provider Name | Christina L Rosenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538409305 PECOS PAC ID: 7719124940 Enrollment ID: I20170601000019 |
| Provider Name | Shaima Kanak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720511421 PECOS PAC ID: 7214207307 Enrollment ID: I20170721003047 |
| Provider Name | Stephanie D Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568982601 PECOS PAC ID: 3274805841 Enrollment ID: I20170816002359 |
| Provider Name | Kimaya M Vaidya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194136986 PECOS PAC ID: 0345525184 Enrollment ID: I20171002001969 |
| Provider Name | Amanda L Heger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326588260 PECOS PAC ID: 3173898863 Enrollment ID: I20171020001924 |
| Provider Name | Ashley Deremer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972013936 PECOS PAC ID: 0840556411 Enrollment ID: I20171115000049 |
| Provider Name | Patricia N Mcclendon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437387313 PECOS PAC ID: 1153577796 Enrollment ID: I20171120000348 |
| Provider Name | Deepani Hettitantri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346415478 PECOS PAC ID: 1951439819 Enrollment ID: I20171120003344 |
| Provider Name | Maureen A Filak-allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821448374 PECOS PAC ID: 9436442159 Enrollment ID: I20171205000127 |
| Provider Name | Erica N Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528300282 PECOS PAC ID: 0345507026 Enrollment ID: I20171205002758 |
| Provider Name | William Crist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275055923 PECOS PAC ID: 9133493497 Enrollment ID: I20180103001903 |
| Provider Name | Danny N Thach-song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235540162 PECOS PAC ID: 4486940418 Enrollment ID: I20180131001926 |
| Provider Name | Patricia D Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780972034 PECOS PAC ID: 9436468154 Enrollment ID: I20180516002253 |
| Provider Name | Monica Luu Quach Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480454 PECOS PAC ID: 9931328895 Enrollment ID: I20180604000365 |
| Provider Name | Ivan Sabio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629047709 PECOS PAC ID: 8628029493 Enrollment ID: I20180611000614 |
| Provider Name | Alison Noell Huffstetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649665688 PECOS PAC ID: 7719294362 Enrollment ID: I20180709001828 |
| Provider Name | Malarmathi T Anbarasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649337767 PECOS PAC ID: 1759338221 Enrollment ID: I20180719000532 |
| Provider Name | Jennifer Schwenk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346635182 PECOS PAC ID: 4688979883 Enrollment ID: I20180731000076 |
| Provider Name | Asma Islam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184853806 PECOS PAC ID: 2961541131 Enrollment ID: I20180918000432 |
| Provider Name | Frances Y Ding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437679495 PECOS PAC ID: 8729358023 Enrollment ID: I20180924003453 |
| Provider Name | Evangelia T Tsapos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649790239 PECOS PAC ID: 4385913227 Enrollment ID: I20180925000036 |
| Provider Name | Rachel Choi Bak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891215851 PECOS PAC ID: 7214206465 Enrollment ID: I20180925000068 |
| Provider Name | Richard Uribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790205755 PECOS PAC ID: 0446529598 Enrollment ID: I20180925001674 |
| Provider Name | Zain Jalal Sultan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073033031 PECOS PAC ID: 9133498389 Enrollment ID: I20180926000266 |
| Provider Name | William Towne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184144958 PECOS PAC ID: 7810266061 Enrollment ID: I20180926000436 |
| Provider Name | Kendall S Hancock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982124939 PECOS PAC ID: 6608145859 Enrollment ID: I20180926000567 |
| Provider Name | Gena E Leatzow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174001747 PECOS PAC ID: 2769734631 Enrollment ID: I20181004002084 |
| Provider Name | Mary T Conell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891275640 PECOS PAC ID: 1759634314 Enrollment ID: I20181029001150 |
| Provider Name | Kathy J Hickman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689738643 PECOS PAC ID: 9830346576 Enrollment ID: I20181120001647 |
| Provider Name | Siva Ambalam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619234788 PECOS PAC ID: 7416201819 Enrollment ID: I20181126000015 |
| Provider Name | Michael Y Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033119136 PECOS PAC ID: 1759423122 Enrollment ID: I20181219003389 |
| Provider Name | Whitney Hodges Shanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477955946 PECOS PAC ID: 5890030464 Enrollment ID: I20181231001375 |
| Provider Name | Saira Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780815738 PECOS PAC ID: 0244475465 Enrollment ID: I20190523000134 |
| Provider Name | Jessica Joyce Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831757533 PECOS PAC ID: 2163758509 Enrollment ID: I20190724000053 |
| Provider Name | Amanda Feigenheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760879 PECOS PAC ID: 4284919333 Enrollment ID: I20190726000015 |
| Provider Name | Kate E Kinnaird |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104024751 PECOS PAC ID: 4284811910 Enrollment ID: I20190802000141 |
| Provider Name | Kathleen E Dawson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043870652 PECOS PAC ID: 8921335019 Enrollment ID: I20190813000506 |
| Provider Name | Claras S Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366899643 PECOS PAC ID: 3779878178 Enrollment ID: I20190821002802 |
| Provider Name | Manasa M Sridhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396199709 PECOS PAC ID: 7315287661 Enrollment ID: I20190827002092 |
| Provider Name | Elizabeth Flory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659865970 PECOS PAC ID: 2668724097 Enrollment ID: I20190910002772 |
| Provider Name | Lisa X Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831683150 PECOS PAC ID: 1759639875 Enrollment ID: I20190910003494 |
| Provider Name | Samantha Stuek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992299218 PECOS PAC ID: 8224386040 Enrollment ID: I20190911001225 |
| Provider Name | Jairo Martin Olivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962898163 PECOS PAC ID: 4486968716 Enrollment ID: I20190912001075 |
| Provider Name | Anh N Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003264730 PECOS PAC ID: 2062742091 Enrollment ID: I20190918000714 |
| Provider Name | Michael Lopoukhine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477047793 PECOS PAC ID: 6800144767 Enrollment ID: I20190920000095 |
| Provider Name | Parin D Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336588748 PECOS PAC ID: 2466749148 Enrollment ID: I20191003003471 |
| Provider Name | Merlyn S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173500 PECOS PAC ID: 3072860295 Enrollment ID: I20191004000452 |
| Provider Name | Adeline C Viyuoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417037003 PECOS PAC ID: 0446203996 Enrollment ID: I20191004003137 |
| Provider Name | Michael T Urben |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083732465 PECOS PAC ID: 3476440819 Enrollment ID: I20191030001088 |
| Provider Name | Christian Machado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548754864 PECOS PAC ID: 2668720590 Enrollment ID: I20191107000398 |
| Provider Name | Sukruti Vishal Udeshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821582149 PECOS PAC ID: 5991053019 Enrollment ID: I20191107001607 |
| Provider Name | Allison Shields |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386078723 PECOS PAC ID: 6709218878 Enrollment ID: I20191111001118 |
| Provider Name | Roza Hassen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003267543 PECOS PAC ID: 2769775311 Enrollment ID: I20191113002502 |
| Provider Name | Parineeta S Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053726356 PECOS PAC ID: 1759502545 Enrollment ID: I20191116000022 |
| Provider Name | Ogechi Anyaoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205254422 PECOS PAC ID: 5193157824 Enrollment ID: I20191118001613 |
| Provider Name | Dinraj B Hegde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184612178 PECOS PAC ID: 0941240964 Enrollment ID: I20200103001781 |
| Provider Name | Julie Weinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013559756 PECOS PAC ID: 1850727801 Enrollment ID: I20200211000877 |
| Provider Name | Warren J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467839662 PECOS PAC ID: 1153757083 Enrollment ID: I20200212001133 |
| Provider Name | Kristin Adelle Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255710554 PECOS PAC ID: 9335451715 Enrollment ID: I20200323000979 |
| Provider Name | Maria Cecilia Acevedo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518409747 PECOS PAC ID: 5698042083 Enrollment ID: I20200407000062 |
| Provider Name | Jordan Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386293710 PECOS PAC ID: 0345672002 Enrollment ID: I20200615000009 |
| Provider Name | Anne Marie Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851709828 PECOS PAC ID: 0042532889 Enrollment ID: I20200629001532 |
| Provider Name | Crystal K Macomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881121655 PECOS PAC ID: 1052680352 Enrollment ID: I20200706000711 |
| Provider Name | Ajita Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750814109 PECOS PAC ID: 8921341736 Enrollment ID: I20200811000555 |
| Provider Name | Kwabena B Owusu-boateng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477094860 PECOS PAC ID: 3072930114 Enrollment ID: I20200903000836 |
| Provider Name | Daniel B Tiller |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396242913 PECOS PAC ID: 2163775321 Enrollment ID: I20200909003234 |
| Provider Name | Anna L Crutchfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710336029 PECOS PAC ID: 2365717477 Enrollment ID: I20200911000177 |
| Provider Name | Yemsrach Y Gami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770013534 PECOS PAC ID: 1850710963 Enrollment ID: I20200923000793 |
| Provider Name | Tsedey Eshetu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053844969 PECOS PAC ID: 8426322249 Enrollment ID: I20201006003030 |
| Provider Name | Lindsey J Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003392606 PECOS PAC ID: 5193077014 Enrollment ID: I20201009000048 |
| Provider Name | Theodore A Toth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861925174 PECOS PAC ID: 8022438191 Enrollment ID: I20201013000004 |
| Provider Name | Ryan Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546395 PECOS PAC ID: 0941610182 Enrollment ID: I20201029001494 |
| Provider Name | Tamkeen Farooq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124438874 PECOS PAC ID: 9931456100 Enrollment ID: I20201202000009 |
| Provider Name | Suzi Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295267763 PECOS PAC ID: 3476822750 Enrollment ID: I20210113000927 |
| Provider Name | Olivia R Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174123764 PECOS PAC ID: 8123431970 Enrollment ID: I20210115001251 |
| Provider Name | Kelly D Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023618261 PECOS PAC ID: 3476966243 Enrollment ID: I20210115001765 |
| Provider Name | Jennifer Catherine Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124631908 PECOS PAC ID: 0547674228 Enrollment ID: I20210121001603 |
| Provider Name | Brian L Gioielli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417568973 PECOS PAC ID: 6507278231 Enrollment ID: I20210126000830 |
| Provider Name | Viona X Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740642206 PECOS PAC ID: 3779878186 Enrollment ID: I20210301002248 |
| Provider Name | Dharika M. Bhavsar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518405802 PECOS PAC ID: 2567721400 Enrollment ID: I20210503000272 |
| Provider Name | Payam Mir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104302348 PECOS PAC ID: 0547519928 Enrollment ID: I20210809000679 |
| Provider Name | Jose Leonardo R Sioco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235441791 PECOS PAC ID: 5193959427 Enrollment ID: I20210809001824 |
| Provider Name | Trent Ivan Hope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104314301 PECOS PAC ID: 1658625579 Enrollment ID: I20210818003647 |
| Provider Name | Felicia Catarella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619531555 PECOS PAC ID: 1658791157 Enrollment ID: I20210901000414 |
| Provider Name | Ines Gloria Alamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194085365 PECOS PAC ID: 2264675438 Enrollment ID: I20210901000767 |
| Provider Name | Ria Monica R Valencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447562095 PECOS PAC ID: 4385888734 Enrollment ID: I20211011000945 |
| Provider Name | Catherine Elizabeth Dudek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164195954 PECOS PAC ID: 2365840840 Enrollment ID: I20211014000016 |
| Provider Name | Steven Starczewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538838321 PECOS PAC ID: 2163810664 Enrollment ID: I20211103002196 |
| Provider Name | Irum Sohail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281548 PECOS PAC ID: 6406141985 Enrollment ID: I20211220001796 |
| Provider Name | Rebecca S. Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003585811 PECOS PAC ID: 5890188650 Enrollment ID: I20220131002512 |
| Provider Name | Crystal O Hermano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558974105 PECOS PAC ID: 8628463106 Enrollment ID: I20220318002405 |
| Provider Name | Mona Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295153906 PECOS PAC ID: 8527389261 Enrollment ID: I20220329002060 |
| Provider Name | Callie R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952903411 PECOS PAC ID: 6709272651 Enrollment ID: I20220401002219 |
| Provider Name | Caitlyn Friday |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225590680 PECOS PAC ID: 6800139957 Enrollment ID: I20220409000446 |
| Provider Name | Justin Petrocy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699426734 PECOS PAC ID: 7113312638 Enrollment ID: I20220411000368 |
| Provider Name | Victoria Lauren Muto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366193591 PECOS PAC ID: 7517353923 Enrollment ID: I20220412002574 |
| Provider Name | Quang Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851680581 PECOS PAC ID: 0446478382 Enrollment ID: I20220513002396 |
| Provider Name | Katya K De La Torre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104445725 PECOS PAC ID: 7012331242 Enrollment ID: I20220722000970 |
| Provider Name | Sarvalakshmi Kurella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265672323 PECOS PAC ID: 9830247063 Enrollment ID: I20220916002586 |
| Provider Name | Meghan Veno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245890839 PECOS PAC ID: 7012383078 Enrollment ID: I20221014002997 |
| Provider Name | Matthew Shea Harlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881254043 PECOS PAC ID: 1254666126 Enrollment ID: I20221019000122 |
| Provider Name | Geetanjali Jain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124653589 PECOS PAC ID: 1052716362 Enrollment ID: I20221103003319 |
| Provider Name | Stefani Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922666890 PECOS PAC ID: 9133535941 Enrollment ID: I20221111000777 |
| Provider Name | Renee Cone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205877511 PECOS PAC ID: 3577604123 Enrollment ID: I20221209000419 |
| Provider Name | Keri L Bortz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598418915 PECOS PAC ID: 6608246814 Enrollment ID: I20230105000057 |
| Provider Name | Christine Pham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598482069 PECOS PAC ID: 5597135327 Enrollment ID: I20230112000127 |
| Provider Name | Ataharul H Mannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508327578 PECOS PAC ID: 6103152921 Enrollment ID: I20230113000448 |
| Provider Name | Jamie Allport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588336366 PECOS PAC ID: 2769853126 Enrollment ID: I20230123000012 |
| Provider Name | Megan Nicole Healey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487384053 PECOS PAC ID: 7012388234 Enrollment ID: I20230126002624 |
| Provider Name | Kimberly Soch Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225757297 PECOS PAC ID: 5496127904 Enrollment ID: I20230209002344 |
| Provider Name | Amar S Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295020683 PECOS PAC ID: 3779701719 Enrollment ID: I20230215000447 |
| Provider Name | Dora R Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174051015 PECOS PAC ID: 9638448467 Enrollment ID: I20230220000507 |
| Provider Name | Fatima Jehan Jilani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477016400 PECOS PAC ID: 7719359801 Enrollment ID: I20230220000857 |
| Provider Name | Neely Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275924433 PECOS PAC ID: 9133446156 Enrollment ID: I20230313001737 |
| Provider Name | Vishwas Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699261446 PECOS PAC ID: 6608240569 Enrollment ID: I20230316002001 |
| Provider Name | Adrienne M Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699296459 PECOS PAC ID: 1557697711 Enrollment ID: I20230411000566 |
| Provider Name | Janet Stopa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417668757 PECOS PAC ID: 7012372857 Enrollment ID: I20230428002710 |
| Provider Name | Sheema Chohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841961125 PECOS PAC ID: 0941686208 Enrollment ID: I20230509001148 |
| Provider Name | Haeun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780354290 PECOS PAC ID: 0244698090 Enrollment ID: I20230627000158 |
| Provider Name | Josie Joy T Go |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598183295 PECOS PAC ID: 1759626336 Enrollment ID: I20230710003775 |
| Provider Name | Magda Kowalczykowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750814711 PECOS PAC ID: 3971830530 Enrollment ID: I20230726003449 |
| Provider Name | Anne B Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477269660 PECOS PAC ID: 2961863600 Enrollment ID: I20230727004011 |
| Provider Name | Shannon Kay Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346940343 PECOS PAC ID: 9335502509 Enrollment ID: I20230906001168 |
| Provider Name | Olivia Renee Searle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770054371 PECOS PAC ID: 0042674079 Enrollment ID: I20230911000049 |
| Provider Name | Grayce Elma Hamlin-enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598446031 PECOS PAC ID: 0547614927 Enrollment ID: I20231004001259 |
| Provider Name | Opetomi Omorinsola Seriki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689171217 PECOS PAC ID: 7911337134 Enrollment ID: I20231010000413 |
| Provider Name | Michelle Womach Hewlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457044315 PECOS PAC ID: 4587019591 Enrollment ID: I20231011002625 |
| Provider Name | Jennifer Louise Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861175424 PECOS PAC ID: 9830544709 Enrollment ID: I20231012001222 |
| Provider Name | Jason Samuel Shinners |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568082691 PECOS PAC ID: 5294180196 Enrollment ID: I20231012002664 |
| Provider Name | Nha-han Nguyen Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417586504 PECOS PAC ID: 5597110338 Enrollment ID: I20231013000776 |
| Provider Name | Bhasha Mukhopadhyay Satyasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407483472 PECOS PAC ID: 9032540075 Enrollment ID: I20231017000075 |
| Provider Name | Charles R Fencil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679199517 PECOS PAC ID: 4789008905 Enrollment ID: I20231109001829 |
| Provider Name | Kevin A Edinborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144880303 PECOS PAC ID: 2466787205 Enrollment ID: I20231121002079 |
| Provider Name | Ki Yu Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861018129 PECOS PAC ID: 0749603298 Enrollment ID: I20231128000095 |
| Provider Name | Madeleine Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346777869 PECOS PAC ID: 3870862493 Enrollment ID: I20231130003391 |
| Provider Name | Yan Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982488128 PECOS PAC ID: 4587012364 Enrollment ID: I20231205001378 |
| Provider Name | Isra Amjed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730676974 PECOS PAC ID: 8921421082 Enrollment ID: I20231206003753 |
| Provider Name | Gloria O Okereke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497136733 PECOS PAC ID: 0244535748 Enrollment ID: I20231207001388 |
| Provider Name | Kaelin E Jennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487306478 PECOS PAC ID: 7214387521 Enrollment ID: I20231228003875 |
| Provider Name | Oghenetega Oluwatomisin Nduka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356963847 PECOS PAC ID: 0547610578 Enrollment ID: I20240103000694 |
| Provider Name | Neyla Nemcek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013489210 PECOS PAC ID: 4688098288 Enrollment ID: I20240115000059 |
| Provider Name | Candice Joy Belus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306619697 PECOS PAC ID: 4688026396 Enrollment ID: I20240118001679 |
| Provider Name | Natnari N Linwong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811512924 PECOS PAC ID: 7618391210 Enrollment ID: I20240215000760 |
| Provider Name | Kathrin S Wilkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942453295 PECOS PAC ID: 7416209911 Enrollment ID: I20240304000916 |
Commonwealth Gastroenterology, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr, #1000, Chantilly, VA 20151 Phone: 703-262-0200 | |
Chantilly Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4437 Brookfield Corporate Dr, Chantilly, VA 20151 Phone: 703-968-7277 Fax: 703-968-5644 | |
Franklin Farm Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd, Suite 250, Chantilly, VA 20151 Phone: 703-620-5601 Fax: 703-796-0618 | |
Dulles Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4080 Lafayette Center Dr, Suite # 110, Chantilly, VA 20151 Phone: 703-961-1680 | |
Continuum Health Aic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14303 Sullyfield Cir Ste C-1, Chantilly, VA 20151 Phone: 800-665-2850 Fax: 833-271-9979 | |
Washington Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4229 Lafayette Center Dr Ste 1125b-1, Chantilly, VA 20151 Phone: 703-436-9969 Fax: 703-574-5585 |