| Inpatient Medical Services, Inc. | |
|
5700 Darrow Rd Ste 106 Hudson OH 44236-5026 | |
| (844) 474-4019 | |
| Not Available |
| Full Name | Inpatient Medical Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5700 Darrow Rd Ste 106, Hudson, Ohio |
| Authorized Official Name and Position | Stephen Holtzclaw (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9546860567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Medical Services, Inc. 12420 Milestone Center Dr Ste 200 Germantown MD 20876-7111 Ph: (240) 686-2300 | Inpatient Medical Services, Inc. 5700 Darrow Rd Ste 106 Hudson OH 44236-5026 Ph: (844) 474-4019 |
| NPI Number | 1093756314 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 6406753045 |
|---|---|
| Medicare Enrollment ID | O20031212000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093756314 | NPI | - | NPPES |
| CG3961 | Other | OH | RAILROAD MEDICARE |
| 7730093 | Other | OH | AETNA |
| 000000169150 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | 35-042484 (Ohio) | Secondary |
| Provider Name | Tushar Kantilal Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649286360 PECOS PAC ID: 2062312937 Enrollment ID: I20040109000042 |
| Provider Name | Rajeshkumar N Saraiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700883543 PECOS PAC ID: 4082505433 Enrollment ID: I20040324000009 |
| Provider Name | Louann B Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740286889 PECOS PAC ID: 0648264556 Enrollment ID: I20040413001327 |
| Provider Name | Julie V Tsirambidis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215033279 PECOS PAC ID: 9638164213 Enrollment ID: I20040415000225 |
| Provider Name | Robert Rossio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427006345 PECOS PAC ID: 8921097957 Enrollment ID: I20040506000971 |
| Provider Name | Todd E Ignarski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801841663 PECOS PAC ID: 0042111627 Enrollment ID: I20040506001255 |
| Provider Name | George Scott Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952308066 PECOS PAC ID: 4880676501 Enrollment ID: I20040604000792 |
| Provider Name | John E Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134122351 PECOS PAC ID: 2163492844 Enrollment ID: I20040729000761 |
| Provider Name | Lori Sargeant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467490219 PECOS PAC ID: 7810893815 Enrollment ID: I20041210000214 |
| Provider Name | Mitchell I Ballin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104866565 PECOS PAC ID: 2668439449 Enrollment ID: I20041214000036 |
| Provider Name | Mark G Salomone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811986144 PECOS PAC ID: 7012968092 Enrollment ID: I20050208000054 |
| Provider Name | Gregory Alan Mcdaniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134189558 PECOS PAC ID: 7214905330 Enrollment ID: I20050315000005 |
| Provider Name | Padmaja Duddella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245260561 PECOS PAC ID: 0840233664 Enrollment ID: I20050602000934 |
| Provider Name | Frank M Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255347373 PECOS PAC ID: 0648213959 Enrollment ID: I20050608000092 |
| Provider Name | Patricia A Pompura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578510574 PECOS PAC ID: 8628045366 Enrollment ID: I20050722000012 |
| Provider Name | Ludmila N Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962573733 PECOS PAC ID: 9133158124 Enrollment ID: I20050810000405 |
| Provider Name | Anna Marie Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740222561 PECOS PAC ID: 5193754091 Enrollment ID: I20050811000116 |
| Provider Name | Parul Ramesh Gujarathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073628616 PECOS PAC ID: 6305863028 Enrollment ID: I20051101000273 |
| Provider Name | Daniel James Manz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518904796 PECOS PAC ID: 2365455532 Enrollment ID: I20060711000473 |
| Provider Name | Jianfang Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518986710 PECOS PAC ID: 4688679079 Enrollment ID: I20060918000311 |
| Provider Name | James H Kondolios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073592663 PECOS PAC ID: 2466439658 Enrollment ID: I20061120000526 |
| Provider Name | Steven B Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073535381 PECOS PAC ID: 9739188558 Enrollment ID: I20061205000358 |
| Provider Name | Dirk E Mcknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720064942 PECOS PAC ID: 3173588035 Enrollment ID: I20061220000443 |
| Provider Name | Huy N Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689753105 PECOS PAC ID: 7517966591 Enrollment ID: I20061221000033 |
| Provider Name | Douglas Kolarik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306966825 PECOS PAC ID: 9830299783 Enrollment ID: I20070709000092 |
| Provider Name | Dean M Frate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861610875 PECOS PAC ID: 1759482599 Enrollment ID: I20070724000638 |
| Provider Name | Dang-khoa Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861512394 PECOS PAC ID: 7517058613 Enrollment ID: I20070803000157 |
| Provider Name | Yunpeng Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083732523 PECOS PAC ID: 9032201413 Enrollment ID: I20070815000885 |
| Provider Name | Mazen Jarach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962624924 PECOS PAC ID: 1355436346 Enrollment ID: I20071005000404 |
| Provider Name | Rana B Hejal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568488765 PECOS PAC ID: 4981790367 Enrollment ID: I20071017000000 |
| Provider Name | David M Bonnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205935145 PECOS PAC ID: 1759478084 Enrollment ID: I20071102000007 |
| Provider Name | Alicia Ganelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467641324 PECOS PAC ID: 7618059809 Enrollment ID: I20080128000027 |
| Provider Name | Anthony John Muni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164630208 PECOS PAC ID: 4486736014 Enrollment ID: I20080204000701 |
| Provider Name | Bowman S Beeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548447931 PECOS PAC ID: 9436237914 Enrollment ID: I20080424000091 |
| Provider Name | Andrei Popescu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174728505 PECOS PAC ID: 9335211937 Enrollment ID: I20080626000139 |
| Provider Name | Ruta Semaskiene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134324130 PECOS PAC ID: 5496827479 Enrollment ID: I20080708000526 |
| Provider Name | Sameer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972725083 PECOS PAC ID: 6406921311 Enrollment ID: I20080812000383 |
| Provider Name | Gregory S Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043485501 PECOS PAC ID: 8224103718 Enrollment ID: I20080819000003 |
| Provider Name | Venkatesh Saravanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750574224 PECOS PAC ID: 0446325799 Enrollment ID: I20080820000635 |
| Provider Name | Yogeshwar A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578785234 PECOS PAC ID: 2264592609 Enrollment ID: I20081115000009 |
| Provider Name | Noelle M Bothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740354208 PECOS PAC ID: 9133221831 Enrollment ID: I20081202000334 |
| Provider Name | Latha M Jayaraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740493501 PECOS PAC ID: 6406911528 Enrollment ID: I20090224000346 |
| Provider Name | Christina S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174771471 PECOS PAC ID: 6204983513 Enrollment ID: I20090402000225 |
| Provider Name | James G Gregory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295752822 PECOS PAC ID: 4082647151 Enrollment ID: I20090520000360 |
| Provider Name | Min Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780898163 PECOS PAC ID: 8123178324 Enrollment ID: I20090610000048 |
| Provider Name | Darrell L Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396709697 PECOS PAC ID: 6901959022 Enrollment ID: I20090806000221 |
| Provider Name | Samavedam A Krishna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659434355 PECOS PAC ID: 9739233701 Enrollment ID: I20090811000426 |
| Provider Name | Dean R Yeropoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316067382 PECOS PAC ID: 2567517311 Enrollment ID: I20090901000227 |
| Provider Name | Dimitra Servetas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174723951 PECOS PAC ID: 0244386829 Enrollment ID: I20090923000461 |
| Provider Name | Roy Buchinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245312016 PECOS PAC ID: 5496895849 Enrollment ID: I20091216000445 |
| Provider Name | Puran Karra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083940019 PECOS PAC ID: 9931240587 Enrollment ID: I20100105000567 |
| Provider Name | John C Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134164973 PECOS PAC ID: 2860527603 Enrollment ID: I20100317001108 |
| Provider Name | Anas Balaa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598946527 PECOS PAC ID: 1951438209 Enrollment ID: I20100419000804 |
| Provider Name | Brian White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124039649 PECOS PAC ID: 0941272678 Enrollment ID: I20100524000276 |
| Provider Name | Maneesh Lal Mehra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417136805 PECOS PAC ID: 9234268566 Enrollment ID: I20100525001042 |
| Provider Name | Emmanuel Chukwunyere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821235540 PECOS PAC ID: 2860521804 Enrollment ID: I20100601000016 |
| Provider Name | Dawn M Rozelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871818559 PECOS PAC ID: 1850422403 Enrollment ID: I20100626000279 |
| Provider Name | Devin L Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790968543 PECOS PAC ID: 2062544893 Enrollment ID: I20100714000835 |
| Provider Name | Mahaveer Mukkamalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689866543 PECOS PAC ID: 3870625148 Enrollment ID: I20100722000171 |
| Provider Name | James Allen Eley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972614048 PECOS PAC ID: 0042342255 Enrollment ID: I20100722000753 |
| Provider Name | Anna M Citino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679721203 PECOS PAC ID: 0749478063 Enrollment ID: I20101230000256 |
| Provider Name | Robert Bruce Elson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174825244 PECOS PAC ID: 9830373992 Enrollment ID: I20110414000079 |
| Provider Name | Ganesh T Pantham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245495522 PECOS PAC ID: 6204014053 Enrollment ID: I20110624000497 |
| Provider Name | Pramila Parajuli |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841434701 PECOS PAC ID: 3274702410 Enrollment ID: I20110804000631 |
| Provider Name | George E Ilodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225291883 PECOS PAC ID: 4789854118 Enrollment ID: I20110823000363 |
| Provider Name | James V Cireddu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720222144 PECOS PAC ID: 9830361104 Enrollment ID: I20111010000289 |
| Provider Name | Gregory E Ferner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851327738 PECOS PAC ID: 1951208511 Enrollment ID: I20111014000144 |
| Provider Name | Paul T Pennza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518993575 PECOS PAC ID: 8123925781 Enrollment ID: I20111017000762 |
| Provider Name | Joong H Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053347054 PECOS PAC ID: 3779480330 Enrollment ID: I20111104000618 |
| Provider Name | Sally J Murrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801978531 PECOS PAC ID: 7012180987 Enrollment ID: I20111109000754 |
| Provider Name | Hugh A Schuckman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508804360 PECOS PAC ID: 0143126144 Enrollment ID: I20111110000412 |
| Provider Name | Leonardo Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629268891 PECOS PAC ID: 5698862662 Enrollment ID: I20111208000728 |
| Provider Name | Christine I Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598870446 PECOS PAC ID: 6608042742 Enrollment ID: I20111220000710 |
| Provider Name | Richard W Beatty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023034808 PECOS PAC ID: 5496883027 Enrollment ID: I20120104000460 |
| Provider Name | Cheryl M Lund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831388800 PECOS PAC ID: 2668648809 Enrollment ID: I20120110000319 |
| Provider Name | Ziad Masri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750517397 PECOS PAC ID: 1355508300 Enrollment ID: I20120203000165 |
| Provider Name | Kurtis Moodie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346413424 PECOS PAC ID: 1254461908 Enrollment ID: I20120312000893 |
| Provider Name | Dana Jo Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669759965 PECOS PAC ID: 7012178023 Enrollment ID: I20120419000234 |
| Provider Name | Pankil Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447269535 PECOS PAC ID: 5193980993 Enrollment ID: I20120628000579 |
| Provider Name | Hasan Amir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194969618 PECOS PAC ID: 4981869609 Enrollment ID: I20120703000274 |
| Provider Name | Shreebatsa Dhital |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952618977 PECOS PAC ID: 6406011923 Enrollment ID: I20120709000480 |
| Provider Name | Pramod Nepal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568606085 PECOS PAC ID: 1355506635 Enrollment ID: I20120712000260 |
| Provider Name | Vishal Sawhney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164622247 PECOS PAC ID: 5698931590 Enrollment ID: I20120720000577 |
| Provider Name | Rama Dilip Gajulapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235360223 PECOS PAC ID: 9739345364 Enrollment ID: I20120725000619 |
| Provider Name | Ryan Scott Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603516 PECOS PAC ID: 5698961068 Enrollment ID: I20120821000286 |
| Provider Name | Mohammed O Zeitouni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891974796 PECOS PAC ID: 5193813426 Enrollment ID: I20121219000455 |
| Provider Name | Khaled Almoselli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346497823 PECOS PAC ID: 7517135924 Enrollment ID: I20121226000437 |
| Provider Name | Autumn Lee White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992967467 PECOS PAC ID: 4486807716 Enrollment ID: I20130116000428 |
| Provider Name | Valentin D Ghit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942580311 PECOS PAC ID: 3870764640 Enrollment ID: I20130410000206 |
| Provider Name | Lisa M Dials |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609113133 PECOS PAC ID: 5092951004 Enrollment ID: I20130418000031 |
| Provider Name | Nicholas L Pesa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942465224 PECOS PAC ID: 5496993925 Enrollment ID: I20130522000734 |
| Provider Name | Victoria E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093994188 PECOS PAC ID: 7113015355 Enrollment ID: I20130605000140 |
| Provider Name | Mathew T Murikan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780999201 PECOS PAC ID: 8224279575 Enrollment ID: I20130729000688 |
| Provider Name | Dayanand Makey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760788368 PECOS PAC ID: 4486893328 Enrollment ID: I20130803000136 |
| Provider Name | Kathryn C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871804575 PECOS PAC ID: 0446492706 Enrollment ID: I20130815000655 |
| Provider Name | Jessica Herraiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528406402 PECOS PAC ID: 3678716370 Enrollment ID: I20130828000436 |
| Provider Name | Deepthi Singam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235444159 PECOS PAC ID: 6002050853 Enrollment ID: I20130917000241 |
| Provider Name | Nicole M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144653312 PECOS PAC ID: 2264666353 Enrollment ID: I20131002000725 |
| Provider Name | Juanne M Osigweh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750545745 PECOS PAC ID: 6204061054 Enrollment ID: I20131101000899 |
| Provider Name | Susanne S Mont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144537846 PECOS PAC ID: 8325274624 Enrollment ID: I20131114001639 |
| Provider Name | Abhinav Goyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366756447 PECOS PAC ID: 7214174325 Enrollment ID: I20131115001163 |
| Provider Name | Lee A Baggott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396778619 PECOS PAC ID: 4789644642 Enrollment ID: I20140116001727 |
| Provider Name | Julianne M Grossnickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659796142 PECOS PAC ID: 5597995621 Enrollment ID: I20140311000570 |
| Provider Name | Angela S Silvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295178622 PECOS PAC ID: 9234360892 Enrollment ID: I20140324001453 |
| Provider Name | Khalid B Elamin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063703965 PECOS PAC ID: 0042433211 Enrollment ID: I20140516000843 |
| Provider Name | Muhammad R Faisal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003858267 PECOS PAC ID: 2567415987 Enrollment ID: I20140529000106 |
| Provider Name | Virginia C Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740545235 PECOS PAC ID: 6204051576 Enrollment ID: I20140628000111 |
| Provider Name | Michele L Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598860454 PECOS PAC ID: 8729084579 Enrollment ID: I20140724001856 |
| Provider Name | Lawrence O Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376820639 PECOS PAC ID: 3971720624 Enrollment ID: I20140804002305 |
| Provider Name | Bassem Zraik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548542491 PECOS PAC ID: 5597982645 Enrollment ID: I20140813001194 |
| Provider Name | Mohammad Annaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962481168 PECOS PAC ID: 1658385638 Enrollment ID: I20140813002242 |
| Provider Name | Dirgha Prasai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366680829 PECOS PAC ID: 9032242664 Enrollment ID: I20140826002957 |
| Provider Name | Janet A Blythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407305 PECOS PAC ID: 4789803826 Enrollment ID: I20140922002496 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20141104002538 |
| Provider Name | Heather L Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134522113 PECOS PAC ID: 2769604883 Enrollment ID: I20141105001152 |
| Provider Name | Lindsay Brasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619375086 PECOS PAC ID: 8224353800 Enrollment ID: I20150203001499 |
| Provider Name | Elaine B Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407177983 PECOS PAC ID: 2062635279 Enrollment ID: I20150211002283 |
| Provider Name | Imola K Osapay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558616094 PECOS PAC ID: 9335467422 Enrollment ID: I20150422000597 |
| Provider Name | Rajwinder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629206842 PECOS PAC ID: 1355598996 Enrollment ID: I20150429001685 |
| Provider Name | Muhammad Ali Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609001262 PECOS PAC ID: 5597920801 Enrollment ID: I20150507001634 |
| Provider Name | Sean Downes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225395452 PECOS PAC ID: 4284876848 Enrollment ID: I20150702001374 |
| Provider Name | Ugochukwu Ozumba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699033571 PECOS PAC ID: 5890007843 Enrollment ID: I20150702002146 |
| Provider Name | Joni Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770968984 PECOS PAC ID: 4183930340 Enrollment ID: I20150902001454 |
| Provider Name | Kamaldeen Agoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528325644 PECOS PAC ID: 2466760384 Enrollment ID: I20150925002205 |
| Provider Name | Kristy A Nutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972976041 PECOS PAC ID: 8820399843 Enrollment ID: I20151216002848 |
| Provider Name | Jennifer Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457717753 PECOS PAC ID: 3971805649 Enrollment ID: I20160112002775 |
| Provider Name | Sean C Gaines |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609217934 PECOS PAC ID: 5698079465 Enrollment ID: I20160215002699 |
| Provider Name | Murad C Assaad |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1912265109 PECOS PAC ID: 7315170321 Enrollment ID: I20160413001814 |
| Provider Name | Ibrahima Goudiaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851639504 PECOS PAC ID: 8224336631 Enrollment ID: I20160419001690 |
| Provider Name | Jahir Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962763078 PECOS PAC ID: 5991008781 Enrollment ID: I20160421002159 |
| Provider Name | Justin Ross Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235339870 PECOS PAC ID: 5890955041 Enrollment ID: I20160512000103 |
| Provider Name | Aslam Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487097481 PECOS PAC ID: 2668772096 Enrollment ID: I20160624001960 |
| Provider Name | Nikhil A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568805711 PECOS PAC ID: 4385871789 Enrollment ID: I20160628001193 |
| Provider Name | Muhammad Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649610114 PECOS PAC ID: 5496047029 Enrollment ID: I20160630000524 |
| Provider Name | Rebecca M Dessez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306294236 PECOS PAC ID: 5799078838 Enrollment ID: I20160726003150 |
| Provider Name | Garren J Decaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326381682 PECOS PAC ID: 1850524802 Enrollment ID: I20160803002363 |
| Provider Name | Samy K Ataya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376986653 PECOS PAC ID: 6305079310 Enrollment ID: I20160810002964 |
| Provider Name | Susmita Mookerjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851731830 PECOS PAC ID: 0446545727 Enrollment ID: I20160825001399 |
| Provider Name | Allison N Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275982563 PECOS PAC ID: 1153617667 Enrollment ID: I20160909001328 |
| Provider Name | Elizabeth Bator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023489556 PECOS PAC ID: 6800190935 Enrollment ID: I20160909002116 |
| Provider Name | Jakleen Mary Labbad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114194321 PECOS PAC ID: 2567506439 Enrollment ID: I20160930001767 |
| Provider Name | Vamsi V Nagineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932542826 PECOS PAC ID: 9638488323 Enrollment ID: I20161004001458 |
| Provider Name | Junyang Gong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801021183 PECOS PAC ID: 6406135763 Enrollment ID: I20161109002704 |
| Provider Name | Yazid Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
| Provider Name | Pallavi Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780025379 PECOS PAC ID: 5991014409 Enrollment ID: I20161214002404 |
| Provider Name | Jennifer-lee Pistone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558818575 PECOS PAC ID: 7810271632 Enrollment ID: I20170222002668 |
| Provider Name | Stacey Renee Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063951572 PECOS PAC ID: 0840575783 Enrollment ID: I20170316000607 |
| Provider Name | Angelia M Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508306564 PECOS PAC ID: 6608151261 Enrollment ID: I20170321002813 |
| Provider Name | Janaya V Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801327945 PECOS PAC ID: 7315223161 Enrollment ID: I20170411001370 |
| Provider Name | Varun Ashok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271297 PECOS PAC ID: 6901183821 Enrollment ID: I20170502002527 |
| Provider Name | Akshay Bhonsle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659783892 PECOS PAC ID: 2769787258 Enrollment ID: I20170518002653 |
| Provider Name | Amy Jo Fleming-radca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235684887 PECOS PAC ID: 6103104948 Enrollment ID: I20170526000163 |
| Provider Name | Hassan A Al-shammaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497173850 PECOS PAC ID: 1951600030 Enrollment ID: I20170626002212 |
| Provider Name | Thomas H Lang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992125249 PECOS PAC ID: 9234357641 Enrollment ID: I20170707003070 |
| Provider Name | Subhan Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891115127 PECOS PAC ID: 9133429954 Enrollment ID: I20170714002587 |
| Provider Name | Laura L Hartzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487176400 PECOS PAC ID: 0941570782 Enrollment ID: I20170726003772 |
| Provider Name | Aryeh Yehuda Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205256138 PECOS PAC ID: 4587966965 Enrollment ID: I20170802002779 |
| Provider Name | Bonaventrue C Ogbechie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326454026 PECOS PAC ID: 2062784366 Enrollment ID: I20170822001441 |
| Provider Name | Shannon M Gruhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831630789 PECOS PAC ID: 3274819776 Enrollment ID: I20170823002798 |
| Provider Name | Aaron H Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073855540 PECOS PAC ID: 8022380161 Enrollment ID: I20170823004356 |
| Provider Name | Chimaroke Edeoga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659711893 PECOS PAC ID: 8921379751 Enrollment ID: I20171002003649 |
| Provider Name | Mary Esho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598171951 PECOS PAC ID: 2668747460 Enrollment ID: I20171004001799 |
| Provider Name | Deepak J Pattanshetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790017614 PECOS PAC ID: 8628226453 Enrollment ID: I20171026001465 |
| Provider Name | Alok Md Tripathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629465067 PECOS PAC ID: 8022318468 Enrollment ID: I20171207002774 |
| Provider Name | Joseph Matchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932133410 PECOS PAC ID: 7113981978 Enrollment ID: I20180205002070 |
| Provider Name | Amanda Lee Pensiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124445127 PECOS PAC ID: 8729205729 Enrollment ID: I20180314002365 |
| Provider Name | Augustine Paul Hong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457730863 PECOS PAC ID: 7517267065 Enrollment ID: I20180319002181 |
| Provider Name | Smithson O Ahiabuike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932351996 PECOS PAC ID: 0648334607 Enrollment ID: I20180416002200 |
| Provider Name | Mohammedumer Rahematullah Nagori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134474109 PECOS PAC ID: 3870732746 Enrollment ID: I20180511001277 |
| Provider Name | Nour Tashtish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477935989 PECOS PAC ID: 5799040952 Enrollment ID: I20180517003184 |
| Provider Name | Iliana Hurtado Rendon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548423676 PECOS PAC ID: 5294907101 Enrollment ID: I20180529000030 |
| Provider Name | Luz Maria Solis Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760892889 PECOS PAC ID: 3779809397 Enrollment ID: I20180606002111 |
| Provider Name | Ryan C Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245720374 PECOS PAC ID: 0547515868 Enrollment ID: I20180608001778 |
| Provider Name | Onyinyechi Joy Okike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114287380 PECOS PAC ID: 5395901789 Enrollment ID: I20180619002152 |
| Provider Name | Marty R Lejeune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972982668 PECOS PAC ID: 9032401575 Enrollment ID: I20180703003313 |
| Provider Name | Archana Mikkilineni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881981322 PECOS PAC ID: 7911125448 Enrollment ID: I20180724002535 |
| Provider Name | Andrea Konkoly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598143380 PECOS PAC ID: 8022376748 Enrollment ID: I20180802003742 |
| Provider Name | Brian D Diede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649665134 PECOS PAC ID: 0941501423 Enrollment ID: I20180820001861 |
| Provider Name | Winfield Windell Such |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316425598 PECOS PAC ID: 0547510166 Enrollment ID: I20180831001644 |
| Provider Name | Jessica A Kline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679993760 PECOS PAC ID: 4688890791 Enrollment ID: I20180926003458 |
| Provider Name | Nicholas M Raspovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538555776 PECOS PAC ID: 6204140601 Enrollment ID: I20181001002823 |
| Provider Name | Venkata Chaithanya Kumar Sunkesula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730560160 PECOS PAC ID: 1456643501 Enrollment ID: I20181022002804 |
| Provider Name | Andrew Robert Fischer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962473553 PECOS PAC ID: 8628020542 Enrollment ID: I20181026001821 |
| Provider Name | Navdeep Tandon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861812299 PECOS PAC ID: 5698090546 Enrollment ID: I20181106001488 |
| Provider Name | Jorge Santibanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568446672 PECOS PAC ID: 9739179847 Enrollment ID: I20181128002546 |
| Provider Name | Chelsea Hetman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477021780 PECOS PAC ID: 0547504698 Enrollment ID: I20181130001830 |
| Provider Name | Angel Amado Lazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518329754 PECOS PAC ID: 8921340167 Enrollment ID: I20190508001877 |
| Provider Name | Nana F Atuahene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629325774 PECOS PAC ID: 2466670609 Enrollment ID: I20190610002884 |
| Provider Name | James P Cappello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134574304 PECOS PAC ID: 6305170994 Enrollment ID: I20190702001663 |
| Provider Name | Malahat Movahedian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386022945 PECOS PAC ID: 2769716364 Enrollment ID: I20190702002029 |
| Provider Name | Michael Thomas Kalinoski-dubose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629432711 PECOS PAC ID: 7315230836 Enrollment ID: I20190724001468 |
| Provider Name | Deep A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295266450 PECOS PAC ID: 1850660572 Enrollment ID: I20190724003319 |
| Provider Name | Lei Lei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881048072 PECOS PAC ID: 2961798103 Enrollment ID: I20190808001355 |
| Provider Name | Vitaliy Rotenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508228081 PECOS PAC ID: 2567755846 Enrollment ID: I20190809002470 |
| Provider Name | Husna M Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396108825 PECOS PAC ID: 3971890872 Enrollment ID: I20190812002215 |
| Provider Name | Damarys Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740638006 PECOS PAC ID: 6103118088 Enrollment ID: I20190820003926 |
| Provider Name | David T Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699138032 PECOS PAC ID: 4284921917 Enrollment ID: I20190821003643 |
| Provider Name | Emily F Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477915122 PECOS PAC ID: 4183997273 Enrollment ID: I20190905001010 |
| Provider Name | Danielle Gorbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730731738 PECOS PAC ID: 0840529582 Enrollment ID: I20190905003158 |
| Provider Name | Janet Marie Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023676681 PECOS PAC ID: 2567792237 Enrollment ID: I20190923002058 |
| Provider Name | Xiao Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855617 PECOS PAC ID: 6901176064 Enrollment ID: I20191022002860 |
| Provider Name | Christopher R Tanayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083000525 PECOS PAC ID: 5698089001 Enrollment ID: I20200110002638 |
| Provider Name | Jaclyn Grope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932746880 PECOS PAC ID: 7911333448 Enrollment ID: I20200131002249 |
| Provider Name | Jonathan Preston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912327248 PECOS PAC ID: 3375830250 Enrollment ID: I20200217004919 |
| Provider Name | Gemma L Dismuke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467091546 PECOS PAC ID: 6305273616 Enrollment ID: I20200226002507 |
| Provider Name | Khalid Abdulrahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780068031 PECOS PAC ID: 2860821584 Enrollment ID: I20200401000929 |
| Provider Name | Daniel Burke Karb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619339470 PECOS PAC ID: 4183909146 Enrollment ID: I20200416002361 |
| Provider Name | Mustafa Atar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225423080 PECOS PAC ID: 0446552897 Enrollment ID: I20200429002932 |
| Provider Name | Brent Victor Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891172334 PECOS PAC ID: 7911207287 Enrollment ID: I20200430000631 |
| Provider Name | Brittany Lynn Costaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508493552 PECOS PAC ID: 7416388962 Enrollment ID: I20200516000064 |
| Provider Name | Adham M Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184140410 PECOS PAC ID: 7416206164 Enrollment ID: I20200516000327 |
| Provider Name | Reddy S Singasani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578882627 PECOS PAC ID: 7416378401 Enrollment ID: I20200529000845 |
| Provider Name | Jesse Leo Felts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912430729 PECOS PAC ID: 2769769959 Enrollment ID: I20200625002472 |
| Provider Name | Inderpartap Singh Phangureh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659802742 PECOS PAC ID: 3577834530 Enrollment ID: I20200625002498 |
| Provider Name | Sharad Prabhakant Mani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285059048 PECOS PAC ID: 2365740099 Enrollment ID: I20200630001622 |
| Provider Name | Christina Fundzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437703584 PECOS PAC ID: 2466875596 Enrollment ID: I20200708002736 |
| Provider Name | Asim Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982157277 PECOS PAC ID: 1052734852 Enrollment ID: I20200713002346 |
| Provider Name | Hoang Phung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467989210 PECOS PAC ID: 8325390552 Enrollment ID: I20200714000774 |
| Provider Name | Zachary Benjamin Strumpf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891158374 PECOS PAC ID: 1658666078 Enrollment ID: I20200714000968 |
| Provider Name | Ghazal Khandel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194256206 PECOS PAC ID: 8628348208 Enrollment ID: I20200714003311 |
| Provider Name | Lauren R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497379408 PECOS PAC ID: 7012334329 Enrollment ID: I20200901003185 |
| Provider Name | Jacob Aaron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407202518 PECOS PAC ID: 6800165325 Enrollment ID: I20200908001800 |
| Provider Name | Gregory Malcolm Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912529397 PECOS PAC ID: 0648698829 Enrollment ID: I20200921001747 |
| Provider Name | Sara Lyn Yakubek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740895960 PECOS PAC ID: 1355760232 Enrollment ID: I20200925000980 |
| Provider Name | Peyman Adeli Sardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609300961 PECOS PAC ID: 1052682770 Enrollment ID: I20201013003587 |
| Provider Name | Susan Budnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396165569 PECOS PAC ID: 1153741624 Enrollment ID: I20201022000468 |
| Provider Name | Sugat Wagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578919015 PECOS PAC ID: 1759673635 Enrollment ID: I20201022000821 |
| Provider Name | Miguel Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467971267 PECOS PAC ID: 8224374947 Enrollment ID: I20201113002118 |
| Provider Name | David Z Schlafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821692765 PECOS PAC ID: 3971916529 Enrollment ID: I20201229000816 |
| Provider Name | Jeremy J Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316577372 PECOS PAC ID: 9335553262 Enrollment ID: I20210203003110 |
| Provider Name | Matilda Olajumoke Ogundare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952765679 PECOS PAC ID: 2163717661 Enrollment ID: I20210413002984 |
| Provider Name | Hassan H Kassem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073017075 PECOS PAC ID: 3577984384 Enrollment ID: I20210608002179 |
| Provider Name | Jeffrey Schechtman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710398540 PECOS PAC ID: 3375944267 Enrollment ID: I20210629003613 |
| Provider Name | John Thomas Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861073017 PECOS PAC ID: 5799707600 Enrollment ID: I20210707001034 |
| Provider Name | Jeannie Ur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033616305 PECOS PAC ID: 5890040299 Enrollment ID: I20210715004105 |
| Provider Name | Kenneth E Remy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235345042 PECOS PAC ID: 5092971267 Enrollment ID: I20210908001545 |
| Provider Name | Jonathan Vogt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225537905 PECOS PAC ID: 0345596185 Enrollment ID: I20210913003409 |
| Provider Name | Vikram Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548670961 PECOS PAC ID: 8729484811 Enrollment ID: I20210915002802 |
| Provider Name | Allan Kerandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235629692 PECOS PAC ID: 6406103332 Enrollment ID: I20220202001563 |
| Provider Name | Frederick Alan Bittner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598256729 PECOS PAC ID: 1759631799 Enrollment ID: I20220210001706 |
| Provider Name | Naji S Mallat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770024044 PECOS PAC ID: 3870879794 Enrollment ID: I20220211000614 |
| Provider Name | Kendall Matthew Des Vignes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235698168 PECOS PAC ID: 9931434800 Enrollment ID: I20220215002400 |
| Provider Name | Jason Alexander Galo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205331907 PECOS PAC ID: 3779976733 Enrollment ID: I20220215002436 |
| Provider Name | Bassman Tappuni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871097147 PECOS PAC ID: 6901153840 Enrollment ID: I20220216002249 |
| Provider Name | Latoya Latrice Tamika Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538782412 PECOS PAC ID: 2961897046 Enrollment ID: I20220328002559 |
| Provider Name | Isaac Yi Alsallamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598310393 PECOS PAC ID: 6002295789 Enrollment ID: I20220627002504 |
| Provider Name | Mohamad Amer Soudan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356904718 PECOS PAC ID: 3971836172 Enrollment ID: I20220705001276 |
| Provider Name | Abbinaya Elangovan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407370281 PECOS PAC ID: 4183964539 Enrollment ID: I20220805000316 |
| Provider Name | Sapna Sundar Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851910202 PECOS PAC ID: 3971979238 Enrollment ID: I20221012001726 |
Hudson Family Practice, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5655 Hudson Dr, Suite 303, Hudson, OH 44236 Phone: 330-800-4800 Fax: 330-653-3007 | |
Hudson Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Darrow Rd, Hudson, OH 44236 Phone: 330-655-2668 Fax: 330-342-5608 | |
Ohio Heart Attack And Stroke Prevention Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Corporate Dr, 200, Hudson, OH 44236 Phone: 330-653-8020 Fax: 330-342-5608 | |
Summa Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 E Hines Hill Rd, Hudson, OH 44236 Phone: 234-867-6820 | |
Western Reserve Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5778 D Darrow Rd., Hudson, OH 44236 Phone: 330-655-2161 | |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Corporate Dr Ste A, Hudson, OH 44236 Phone: 234-867-7606 |