| Integrated Specialists Group | |
|
900 Caton Ave Baltimore MD 21229-5201 | |
| (667) 234-2149 | |
| (667) 234-8644 |
| Full Name | Integrated Specialists Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Caton Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Keith Vander Kolk (PRESIDENT/CEO) |
| Authorized Official Contact | 6672342101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Specialists Group 3585 Washington Blvd Halethorpe MD 21227-1676 Ph: (667) 234-2149 | Integrated Specialists Group 900 Caton Ave Baltimore MD 21229-5201 Ph: (667) 234-2149 |
| NPI Number | 1144250176 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 02/25/2016 |
| Medicare PECOS PAC ID | 9830092733 |
|---|---|
| Medicare Enrollment ID | O20040128001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144250176 | NPI | - | NPPES |
| 216121400 | Medicaid | MD | |
| W662 | Other | MD | CAREFIRST BCBS |
| Provider Name | Karl H Quist Therson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194786608 PECOS PAC ID: 1355232976 Enrollment ID: I20040323001142 |
| Provider Name | Abbott Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144204371 PECOS PAC ID: 4486545886 Enrollment ID: I20040324000308 |
| Provider Name | Lynn L Tao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801856869 PECOS PAC ID: 2860487170 Enrollment ID: I20040416000815 |
| Provider Name | Ammer Zewde Bekele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295794626 PECOS PAC ID: 4981699048 Enrollment ID: I20040417000470 |
| Provider Name | Ayad H Hatoum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578604351 PECOS PAC ID: 4688660467 Enrollment ID: I20040426000658 |
| Provider Name | Carole B Miller |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457310856 PECOS PAC ID: 9234128026 Enrollment ID: I20040507000552 |
| Provider Name | Franz Sewchand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508826561 PECOS PAC ID: 4082603741 Enrollment ID: I20040507001080 |
| Provider Name | Joyce Bonsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013976414 PECOS PAC ID: 5597754259 Enrollment ID: I20040507001105 |
| Provider Name | Ishrat Rafi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861451254 PECOS PAC ID: 2062403140 Enrollment ID: I20040518001553 |
| Provider Name | Douglas L Pinto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790745750 PECOS PAC ID: 3173504156 Enrollment ID: I20040526000433 |
| Provider Name | Raymond H Plack |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255325270 PECOS PAC ID: 7012990542 Enrollment ID: I20040608000077 |
| Provider Name | Debra L Malone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588649834 PECOS PAC ID: 3577547066 Enrollment ID: I20040614000941 |
| Provider Name | Howard Marks Richard |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841218963 PECOS PAC ID: 7113901489 Enrollment ID: I20040615000672 |
| Provider Name | Richard Offei Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639139413 PECOS PAC ID: 9032193065 Enrollment ID: I20040616000845 |
| Provider Name | Regina Kundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376546994 PECOS PAC ID: 3870573405 Enrollment ID: I20040723000053 |
| Provider Name | Nasser Nasseri Asl |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437119047 PECOS PAC ID: 5597745000 Enrollment ID: I20040729000115 |
| Provider Name | Samir Khanjar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801847736 PECOS PAC ID: 7113998766 Enrollment ID: I20040806000236 |
| Provider Name | John Antoniades |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437187960 PECOS PAC ID: 4486626843 Enrollment ID: I20040810000292 |
| Provider Name | Robert W Ross |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700999745 PECOS PAC ID: 9830164615 Enrollment ID: I20040826000963 |
| Provider Name | Amy Ruth Lettman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346407533 PECOS PAC ID: 6901875830 Enrollment ID: I20040928000829 |
| Provider Name | Diana H Griffiths |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982664942 PECOS PAC ID: 0244209914 Enrollment ID: I20040929000562 |
| Provider Name | Chanan Levy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750319513 PECOS PAC ID: 1850350893 Enrollment ID: I20041006000558 |
| Provider Name | Mayurika Ghosh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497730592 PECOS PAC ID: 8426017062 Enrollment ID: I20041008000066 |
| Provider Name | Heidi Abdelhady |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437106481 PECOS PAC ID: 9436112695 Enrollment ID: I20041109000159 |
| Provider Name | Michael A Zatina |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376592923 PECOS PAC ID: 8729043401 Enrollment ID: I20041122000763 |
| Provider Name | Martin A Albornoz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780687178 PECOS PAC ID: 3779548458 Enrollment ID: I20041122000801 |
| Provider Name | Jeffrey Cole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548263908 PECOS PAC ID: 9739144411 Enrollment ID: I20041122000842 |
| Provider Name | Stephen J Plantholt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265426274 PECOS PAC ID: 5890751630 Enrollment ID: I20041203000706 |
| Provider Name | John H Beigel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396705372 PECOS PAC ID: 1456317866 Enrollment ID: I20041207001271 |
| Provider Name | Paul M Apostolo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295776730 PECOS PAC ID: 9537127857 Enrollment ID: I20050103000484 |
| Provider Name | Frederick E Kuhn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245233535 PECOS PAC ID: 9739137704 Enrollment ID: I20050106000226 |
| Provider Name | Homayoon G Moghbeli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235118381 PECOS PAC ID: 7911956289 Enrollment ID: I20050113001025 |
| Provider Name | Ronald E Gillilan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356312078 PECOS PAC ID: 0648229492 Enrollment ID: I20050119000245 |
| Provider Name | Maryam Jaberi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265435465 PECOS PAC ID: 5193771889 Enrollment ID: I20050325000036 |
| Provider Name | Michael P Vietz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194859108 PECOS PAC ID: 3577504075 Enrollment ID: I20050516000145 |
| Provider Name | Justin Somerville |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023016672 PECOS PAC ID: 0749224178 Enrollment ID: I20050615001108 |
| Provider Name | David Strobel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134106164 PECOS PAC ID: 0244268720 Enrollment ID: I20050727000607 |
| Provider Name | Paul E Turer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922006287 PECOS PAC ID: 1658332309 Enrollment ID: I20050727000787 |
| Provider Name | Amandeep S Bawa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720059645 PECOS PAC ID: 3375571607 Enrollment ID: I20050728000783 |
| Provider Name | Russell Edward Hillsley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649273954 PECOS PAC ID: 0749234938 Enrollment ID: I20050812000240 |
| Provider Name | Suman B Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912976325 PECOS PAC ID: 8022040708 Enrollment ID: I20050901000729 |
| Provider Name | Conrad J Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154390714 PECOS PAC ID: 8921049669 Enrollment ID: I20051026000377 |
| Provider Name | Jules Katz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780622910 PECOS PAC ID: 3971403098 Enrollment ID: I20051027000405 |
| Provider Name | Gopal C Kowdley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972531952 PECOS PAC ID: 0840269007 Enrollment ID: I20060717000220 |
| Provider Name | Margot E. Clasquin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710963905 PECOS PAC ID: 4688670201 Enrollment ID: I20061004000532 |
| Provider Name | Jonathan K. Marx |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619991726 PECOS PAC ID: 8628074796 Enrollment ID: I20061012000315 |
| Provider Name | Eyasu A Mekonen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962415034 PECOS PAC ID: 4587685227 Enrollment ID: I20070228000608 |
| Provider Name | Kabir A Yousuf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174595763 PECOS PAC ID: 9931196474 Enrollment ID: I20070608000457 |
| Provider Name | Rachel A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841329745 PECOS PAC ID: 0547369043 Enrollment ID: I20070625000434 |
| Provider Name | Kala Kashla Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841408051 PECOS PAC ID: 7517059850 Enrollment ID: I20070816000584 |
| Provider Name | Mohammad Naseem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336139310 PECOS PAC ID: 6305887571 Enrollment ID: I20071002000323 |
| Provider Name | Marian P Lamonte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679534267 PECOS PAC ID: 6002903838 Enrollment ID: I20071026000037 |
| Provider Name | Adam J Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730105933 PECOS PAC ID: 1951382548 Enrollment ID: I20071108000394 |
| Provider Name | Prashanth Santhekadur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780706820 PECOS PAC ID: 8426003948 Enrollment ID: I20071109000183 |
| Provider Name | Jonathan S Hunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972613602 PECOS PAC ID: 2365496254 Enrollment ID: I20071114000280 |
| Provider Name | Muhammad Amer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972549814 PECOS PAC ID: 9335118660 Enrollment ID: I20071220000072 |
| Provider Name | Andrew S Rodgers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063613420 PECOS PAC ID: 6204917719 Enrollment ID: I20080122000534 |
| Provider Name | Matthew R Voss |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104830579 PECOS PAC ID: 7416941695 Enrollment ID: I20080311000281 |
| Provider Name | Jacquelyn J. Pelham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144292954 PECOS PAC ID: 2163496761 Enrollment ID: I20080407000575 |
| Provider Name | Magdalena K Starban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235328220 PECOS PAC ID: 0840360848 Enrollment ID: I20080603000289 |
| Provider Name | Sapna P. Kuehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487615993 PECOS PAC ID: 4486724358 Enrollment ID: I20080604000153 |
| Provider Name | Syed Hamid Husain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831167261 PECOS PAC ID: 8224079611 Enrollment ID: I20080619000521 |
| Provider Name | Tricia L Roesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174708234 PECOS PAC ID: 6800967795 Enrollment ID: I20080620000144 |
| Provider Name | Laura Lienhard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447423983 PECOS PAC ID: 4284706862 Enrollment ID: I20080627000057 |
| Provider Name | Andrew M. Averbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598832990 PECOS PAC ID: 5395638209 Enrollment ID: I20080630000574 |
| Provider Name | Zhaoming Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609071190 PECOS PAC ID: 4880767219 Enrollment ID: I20080718000203 |
| Provider Name | Asgar Saleem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699855130 PECOS PAC ID: 9133224371 Enrollment ID: I20080815000080 |
| Provider Name | Spiro B Antoniades |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265535512 PECOS PAC ID: 3678465812 Enrollment ID: I20080917000045 |
| Provider Name | David J. Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942341912 PECOS PAC ID: 0244307601 Enrollment ID: I20080926000278 |
| Provider Name | James P Richardson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336217819 PECOS PAC ID: 8022176429 Enrollment ID: I20081028000693 |
| Provider Name | Pamela Xenakis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497905418 PECOS PAC ID: 2365501905 Enrollment ID: I20081111000506 |
| Provider Name | Khaleel M Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588783286 PECOS PAC ID: 2062597479 Enrollment ID: I20081124000076 |
| Provider Name | George T Grace |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447259189 PECOS PAC ID: 1658357108 Enrollment ID: I20081126000020 |
| Provider Name | Bethany A Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578717260 PECOS PAC ID: 7810052313 Enrollment ID: I20090313000317 |
| Provider Name | Timothy T Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396769659 PECOS PAC ID: 9638229230 Enrollment ID: I20090602000272 |
| Provider Name | Justin R Price |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1891908786 PECOS PAC ID: 0749330561 Enrollment ID: I20090616000572 |
| Provider Name | Saleem Farooqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518169879 PECOS PAC ID: 4789756446 Enrollment ID: I20090706000661 |
| Provider Name | Dean Meadows |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922064427 PECOS PAC ID: 2567514250 Enrollment ID: I20090709000724 |
| Provider Name | Steven C Cunningham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982870101 PECOS PAC ID: 3678625159 Enrollment ID: I20090714000492 |
| Provider Name | Syed M Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477686806 PECOS PAC ID: 9032262621 Enrollment ID: I20090729000647 |
| Provider Name | Sara K Rankin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790817252 PECOS PAC ID: 1153475421 Enrollment ID: I20090820000693 |
| Provider Name | Ajay V Kumar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487755708 PECOS PAC ID: 3779577598 Enrollment ID: I20091019000668 |
| Provider Name | Jacqueline M G Wallace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912945155 PECOS PAC ID: 2264403237 Enrollment ID: I20091104000409 |
| Provider Name | Lahaina L Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871724054 PECOS PAC ID: 9739227802 Enrollment ID: I20091110000372 |
| Provider Name | George D Lawrence |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942262043 PECOS PAC ID: 3476698432 Enrollment ID: I20100303000078 |
| Provider Name | Sondra B Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437253127 PECOS PAC ID: 3971648486 Enrollment ID: I20100309000407 |
| Provider Name | Anthony Martinez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639139686 PECOS PAC ID: 4486781077 Enrollment ID: I20100430000425 |
| Provider Name | Jeffrey G Middleton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407864556 PECOS PAC ID: 3870625114 Enrollment ID: I20100721000862 |
| Provider Name | Jorawar Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417132309 PECOS PAC ID: 9931223427 Enrollment ID: I20100907000359 |
| Provider Name | Dee L Hubbard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295828754 PECOS PAC ID: 1850369166 Enrollment ID: I20101005000708 |
| Provider Name | Kiran J Parikh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447253513 PECOS PAC ID: 5991884959 Enrollment ID: I20101027001256 |
| Provider Name | Kristen Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760451603 PECOS PAC ID: 6103010608 Enrollment ID: I20101028000922 |
| Provider Name | Shamsaad B Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962653360 PECOS PAC ID: 6901092451 Enrollment ID: I20101123000190 |
| Provider Name | Alok Kumar Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063692218 PECOS PAC ID: 5698955649 Enrollment ID: I20110208000371 |
| Provider Name | Pinar Miski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902921414 PECOS PAC ID: 2264616663 Enrollment ID: I20110408000618 |
| Provider Name | Carlos S Ince |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356344667 PECOS PAC ID: 2567416753 Enrollment ID: I20110412000167 |
| Provider Name | Dafna H Koldobskiy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861536203 PECOS PAC ID: 8224213533 Enrollment ID: I20110502000647 |
| Provider Name | Catherine D Griffin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629284286 PECOS PAC ID: 1658560040 Enrollment ID: I20110517000151 |
| Provider Name | Dennis M Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386655074 PECOS PAC ID: 4183802747 Enrollment ID: I20110629000742 |
| Provider Name | Shadi Barakat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629250154 PECOS PAC ID: 9133311384 Enrollment ID: I20110722000113 |
| Provider Name | Adaku Mbagwu Ezeike |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093917999 PECOS PAC ID: 0547439663 Enrollment ID: I20110808000070 |
| Provider Name | Ricardo Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447408406 PECOS PAC ID: 0143490821 Enrollment ID: I20110907001384 |
| Provider Name | Maria D Pardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730335878 PECOS PAC ID: 1658542121 Enrollment ID: I20110914000566 |
| Provider Name | Katherine K Addai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437307600 PECOS PAC ID: 1658542741 Enrollment ID: I20110921000548 |
| Provider Name | Isam Hamdallah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689830044 PECOS PAC ID: 9436342243 Enrollment ID: I20120110000260 |
| Provider Name | Jasmin Valentin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124351697 PECOS PAC ID: 2163608431 Enrollment ID: I20120319000295 |
| Provider Name | Suzanne M Bressette |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457488900 PECOS PAC ID: 1456414838 Enrollment ID: I20120511000485 |
| Provider Name | Huong Nguyen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437151255 PECOS PAC ID: 8224292867 Enrollment ID: I20120612000479 |
| Provider Name | Anita U Anigbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497985964 PECOS PAC ID: 9032372404 Enrollment ID: I20120712000152 |
| Provider Name | Nabeel Mohsin Akhter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487847075 PECOS PAC ID: 8325204944 Enrollment ID: I20120726000461 |
| Provider Name | Susan Schurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528396009 PECOS PAC ID: 6709032766 Enrollment ID: I20120807000132 |
| Provider Name | Michelle L Verceles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255507000 PECOS PAC ID: 7517114101 Enrollment ID: I20120905000060 |
| Provider Name | Saira Ahmed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932393766 PECOS PAC ID: 8820249931 Enrollment ID: I20121120000439 |
| Provider Name | Laura A Kaelber |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598017386 PECOS PAC ID: 5294986295 Enrollment ID: I20121126000401 |
| Provider Name | Corey Shaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066830 PECOS PAC ID: 6103061908 Enrollment ID: I20130517000383 |
| Provider Name | Vuk Sekicki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210424 PECOS PAC ID: 0749420776 Enrollment ID: I20130715000718 |
| Provider Name | Roderick Borgie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356326003 PECOS PAC ID: 6204960172 Enrollment ID: I20130802000545 |
| Provider Name | Catherine Mauriello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811330277 PECOS PAC ID: 8123252004 Enrollment ID: I20131008001330 |
| Provider Name | Kadija Hersi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740593987 PECOS PAC ID: 9335374628 Enrollment ID: I20131022000824 |
| Provider Name | Kerri L Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144588294 PECOS PAC ID: 1355579202 Enrollment ID: I20140122001580 |
| Provider Name | Sanaz Sakiani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023334943 PECOS PAC ID: 9436388162 Enrollment ID: I20140203000139 |
| Provider Name | Tanya Rosali Kalmar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568465821 PECOS PAC ID: 6103710330 Enrollment ID: I20140325001507 |
| Provider Name | Martha Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992094189 PECOS PAC ID: 1254556921 Enrollment ID: I20140714001589 |
| Provider Name | Imran N Virk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063774420 PECOS PAC ID: 0244487767 Enrollment ID: I20140822000231 |
| Provider Name | Shijun Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235334103 PECOS PAC ID: 3870735475 Enrollment ID: I20140903001184 |
| Provider Name | Analeta Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083933162 PECOS PAC ID: 7810127214 Enrollment ID: I20140915000204 |
| Provider Name | Kinjal N Sheth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417105727 PECOS PAC ID: 4284854720 Enrollment ID: I20141003000785 |
| Provider Name | Mary K Elfrey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760645519 PECOS PAC ID: 0042432387 Enrollment ID: I20141120002377 |
| Provider Name | Shirali T Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174731905 PECOS PAC ID: 7113177973 Enrollment ID: I20150107000136 |
| Provider Name | Srinivasa Narayanaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285897868 PECOS PAC ID: 8426122235 Enrollment ID: I20150211000148 |
| Provider Name | Hyesung Pease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104226505 PECOS PAC ID: 6002131232 Enrollment ID: I20150211000976 |
| Provider Name | Farhana S Reyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568894756 PECOS PAC ID: 2567698418 Enrollment ID: I20150529001846 |
| Provider Name | Omar Karim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780973362 PECOS PAC ID: 1052632288 Enrollment ID: I20150601000159 |
| Provider Name | Sampson Kyere |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659506517 PECOS PAC ID: 0042436552 Enrollment ID: I20150608001371 |
| Provider Name | Joseph Olubusayo Apata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740556752 PECOS PAC ID: 2961723317 Enrollment ID: I20150610001670 |
| Provider Name | Christopher Grybauskas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700032422 PECOS PAC ID: 1153479464 Enrollment ID: I20150611002705 |
| Provider Name | Manoj Regmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891131017 PECOS PAC ID: 1355652017 Enrollment ID: I20150622001659 |
| Provider Name | Abhishek Kalla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508085887 PECOS PAC ID: 9537332960 Enrollment ID: I20150626000076 |
| Provider Name | Naresh Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710235684 PECOS PAC ID: 1052623451 Enrollment ID: I20150626000894 |
| Provider Name | Naveed Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023274511 PECOS PAC ID: 7012229974 Enrollment ID: I20150707000348 |
| Provider Name | Manju Palaniswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649526476 PECOS PAC ID: 4082926753 Enrollment ID: I20150709000409 |
| Provider Name | Crystal Janani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902119415 PECOS PAC ID: 8123331394 Enrollment ID: I20150716001847 |
| Provider Name | Hakim T Uqdah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750697892 PECOS PAC ID: 3476774373 Enrollment ID: I20150721001326 |
| Provider Name | Meredith Lynn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912673 PECOS PAC ID: 7012221294 Enrollment ID: I20150731015829 |
| Provider Name | Michael G Allison |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700011558 PECOS PAC ID: 0244545846 Enrollment ID: I20150811005233 |
| Provider Name | Fatima Bangura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518256791 PECOS PAC ID: 0547575904 Enrollment ID: I20150813010613 |
| Provider Name | Selam Tewolde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851655724 PECOS PAC ID: 1557524758 Enrollment ID: I20150818004119 |
| Provider Name | Michael C Scott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124253661 PECOS PAC ID: 2264749159 Enrollment ID: I20150909001376 |
| Provider Name | Joseph K Awotwi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871767251 PECOS PAC ID: 0749463735 Enrollment ID: I20150909002024 |
| Provider Name | Stacy Bartolich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427434521 PECOS PAC ID: 9739497413 Enrollment ID: I20150929002555 |
| Provider Name | Neleen B Orsal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760879738 PECOS PAC ID: 0143538488 Enrollment ID: I20151006001412 |
| Provider Name | Dante Suffredini |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659699650 PECOS PAC ID: 6204142086 Enrollment ID: I20151117002232 |
| Provider Name | Hom N Pant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538457437 PECOS PAC ID: 5890938229 Enrollment ID: I20151130001806 |
| Provider Name | Diana Vanroon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346612710 PECOS PAC ID: 7719289172 Enrollment ID: I20160107002497 |
| Provider Name | Michelle L Garnett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518918218 PECOS PAC ID: 9032188776 Enrollment ID: I20160425001521 |
| Provider Name | Yousaf Awan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700106200 PECOS PAC ID: 1951693555 Enrollment ID: I20160629002650 |
| Provider Name | Abeyot D Tegegne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609212414 PECOS PAC ID: 9537466073 Enrollment ID: I20160705000224 |
| Provider Name | Abimbade A Akhigbe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093195828 PECOS PAC ID: 7113210709 Enrollment ID: I20160719002420 |
| Provider Name | Olawunmi A Kilo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275942641 PECOS PAC ID: 6800180407 Enrollment ID: I20160804000910 |
| Provider Name | Sundaram Krishnan Chettiar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1497047641 PECOS PAC ID: 5698074367 Enrollment ID: I20160816000216 |
| Provider Name | Karyn E White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245230390 PECOS PAC ID: 8325198435 Enrollment ID: I20160906001805 |
| Provider Name | Christopher Dac Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114997806 PECOS PAC ID: 8820312275 Enrollment ID: I20160912000300 |
| Provider Name | Tigist G Teklemichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831536309 PECOS PAC ID: 5698061703 Enrollment ID: I20160915000714 |
| Provider Name | Vahid Etezadi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225357718 PECOS PAC ID: 9537479100 Enrollment ID: I20161020000938 |
| Provider Name | Wondaferew Berhie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083973580 PECOS PAC ID: 1355599614 Enrollment ID: I20161117002334 |
| Provider Name | Ealena S Callender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851489793 PECOS PAC ID: 7810095742 Enrollment ID: I20161205001025 |
| Provider Name | Nikki P Tirada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730404294 PECOS PAC ID: 6901113141 Enrollment ID: I20161206001096 |
| Provider Name | Charles A Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114363819 PECOS PAC ID: 8224336177 Enrollment ID: I20161207002552 |
| Provider Name | Lashea N Davis Roland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265674758 PECOS PAC ID: 3274761127 Enrollment ID: I20170105001740 |
| Provider Name | Thomas Jinku Kang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588854137 PECOS PAC ID: 2567616832 Enrollment ID: I20170201001291 |
| Provider Name | Kanwal Razzaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407003262 PECOS PAC ID: 7012142664 Enrollment ID: I20170307000503 |
| Provider Name | Magali N Tshiamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326275538 PECOS PAC ID: 8325290711 Enrollment ID: I20170404001343 |
| Provider Name | Susan Podraza Kopunek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952665366 PECOS PAC ID: 3870718406 Enrollment ID: I20170411002332 |
| Provider Name | Kamishia Latasha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003241308 PECOS PAC ID: 7113241571 Enrollment ID: I20170518001429 |
| Provider Name | Narat Srivali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679867873 PECOS PAC ID: 9335366079 Enrollment ID: I20170524000173 |
| Provider Name | Lauren Curtis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326239187 PECOS PAC ID: 9133251879 Enrollment ID: I20170530001180 |
| Provider Name | Zainab Ashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831488170 PECOS PAC ID: 4284853037 Enrollment ID: I20170601001082 |
| Provider Name | Ghassan Kanj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649359944 PECOS PAC ID: 7113914730 Enrollment ID: I20170613002176 |
| Provider Name | Ebrahim Talebi Quje |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861783243 PECOS PAC ID: 7810296910 Enrollment ID: I20170619000260 |
| Provider Name | Linda Evonne Brogdon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013208032 PECOS PAC ID: 0143460758 Enrollment ID: I20170727001046 |
| Provider Name | Seyed Hootan Forghani Saeidabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992063325 PECOS PAC ID: 7810203155 Enrollment ID: I20170803002971 |
| Provider Name | Sambhav Karki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568787117 PECOS PAC ID: 9436393337 Enrollment ID: I20170809002821 |
| Provider Name | Michael Keller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265875587 PECOS PAC ID: 9739451576 Enrollment ID: I20170815000252 |
| Provider Name | Mustafa A Abdulmahdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205278843 PECOS PAC ID: 6002114964 Enrollment ID: I20170907000062 |
| Provider Name | Jian Zhang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528316601 PECOS PAC ID: 3779872247 Enrollment ID: I20170927000266 |
| Provider Name | Ahmad W Ahad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073737615 PECOS PAC ID: 4385816552 Enrollment ID: I20171211000835 |
| Provider Name | Mindy K Athas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427563543 PECOS PAC ID: 3274892039 Enrollment ID: I20180124001497 |
| Provider Name | Ana Maria Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700391083 PECOS PAC ID: 6800156415 Enrollment ID: I20180130001639 |
| Provider Name | Elizabeth Puntenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457589251 PECOS PAC ID: 1850510629 Enrollment ID: I20180206002286 |
| Provider Name | Irina Bernescu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174850952 PECOS PAC ID: 1850517608 Enrollment ID: I20180516001038 |
| Provider Name | Margaret Landriscina |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407358278 PECOS PAC ID: 3072878057 Enrollment ID: I20180522000526 |
| Provider Name | Francine Dorothea Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447768072 PECOS PAC ID: 0941555023 Enrollment ID: I20180613001067 |
| Provider Name | Bhargavi Pulluri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932462884 PECOS PAC ID: 4082917612 Enrollment ID: I20180625000484 |
| Provider Name | William J Kang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518302462 PECOS PAC ID: 3779707567 Enrollment ID: I20180626003198 |
| Provider Name | Michelle Diana Mon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639148703 PECOS PAC ID: 5799799854 Enrollment ID: I20180709001524 |
| Provider Name | Chinedu O Ejike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415637 PECOS PAC ID: 6709025216 Enrollment ID: I20181003001704 |
| Provider Name | Rebecca C Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255845756 PECOS PAC ID: 8426303256 Enrollment ID: I20181029002206 |
| Provider Name | Marco A Gabbai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073983482 PECOS PAC ID: 6103127477 Enrollment ID: I20181120003243 |
| Provider Name | Blaine F Kenaa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932455003 PECOS PAC ID: 0547555963 Enrollment ID: I20190122000340 |
| Provider Name | Mary Beth Krauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326490954 PECOS PAC ID: 8820336217 Enrollment ID: I20190211000080 |
| Provider Name | Jannae White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235690454 PECOS PAC ID: 8426390816 Enrollment ID: I20190506001114 |
| Provider Name | Dalia Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033311204 PECOS PAC ID: 9830344043 Enrollment ID: I20190522000328 |
| Provider Name | Bonnie M Kaas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962772822 PECOS PAC ID: 2062658560 Enrollment ID: I20190523000890 |
| Provider Name | Adam Fang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639499288 PECOS PAC ID: 8123312154 Enrollment ID: I20190625001070 |
| Provider Name | Ifechi Natalie Ukeh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538504923 PECOS PAC ID: 9537497474 Enrollment ID: I20190903001481 |
| Provider Name | Sirajum Munira |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295186153 PECOS PAC ID: 0547556300 Enrollment ID: I20190904000582 |
| Provider Name | Jonathan David Gardner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639490840 PECOS PAC ID: 3678713260 Enrollment ID: I20190916001676 |
| Provider Name | Adeline Assani-uva |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528626751 PECOS PAC ID: 3577894039 Enrollment ID: I20191015000010 |
| Provider Name | Salahadin M Gharad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174589659 PECOS PAC ID: 5597865147 Enrollment ID: I20191024000501 |
| Provider Name | Vanessa Alvarez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023034196 PECOS PAC ID: 3971506072 Enrollment ID: I20191028000428 |
| Provider Name | Sagar Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710265707 PECOS PAC ID: 1951529700 Enrollment ID: I20191029002589 |
| Provider Name | Jordan Assadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912332008 PECOS PAC ID: 9638396740 Enrollment ID: I20191029002951 |
| Provider Name | Madeeha Shams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194138131 PECOS PAC ID: 0749555688 Enrollment ID: I20191031000093 |
| Provider Name | Susan M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114581 PECOS PAC ID: 1355673872 Enrollment ID: I20191031003109 |
| Provider Name | Lakpa Diku Sherpa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396094983 PECOS PAC ID: 2466762083 Enrollment ID: I20191120001383 |
| Provider Name | Lex Londino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811277882 PECOS PAC ID: 0042450371 Enrollment ID: I20200127001524 |
| Provider Name | Conard F Failinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457464109 PECOS PAC ID: 7911930912 Enrollment ID: I20200309001643 |
| Provider Name | Hayder Abbood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922448141 PECOS PAC ID: 2668768649 Enrollment ID: I20200414003730 |
| Provider Name | Mary E Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982851689 PECOS PAC ID: 7911178751 Enrollment ID: I20200430000749 |
| Provider Name | Anuj K Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710510524 PECOS PAC ID: 8325479397 Enrollment ID: I20200506001630 |
| Provider Name | Marisa Checca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083065254 PECOS PAC ID: 0143641662 Enrollment ID: I20200609000015 |
| Provider Name | Eden T Amdemichael |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659530509 PECOS PAC ID: 3870854417 Enrollment ID: I20200615002366 |
| Provider Name | Bhuwan Kayastha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750697223 PECOS PAC ID: 6406097112 Enrollment ID: I20200624002633 |
| Provider Name | Mubeen Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548553688 PECOS PAC ID: 7012200124 Enrollment ID: I20200713001510 |
| Provider Name | Sarah Ray Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326433145 PECOS PAC ID: 8325346828 Enrollment ID: I20200721000514 |
| Provider Name | Sunny J Haft |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962817098 PECOS PAC ID: 7214352061 Enrollment ID: I20200811000057 |
| Provider Name | Karen Inbal Cohen-glickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689194961 PECOS PAC ID: 6901223890 Enrollment ID: I20200824001340 |
| Provider Name | Aamir Ajmeri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740639129 PECOS PAC ID: 1850724295 Enrollment ID: I20200928002350 |
| Provider Name | Hartaj Kaur Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598942765 PECOS PAC ID: 7214156728 Enrollment ID: I20201013000594 |
| Provider Name | Noeline Rajarajan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285980854 PECOS PAC ID: 1759519572 Enrollment ID: I20201013002168 |
| Provider Name | Parth Jamindar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497019210 PECOS PAC ID: 5092021428 Enrollment ID: I20201103000710 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20201120001867 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20201120002566 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20201125000586 |
| Provider Name | Sameer Damle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891933263 PECOS PAC ID: 9830335744 Enrollment ID: I20201216001298 |
| Provider Name | Sarah E Freeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154746816 PECOS PAC ID: 9931405792 Enrollment ID: I20210305001346 |
| Provider Name | Caroline D Stelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912599184 PECOS PAC ID: 0648686857 Enrollment ID: I20210315000869 |
| Provider Name | Jennifer C Villavicencio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790125391 PECOS PAC ID: 3274839733 Enrollment ID: I20210422001722 |
| Provider Name | Jourdan Aromin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598150955 PECOS PAC ID: 4082942776 Enrollment ID: I20210428000243 |
| Provider Name | Jesse Alan Doran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538587704 PECOS PAC ID: 2961779087 Enrollment ID: I20210601002503 |
| Provider Name | Roshniben Bimalbhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073019907 PECOS PAC ID: 8426457904 Enrollment ID: I20210603001999 |
| Provider Name | Jasmin Sahbaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083009666 PECOS PAC ID: 3173822277 Enrollment ID: I20210607000234 |
| Provider Name | Muhammad Hadi Shibli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376656413 PECOS PAC ID: 8729976840 Enrollment ID: I20210615002503 |
| Provider Name | Ian Breckenridge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912341819 PECOS PAC ID: 8123428919 Enrollment ID: I20210616000848 |
| Provider Name | Catriona M Swift |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164782157 PECOS PAC ID: 8820318496 Enrollment ID: I20210712000888 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210715002805 |
| Provider Name | Susan A Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20210715003181 |
| Provider Name | Natalie S Justicz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144637893 PECOS PAC ID: 2860707734 Enrollment ID: I20210719003039 |
| Provider Name | Nariman Nezami |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619381506 PECOS PAC ID: 3476833989 Enrollment ID: I20210804002526 |
| Provider Name | Suzanne Aly Abdelazim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093249088 PECOS PAC ID: 8426329343 Enrollment ID: I20210920001375 |
| Provider Name | William R Grier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740643378 PECOS PAC ID: 3072892033 Enrollment ID: I20210928002211 |
| Provider Name | Gwendolyn Hubbell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396906079 PECOS PAC ID: 5799929238 Enrollment ID: I20211019001544 |
| Provider Name | Vladimir Coca Soliz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952537995 PECOS PAC ID: 3678872637 Enrollment ID: I20211103000488 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20211110000069 |
| Provider Name | Leigh E Tracy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013461334 PECOS PAC ID: 6406245943 Enrollment ID: I20211123000033 |
| Provider Name | Shirley Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619567906 PECOS PAC ID: 4789093485 Enrollment ID: I20220126000300 |
| Provider Name | Brian P Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20220126001446 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20220126002040 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20220127000990 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20220128002017 |
| Provider Name | Erik L Ramey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952372393 PECOS PAC ID: 2668899196 Enrollment ID: I20220303001881 |
| Provider Name | Julio Huapaya-carrera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912351743 PECOS PAC ID: 4284053620 Enrollment ID: I20220328002139 |
| Provider Name | Humair Syed Quadri |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1841556875 PECOS PAC ID: 8628455367 Enrollment ID: I20220518000573 |
| Provider Name | Tracey Worsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063165728 PECOS PAC ID: 5597142281 Enrollment ID: I20220518002483 |
| Provider Name | Maria I Kravchenko |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336415074 PECOS PAC ID: 6103054705 Enrollment ID: I20220623000284 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20220822002638 |
| Provider Name | Bailey Cannon Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124348594 PECOS PAC ID: 8628299492 Enrollment ID: I20220824003161 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20220826001133 |
| Provider Name | Joshua D Nassiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295939833 PECOS PAC ID: 0547525974 Enrollment ID: I20220830004328 |
| Provider Name | Sophie P Korzan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124413844 PECOS PAC ID: 8628380896 Enrollment ID: I20220902001182 |
| Provider Name | Sabreen Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20220909002200 |
| Provider Name | Chakravarthi Pureti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780809004 PECOS PAC ID: 3375696628 Enrollment ID: I20220916000131 |
| Provider Name | Juhee Linda Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336863042 PECOS PAC ID: 7719353119 Enrollment ID: I20221025003095 |
| Provider Name | William H Gurdin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144226168 PECOS PAC ID: 5294719381 Enrollment ID: I20221028002163 |
| Provider Name | Aisha J Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20221109001208 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20221110000144 |
| Provider Name | Shannon M Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285715847 PECOS PAC ID: 8224003017 Enrollment ID: I20221110001044 |
| Provider Name | Daniel M Gelfman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457325821 PECOS PAC ID: 1951498104 Enrollment ID: I20221125000117 |
| Provider Name | Sarah Davidson Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932816824 PECOS PAC ID: 6709256894 Enrollment ID: I20230106000476 |
| Provider Name | Monali Y Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417111303 PECOS PAC ID: 0749458131 Enrollment ID: I20230111001365 |
| Provider Name | Adrienne Stevenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497020697 PECOS PAC ID: 8426346958 Enrollment ID: I20230206003084 |
| Provider Name | Daniel Lee Fish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609223791 PECOS PAC ID: 7113219015 Enrollment ID: I20230301003035 |
| Provider Name | Joseph Hime |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528324811 PECOS PAC ID: 8123337201 Enrollment ID: I20230308000236 |
| Provider Name | William Brian Gormley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831151760 PECOS PAC ID: 2163432998 Enrollment ID: I20230421000663 |
| Provider Name | Omeed Sizar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295268258 PECOS PAC ID: 8224465877 Enrollment ID: I20230502001211 |
| Provider Name | Cheyenne Snavely |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407389174 PECOS PAC ID: 5092056739 Enrollment ID: I20230505000908 |
| Provider Name | Kurt Derek Humphrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770756223 PECOS PAC ID: 9739544586 Enrollment ID: I20230508000268 |
| Provider Name | Luis A Pagan-carlo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245298991 PECOS PAC ID: 4385627751 Enrollment ID: I20230508000628 |
| Provider Name | Laxman Wagle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588275614 PECOS PAC ID: 8224495668 Enrollment ID: I20230531000532 |
| Provider Name | Debbie R Wright-thomasson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235151432 PECOS PAC ID: 4587615539 Enrollment ID: I20230620001164 |
| Provider Name | Samar B Mehta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851689673 PECOS PAC ID: 1850656786 Enrollment ID: I20230622003538 |
| Provider Name | Imran Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750743787 PECOS PAC ID: 5496114878 Enrollment ID: I20230703001025 |
| Provider Name | Thomas Lavie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972690006 PECOS PAC ID: 5698783876 Enrollment ID: I20230725004138 |
| Provider Name | Jesus Mendiolaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437294881 PECOS PAC ID: 3971690520 Enrollment ID: I20230825001272 |
| Provider Name | Sheila E Woodhouse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285620625 PECOS PAC ID: 4981655453 Enrollment ID: I20230906002560 |
| Provider Name | Ravindra S Karmarkar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356380372 PECOS PAC ID: 6204895824 Enrollment ID: I20230907001843 |
| Provider Name | Megan T Wolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881220960 PECOS PAC ID: 6507295045 Enrollment ID: I20230930000418 |
| Provider Name | Ebony Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180786 PECOS PAC ID: 3375806714 Enrollment ID: I20231027003084 |
| Provider Name | Kelsey Thrush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861812174 PECOS PAC ID: 4587917018 Enrollment ID: I20231029000086 |
| Provider Name | Dustin J Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20231205000664 |
| Provider Name | Jeramie L Rosales Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205290319 PECOS PAC ID: 0547515124 Enrollment ID: I20231205001052 |
| Provider Name | Aishah Aslam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518305671 PECOS PAC ID: 4789977588 Enrollment ID: I20240116002708 |
| Provider Name | Larissa Guran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235512633 PECOS PAC ID: 8729365861 Enrollment ID: I20240201004397 |
Empowerment Healthcare Systems,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9106 Philadelphia Rd Ste 108b, Baltimore, MD 21237 Phone: 410-698-8284 Fax: 410-321-1962 | |
Fresh Start Comprehensive Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 E Mount Royal Ave # Ll, Baltimore, MD 21202 Phone: 443-671-1414 Fax: 443-671-1420 | |
Gbmc Health Partners At Jonestown Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Johns Hopkins University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 E Monument St Ste 2626, Baltimore, MD 21287 Phone: 410-933-6430 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 |