| 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 | William B Higginbotham (PRESIDENT/CEO) |
| Authorized Official Contact | 6672343162 |
| 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 | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Medicare PECOS PAC ID | 9830092733 |
|---|---|
| Medicare Enrollment ID | O20040128001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144250176 | NPI | - | NPPES |
| Provider Name | Nina Jacqueline Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962482554 PECOS PAC ID: 1456241686 Enrollment ID: I20040319000228 |
| 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 | Aaron J Shakespeare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992808828 PECOS PAC ID: 3678565041 Enrollment ID: I20040402001170 |
| Provider Name | Lynn L Tao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801856869 PECOS PAC ID: 2860487170 Enrollment ID: I20040416000815 |
| Provider Name | Fawn T Manning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568457513 PECOS PAC ID: 4486649654 Enrollment ID: I20040416001325 |
| 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 | Susan Vieson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164481578 PECOS PAC ID: 9234129909 Enrollment ID: I20040514000480 |
| 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 | Daniel Jerrems |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336109222 PECOS PAC ID: 9234112384 Enrollment ID: I20040609001402 |
| Provider Name | Elizabeth Kamerer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851328868 PECOS PAC ID: 9931183506 Enrollment ID: I20040614000679 |
| 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 Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639139413 PECOS PAC ID: 9032193065 Enrollment ID: I20040616000845 |
| Provider Name | James a Piazza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871748145 PECOS PAC ID: 2860479169 Enrollment ID: I20040706000265 |
| Provider Name | Lydwine Merelus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295794675 PECOS PAC ID: 4284612656 Enrollment ID: I20040712000854 |
| Provider Name | Regina Kundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376546994 PECOS PAC ID: 3870573405 Enrollment ID: I20040723000053 |
| 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 | Rohit Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790748408 PECOS PAC ID: 3678539392 Enrollment ID: I20041204000184 |
| 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 | Keisha a Robinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598751125 PECOS PAC ID: 2860459856 Enrollment ID: I20041210000744 |
| Provider Name | Vivek Varma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043314362 PECOS PAC ID: 4688632706 Enrollment ID: I20041221000652 |
| 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 | Ronald E Gillilan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356312078 PECOS PAC ID: 0648229492 Enrollment ID: I20050119000245 |
| Provider Name | John a Greco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811954167 PECOS PAC ID: 0244283414 Enrollment ID: I20050228000770 |
| 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 | Narasim S Murthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851499354 PECOS PAC ID: 0446238224 Enrollment ID: I20050614000220 |
| Provider Name | Justin Somerville |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023016672 PECOS PAC ID: 0749224178 Enrollment ID: I20050615001108 |
| Provider Name | Kenneth U Mbachu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568423077 PECOS PAC ID: 6901841477 Enrollment ID: I20050624000430 |
| Provider Name | Hana Adem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013976497 PECOS PAC ID: 0143257147 Enrollment ID: I20050721000310 |
| Provider Name | Cheryl L Heck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477659837 PECOS PAC ID: 2860429339 Enrollment ID: I20050726001051 |
| 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 | Allison N Yosua |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154380525 PECOS PAC ID: 9032148630 Enrollment ID: I20050804000218 |
| 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 | Esther Clinton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225132301 PECOS PAC ID: 5496780322 Enrollment ID: I20050929000517 |
| 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 | Gregory S Zimmermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972601409 PECOS PAC ID: 3173538626 Enrollment ID: I20060220000592 |
| Provider Name | Paul C Marinelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992803597 PECOS PAC ID: 5698673176 Enrollment ID: I20060220000604 |
| Provider Name | Ruth M Odachowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467413989 PECOS PAC ID: 8921016510 Enrollment ID: I20060323000265 |
| Provider Name | Adiam Haileleul Goitom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164481669 PECOS PAC ID: 8820006968 Enrollment ID: I20060330000530 |
| Provider Name | Brandi L Blevins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790705218 PECOS PAC ID: 8325058555 Enrollment ID: I20060502000489 |
| Provider Name | Gopal C Kowdley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972531952 PECOS PAC ID: 0840269007 Enrollment ID: I20060717000220 |
| Provider Name | Charles I Lamertina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417910837 PECOS PAC ID: 0143223099 Enrollment ID: I20060814000336 |
| 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 | Richard S Hudes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891796926 PECOS PAC ID: 2264438050 Enrollment ID: I20061019000115 |
| Provider Name | Sylwester Dziuba |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841291978 PECOS PAC ID: 5991701690 Enrollment ID: I20061019000221 |
| Provider Name | Benjamin a Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225196652 PECOS PAC ID: 3971605791 Enrollment ID: I20070226000504 |
| 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 | Erika Nichelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750499711 PECOS PAC ID: 2769582899 Enrollment ID: I20070703000112 |
| 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 Rodgers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063613420 PECOS PAC ID: 6204917719 Enrollment ID: I20080122000534 |
| Provider Name | Robert a Loya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699959841 PECOS PAC ID: 6305927831 Enrollment ID: I20080122000686 |
| 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 - Hospitalist |
| 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 | 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 | 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 | Jennifer M Sheely |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457501694 PECOS PAC ID: 8628132990 Enrollment ID: I20090131000014 |
| 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 Price |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| 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 | Etienne Ngoumgna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487891776 PECOS PAC ID: 5496806390 Enrollment ID: I20090707000231 |
| 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 | John M Kukula |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609805043 PECOS PAC ID: 0143366443 Enrollment ID: I20090929000630 |
| Provider Name | Ajay Verma Kumar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487755708 PECOS PAC ID: 3779577598 Enrollment ID: I20091019000668 |
| Provider Name | Brajesh K Lal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881625564 PECOS PAC ID: 7012947245 Enrollment ID: I20091030000084 |
| Provider Name | Lahaina L Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871724054 PECOS PAC ID: 9739227802 Enrollment ID: I20091110000372 |
| Provider Name | Christopher Y Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922006931 PECOS PAC ID: 9436201555 Enrollment ID: I20100128000450 |
| Provider Name | Mindi L Frend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841528304 PECOS PAC ID: 2961547906 Enrollment ID: I20100302000840 |
| 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 | Kristin E Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144546458 PECOS PAC ID: 0749318228 Enrollment ID: I20100504000092 |
| Provider Name | Beth a Bughman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376872580 PECOS PAC ID: 5496883571 Enrollment ID: I20100511000582 |
| 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 | Jacqueline B Posner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811296106 PECOS PAC ID: 1557546173 Enrollment ID: I20110426000310 |
| 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 | Shawnta Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497750061 PECOS PAC ID: 0345413464 Enrollment ID: I20111104000100 |
| Provider Name | Isam Hamdallah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689830044 PECOS PAC ID: 9436342243 Enrollment ID: I20120110000260 |
| Provider Name | Rohit Jain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861699696 PECOS PAC ID: 5799942264 Enrollment ID: I20120210000694 |
| Provider Name | Jessica R Sebastian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467726869 PECOS PAC ID: 1557523081 Enrollment ID: I20120430000569 |
| 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 | Candice T Mak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225297039 PECOS PAC ID: 0840455762 Enrollment ID: I20120627000342 |
| 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 | Janell L Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245503572 PECOS PAC ID: 3779737960 Enrollment ID: I20130218000435 |
| Provider Name | Nathan Hans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326385295 PECOS PAC ID: 4284879461 Enrollment ID: I20130315000351 |
| Provider Name | Jean M Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073507414 PECOS PAC ID: 7911956255 Enrollment ID: I20130429000297 |
| Provider Name | Corey a Shaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066830 PECOS PAC ID: 6103061908 Enrollment ID: I20130517000383 |
| Provider Name | Roderick Borgie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356326003 PECOS PAC ID: 6204960172 Enrollment ID: I20130802000545 |
| Provider Name | Omoikhefe G Akhigbe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932336005 PECOS PAC ID: 7012151962 Enrollment ID: I20130917000093 |
| 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 | Rhoda a Vandyck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467612606 PECOS PAC ID: 0840427225 Enrollment ID: I20131210000667 |
| 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 | Qing Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124449574 PECOS PAC ID: 2365673365 Enrollment ID: I20140314000558 |
| Provider Name | Tanya Rosali Kalmar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568465821 PECOS PAC ID: 6103710330 Enrollment ID: I20140325001507 |
| Provider Name | Kimberly Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982943551 PECOS PAC ID: 8224261268 Enrollment ID: I20140429000408 |
| Provider Name | Namat a Said |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730513383 PECOS PAC ID: 0648408351 Enrollment ID: I20140519000986 |
| Provider Name | Uzoamaka Nwokorie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326342130 PECOS PAC ID: 6608009527 Enrollment ID: I20140519001346 |
| Provider Name | Jaimie a Pierce Hedrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902115942 PECOS PAC ID: 6406079367 Enrollment ID: I20140521001547 |
| Provider Name | Stephen a Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235564907 PECOS PAC ID: 8729201504 Enrollment ID: I20140523000624 |
| Provider Name | Martha Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992094189 PECOS PAC ID: 1254556921 Enrollment ID: I20140714001589 |
| Provider Name | Karen L Levasseur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265620272 PECOS PAC ID: 3375686603 Enrollment ID: I20140815001447 |
| 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 | Constance Bezankeng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205237716 PECOS PAC ID: 3375765787 Enrollment ID: I20141119000192 |
| 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 | Kerwin Todd Borntrager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265862890 PECOS PAC ID: 3072835446 Enrollment ID: I20141215001246 |
| 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 | Dawit M Wubie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396981361 PECOS PAC ID: 3476678277 Enrollment ID: I20150213000417 |
| 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 | Esther Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063640878 PECOS PAC ID: 5597076802 Enrollment ID: I20150612000704 |
| 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 | Haimanot Zeamanuel Haile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659669067 PECOS PAC ID: 4284854340 Enrollment ID: I20150702000155 |
| Provider Name | Naveed Hasan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| 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 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 | Matthew S Brawn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952784399 PECOS PAC ID: 3173838794 Enrollment ID: I20150811005857 |
| Provider Name | Sandeep Regmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710236047 PECOS PAC ID: 0244545887 Enrollment ID: I20150812006557 |
| 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 | Areck Avedis Ucuzian |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205091428 PECOS PAC ID: 0547576118 Enrollment ID: I20150827000134 |
| Provider Name | Mofolusho O Sodeke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457645277 PECOS PAC ID: 8022324987 Enrollment ID: I20150909000136 |
| 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 Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760879738 PECOS PAC ID: 0143538488 Enrollment ID: I20151006001412 |
| Provider Name | Oliver Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164654158 PECOS PAC ID: 0840417317 Enrollment ID: I20151029002321 |
| 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 | Alyssa D Maley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518384601 PECOS PAC ID: 6204138324 Enrollment ID: I20160106002720 |
| Provider Name | Diana Vanroon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346612710 PECOS PAC ID: 7719289172 Enrollment ID: I20160107002497 |
| Provider Name | Avena Flaharty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447492897 PECOS PAC ID: 3476580002 Enrollment ID: I20160111002700 |
| Provider Name | Naima K Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083896948 PECOS PAC ID: 3577868256 Enrollment ID: I20160217001040 |
| Provider Name | Kathleen Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457724676 PECOS PAC ID: 6002113610 Enrollment ID: I20160328000161 |
| Provider Name | Michelle L Garnett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518918218 PECOS PAC ID: 9032188776 Enrollment ID: I20160425001521 |
| Provider Name | Brian Austin Delgreco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427420884 PECOS PAC ID: 9234438037 Enrollment ID: I20160429000096 |
| Provider Name | Rebecca J Nicely |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699139303 PECOS PAC ID: 4385943604 Enrollment ID: I20160509000318 |
| 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 | Taik-kun Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790880599 PECOS PAC ID: 2961796065 Enrollment ID: I20160812000660 |
| Provider Name | Sundaram Krishnan Chettiar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1497047641 PECOS PAC ID: 5698074367 Enrollment ID: I20160816000216 |
| Provider Name | Joseph Fagbohun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033497771 PECOS PAC ID: 1153428065 Enrollment ID: I20160901001485 |
| 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 Teklemichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831536309 PECOS PAC ID: 5698061703 Enrollment ID: I20160915000714 |
| Provider Name | Sara R Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174722698 PECOS PAC ID: 0547356305 Enrollment ID: I20160921000880 |
| 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 | Julia Harding Berlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548712748 PECOS PAC ID: 9638454077 Enrollment ID: I20170327000395 |
| Provider Name | Magali Tshiamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326275538 PECOS PAC ID: 8325290711 Enrollment ID: I20170404001343 |
| Provider Name | Patricia a Helferstay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215477112 PECOS PAC ID: 5294011342 Enrollment ID: I20170404001990 |
| Provider Name | Susan Podraza Kopunek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952665366 PECOS PAC ID: 3870718406 Enrollment ID: I20170411002332 |
| Provider Name | Arpad Erdos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992244891 PECOS PAC ID: 7911283312 Enrollment ID: I20170420000284 |
| Provider Name | Kamishia Latasha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003241308 PECOS PAC ID: 7113241571 Enrollment ID: I20170518001429 |
| 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 E Brogdon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013208032 PECOS PAC ID: 0143460758 Enrollment ID: I20170727001046 |
| Provider Name | Lindsay E Dokou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417290446 PECOS PAC ID: 4587954979 Enrollment ID: I20170728000806 |
| 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 - Critical Care (intensivists) |
| 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 | Susanne W Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649287293 PECOS PAC ID: 0446516462 Enrollment ID: I20171108000837 |
| Provider Name | Zehra F Husain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720524622 PECOS PAC ID: 4486911013 Enrollment ID: I20171206001952 |
| 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 | Tania Fakheri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063931210 PECOS PAC ID: 8022378306 Enrollment ID: I20180206000675 |
| Provider Name | Elizabeth Puntenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457589251 PECOS PAC ID: 1850510629 Enrollment ID: I20180206002286 |
| Provider Name | Nadia Y Richmond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427556034 PECOS PAC ID: 6800159989 Enrollment ID: I20180425000340 |
| Provider Name | Irina Bernescu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174850952 PECOS PAC ID: 1850517608 Enrollment ID: I20180516001038 |
| 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 | Kristina Ann Doss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538434840 PECOS PAC ID: 9436454584 Enrollment ID: I20180628000869 |
| Provider Name | Joshua Similuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023378973 PECOS PAC ID: 3779876131 Enrollment ID: I20180724000251 |
| Provider Name | Yvonne Obike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972092740 PECOS PAC ID: 9032468269 Enrollment ID: I20180822000872 |
| Provider Name | Chinedu 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 | Sarasijhaa K Desikan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528402252 PECOS PAC ID: 2365755568 Enrollment ID: I20181115000014 |
| Provider Name | Marco a Gabbai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073983482 PECOS PAC ID: 6103127477 Enrollment ID: I20181120003243 |
| Provider Name | Stephanie Aguilar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033605738 PECOS PAC ID: 7517202351 Enrollment ID: I20181221002079 |
| 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 Krauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326490954 PECOS PAC ID: 8820336217 Enrollment ID: I20190211000080 |
| Provider Name | Shelby E Heilman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326519851 PECOS PAC ID: 4183963242 Enrollment ID: I20190307000476 |
| Provider Name | Jannae White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235690454 PECOS PAC ID: 8426390816 Enrollment ID: I20190506001114 |
| Provider Name | Sean Anthony Mcgiveron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205394723 PECOS PAC ID: 2365785128 Enrollment ID: I20190517000620 |
| 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 | Robert Suk Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356769491 PECOS PAC ID: 3870891658 Enrollment ID: I20190603000611 |
| Provider Name | Adam Fang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639499288 PECOS PAC ID: 8123312154 Enrollment ID: I20190625001070 |
| Provider Name | Jocelyn Huntt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710404975 PECOS PAC ID: 7315206273 Enrollment ID: I20190628001006 |
| 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 | Lauren Elizabeth Slater |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063069854 PECOS PAC ID: 0143550913 Enrollment ID: I20190920000090 |
| Provider Name | Tyler Goldberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104389345 PECOS PAC ID: 5496085011 Enrollment ID: I20190925000938 |
| Provider Name | Sumanjit Kaur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164826160 PECOS PAC ID: 4587926084 Enrollment ID: I20191003000599 |
| 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 M 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 | Rachel Hammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942859905 PECOS PAC ID: 9436583523 Enrollment ID: I20191226000091 |
| Provider Name | Alexandria Ross |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275996886 PECOS PAC ID: 9335573450 Enrollment ID: I20191226001438 |
| 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 | Deidra Alston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285295964 PECOS PAC ID: 7012343718 Enrollment ID: I20200128001891 |
| Provider Name | Dipal Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073155586 PECOS PAC ID: 5496181760 Enrollment ID: I20200204002796 |
| Provider Name | Lyndsay Kristine Peishel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356778450 PECOS PAC ID: 8426285586 Enrollment ID: I20200206002280 |
| Provider Name | Fabian Andres Padron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023584836 PECOS PAC ID: 6608202627 Enrollment ID: I20200210002405 |
| 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 Surgery |
| 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 Joseph Haft |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962817098 PECOS PAC ID: 7214352061 Enrollment ID: I20200811000057 |
| Provider Name | Alyssa Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295197739 PECOS PAC ID: 6406142793 Enrollment ID: I20200821000362 |
| 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 Villavicencio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790125391 PECOS PAC ID: 3274839733 Enrollment ID: I20210422001722 |
| Provider Name | Jesse 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 | Pouya J Aghajafari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841673712 PECOS PAC ID: 7618226234 Enrollment ID: I20210609001485 |
| Provider Name | Muhammad 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 Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210715002805 |
| Provider Name | Susan Andrea 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 | Casey Elizabeth Herdson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922255215 PECOS PAC ID: 1557439783 Enrollment ID: I20210726001238 |
| Provider Name | Nariman Nezami |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619381506 PECOS PAC ID: 3476833989 Enrollment ID: I20210804002526 |
| Provider Name | Michelle L Post |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699951152 PECOS PAC ID: 8426129677 Enrollment ID: I20210831000068 |
| 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 | Vladimir Coca Soliz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952537995 PECOS PAC ID: 3678872637 Enrollment ID: I20211103000488 |
| Provider Name | Kamel a Gharaibeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20211110000069 |
| Provider Name | Rubab Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992231914 PECOS PAC ID: 3173912839 Enrollment ID: I20211118000552 |
| Provider Name | Katherine Applebaum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578162426 PECOS PAC ID: 9335539527 Enrollment ID: I20211202000360 |
| Provider Name | Ligaya Anghela V Narbay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255930103 PECOS PAC ID: 4082004700 Enrollment ID: I20211210001618 |
| Provider Name | Corina MD Freitas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699118471 PECOS PAC ID: 7810206703 Enrollment ID: I20211223001028 |
| Provider Name | Samantha Ganey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437815354 PECOS PAC ID: 3678965746 Enrollment ID: I20220121002443 |
| Provider Name | Shirley Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619567906 PECOS PAC ID: 4789093485 Enrollment ID: I20220126000300 |
| Provider Name | Brian 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 | Mary Theresa Fanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194219097 PECOS PAC ID: 2062768310 Enrollment ID: I20220202002962 |
| 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 | Rica Banfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194281451 PECOS PAC ID: 2961898689 Enrollment ID: I20220407000015 |
| Provider Name | Nirmal Guragain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144699984 PECOS PAC ID: 2567706765 Enrollment ID: I20220502002432 |
| 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 | Leon M Simms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093107997 PECOS PAC ID: 2860704137 Enrollment ID: I20220705000065 |
| Provider Name | Zakaria Aqel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487004727 PECOS PAC ID: 9638463888 Enrollment ID: I20220711000795 |
| Provider Name | Kevin T Cesa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639533342 PECOS PAC ID: 0547548653 Enrollment ID: I20220718001292 |
| 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 | Nancy Ruff Rozgony |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386102028 PECOS PAC ID: 2062896863 Enrollment ID: I20220829000315 |
| 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 R 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 | Alexander R Burinsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386306751 PECOS PAC ID: 9234515222 Enrollment ID: I20220928001865 |
| Provider Name | Olga Sergeyevna Negrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053040550 PECOS PAC ID: 6103292933 Enrollment ID: I20221020000034 |
| Provider Name | Juhee Linda Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336863042 PECOS PAC ID: 7719353119 Enrollment ID: I20221025003095 |
| Provider Name | Rebecca Bowser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336710383 PECOS PAC ID: 2062889090 Enrollment ID: I20221104000646 |
| Provider Name | Aisha 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 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 | Andrew Junha Ro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811618002 PECOS PAC ID: 9638547599 Enrollment ID: I20221125000430 |
| Provider Name | Elizabeth Vang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922754928 PECOS PAC ID: 1153799960 Enrollment ID: I20221129002756 |
| Provider Name | Max a Grayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356064687 PECOS PAC ID: 5395113930 Enrollment ID: I20221201002045 |
| Provider Name | Lindsay Irene Pisanic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689386682 PECOS PAC ID: 1658741723 Enrollment ID: I20230105002653 |
| 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 a Stevenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497020697 PECOS PAC ID: 8426346958 Enrollment ID: I20230206003084 |
| Provider Name | Joseph Hime |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528324811 PECOS PAC ID: 8123337201 Enrollment ID: I20230308000236 |
| Provider Name | Paige E Song |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083310957 PECOS PAC ID: 9537533609 Enrollment ID: I20230314000579 |
| Provider Name | Omeed Sizar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| 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 | Natasha N Houston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639475130 PECOS PAC ID: 8022311836 Enrollment ID: I20230526000275 |
| Provider Name | Laxman Wagle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588275614 PECOS PAC ID: 8224495668 Enrollment ID: I20230531000532 |
| Provider Name | Maresha Latasha Carrie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861192510 PECOS PAC ID: 7113384439 Enrollment ID: I20230601000683 |
| 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 | Bradley W Klement |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053698266 PECOS PAC ID: 2163697855 Enrollment ID: I20230719003890 |
| Provider Name | Jesus Mendiolaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437294881 PECOS PAC ID: 3971690520 Enrollment ID: I20230825001272 |
| Provider Name | Miriam Rieger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972154227 PECOS PAC ID: 6507273026 Enrollment ID: I20230905002546 |
| Provider Name | Sheila Woodhouse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285620625 PECOS PAC ID: 4981655453 Enrollment ID: I20230906002560 |
| Provider Name | Abby N Zalucki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376239061 PECOS PAC ID: 7719341981 Enrollment ID: I20230907001234 |
| Provider Name | Ravindra S Karmarkar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356380372 PECOS PAC ID: 6204895824 Enrollment ID: I20230907001843 |
| Provider Name | Hilda Luz Santiago |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497446025 PECOS PAC ID: 1557725694 Enrollment ID: I20230907004625 |
| Provider Name | Anshika Bakshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922599166 PECOS PAC ID: 2062876071 Enrollment ID: I20230908003479 |
| Provider Name | Megan Theresa Wolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881220960 PECOS PAC ID: 6507295045 Enrollment ID: I20230930000418 |
| Provider Name | Valerie Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720774557 PECOS PAC ID: 6204281645 Enrollment ID: I20231004004072 |
| 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 | Christopher Barnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922721786 PECOS PAC ID: 8527415231 Enrollment ID: I20231116002139 |
| Provider Name | Dustin Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20231205000664 |
| Provider Name | Jeramie Lynn Rosales Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205290319 PECOS PAC ID: 0547515124 Enrollment ID: I20231205001052 |
| Provider Name | Kimberly a Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386324416 PECOS PAC ID: 0042660060 Enrollment ID: I20240103000500 |
| 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 |
| Provider Name | Noemi Elizabeth Pizarro-dupuy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336406289 PECOS PAC ID: 2961855200 Enrollment ID: I20240202000353 |
| Provider Name | Vanessa Hagan-osei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376225417 PECOS PAC ID: 9739525775 Enrollment ID: I20240312003540 |
| Provider Name | Rebecca Noemi Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801594841 PECOS PAC ID: 0042656894 Enrollment ID: I20240314003162 |
| Provider Name | William Kamens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659733798 PECOS PAC ID: 6204252976 Enrollment ID: I20240401000479 |
| Provider Name | Christopher Puls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376514125 PECOS PAC ID: 1850353392 Enrollment ID: I20240408000752 |
| Provider Name | Brian Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528725983 PECOS PAC ID: 8022492297 Enrollment ID: I20240416000468 |
| Provider Name | Natasha Nazari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285569 PECOS PAC ID: 6507192929 Enrollment ID: I20240430000760 |
| Provider Name | Navreet Kaur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316590367 PECOS PAC ID: 9638531007 Enrollment ID: I20240520000089 |
| Provider Name | Khalid Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336557164 PECOS PAC ID: 7517260946 Enrollment ID: I20240606002219 |
| Provider Name | Lulu Yan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225657042 PECOS PAC ID: 6002279031 Enrollment ID: I20240610000384 |
| Provider Name | Monodeep Biswas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669785879 PECOS PAC ID: 5698076388 Enrollment ID: I20240703004216 |
| Provider Name | Eileen E Mcdonnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639632292 PECOS PAC ID: 1153868401 Enrollment ID: I20240805000128 |
| Provider Name | Danielle Rene Wittler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093314189 PECOS PAC ID: 4486193554 Enrollment ID: I20240903003767 |
| Provider Name | Shaye Marie Montgomery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962289835 PECOS PAC ID: 6204376965 Enrollment ID: I20240909002020 |
| Provider Name | Mohammad I Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659791663 PECOS PAC ID: 7214264985 Enrollment ID: I20240920002303 |
| Provider Name | Evita G James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407897325 PECOS PAC ID: 9133456726 Enrollment ID: I20241022003092 |
| Provider Name | Shaha B Nabeel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023514916 PECOS PAC ID: 6507100807 Enrollment ID: I20241025000648 |
| Provider Name | Manjari Regmi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235623687 PECOS PAC ID: 7012265929 Enrollment ID: I20241029004778 |
| Provider Name | Cecilia Ann West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841683075 PECOS PAC ID: 2567995483 Enrollment ID: I20241031001033 |
| Provider Name | Jodie C Pelusi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225857121 PECOS PAC ID: 8527592336 Enrollment ID: I20241114004285 |
| Provider Name | Fekadu Alemu Jiru |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841730850 PECOS PAC ID: 5395273841 Enrollment ID: I20250110002605 |
| Provider Name | Temeka Coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376375436 PECOS PAC ID: 3274062914 Enrollment ID: I20250127000333 |
| Provider Name | Alexander Cezar Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225762909 PECOS PAC ID: 7517485386 Enrollment ID: I20250515001173 |
| Provider Name | Mariana Vigiola Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104184944 PECOS PAC ID: 4183953672 Enrollment ID: I20250603000158 |
| Provider Name | Ornela Kutzke |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932597416 PECOS PAC ID: 7517294747 Enrollment ID: I20250605000185 |
| Provider Name | Vahab Nemati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710396791 PECOS PAC ID: 6901191709 Enrollment ID: I20250613002974 |
| Provider Name | Sophia Lincoln |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114556958 PECOS PAC ID: 6709292873 Enrollment ID: I20250821003401 |
| Provider Name | Charmi Balsara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689203986 PECOS PAC ID: 1951848241 Enrollment ID: I20250828004488 |
| Provider Name | Kaneez Zahra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326661794 PECOS PAC ID: 8527485887 Enrollment ID: I20251008000038 |
| Provider Name | Raghunandan Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912375916 PECOS PAC ID: 4284979055 Enrollment ID: I20251016000749 |
| Provider Name | Megan Dery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174986749 PECOS PAC ID: 4486948668 Enrollment ID: I20251030003126 |
| Provider Name | Elyse Buchbinder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811780224 PECOS PAC ID: 6103316591 Enrollment ID: I20251105000216 |
| Provider Name | Karen Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992030423 PECOS PAC ID: 1254566565 Enrollment ID: I20251105001526 |
| Provider Name | Cleopatra Karvounis Hopkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366265795 PECOS PAC ID: 1850881046 Enrollment ID: I20251106001945 |
| Provider Name | Alison Flentje |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407219397 PECOS PAC ID: 1557656881 Enrollment ID: I20251112001792 |
| Provider Name | Priva Janaki Kasturirangan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235889718 PECOS PAC ID: 1658756226 Enrollment ID: I20251202000180 |
| Provider Name | Hanna Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922988963 PECOS PAC ID: 1850879966 Enrollment ID: I20260130000709 |
| Provider Name | Varsha Sarma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518608728 PECOS PAC ID: 1153830674 Enrollment ID: I20260325003434 |
| Provider Name | Amar Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932661394 PECOS PAC ID: 5395071179 Enrollment ID: I20260401003644 |
| Provider Name | Kathleen Gorman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114984093 PECOS PAC ID: 0547496945 Enrollment ID: I20260406003257 |
| Provider Name | Alessandra Ferrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730676248 PECOS PAC ID: 6002161684 Enrollment ID: I20260518000268 |
Empowerment Healthcare Systems,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9106 Philadelphia Rd Ste 108b, Baltimore, MD 21237 Phone: 410-321-1961 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 |
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 |
Resorts of Augsburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6825 Campfield Rd, Baltimore, MD 21207 Phone: 732-335-6951 |