| Iu Health Medical Group, Llc | |
|
1701 N Senate Blvd Indianapolis IN 46202-1239 | |
| (317) 962-2000 | |
| Not Available |
| Full Name | Iu Health Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
| Authorized Official Name and Position | Todd Williams (CFO) |
| Authorized Official Contact | 3179483525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iu Health Medical Group, Llc 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: () - | Iu Health Medical Group, Llc 1701 N Senate Blvd Indianapolis IN 46202-1239 Ph: (317) 962-2000 |
| NPI Number | 1326893777 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/17/2025 |
| Medicare PECOS PAC ID | 9638617913 |
|---|---|
| Medicare Enrollment ID | O20240817000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326893777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Bhasker Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023005840 PECOS PAC ID: 9830003805 Enrollment ID: I20031113000827 |
| Provider Name | Josef E Streepey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659372720 PECOS PAC ID: 2466359872 Enrollment ID: I20031215000563 |
| Provider Name | Minati D Swofford |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346237476 PECOS PAC ID: 6305743220 Enrollment ID: I20040303000826 |
| Provider Name | Dana M Brock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811952096 PECOS PAC ID: 6204725211 Enrollment ID: I20040315000966 |
| Provider Name | William L Harvey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366444226 PECOS PAC ID: 8921092669 Enrollment ID: I20040414000427 |
| Provider Name | Samir K Gupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932164019 PECOS PAC ID: 6709872401 Enrollment ID: I20040420001336 |
| Provider Name | Paul A Skierczynski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588629935 PECOS PAC ID: 0941298939 Enrollment ID: I20040506000604 |
| Provider Name | Lee Mchenry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063476596 PECOS PAC ID: 9739178682 Enrollment ID: I20040507000181 |
| Provider Name | James L Watkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326002395 PECOS PAC ID: 7810986775 Enrollment ID: I20040507000275 |
| Provider Name | John M De Witt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346204401 PECOS PAC ID: 7315936101 Enrollment ID: I20040507000557 |
| Provider Name | Douglas K Rex |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164486643 PECOS PAC ID: 7719976471 Enrollment ID: I20040507001084 |
| Provider Name | David W Crabb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649234600 PECOS PAC ID: 9830092162 Enrollment ID: I20040510000918 |
| Provider Name | Areeba Y Kara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528069978 PECOS PAC ID: 7012906514 Enrollment ID: I20040510001143 |
| Provider Name | Evan L Fogel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164486684 PECOS PAC ID: 1153310685 Enrollment ID: I20040510001350 |
| Provider Name | Frank Paul Schubert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922036698 PECOS PAC ID: 0345222444 Enrollment ID: I20040602001603 |
| Provider Name | Kathryn A Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659383768 PECOS PAC ID: 3779566989 Enrollment ID: I20040609000984 |
| Provider Name | John William Stutsman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588693956 PECOS PAC ID: 6608859624 Enrollment ID: I20040610001184 |
| Provider Name | Suthat Liangpunsakul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790749224 PECOS PAC ID: 8123001047 Enrollment ID: I20040611000148 |
| Provider Name | Naga P Chalasani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588628002 PECOS PAC ID: 8921082538 Enrollment ID: I20040614000252 |
| Provider Name | Thomas F Imperiale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427012582 PECOS PAC ID: 0840274460 Enrollment ID: I20040614000333 |
| Provider Name | Richard Joseph Kovacs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447215777 PECOS PAC ID: 8527042746 Enrollment ID: I20040615001827 |
| Provider Name | Fernando B Perez Majul |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700841442 PECOS PAC ID: 3274513999 Enrollment ID: I20040722001390 |
| Provider Name | Bradley A Stalter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477543924 PECOS PAC ID: 5193795292 Enrollment ID: I20040727001177 |
| Provider Name | Scott Terence Cunningham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841220787 PECOS PAC ID: 5698763266 Enrollment ID: I20040802001416 |
| Provider Name | Kirby Douglas Slifer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073507422 PECOS PAC ID: 8022906452 Enrollment ID: I20040816001060 |
| Provider Name | Tyler Michael Stepsis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588771497 PECOS PAC ID: 3870566714 Enrollment ID: I20040818000388 |
| Provider Name | Ravi Kant Misra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437199296 PECOS PAC ID: 7517930324 Enrollment ID: I20040818000937 |
| Provider Name | Kenneth G Cornetta |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699731109 PECOS PAC ID: 1355315722 Enrollment ID: I20040823000077 |
| Provider Name | Anthony S Rose |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295783827 PECOS PAC ID: 7315911781 Enrollment ID: I20040823000110 |
| Provider Name | Robert J Alonso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548284011 PECOS PAC ID: 9931174935 Enrollment ID: I20040901001070 |
| Provider Name | James T Fesenmeier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649294166 PECOS PAC ID: 3173598059 Enrollment ID: I20040902000216 |
| Provider Name | Paul F Bustion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194749010 PECOS PAC ID: 9537135421 Enrollment ID: I20040902000319 |
| Provider Name | Daniel Frank Rexroth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508803164 PECOS PAC ID: 1951377159 Enrollment ID: I20040909000027 |
| Provider Name | Anne Greist |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063477073 PECOS PAC ID: 7113994948 Enrollment ID: I20040913000319 |
| Provider Name | Charles J Kahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225092752 PECOS PAC ID: 9335116482 Enrollment ID: I20040916000849 |
| Provider Name | Jenny Gojmerac Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750571394 PECOS PAC ID: 0042288367 Enrollment ID: I20040923000515 |
| Provider Name | Michael A Moorman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396760641 PECOS PAC ID: 2860451440 Enrollment ID: I20041008000310 |
| Provider Name | Susan M Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740204668 PECOS PAC ID: 4183683691 Enrollment ID: I20041008000662 |
| Provider Name | Dragos Sabau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104823004 PECOS PAC ID: 9234199480 Enrollment ID: I20041013000262 |
| Provider Name | Leighan S Bye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669422168 PECOS PAC ID: 4385604537 Enrollment ID: I20041013000297 |
| Provider Name | John V Hasewinkel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134182397 PECOS PAC ID: 9830173319 Enrollment ID: I20041020001294 |
| Provider Name | Hardeep K Dhadha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902861784 PECOS PAC ID: 5597726240 Enrollment ID: I20041026000078 |
| Provider Name | Deepak Bhakta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326002296 PECOS PAC ID: 0143281790 Enrollment ID: I20041026000907 |
| Provider Name | Avonelle A Dorant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578593414 PECOS PAC ID: 4284696709 Enrollment ID: I20041027001133 |
| Provider Name | Dylan D Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700996444 PECOS PAC ID: 7012979263 Enrollment ID: I20041029000692 |
| Provider Name | J Andrew Parr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346291671 PECOS PAC ID: 2365420882 Enrollment ID: I20041102000826 |
| Provider Name | Michael D Croner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548225725 PECOS PAC ID: 1759343494 Enrollment ID: I20041103001052 |
| Provider Name | Michael J Lisch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669497020 PECOS PAC ID: 5698738508 Enrollment ID: I20041110001023 |
| Provider Name | Larry A Hopkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740211580 PECOS PAC ID: 6204899115 Enrollment ID: I20041110001045 |
| Provider Name | Jon P Kuzmic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871558056 PECOS PAC ID: 8921062787 Enrollment ID: I20041112000348 |
| Provider Name | Jerry V Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760458871 PECOS PAC ID: 8022003912 Enrollment ID: I20041113000113 |
| Provider Name | James Q Mitchell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497718670 PECOS PAC ID: 9739163213 Enrollment ID: I20041117000269 |
| Provider Name | Laurence E Walsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235153636 PECOS PAC ID: 9739145004 Enrollment ID: I20041208000501 |
| Provider Name | Matthew S Kuchinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285644393 PECOS PAC ID: 0749246908 Enrollment ID: I20041208001198 |
| Provider Name | Sheila S Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235183336 PECOS PAC ID: 5890753065 Enrollment ID: I20041221000245 |
| Provider Name | Elizabeth A Case |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376579359 PECOS PAC ID: 4688632862 Enrollment ID: I20041221000261 |
| Provider Name | Bruce H Matt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013941558 PECOS PAC ID: 2365338431 Enrollment ID: I20050125000821 |
| Provider Name | John T Finnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871603514 PECOS PAC ID: 1355391103 Enrollment ID: I20050128000587 |
| Provider Name | John A Botkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508831827 PECOS PAC ID: 4486607884 Enrollment ID: I20050225000200 |
| Provider Name | Shahla N Hasnat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740255009 PECOS PAC ID: 3375596778 Enrollment ID: I20050225000212 |
| Provider Name | Kirstan K Meldrum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720073497 PECOS PAC ID: 7416900667 Enrollment ID: I20050228000602 |
| Provider Name | Chris P Karras |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396710513 PECOS PAC ID: 0941254965 Enrollment ID: I20050311000349 |
| Provider Name | Bryan P Schneider |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811953433 PECOS PAC ID: 8123073954 Enrollment ID: I20050315000463 |
| Provider Name | Mary P Trainor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497732770 PECOS PAC ID: 4486600541 Enrollment ID: I20050322001189 |
| Provider Name | Alexander Zemtsov |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811901184 PECOS PAC ID: 1759332570 Enrollment ID: I20050329000487 |
| Provider Name | Mason Ross Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508848433 PECOS PAC ID: 3779521976 Enrollment ID: I20050419000764 |
| Provider Name | Syed-adeel Hussain Zaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164488748 PECOS PAC ID: 6800837717 Enrollment ID: I20050519001096 |
| Provider Name | Jay R Bhatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952325441 PECOS PAC ID: 5890737209 Enrollment ID: I20050525001145 |
| Provider Name | Andrew J Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487697025 PECOS PAC ID: 2567407711 Enrollment ID: I20050628000358 |
| Provider Name | Ryan J Mcquillan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245255645 PECOS PAC ID: 2668417841 Enrollment ID: I20050628000641 |
| Provider Name | Ricky Cottrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962462648 PECOS PAC ID: 4284679473 Enrollment ID: I20050628000751 |
| Provider Name | Sean E Gardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689605453 PECOS PAC ID: 2769418672 Enrollment ID: I20050712000996 |
| Provider Name | Robert W Spech |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417958588 PECOS PAC ID: 3870529217 Enrollment ID: I20050715001094 |
| Provider Name | Scott D Roberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982605044 PECOS PAC ID: 8224064662 Enrollment ID: I20050715001105 |
| Provider Name | Ginat W Mirowski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750380275 PECOS PAC ID: 3072540350 Enrollment ID: I20050720000148 |
| Provider Name | Kari A Lemme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881764520 PECOS PAC ID: 3173550118 Enrollment ID: I20050721000625 |
| Provider Name | Babar A Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194783944 PECOS PAC ID: 9739118902 Enrollment ID: I20050808000846 |
| Provider Name | Aliya Noor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104876937 PECOS PAC ID: 5193754232 Enrollment ID: I20050809000318 |
| Provider Name | Gustavo M Benaderet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518923002 PECOS PAC ID: 6406885201 Enrollment ID: I20050811000710 |
| Provider Name | David Michael Haas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992735567 PECOS PAC ID: 9739110552 Enrollment ID: I20050822000992 |
| Provider Name | Amir Habib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306889233 PECOS PAC ID: 5092732008 Enrollment ID: I20051028000796 |
| Provider Name | Lauren J Dungy Poythress |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851404149 PECOS PAC ID: 8224056452 Enrollment ID: I20051107000553 |
| Provider Name | Jeffrey Robert Mossler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356312896 PECOS PAC ID: 3779486709 Enrollment ID: I20051115000358 |
| Provider Name | Timothy Justin Broach |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508822792 PECOS PAC ID: 5092734442 Enrollment ID: I20051115001083 |
| Provider Name | Melanie Anne Heniff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215979349 PECOS PAC ID: 8123047396 Enrollment ID: I20051116000878 |
| Provider Name | Darryl W Dixon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497771299 PECOS PAC ID: 4284654831 Enrollment ID: I20051129000311 |
| Provider Name | Ali Hamza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306811195 PECOS PAC ID: 2769413871 Enrollment ID: I20051129000977 |
| Provider Name | Jie Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962450270 PECOS PAC ID: 2961422035 Enrollment ID: I20051205000235 |
| Provider Name | William Emmert Swigart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871533950 PECOS PAC ID: 5496778268 Enrollment ID: I20060106000556 |
| Provider Name | Stacey L Halum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275569592 PECOS PAC ID: 9133106248 Enrollment ID: I20060127000483 |
| Provider Name | Riley Joseph Snook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407854045 PECOS PAC ID: 7214941608 Enrollment ID: I20060206000872 |
| Provider Name | Paris Roach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023072840 PECOS PAC ID: 6204841679 Enrollment ID: I20060207000679 |
| Provider Name | Hala Fatima |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275586976 PECOS PAC ID: 5698786051 Enrollment ID: I20060522000180 |
| Provider Name | Lawrence A Mark |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720025372 PECOS PAC ID: 5597778423 Enrollment ID: I20060719000220 |
| Provider Name | Rosalia Misseri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538127501 PECOS PAC ID: 2365412350 Enrollment ID: I20060721000140 |
| Provider Name | Kurt Andrew Riegner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689643280 PECOS PAC ID: 3577576131 Enrollment ID: I20060726000367 |
| Provider Name | Brian Mullis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598738437 PECOS PAC ID: 5395775761 Enrollment ID: I20060821000547 |
| Provider Name | Robert G Presson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407809833 PECOS PAC ID: 5193710960 Enrollment ID: I20060927000404 |
| Provider Name | Jennifer R Hur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740212448 PECOS PAC ID: 1557344264 Enrollment ID: I20061011000146 |
| Provider Name | Jerome M Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568402659 PECOS PAC ID: 7214933357 Enrollment ID: I20061012000087 |
| Provider Name | Shane Leonard Guffey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922035278 PECOS PAC ID: 8325045610 Enrollment ID: I20061030000373 |
| Provider Name | Woo Joo Yi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881632594 PECOS PAC ID: 1850398983 Enrollment ID: I20061101000560 |
| Provider Name | Amy B Kressel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457390668 PECOS PAC ID: 6204828767 Enrollment ID: I20061128000389 |
| Provider Name | Douglas N Tannas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891735833 PECOS PAC ID: 7517966328 Enrollment ID: I20061205000300 |
| Provider Name | Timothy J Ellender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811902133 PECOS PAC ID: 7113926676 Enrollment ID: I20061211000172 |
| Provider Name | Asif A Sharfuddin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942254065 PECOS PAC ID: 1153320304 Enrollment ID: I20061215000402 |
| Provider Name | John T Callaghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700825064 PECOS PAC ID: 5092714204 Enrollment ID: I20061218000286 |
| Provider Name | Jon K Hathaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033147590 PECOS PAC ID: 6305845314 Enrollment ID: I20061220000067 |
| Provider Name | Rana S Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245260819 PECOS PAC ID: 9931108941 Enrollment ID: I20061220000082 |
| Provider Name | Elizabeth Anne Ferries-rowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922036110 PECOS PAC ID: 2961402920 Enrollment ID: I20061222000211 |
| Provider Name | Mark A Luetkemeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821011941 PECOS PAC ID: 3870593270 Enrollment ID: I20070109000383 |
| Provider Name | Anita N Haggstrom |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639288723 PECOS PAC ID: 3971579251 Enrollment ID: I20070112000199 |
| Provider Name | Martin J Andersen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669406237 PECOS PAC ID: 5496752818 Enrollment ID: I20070207000506 |
| Provider Name | Sadia Saba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477652394 PECOS PAC ID: 6103929500 Enrollment ID: I20070305000530 |
| Provider Name | Shilpee Sinha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356435937 PECOS PAC ID: 8628171907 Enrollment ID: I20070306000498 |
| Provider Name | Tyson Victor Neumann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568565455 PECOS PAC ID: 3870697279 Enrollment ID: I20070323000431 |
| Provider Name | Karen S Stumpf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184600868 PECOS PAC ID: 5799889010 Enrollment ID: I20070327000200 |
| Provider Name | Ahmed Ibrahim Elsahy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407805690 PECOS PAC ID: 5294830477 Enrollment ID: I20070417000286 |
| Provider Name | Darren Caudill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255327706 PECOS PAC ID: 4981678711 Enrollment ID: I20070421000000 |
| Provider Name | Wambui J Murage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689765729 PECOS PAC ID: 6406951375 Enrollment ID: I20070421000005 |
| Provider Name | Dana M Toussant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447329297 PECOS PAC ID: 5890890776 Enrollment ID: I20070423000025 |
| Provider Name | Marc L Frost |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295733624 PECOS PAC ID: 3274638077 Enrollment ID: I20070424000508 |
| Provider Name | Thomas V Nowak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891876785 PECOS PAC ID: 4385740661 Enrollment ID: I20070503000160 |
| Provider Name | Anjan Kumar Sinha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033209515 PECOS PAC ID: 7214034008 Enrollment ID: I20070511000418 |
| Provider Name | Denisa Xhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801012133 PECOS PAC ID: 2769589068 Enrollment ID: I20070522000182 |
| Provider Name | Ziad A Jaradat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851472260 PECOS PAC ID: 5193822351 Enrollment ID: I20070523000008 |
| Provider Name | Anne E Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629136213 PECOS PAC ID: 5799882908 Enrollment ID: I20070523000413 |
| Provider Name | Mohammad Ali Al Haddad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275516239 PECOS PAC ID: 7113992561 Enrollment ID: I20070523000460 |
| Provider Name | Nabil F Fayad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700933900 PECOS PAC ID: 4880791003 Enrollment ID: I20070523000507 |
| Provider Name | Sydney Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467672964 PECOS PAC ID: 3173620127 Enrollment ID: I20070525000388 |
| Provider Name | Brenna C Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821166315 PECOS PAC ID: 4981702255 Enrollment ID: I20070611000166 |
| Provider Name | Michelle M Haweit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376653014 PECOS PAC ID: 2860590015 Enrollment ID: I20070612000180 |
| Provider Name | Daniel O Donnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649489055 PECOS PAC ID: 9436257490 Enrollment ID: I20070614000521 |
| Provider Name | Joseph C Skinner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831305283 PECOS PAC ID: 8820197817 Enrollment ID: I20070615000084 |
| Provider Name | Erik Allen Imel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326178971 PECOS PAC ID: 9830298249 Enrollment ID: I20070626000701 |
| Provider Name | Min Zhao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245360312 PECOS PAC ID: 4688773930 Enrollment ID: I20070627000253 |
| Provider Name | David M Stark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326253212 PECOS PAC ID: 3678673522 Enrollment ID: I20070709000069 |
| Provider Name | Omkar N Markand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124040118 PECOS PAC ID: 4880794254 Enrollment ID: I20070713000645 |
| Provider Name | Alexia M Torke |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215132865 PECOS PAC ID: 2961503107 Enrollment ID: I20070718000590 |
| Provider Name | Elizabeth Weinstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205039583 PECOS PAC ID: 8527169382 Enrollment ID: I20070723000828 |
| Provider Name | Hal J Minnigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558471276 PECOS PAC ID: 4688765480 Enrollment ID: I20070808000591 |
| Provider Name | Aloysius J Humbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821108556 PECOS PAC ID: 9830280635 Enrollment ID: I20070808000623 |
| Provider Name | James H Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114037884 PECOS PAC ID: 1456442250 Enrollment ID: I20070808000643 |
| Provider Name | Frank C Messina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629188347 PECOS PAC ID: 2769573575 Enrollment ID: I20070808000709 |
| Provider Name | Andrew W Beckman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730299488 PECOS PAC ID: 9234220054 Enrollment ID: I20070808000782 |
| Provider Name | Victoria C Palmer-smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134239841 PECOS PAC ID: 2264523901 Enrollment ID: I20070809000188 |
| Provider Name | Daniel E Rusyniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841309739 PECOS PAC ID: 9032200779 Enrollment ID: I20070809000213 |
| Provider Name | Raj K Vuppalanchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588872923 PECOS PAC ID: 7810088598 Enrollment ID: I20070809000539 |
| Provider Name | Marla C Doehring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467562108 PECOS PAC ID: 8224120274 Enrollment ID: I20070822000527 |
| Provider Name | Karen A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578761235 PECOS PAC ID: 0143314021 Enrollment ID: I20070924000000 |
| Provider Name | Marco A Lacerda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386774172 PECOS PAC ID: 7214022201 Enrollment ID: I20071005000354 |
| Provider Name | Seyed Hamid Sayar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851430862 PECOS PAC ID: 8123111622 Enrollment ID: I20071030000332 |
| Provider Name | Susan M Bilbrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487796652 PECOS PAC ID: 7618064817 Enrollment ID: I20071106000035 |
| Provider Name | Christine B Caltoum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386620854 PECOS PAC ID: 8325133721 Enrollment ID: I20071113000041 |
| Provider Name | Christopher Zee Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902876196 PECOS PAC ID: 7214025709 Enrollment ID: I20071116000322 |
| Provider Name | Kim K Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982746178 PECOS PAC ID: 4981792173 Enrollment ID: I20071126000228 |
| Provider Name | John R Mcnary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316143092 PECOS PAC ID: 3577652452 Enrollment ID: I20071129000482 |
| Provider Name | Christy B Krieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649474941 PECOS PAC ID: 8426138629 Enrollment ID: I20071228000491 |
| Provider Name | Janos P Ertl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558430587 PECOS PAC ID: 7012918451 Enrollment ID: I20080104000528 |
| Provider Name | Jignaben C Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952581514 PECOS PAC ID: 0648351411 Enrollment ID: I20080117000612 |
| Provider Name | Kathy D Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649236043 PECOS PAC ID: 4486735297 Enrollment ID: I20080118000112 |
| Provider Name | Lisa H Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043293236 PECOS PAC ID: 4880776434 Enrollment ID: I20080205000056 |
| Provider Name | Chemen M Neal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033237250 PECOS PAC ID: 5597848515 Enrollment ID: I20080214000363 |
| Provider Name | Deborah K Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639204571 PECOS PAC ID: 6507949476 Enrollment ID: I20080215000210 |
| Provider Name | David A Kareken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710901269 PECOS PAC ID: 3173600970 Enrollment ID: I20080403000208 |
| Provider Name | Rachel M Pfeiffer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992910186 PECOS PAC ID: 2365520087 Enrollment ID: I20080422000378 |
| Provider Name | John I Nurnberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255378220 PECOS PAC ID: 6103905013 Enrollment ID: I20080505000064 |
| Provider Name | Stacy A Lobodzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174713820 PECOS PAC ID: 7911077763 Enrollment ID: I20080605000043 |
| Provider Name | Tim Taber |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104823509 PECOS PAC ID: 1759488893 Enrollment ID: I20080605000632 |
| Provider Name | Carmella Evans-molina |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306063078 PECOS PAC ID: 7315838851 Enrollment ID: I20080606000268 |
| Provider Name | Jacquelynn Therese Swan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962462804 PECOS PAC ID: 1759333792 Enrollment ID: I20080627000160 |
| Provider Name | Sarah Morgan Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902076300 PECOS PAC ID: 6103998307 Enrollment ID: I20080703000210 |
| Provider Name | Michael C Blakley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184607038 PECOS PAC ID: 7315010972 Enrollment ID: I20080716000128 |
| Provider Name | John W Wolfe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083882948 PECOS PAC ID: 6901979566 Enrollment ID: I20080716000176 |
| Provider Name | Amy L Mccutchan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487845475 PECOS PAC ID: 5395838403 Enrollment ID: I20080716000203 |
| Provider Name | Cynthia L Bodkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437132735 PECOS PAC ID: 9739127077 Enrollment ID: I20080726000032 |
| Provider Name | Ryan T Overman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679780605 PECOS PAC ID: 3476627217 Enrollment ID: I20080728000817 |
| Provider Name | Renee C Moenning |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922192301 PECOS PAC ID: 7113916008 Enrollment ID: I20080806000290 |
| Provider Name | Aaron M Leary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710903 PECOS PAC ID: 5890869747 Enrollment ID: I20080811000507 |
| Provider Name | Erin Vale Newton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285698084 PECOS PAC ID: 2769400357 Enrollment ID: I20080813000856 |
| Provider Name | Harvey Feigenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083678965 PECOS PAC ID: 9032125299 Enrollment ID: I20080820000391 |
| Provider Name | John M Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467417022 PECOS PAC ID: 8224103569 Enrollment ID: I20080820000583 |
| Provider Name | Jeffrey A Breall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831153717 PECOS PAC ID: 0840365193 Enrollment ID: I20080820000692 |
| Provider Name | Marwan S Ghabril |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366431231 PECOS PAC ID: 3678534104 Enrollment ID: I20080822000699 |
| Provider Name | Angela B Fiege |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538363924 PECOS PAC ID: 9638244643 Enrollment ID: I20080826000172 |
| Provider Name | Shalini Manchanda |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1013073543 PECOS PAC ID: 9335170620 Enrollment ID: I20080827000319 |
| Provider Name | William G Carlos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245403427 PECOS PAC ID: 6800962820 Enrollment ID: I20080827000422 |
| Provider Name | Mithilesh K Das |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568426443 PECOS PAC ID: 6608942651 Enrollment ID: I20080828000001 |
| Provider Name | Catherine Golden Hilliker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760688600 PECOS PAC ID: 7214003011 Enrollment ID: I20080902000316 |
| Provider Name | Cristina S Ivan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932195732 PECOS PAC ID: 2860421849 Enrollment ID: I20080902000377 |
| Provider Name | Naveen Manchanda |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1881750313 PECOS PAC ID: 9830265685 Enrollment ID: I20080903000151 |
| Provider Name | Yar L Yeap |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447418637 PECOS PAC ID: 9931275658 Enrollment ID: I20080904000047 |
| Provider Name | Laurie A Miranda |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346269016 PECOS PAC ID: 6608942297 Enrollment ID: I20080905000055 |
| Provider Name | Rebecca J Trepcos-klinger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154535714 PECOS PAC ID: 4385637529 Enrollment ID: I20080905000065 |
| Provider Name | Michael G Moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851427900 PECOS PAC ID: 0941392310 Enrollment ID: I20080908000204 |
| Provider Name | Stephen G Sawada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306801923 PECOS PAC ID: 5395811640 Enrollment ID: I20080910000304 |
| Provider Name | Elisabeth N Von Der Lohe |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760447270 PECOS PAC ID: 6901973817 Enrollment ID: I20080918000333 |
| Provider Name | Anne Mary K Montero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447467048 PECOS PAC ID: 2365519964 Enrollment ID: I20080924000150 |
| Provider Name | Timothy A Masterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528227923 PECOS PAC ID: 8921167321 Enrollment ID: I20081029000899 |
| Provider Name | Amy Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750545109 PECOS PAC ID: 5294894358 Enrollment ID: I20081104000288 |
| Provider Name | Elizabeth A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487643615 PECOS PAC ID: 4789744350 Enrollment ID: I20081201000332 |
| Provider Name | Joanne M Wojcieszek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699798686 PECOS PAC ID: 2860553294 Enrollment ID: I20081204000113 |
| Provider Name | Deborah K Sokol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215950282 PECOS PAC ID: 7618038043 Enrollment ID: I20081204000176 |
| Provider Name | Vicenta Salanova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033132097 PECOS PAC ID: 7416018858 Enrollment ID: I20081204000205 |
| Provider Name | Edward J Dropcho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962424937 PECOS PAC ID: 3577624899 Enrollment ID: I20081205000004 |
| Provider Name | Martin R Farlow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508880022 PECOS PAC ID: 6204997521 Enrollment ID: I20081205000007 |
| Provider Name | James D Fleck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972527406 PECOS PAC ID: 9931260254 Enrollment ID: I20081205000010 |
| Provider Name | Ann M Hake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275547291 PECOS PAC ID: 2668533985 Enrollment ID: I20081205000014 |
| Provider Name | John C Kincaid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346264892 PECOS PAC ID: 8820159148 Enrollment ID: I20081205000034 |
| Provider Name | Robert M Pascuzzi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710901277 PECOS PAC ID: 1254329055 Enrollment ID: I20081205000072 |
| Provider Name | Catherine T Coscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346458890 PECOS PAC ID: 3779645601 Enrollment ID: I20081230000573 |
| Provider Name | Richard C Rink |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720074149 PECOS PAC ID: 4486624418 Enrollment ID: I20090112000436 |
| Provider Name | Cary N Mariash |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477636371 PECOS PAC ID: 7911096474 Enrollment ID: I20090225000015 |
| Provider Name | Abideen O Yekinni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710904164 PECOS PAC ID: 2668539743 Enrollment ID: I20090317000016 |
| Provider Name | Ingrida I Ozols |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710068796 PECOS PAC ID: 4587711643 Enrollment ID: I20090408000089 |
| Provider Name | Margaret S Sozio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811023344 PECOS PAC ID: 0143379206 Enrollment ID: I20090519000664 |
| Provider Name | Grant L Mcbride |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619130366 PECOS PAC ID: 0840340089 Enrollment ID: I20090610000443 |
| Provider Name | Christopher T Jackman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609081264 PECOS PAC ID: 7214087170 Enrollment ID: I20090615000633 |
| Provider Name | Damon C Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295795771 PECOS PAC ID: 0840273231 Enrollment ID: I20090623000009 |
| Provider Name | Shadia I Jalal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942464896 PECOS PAC ID: 1355493743 Enrollment ID: I20090715000752 |
| Provider Name | David W Roe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275593964 PECOS PAC ID: 6709938194 Enrollment ID: I20090715000756 |
| Provider Name | Ripley W Worman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376701961 PECOS PAC ID: 1850443979 Enrollment ID: I20090720000539 |
| Provider Name | Chad M Trambaugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396926366 PECOS PAC ID: 5991857872 Enrollment ID: I20090723000805 |
| Provider Name | Lisa A Mims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629197041 PECOS PAC ID: 0941353460 Enrollment ID: I20090731000262 |
| Provider Name | Michele C Cabellon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588680888 PECOS PAC ID: 9335193424 Enrollment ID: I20090821000129 |
| Provider Name | Charles R Powell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013125871 PECOS PAC ID: 3678643293 Enrollment ID: I20090828000225 |
| Provider Name | Alison S Klenk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205900800 PECOS PAC ID: 4082708474 Enrollment ID: I20090908000357 |
| Provider Name | Leilani S Mullis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669639084 PECOS PAC ID: 6305982265 Enrollment ID: I20091006000627 |
| Provider Name | Sarah E Zauber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023136983 PECOS PAC ID: 2769557883 Enrollment ID: I20091020000538 |
| Provider Name | Laura M Tormoehlen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740496389 PECOS PAC ID: 9133266323 Enrollment ID: I20091020000645 |
| Provider Name | Bree A Weaver |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487811915 PECOS PAC ID: 9133266877 Enrollment ID: I20091028000612 |
| Provider Name | Elizabeth L Begyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306170626 PECOS PAC ID: 0547307241 Enrollment ID: I20091029000365 |
| Provider Name | Mark O Farber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972553782 PECOS PAC ID: 0648319228 Enrollment ID: I20091120000697 |
| Provider Name | Homer L Twigg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841255304 PECOS PAC ID: 2860531985 Enrollment ID: I20091203000270 |
| Provider Name | Michael D Ober |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952366924 PECOS PAC ID: 0244379949 Enrollment ID: I20091208000765 |
| Provider Name | Michael J Econs |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619931441 PECOS PAC ID: 9032259593 Enrollment ID: I20091215000330 |
| Provider Name | Toyia Nicole James Stevenson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164634887 PECOS PAC ID: 8426198789 Enrollment ID: I20091216000624 |
| Provider Name | Shelly J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427044874 PECOS PAC ID: 1951441286 Enrollment ID: I20091217000613 |
| Provider Name | Francis D Sheski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225093784 PECOS PAC ID: 3274673462 Enrollment ID: I20091219000004 |
| Provider Name | Melissa K Cavaghan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649234436 PECOS PAC ID: 9830109925 Enrollment ID: I20100112000379 |
| Provider Name | Douglass S Hale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386623254 PECOS PAC ID: 2668454455 Enrollment ID: I20100205000003 |
| Provider Name | Ranjani Moorthi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255452868 PECOS PAC ID: 7012051725 Enrollment ID: I20100218000728 |
| Provider Name | Jana B Yeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922056795 PECOS PAC ID: 3971647587 Enrollment ID: I20100220000275 |
| Provider Name | Katherine J Kelly |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033174347 PECOS PAC ID: 7214072404 Enrollment ID: I20100226000125 |
| Provider Name | Sharon M Moe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851356547 PECOS PAC ID: 9739224924 Enrollment ID: I20100226000161 |
| Provider Name | Theodore F Logan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568428498 PECOS PAC ID: 9335284470 Enrollment ID: I20100301000849 |
| Provider Name | Richard N Hellman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174588479 PECOS PAC ID: 9739224882 Enrollment ID: I20100301000902 |
| Provider Name | Sharon L Karp |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124083431 PECOS PAC ID: 0547305526 Enrollment ID: I20100302000269 |
| Provider Name | Jennifer E Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881650356 PECOS PAC ID: 4183769193 Enrollment ID: I20100302000550 |
| Provider Name | Rakesh P Mehta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174589600 PECOS PAC ID: 1850436783 Enrollment ID: I20100303000824 |
| Provider Name | Michael J Robertson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861458275 PECOS PAC ID: 7810032745 Enrollment ID: I20100303000867 |
| Provider Name | Patrick Loehrer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1245296847 PECOS PAC ID: 1153466099 Enrollment ID: I20100303000905 |
| Provider Name | Paul Helft |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417912387 PECOS PAC ID: 5991840837 Enrollment ID: I20100303000965 |
| Provider Name | Matthew D Dollins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578528212 PECOS PAC ID: 0648315408 Enrollment ID: I20100304000123 |
| Provider Name | Timothy A Sutton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194780403 PECOS PAC ID: 4981749751 Enrollment ID: I20100304000164 |
| Provider Name | Kathleen A Prag |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982661179 PECOS PAC ID: 2961547732 Enrollment ID: I20100304000198 |
| Provider Name | Asok C Antony |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427013416 PECOS PAC ID: 8325183114 Enrollment ID: I20100304000408 |
| Provider Name | Lawrence H Einhorn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588629695 PECOS PAC ID: 4981749710 Enrollment ID: I20100304000798 |
| Provider Name | Allon N Friedman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639134364 PECOS PAC ID: 1850426008 Enrollment ID: I20100313000013 |
| Provider Name | Dennis P Mishler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215992409 PECOS PAC ID: 5698800191 Enrollment ID: I20100323000646 |
| Provider Name | Larry D Cripe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225094741 PECOS PAC ID: 4981730769 Enrollment ID: I20100331000584 |
| Provider Name | Nasser H Hanna |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316903883 PECOS PAC ID: 5597891135 Enrollment ID: I20100407000348 |
| Provider Name | Michael A Kraus |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730147836 PECOS PAC ID: 0648307090 Enrollment ID: I20100416000444 |
| Provider Name | Rafat Abonour |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1750346755 PECOS PAC ID: 2769519602 Enrollment ID: I20100423000551 |
| Provider Name | Muhammad S Yaqub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942267406 PECOS PAC ID: 3173650710 Enrollment ID: I20100429001071 |
| Provider Name | Steven T Hugenberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003872656 PECOS PAC ID: 3173651742 Enrollment ID: I20100503000746 |
| Provider Name | Chris C Naum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215938451 PECOS PAC ID: 4880590843 Enrollment ID: I20100602000867 |
| Provider Name | Lawrence J Bortenschlager |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801897236 PECOS PAC ID: 6103722178 Enrollment ID: I20100603000688 |
| Provider Name | Chris J Hartman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023020625 PECOS PAC ID: 7214823343 Enrollment ID: I20100603000806 |
| Provider Name | Michael W Sanford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659535227 PECOS PAC ID: 1658401161 Enrollment ID: I20100610000043 |
| Provider Name | Robert W Weller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780685867 PECOS PAC ID: 7012813074 Enrollment ID: I20100610000134 |
| Provider Name | Jamie A Stonehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770716474 PECOS PAC ID: 8325178858 Enrollment ID: I20100610000248 |
| Provider Name | Patrick F Mcquillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669473989 PECOS PAC ID: 1456481985 Enrollment ID: I20100610000306 |
| Provider Name | Thomas Y Sullivan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669474524 PECOS PAC ID: 8022914084 Enrollment ID: I20100610000579 |
| Provider Name | Amy L Dorwart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245488352 PECOS PAC ID: 4981734282 Enrollment ID: I20100614000217 |
| Provider Name | Rolf P Kreutz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235398330 PECOS PAC ID: 0143351593 Enrollment ID: I20100628001132 |
| Provider Name | Laura K Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437317542 PECOS PAC ID: 9739210139 Enrollment ID: I20100629000548 |
| Provider Name | Ranjeet S Singh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750599510 PECOS PAC ID: 4880725043 Enrollment ID: I20100701000731 |
| Provider Name | Virginia A Caine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699720847 PECOS PAC ID: 9931230059 Enrollment ID: I20100706000201 |
| Provider Name | Gabriel T Bosslet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114967932 PECOS PAC ID: 1951305192 Enrollment ID: I20100706000272 |
| Provider Name | Ronald A Mastouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134389968 PECOS PAC ID: 4880725951 Enrollment ID: I20100706000814 |
| Provider Name | Todd S Biggerstaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891796157 PECOS PAC ID: 6507998283 Enrollment ID: I20100715000393 |
| Provider Name | Kim K Shimonek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457684581 PECOS PAC ID: 3870625221 Enrollment ID: I20100720000792 |
| Provider Name | Attaya Suvannasankha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760447643 PECOS PAC ID: 5991837379 Enrollment ID: I20100721000035 |
| Provider Name | Warren B Gavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881852085 PECOS PAC ID: 3375675556 Enrollment ID: I20100723000464 |
| Provider Name | Maryann Chinwe Chimhanda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801056601 PECOS PAC ID: 2466585252 Enrollment ID: I20100730000220 |
| Provider Name | Patricia A Treadwell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508892613 PECOS PAC ID: 3577696319 Enrollment ID: I20100730000856 |
| Provider Name | Darlene R House |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558563874 PECOS PAC ID: 6507999034 Enrollment ID: I20100804000034 |
| Provider Name | Golda M James |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972767283 PECOS PAC ID: 3072646538 Enrollment ID: I20100804000397 |
| Provider Name | Chandru P Sundaram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609861384 PECOS PAC ID: 1850424060 Enrollment ID: I20100809000207 |
| Provider Name | Arjun D Sinha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942468657 PECOS PAC ID: 1557494705 Enrollment ID: I20100809000650 |
| Provider Name | Lawrence Daniel Wurtz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861443194 PECOS PAC ID: 9830223619 Enrollment ID: I20100816000456 |
| Provider Name | Atif Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144279340 PECOS PAC ID: 8022142710 Enrollment ID: I20100817000779 |
| Provider Name | Farzad Loghmani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689639130 PECOS PAC ID: 7810096005 Enrollment ID: I20100818000228 |
| Provider Name | Charles W Yates |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275709958 PECOS PAC ID: 7618001041 Enrollment ID: I20100819001139 |
| Provider Name | Taha Z Shipchandler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023288230 PECOS PAC ID: 7719037597 Enrollment ID: I20100827000030 |
| Provider Name | Karl D Shively |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497914295 PECOS PAC ID: 7719001239 Enrollment ID: I20100903000615 |
| Provider Name | Thomas Allen Gardner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376538066 PECOS PAC ID: 2769507136 Enrollment ID: I20100909000442 |
| Provider Name | Joseph S Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073777827 PECOS PAC ID: 3971628280 Enrollment ID: I20100909001083 |
| Provider Name | Michael Oscar Koch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821084252 PECOS PAC ID: 1153391172 Enrollment ID: I20100917000749 |
| Provider Name | Nicole K Greives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972818938 PECOS PAC ID: 8527250083 Enrollment ID: I20101004000361 |
| Provider Name | Mark P Cain |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912993320 PECOS PAC ID: 1052381084 Enrollment ID: I20101004000490 |
| Provider Name | Scott A Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699906321 PECOS PAC ID: 4688866841 Enrollment ID: I20101006000235 |
| Provider Name | Elliot J Androphy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740261478 PECOS PAC ID: 0446297055 Enrollment ID: I20101007000142 |
| Provider Name | Michele A O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659685915 PECOS PAC ID: 3870785520 Enrollment ID: I20101013000375 |
| Provider Name | Barbra A Bachmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003822263 PECOS PAC ID: 7911191267 Enrollment ID: I20101030000206 |
| Provider Name | Tara N Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992013957 PECOS PAC ID: 6608060587 Enrollment ID: I20101104000920 |
| Provider Name | Marcia V Felker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255548558 PECOS PAC ID: 9335333228 Enrollment ID: I20101104000922 |
| Provider Name | Mark D Tasch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447203195 PECOS PAC ID: 9133314693 Enrollment ID: I20101109001548 |
| Provider Name | Luke C Schafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649438078 PECOS PAC ID: 2769677897 Enrollment ID: I20101115000354 |
| Provider Name | David A Nakata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659324754 PECOS PAC ID: 0941495097 Enrollment ID: I20101115000640 |
| Provider Name | Robert J Laviolette |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689609893 PECOS PAC ID: 9436344330 Enrollment ID: I20101117000095 |
| Provider Name | Douglas Groswald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215967070 PECOS PAC ID: 5698961456 Enrollment ID: I20101119000356 |
| Provider Name | Rajesh K Pai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134145816 PECOS PAC ID: 8022204700 Enrollment ID: I20101119000749 |
| Provider Name | Janet L Wendeln |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174561518 PECOS PAC ID: 5799971735 Enrollment ID: I20101202000168 |
| Provider Name | Galina N Klimek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609833318 PECOS PAC ID: 9931396959 Enrollment ID: I20101202001315 |
| Provider Name | Jodie M Greenwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497785257 PECOS PAC ID: 8820285851 Enrollment ID: I20101202001342 |
| Provider Name | Beth A Traylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457399891 PECOS PAC ID: 6002003076 Enrollment ID: I20101203000568 |
| Provider Name | Marla L Slough |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841238581 PECOS PAC ID: 3678760469 Enrollment ID: I20101206000826 |
| Provider Name | Pamela S Bryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790715159 PECOS PAC ID: 0244427706 Enrollment ID: I20101209000404 |
| Provider Name | Douglas A Berebitsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811935232 PECOS PAC ID: 0840487161 Enrollment ID: I20101211000181 |
| Provider Name | Shira Yahalom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770647471 PECOS PAC ID: 8527161371 Enrollment ID: I20101215000887 |
| Provider Name | Henry C Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073548277 PECOS PAC ID: 4789872417 Enrollment ID: I20101222000674 |
| Provider Name | Thomas Mote |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205851557 PECOS PAC ID: 9537231394 Enrollment ID: I20101229000340 |
| Provider Name | Xiaotao F Qian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295760692 PECOS PAC ID: 3870781230 Enrollment ID: I20101229000531 |
| Provider Name | Christian N Beaton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003854423 PECOS PAC ID: 9335337732 Enrollment ID: I20101229000924 |
| Provider Name | Veronica M Somerville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902112105 PECOS PAC ID: 3173711421 Enrollment ID: I20101230000582 |
| Provider Name | Kathleen P Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962711333 PECOS PAC ID: 7517156607 Enrollment ID: I20110105000216 |
| Provider Name | Stephen H Rosenfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417900762 PECOS PAC ID: 4880883438 Enrollment ID: I20110112000753 |
| Provider Name | Elizabeth A Kroepfl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508817511 PECOS PAC ID: 9739368200 Enrollment ID: I20110131000151 |
| Provider Name | Syed J Sher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174694665 PECOS PAC ID: 4486617289 Enrollment ID: I20110208000452 |
| Provider Name | Jennifer N Weida |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689833915 PECOS PAC ID: 1658552112 Enrollment ID: I20110217000090 |
| Provider Name | Sandra Hervey Schwab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346284387 PECOS PAC ID: 4880675875 Enrollment ID: I20110217000373 |
| Provider Name | Tamara I Mendez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457340804 PECOS PAC ID: 9931144458 Enrollment ID: I20110224000756 |
| Provider Name | John Christopher Formoso Tang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346458825 PECOS PAC ID: 1052593837 Enrollment ID: I20110315001062 |
| Provider Name | Lindsey J Reese |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467655282 PECOS PAC ID: 9830373018 Enrollment ID: I20110413000103 |
| Provider Name | Hua Meng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942239298 PECOS PAC ID: 7719162668 Enrollment ID: I20110419000957 |
| Provider Name | Kelly M Kasper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881622371 PECOS PAC ID: 5890970446 Enrollment ID: I20110426000617 |
| Provider Name | Nicole P Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770724700 PECOS PAC ID: 5799961462 Enrollment ID: I20110513000061 |
| Provider Name | Mark E Nielson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942407838 PECOS PAC ID: 2668658808 Enrollment ID: I20110524000071 |
| Provider Name | Adam J Lemmon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043474562 PECOS PAC ID: 9830375096 Enrollment ID: I20110524000248 |
| Provider Name | Christopher S Eddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174782163 PECOS PAC ID: 1052598174 Enrollment ID: I20110526000684 |
| Provider Name | Noel R Dasgupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710092663 PECOS PAC ID: 7517060965 Enrollment ID: I20110610000237 |
| Provider Name | Catherine R Sears |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508913393 PECOS PAC ID: 6608053020 Enrollment ID: I20110610000310 |
| Provider Name | Monika Fischer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023264900 PECOS PAC ID: 3779761960 Enrollment ID: I20110616000403 |
| Provider Name | Matthew D Warner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679771919 PECOS PAC ID: 2163600305 Enrollment ID: I20110617000185 |
| Provider Name | Alaina C Mcsherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144456286 PECOS PAC ID: 9739231879 Enrollment ID: I20110629000640 |
| Provider Name | Nicholas R Newsom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811158736 PECOS PAC ID: 1254519853 Enrollment ID: I20110630000391 |
| Provider Name | Joseph Paul Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700047305 PECOS PAC ID: 2365620986 Enrollment ID: I20110630000592 |
| Provider Name | Santi Gottumukkala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699939900 PECOS PAC ID: 2466630843 Enrollment ID: I20110707000552 |
| Provider Name | Nicholas A Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265642276 PECOS PAC ID: 6204014525 Enrollment ID: I20110708000470 |
| Provider Name | Catherine E Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699743690 PECOS PAC ID: 9830198118 Enrollment ID: I20110715000315 |
| Provider Name | Brownsyne M Tucker Edmonds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285800227 PECOS PAC ID: 7416083068 Enrollment ID: I20110720000769 |
| Provider Name | John M Wo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972596906 PECOS PAC ID: 1658264056 Enrollment ID: I20110802000271 |
| Provider Name | Christiane Machado |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790925618 PECOS PAC ID: 9234308453 Enrollment ID: I20110804000426 |
| Provider Name | Mark A Unroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832834 PECOS PAC ID: 8022287101 Enrollment ID: I20110805000450 |
| Provider Name | Kevin Richard Rice |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306017488 PECOS PAC ID: 6204005895 Enrollment ID: I20110817000112 |
| Provider Name | Howard Cooper Masuoka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770630162 PECOS PAC ID: 4688676067 Enrollment ID: I20110817000348 |
| Provider Name | Jason S Mackey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629282165 PECOS PAC ID: 9931238912 Enrollment ID: I20110818000377 |
| Provider Name | Douglas K Nam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275652497 PECOS PAC ID: 1355511460 Enrollment ID: I20110829000456 |
| Provider Name | Hak Nam Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104119387 PECOS PAC ID: 0345411880 Enrollment ID: I20110914000263 |
| Provider Name | Melissa C Knutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578721783 PECOS PAC ID: 0446384598 Enrollment ID: I20110915000619 |
| Provider Name | Jonathan W Bazeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750580445 PECOS PAC ID: 2264584465 Enrollment ID: I20110920000790 |
| Provider Name | Thomas A Coffelt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760683262 PECOS PAC ID: 1658543673 Enrollment ID: I20111017000162 |
| Provider Name | Martin Kaefer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740276880 PECOS PAC ID: 9032189063 Enrollment ID: I20111027000066 |
| Provider Name | Amy L Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932499548 PECOS PAC ID: 8123294410 Enrollment ID: I20120109000666 |
| Provider Name | Mark D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659461564 PECOS PAC ID: 1153588199 Enrollment ID: I20120202000899 |
| Provider Name | Omar Rahman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861457715 PECOS PAC ID: 2466424080 Enrollment ID: I20120223000833 |
| Provider Name | Rebecca M Risser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598909061 PECOS PAC ID: 1456510452 Enrollment ID: I20120312000250 |
| Provider Name | Marcie K Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558521849 PECOS PAC ID: 6103088125 Enrollment ID: I20120508000471 |
| Provider Name | Kavitha Subramoney |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194958033 PECOS PAC ID: 8729241054 Enrollment ID: I20120523000421 |
| Provider Name | Asma A Siddiqui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720074297 PECOS PAC ID: 6305808627 Enrollment ID: I20120524000002 |
| Provider Name | Lauren E Baker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407014061 PECOS PAC ID: 3173786191 Enrollment ID: I20120531000170 |
| Provider Name | Kirithika Dorairaj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790916799 PECOS PAC ID: 2163686163 Enrollment ID: I20120601000415 |
| Provider Name | Bradley S Destefano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275706384 PECOS PAC ID: 8022272053 Enrollment ID: I20120604000140 |
| Provider Name | Kokila Bindiganavile Nagendran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386931806 PECOS PAC ID: 4880858844 Enrollment ID: I20120604000551 |
| Provider Name | Matthew J Turner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033308275 PECOS PAC ID: 6204090145 Enrollment ID: I20120606000006 |
| Provider Name | Evan T Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982839296 PECOS PAC ID: 2264696103 Enrollment ID: I20120606000044 |
| Provider Name | Lindsey C Hansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174770788 PECOS PAC ID: 9335303270 Enrollment ID: I20120606000063 |
| Provider Name | Robert M Siwiec |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184880676 PECOS PAC ID: 6608030192 Enrollment ID: I20120613000472 |
| Provider Name | Nicole R Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386870772 PECOS PAC ID: 8426212515 Enrollment ID: I20120621000553 |
| Provider Name | Benjamin Michael Whittam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508913328 PECOS PAC ID: 1052576618 Enrollment ID: I20120705000026 |
| Provider Name | Johanna R Newton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356576888 PECOS PAC ID: 8820253404 Enrollment ID: I20120705000180 |
| Provider Name | Tarek M Ashkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750465308 PECOS PAC ID: 9436233970 Enrollment ID: I20120710000335 |
| Provider Name | Jeffrey L Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043479348 PECOS PAC ID: 6406011782 Enrollment ID: I20120712000198 |
| Provider Name | Joanna Hwang Watkins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124079496 PECOS PAC ID: 3274681192 Enrollment ID: I20120720000016 |
| Provider Name | Rajnish Khillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043541949 PECOS PAC ID: 3476719113 Enrollment ID: I20120724000575 |
| Provider Name | Takashi Hato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043421209 PECOS PAC ID: 8325204985 Enrollment ID: I20120725000978 |
| Provider Name | Ryan D Nagy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558538546 PECOS PAC ID: 2769652536 Enrollment ID: I20120730000381 |
| Provider Name | Jesse A Beery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821225525 PECOS PAC ID: 0547416836 Enrollment ID: I20120801000617 |
| Provider Name | Jodi L. Skiles |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700094679 PECOS PAC ID: 6204083108 Enrollment ID: I20120829000010 |
| Provider Name | Jonathan Y Ting |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609034651 PECOS PAC ID: 3274780820 Enrollment ID: I20120904000465 |
| Provider Name | Mohsin Iqbal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750323481 PECOS PAC ID: 6901877901 Enrollment ID: I20121012000792 |
| Provider Name | Mitchell Kenneth Craft |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275758617 PECOS PAC ID: 0244337566 Enrollment ID: I20121026000649 |
| Provider Name | Grant H Gilroy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255651261 PECOS PAC ID: 9133370968 Enrollment ID: I20121103000104 |
| Provider Name | Sarah J Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730437930 PECOS PAC ID: 6103077326 Enrollment ID: I20121117000081 |
| Provider Name | Chilnille L Milbrooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669724373 PECOS PAC ID: 7012161813 Enrollment ID: I20130201000337 |
| Provider Name | Bradley L Allen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487610358 PECOS PAC ID: 9638324486 Enrollment ID: I20130227000359 |
| Provider Name | Timothy M Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215284344 PECOS PAC ID: 4284694886 Enrollment ID: I20130318000371 |
| Provider Name | Jaison A Grimes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588827026 PECOS PAC ID: 5890931760 Enrollment ID: I20130419000123 |
| Provider Name | Leslee A Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265794663 PECOS PAC ID: 7618114067 Enrollment ID: I20130502000557 |
| Provider Name | Joshua B Brewster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700048709 PECOS PAC ID: 7911156179 Enrollment ID: I20130509000251 |
| Provider Name | Lanna M Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366709701 PECOS PAC ID: 2860639481 Enrollment ID: I20130518000037 |
| Provider Name | Sarah Kristin Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669600805 PECOS PAC ID: 3072768753 Enrollment ID: I20130529000714 |
| Provider Name | Jennifer L Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124253513 PECOS PAC ID: 9436399714 Enrollment ID: I20130710000193 |
| Provider Name | Robert A Kemp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639127764 PECOS PAC ID: 9931231834 Enrollment ID: I20130715000062 |
| Provider Name | Joseph B Hinton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023279130 PECOS PAC ID: 5890951909 Enrollment ID: I20130717000836 |
| Provider Name | Michael T Eadon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386880037 PECOS PAC ID: 5193978641 Enrollment ID: I20130729000566 |
| Provider Name | Frances M Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566055 PECOS PAC ID: 0840448395 Enrollment ID: I20130730000217 |
| Provider Name | Rajat Kapoor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508037722 PECOS PAC ID: 8921249186 Enrollment ID: I20130730000960 |
| Provider Name | Kristin E Hoffmann |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710150214 PECOS PAC ID: 6507008216 Enrollment ID: I20130808000857 |
| Provider Name | Nawar Al Nasrallah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558674408 PECOS PAC ID: 3072755859 Enrollment ID: I20130808000907 |
| Provider Name | Khaled Abdeljawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285947416 PECOS PAC ID: 7618117797 Enrollment ID: I20130809000496 |
| Provider Name | Kevin M Backfish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962638916 PECOS PAC ID: 2567608144 Enrollment ID: I20130816000009 |
| Provider Name | Eric S Orman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730208562 PECOS PAC ID: 8325281462 Enrollment ID: I20130821000590 |
| Provider Name | Christen K Dilly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710181292 PECOS PAC ID: 8729226634 Enrollment ID: I20130826001118 |
| Provider Name | Christopher Eric Grindle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437384690 PECOS PAC ID: 2668618166 Enrollment ID: I20130828000035 |
| Provider Name | Kyle B Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821315896 PECOS PAC ID: 3870736309 Enrollment ID: I20130830000282 |
| Provider Name | Benjamin K Nti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407082068 PECOS PAC ID: 2668615949 Enrollment ID: I20130905000848 |
| Provider Name | Stephanie A Ashraf |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1447571955 PECOS PAC ID: 6406096643 Enrollment ID: I20130917000581 |
| Provider Name | Allyson L Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053571778 PECOS PAC ID: 3678717469 Enrollment ID: I20130917000766 |
| Provider Name | Dustin B Augenstine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386907996 PECOS PAC ID: 0042454621 Enrollment ID: I20130920000745 |
| Provider Name | Jason D Russ |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457679417 PECOS PAC ID: 4688818040 Enrollment ID: I20130925000352 |
| Provider Name | Elizabeth Bryant |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598914657 PECOS PAC ID: 6204076953 Enrollment ID: I20130927000262 |
| Provider Name | Carol Lynn Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790121549 PECOS PAC ID: 2365676434 Enrollment ID: I20131002000591 |
| Provider Name | Matt A Rutz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184983983 PECOS PAC ID: 0648418517 Enrollment ID: I20131004000337 |
| Provider Name | Daniel J Shirley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669473740 PECOS PAC ID: 8628173523 Enrollment ID: I20131014001454 |
| Provider Name | Jessica M Kanis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558442715 PECOS PAC ID: 8325193485 Enrollment ID: I20131015000871 |
| Provider Name | Laura J Hinkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538485263 PECOS PAC ID: 3779723879 Enrollment ID: I20131015000994 |
| Provider Name | Kelly C Cary |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073770657 PECOS PAC ID: 7810166113 Enrollment ID: I20131017001915 |
| Provider Name | Melissa H Stanton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255676730 PECOS PAC ID: 0941435242 Enrollment ID: I20131022001268 |
| Provider Name | Jacqueline H Wylam |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972946713 PECOS PAC ID: 4789819038 Enrollment ID: I20131023000420 |
| Provider Name | Clinton David Bahler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780842153 PECOS PAC ID: 9436390986 Enrollment ID: I20131023000456 |
| Provider Name | Hristos Z Kaimakliotis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003066580 PECOS PAC ID: 7911142013 Enrollment ID: I20131109000183 |
| Provider Name | Konrad M Szymanski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750646691 PECOS PAC ID: 1456590264 Enrollment ID: I20131111001513 |
| Provider Name | Aaron C Ermel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497913024 PECOS PAC ID: 9638316607 Enrollment ID: I20131125000545 |
| Provider Name | Heather M Denger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053604843 PECOS PAC ID: 2365678042 Enrollment ID: I20131203000215 |
| Provider Name | Kiersa D Durfee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972793800 PECOS PAC ID: 3072686674 Enrollment ID: I20131204001458 |
| Provider Name | Shaina Elaine Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164864260 PECOS PAC ID: 3476780008 Enrollment ID: I20131205001241 |
| Provider Name | Samer Gawrieh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720039688 PECOS PAC ID: 0648269373 Enrollment ID: I20131210000711 |
| Provider Name | Katie M Bussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225359193 PECOS PAC ID: 4183851926 Enrollment ID: I20131226000372 |
| Provider Name | Katie A Colone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669793535 PECOS PAC ID: 9234367863 Enrollment ID: I20140106000740 |
| Provider Name | Avinash V Mantravadi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174789564 PECOS PAC ID: 3971768474 Enrollment ID: I20140113000495 |
| Provider Name | Melissa A Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104191402 PECOS PAC ID: 5092944363 Enrollment ID: I20140207000299 |
| Provider Name | Jay B Wish |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851311922 PECOS PAC ID: 7113818865 Enrollment ID: I20140212001384 |
| Provider Name | Steffanie A Standish |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629401385 PECOS PAC ID: 1951531854 Enrollment ID: I20140219002110 |
| Provider Name | Craig S Lammert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356527733 PECOS PAC ID: 5991839086 Enrollment ID: I20140221001314 |
| Provider Name | Paul I Musey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104052471 PECOS PAC ID: 4082860960 Enrollment ID: I20140224001293 |
| Provider Name | Sarah Isis Delima |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427218098 PECOS PAC ID: 5294971677 Enrollment ID: I20140320001173 |
| Provider Name | Candice D Moad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942641840 PECOS PAC ID: 8527299098 Enrollment ID: I20140326000846 |
| Provider Name | Hilary D Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104102821 PECOS PAC ID: 2961676952 Enrollment ID: I20140404001161 |
| Provider Name | Amy E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437358413 PECOS PAC ID: 9234390485 Enrollment ID: I20140411001145 |
| Provider Name | Michael N Kuria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154765725 PECOS PAC ID: 3971744590 Enrollment ID: I20140414001601 |
| Provider Name | Emily L Dock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083970339 PECOS PAC ID: 6002048543 Enrollment ID: I20140415001372 |
| Provider Name | Daniel Cummings Gutteridge |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801108782 PECOS PAC ID: 2264675370 Enrollment ID: I20140424000621 |
| Provider Name | Joseph T Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003107517 PECOS PAC ID: 8224261961 Enrollment ID: I20140508002013 |
| Provider Name | Gregory W Faris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720235401 PECOS PAC ID: 2062684186 Enrollment ID: I20140509000652 |
| Provider Name | Peter S Pang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821029554 PECOS PAC ID: 6608845839 Enrollment ID: I20140512001161 |
| Provider Name | Melissa A Pyatskowit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154673820 PECOS PAC ID: 5698908010 Enrollment ID: I20140512001383 |
| Provider Name | Gregory Andrew Durm |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316172299 PECOS PAC ID: 1557500188 Enrollment ID: I20140520001141 |
| Provider Name | Noah P Parker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215100706 PECOS PAC ID: 7315175692 Enrollment ID: I20140602000644 |
| Provider Name | Michael Andrew Sherrill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952621120 PECOS PAC ID: 1951548445 Enrollment ID: I20140604002266 |
| Provider Name | Jared R Brosch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528383064 PECOS PAC ID: 2668618042 Enrollment ID: I20140609001654 |
| Provider Name | Devin D Mackay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689802837 PECOS PAC ID: 6507028230 Enrollment ID: I20140623002110 |
| Provider Name | Christopher M Kniese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962796102 PECOS PAC ID: 6204079239 Enrollment ID: I20140703000252 |
| Provider Name | David W Harvey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083848550 PECOS PAC ID: 3870739717 Enrollment ID: I20140708002051 |
| Provider Name | Cynthia D Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700923752 PECOS PAC ID: 5193775179 Enrollment ID: I20140710000358 |
| Provider Name | Cole B Beeler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952694473 PECOS PAC ID: 0648410712 Enrollment ID: I20140716001127 |
| Provider Name | Nidhi Avashia-khemka |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306145792 PECOS PAC ID: 1951527555 Enrollment ID: I20140716001765 |
| Provider Name | Katherine A Pollard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063857936 PECOS PAC ID: 0446491195 Enrollment ID: I20140717000499 |
| Provider Name | Jeffrey J Easler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346461894 PECOS PAC ID: 1153564786 Enrollment ID: I20140725000024 |
| Provider Name | Heiko Konig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730343575 PECOS PAC ID: 0840449559 Enrollment ID: I20140728000266 |
| Provider Name | Emily M Fitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053671750 PECOS PAC ID: 0446498315 Enrollment ID: I20140731000973 |
| Provider Name | Grant A Carson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407175763 PECOS PAC ID: 1153567789 Enrollment ID: I20140731001356 |
| Provider Name | Yuzhu Tang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1457659930 PECOS PAC ID: 1052552767 Enrollment ID: I20140801001892 |
| Provider Name | Rick F Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720287139 PECOS PAC ID: 9931333481 Enrollment ID: I20140821000320 |
| Provider Name | James N Frimpong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083857023 PECOS PAC ID: 6406003821 Enrollment ID: I20140825001241 |
| Provider Name | Sherrine A Ibrahim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124164025 PECOS PAC ID: 7911184619 Enrollment ID: I20140904002067 |
| Provider Name | Wei Shen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639305733 PECOS PAC ID: 6709022023 Enrollment ID: I20141027000971 |
| Provider Name | Daniel N Seitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093158917 PECOS PAC ID: 9032350947 Enrollment ID: I20141029002530 |
| Provider Name | Rachel M Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073744496 PECOS PAC ID: 8921321993 Enrollment ID: I20141223001693 |
| Provider Name | Adrian F Gardner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326072083 PECOS PAC ID: 0547289449 Enrollment ID: I20150120000372 |
| Provider Name | Oluwafisayo O Adebiyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376869032 PECOS PAC ID: 4183854706 Enrollment ID: I20150522000363 |
| Provider Name | Julie M Clary |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205061918 PECOS PAC ID: 1052557808 Enrollment ID: I20150604002794 |
| Provider Name | Timothy T Webb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689994808 PECOS PAC ID: 8628215233 Enrollment ID: I20150615000086 |
| Provider Name | Diane N Turvy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952695744 PECOS PAC ID: 6406097278 Enrollment ID: I20150617001719 |
| Provider Name | Evan Joseph Templeton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457645194 PECOS PAC ID: 7214173087 Enrollment ID: I20150624002242 |
| Provider Name | Allison C Burke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710277298 PECOS PAC ID: 0446490460 Enrollment ID: I20150626001286 |
| Provider Name | Christopher Anthony Gentile |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952691909 PECOS PAC ID: 6002052834 Enrollment ID: I20150630000647 |
| Provider Name | Amy W Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932463445 PECOS PAC ID: 6800036856 Enrollment ID: I20150701001487 |
| Provider Name | Victoria A Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619357019 PECOS PAC ID: 9032422423 Enrollment ID: I20150714001474 |
| Provider Name | Damien G Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891929634 PECOS PAC ID: 3971749474 Enrollment ID: I20150715001752 |
| Provider Name | Jason Kirk Kindrat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679836530 PECOS PAC ID: 4385884782 Enrollment ID: I20150717000664 |
| Provider Name | Teresa A Batteiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447455266 PECOS PAC ID: 5294972584 Enrollment ID: I20150717000791 |
| Provider Name | Tuan M Tran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154525962 PECOS PAC ID: 7911150271 Enrollment ID: I20150717002002 |
| Provider Name | Chad A Zarse |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366677320 PECOS PAC ID: 2163669201 Enrollment ID: I20150723008696 |
| Provider Name | Susan Catherine Conrad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265667901 PECOS PAC ID: 1557507043 Enrollment ID: I20150724010777 |
| Provider Name | Carmen B Lanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770961294 PECOS PAC ID: 4789998139 Enrollment ID: I20150730010608 |
| Provider Name | Shannon M Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134223639 PECOS PAC ID: 4284635764 Enrollment ID: I20150805008629 |
| Provider Name | Raven Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821470238 PECOS PAC ID: 0941515647 Enrollment ID: I20150810001919 |
| Provider Name | Brandin L Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215324587 PECOS PAC ID: 1850607599 Enrollment ID: I20150826001376 |
| Provider Name | Anoush Jidarian |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861655441 PECOS PAC ID: 4082753934 Enrollment ID: I20150901000270 |
| Provider Name | Anthony L Shanks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871619825 PECOS PAC ID: 5294827499 Enrollment ID: I20151008000163 |
| Provider Name | Tarah Jean Ballinger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417217639 PECOS PAC ID: 5496067019 Enrollment ID: I20151109001601 |
| Provider Name | Peter J Sieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497125025 PECOS PAC ID: 6204136419 Enrollment ID: I20151119001834 |
| Provider Name | Liana G Apostolova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770508699 PECOS PAC ID: 9133029796 Enrollment ID: I20151119001950 |
| Provider Name | Elizabeth A Motter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487028353 PECOS PAC ID: 6305146291 Enrollment ID: I20151125001135 |
| Provider Name | Geoffrey P Hays |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326481219 PECOS PAC ID: 6709027659 Enrollment ID: I20151125001136 |
| Provider Name | Laura Jill Littlejohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659630812 PECOS PAC ID: 2567762974 Enrollment ID: I20151207002367 |
| Provider Name | Devon M Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255706602 PECOS PAC ID: 9335440965 Enrollment ID: I20151223001272 |
| Provider Name | Trent G Gray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730524893 PECOS PAC ID: 7719111095 Enrollment ID: I20160229001915 |
| Provider Name | Phylicia R Olaolorun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255798823 PECOS PAC ID: 8123323110 Enrollment ID: I20160301000311 |
| Provider Name | Tejinder S Soi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467719591 PECOS PAC ID: 7810122306 Enrollment ID: I20160411000300 |
| Provider Name | Jamie A Harrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275897688 PECOS PAC ID: 9234364068 Enrollment ID: I20160524000440 |
| Provider Name | Lindsey N Haut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124466396 PECOS PAC ID: 4486895513 Enrollment ID: I20160525002543 |
| Provider Name | Adam M Mchenry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659647857 PECOS PAC ID: 9830335025 Enrollment ID: I20160602000325 |
| Provider Name | Liza L Ilag |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154499630 PECOS PAC ID: 6406147776 Enrollment ID: I20160616000214 |
| Provider Name | Alnee L Gadberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578925103 PECOS PAC ID: 3779874565 Enrollment ID: I20160627000499 |
| Provider Name | Sarah E Schilling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407119415 PECOS PAC ID: 9537310982 Enrollment ID: I20160701000367 |
| Provider Name | Christopher William James |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104119346 PECOS PAC ID: 6204125826 Enrollment ID: I20160708000283 |
| Provider Name | Saira Butt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538398540 PECOS PAC ID: 7113196197 Enrollment ID: I20160708000396 |
| Provider Name | Simit M Doshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538580253 PECOS PAC ID: 7719285451 Enrollment ID: I20160708000470 |
| Provider Name | Lana S Dbeibo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578850012 PECOS PAC ID: 2163664921 Enrollment ID: I20160708000764 |
| Provider Name | Swapnil Khare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881924975 PECOS PAC ID: 3274704945 Enrollment ID: I20160708000934 |
| Provider Name | Audrey G Herbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346535770 PECOS PAC ID: 7618281643 Enrollment ID: I20160712002638 |
| Provider Name | Benjamin P Anthony |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457666943 PECOS PAC ID: 5496076978 Enrollment ID: I20160713000716 |
| Provider Name | Burgundy S Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073956421 PECOS PAC ID: 4688800477 Enrollment ID: I20160714001819 |
| Provider Name | Tyler S Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083930234 PECOS PAC ID: 3971818980 Enrollment ID: I20160714002030 |
| Provider Name | Abhishek Khemka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457672552 PECOS PAC ID: 1052628807 Enrollment ID: I20160720001908 |
| Provider Name | Marcelino E Rivera |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538454210 PECOS PAC ID: 3274780739 Enrollment ID: I20160725000841 |
| Provider Name | Huei-sheng V Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124044821 PECOS PAC ID: 9830155597 Enrollment ID: I20160726001135 |
| Provider Name | Christopher D Furrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811348279 PECOS PAC ID: 1759675812 Enrollment ID: I20160811002305 |
| Provider Name | Jenna N Treadwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548611346 PECOS PAC ID: 7214221324 Enrollment ID: I20160812001032 |
| Provider Name | Katherine A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396197950 PECOS PAC ID: 0143515924 Enrollment ID: I20160817002669 |
| Provider Name | Stephen D Peretin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689930679 PECOS PAC ID: 8426280306 Enrollment ID: I20160818000849 |
| Provider Name | Nupur Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588945380 PECOS PAC ID: 5799070389 Enrollment ID: I20160822001234 |
| Provider Name | Mrisa Sahai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386800944 PECOS PAC ID: 7113161191 Enrollment ID: I20160822001855 |
| Provider Name | Ashley Cuellar Gilmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215163688 PECOS PAC ID: 6305136144 Enrollment ID: I20160826001786 |
| Provider Name | Jessica Brooke Furrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962955773 PECOS PAC ID: 3274576988 Enrollment ID: I20160830000858 |
| Provider Name | Megan Ann Christman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396056016 PECOS PAC ID: 9537383351 Enrollment ID: I20160908000828 |
| Provider Name | Sahand Rahnama-moghadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215257480 PECOS PAC ID: 9133415763 Enrollment ID: I20160908001271 |
| Provider Name | Hillary B Risk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487007241 PECOS PAC ID: 2466748637 Enrollment ID: I20160914002074 |
| Provider Name | Elisa A Illing |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851619845 PECOS PAC ID: 8921244609 Enrollment ID: I20160915000082 |
| Provider Name | Michael Tyler King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306112669 PECOS PAC ID: 5799070264 Enrollment ID: I20160916001873 |
| Provider Name | Michael W Sim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730408493 PECOS PAC ID: 7719299528 Enrollment ID: I20160921000866 |
| Provider Name | Utpal P Dave |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124102231 PECOS PAC ID: 3072534791 Enrollment ID: I20160923001963 |
| Provider Name | Ahmad Al-hader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265746119 PECOS PAC ID: 0749503829 Enrollment ID: I20160929002525 |
| Provider Name | Casie L Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689129645 PECOS PAC ID: 3375831159 Enrollment ID: I20161011001222 |
| Provider Name | Lindsey M Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760523 PECOS PAC ID: 4587952031 Enrollment ID: I20161017000363 |
| Provider Name | Richard P Bassi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508829409 PECOS PAC ID: 3072532696 Enrollment ID: I20161017000457 |
| Provider Name | Niharika R Samala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023266541 PECOS PAC ID: 8527357185 Enrollment ID: I20161019001393 |
| Provider Name | Jessamyn R Ambler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144715 PECOS PAC ID: 7517245988 Enrollment ID: I20161107000725 |
| Provider Name | Nathan V Mcclelland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144575598 PECOS PAC ID: 7810146487 Enrollment ID: I20161116001506 |
| Provider Name | Jennifer A Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760939771 PECOS PAC ID: 0244519148 Enrollment ID: I20161117000455 |
| Provider Name | Smitha R Marri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730322892 PECOS PAC ID: 2264670173 Enrollment ID: I20161117001214 |
| Provider Name | Tyler W Christman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598077489 PECOS PAC ID: 5597069419 Enrollment ID: I20161121001210 |
| Provider Name | Adam D Comer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760747208 PECOS PAC ID: 4981846730 Enrollment ID: I20161130000872 |
| Provider Name | Jon W Prairie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376090266 PECOS PAC ID: 6406137702 Enrollment ID: I20161228001626 |
| Provider Name | Daniel H Slubowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194110494 PECOS PAC ID: 6507178407 Enrollment ID: I20161230001105 |
| Provider Name | Steven D Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295198927 PECOS PAC ID: 1951682772 Enrollment ID: I20170110000101 |
| Provider Name | Nora Deenik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649534934 PECOS PAC ID: 3476799222 Enrollment ID: I20170110001189 |
| Provider Name | David B Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124563556 PECOS PAC ID: 8820370604 Enrollment ID: I20170201000097 |
| Provider Name | Richard B Stall |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487102356 PECOS PAC ID: 1052693843 Enrollment ID: I20170201000256 |
| Provider Name | Kyle A Frick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912290925 PECOS PAC ID: 9032426762 Enrollment ID: I20170214000367 |
| Provider Name | Amanda S Weinzierl |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801937248 PECOS PAC ID: 1557644465 Enrollment ID: I20170220000159 |
| Provider Name | Kathleen R Corbin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568479863 PECOS PAC ID: 1658654587 Enrollment ID: I20170220000530 |
| Provider Name | Yvonne M Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265970008 PECOS PAC ID: 2264716166 Enrollment ID: I20170221000384 |
| Provider Name | Hari Krishna Puttagunta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841451218 PECOS PAC ID: 5597999516 Enrollment ID: I20170317000459 |
| Provider Name | Kyra D Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396002598 PECOS PAC ID: 7012157407 Enrollment ID: I20170413002160 |
| Provider Name | Kelsea M Ice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659805646 PECOS PAC ID: 7911284559 Enrollment ID: I20170508002033 |
| Provider Name | Nabil Adra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811285893 PECOS PAC ID: 6103067947 Enrollment ID: I20170509000838 |
| Provider Name | Ryan C Durk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477992303 PECOS PAC ID: 9032486360 Enrollment ID: I20170517000878 |
| Provider Name | Philip M Stoller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316385966 PECOS PAC ID: 7810113958 Enrollment ID: I20170518000280 |
| Provider Name | Zachary R Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679894059 PECOS PAC ID: 3476782954 Enrollment ID: I20170518001261 |
| Provider Name | Robert B Blake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396035481 PECOS PAC ID: 2365719432 Enrollment ID: I20170519001285 |
| Provider Name | Chad Michael Solik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255673752 PECOS PAC ID: 0143454041 Enrollment ID: I20170525001100 |
| Provider Name | Makato Kataoka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013357474 PECOS PAC ID: 5193969400 Enrollment ID: I20170526000448 |
| Provider Name | Christine Huang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467714907 PECOS PAC ID: 2769759554 Enrollment ID: I20170526001068 |
| Provider Name | Hishan Krish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407168263 PECOS PAC ID: 6608091418 Enrollment ID: I20170606001913 |
| Provider Name | Jeffrey L Stutler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891133955 PECOS PAC ID: 7012150543 Enrollment ID: I20170606002060 |
| Provider Name | Mark A Gromski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255625679 PECOS PAC ID: 9133343486 Enrollment ID: I20170608000919 |
| Provider Name | Lauren D Nephew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770803249 PECOS PAC ID: 3577723410 Enrollment ID: I20170608001221 |
| Provider Name | Andrew Vincent Coccaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861802779 PECOS PAC ID: 2860798816 Enrollment ID: I20170613000245 |
| Provider Name | Rachel L Day |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245640465 PECOS PAC ID: 0749558500 Enrollment ID: I20170620000678 |
| Provider Name | Richard V Scheer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598024374 PECOS PAC ID: 2567601339 Enrollment ID: I20170627001364 |
| Provider Name | Patrick K Segeleon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427234236 PECOS PAC ID: 0547313553 Enrollment ID: I20170629000118 |
| Provider Name | Amy E Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417494634 PECOS PAC ID: 8123397221 Enrollment ID: I20170705002560 |
| Provider Name | John Howard Holden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851611321 PECOS PAC ID: 0446410385 Enrollment ID: I20170706001791 |
| Provider Name | Marzieh T Naderi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205369923 PECOS PAC ID: 5597035071 Enrollment ID: I20170717000110 |
| Provider Name | Whitney E Gauen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467717132 PECOS PAC ID: 9234379322 Enrollment ID: I20170717002619 |
| Provider Name | Camden B Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952620718 PECOS PAC ID: 2567778905 Enrollment ID: I20170720001938 |
| Provider Name | Caroline E Rouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154647220 PECOS PAC ID: 5294956868 Enrollment ID: I20170809001006 |
| Provider Name | Lindsey K Shine |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881018745 PECOS PAC ID: 2163793142 Enrollment ID: I20170809003158 |
| Provider Name | Carla S Fisher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780760850 PECOS PAC ID: 4981736337 Enrollment ID: I20170810003418 |
| Provider Name | Raheleh Rahimi Darabad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265791834 PECOS PAC ID: 5395035679 Enrollment ID: I20170815000156 |
| Provider Name | Celanie K Christensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124319462 PECOS PAC ID: 2769629773 Enrollment ID: I20170815001433 |
| Provider Name | Ayman Hallab |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982967022 PECOS PAC ID: 5991944159 Enrollment ID: I20170823002824 |
| Provider Name | Tienne K Randolph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760820831 PECOS PAC ID: 5294979597 Enrollment ID: I20170829000267 |
| Provider Name | Caitlin Bernard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477871929 PECOS PAC ID: 7810208857 Enrollment ID: I20170830000570 |
| Provider Name | Umer A Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255745568 PECOS PAC ID: 2567687759 Enrollment ID: I20170830002117 |
| Provider Name | Jennifer K Rush |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821515784 PECOS PAC ID: 2961775390 Enrollment ID: I20170907001113 |
| Provider Name | Justin D Garrett |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417473422 PECOS PAC ID: 8820361256 Enrollment ID: I20170907001252 |
| Provider Name | Marc S Rovner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093795668 PECOS PAC ID: 1951205459 Enrollment ID: I20170908002814 |
| Provider Name | Leslie Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922407998 PECOS PAC ID: 8628397429 Enrollment ID: I20170908003122 |
| Provider Name | Katherine E Turk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053557389 PECOS PAC ID: 6305119454 Enrollment ID: I20170912001271 |
| Provider Name | Megan E Effinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050205 PECOS PAC ID: 2860766508 Enrollment ID: I20170920000191 |
| Provider Name | Natasha Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326584012 PECOS PAC ID: 9739453374 Enrollment ID: I20170921000702 |
| Provider Name | Jana B Chan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497273015 PECOS PAC ID: 2668746066 Enrollment ID: I20170925000515 |
| Provider Name | Roma Gautam Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821446931 PECOS PAC ID: 3577854868 Enrollment ID: I20170925000922 |
| Provider Name | Roberto F P Machado |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942268172 PECOS PAC ID: 1850361189 Enrollment ID: I20171009000926 |
| Provider Name | Caitriona Buckley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265490445 PECOS PAC ID: 1557420049 Enrollment ID: I20171011001156 |
| Provider Name | Heather P Kelker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376839852 PECOS PAC ID: 2163724410 Enrollment ID: I20171011001853 |
| Provider Name | Flynn A Rowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700176021 PECOS PAC ID: 8527389808 Enrollment ID: I20171019000915 |
| Provider Name | Rita R Patel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275598880 PECOS PAC ID: 5890061402 Enrollment ID: I20171026002562 |
| Provider Name | Caitlyn M Alvar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437674207 PECOS PAC ID: 0446516660 Enrollment ID: I20171103001774 |
| Provider Name | Stephen J Jordan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598055758 PECOS PAC ID: 9638316466 Enrollment ID: I20171108003018 |
| Provider Name | Kara Beth Kowalczyk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063826501 PECOS PAC ID: 4880819275 Enrollment ID: I20171130001082 |
| Provider Name | Taylor L Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497269815 PECOS PAC ID: 8820357098 Enrollment ID: I20180116000040 |
| Provider Name | Stephen M Evankovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710312301 PECOS PAC ID: 3577790104 Enrollment ID: I20180117001948 |
| Provider Name | Samantha A Evankovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1174931877 PECOS PAC ID: 3274752779 Enrollment ID: I20180119001371 |
| Provider Name | Tia L Brutscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083129043 PECOS PAC ID: 4789944745 Enrollment ID: I20180212002910 |
| Provider Name | Sara C Rueschhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316445752 PECOS PAC ID: 1557621562 Enrollment ID: I20180213002357 |
| Provider Name | Julie M Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053819532 PECOS PAC ID: 7719248236 Enrollment ID: I20180226001513 |
| Provider Name | Jessica Lee Rubeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344676 PECOS PAC ID: 7214298355 Enrollment ID: I20180306000702 |
| Provider Name | Matthew Elliott Deburger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902289101 PECOS PAC ID: 1658660725 Enrollment ID: I20180316001040 |
| Provider Name | Andrew Ross Wickman O'brien |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962848507 PECOS PAC ID: 0143461285 Enrollment ID: I20180405002366 |
| Provider Name | Bahtrena M Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194259879 PECOS PAC ID: 4183987860 Enrollment ID: I20180410002840 |
| Provider Name | Sarah E Wing |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1851737068 PECOS PAC ID: 3678715695 Enrollment ID: I20180508000276 |
| Provider Name | John Humphrey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861635658 PECOS PAC ID: 6406110873 Enrollment ID: I20180511000266 |
| Provider Name | Pamela C Soriano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144609033 PECOS PAC ID: 1557626504 Enrollment ID: I20180523000889 |
| Provider Name | Sikandar H Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952665218 PECOS PAC ID: 3274776299 Enrollment ID: I20180523000922 |
| Provider Name | Christopher W Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568872760 PECOS PAC ID: 6204051881 Enrollment ID: I20180523002451 |
| Provider Name | Roxanna Lefort |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033301759 PECOS PAC ID: 7810038437 Enrollment ID: I20180523003033 |
| Provider Name | Mimi W Zhang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154768604 PECOS PAC ID: 7517100589 Enrollment ID: I20180523003221 |
| Provider Name | Robert S Avera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871975466 PECOS PAC ID: 4082929732 Enrollment ID: I20180524001039 |
| Provider Name | Daniel Guillaud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841617768 PECOS PAC ID: 0648495655 Enrollment ID: I20180524002596 |
| Provider Name | Mark Y Liao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508203514 PECOS PAC ID: 3173835089 Enrollment ID: I20180526000036 |
| Provider Name | Andreia B Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326468240 PECOS PAC ID: 6608131966 Enrollment ID: I20180607002234 |
| Provider Name | Roopa A Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043479322 PECOS PAC ID: 8224383559 Enrollment ID: I20180609000260 |
| Provider Name | Michael G Morkos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477994358 PECOS PAC ID: 9931405560 Enrollment ID: I20180621001710 |
| Provider Name | Edwin Jay Jackson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972827335 PECOS PAC ID: 1355585068 Enrollment ID: I20180706000599 |
| Provider Name | Ahsan Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992180970 PECOS PAC ID: 6901152727 Enrollment ID: I20180710002170 |
| Provider Name | Peter T Zavislak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588959530 PECOS PAC ID: 2062724446 Enrollment ID: I20180711002384 |
| Provider Name | James F Cleary |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841266855 PECOS PAC ID: 0749319895 Enrollment ID: I20180716001739 |
| Provider Name | Lindsey A Cunningham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831426444 PECOS PAC ID: 7618012477 Enrollment ID: I20180718001469 |
| Provider Name | Archita P Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205019023 PECOS PAC ID: 7416087036 Enrollment ID: I20180718002868 |
| Provider Name | Haley A Pritchard |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437492873 PECOS PAC ID: 8022365899 Enrollment ID: I20180725000854 |
| Provider Name | Leslye G Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073021556 PECOS PAC ID: 5395093652 Enrollment ID: I20180802000530 |
| Provider Name | Gulraj Chawla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154664381 PECOS PAC ID: 3870719891 Enrollment ID: I20180802003499 |
| Provider Name | Jayme L Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326533894 PECOS PAC ID: 5991053233 Enrollment ID: I20180802003670 |
| Provider Name | Danielle Christine Cummins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801232558 PECOS PAC ID: 2961642038 Enrollment ID: I20180802003769 |
| Provider Name | Stacey Melissa Mels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114421161 PECOS PAC ID: 8426306697 Enrollment ID: I20180803000960 |
| Provider Name | Christopher Conley Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518214451 PECOS PAC ID: 5294973368 Enrollment ID: I20180809004071 |
| Provider Name | Nikolajs J Perdue |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639580152 PECOS PAC ID: 6002031465 Enrollment ID: I20180810001481 |
| Provider Name | David Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790728459 PECOS PAC ID: 2567448327 Enrollment ID: I20180813003093 |
| Provider Name | Janel F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598008161 PECOS PAC ID: 2365740750 Enrollment ID: I20180816002891 |
| Provider Name | Ryan David Boente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972890606 PECOS PAC ID: 1658514724 Enrollment ID: I20180827002232 |
| Provider Name | Ankit A Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114022316 PECOS PAC ID: 7719081819 Enrollment ID: I20180828004307 |
| Provider Name | Christina Marie Scifres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093920332 PECOS PAC ID: 4385743384 Enrollment ID: I20180904001925 |
| Provider Name | Lauren K Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134500663 PECOS PAC ID: 3971815846 Enrollment ID: I20180904003467 |
| Provider Name | Kathryn S Nevel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851657373 PECOS PAC ID: 1759510449 Enrollment ID: I20180911001911 |
| Provider Name | Melissa S Makar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396034021 PECOS PAC ID: 2062637754 Enrollment ID: I20180911002865 |
| Provider Name | Connie Louise Seigman-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396252466 PECOS PAC ID: 3274884135 Enrollment ID: I20180917001681 |
| Provider Name | Steven Matthew Wipprecht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508216672 PECOS PAC ID: 7911298849 Enrollment ID: I20180924002162 |
| Provider Name | Sharon Elizabeth Engel Robertson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1891939567 PECOS PAC ID: 1254584345 Enrollment ID: I20181023000284 |
| Provider Name | Brent W Miller |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639197270 PECOS PAC ID: 3375456320 Enrollment ID: I20181106001540 |
| Provider Name | Anusha Vege |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487040853 PECOS PAC ID: 9638423189 Enrollment ID: I20181119003064 |
| Provider Name | Kerry Rigsbee Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841774627 PECOS PAC ID: 3971847237 Enrollment ID: I20181128001008 |
| Provider Name | Thomas J Willis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487896866 PECOS PAC ID: 8527208842 Enrollment ID: I20181204003479 |
| Provider Name | Margaret Marie Spolnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134577851 PECOS PAC ID: 0547552127 Enrollment ID: I20181211002920 |
| Provider Name | Syril Keena T Que |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053672014 PECOS PAC ID: 0941502413 Enrollment ID: I20181211003461 |
| Provider Name | Jay Edward Wolverton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407291511 PECOS PAC ID: 2668692179 Enrollment ID: I20181228002471 |
| Provider Name | Kimberly L Koors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875734 PECOS PAC ID: 8527305747 Enrollment ID: I20190125002915 |
| Provider Name | Benjamin Robert Cohen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558830646 PECOS PAC ID: 9436497823 Enrollment ID: I20190211000202 |
| Provider Name | Kristen Suzanne Scheffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298752 PECOS PAC ID: 3476892019 Enrollment ID: I20190226003471 |
| Provider Name | Rebecca J Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316384233 PECOS PAC ID: 3274842364 Enrollment ID: I20190305001464 |
| Provider Name | Sean Kristen Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215403167 PECOS PAC ID: 0446599633 Enrollment ID: I20190306000874 |
| Provider Name | Adeoti E Oshinowo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023337920 PECOS PAC ID: 6406150531 Enrollment ID: I20190315002035 |
| Provider Name | Kelsey M Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992269112 PECOS PAC ID: 3375883010 Enrollment ID: I20190318000064 |
| Provider Name | Jay Jin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1356605299 PECOS PAC ID: 0840436846 Enrollment ID: I20190319001690 |
| Provider Name | Joshua David Roth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154681369 PECOS PAC ID: 5496998379 Enrollment ID: I20190326000810 |
| Provider Name | Anna Mary Bona |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851755193 PECOS PAC ID: 0648514323 Enrollment ID: I20190517000041 |
| Provider Name | Zachary Bennett Fulkerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386080265 PECOS PAC ID: 5294975330 Enrollment ID: I20190528001789 |
| Provider Name | Robinson Mark Ferre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093745721 PECOS PAC ID: 6204904246 Enrollment ID: I20190610002172 |
| Provider Name | Michael Arvin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891189841 PECOS PAC ID: 1759694920 Enrollment ID: I20190613000114 |
| Provider Name | Adam Michael Ellis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1164836458 PECOS PAC ID: 2961793054 Enrollment ID: I20190618002364 |
| Provider Name | Krunal S Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407295777 PECOS PAC ID: 5799056230 Enrollment ID: I20190618003301 |
| Provider Name | Nicholas Stephen Iannazzo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043669633 PECOS PAC ID: 8426349283 Enrollment ID: I20190626000433 |
| Provider Name | Jenna L Streicher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619264660 PECOS PAC ID: 8820381627 Enrollment ID: I20190626003779 |
| Provider Name | Katherine Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306231626 PECOS PAC ID: 3971836958 Enrollment ID: I20190701002383 |
| Provider Name | Jennifer Marie King |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093163347 PECOS PAC ID: 3577854488 Enrollment ID: I20190702003060 |
| Provider Name | Aaron Michael Bernie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831488329 PECOS PAC ID: 9335419381 Enrollment ID: I20190708000817 |
| Provider Name | Nicolas Barros Baertl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316387996 PECOS PAC ID: 4789935511 Enrollment ID: I20190710000907 |
| Provider Name | Jennifer K Maratt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326368291 PECOS PAC ID: 1951548270 Enrollment ID: I20190715000693 |
| Provider Name | Paul Y. Ko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326072786 PECOS PAC ID: 7416950217 Enrollment ID: I20190715001058 |
| Provider Name | Michael Hans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942689161 PECOS PAC ID: 0840502266 Enrollment ID: I20190717000239 |
| Provider Name | Danielle M Janosevic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134532260 PECOS PAC ID: 8224253489 Enrollment ID: I20190719000420 |
| Provider Name | Ross B Mirman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477966133 PECOS PAC ID: 6406071620 Enrollment ID: I20190723002011 |
| Provider Name | Matthew Aaron Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447696703 PECOS PAC ID: 1153563176 Enrollment ID: I20190726000971 |
| Provider Name | Anita Ahmed Turk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083978829 PECOS PAC ID: 2062645484 Enrollment ID: I20190731000127 |
| Provider Name | Shane A Hiatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457627101 PECOS PAC ID: 4486980232 Enrollment ID: I20190731002598 |
| Provider Name | Christine Lynn Heumann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205120581 PECOS PAC ID: 4385964873 Enrollment ID: I20190805002160 |
| Provider Name | Erin R Dammann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801273826 PECOS PAC ID: 0446563613 Enrollment ID: I20190806000467 |
| Provider Name | Clint W Riley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306233580 PECOS PAC ID: 6608103239 Enrollment ID: I20190806000591 |
| Provider Name | Suparna Clasen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700171212 PECOS PAC ID: 6608025820 Enrollment ID: I20190809003039 |
| Provider Name | Megan Jean Walker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124384326 PECOS PAC ID: 2466746573 Enrollment ID: I20190814000495 |
| Provider Name | Evan Mitchell Landry Tomkiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124518931 PECOS PAC ID: 8426313370 Enrollment ID: I20190814004053 |
| Provider Name | Helen L Bernie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477844637 PECOS PAC ID: 5890054597 Enrollment ID: I20190815002105 |
| Provider Name | Katherine Rose Ahaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184103459 PECOS PAC ID: 1759618507 Enrollment ID: I20190816000395 |
| Provider Name | Wendy Joy Sonoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568016418 PECOS PAC ID: 3173850930 Enrollment ID: I20190816001119 |
| Provider Name | John M Sours |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245619790 PECOS PAC ID: 2163735424 Enrollment ID: I20190820002278 |
| Provider Name | Lee Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922562289 PECOS PAC ID: 0345578969 Enrollment ID: I20190821000611 |
| Provider Name | Jillian Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548799695 PECOS PAC ID: 1052689940 Enrollment ID: I20190822000701 |
| Provider Name | Brittany B Pickerell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487209284 PECOS PAC ID: 9234467788 Enrollment ID: I20190822001200 |
| Provider Name | Stephanie Marie Stahl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346565371 PECOS PAC ID: 2163668146 Enrollment ID: I20190823002879 |
| Provider Name | Elizabeth Mae King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417302845 PECOS PAC ID: 4183952351 Enrollment ID: I20190826003003 |
| Provider Name | Chastity R Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780244970 PECOS PAC ID: 9931437159 Enrollment ID: I20190827001284 |
| Provider Name | Jessica Yesensky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043658818 PECOS PAC ID: 2264736255 Enrollment ID: I20190829000525 |
| Provider Name | Allison Rose Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508191750 PECOS PAC ID: 1355584079 Enrollment ID: I20190829001282 |
| Provider Name | Dominic James Vernon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851737803 PECOS PAC ID: 5294976882 Enrollment ID: I20190829001372 |
| Provider Name | Esther Mili Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760862791 PECOS PAC ID: 4385957273 Enrollment ID: I20190829001593 |
| Provider Name | A Rum Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174871743 PECOS PAC ID: 2567697394 Enrollment ID: I20190911002598 |
| Provider Name | Jennifer Joy Hamner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841417110 PECOS PAC ID: 3870682727 Enrollment ID: I20190912000727 |
| Provider Name | Lisa Marie Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215998927 PECOS PAC ID: 6002709243 Enrollment ID: I20190918000703 |
| Provider Name | Melissa W Ko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548325707 PECOS PAC ID: 9739253931 Enrollment ID: I20191003000778 |
| Provider Name | Tammy Jo Dukeshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441415 PECOS PAC ID: 0446581532 Enrollment ID: I20191003000907 |
| Provider Name | Ashley E Henthorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220485 PECOS PAC ID: 2961733977 Enrollment ID: I20191004002795 |
| Provider Name | Michael A Henry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326148305 PECOS PAC ID: 8921183567 Enrollment ID: I20191014000919 |
| Provider Name | Robert Bielski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447226832 PECOS PAC ID: 6002815479 Enrollment ID: I20191015001507 |
| Provider Name | Bethany L Odero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184266827 PECOS PAC ID: 4880926765 Enrollment ID: I20191025000736 |
| Provider Name | Jayde S. Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013566884 PECOS PAC ID: 7113259870 Enrollment ID: I20191029003376 |
| Provider Name | Hong Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851850549 PECOS PAC ID: 8325370679 Enrollment ID: I20191106000697 |
| Provider Name | Nancy K Glober |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508283490 PECOS PAC ID: 2466797915 Enrollment ID: I20191106002753 |
| Provider Name | Kelly Lormore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851949820 PECOS PAC ID: 4082047022 Enrollment ID: I20191205002950 |
| Provider Name | Mark D Schamber |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1174083943 PECOS PAC ID: 0042644809 Enrollment ID: I20200102002472 |
| Provider Name | Tanyanan Tanawuttiwat |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992980767 PECOS PAC ID: 8820226269 Enrollment ID: I20200109001219 |
| Provider Name | Ami V Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306106455 PECOS PAC ID: 4981860293 Enrollment ID: I20200123002882 |
| Provider Name | Gabrielle Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568092559 PECOS PAC ID: 3779919717 Enrollment ID: I20200211000429 |
| Provider Name | Kenneth Jia En Lim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316280381 PECOS PAC ID: 1052555182 Enrollment ID: I20200214002305 |
| Provider Name | Stuart Abramson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821097148 PECOS PAC ID: 2567404015 Enrollment ID: I20200218002808 |
| Provider Name | Mrunal Gunvant Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396044558 PECOS PAC ID: 5496066854 Enrollment ID: I20200322000057 |
| Provider Name | Joann Fluent Peistrup |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124014055 PECOS PAC ID: 4981591229 Enrollment ID: I20200329000328 |
| Provider Name | Emily F Fitzgerald |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881224400 PECOS PAC ID: 1355770959 Enrollment ID: I20200402001680 |
| Provider Name | Taylor S Sim |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891327219 PECOS PAC ID: 3678902293 Enrollment ID: I20200402002520 |
| Provider Name | Clare Colette Prohaska |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053705467 PECOS PAC ID: 9931415379 Enrollment ID: I20200406002215 |
| Provider Name | Nichole A Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265812804 PECOS PAC ID: 8325352065 Enrollment ID: I20200407001842 |
| Provider Name | Tabatha D Landrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700398666 PECOS PAC ID: 0648600569 Enrollment ID: I20200416003063 |
| Provider Name | Breeanna Wright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114576725 PECOS PAC ID: 2365872132 Enrollment ID: I20200417001949 |
| Provider Name | Kristy Lynn Mardis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679101356 PECOS PAC ID: 3577993153 Enrollment ID: I20200422001726 |
| Provider Name | Elizabeth Belle Taber-hight |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306231311 PECOS PAC ID: 1850604026 Enrollment ID: I20200507001122 |
| Provider Name | Victoria Kimberely Floyd |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144662164 PECOS PAC ID: 7113358003 Enrollment ID: I20200508001781 |
| Provider Name | Wen Li Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1225668841 PECOS PAC ID: 1153752050 Enrollment ID: I20200508002150 |
| Provider Name | Keegan M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538797212 PECOS PAC ID: 9638500986 Enrollment ID: I20200520003149 |
| Provider Name | Wenhua Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952795890 PECOS PAC ID: 2264862564 Enrollment ID: I20200521002063 |
| Provider Name | Malia J Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962847319 PECOS PAC ID: 0941583157 Enrollment ID: I20200522000361 |
| Provider Name | Julia Vaizer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578926838 PECOS PAC ID: 2860785235 Enrollment ID: I20200527002159 |
| Provider Name | Christina L Becker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124027016 PECOS PAC ID: 2466427109 Enrollment ID: I20200604003097 |
| Provider Name | Emily P Ashby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518590504 PECOS PAC ID: 3173944535 Enrollment ID: I20200611000169 |
| Provider Name | Kristina Ann Vasnaik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336764158 PECOS PAC ID: 7719309012 Enrollment ID: I20200615001212 |
| Provider Name | Upasana Jarori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689011843 PECOS PAC ID: 9638312630 Enrollment ID: I20200616002701 |
| Provider Name | Sneha Pai |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336484757 PECOS PAC ID: 3870899560 Enrollment ID: I20200624001967 |
| Provider Name | Ryan Joseph Kozlowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497198758 PECOS PAC ID: 6709189426 Enrollment ID: I20200702001785 |
| Provider Name | Paige L Gass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013538826 PECOS PAC ID: 2264855881 Enrollment ID: I20200714003418 |
| Provider Name | Christopher Ryan Moriarty |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194139816 PECOS PAC ID: 1850653247 Enrollment ID: I20200720003234 |
| Provider Name | Irene Nunuk |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871988352 PECOS PAC ID: 7810311677 Enrollment ID: I20200727001523 |
| Provider Name | Christopher David Collier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649615816 PECOS PAC ID: 2264670538 Enrollment ID: I20200727001854 |
| Provider Name | Marleana Leann Groh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538778600 PECOS PAC ID: 0749604411 Enrollment ID: I20200728002231 |
| Provider Name | Dylan L Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205454857 PECOS PAC ID: 9234554502 Enrollment ID: I20200803003336 |
| Provider Name | Onyedika John Ilonze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174752554 PECOS PAC ID: 9830346451 Enrollment ID: I20200804002863 |
| Provider Name | Muhammad Ansar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285918557 PECOS PAC ID: 6103044938 Enrollment ID: I20200804003478 |
| Provider Name | Nagadarshini Urs Ramagiri Vinod |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700261245 PECOS PAC ID: 6507172749 Enrollment ID: I20200805003162 |
| Provider Name | Luke A Lopas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144631490 PECOS PAC ID: 5193050946 Enrollment ID: I20200806001598 |
| Provider Name | Elizabeth Ann Ewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343903 PECOS PAC ID: 3870918832 Enrollment ID: I20200807001049 |
| Provider Name | Robert G Tysklind |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205254711 PECOS PAC ID: 7113249095 Enrollment ID: I20200813000306 |
| Provider Name | Stephen Michael Oleszkiewicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891108536 PECOS PAC ID: 4183849433 Enrollment ID: I20200813003678 |
| Provider Name | Tammy M Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215546973 PECOS PAC ID: 8022435825 Enrollment ID: I20200825001903 |
| Provider Name | Philip Clapham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861806580 PECOS PAC ID: 8628294485 Enrollment ID: I20200826003035 |
| Provider Name | Jennifer Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828635 PECOS PAC ID: 7113344797 Enrollment ID: I20200827001361 |
| Provider Name | Yukako Suzuki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982720009 PECOS PAC ID: 1759708357 Enrollment ID: I20200827001842 |
| Provider Name | Tyler Eugene Owens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649652173 PECOS PAC ID: 4880968122 Enrollment ID: I20200828000565 |
| Provider Name | Farah Al Sabie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215319439 PECOS PAC ID: 2062716293 Enrollment ID: I20200903001923 |
| Provider Name | Zenas Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750728242 PECOS PAC ID: 9234450370 Enrollment ID: I20200916001529 |
| Provider Name | Chakrapani Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578539474 PECOS PAC ID: 4385664382 Enrollment ID: I20200924003191 |
| Provider Name | Kathryn E Hull |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720695752 PECOS PAC ID: 6406275981 Enrollment ID: I20201002000091 |
| Provider Name | Anna M Schultheis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871137786 PECOS PAC ID: 1254751019 Enrollment ID: I20201015002260 |
| Provider Name | Anna Roshal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124081799 PECOS PAC ID: 6901824523 Enrollment ID: I20201019000869 |
| Provider Name | Anahli Mayank Patel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689273849 PECOS PAC ID: 1951721398 Enrollment ID: I20201023000708 |
| Provider Name | Sarah L Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568061695 PECOS PAC ID: 9436579711 Enrollment ID: I20201027000896 |
| Provider Name | Laurie Gutmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417057522 PECOS PAC ID: 1153355243 Enrollment ID: I20201028001443 |
| Provider Name | Sarah E Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588278709 PECOS PAC ID: 3577973452 Enrollment ID: I20201104001050 |
| Provider Name | Diane M Kuhn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821488826 PECOS PAC ID: 2062787880 Enrollment ID: I20201104003084 |
| Provider Name | Sarah A Koch |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1992235022 PECOS PAC ID: 7618387077 Enrollment ID: I20201113001794 |
| Provider Name | Sharmistha Dev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033437181 PECOS PAC ID: 9335371194 Enrollment ID: I20201130001689 |
| Provider Name | Jackson G Schneider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689933020 PECOS PAC ID: 4486894565 Enrollment ID: I20201202001930 |
| Provider Name | Laura Katherine Durr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900961 PECOS PAC ID: 7618389933 Enrollment ID: I20201210001077 |
| Provider Name | Brittany N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881290088 PECOS PAC ID: 7416369202 Enrollment ID: I20201221000578 |
| Provider Name | Bittu Dhaval Majmudar-sheth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679913263 PECOS PAC ID: 1355698127 Enrollment ID: I20201230001036 |
| Provider Name | Brittany Taylor Kocoj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962002238 PECOS PAC ID: 6901219898 Enrollment ID: I20210114001145 |
| Provider Name | Maria Zaidi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871183095 PECOS PAC ID: 1355755711 Enrollment ID: I20210126000366 |
| Provider Name | David C Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588608152 PECOS PAC ID: 9436109733 Enrollment ID: I20210128000704 |
| Provider Name | Sarangi Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1669062030 PECOS PAC ID: 3971917048 Enrollment ID: I20210201001881 |
| Provider Name | Quincy You |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1740616564 PECOS PAC ID: 3971825464 Enrollment ID: I20210204001983 |
| Provider Name | Patricia Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003407057 PECOS PAC ID: 9638584915 Enrollment ID: I20210218001875 |
| Provider Name | Kelvin Paul Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811904089 PECOS PAC ID: 1254424427 Enrollment ID: I20210302000751 |
| Provider Name | Phillip B Mitchell Ii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598356099 PECOS PAC ID: 6901212786 Enrollment ID: I20210302001694 |
| Provider Name | Piper-danay Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205425436 PECOS PAC ID: 2365858073 Enrollment ID: I20210304000129 |
| Provider Name | Michael Edward Ferrante |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1952745101 PECOS PAC ID: 2163665530 Enrollment ID: I20210304001962 |
| Provider Name | Baljit K Rehal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558696179 PECOS PAC ID: 5193131621 Enrollment ID: I20210309000980 |
| Provider Name | Stephanie Shapiro Wieczorek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992198527 PECOS PAC ID: 8729494166 Enrollment ID: I20210309001938 |
| Provider Name | Alissa M Conklin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437318953 PECOS PAC ID: 3375708423 Enrollment ID: I20210405000675 |
| Provider Name | Kirsten Rashae Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477100519 PECOS PAC ID: 4587073069 Enrollment ID: I20210513000977 |
| Provider Name | Samantha L Dugan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033783543 PECOS PAC ID: 6305245515 Enrollment ID: I20210520000839 |
| Provider Name | Morgan A Griswold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871169482 PECOS PAC ID: 3476952847 Enrollment ID: I20210604002120 |
| Provider Name | Kailee Dawn Petro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336716802 PECOS PAC ID: 1153721576 Enrollment ID: I20210607001617 |
| Provider Name | Tracy Lyn Petree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619544152 PECOS PAC ID: 6204236466 Enrollment ID: I20210610001110 |
| Provider Name | Nasir Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881093482 PECOS PAC ID: 7517265044 Enrollment ID: I20210615001334 |
| Provider Name | Trent P Wagoner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467058438 PECOS PAC ID: 8426461328 Enrollment ID: I20210622001903 |
| Provider Name | Yuk Wai Dominic Ng |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871162933 PECOS PAC ID: 3072914241 Enrollment ID: I20210624003011 |
| Provider Name | Kaustubh S Limaye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609135938 PECOS PAC ID: 3678899150 Enrollment ID: I20210712002343 |
| Provider Name | Meredith N Bellamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386039741 PECOS PAC ID: 3971800434 Enrollment ID: I20210712004069 |
| Provider Name | James Adam Keith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194257964 PECOS PAC ID: 6507269065 Enrollment ID: I20210722000265 |
| Provider Name | Aaron Craig Miner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023548682 PECOS PAC ID: 8729357744 Enrollment ID: I20210723001499 |
| Provider Name | Lindsey Nikoa Grabek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922530344 PECOS PAC ID: 5698044360 Enrollment ID: I20210727002329 |
| Provider Name | Arthur Wilson Daigh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760974422 PECOS PAC ID: 5799186839 Enrollment ID: I20210728001962 |
| Provider Name | Sara Marie Takacs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265880868 PECOS PAC ID: 5991096927 Enrollment ID: I20210729002396 |
| Provider Name | Tyler Witherspoon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497287627 PECOS PAC ID: 9830468503 Enrollment ID: I20210730001170 |
| Provider Name | Dustin B Hammers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356593297 PECOS PAC ID: 7012180250 Enrollment ID: I20210802002870 |
| Provider Name | Graham D Dellinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063808905 PECOS PAC ID: 0345553517 Enrollment ID: I20210803001153 |
| Provider Name | Muhammad Adeel Rishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487898011 PECOS PAC ID: 0840316782 Enrollment ID: I20210803001262 |
| Provider Name | Mariju Fleur Baluyot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528452810 PECOS PAC ID: 0749592434 Enrollment ID: I20210810002750 |
| Provider Name | Amanda Marie Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962931345 PECOS PAC ID: 6204104961 Enrollment ID: I20210811001082 |
| Provider Name | Lisa Michelle Landrum |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356456438 PECOS PAC ID: 6608927306 Enrollment ID: I20210812000829 |
| Provider Name | Joshua Christopher Kaine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093244386 PECOS PAC ID: 3678842077 Enrollment ID: I20210812003193 |
| Provider Name | Nawal M Kassem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922488725 PECOS PAC ID: 1153633573 Enrollment ID: I20210816000872 |
| Provider Name | John Patrick Haltom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033793856 PECOS PAC ID: 6901201896 Enrollment ID: I20210816001276 |
| Provider Name | Judith Paige Maddatu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639531916 PECOS PAC ID: 7618232075 Enrollment ID: I20210816001351 |
| Provider Name | Brett M Barnes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649701905 PECOS PAC ID: 4082982053 Enrollment ID: I20210817001846 |
| Provider Name | Jon A Karel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497275119 PECOS PAC ID: 1456621887 Enrollment ID: I20210817002068 |
| Provider Name | Varun Mittal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1316228307 PECOS PAC ID: 7416213525 Enrollment ID: I20210817003171 |
| Provider Name | Samantha Ann Armstrong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689053761 PECOS PAC ID: 8426360868 Enrollment ID: I20210818000610 |
| Provider Name | Stefanie Rodenbeck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942654744 PECOS PAC ID: 7214228139 Enrollment ID: I20210818000756 |
| Provider Name | George Venious |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336535061 PECOS PAC ID: 8628387123 Enrollment ID: I20210818000772 |
| Provider Name | Yunpeng Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780117275 PECOS PAC ID: 6406104439 Enrollment ID: I20210823000090 |
| Provider Name | Sara L Manning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952664195 PECOS PAC ID: 9234368713 Enrollment ID: I20210824000324 |
| Provider Name | Zachary T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386217685 PECOS PAC ID: 2163827551 Enrollment ID: I20210824000337 |
| Provider Name | Kreyl J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700550167 PECOS PAC ID: 6709281199 Enrollment ID: I20210824000363 |
| Provider Name | Erika L Daley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235549759 PECOS PAC ID: 4587889670 Enrollment ID: I20210824000396 |
| Provider Name | William C E Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700312915 PECOS PAC ID: 4880099274 Enrollment ID: I20210824000399 |
| Provider Name | Elizabeth A Emhardt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578926903 PECOS PAC ID: 0446542898 Enrollment ID: I20210824000435 |
| Provider Name | Daniel Franklyn Drake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679951800 PECOS PAC ID: 0244520880 Enrollment ID: I20210824000497 |
| Provider Name | Kevin R Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124791678 PECOS PAC ID: 8123423522 Enrollment ID: I20210824000508 |
| Provider Name | Kyle J Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598113300 PECOS PAC ID: 4688966278 Enrollment ID: I20210824000529 |
| Provider Name | Megan E Carmony |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841672557 PECOS PAC ID: 9931413119 Enrollment ID: I20210824000566 |
| Provider Name | Daniel Saul Brenner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942662960 PECOS PAC ID: 3173816683 Enrollment ID: I20210824000780 |
| Provider Name | Adam Charles Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164953626 PECOS PAC ID: 9638447642 Enrollment ID: I20210824000968 |
| Provider Name | Wen Jia Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396071122 PECOS PAC ID: 7517109960 Enrollment ID: I20210824000984 |
| Provider Name | Jasmine Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619387230 PECOS PAC ID: 6002031200 Enrollment ID: I20210824001224 |
| Provider Name | Katsiaryna Sergeevna Tsarova |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699193730 PECOS PAC ID: 1254635493 Enrollment ID: I20210824001271 |
| Provider Name | Muhammad Y Jan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679988281 PECOS PAC ID: 9335364835 Enrollment ID: I20210824001395 |
| Provider Name | Charlotte Venious |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053774901 PECOS PAC ID: 7113219403 Enrollment ID: I20210824001908 |
| Provider Name | Satya V Kurada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851521496 PECOS PAC ID: 2567628209 Enrollment ID: I20210824003474 |
| Provider Name | Akira Saito |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053792937 PECOS PAC ID: 5991016313 Enrollment ID: I20210824003564 |
| Provider Name | Sapna Ravindranath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417253352 PECOS PAC ID: 7315264108 Enrollment ID: I20210825000962 |
| Provider Name | Satyan Sreenath |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447638101 PECOS PAC ID: 7214240019 Enrollment ID: I20210825001310 |
| Provider Name | Jennifer L Lamb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477087773 PECOS PAC ID: 6305183518 Enrollment ID: I20210825003082 |
| Provider Name | Janelle S Nassim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790212165 PECOS PAC ID: 9537431630 Enrollment ID: I20210825003113 |
| Provider Name | Lauren Sowa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811376593 PECOS PAC ID: 2163724733 Enrollment ID: I20210826000161 |
| Provider Name | Matthew Partain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174917280 PECOS PAC ID: 4587940986 Enrollment ID: I20210826002078 |
| Provider Name | Khusboo J Desai |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1831585157 PECOS PAC ID: 5698013969 Enrollment ID: I20210830001046 |
| Provider Name | Amy K Caldwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700273448 PECOS PAC ID: 4082924873 Enrollment ID: I20210830003029 |
| Provider Name | Nelayda Fonte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710975354 PECOS PAC ID: 9436046539 Enrollment ID: I20210831002752 |
| Provider Name | Sachin Vimal Bahadur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023458999 PECOS PAC ID: 9830333517 Enrollment ID: I20210901000103 |
| Provider Name | Cristina Perez Chumbiauca |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003202763 PECOS PAC ID: 7911218904 Enrollment ID: I20210907001247 |
| Provider Name | Edwin L Becher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497117931 PECOS PAC ID: 0749573699 Enrollment ID: I20210910000076 |
| Provider Name | Alexander J Service |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639563828 PECOS PAC ID: 7214210954 Enrollment ID: I20210914001878 |
| Provider Name | Derryl Joseph Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760860266 PECOS PAC ID: 4183935786 Enrollment ID: I20210921000178 |
| Provider Name | Yatish Siddapura Ranganath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972861961 PECOS PAC ID: 9032374376 Enrollment ID: I20210922001489 |
| Provider Name | Francesca Christina Duncan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114346822 PECOS PAC ID: 1850647843 Enrollment ID: I20210922002733 |
| Provider Name | Megan A Deeb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790214716 PECOS PAC ID: 9830469832 Enrollment ID: I20210923001859 |
| Provider Name | Ashley Arnoldi Moeller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336594209 PECOS PAC ID: 9830480862 Enrollment ID: I20210924000435 |
| Provider Name | Alhasan N Elghouche |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235585878 PECOS PAC ID: 4284926726 Enrollment ID: I20210924000456 |
| Provider Name | Sarah Frances Pottschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841861259 PECOS PAC ID: 4587062666 Enrollment ID: I20211004001324 |
| Provider Name | Kristin Marie Johanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164013629 PECOS PAC ID: 3678971645 Enrollment ID: I20211005001866 |
| Provider Name | Jennifer J Markowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518530666 PECOS PAC ID: 0143628073 Enrollment ID: I20211007001327 |
| Provider Name | Pi Chun Cheng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134488471 PECOS PAC ID: 6002056181 Enrollment ID: I20211007001396 |
| Provider Name | Ashiq Md Masood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225260110 PECOS PAC ID: 3274854328 Enrollment ID: I20211011001733 |
| Provider Name | Pankaj Pandharinath Dangle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255560595 PECOS PAC ID: 9537450150 Enrollment ID: I20211105000495 |
| Provider Name | Priyanka H Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417480872 PECOS PAC ID: 7911279922 Enrollment ID: I20211115000152 |
| Provider Name | Stephanie M Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497418107 PECOS PAC ID: 7315336351 Enrollment ID: I20211115000187 |
| Provider Name | Seth B Langsam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225321797 PECOS PAC ID: 2769602424 Enrollment ID: I20211122000298 |
| Provider Name | Huda S Salman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790772556 PECOS PAC ID: 8729011317 Enrollment ID: I20211223000324 |
| Provider Name | Emily Ann Cassell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902254113 PECOS PAC ID: 0648566539 Enrollment ID: I20211223000616 |
| Provider Name | David Michael Aronoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013092089 PECOS PAC ID: 5799751046 Enrollment ID: I20220104000206 |
| Provider Name | Alan D Hyslop |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740644392 PECOS PAC ID: 2466745054 Enrollment ID: I20220106002176 |
| Provider Name | Rachel Kathleen Gantz Fingerhut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346908761 PECOS PAC ID: 3375935968 Enrollment ID: I20220111001038 |
| Provider Name | Ruqi Shi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1316614779 PECOS PAC ID: 5698167906 Enrollment ID: I20220119000730 |
| Provider Name | Mateusz Opyrchal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316141658 PECOS PAC ID: 5597824490 Enrollment ID: I20220131001921 |
| Provider Name | Jessica Ellen Parker Metter |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699017343 PECOS PAC ID: 4082007745 Enrollment ID: I20220202001472 |
| Provider Name | Andrea F Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275293979 PECOS PAC ID: 6608269170 Enrollment ID: I20220204000390 |
| Provider Name | Minah Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164173829 PECOS PAC ID: 9931592409 Enrollment ID: I20220204000491 |
| Provider Name | Ann Marie Vandewalle Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457715559 PECOS PAC ID: 1951693738 Enrollment ID: I20220209002458 |
| Provider Name | Khadijah K Breathett |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1184891392 PECOS PAC ID: 8820237696 Enrollment ID: I20220218000891 |
| Provider Name | Rachel Kathryn Demerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144971839 PECOS PAC ID: 5496149445 Enrollment ID: I20220308001861 |
| Provider Name | Kelly Elizabeth Allison Foy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508412388 PECOS PAC ID: 3577957539 Enrollment ID: I20220308002317 |
| Provider Name | Rachel Hasewinkel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1063164606 PECOS PAC ID: 0345635033 Enrollment ID: I20220316000266 |
| Provider Name | Jyoti P Dangle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831451889 PECOS PAC ID: 8921391947 Enrollment ID: I20220324000143 |
| Provider Name | Hiba Jawdat Mustafa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083011795 PECOS PAC ID: 0648557207 Enrollment ID: I20220405001087 |
| Provider Name | Allison L Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811646540 PECOS PAC ID: 4082000732 Enrollment ID: I20220405001391 |
| Provider Name | Vijay R Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619014909 PECOS PAC ID: 4486704574 Enrollment ID: I20220504000246 |
| Provider Name | Sergiu I Abramovici |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982015186 PECOS PAC ID: 5991046948 Enrollment ID: I20220504001788 |
| Provider Name | Pei Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396129169 PECOS PAC ID: 1850697483 Enrollment ID: I20220510000479 |
| Provider Name | Madison Alexandra Plumer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790398824 PECOS PAC ID: 8921485673 Enrollment ID: I20220518001263 |
| Provider Name | Jie Xie |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376923359 PECOS PAC ID: 6204147838 Enrollment ID: I20220524002044 |
| Provider Name | James Christopher Skinner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720500432 PECOS PAC ID: 4385995687 Enrollment ID: I20220525001369 |
| Provider Name | Patrick Stephen Finnegan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144717265 PECOS PAC ID: 2769732247 Enrollment ID: I20220526001020 |
| Provider Name | Martina Marie Natali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013662071 PECOS PAC ID: 7214315597 Enrollment ID: I20220526002186 |
| Provider Name | Evan Charles Cumpston |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376905877 PECOS PAC ID: 9133426711 Enrollment ID: I20220526002759 |
| Provider Name | Clinton Matthew Bunde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962063198 PECOS PAC ID: 1951638733 Enrollment ID: I20220601001135 |
| Provider Name | Rohan Maniar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740642016 PECOS PAC ID: 7012255144 Enrollment ID: I20220607001032 |
| Provider Name | Brittany Jill Arkerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083103519 PECOS PAC ID: 9133470438 Enrollment ID: I20220607001873 |
| Provider Name | Grant W Hicks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881199842 PECOS PAC ID: 4981959632 Enrollment ID: I20220607002234 |
| Provider Name | Michael Raymond Schneider |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497027932 PECOS PAC ID: 9931368230 Enrollment ID: I20220608001797 |
| Provider Name | Holly S Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770074684 PECOS PAC ID: 7416200381 Enrollment ID: I20220617001208 |
| Provider Name | Thomas Maxwell Shelton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013449032 PECOS PAC ID: 1052799855 Enrollment ID: I20220617001271 |
| Provider Name | Brian Jacob O'neill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700311677 PECOS PAC ID: 4880961275 Enrollment ID: I20220621002222 |
| Provider Name | Sean J Dangelmajer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023513942 PECOS PAC ID: 1052744612 Enrollment ID: I20220622002321 |
| Provider Name | Brooke Nicole Para |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427583368 PECOS PAC ID: 8224307350 Enrollment ID: I20220623000438 |
| Provider Name | Julian Andres Marin Acevedo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891147070 PECOS PAC ID: 2769777069 Enrollment ID: I20220623001482 |
| Provider Name | Zhibo An |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083077226 PECOS PAC ID: 1355628751 Enrollment ID: I20220624000160 |
| Provider Name | Erin Marie Cleary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932542438 PECOS PAC ID: 7517235237 Enrollment ID: I20220624000864 |
| Provider Name | Morgan Elaine Marcuccilli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811209182 PECOS PAC ID: 3375853203 Enrollment ID: I20220624001053 |
| Provider Name | Fangzhong M Luo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225532997 PECOS PAC ID: 6002150158 Enrollment ID: I20220629000135 |
| Provider Name | Philip J Husband |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417019753 PECOS PAC ID: 3971412503 Enrollment ID: I20220630001893 |
| Provider Name | Allison C Malley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245658368 PECOS PAC ID: 7911205620 Enrollment ID: I20220706001357 |
| Provider Name | Meagan E Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134577422 PECOS PAC ID: 1456642370 Enrollment ID: I20220706003368 |
| Provider Name | Osato Osato Urhiafe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851824981 PECOS PAC ID: 6901200765 Enrollment ID: I20220707001331 |
| Provider Name | John Z Gallien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235367731 PECOS PAC ID: 6709035520 Enrollment ID: I20220707001996 |
| Provider Name | Saurav Acharya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841614252 PECOS PAC ID: 0749402600 Enrollment ID: I20220707002376 |
| Provider Name | Bradley Harmatz Rosen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336381912 PECOS PAC ID: 8628217718 Enrollment ID: I20220712000495 |
| Provider Name | Kylie J Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295354462 PECOS PAC ID: 6800218975 Enrollment ID: I20220712000619 |
| Provider Name | Chelsea Danielle Schmoll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447749098 PECOS PAC ID: 3577828078 Enrollment ID: I20220712000809 |
| Provider Name | Meredith J Ventura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336679208 PECOS PAC ID: 8820479306 Enrollment ID: I20220714002085 |
| Provider Name | Pamela Kulaga O'dea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851755656 PECOS PAC ID: 1355689662 Enrollment ID: I20220718002618 |
| Provider Name | Alison Q Kostandy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730535121 PECOS PAC ID: 1052792066 Enrollment ID: I20220722000649 |
| Provider Name | Christopher Joseph Hill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437689072 PECOS PAC ID: 5890066807 Enrollment ID: I20220722002149 |
| Provider Name | Craig Douglas Sewell |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1346771839 PECOS PAC ID: 8426327008 Enrollment ID: I20220724000049 |
| Provider Name | Skye El-sayegh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154842433 PECOS PAC ID: 9739453911 Enrollment ID: I20220725000704 |
| Provider Name | Callie Brook Burgin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073019980 PECOS PAC ID: 7315201530 Enrollment ID: I20220725001524 |
| Provider Name | Courtney Yong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649627860 PECOS PAC ID: 0941595698 Enrollment ID: I20220726001389 |
| Provider Name | Brandon Michael Tanner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043692478 PECOS PAC ID: 1052624533 Enrollment ID: I20220726003353 |
| Provider Name | Shelby Ann Beil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720641038 PECOS PAC ID: 8628301496 Enrollment ID: I20220728000446 |
| Provider Name | John T Raduka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790280022 PECOS PAC ID: 3971859604 Enrollment ID: I20220806000728 |
| Provider Name | Edita Maria Newton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952807364 PECOS PAC ID: 9234487893 Enrollment ID: I20220808001038 |
| Provider Name | Sujata Panthi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407222714 PECOS PAC ID: 4688946866 Enrollment ID: I20220808001997 |
| Provider Name | Samantha Nino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942721030 PECOS PAC ID: 6709269624 Enrollment ID: I20220810001109 |
| Provider Name | David A Campbell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518329697 PECOS PAC ID: 2062774342 Enrollment ID: I20220812000600 |
| Provider Name | Iram Bakhtawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598878605 PECOS PAC ID: 8820159510 Enrollment ID: I20220816002545 |
| Provider Name | Misty Dawn Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699120824 PECOS PAC ID: 3476846809 Enrollment ID: I20220817000252 |
| Provider Name | Hera Jafri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932696051 PECOS PAC ID: 7719214477 Enrollment ID: I20220824003453 |
| Provider Name | Erin M Lips |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1679967921 PECOS PAC ID: 8921300500 Enrollment ID: I20220903000217 |
| Provider Name | Jenna M Westwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194450866 PECOS PAC ID: 6305221474 Enrollment ID: I20220912000254 |
| Provider Name | Sheryl Ann Graybill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235860883 PECOS PAC ID: 7810372836 Enrollment ID: I20220912002474 |
| Provider Name | Caitlin M Baxter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104211663 PECOS PAC ID: 6800193293 Enrollment ID: I20220928000352 |
| Provider Name | Brian Chulmin Shin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093247793 PECOS PAC ID: 2466838537 Enrollment ID: I20220928000655 |
| Provider Name | Margaret E Frith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194293555 PECOS PAC ID: 5193064103 Enrollment ID: I20220930002087 |
| Provider Name | Rodjawan Supakul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730463720 PECOS PAC ID: 3779852108 Enrollment ID: I20221003002040 |
| Provider Name | Emily J Kalscheur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194452300 PECOS PAC ID: 1557747912 Enrollment ID: I20221007002593 |
| Provider Name | Priya M Yenebere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437546322 PECOS PAC ID: 5092149211 Enrollment ID: I20221007002640 |
| Provider Name | Laura Borgenheimer Vater |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184154197 PECOS PAC ID: 0446521520 Enrollment ID: I20221010001553 |
| Provider Name | Tyler Jacob Reed |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134798127 PECOS PAC ID: 3779975578 Enrollment ID: I20221015000087 |
| Provider Name | Sara E Miner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306338421 PECOS PAC ID: 8426307950 Enrollment ID: I20221019002390 |
| Provider Name | Aaron M Mclaughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194112268 PECOS PAC ID: 3072815513 Enrollment ID: I20221020001492 |
| Provider Name | Anne-marie Nicole Fleckenstein |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1386366391 PECOS PAC ID: 2668848243 Enrollment ID: I20221024000351 |
| Provider Name | Michelle L Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578286928 PECOS PAC ID: 1557738960 Enrollment ID: I20221027001370 |
| Provider Name | Aki S Puryear |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033138243 PECOS PAC ID: 9032011093 Enrollment ID: I20221027001973 |
| Provider Name | Jessica C Win |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952729048 PECOS PAC ID: 2567683444 Enrollment ID: I20221115001295 |
| Provider Name | David Rosmarin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730353665 PECOS PAC ID: 7719031525 Enrollment ID: I20221118000836 |
| Provider Name | Mitesh J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073527123 PECOS PAC ID: 7517937006 Enrollment ID: I20221121001901 |
| Provider Name | Brian Tien Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245947910 PECOS PAC ID: 1052780608 Enrollment ID: I20221205000318 |
| Provider Name | Michelle L Wagner-escobar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831464171 PECOS PAC ID: 9830568146 Enrollment ID: I20221208001477 |
| Provider Name | Emilie M Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952022766 PECOS PAC ID: 6901275213 Enrollment ID: I20221208001581 |
| Provider Name | Joseph F Webb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568449643 PECOS PAC ID: 8123062452 Enrollment ID: I20221209000221 |
| Provider Name | Johnathan S Brenia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093212037 PECOS PAC ID: 4385991637 Enrollment ID: I20221214001942 |
| Provider Name | Makram Obeid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477746667 PECOS PAC ID: 2466687157 Enrollment ID: I20221215001173 |
| Provider Name | Erica Ann Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669181194 PECOS PAC ID: 8224408935 Enrollment ID: I20221221000694 |
| Provider Name | Rita Assi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922541275 PECOS PAC ID: 3678943032 Enrollment ID: I20221228002599 |
| Provider Name | Anam Bashir |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881311777 PECOS PAC ID: 8325419609 Enrollment ID: I20230124002897 |
| Provider Name | Blair Elizabeth Book |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528789146 PECOS PAC ID: 8729459912 Enrollment ID: I20230126001199 |
| Provider Name | Chloe Drake |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629787817 PECOS PAC ID: 2668844226 Enrollment ID: I20230207002906 |
| Provider Name | Corey Joseph Mitscher |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982319505 PECOS PAC ID: 9335511930 Enrollment ID: I20230208000836 |
| Provider Name | Dmitriy S Tckachenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285645531 PECOS PAC ID: 9537165402 Enrollment ID: I20230208002965 |
| Provider Name | Shelby Lauren Ballard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720791940 PECOS PAC ID: 2668845017 Enrollment ID: I20230306000836 |
| Provider Name | Lingzhong Meng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477724086 PECOS PAC ID: 3678647351 Enrollment ID: I20230307000511 |
| Provider Name | Nicole D Poteet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831896471 PECOS PAC ID: 4082087259 Enrollment ID: I20230309000576 |
| Provider Name | Tanner J Hulin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356097026 PECOS PAC ID: 8729473525 Enrollment ID: I20230315001561 |
| Provider Name | Adam Daniel Camp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518107606 PECOS PAC ID: 0042453599 Enrollment ID: I20230317001161 |
| Provider Name | Tylor S Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538873807 PECOS PAC ID: 2062883275 Enrollment ID: I20230319000044 |
| Provider Name | William B Howard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891409116 PECOS PAC ID: 0648644971 Enrollment ID: I20230328000427 |
| Provider Name | Charles Connor Sorrells |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508578220 PECOS PAC ID: 8527433309 Enrollment ID: I20230410000204 |
| Provider Name | Josselyn M Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518669019 PECOS PAC ID: 7214393313 Enrollment ID: I20230516001250 |
| Provider Name | Roberto Jesus Bernardo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063853109 PECOS PAC ID: 3476847468 Enrollment ID: I20230516002374 |
| Provider Name | Ramzy Taylor Burns |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871083261 PECOS PAC ID: 0648526780 Enrollment ID: I20230516002440 |
| Provider Name | Maria L Srour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023462660 PECOS PAC ID: 1850679184 Enrollment ID: I20230516002790 |
| Provider Name | Brent Alan Bagley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447788948 PECOS PAC ID: 3870862832 Enrollment ID: I20230516002919 |
| Provider Name | Tareq Salous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306367156 PECOS PAC ID: 8022384957 Enrollment ID: I20230517003026 |
| Provider Name | Qasim Z Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942739107 PECOS PAC ID: 9032454657 Enrollment ID: I20230518002895 |
| Provider Name | Narindra Khalikaprasad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376170324 PECOS PAC ID: 2163888736 Enrollment ID: I20230524001685 |
| Provider Name | Sujani Yadlapati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689023616 PECOS PAC ID: 1658600309 Enrollment ID: I20230524001857 |
| Provider Name | David Dalton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932606357 PECOS PAC ID: 0143686733 Enrollment ID: I20230524002417 |
| Provider Name | Kayla Headley Nussbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033798459 PECOS PAC ID: 7113328451 Enrollment ID: I20230526001706 |
| Provider Name | Rosalyn H Chi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437412475 PECOS PAC ID: 5890006241 Enrollment ID: I20230526001739 |
| Provider Name | Hajirah T Ishaq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942761937 PECOS PAC ID: 3870820780 Enrollment ID: I20230531001491 |
| Provider Name | Patrick Joseph Dugan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922663012 PECOS PAC ID: 6002237088 Enrollment ID: I20230607001458 |
| Provider Name | Rafael Almeida Lima |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467911776 PECOS PAC ID: 8820321672 Enrollment ID: I20230608000398 |
| Provider Name | Tyler Nicholas Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326602699 PECOS PAC ID: 1557694999 Enrollment ID: I20230608002054 |
| Provider Name | Harry Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982230918 PECOS PAC ID: 9830556752 Enrollment ID: I20230608002183 |
| Provider Name | Itegbemie Obaitan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851745608 PECOS PAC ID: 5092068668 Enrollment ID: I20230608003138 |
| Provider Name | Jiping Zeng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659860260 PECOS PAC ID: 7810248622 Enrollment ID: I20230609000526 |
| Provider Name | Kelsea Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932774668 PECOS PAC ID: 9032514641 Enrollment ID: I20230620002114 |
| Provider Name | Meenakshi S Madhur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750565198 PECOS PAC ID: 2961568894 Enrollment ID: I20230621002616 |
| Provider Name | Stephanie Jo Weldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285318568 PECOS PAC ID: 9133587264 Enrollment ID: I20230622001761 |
| Provider Name | Bharathi Muthusamy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881043974 PECOS PAC ID: 1557653078 Enrollment ID: I20230623000566 |
| Provider Name | John J Guardiola-bright |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174985162 PECOS PAC ID: 7113299819 Enrollment ID: I20230623002653 |
| Provider Name | Amanda Herrmann Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427783059 PECOS PAC ID: 1759749609 Enrollment ID: I20230625000071 |
| Provider Name | Kundai Crites |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962963074 PECOS PAC ID: 4183957962 Enrollment ID: I20230626000634 |
| Provider Name | Daniel Udrea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174029755 PECOS PAC ID: 6103235759 Enrollment ID: I20230627001622 |
| Provider Name | Julia Passyn Dunn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043367857 PECOS PAC ID: 2264506161 Enrollment ID: I20230628003194 |
| Provider Name | Justin D Schrager |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144586157 PECOS PAC ID: 1759694284 Enrollment ID: I20230629001941 |
| Provider Name | Michelle Christine Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063868545 PECOS PAC ID: 9335430958 Enrollment ID: I20230629002718 |
| Provider Name | Carly A Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497250286 PECOS PAC ID: 9537415989 Enrollment ID: I20230630000803 |
| Provider Name | Eli Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720667413 PECOS PAC ID: 9335549260 Enrollment ID: I20230703000231 |
| Provider Name | Seema Shashank Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093202707 PECOS PAC ID: 2860757382 Enrollment ID: I20230705001029 |
| Provider Name | Sara C Spielman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609430230 PECOS PAC ID: 3779810494 Enrollment ID: I20230705003051 |
| Provider Name | Heidi L Alvey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386938702 PECOS PAC ID: 4981904133 Enrollment ID: I20230705003374 |
| Provider Name | Pamela M Wisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548954902 PECOS PAC ID: 8729447966 Enrollment ID: I20230706000271 |
| Provider Name | Heather Lynn Huelster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356797823 PECOS PAC ID: 4789978792 Enrollment ID: I20230710000185 |
| Provider Name | Zachary C Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568025211 PECOS PAC ID: 1456680941 Enrollment ID: I20230710003428 |
| Provider Name | Nikhil Varun Batra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053803700 PECOS PAC ID: 6901265768 Enrollment ID: I20230711003575 |
| Provider Name | Katherine Louise Hutchins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952892424 PECOS PAC ID: 6204181365 Enrollment ID: I20230713000154 |
| Provider Name | Kelsey June Pape |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588126429 PECOS PAC ID: 3476887852 Enrollment ID: I20230713004002 |
| Provider Name | Malini Surapaneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811342843 PECOS PAC ID: 9739549775 Enrollment ID: I20230721001507 |
| Provider Name | Ethan L Ferguson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043666191 PECOS PAC ID: 5395036198 Enrollment ID: I20230724001918 |
| Provider Name | Mark D Bevill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487182937 PECOS PAC ID: 4688944689 Enrollment ID: I20230724002011 |
| Provider Name | Hanna Tagliani Webb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427549948 PECOS PAC ID: 5890040117 Enrollment ID: I20230724003310 |
| Provider Name | Michelle Paek |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770045486 PECOS PAC ID: 8224362983 Enrollment ID: I20230725002863 |
| Provider Name | Irina K Hariri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164082848 PECOS PAC ID: 4284018151 Enrollment ID: I20230728001559 |
| Provider Name | Allison Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346941861 PECOS PAC ID: 4880055425 Enrollment ID: I20230731000980 |
| Provider Name | Janice Farlow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588010607 PECOS PAC ID: 9032487632 Enrollment ID: I20230731002061 |
| Provider Name | Ashina D Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467770255 PECOS PAC ID: 3577858364 Enrollment ID: I20230731002631 |
| Provider Name | Carl R Christenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699279000 PECOS PAC ID: 0143576967 Enrollment ID: I20230801002526 |
| Provider Name | Sayanika Kaur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689094021 PECOS PAC ID: 1153549662 Enrollment ID: I20230802001579 |
| Provider Name | Ryan G Hata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750564217 PECOS PAC ID: 1153484936 Enrollment ID: I20230802002009 |
| Provider Name | Casey Marie Schoettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821785387 PECOS PAC ID: 3375905276 Enrollment ID: I20230809001459 |
| Provider Name | Rebecca E Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487187258 PECOS PAC ID: 7911256912 Enrollment ID: I20230814003853 |
| Provider Name | Katherine Joann Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750062410 PECOS PAC ID: 4385006584 Enrollment ID: I20230821002240 |
| Provider Name | Awais Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316213481 PECOS PAC ID: 3173837242 Enrollment ID: I20230821002676 |
| Provider Name | Simran Kaur Jutla |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235633850 PECOS PAC ID: 7113328162 Enrollment ID: I20230825002933 |
| Provider Name | Nicholas Andrew Seitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619556958 PECOS PAC ID: 5193125102 Enrollment ID: I20230828002483 |
| Provider Name | Israa O Al-gburi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144757949 PECOS PAC ID: 6800168063 Enrollment ID: I20230829000571 |
| Provider Name | Yuliang Ding |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1669153375 PECOS PAC ID: 0648633354 Enrollment ID: I20230829001583 |
| Provider Name | Adrianne C Gasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386965085 PECOS PAC ID: 1355466178 Enrollment ID: I20230829003492 |
| Provider Name | Erinmarie O Kimbrough |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902250467 PECOS PAC ID: 4688952435 Enrollment ID: I20230830003748 |
| Provider Name | Patricia A Olson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295230498 PECOS PAC ID: 5092193631 Enrollment ID: I20230831003534 |
| Provider Name | Cheryl Moreton |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1548814791 PECOS PAC ID: 4284050584 Enrollment ID: I20230831004470 |
| Provider Name | Catharina Daffre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023738242 PECOS PAC ID: 2769846807 Enrollment ID: I20230907004501 |
| Provider Name | Sujal H Modi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184068561 PECOS PAC ID: 5496058042 Enrollment ID: I20230912001636 |
| Provider Name | Kelsey K Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306623665 PECOS PAC ID: 8628422375 Enrollment ID: I20230928001735 |
| Provider Name | Patrick R Carnes |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629250162 PECOS PAC ID: 7416047758 Enrollment ID: I20230929000811 |
| Provider Name | Haseeba Dojki-khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184148223 PECOS PAC ID: 8628340007 Enrollment ID: I20231010000328 |
| Provider Name | Becky Q Chu |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104466911 PECOS PAC ID: 9335579010 Enrollment ID: I20231013002752 |
| Provider Name | Robert D Denyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1457616518 PECOS PAC ID: 4789833278 Enrollment ID: I20231114002117 |
| Provider Name | Abena O Ofori |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780727222 PECOS PAC ID: 9032211727 Enrollment ID: I20231205000695 |
| Provider Name | Jordan Szpak |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1063861854 PECOS PAC ID: 6608160239 Enrollment ID: I20231206000159 |
| Provider Name | Lia M Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982183596 PECOS PAC ID: 7810234408 Enrollment ID: I20231208001826 |
| Provider Name | Kristen Jewel Esterlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306611330 PECOS PAC ID: 7911356423 Enrollment ID: I20231208003148 |
| Provider Name | Scott M Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457083214 PECOS PAC ID: 9830566967 Enrollment ID: I20231211002752 |
| Provider Name | Dana Renee Stoltz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851010169 PECOS PAC ID: 1557710803 Enrollment ID: I20231212001217 |
| Provider Name | Jonathon R Roullard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124556261 PECOS PAC ID: 8022363712 Enrollment ID: I20231213001680 |
| Provider Name | Autumn A Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649047580 PECOS PAC ID: 6002266616 Enrollment ID: I20231222000695 |
| Provider Name | Sarah H Young |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548654452 PECOS PAC ID: 3375879125 Enrollment ID: I20231222000999 |
| Provider Name | Viralkumar N Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255762118 PECOS PAC ID: 3072743848 Enrollment ID: I20231222001167 |
| Provider Name | Paige M Victor |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386262533 PECOS PAC ID: 2567873151 Enrollment ID: I20240109001590 |
| Provider Name | George Nicolas |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124642509 PECOS PAC ID: 4880010446 Enrollment ID: I20240110002481 |
| Provider Name | Adam Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467957829 PECOS PAC ID: 7911253182 Enrollment ID: I20240110003660 |
| Provider Name | Amira Zekan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124478904 PECOS PAC ID: 1052608189 Enrollment ID: I20240118003006 |
| Provider Name | Carey M Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1306583844 PECOS PAC ID: 0547649998 Enrollment ID: I20240123000384 |
| Provider Name | Kayla K Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235906421 PECOS PAC ID: 8921451758 Enrollment ID: I20240129002668 |
| Provider Name | Mohammad E Thawabi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356730881 PECOS PAC ID: 6305172784 Enrollment ID: I20240205000189 |
| Provider Name | Nuo Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013443357 PECOS PAC ID: 7618214966 Enrollment ID: I20240206002397 |
| Provider Name | Mikiel A Ewida |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417726779 PECOS PAC ID: 9931542651 Enrollment ID: I20240209002450 |
| Provider Name | Gavin J Bowling |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366219719 PECOS PAC ID: 8426492869 Enrollment ID: I20240214000608 |
| Provider Name | Robert Fiala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316238694 PECOS PAC ID: 4789904111 Enrollment ID: I20240214002653 |
| Provider Name | David Edward Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1023882016 PECOS PAC ID: 5890139034 Enrollment ID: I20240215003772 |
| Provider Name | Devon P Amos |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689448805 PECOS PAC ID: 9638513880 Enrollment ID: I20240215004078 |
| Provider Name | Cameron Mitchell Knese |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427811074 PECOS PAC ID: 8325482029 Enrollment ID: I20240221002877 |
| Provider Name | Bryan E Julian |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689435349 PECOS PAC ID: 2163866724 Enrollment ID: I20240222001056 |
| Provider Name | Taylor J Merrill |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376305474 PECOS PAC ID: 5799120119 Enrollment ID: I20240226001410 |
| Provider Name | Na Tosha Gatson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790910560 PECOS PAC ID: 2860633104 Enrollment ID: I20240227002617 |
| Provider Name | Reagan M Gambill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629843792 PECOS PAC ID: 1456796648 Enrollment ID: I20240227003814 |
| Provider Name | Mary Elizabeth Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821868787 PECOS PAC ID: 2668818667 Enrollment ID: I20240313001153 |
| Provider Name | Ella Louise Funke |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1760245278 PECOS PAC ID: 2062858913 Enrollment ID: I20240313003347 |
| Provider Name | Bert B Vargas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205038627 PECOS PAC ID: 4486754025 Enrollment ID: I20240314001613 |
| Provider Name | Kristen Leigh Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568223139 PECOS PAC ID: 9931545738 Enrollment ID: I20240315000605 |
| Provider Name | Brittany Lynn Partain |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851882906 PECOS PAC ID: 5496193070 Enrollment ID: I20240402000713 |
| Provider Name | Lisa Nobel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417454372 PECOS PAC ID: 7113274036 Enrollment ID: I20240403004310 |
| Provider Name | Mohammed O Sadat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548555345 PECOS PAC ID: 2769857879 Enrollment ID: I20240405003374 |
| Provider Name | Nicole R Kistler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538923107 PECOS PAC ID: 9234578741 Enrollment ID: I20240417001211 |
| Provider Name | Hannah E Kalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851155808 PECOS PAC ID: 9234578402 Enrollment ID: I20240420000025 |
| Provider Name | Cristina Barboi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053394015 PECOS PAC ID: 4183804735 Enrollment ID: I20240423002637 |
| Provider Name | Weston J Bertot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558802801 PECOS PAC ID: 2264776970 Enrollment ID: I20240424001689 |
| Provider Name | Gaurav Chauhan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972979771 PECOS PAC ID: 9436482619 Enrollment ID: I20240501001832 |
| Provider Name | Zarwa Idrees |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184288953 PECOS PAC ID: 2163819038 Enrollment ID: I20240502001923 |
| Provider Name | Hunter Luke Elms |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225590359 PECOS PAC ID: 7517308265 Enrollment ID: I20240511000412 |
| Provider Name | John Francis Benecke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023645819 PECOS PAC ID: 0345649968 Enrollment ID: I20240513000408 |
| Provider Name | Motasem Mustafa Alkhayyat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417433905 PECOS PAC ID: 8921357849 Enrollment ID: I20240513001069 |
| Provider Name | Hunter Davis Archibald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629531801 PECOS PAC ID: 7618304593 Enrollment ID: I20240513002290 |
| Provider Name | Khushali Shaileshbhai Jhaveri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417471749 PECOS PAC ID: 4486095114 Enrollment ID: I20240513003198 |
| Provider Name | Matthew J Henry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063032068 PECOS PAC ID: 8921428970 Enrollment ID: I20240514001972 |
| Provider Name | John C Grotberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659865079 PECOS PAC ID: 7315293313 Enrollment ID: I20240514002816 |
| Provider Name | Daniel A Benson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245850494 PECOS PAC ID: 8628499894 Enrollment ID: I20240514003122 |
| Provider Name | Toyin Daniel Ayodele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881223030 PECOS PAC ID: 9537599782 Enrollment ID: I20240515001598 |
| Provider Name | Mohammad Ahsan Sohail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629539952 PECOS PAC ID: 4183957152 Enrollment ID: I20240515004106 |
| Provider Name | Bruce W Arthur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205956018 PECOS PAC ID: 4082882873 Enrollment ID: I20240517002909 |
| Provider Name | Biplab K Saha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053673160 PECOS PAC ID: 8224375316 Enrollment ID: I20240522000273 |
| Provider Name | Salil D Phadnis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851973531 PECOS PAC ID: 7315348661 Enrollment ID: I20240522001691 |
| Provider Name | Parth Udayan Thakker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053874800 PECOS PAC ID: 9739416058 Enrollment ID: I20240522003969 |
| Provider Name | Will C Jensen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003310160 PECOS PAC ID: 0143578369 Enrollment ID: I20240525000225 |
| Provider Name | Benjamin A Bale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932562899 PECOS PAC ID: 3678832490 Enrollment ID: I20240525000239 |
| Provider Name | Mariah R Ozkir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508363995 PECOS PAC ID: 9537424114 Enrollment ID: I20240525000368 |
| Provider Name | Florence Feng Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568969012 PECOS PAC ID: 8325393655 Enrollment ID: I20240528001216 |
| Provider Name | Rachel Lynn Schmalshof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366018624 PECOS PAC ID: 3173925088 Enrollment ID: I20240529000813 |
| Provider Name | Adam Leland Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851927727 PECOS PAC ID: 6002239076 Enrollment ID: I20240530001172 |
| Provider Name | Gregory J Aycock |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215924527 PECOS PAC ID: 0547614059 Enrollment ID: I20240604000162 |
| Provider Name | Daniel A Sidhom |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134782402 PECOS PAC ID: 3375877251 Enrollment ID: I20240606001444 |
| Provider Name | Zunera Tariq |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285017020 PECOS PAC ID: 3274889050 Enrollment ID: I20240612000210 |
| Provider Name | Curtis D Groover |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497382154 PECOS PAC ID: 1557782794 Enrollment ID: I20240612001373 |
| Provider Name | Ahmed A Elkafrawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255869905 PECOS PAC ID: 1658644984 Enrollment ID: I20240612002181 |
| Provider Name | Daniel Rozenbaum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033770722 PECOS PAC ID: 1254668163 Enrollment ID: I20240612002964 |
| Provider Name | Jordan B Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538697537 PECOS PAC ID: 2466722301 Enrollment ID: I20240612003246 |
| Provider Name | Benjamin Mark Wahle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689194243 PECOS PAC ID: 0143762526 Enrollment ID: I20240613000768 |
| Provider Name | Alexandru C Barboi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295785723 PECOS PAC ID: 6709917834 Enrollment ID: I20240613001245 |
| Provider Name | Christine Li Barron |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588125413 PECOS PAC ID: 2062955461 Enrollment ID: I20240613001846 |
| Provider Name | Ellen S Horstmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265093215 PECOS PAC ID: 8022340967 Enrollment ID: I20240614001006 |
| Provider Name | Michelle R Axe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013545540 PECOS PAC ID: 4688005325 Enrollment ID: I20240618002630 |
| Provider Name | Nicholas P Vaughn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629462965 PECOS PAC ID: 8628341807 Enrollment ID: I20240618004396 |
| Provider Name | Nicholas Robert Carter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174151567 PECOS PAC ID: 6709208671 Enrollment ID: I20240620000146 |
| Provider Name | Kari B Christie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003060922 PECOS PAC ID: 1759538036 Enrollment ID: I20240620001737 |
| Provider Name | Bosi Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295363158 PECOS PAC ID: 6608319439 Enrollment ID: I20240620002545 |
| Provider Name | Alexandra Christine Elizabeth Dadrat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588283485 PECOS PAC ID: 3779026588 Enrollment ID: I20240621001109 |
| Provider Name | Lev Vaisman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740637800 PECOS PAC ID: 5294008132 Enrollment ID: I20240621001935 |
| Provider Name | Eileen Frances O'connor Mcferran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063919017 PECOS PAC ID: 0345598546 Enrollment ID: I20240621002016 |
| Provider Name | Elise Porter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386271393 PECOS PAC ID: 8426472945 Enrollment ID: I20240624000946 |
| Provider Name | Leah Elaine Moravec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760001895 PECOS PAC ID: 3779904420 Enrollment ID: I20240625003352 |
| Provider Name | Jacob O Rust |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487117842 PECOS PAC ID: 0648506022 Enrollment ID: I20240626001868 |
| Provider Name | Christopher T Rud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073141735 PECOS PAC ID: 3173947694 Enrollment ID: I20240702000322 |
| Provider Name | Destiny Folk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740867936 PECOS PAC ID: 8527460278 Enrollment ID: I20240702000901 |
| Provider Name | Brijesh D Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760743728 PECOS PAC ID: 4688961600 Enrollment ID: I20240702001598 |
| Provider Name | Qusay Haydour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407261944 PECOS PAC ID: 4183914427 Enrollment ID: I20240702002435 |
| Provider Name | Michael J Frondorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639798804 PECOS PAC ID: 6204370844 Enrollment ID: I20240707000033 |
| Provider Name | Kennen D Less |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598129819 PECOS PAC ID: 8729465042 Enrollment ID: I20240708001101 |
| Provider Name | Melissa Rachel Gordon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285195461 PECOS PAC ID: 0648505446 Enrollment ID: I20240711000406 |
| Provider Name | Noah Shaikh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932603529 PECOS PAC ID: 9436494184 Enrollment ID: I20240715003805 |
| Provider Name | Taryn D Heyman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881128031 PECOS PAC ID: 3375882111 Enrollment ID: I20240716002608 |
| Provider Name | Tavonna D Kako |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275181554 PECOS PAC ID: 3971925413 Enrollment ID: I20240717000182 |
| Provider Name | Michael Blessyn Nadutey Adjei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710516299 PECOS PAC ID: 1153866876 Enrollment ID: I20240717001943 |
| Provider Name | Devin J Conway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679063077 PECOS PAC ID: 2062761836 Enrollment ID: I20240717003271 |
| Provider Name | Ashley K Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225590474 PECOS PAC ID: 6305179508 Enrollment ID: I20240717004040 |
| Provider Name | Caleb Cooper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871086264 PECOS PAC ID: 8921355207 Enrollment ID: I20240719003161 |
| Provider Name | John Marxer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609404631 PECOS PAC ID: 3779905641 Enrollment ID: I20240722002920 |
| Provider Name | Courtney L Bledsoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1598429888 PECOS PAC ID: 3870980725 Enrollment ID: I20240723000885 |
| Provider Name | Tera F Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457647182 PECOS PAC ID: 9133432420 Enrollment ID: I20240725001201 |
| Provider Name | Stephanie Xin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598501728 PECOS PAC ID: 2466998430 Enrollment ID: I20240725004221 |
| Provider Name | Keerthana Mohankumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457812414 PECOS PAC ID: 6103256060 Enrollment ID: I20240731003958 |
| Provider Name | Gregory S Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710993662 PECOS PAC ID: 3779559265 Enrollment ID: I20240806003835 |
| Provider Name | Paige K. Bradley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407485246 PECOS PAC ID: 7517388259 Enrollment ID: I20240814001081 |
| Provider Name | Ward P Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427224328 PECOS PAC ID: 6204988264 Enrollment ID: I20240905002915 |
| Provider Name | Aleksa Todorovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528806734 PECOS PAC ID: 5799225553 Enrollment ID: I20240906002524 |
| Provider Name | Anne Marie Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639912587 PECOS PAC ID: 6709326465 Enrollment ID: I20240909001810 |
| Provider Name | Katherine C Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003379116 PECOS PAC ID: 5991038978 Enrollment ID: I20240913000564 |
| Provider Name | Alyssa Lyn Saha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962127100 PECOS PAC ID: 4284001546 Enrollment ID: I20240924000966 |
| Provider Name | Samantha Grace Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942032552 PECOS PAC ID: 5597296566 Enrollment ID: I20241001002625 |
| Provider Name | Brandon Yates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427687789 PECOS PAC ID: 5597186411 Enrollment ID: I20241008001150 |
| Provider Name | Nicholas R Levergood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033748108 PECOS PAC ID: 4385075563 Enrollment ID: I20241017000814 |
| Provider Name | Elham L Zayed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194450577 PECOS PAC ID: 3072984954 Enrollment ID: I20241018002546 |
| Provider Name | Shelby L Kubicki |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043770746 PECOS PAC ID: 3577894245 Enrollment ID: I20241021001187 |
| Provider Name | Anna Catherine Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821825498 PECOS PAC ID: 1850823386 Enrollment ID: I20241022001910 |
| Provider Name | Huynhvi Phan Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649007899 PECOS PAC ID: 2163955501 Enrollment ID: I20241029003848 |
| Provider Name | Shannon Ivy Harris |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1689492175 PECOS PAC ID: 9133652985 Enrollment ID: I20241031002384 |
| Provider Name | Merritt M Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629895883 PECOS PAC ID: 9638603202 Enrollment ID: I20241106000415 |
| Provider Name | Anna Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912724402 PECOS PAC ID: 4587198742 Enrollment ID: I20241111001132 |
| Provider Name | Mary Kleiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407391253 PECOS PAC ID: 5294165932 Enrollment ID: I20241112000825 |
| Provider Name | Gerald T Kitchens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104868629 PECOS PAC ID: 1254310899 Enrollment ID: I20241112002372 |
| Provider Name | Mikiyas Fitawok |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447823075 PECOS PAC ID: 3274937230 Enrollment ID: I20241125001611 |
| Provider Name | Lindsey Bechtold |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205582566 PECOS PAC ID: 0244765378 Enrollment ID: I20241126000467 |
| Provider Name | Melanie L Soloway |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1316675051 PECOS PAC ID: 1951771195 Enrollment ID: I20241203001360 |
| Provider Name | Anshika Kaushik |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326437138 PECOS PAC ID: 0547691032 Enrollment ID: I20241203003906 |
| Provider Name | Joseph M Parrish |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790204329 PECOS PAC ID: 4183980253 Enrollment ID: I20241205001922 |
| Provider Name | Yousef Al Ahwel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093946576 PECOS PAC ID: 4385808609 Enrollment ID: I20241210001242 |
| Provider Name | Robert B Fujiki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871151837 PECOS PAC ID: 1658604160 Enrollment ID: I20241224000806 |
| Provider Name | Sarah Mary Elsakr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336639079 PECOS PAC ID: 5698203560 Enrollment ID: I20250107001070 |
| Provider Name | Soumyasri Kambhatla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851820005 PECOS PAC ID: 9739454844 Enrollment ID: I20250107003040 |
| Provider Name | Tiffany Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306336540 PECOS PAC ID: 6507111267 Enrollment ID: I20250107003480 |
| Provider Name | Sejal Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770148892 PECOS PAC ID: 9537584586 Enrollment ID: I20250115002601 |
| Provider Name | Zoe N David |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427868934 PECOS PAC ID: 4789113705 Enrollment ID: I20250121001845 |
| Provider Name | Sandrine L Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891216982 PECOS PAC ID: 2466702477 Enrollment ID: I20250128003800 |
| Provider Name | Valerie Jill Strother |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992528061 PECOS PAC ID: 5890224380 Enrollment ID: I20250129000990 |
| Provider Name | Charisse F Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659181592 PECOS PAC ID: 8628508165 Enrollment ID: I20250212002789 |
| Provider Name | Sean Kautz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1679390603 PECOS PAC ID: 3678003076 Enrollment ID: I20250214001766 |
| Provider Name | Olivia K Rassel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851102578 PECOS PAC ID: 9830629161 Enrollment ID: I20250214003045 |
| Provider Name | Ricky L Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881405843 PECOS PAC ID: 8527588391 Enrollment ID: I20250224001718 |
| Provider Name | Alison M Dedent |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649699661 PECOS PAC ID: 2466678495 Enrollment ID: I20250224002789 |
| Provider Name | Dennis Viet Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104635838 PECOS PAC ID: 1355861048 Enrollment ID: I20250225002477 |
| Provider Name | Brandon Matthew Haynes |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932911518 PECOS PAC ID: 9133649692 Enrollment ID: I20250227001283 |
| Provider Name | Karley B Gaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780495077 PECOS PAC ID: 9830611813 Enrollment ID: I20250319001967 |
| Provider Name | Emil M Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285263434 PECOS PAC ID: 6002234846 Enrollment ID: I20250319002106 |
| Provider Name | Brian Robert Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912699844 PECOS PAC ID: 8325405459 Enrollment ID: I20250321002620 |
| Provider Name | Stacie L Bingaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073715165 PECOS PAC ID: 8325191224 Enrollment ID: I20250408003825 |
| Provider Name | Elias Miguel Chuki Naguanagua |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548820970 PECOS PAC ID: 6305284779 Enrollment ID: I20250414002861 |
| Provider Name | Perla G Alamillo Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245041748 PECOS PAC ID: 2769908185 Enrollment ID: I20250429002256 |
| Provider Name | Amy N Boone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306280946 PECOS PAC ID: 3274858790 Enrollment ID: I20250430002400 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Midwest Center For Pelvic Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E 91st St Ste B, Indianapolis, IN 46240 Phone: 317-793-2819 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
The Health And Hospital Corporation Of Marion County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Creative Rehab Strategies Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Cadience Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5602 Caito Dr, Indianapolis, IN 46226 Phone: 901-235-2065 |