| Johns Hopkins Community Physicians | |
|
8600 Old Georgetown Rd Bethesda MD 20814-1422 | |
| (301) 896-7500 | |
| Not Available |
| Full Name | Johns Hopkins Community Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 8600 Old Georgetown Rd, Bethesda, Maryland |
| Authorized Official Name and Position | Linda J. Gilligan (VICE PRESIDENT/COO) |
| Authorized Official Contact | 4103383565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johns Hopkins Community Physicians 9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 Ph: (410) 933-5412 | Johns Hopkins Community Physicians 8600 Old Georgetown Rd Bethesda MD 20814-1422 Ph: (301) 896-7500 |
| NPI Number | 1255359972 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 07/30/2021 |
| Medicare PECOS PAC ID | 8325943707 |
|---|---|
| Medicare Enrollment ID | O20040130000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255359972 | NPI | - | NPPES |
| 7645511 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ursula Heberlein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225167323 PECOS PAC ID: 2062305618 Enrollment ID: I20040206000090 |
| Provider Name | Maureen Fennell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750343075 PECOS PAC ID: 7719871847 Enrollment ID: I20040210001008 |
| Provider Name | Julie Krivy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831295286 PECOS PAC ID: 6901792993 Enrollment ID: I20040226000092 |
| Provider Name | Cynthia June Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437327095 PECOS PAC ID: 6103815550 Enrollment ID: I20040510001657 |
| Provider Name | James J Morton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114975778 PECOS PAC ID: 5496745168 Enrollment ID: I20040514000497 |
| Provider Name | Eric Lieberman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750333522 PECOS PAC ID: 8820088214 Enrollment ID: I20040517001065 |
| Provider Name | Omid G Moayed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831136076 PECOS PAC ID: 5890776553 Enrollment ID: I20040609000720 |
| Provider Name | Tung Dao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003811225 PECOS PAC ID: 3375526080 Enrollment ID: I20040611000979 |
| Provider Name | Atul Rohatgi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740271600 PECOS PAC ID: 1557348919 Enrollment ID: I20040702000515 |
| Provider Name | William F Simonds |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285625152 PECOS PAC ID: 9032196050 Enrollment ID: I20040707000528 |
| Provider Name | Tara M Roque |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750339917 PECOS PAC ID: 8527047760 Enrollment ID: I20040720000410 |
| Provider Name | Harry Bigham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346245628 PECOS PAC ID: 0941280648 Enrollment ID: I20040722001260 |
| Provider Name | Yuri Deychak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063417277 PECOS PAC ID: 6103806641 Enrollment ID: I20040723000919 |
| Provider Name | Virginia Colliver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265437545 PECOS PAC ID: 9739159823 Enrollment ID: I20040727001098 |
| Provider Name | Gregory K Kumkumian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851336200 PECOS PAC ID: 5597735506 Enrollment ID: I20040728000350 |
| Provider Name | Thomas Goldbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275564593 PECOS PAC ID: 7810967650 Enrollment ID: I20040728001470 |
| Provider Name | Edward Bodurian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922042241 PECOS PAC ID: 5193795946 Enrollment ID: I20040728001551 |
| Provider Name | Edward Healy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700881927 PECOS PAC ID: 7911973805 Enrollment ID: I20040902000370 |
| Provider Name | Janine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477785053 PECOS PAC ID: 8729055322 Enrollment ID: I20040914000130 |
| Provider Name | Janet Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205039625 PECOS PAC ID: 2961465257 Enrollment ID: I20041108000872 |
| Provider Name | Columbus James Giles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740290139 PECOS PAC ID: 0042261778 Enrollment ID: I20050209001013 |
| Provider Name | David R King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992746127 PECOS PAC ID: 7618929407 Enrollment ID: I20050221000485 |
| Provider Name | Daniel Schwartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053452052 PECOS PAC ID: 0446203285 Enrollment ID: I20050222000285 |
| Provider Name | Natasha P Haag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417948399 PECOS PAC ID: 6103861638 Enrollment ID: I20050624000139 |
| Provider Name | Rosalie Naglieri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790751865 PECOS PAC ID: 2163467606 Enrollment ID: I20050624000181 |
| Provider Name | Steven Wilks |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053311035 PECOS PAC ID: 7719971480 Enrollment ID: I20050805000510 |
| Provider Name | Jenel S Wyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851401012 PECOS PAC ID: 6901835693 Enrollment ID: I20050816000089 |
| Provider Name | Georg Aue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215928080 PECOS PAC ID: 2961434931 Enrollment ID: I20050910000060 |
| Provider Name | Laura Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255399234 PECOS PAC ID: 9931125168 Enrollment ID: I20051018000319 |
| Provider Name | Mary Kilavos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609841188 PECOS PAC ID: 8325069743 Enrollment ID: I20051213000854 |
| Provider Name | Wasel S Akbary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639189194 PECOS PAC ID: 5395761332 Enrollment ID: I20060105000828 |
| Provider Name | Elizabeth M Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487693065 PECOS PAC ID: 9335163831 Enrollment ID: I20060124000306 |
| Provider Name | Michael Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295734234 PECOS PAC ID: 5597774463 Enrollment ID: I20060420000551 |
| Provider Name | Yao-yao Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205888591 PECOS PAC ID: 5395743587 Enrollment ID: I20061122000433 |
| Provider Name | Jocelyne T Kouatchou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811950546 PECOS PAC ID: 1658385331 Enrollment ID: I20070129000180 |
| Provider Name | Khalid Puthawala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356397442 PECOS PAC ID: 5890797682 Enrollment ID: I20070207000470 |
| Provider Name | Melissa E Blakeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548293590 PECOS PAC ID: 2860494317 Enrollment ID: I20070213000080 |
| Provider Name | Philip Corcoran |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1932278983 PECOS PAC ID: 4789786716 Enrollment ID: I20070222000294 |
| Provider Name | Amirali Nader |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386736148 PECOS PAC ID: 3678675071 Enrollment ID: I20070302000107 |
| Provider Name | Felicia Nicholsonbrown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528128345 PECOS PAC ID: 4981707395 Enrollment ID: I20070305000580 |
| Provider Name | Annie George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346330859 PECOS PAC ID: 0244334241 Enrollment ID: I20070402000100 |
| Provider Name | Melissa L Means |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932157195 PECOS PAC ID: 8224134200 Enrollment ID: I20070508000509 |
| Provider Name | Wanda Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073591665 PECOS PAC ID: 2264443282 Enrollment ID: I20070907000576 |
| Provider Name | Yuri Prykupenko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003850900 PECOS PAC ID: 8123084985 Enrollment ID: I20071026000519 |
| Provider Name | Kimberly L Zeren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003813072 PECOS PAC ID: 7315034600 Enrollment ID: I20071106000605 |
| Provider Name | Eric Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932190766 PECOS PAC ID: 6507948494 Enrollment ID: I20080131000145 |
| Provider Name | Stephany A Mcgann |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831393792 PECOS PAC ID: 5193800878 Enrollment ID: I20080305000138 |
| Provider Name | Chamara L Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083623532 PECOS PAC ID: 2668487927 Enrollment ID: I20080702000306 |
| Provider Name | Leo C Rotello |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811945074 PECOS PAC ID: 0547362972 Enrollment ID: I20080708000357 |
| Provider Name | Tet Wei Chan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851349401 PECOS PAC ID: 4688774680 Enrollment ID: I20080708000382 |
| Provider Name | Farah M Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659487585 PECOS PAC ID: 5698841104 Enrollment ID: I20080908000237 |
| Provider Name | Mauro Sarmiento |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285607465 PECOS PAC ID: 6608882717 Enrollment ID: I20080911000383 |
| Provider Name | Maria P Villanueva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679748800 PECOS PAC ID: 0648346882 Enrollment ID: I20080911000481 |
| Provider Name | Lisa Olin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093981326 PECOS PAC ID: 4385711381 Enrollment ID: I20080917000184 |
| Provider Name | Alan Schneider |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073692885 PECOS PAC ID: 0244307619 Enrollment ID: I20080926000368 |
| Provider Name | Jennifer Inzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992970057 PECOS PAC ID: 8022186600 Enrollment ID: I20081009000225 |
| Provider Name | Aaron Kenigsberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902901747 PECOS PAC ID: 8325106354 Enrollment ID: I20081021000182 |
| Provider Name | Padmaja Bandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699971457 PECOS PAC ID: 3779642327 Enrollment ID: I20081111000618 |
| Provider Name | Yuneng O Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083879498 PECOS PAC ID: 0547320368 Enrollment ID: I20081124000130 |
| Provider Name | Jennifer E Obiadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922265529 PECOS PAC ID: 0648333898 Enrollment ID: I20090114000113 |
| Provider Name | Vasilios Pyrgos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932353786 PECOS PAC ID: 7315001633 Enrollment ID: I20090202000401 |
| Provider Name | Holly Bashura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194771758 PECOS PAC ID: 8820006943 Enrollment ID: I20090331000408 |
| Provider Name | Karen A Mackinnon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346384328 PECOS PAC ID: 4486553542 Enrollment ID: I20090428000104 |
| Provider Name | Michael P Siegenthaler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093863532 PECOS PAC ID: 7012918782 Enrollment ID: I20090429000106 |
| Provider Name | Christopher John Lettieri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689637787 PECOS PAC ID: 2668568551 Enrollment ID: I20090512000532 |
| Provider Name | Daniel Fernicola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033171442 PECOS PAC ID: 4587714357 Enrollment ID: I20090622000038 |
| Provider Name | Linda J. Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730282245 PECOS PAC ID: 8123179561 Enrollment ID: I20090625000331 |
| Provider Name | Christopher J Colombo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992814057 PECOS PAC ID: 9830240977 Enrollment ID: I20090630000513 |
| Provider Name | Jason M Elinoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780799031 PECOS PAC ID: 8426109257 Enrollment ID: I20090707000647 |
| Provider Name | Meei-chen Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992941355 PECOS PAC ID: 7012060726 Enrollment ID: I20090728000701 |
| Provider Name | Jill A. Crank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033396882 PECOS PAC ID: 5092869297 Enrollment ID: I20090824000272 |
| Provider Name | Julia A Ejiogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144472556 PECOS PAC ID: 7113072505 Enrollment ID: I20090909000185 |
| Provider Name | Peter H Tait |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326202961 PECOS PAC ID: 2668546987 Enrollment ID: I20091102000490 |
| Provider Name | Helen Sile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932154630 PECOS PAC ID: 6608823828 Enrollment ID: I20091113000019 |
| Provider Name | Cynthia Soriano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891828125 PECOS PAC ID: 2365458189 Enrollment ID: I20100111000140 |
| Provider Name | Jesus D Guevara Nieto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407966591 PECOS PAC ID: 8123088473 Enrollment ID: I20100512000636 |
| Provider Name | Mary Callsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639137573 PECOS PAC ID: 5395874655 Enrollment ID: I20100525000299 |
| Provider Name | Shruthi Bellapu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508009200 PECOS PAC ID: 7719017672 Enrollment ID: I20100621000057 |
| Provider Name | Shanthi M Nadar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003083239 PECOS PAC ID: 2769514181 Enrollment ID: I20100721000475 |
| Provider Name | Genese M Lamare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841467651 PECOS PAC ID: 3779616230 Enrollment ID: I20100804000445 |
| Provider Name | Andrea Kwong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215961610 PECOS PAC ID: 1355315995 Enrollment ID: I20100810000325 |
| Provider Name | Jennifer A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427388438 PECOS PAC ID: 4486788684 Enrollment ID: I20100810000346 |
| Provider Name | Roger Stevenson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255336525 PECOS PAC ID: 7517081151 Enrollment ID: I20100902000749 |
| Provider Name | Mark Milner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093710360 PECOS PAC ID: 6901920511 Enrollment ID: I20100903000482 |
| Provider Name | Saritha Gorantla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174780571 PECOS PAC ID: 5799853362 Enrollment ID: I20100917000965 |
| Provider Name | Ravinder K Wali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821030933 PECOS PAC ID: 5092857300 Enrollment ID: I20100924000965 |
| Provider Name | Sheryl N Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548465297 PECOS PAC ID: 0840483137 Enrollment ID: I20101019001055 |
| Provider Name | Anitha P Chetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861651416 PECOS PAC ID: 2860686516 Enrollment ID: I20101027000468 |
| Provider Name | Adejumoke O Osuntogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669627337 PECOS PAC ID: 0749475507 Enrollment ID: I20101108000142 |
| Provider Name | Latoya L Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689732638 PECOS PAC ID: 7911972203 Enrollment ID: I20101122000206 |
| Provider Name | Pamela Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982750311 PECOS PAC ID: 4284820937 Enrollment ID: I20101123000403 |
| Provider Name | Thelma Ayensu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881883882 PECOS PAC ID: 7012102098 Enrollment ID: I20101211000058 |
| Provider Name | James Lee Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649373150 PECOS PAC ID: 8729276977 Enrollment ID: I20110104000092 |
| Provider Name | Amina Tene Watson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083610760 PECOS PAC ID: 9032308200 Enrollment ID: I20110104001207 |
| Provider Name | Justin Thomas Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518286970 PECOS PAC ID: 9133318108 Enrollment ID: I20110106000044 |
| Provider Name | Aaron Holley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750485439 PECOS PAC ID: 0547459026 Enrollment ID: I20110114000152 |
| Provider Name | Carolyn Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104073311 PECOS PAC ID: 3173703493 Enrollment ID: I20110203000620 |
| Provider Name | Bradley R Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578631834 PECOS PAC ID: 7012199623 Enrollment ID: I20110303000053 |
| Provider Name | Anjali Sehmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376728170 PECOS PAC ID: 7719169135 Enrollment ID: I20110307000611 |
| Provider Name | Atousa Mamhmoudzadeh Tabrizian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221449 PECOS PAC ID: 2860689197 Enrollment ID: I20110310000669 |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487876421 PECOS PAC ID: 8426027848 Enrollment ID: I20110318000460 |
| Provider Name | Kanwal S Awan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902067960 PECOS PAC ID: 7113101585 Enrollment ID: I20110408000315 |
| Provider Name | Shahzad Ahmad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730110123 PECOS PAC ID: 3274719513 Enrollment ID: I20110520000271 |
| Provider Name | Lydia Gilbert-mcclain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861513301 PECOS PAC ID: 8628256823 Enrollment ID: I20110616000478 |
| Provider Name | Andrew H Schulick |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043283468 PECOS PAC ID: 7012993447 Enrollment ID: I20110711000540 |
| Provider Name | Abul Arifuddowla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851559611 PECOS PAC ID: 1456419209 Enrollment ID: I20110823000686 |
| Provider Name | Sandeep Pandove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679511059 PECOS PAC ID: 4981608429 Enrollment ID: I20110930000175 |
| Provider Name | Neil Rosenman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396993796 PECOS PAC ID: 4183813447 Enrollment ID: I20111006000675 |
| Provider Name | Natalia M Vasquez Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447408851 PECOS PAC ID: 8921280223 Enrollment ID: I20111006000692 |
| Provider Name | Adaobi Udenwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982866729 PECOS PAC ID: 0244402584 Enrollment ID: I20111011000440 |
| Provider Name | Vikas Kapoor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871711309 PECOS PAC ID: 8426147307 Enrollment ID: I20111021000349 |
| Provider Name | Huda I Gasmelseed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669688461 PECOS PAC ID: 9830371020 Enrollment ID: I20111101000466 |
| Provider Name | Bonita Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851357065 PECOS PAC ID: 2668489600 Enrollment ID: I20111104000321 |
| Provider Name | Thomas Havell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396779310 PECOS PAC ID: 5799826889 Enrollment ID: I20111115000576 |
| Provider Name | Judith A Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154543478 PECOS PAC ID: 5597932012 Enrollment ID: I20120124000158 |
| Provider Name | Manie Juneja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609868975 PECOS PAC ID: 8921085093 Enrollment ID: I20120124000615 |
| Provider Name | Sridevi Bellamkonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144515669 PECOS PAC ID: 5294992392 Enrollment ID: I20120201000282 |
| Provider Name | Michael Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336124601 PECOS PAC ID: 6406013895 Enrollment ID: I20120214000385 |
| Provider Name | Saher Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275744161 PECOS PAC ID: 9133387277 Enrollment ID: I20120221000871 |
| Provider Name | Andrew Toon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972591550 PECOS PAC ID: 9830357318 Enrollment ID: I20120301000388 |
| Provider Name | Renee Hui-chun Chen-lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942297833 PECOS PAC ID: 1658539135 Enrollment ID: I20120301000422 |
| Provider Name | Martin G Paul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801871181 PECOS PAC ID: 7113186305 Enrollment ID: I20120307000583 |
| Provider Name | Terri H Lunsford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215915418 PECOS PAC ID: 2860460441 Enrollment ID: I20120313000028 |
| Provider Name | Paul D Giles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104098326 PECOS PAC ID: 2961681697 Enrollment ID: I20120320000089 |
| Provider Name | Naseem Dawood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710055660 PECOS PAC ID: 3678529195 Enrollment ID: I20120411000055 |
| Provider Name | Parizad Torabi-parizi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720124118 PECOS PAC ID: 2365603685 Enrollment ID: I20120413000296 |
| Provider Name | Anita U Anigbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497985964 PECOS PAC ID: 9032372404 Enrollment ID: I20120522001102 |
| Provider Name | Andrea Hulse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679532220 PECOS PAC ID: 5092744672 Enrollment ID: I20120601000355 |
| Provider Name | Amee Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578898482 PECOS PAC ID: 6507022878 Enrollment ID: I20120801000137 |
| Provider Name | Bonnie Sun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730319757 PECOS PAC ID: 9739335217 Enrollment ID: I20120816000375 |
| Provider Name | Jason W Freeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619270212 PECOS PAC ID: 2668620949 Enrollment ID: I20120911000421 |
| Provider Name | Justin William Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639465107 PECOS PAC ID: 3476701756 Enrollment ID: I20120911000442 |
| Provider Name | Robert Q Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184984643 PECOS PAC ID: 4587814207 Enrollment ID: I20121015000550 |
| Provider Name | Mudita Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336256502 PECOS PAC ID: 1254358930 Enrollment ID: I20121023000084 |
| Provider Name | Shabina Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023145521 PECOS PAC ID: 4981856374 Enrollment ID: I20121211000362 |
| Provider Name | Patricia D Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851647978 PECOS PAC ID: 0749433795 Enrollment ID: I20121227000102 |
| Provider Name | Pratima Thotakura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477750859 PECOS PAC ID: 6002001385 Enrollment ID: I20130214000059 |
| Provider Name | Karen L Going |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588962369 PECOS PAC ID: 7719131945 Enrollment ID: I20130215000407 |
| Provider Name | Christian Pelte |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023278017 PECOS PAC ID: 6204081359 Enrollment ID: I20130221000454 |
| Provider Name | Teah A Abashidze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336179647 PECOS PAC ID: 6103886569 Enrollment ID: I20130424000567 |
| Provider Name | Cornelia D Cudrici |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003067414 PECOS PAC ID: 1557508876 Enrollment ID: I20130506000118 |
| Provider Name | Ardalan Enkeshafi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003000126 PECOS PAC ID: 7517003643 Enrollment ID: I20130530000085 |
| Provider Name | Jessica L Colburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548311830 PECOS PAC ID: 7214005776 Enrollment ID: I20130618000367 |
| Provider Name | Donna S Westervelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497799142 PECOS PAC ID: 6204862428 Enrollment ID: I20130708000267 |
| Provider Name | Micaela Iantorno |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558596411 PECOS PAC ID: 3072753342 Enrollment ID: I20130710000064 |
| Provider Name | Caroline Jennifer Jjingo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487854899 PECOS PAC ID: 4183713837 Enrollment ID: I20130723000742 |
| Provider Name | Mihail Zilbermint |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083943716 PECOS PAC ID: 4385888288 Enrollment ID: I20130916000238 |
| Provider Name | Smita Jha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104053644 PECOS PAC ID: 4082864988 Enrollment ID: I20140107000366 |
| Provider Name | Michelle Joffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124466537 PECOS PAC ID: 1850529165 Enrollment ID: I20140113001588 |
| Provider Name | Pooja Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215253281 PECOS PAC ID: 1355579400 Enrollment ID: I20140116001352 |
| Provider Name | Dhara Vaishnav |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437415254 PECOS PAC ID: 4486882495 Enrollment ID: I20140122000078 |
| Provider Name | Mohammed I Mehboob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518921873 PECOS PAC ID: 9638162019 Enrollment ID: I20140212000091 |
| Provider Name | Andrew Demidowich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144489717 PECOS PAC ID: 8426221581 Enrollment ID: I20140221001197 |
| Provider Name | Sarojini S Qasba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326233362 PECOS PAC ID: 6507097227 Enrollment ID: I20140324000124 |
| Provider Name | Leora M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295177293 PECOS PAC ID: 8820229198 Enrollment ID: I20140331000329 |
| Provider Name | Haizia Amsler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265612618 PECOS PAC ID: 1153497441 Enrollment ID: I20140509000801 |
| Provider Name | Halcyeane T Dardaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356599740 PECOS PAC ID: 4082897798 Enrollment ID: I20140728001567 |
| Provider Name | Runa Sidhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780861252 PECOS PAC ID: 5799840336 Enrollment ID: I20140924001949 |
| Provider Name | Erich Wedam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821010943 PECOS PAC ID: 5092952226 Enrollment ID: I20140925000078 |
| Provider Name | Rohitash Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750592952 PECOS PAC ID: 7315127826 Enrollment ID: I20140926000420 |
| Provider Name | Waseem Khaliq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912928714 PECOS PAC ID: 7911090360 Enrollment ID: I20141015000337 |
| Provider Name | Loi Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518373497 PECOS PAC ID: 0244451649 Enrollment ID: I20141029000382 |
| Provider Name | Che M Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629229364 PECOS PAC ID: 7517010937 Enrollment ID: I20141110000340 |
| Provider Name | Jeffrey P Bui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740574946 PECOS PAC ID: 2466674239 Enrollment ID: I20141111000730 |
| Provider Name | Nicole L Matuska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174962468 PECOS PAC ID: 6709012610 Enrollment ID: I20141113000752 |
| Provider Name | Anne Patricia Stelmash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518925023 PECOS PAC ID: 1355303769 Enrollment ID: I20141121001422 |
| Provider Name | Carissa Jean Vea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952516619 PECOS PAC ID: 5193861482 Enrollment ID: I20141202000138 |
| Provider Name | Rachhya Regmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881097350 PECOS PAC ID: 2365764347 Enrollment ID: I20141202000575 |
| Provider Name | Shuchi Vinayak Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174549836 PECOS PAC ID: 4587986237 Enrollment ID: I20141208001043 |
| Provider Name | Barry Bercovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265536585 PECOS PAC ID: 9436348497 Enrollment ID: I20141209001748 |
| Provider Name | Bassem K Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619268018 PECOS PAC ID: 1355664442 Enrollment ID: I20141222000759 |
| Provider Name | Salman Shafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376570648 PECOS PAC ID: 2567566508 Enrollment ID: I20150212000811 |
| Provider Name | Ronny Khatkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336321710 PECOS PAC ID: 3779770482 Enrollment ID: I20150213000833 |
| Provider Name | Daniel Hicks Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215113972 PECOS PAC ID: 8224200019 Enrollment ID: I20150217000749 |
| Provider Name | Jaytoya Chenelle Manget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972835023 PECOS PAC ID: 0345566055 Enrollment ID: I20150223001713 |
| Provider Name | Jun Yan Bie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150504 PECOS PAC ID: 0547586190 Enrollment ID: I20150226000995 |
| Provider Name | William Neville Checkley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346386760 PECOS PAC ID: 7810035409 Enrollment ID: I20150416001426 |
| Provider Name | Ariana M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053601898 PECOS PAC ID: 1456670041 Enrollment ID: I20150504000322 |
| Provider Name | Celian Valero Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407896236 PECOS PAC ID: 7810917200 Enrollment ID: I20150504001952 |
| Provider Name | Taira Everett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353901 PECOS PAC ID: 8123242096 Enrollment ID: I20150724009882 |
| Provider Name | Sonya Lecuona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619914462 PECOS PAC ID: 6406037159 Enrollment ID: I20150825004128 |
| Provider Name | Deepthi Yelavarthi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770874992 PECOS PAC ID: 6103074760 Enrollment ID: I20150825004332 |
| Provider Name | Katherine Lamond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902010184 PECOS PAC ID: 0941479547 Enrollment ID: I20150826001114 |
| Provider Name | Valerie Owings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952695793 PECOS PAC ID: 3173743002 Enrollment ID: I20150903001112 |
| Provider Name | Amr A El-gamal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891919593 PECOS PAC ID: 1658557202 Enrollment ID: I20150915001230 |
| Provider Name | Ghassan Kanj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649359944 PECOS PAC ID: 7113914730 Enrollment ID: I20150917002512 |
| Provider Name | Emma Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003077538 PECOS PAC ID: 7618141011 Enrollment ID: I20150923002129 |
| Provider Name | Avenir Mulita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568718708 PECOS PAC ID: 1153569157 Enrollment ID: I20150929002408 |
| Provider Name | Tarek Alansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063776771 PECOS PAC ID: 2264740885 Enrollment ID: I20151001001249 |
| Provider Name | James Withey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841559861 PECOS PAC ID: 4284942517 Enrollment ID: I20151006001273 |
| Provider Name | Crystal Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871983361 PECOS PAC ID: 0749599413 Enrollment ID: I20151020001189 |
| Provider Name | Giovana Olivera Caceres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871984542 PECOS PAC ID: 1254640865 Enrollment ID: I20151022000728 |
| Provider Name | Kimia Ghaznavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841547106 PECOS PAC ID: 0749599199 Enrollment ID: I20151026000856 |
| Provider Name | Savitha Manickam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952574840 PECOS PAC ID: 7810063880 Enrollment ID: I20151028001414 |
| Provider Name | Kenneth Villar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235314436 PECOS PAC ID: 0547328858 Enrollment ID: I20151103000285 |
| Provider Name | Mahin Choudhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992950174 PECOS PAC ID: 4284820697 Enrollment ID: I20151105000276 |
| Provider Name | Jemila R Venner-walcott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730379710 PECOS PAC ID: 2264579234 Enrollment ID: I20151113001657 |
| Provider Name | Jon Steuernagle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598916215 PECOS PAC ID: 4789730946 Enrollment ID: I20151117001972 |
| Provider Name | Erin Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699176149 PECOS PAC ID: 4183924376 Enrollment ID: I20151119000732 |
| Provider Name | Breanna Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376910331 PECOS PAC ID: 2466752324 Enrollment ID: I20151125000257 |
| Provider Name | Judith Greengold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417327487 PECOS PAC ID: 4688974728 Enrollment ID: I20151216000014 |
| Provider Name | James A Bulen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316200587 PECOS PAC ID: 2466753959 Enrollment ID: I20151229002255 |
| Provider Name | Wehazit Petros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720482573 PECOS PAC ID: 3779885751 Enrollment ID: I20160114001779 |
| Provider Name | Tracie Ryberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730131269 PECOS PAC ID: 3779568720 Enrollment ID: I20160119000362 |
| Provider Name | Jacob F Collen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528164704 PECOS PAC ID: 7517192933 Enrollment ID: I20160120000884 |
| Provider Name | Sabita Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427167006 PECOS PAC ID: 7315949195 Enrollment ID: I20160128001910 |
| Provider Name | Satish Potluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144427824 PECOS PAC ID: 7618078015 Enrollment ID: I20160129002221 |
| Provider Name | Dana Fleischhacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881066843 PECOS PAC ID: 2961706205 Enrollment ID: I20160208001372 |
| Provider Name | Trushar Dungarani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902036858 PECOS PAC ID: 7315110798 Enrollment ID: I20160309001384 |
| Provider Name | Regina Dolores Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710102181 PECOS PAC ID: 6204133739 Enrollment ID: I20160329002062 |
| Provider Name | Kweku Hayford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205895802 PECOS PAC ID: 8325009566 Enrollment ID: I20160407000739 |
| Provider Name | Maria Khanuja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134493612 PECOS PAC ID: 1254593627 Enrollment ID: I20160421000468 |
| Provider Name | Marissa Amelia Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720345358 PECOS PAC ID: 7012149065 Enrollment ID: I20160426001285 |
| Provider Name | Michael Andrew Cole |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013983501 PECOS PAC ID: 3274766613 Enrollment ID: I20160504001441 |
| Provider Name | Mahbuba Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457330466 PECOS PAC ID: 9931128741 Enrollment ID: I20160509000885 |
| Provider Name | Ayesha Gulistan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609105386 PECOS PAC ID: 6204083785 Enrollment ID: I20160518000070 |
| Provider Name | Anirudh Sridharan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366479800 PECOS PAC ID: 6103843065 Enrollment ID: I20160520000370 |
| Provider Name | Tamika J Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528449550 PECOS PAC ID: 7012221377 Enrollment ID: I20160609001536 |
| Provider Name | Edith M Muthungu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972879864 PECOS PAC ID: 7113178906 Enrollment ID: I20160628000096 |
| Provider Name | Nadereh Rezaeieh Azadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356700413 PECOS PAC ID: 1850683020 Enrollment ID: I20160708000071 |
| Provider Name | Maryam Keshtkar Jahromi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558688200 PECOS PAC ID: 6608181839 Enrollment ID: I20160711000154 |
| Provider Name | Ayesha Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770882631 PECOS PAC ID: 8022279546 Enrollment ID: I20160713001048 |
| Provider Name | Sean A Tackett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881910420 PECOS PAC ID: 3072762244 Enrollment ID: I20160727000679 |
| Provider Name | Rachel Kruzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689930976 PECOS PAC ID: 0547410169 Enrollment ID: I20160729001619 |
| Provider Name | Jodi Rennert-ariev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417995929 PECOS PAC ID: 7315126125 Enrollment ID: I20160808002724 |
| Provider Name | Berendena Vander Tuig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558627976 PECOS PAC ID: 0941453351 Enrollment ID: I20160809000681 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20160811000148 |
| Provider Name | Dennis Emuron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053604785 PECOS PAC ID: 6800026758 Enrollment ID: I20160811000947 |
| Provider Name | Bikram Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679913008 PECOS PAC ID: 8325333123 Enrollment ID: I20160818000032 |
| Provider Name | Jenny Youjin Seo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740521541 PECOS PAC ID: 8123325404 Enrollment ID: I20160819000629 |
| Provider Name | Agazi G Gebreselassie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572843 PECOS PAC ID: 6406142447 Enrollment ID: I20160831000907 |
| Provider Name | William Convey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447354766 PECOS PAC ID: 0345438602 Enrollment ID: I20160901000162 |
| Provider Name | Naomi Rios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548531767 PECOS PAC ID: 9234371238 Enrollment ID: I20160901001170 |
| Provider Name | Brandon Haugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336584721 PECOS PAC ID: 9638466790 Enrollment ID: I20160919000614 |
| Provider Name | Katherine Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679916753 PECOS PAC ID: 9133348857 Enrollment ID: I20160921000333 |
| Provider Name | Ethel Mojoko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336408160 PECOS PAC ID: 9234434523 Enrollment ID: I20161010000128 |
| Provider Name | Sameer B Ismailjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669403341 PECOS PAC ID: 9335142496 Enrollment ID: I20161021002032 |
| Provider Name | Ameesh Harish Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194081018 PECOS PAC ID: 7618105198 Enrollment ID: I20161024000738 |
| Provider Name | Mark Ball |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275783375 PECOS PAC ID: 3375792765 Enrollment ID: I20161101000354 |
| Provider Name | Mary Mcclure |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225454879 PECOS PAC ID: 9931427671 Enrollment ID: I20161108002453 |
| Provider Name | Suma Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205190840 PECOS PAC ID: 9133351448 Enrollment ID: I20161114000498 |
| Provider Name | Jorawar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417132309 PECOS PAC ID: 9931223427 Enrollment ID: I20161115000134 |
| Provider Name | Amanda Rauda Tellawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033475371 PECOS PAC ID: 3870891120 Enrollment ID: I20161115000370 |
| Provider Name | Kristen Deitchman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477849149 PECOS PAC ID: 1355663436 Enrollment ID: I20161115000569 |
| Provider Name | Ifechukwude Ebenuwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376823997 PECOS PAC ID: 6103105952 Enrollment ID: I20161118000700 |
| Provider Name | Kendrick Gwynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326330820 PECOS PAC ID: 8022237692 Enrollment ID: I20161122001678 |
| Provider Name | Nancy M Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609219997 PECOS PAC ID: 4981984473 Enrollment ID: I20161129000095 |
| Provider Name | Sanjivani A Kolge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851529267 PECOS PAC ID: 0143478883 Enrollment ID: I20161129001284 |
| Provider Name | Alyssa Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417136276 PECOS PAC ID: 7911179296 Enrollment ID: I20161129002179 |
| Provider Name | Li Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972866630 PECOS PAC ID: 1456667849 Enrollment ID: I20161201000718 |
| Provider Name | Isabel Pimenta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285926295 PECOS PAC ID: 4587815212 Enrollment ID: I20161212000857 |
| Provider Name | Tiffany Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427318963 PECOS PAC ID: 7012147713 Enrollment ID: I20161213002707 |
| Provider Name | Nadia Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942409628 PECOS PAC ID: 6709901382 Enrollment ID: I20161215000871 |
| Provider Name | Kathryn Kloss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003363854 PECOS PAC ID: 5193006526 Enrollment ID: I20161227000596 |
| Provider Name | Lorie Cram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598744740 PECOS PAC ID: 1951481134 Enrollment ID: I20161229000102 |
| Provider Name | Manu Deep Kaushal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902035918 PECOS PAC ID: 8729234539 Enrollment ID: I20161229001618 |
| Provider Name | Carolyn Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669929733 PECOS PAC ID: 7810278777 Enrollment ID: I20170109000765 |
| Provider Name | Marjan Bahador |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760605422 PECOS PAC ID: 6103919972 Enrollment ID: I20170112001113 |
| Provider Name | Russell D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639611767 PECOS PAC ID: 5294017927 Enrollment ID: I20170112002631 |
| Provider Name | Emilia L Alvarez Negron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630575 PECOS PAC ID: 9234411083 Enrollment ID: I20170131001769 |
| Provider Name | Vladimir Alexander Valera Romero |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053693242 PECOS PAC ID: 7517240294 Enrollment ID: I20170202001481 |
| Provider Name | Kelly Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511654 PECOS PAC ID: 4183903271 Enrollment ID: I20170204000113 |
| Provider Name | Nafisa Tajir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538304639 PECOS PAC ID: 5395914998 Enrollment ID: I20170214000808 |
| Provider Name | Roopa Dhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023455961 PECOS PAC ID: 8628352267 Enrollment ID: I20170228000829 |
| Provider Name | Janna Spranza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982695201 PECOS PAC ID: 5698741627 Enrollment ID: I20170301000176 |
| Provider Name | Souvik Chatterjee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386960979 PECOS PAC ID: 7113176868 Enrollment ID: I20170306001353 |
| Provider Name | Wajahath Mohsini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467637751 PECOS PAC ID: 5698834455 Enrollment ID: I20170310001510 |
| Provider Name | Kelly Koay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497975809 PECOS PAC ID: 7618062043 Enrollment ID: I20170315000210 |
| Provider Name | Stefanie L Osterloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588919260 PECOS PAC ID: 0840437380 Enrollment ID: I20170403002407 |
| Provider Name | Issa Kallie Toure |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932335395 PECOS PAC ID: 6103042171 Enrollment ID: I20170418001196 |
| Provider Name | Kayla Nyakinye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881067072 PECOS PAC ID: 7517262082 Enrollment ID: I20170503000389 |
| Provider Name | Aurell K Horing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659638674 PECOS PAC ID: 3577879949 Enrollment ID: I20170606002165 |
| Provider Name | Heather Wade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700935228 PECOS PAC ID: 1254608623 Enrollment ID: I20170607000012 |
| Provider Name | Meha Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225304926 PECOS PAC ID: 6103055579 Enrollment ID: I20170608001163 |
| Provider Name | Sidney Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033152541 PECOS PAC ID: 4082628300 Enrollment ID: I20170612001025 |
| Provider Name | Robert L Baillieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982024378 PECOS PAC ID: 5395035356 Enrollment ID: I20170630002073 |
| Provider Name | Carolyn G Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225580483 PECOS PAC ID: 1951670926 Enrollment ID: I20170706002579 |
| Provider Name | Brenda Lapkovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003286436 PECOS PAC ID: 8921305285 Enrollment ID: I20170712001954 |
| Provider Name | Preethi Sural |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033387352 PECOS PAC ID: 6002987062 Enrollment ID: I20170717000417 |
| Provider Name | Mustafa Al-mashat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821397290 PECOS PAC ID: 0143472605 Enrollment ID: I20170717002504 |
| Provider Name | Manu Krishan Dev Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295142461 PECOS PAC ID: 6204106297 Enrollment ID: I20170725000530 |
| Provider Name | Atena Kamali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609294719 PECOS PAC ID: 7810110830 Enrollment ID: I20170807000163 |
| Provider Name | Laura Sander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386806966 PECOS PAC ID: 2264608363 Enrollment ID: I20170816000975 |
| Provider Name | Azuka A Olele |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992166532 PECOS PAC ID: 3678871688 Enrollment ID: I20170816002182 |
| Provider Name | Cristina A Topor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477556769 PECOS PAC ID: 6103826466 Enrollment ID: I20170829003339 |
| Provider Name | Melanie Josephine Bukhari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083058226 PECOS PAC ID: 8921240276 Enrollment ID: I20170905000275 |
| Provider Name | Michael Tatusov |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811130347 PECOS PAC ID: 7113182478 Enrollment ID: I20170905002527 |
| Provider Name | Nkiruka Chukudebelu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992118194 PECOS PAC ID: 3375849672 Enrollment ID: I20170907001531 |
| Provider Name | Eunyoung Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366729089 PECOS PAC ID: 7214252055 Enrollment ID: I20170914001317 |
| Provider Name | Padma Venkatraman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003077785 PECOS PAC ID: 4880864545 Enrollment ID: I20170915000721 |
| Provider Name | Jennifer L Hayashi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497705636 PECOS PAC ID: 3072589118 Enrollment ID: I20170919003398 |
| Provider Name | Rishi Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043638810 PECOS PAC ID: 1759689433 Enrollment ID: I20170922001058 |
| Provider Name | Heather Zade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528306784 PECOS PAC ID: 4284876186 Enrollment ID: I20170927000093 |
| Provider Name | Jennifer Janus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265517742 PECOS PAC ID: 7315945060 Enrollment ID: I20171014000010 |
| Provider Name | Candice Nalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639412521 PECOS PAC ID: 4183860893 Enrollment ID: I20171020000452 |
| Provider Name | Sarah Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588069041 PECOS PAC ID: 9638474364 Enrollment ID: I20171024001270 |
| Provider Name | Carol A Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420811 PECOS PAC ID: 4789950478 Enrollment ID: I20171025000452 |
| Provider Name | Isha Misra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811330202 PECOS PAC ID: 2062726847 Enrollment ID: I20171025001010 |
| Provider Name | Seyyed Ali Sajjadi Oskouei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912136896 PECOS PAC ID: 9931376837 Enrollment ID: I20171027000938 |
| Provider Name | Hawa Osime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154539815 PECOS PAC ID: 0345315552 Enrollment ID: I20171107000508 |
| Provider Name | Dina F Zeki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427468586 PECOS PAC ID: 5890051932 Enrollment ID: I20171107000836 |
| Provider Name | Houssein Abdul Sater |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619256377 PECOS PAC ID: 2860783990 Enrollment ID: I20171107003177 |
| Provider Name | Peter Phillip Olivieri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568761732 PECOS PAC ID: 3678798345 Enrollment ID: I20171127001218 |
| Provider Name | Amy Chused |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558313007 PECOS PAC ID: 8022011568 Enrollment ID: I20171129003119 |
| Provider Name | Torre Leigh Halscott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114155561 PECOS PAC ID: 6406092147 Enrollment ID: I20171212002551 |
| Provider Name | Fernanda Porto Carreiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538483284 PECOS PAC ID: 4486804432 Enrollment ID: I20171218000786 |
| Provider Name | Hamid Lari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154734937 PECOS PAC ID: 5193083277 Enrollment ID: I20171219000486 |
| Provider Name | Kathryn Marie Cappell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366785255 PECOS PAC ID: 2163781527 Enrollment ID: I20180111000562 |
| Provider Name | Amir Manoochehri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871906156 PECOS PAC ID: 1456659937 Enrollment ID: I20180118000620 |
| Provider Name | Lise M Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932187390 PECOS PAC ID: 8921155540 Enrollment ID: I20180208002865 |
| Provider Name | Mojgan Sohi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205183126 PECOS PAC ID: 0547557811 Enrollment ID: I20180212001820 |
| Provider Name | Francis Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295182962 PECOS PAC ID: 6800182353 Enrollment ID: I20180212002111 |
| Provider Name | Nadia Sirdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528333671 PECOS PAC ID: 1951605740 Enrollment ID: I20180216000393 |
| Provider Name | Mary Lynn Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588648547 PECOS PAC ID: 7810097912 Enrollment ID: I20180221000878 |
| Provider Name | Shahab Virani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033470091 PECOS PAC ID: 4587882295 Enrollment ID: I20180227002585 |
| Provider Name | Melissa Fleming |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265989057 PECOS PAC ID: 8527320431 Enrollment ID: I20180312002349 |
| Provider Name | Terry Lee Prahl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235166695 PECOS PAC ID: 0446164461 Enrollment ID: I20180319000515 |
| Provider Name | Amanda L Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104139344 PECOS PAC ID: 2163640251 Enrollment ID: I20180326001162 |
| Provider Name | Sadia Sarzynski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760794333 PECOS PAC ID: 2062775018 Enrollment ID: I20180404002629 |
| Provider Name | Shanthi Marur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457558207 PECOS PAC ID: 0446341291 Enrollment ID: I20180416000611 |
| Provider Name | Catherine Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245515808 PECOS PAC ID: 8820255391 Enrollment ID: I20180511000005 |
| Provider Name | Jennifer Dorsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750640215 PECOS PAC ID: 7416172796 Enrollment ID: I20180515002598 |
| Provider Name | Sean Mckay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417918004 PECOS PAC ID: 1456396118 Enrollment ID: I20180608000196 |
| Provider Name | Mark Pence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801235999 PECOS PAC ID: 9931465044 Enrollment ID: I20180621000494 |
| Provider Name | Anne K Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871090704 PECOS PAC ID: 9830444264 Enrollment ID: I20180626001057 |
| Provider Name | Nouman Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265817514 PECOS PAC ID: 5698021467 Enrollment ID: I20180709003428 |
| Provider Name | Lubna Jabbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205210200 PECOS PAC ID: 8123375524 Enrollment ID: I20180717000770 |
| Provider Name | Susan T Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033213301 PECOS PAC ID: 1557496296 Enrollment ID: I20180719002279 |
| Provider Name | Rebeccah Brusca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669886222 PECOS PAC ID: 1658690904 Enrollment ID: I20180726002101 |
| Provider Name | Kolapo Idowu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285020867 PECOS PAC ID: 3476800038 Enrollment ID: I20180730003379 |
| Provider Name | Judy Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457863151 PECOS PAC ID: 0941558514 Enrollment ID: I20180731000048 |
| Provider Name | Tina Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962727420 PECOS PAC ID: 7911126172 Enrollment ID: I20180803001176 |
| Provider Name | Demere Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346774650 PECOS PAC ID: 4981952967 Enrollment ID: I20180808000358 |
| Provider Name | Silpa Kodali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295121168 PECOS PAC ID: 5698079432 Enrollment ID: I20180815000481 |
| Provider Name | Mahsa Motevalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043718653 PECOS PAC ID: 9537418140 Enrollment ID: I20180815001357 |
| Provider Name | Emily Insetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073933180 PECOS PAC ID: 4981827599 Enrollment ID: I20180817000716 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063726461 PECOS PAC ID: 5395031439 Enrollment ID: I20180822001333 |
| Provider Name | Erica Lynn Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154571362 PECOS PAC ID: 2668658683 Enrollment ID: I20180827003366 |
| Provider Name | Linda Bame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649761248 PECOS PAC ID: 3274883731 Enrollment ID: I20180904001387 |
| Provider Name | Patrina Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699096396 PECOS PAC ID: 6507004306 Enrollment ID: I20180905003646 |
| Provider Name | Nikita Leiter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215202312 PECOS PAC ID: 8325338445 Enrollment ID: I20180906002950 |
| Provider Name | Adina Cappell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053667295 PECOS PAC ID: 0244528842 Enrollment ID: I20180911003019 |
| Provider Name | Diana Nicole Spell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285052803 PECOS PAC ID: 1355624826 Enrollment ID: I20180920002282 |
| Provider Name | Kathryn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730596487 PECOS PAC ID: 8123379500 Enrollment ID: I20180925000038 |
| Provider Name | Weilin Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295121218 PECOS PAC ID: 8729392535 Enrollment ID: I20180925000254 |
| Provider Name | Gaurav Raman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609043389 PECOS PAC ID: 6406008895 Enrollment ID: I20180926002616 |
| Provider Name | Paul Christopher Goleb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205279700 PECOS PAC ID: 4486893187 Enrollment ID: I20181003000171 |
| Provider Name | Ranisha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841450897 PECOS PAC ID: 3577733310 Enrollment ID: I20181004001375 |
| Provider Name | Jennifer R Alman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356586515 PECOS PAC ID: 0648411678 Enrollment ID: I20181011000009 |
| Provider Name | Aseem S Balhara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811374713 PECOS PAC ID: 2567754385 Enrollment ID: I20181012000244 |
| Provider Name | Eric James Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205337540 PECOS PAC ID: 4284997941 Enrollment ID: I20181018002674 |
| Provider Name | Cherilyn Chanell Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922133701 PECOS PAC ID: 0547307902 Enrollment ID: I20181022002762 |
| Provider Name | Sheetal Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134415136 PECOS PAC ID: 1658593363 Enrollment ID: I20181024002637 |
| Provider Name | Benjamin M Fakheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760700074 PECOS PAC ID: 0749404747 Enrollment ID: I20181115000085 |
| Provider Name | Richard Lapin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598784969 PECOS PAC ID: 1456322254 Enrollment ID: I20181126002964 |
| Provider Name | Amanda Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669925194 PECOS PAC ID: 5597048199 Enrollment ID: I20181128000029 |
| Provider Name | Samuel Brusca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174942148 PECOS PAC ID: 7517180169 Enrollment ID: I20181128000211 |
| Provider Name | Deidre Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033240049 PECOS PAC ID: 1759417991 Enrollment ID: I20181203002108 |
| Provider Name | Sheila V Ravendhran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659427987 PECOS PAC ID: 8820143589 Enrollment ID: I20181211002241 |
| Provider Name | Edward Len |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033477310 PECOS PAC ID: 3274765821 Enrollment ID: I20181212000396 |
| Provider Name | Sara Mixter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386961274 PECOS PAC ID: 8426209792 Enrollment ID: I20181214000041 |
| Provider Name | Maire Elizabeth Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700248390 PECOS PAC ID: 1355637018 Enrollment ID: I20181214001935 |
| Provider Name | Selma Marie Siddiqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235417965 PECOS PAC ID: 1951695436 Enrollment ID: I20181218003350 |
| Provider Name | Mariya Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679055420 PECOS PAC ID: 5193060812 Enrollment ID: I20190107000289 |
| Provider Name | Shannon M Larmooh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312541 PECOS PAC ID: 2961748272 Enrollment ID: I20190108001288 |
| Provider Name | Regina Kundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376546994 PECOS PAC ID: 3870573405 Enrollment ID: I20190110002548 |
| Provider Name | Nikhil Huprikar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578853156 PECOS PAC ID: 2365765583 Enrollment ID: I20190111001992 |
| Provider Name | Sean R Terwilliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790272623 PECOS PAC ID: 2264779263 Enrollment ID: I20190129003548 |
| Provider Name | Loretta Sutphin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144388729 PECOS PAC ID: 9234130238 Enrollment ID: I20190204000195 |
| Provider Name | Kamal Deol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114260106 PECOS PAC ID: 8426350133 Enrollment ID: I20190218001648 |
| Provider Name | Sonja Borgstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184942989 PECOS PAC ID: 9638302284 Enrollment ID: I20190226001264 |
| Provider Name | David Levitt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497020564 PECOS PAC ID: 1850699257 Enrollment ID: I20190313000394 |
| Provider Name | Priya Bajracharya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558649426 PECOS PAC ID: 6507026200 Enrollment ID: I20190321000258 |
| Provider Name | Krista Marie Colopinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861848798 PECOS PAC ID: 1850684598 Enrollment ID: I20190326000703 |
| Provider Name | Katherine Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976312 PECOS PAC ID: 7113215393 Enrollment ID: I20190405000254 |
| Provider Name | Osman J Qaiyum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851774327 PECOS PAC ID: 1456657154 Enrollment ID: I20190411000305 |
| Provider Name | Kevin Michael Groszkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548240716 PECOS PAC ID: 9931253606 Enrollment ID: I20190423000911 |
| Provider Name | Stecy A Ola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204528 PECOS PAC ID: 2163645268 Enrollment ID: I20190430001938 |
| Provider Name | Alexandra Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821546904 PECOS PAC ID: 9436439940 Enrollment ID: I20190503000854 |
| Provider Name | Amr Abdelbaky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659637585 PECOS PAC ID: 8729367768 Enrollment ID: I20190523000131 |
| Provider Name | Dace Person |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057592 PECOS PAC ID: 8022351428 Enrollment ID: I20190529001315 |
| Provider Name | Suchitra Paranji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548423924 PECOS PAC ID: 9931378536 Enrollment ID: I20190529002854 |
| Provider Name | Teresa Ann Dumpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003845975 PECOS PAC ID: 1850537176 Enrollment ID: I20190612000398 |
| Provider Name | Mohamed Ali M Abdelrahman Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619135142 PECOS PAC ID: 1052583754 Enrollment ID: I20190625000306 |
| Provider Name | Melaku Tesfaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417390527 PECOS PAC ID: 2466742747 Enrollment ID: I20190628001598 |
| Provider Name | Adil T Degani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790965481 PECOS PAC ID: 6800051517 Enrollment ID: I20190701000212 |
| Provider Name | Julia Herst Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801034699 PECOS PAC ID: 1153633987 Enrollment ID: I20190705000014 |
| Provider Name | Jessica Erin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568897320 PECOS PAC ID: 8426292939 Enrollment ID: I20190717000808 |
| Provider Name | Mattan Schuchman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609141795 PECOS PAC ID: 3173837135 Enrollment ID: I20190725000095 |
| Provider Name | Brian Hasselfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700270360 PECOS PAC ID: 0244525095 Enrollment ID: I20190725001565 |
| Provider Name | Alicia Gopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952730855 PECOS PAC ID: 9739499146 Enrollment ID: I20190726000062 |
| Provider Name | Vikrant R Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184988131 PECOS PAC ID: 1951535228 Enrollment ID: I20190730001293 |
| Provider Name | Amy Jo Kilen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588155428 PECOS PAC ID: 9931456258 Enrollment ID: I20190802000077 |
| Provider Name | Jordan Nahas-vigon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215381348 PECOS PAC ID: 3779872965 Enrollment ID: I20190806000230 |
| Provider Name | Darlene M Fuchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346288016 PECOS PAC ID: 5597897769 Enrollment ID: I20190806001241 |
| Provider Name | Nina Guo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396162608 PECOS PAC ID: 1658595251 Enrollment ID: I20190807000142 |
| Provider Name | Emififen Udejiofor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447613583 PECOS PAC ID: 7618263815 Enrollment ID: I20190812000170 |
| Provider Name | Heather Louise Brown Dorius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508289992 PECOS PAC ID: 5496077216 Enrollment ID: I20190815001228 |
| Provider Name | Thomas Kofi Mensah Cudjoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366705667 PECOS PAC ID: 7517250038 Enrollment ID: I20190816000164 |
| Provider Name | Kamil Rechache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023491719 PECOS PAC ID: 7810224474 Enrollment ID: I20190816000613 |
| Provider Name | Calvin M. Kagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437543733 PECOS PAC ID: 5698094035 Enrollment ID: I20190819001396 |
| Provider Name | Amy Elizabeth Goad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386046019 PECOS PAC ID: 9830499656 Enrollment ID: I20190826002452 |
| Provider Name | Malik Muhammad Adil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174941488 PECOS PAC ID: 5890914956 Enrollment ID: I20190827002928 |
| Provider Name | Ophelia Langhorne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568858744 PECOS PAC ID: 9830466242 Enrollment ID: I20190828000423 |
| Provider Name | Jesse Lee Mcdermeit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912360454 PECOS PAC ID: 3173821899 Enrollment ID: I20190829000630 |
| Provider Name | Corinne A Ahmar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932373305 PECOS PAC ID: 8527254978 Enrollment ID: I20190829002003 |
| Provider Name | Daniel Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386055622 PECOS PAC ID: 2961702717 Enrollment ID: I20190904002714 |
| Provider Name | Nitin K Yerram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063858595 PECOS PAC ID: 6305137860 Enrollment ID: I20190911003261 |
| Provider Name | Christina Anyikwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871942755 PECOS PAC ID: 6406142991 Enrollment ID: I20190925002722 |
| Provider Name | Priya Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639585508 PECOS PAC ID: 1557633252 Enrollment ID: I20190927000175 |
| Provider Name | Veronika Levin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770962680 PECOS PAC ID: 0446543573 Enrollment ID: I20191003000014 |
| Provider Name | Laura Coryn Schanberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399939 PECOS PAC ID: 5395075469 Enrollment ID: I20191003000069 |
| Provider Name | Venkata C Sami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245450337 PECOS PAC ID: 3779679956 Enrollment ID: I20191003000340 |
| Provider Name | Jawad Saade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194987453 PECOS PAC ID: 5092987925 Enrollment ID: I20191003002058 |
| Provider Name | Preethi Gaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669825642 PECOS PAC ID: 1052642113 Enrollment ID: I20191004000396 |
| Provider Name | Julius Strauss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942580741 PECOS PAC ID: 9133450158 Enrollment ID: I20191007000133 |
| Provider Name | Kristine E Batty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548362320 PECOS PAC ID: 7113979618 Enrollment ID: I20191009000009 |
| Provider Name | Michael J Kingan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861871881 PECOS PAC ID: 8527389915 Enrollment ID: I20191029000354 |
| Provider Name | Atul Kumar Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770920209 PECOS PAC ID: 2961706817 Enrollment ID: I20191029003286 |
| Provider Name | Calin V Maniu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528176484 PECOS PAC ID: 8224135223 Enrollment ID: I20191030003257 |
| Provider Name | Mariam Sunila Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689129314 PECOS PAC ID: 7810283736 Enrollment ID: I20191101001049 |
| Provider Name | James Andrew Clyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697047 PECOS PAC ID: 6002036696 Enrollment ID: I20191111000021 |
| Provider Name | Mary Theresa Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467419671 PECOS PAC ID: 9537297593 Enrollment ID: I20191111001246 |
| Provider Name | Mollie M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033264270 PECOS PAC ID: 8123113917 Enrollment ID: I20191114000275 |
| Provider Name | Deanna Louise Glass Macenka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659938272 PECOS PAC ID: 5698107324 Enrollment ID: I20191118001686 |
| Provider Name | Amber Nicole Richert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568757888 PECOS PAC ID: 6204052772 Enrollment ID: I20191126000959 |
| Provider Name | Diala El-maouche |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487817821 PECOS PAC ID: 4880812502 Enrollment ID: I20191226001979 |
| Provider Name | Melody F Nangle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982155164 PECOS PAC ID: 1355614348 Enrollment ID: I20200102001378 |
| Provider Name | Meghan Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760036834 PECOS PAC ID: 8820422553 Enrollment ID: I20200106000033 |
| Provider Name | Kellen Mulhern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043668437 PECOS PAC ID: 1052601689 Enrollment ID: I20200116001032 |
| Provider Name | Clelia Negrini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972540151 PECOS PAC ID: 7618998113 Enrollment ID: I20200128001514 |
| Provider Name | Emily Danika Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538226 PECOS PAC ID: 3274969423 Enrollment ID: I20200206000115 |
| Provider Name | Hamid Ehsan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376808329 PECOS PAC ID: 7416267653 Enrollment ID: I20200219001263 |
| Provider Name | Mohamed Dauda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124210026 PECOS PAC ID: 4183719628 Enrollment ID: I20200304000017 |
| Provider Name | Danielle Gourley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336140391 PECOS PAC ID: 4486697133 Enrollment ID: I20200319000815 |
| Provider Name | Sara Taherkhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386954436 PECOS PAC ID: 7618108259 Enrollment ID: I20200323003191 |
| Provider Name | Nancy Steffan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043757933 PECOS PAC ID: 2860820834 Enrollment ID: I20200325002492 |
| Provider Name | Daniel Ballantine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063703130 PECOS PAC ID: 7810112489 Enrollment ID: I20200326000114 |
| Provider Name | John Kylan Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356409098 PECOS PAC ID: 4789013608 Enrollment ID: I20200327003129 |
| Provider Name | Amir Hossein Lebastchi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972895142 PECOS PAC ID: 0547578890 Enrollment ID: I20200329000048 |
| Provider Name | Tanya Steinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316577547 PECOS PAC ID: 5193154714 Enrollment ID: I20200402002721 |
| Provider Name | Love Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588033765 PECOS PAC ID: 9032548292 Enrollment ID: I20200409000788 |
| Provider Name | Olutomi Sodeke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164884607 PECOS PAC ID: 8820397623 Enrollment ID: I20200414000046 |
| Provider Name | Robb Rowley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780666057 PECOS PAC ID: 4183645278 Enrollment ID: I20200415002520 |
| Provider Name | Heather S Newhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497277149 PECOS PAC ID: 0244595221 Enrollment ID: I20200421000002 |
| Provider Name | Edith M. Vargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790889970 PECOS PAC ID: 3072709211 Enrollment ID: I20200423000387 |
| Provider Name | Kaitlin Dobish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477081727 PECOS PAC ID: 9335419084 Enrollment ID: I20200513003129 |
| Provider Name | Georges Mora Rasquin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871722066 PECOS PAC ID: 9931322021 Enrollment ID: I20200514002300 |
| Provider Name | Esteban Antonio Marquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851352819 PECOS PAC ID: 7315943131 Enrollment ID: I20200521000746 |
| Provider Name | Rosita Alyssa Chefetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982847158 PECOS PAC ID: 5991934069 Enrollment ID: I20200527001783 |
| Provider Name | Heather Chalfin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750652152 PECOS PAC ID: 9638319064 Enrollment ID: I20200604001002 |
| Provider Name | Jeffrey Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780978114 PECOS PAC ID: 6901023449 Enrollment ID: I20200608001108 |
| Provider Name | Brittany Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649899287 PECOS PAC ID: 0840621975 Enrollment ID: I20200610000734 |
| Provider Name | Fayyaz Hashmi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790757847 PECOS PAC ID: 5193788446 Enrollment ID: I20200619000115 |
| Provider Name | Huai En Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130524 PECOS PAC ID: 0042633356 Enrollment ID: I20200706000561 |
| Provider Name | Robert Mcleroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750772901 PECOS PAC ID: 0446547152 Enrollment ID: I20200709000103 |
| Provider Name | Ugochi Ebiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679107916 PECOS PAC ID: 4789008608 Enrollment ID: I20200723003052 |
| Provider Name | Kevin Yi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518498112 PECOS PAC ID: 8820369556 Enrollment ID: I20200727003312 |
| Provider Name | Muhammad Aziz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275066995 PECOS PAC ID: 2769744291 Enrollment ID: I20200728000985 |
| Provider Name | Nelson Maniscalco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225489339 PECOS PAC ID: 9830513159 Enrollment ID: I20200810000360 |
| Provider Name | Carolyn Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427461797 PECOS PAC ID: 0941427397 Enrollment ID: I20200811000356 |
| Provider Name | Athir Morad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407994015 PECOS PAC ID: 8921172131 Enrollment ID: I20200813001901 |
| Provider Name | Jacob Wright-piekarski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295146033 PECOS PAC ID: 7214286855 Enrollment ID: I20200819000215 |
| Provider Name | Sung-min Min Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760828271 PECOS PAC ID: 3678840261 Enrollment ID: I20200819000492 |
| Provider Name | Lynae Conyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457764854 PECOS PAC ID: 1456578848 Enrollment ID: I20200820000952 |
| Provider Name | Omid Motabar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184003337 PECOS PAC ID: 4284962937 Enrollment ID: I20200821000554 |
| Provider Name | Ifeanyichukwu Anidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184069965 PECOS PAC ID: 7911291257 Enrollment ID: I20200825000813 |
| Provider Name | Bradley Webster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386031425 PECOS PAC ID: 6204140627 Enrollment ID: I20200828001559 |
| Provider Name | Nanak Chugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184004046 PECOS PAC ID: 2163720996 Enrollment ID: I20200909000127 |
| Provider Name | Michael Arya Daneshvar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194103861 PECOS PAC ID: 5698011393 Enrollment ID: I20200909000685 |
| Provider Name | John Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194256297 PECOS PAC ID: 9234400920 Enrollment ID: I20200909001321 |
| Provider Name | Afsheen Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205366911 PECOS PAC ID: 8729327606 Enrollment ID: I20200909001878 |
| Provider Name | Meghan Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811350820 PECOS PAC ID: 4789971987 Enrollment ID: I20200910000255 |
| Provider Name | Maryann Garcia Phillip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053739748 PECOS PAC ID: 8921370388 Enrollment ID: I20200910001139 |
| Provider Name | Christopher B Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770017691 PECOS PAC ID: 3678840345 Enrollment ID: I20200910001282 |
| Provider Name | Zryan Shwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902330467 PECOS PAC ID: 1759650336 Enrollment ID: I20200911000027 |
| Provider Name | Niana Gibson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215460365 PECOS PAC ID: 0345519294 Enrollment ID: I20200918000672 |
| Provider Name | Sungho Han |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649657065 PECOS PAC ID: 8022327774 Enrollment ID: I20200929001945 |
| Provider Name | Lauren Wiafe-ababio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164951109 PECOS PAC ID: 4385919273 Enrollment ID: I20201007003437 |
| Provider Name | Maya Tyagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225691389 PECOS PAC ID: 7911327200 Enrollment ID: I20201027001288 |
| Provider Name | Fheza Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730617986 PECOS PAC ID: 4587914379 Enrollment ID: I20201028002845 |
| Provider Name | Scot Niglio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760828016 PECOS PAC ID: 7810232253 Enrollment ID: I20201116001244 |
| Provider Name | Mary Alexandra Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184814923 PECOS PAC ID: 7416026182 Enrollment ID: I20201117001930 |
| Provider Name | Mark Baskerville |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306801824 PECOS PAC ID: 1759316615 Enrollment ID: I20201208000235 |
| Provider Name | Joseph P Balao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786756 PECOS PAC ID: 1658675863 Enrollment ID: I20201211000272 |
| Provider Name | Milay Luis Lam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205174430 PECOS PAC ID: 3870803836 Enrollment ID: I20201211000457 |
| Provider Name | Sana Misalati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881748259 PECOS PAC ID: 5496852360 Enrollment ID: I20201211002520 |
| Provider Name | Sharada Baharani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508210774 PECOS PAC ID: 9931493350 Enrollment ID: I20201216001076 |
| Provider Name | Jaskaran Singh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235525379 PECOS PAC ID: 6002112059 Enrollment ID: I20201223000571 |
| Provider Name | Navkiran Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598100190 PECOS PAC ID: 6406176031 Enrollment ID: I20201223001230 |
| Provider Name | Allegra Hamman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104049063 PECOS PAC ID: 3072796382 Enrollment ID: I20201228000125 |
| Provider Name | Bimal Ashar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306801147 PECOS PAC ID: 4183816200 Enrollment ID: I20201228000607 |
| Provider Name | Shankar Awasthi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487901518 PECOS PAC ID: 0749424646 Enrollment ID: I20201231000221 |
| Provider Name | Ellen Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700831542 PECOS PAC ID: 6103809504 Enrollment ID: I20210112000126 |
| Provider Name | Kimberly Peairs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508806514 PECOS PAC ID: 5597898163 Enrollment ID: I20210113001703 |
| Provider Name | Chuckia Brown Tisdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306836804 PECOS PAC ID: 6709809775 Enrollment ID: I20210120000420 |
| Provider Name | Atinuke Osundina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518502244 PECOS PAC ID: 7113332784 Enrollment ID: I20210211001687 |
| Provider Name | Mariah Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639556590 PECOS PAC ID: 9032439682 Enrollment ID: I20210218000907 |
| Provider Name | Sophie Presny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316544588 PECOS PAC ID: 2769897065 Enrollment ID: I20210218002580 |
| Provider Name | Hillary Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902168909 PECOS PAC ID: 1456627678 Enrollment ID: I20210301000535 |
| Provider Name | Raymond Zollinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053349837 PECOS PAC ID: 9638204431 Enrollment ID: I20210301002668 |
| Provider Name | Duniya Lancaster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124097860 PECOS PAC ID: 7113024803 Enrollment ID: I20210311002286 |
| Provider Name | Sachin Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063731339 PECOS PAC ID: 0648422444 Enrollment ID: I20210330000450 |
| Provider Name | Savannah Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609468271 PECOS PAC ID: 3870901432 Enrollment ID: I20210420001225 |
| Provider Name | Amber Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639760382 PECOS PAC ID: 9436567666 Enrollment ID: I20210428000134 |
| Provider Name | Umesh Kc |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245439439 PECOS PAC ID: 6608921424 Enrollment ID: I20210503000942 |
| Provider Name | Debrahe Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023556321 PECOS PAC ID: 5496014060 Enrollment ID: I20210505000905 |
| Provider Name | Amy J Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053718585 PECOS PAC ID: 2466776612 Enrollment ID: I20210513002052 |
| Provider Name | Nebiyou Wondimagegnehu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922446632 PECOS PAC ID: 8426357443 Enrollment ID: I20210609003158 |
| Provider Name | Jason Redman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215370069 PECOS PAC ID: 0840587994 Enrollment ID: I20210609003649 |
| Provider Name | Eric Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669725073 PECOS PAC ID: 8628309325 Enrollment ID: I20210625000109 |
| Provider Name | Shivani Bassi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639525363 PECOS PAC ID: 4284926916 Enrollment ID: I20210702000102 |
| Provider Name | Kimberly Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962418855 PECOS PAC ID: 8527014869 Enrollment ID: I20210707000864 |
| Provider Name | Kiah Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306410295 PECOS PAC ID: 0941603450 Enrollment ID: I20210721002938 |
| Provider Name | Laura S Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952980484 PECOS PAC ID: 4183027600 Enrollment ID: I20210721003155 |
| Provider Name | Isaac Naggar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548649700 PECOS PAC ID: 9739582263 Enrollment ID: I20210721003529 |
| Provider Name | Peter Keszler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063944924 PECOS PAC ID: 2365712262 Enrollment ID: I20210722000024 |
| Provider Name | Alexander Ta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891378121 PECOS PAC ID: 1153724539 Enrollment ID: I20210722001625 |
| Provider Name | Zhou Meng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023507076 PECOS PAC ID: 7113270760 Enrollment ID: I20210722002697 |
| Provider Name | Bennett So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558349381 PECOS PAC ID: 4385740679 Enrollment ID: I20210728002592 |
| Provider Name | Erin Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598261232 PECOS PAC ID: 5496003766 Enrollment ID: I20210729000458 |
| Provider Name | Jesmin S Chowdhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467987198 PECOS PAC ID: 0345668067 Enrollment ID: I20210729001234 |
| Provider Name | Raycor Faderugao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417323445 PECOS PAC ID: 3173831161 Enrollment ID: I20210729001480 |
| Provider Name | Cecelia Mendiola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871959866 PECOS PAC ID: 6103174453 Enrollment ID: I20210802001094 |
| Provider Name | Jason Rosner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396241501 PECOS PAC ID: 0941605802 Enrollment ID: I20210816003995 |
| Provider Name | Benjamin Kurth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194140194 PECOS PAC ID: 0345461968 Enrollment ID: I20210817001842 |
| Provider Name | Malgorzata Lukomska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659828721 PECOS PAC ID: 4587934906 Enrollment ID: I20210818001746 |
| Provider Name | Ervand Kristosturyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679936017 PECOS PAC ID: 9931439122 Enrollment ID: I20210818002567 |
| Provider Name | Zachary Kozel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568825602 PECOS PAC ID: 5799029666 Enrollment ID: I20210819000024 |
| Provider Name | Donique Cross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598296337 PECOS PAC ID: 7416225388 Enrollment ID: I20210831000639 |
| Provider Name | Jeffrey C Roeser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023506763 PECOS PAC ID: 9638575533 Enrollment ID: I20210901000191 |
| Provider Name | Sarah T Woo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043885742 PECOS PAC ID: 5092111906 Enrollment ID: I20210901000592 |
| Provider Name | Aliya Mosby Carillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704529 PECOS PAC ID: 6901175249 Enrollment ID: I20210901003129 |
| Provider Name | Alexander Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831584879 PECOS PAC ID: 0547563868 Enrollment ID: I20210902000188 |
| Provider Name | John Greenwald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437560554 PECOS PAC ID: 8820219553 Enrollment ID: I20210902000201 |
| Provider Name | Jennifer Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336606193 PECOS PAC ID: 7517208416 Enrollment ID: I20210903001755 |
| Provider Name | Ifunanya Kalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932606753 PECOS PAC ID: 9830595313 Enrollment ID: I20210908003252 |
| Provider Name | Ansha Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306295373 PECOS PAC ID: 5890191316 Enrollment ID: I20210909000966 |
| Provider Name | Marwah Tareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811484850 PECOS PAC ID: 1951738111 Enrollment ID: I20210915003867 |
| Provider Name | Megan Laurel Rambob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225469521 PECOS PAC ID: 9335372218 Enrollment ID: I20210917002169 |
| Provider Name | Aleeza Michael-tabrizi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972047207 PECOS PAC ID: 5496152191 Enrollment ID: I20210922003654 |
| Provider Name | Jill C Troilo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831358431 PECOS PAC ID: 4981740248 Enrollment ID: I20210923000027 |
| Provider Name | Kathleen Mary Hawkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932127479 PECOS PAC ID: 4981001526 Enrollment ID: I20210923001952 |
| Provider Name | Nicole Woodard Uliassi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144596891 PECOS PAC ID: 4880091321 Enrollment ID: I20210924002717 |
| Provider Name | Allison Gay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205255742 PECOS PAC ID: 6103171715 Enrollment ID: I20210928000050 |
| Provider Name | Wondaferew Berhie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083973580 PECOS PAC ID: 1355599614 Enrollment ID: I20210928001126 |
| Provider Name | Bridget Conger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285946616 PECOS PAC ID: 5890192173 Enrollment ID: I20210929002688 |
| Provider Name | Mallory Lostumbo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073923132 PECOS PAC ID: 5294015517 Enrollment ID: I20210930001694 |
| Provider Name | Roger Samuels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205271186 PECOS PAC ID: 8628201423 Enrollment ID: I20211006000457 |
| Provider Name | Gisela Delgado Rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154812014 PECOS PAC ID: 8325446388 Enrollment ID: I20211006001742 |
| Provider Name | Kristen Bennett Cantor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275794273 PECOS PAC ID: 4880092782 Enrollment ID: I20211007000344 |
| Provider Name | Patti Henshel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669629002 PECOS PAC ID: 2668785593 Enrollment ID: I20211011001905 |
| Provider Name | Shahzad Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366754327 PECOS PAC ID: 3274772934 Enrollment ID: I20211025000207 |
| Provider Name | Steven John Lahti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649701178 PECOS PAC ID: 9537445549 Enrollment ID: I20211026003641 |
| Provider Name | Zaius Marsalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326556291 PECOS PAC ID: 7315208717 Enrollment ID: I20211103000098 |
| Provider Name | Jay Menaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568437176 PECOS PAC ID: 6507845070 Enrollment ID: I20211116002864 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20211118002495 |
| Provider Name | Jeffrey Mikita |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912009564 PECOS PAC ID: 9032392212 Enrollment ID: I20211122002454 |
| Provider Name | May Alattar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154523371 PECOS PAC ID: 3678739893 Enrollment ID: I20211202000570 |
| Provider Name | Arman S Majumder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558929356 PECOS PAC ID: 4486044609 Enrollment ID: I20211202001244 |
| Provider Name | Seema Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164665113 PECOS PAC ID: 8628297314 Enrollment ID: I20211203001978 |
| Provider Name | Ruby Rubab Panju-merali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346566403 PECOS PAC ID: 4183754385 Enrollment ID: I20211209001572 |
| Provider Name | Mohammad Ali Rai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104222603 PECOS PAC ID: 1759607633 Enrollment ID: I20211222000389 |
| Provider Name | Ahmed F Abdulameer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295264166 PECOS PAC ID: 9830516137 Enrollment ID: I20220110001351 |
| Provider Name | Matthew T Alario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871956284 PECOS PAC ID: 5991004269 Enrollment ID: I20220119000769 |
| Provider Name | Bhuwan Kayastha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750697223 PECOS PAC ID: 6406097112 Enrollment ID: I20220125002943 |
| Provider Name | Rita E Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093928756 PECOS PAC ID: 3971537218 Enrollment ID: I20220201000346 |
| Provider Name | Cristin Mount |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477527125 PECOS PAC ID: 8426230491 Enrollment ID: I20220222001425 |
| Provider Name | Leal Hsiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982804241 PECOS PAC ID: 0840340550 Enrollment ID: I20220224000344 |
| Provider Name | Jacob Quinton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073969002 PECOS PAC ID: 6709166523 Enrollment ID: I20220228000147 |
| Provider Name | Supo Folaranmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710321724 PECOS PAC ID: 3779853478 Enrollment ID: I20220309002397 |
| Provider Name | Tracey Reinecke Kashima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386739803 PECOS PAC ID: 2466620505 Enrollment ID: I20220311000884 |
| Provider Name | Jennifer Massetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417277898 PECOS PAC ID: 2769642370 Enrollment ID: I20220317000907 |
| Provider Name | Hajafatmata Binta Bah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457989949 PECOS PAC ID: 4284029620 Enrollment ID: I20220321002580 |
| Provider Name | Melanie Ondrejko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992265656 PECOS PAC ID: 3375877111 Enrollment ID: I20220407000124 |
| Provider Name | Sanaz Gidfar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588023469 PECOS PAC ID: 2365868536 Enrollment ID: I20220408000116 |
| Provider Name | Mahwish Shakil Khurram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548654429 PECOS PAC ID: 6709133820 Enrollment ID: I20220408000131 |
| Provider Name | Katrina Cork |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437578770 PECOS PAC ID: 5496004251 Enrollment ID: I20220412000394 |
| Provider Name | Michael Bryan Rothberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700232477 PECOS PAC ID: 9133412455 Enrollment ID: I20220510000474 |
| Provider Name | Lisbi Rivas Ramirez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972946549 PECOS PAC ID: 8729496526 Enrollment ID: I20220602001680 |
| Provider Name | Julio Huapaya-carrera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912351743 PECOS PAC ID: 4284053620 Enrollment ID: I20220604000073 |
| Provider Name | John Sampson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215969332 PECOS PAC ID: 0143295758 Enrollment ID: I20220604000147 |
| Provider Name | Kathryn Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528641800 PECOS PAC ID: 0345640835 Enrollment ID: I20220608000755 |
| Provider Name | Azam Ghafoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811239759 PECOS PAC ID: 9638302425 Enrollment ID: I20220608003216 |
| Provider Name | Ali Aldabbagh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568843324 PECOS PAC ID: 2163752239 Enrollment ID: I20220614002334 |
| Provider Name | Lahaina L Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871724054 PECOS PAC ID: 9739227802 Enrollment ID: I20220621001807 |
| Provider Name | Melaku Tesfaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245659028 PECOS PAC ID: 3375834450 Enrollment ID: I20220629002473 |
| Provider Name | Muhammad Hamza Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205397254 PECOS PAC ID: 5496135808 Enrollment ID: I20220701001173 |
| Provider Name | Vaishali B Popat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699960112 PECOS PAC ID: 5698155950 Enrollment ID: I20220704000011 |
| Provider Name | Ashly Anna Ninan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548903537 PECOS PAC ID: 8224418587 Enrollment ID: I20220704000034 |
| Provider Name | Atiyatul Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992159321 PECOS PAC ID: 9133417058 Enrollment ID: I20220704000212 |
| Provider Name | Camille Frances Stanback |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386056372 PECOS PAC ID: 8426387697 Enrollment ID: I20220705000056 |
| Provider Name | Nikhil Gopal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629422563 PECOS PAC ID: 0143601799 Enrollment ID: I20220714000384 |
| Provider Name | Mark Nau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033579479 PECOS PAC ID: 7810259132 Enrollment ID: I20220728001096 |
| Provider Name | David Ni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821255662 PECOS PAC ID: 0042451510 Enrollment ID: I20220809002166 |
| Provider Name | Abhimanyu Chandel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730542630 PECOS PAC ID: 6800226689 Enrollment ID: I20220810000587 |
| Provider Name | Rose Yu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184018350 PECOS PAC ID: 5193073500 Enrollment ID: I20220811000102 |
| Provider Name | Joanna Klubo Gwiezdzinska |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912237058 PECOS PAC ID: 6103209911 Enrollment ID: I20220811001157 |
| Provider Name | Yasir Hamad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619130754 PECOS PAC ID: 7810167103 Enrollment ID: I20220811001545 |
| Provider Name | Shreedip Dilipbhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588124663 PECOS PAC ID: 7810226453 Enrollment ID: I20220812002357 |
| Provider Name | Valerie Streeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689313884 PECOS PAC ID: 5294118923 Enrollment ID: I20220812003059 |
| Provider Name | Dean Meadows |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922064427 PECOS PAC ID: 2567514250 Enrollment ID: I20220815001328 |
| Provider Name | Huong Nguyen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437151255 PECOS PAC ID: 8224292867 Enrollment ID: I20220816000322 |
| Provider Name | Michael Benjamin Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043818651 PECOS PAC ID: 8820401052 Enrollment ID: I20220907000908 |
| Provider Name | Zulfiya Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285196626 PECOS PAC ID: 2567847734 Enrollment ID: I20220923002919 |
| Provider Name | David A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548908981 PECOS PAC ID: 3870979933 Enrollment ID: I20220928000300 |
| Provider Name | Neil Mendhiratta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023472248 PECOS PAC ID: 8426301029 Enrollment ID: I20221005002074 |
| Provider Name | Katherine Deguzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477893600 PECOS PAC ID: 0840423513 Enrollment ID: I20221006000103 |
| Provider Name | Michelle Punzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558821710 PECOS PAC ID: 0941686349 Enrollment ID: I20221010001387 |
| Provider Name | Daniel Nethala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104359272 PECOS PAC ID: 7517201080 Enrollment ID: I20221011000037 |
| Provider Name | Cindy Bowen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669646121 PECOS PAC ID: 2264690775 Enrollment ID: I20221012003009 |
| Provider Name | Paul Cusmano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477900942 PECOS PAC ID: 0648531061 Enrollment ID: I20221019002848 |
| Provider Name | Julia Cheringal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649566282 PECOS PAC ID: 0840420006 Enrollment ID: I20221020000269 |
| Provider Name | John Ellis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104273275 PECOS PAC ID: 6608108790 Enrollment ID: I20221020000379 |
| Provider Name | Natalie Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639719404 PECOS PAC ID: 8022485036 Enrollment ID: I20221103003370 |
| Provider Name | Alexander Kenigsberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679006803 PECOS PAC ID: 3476921933 Enrollment ID: I20221115001876 |
| Provider Name | Heidi Abdelhady |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437106481 PECOS PAC ID: 9436112695 Enrollment ID: I20221125000366 |
| Provider Name | Heather Fahey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649625724 PECOS PAC ID: 7911299565 Enrollment ID: I20221213000628 |
| Provider Name | Linda Shasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558627216 PECOS PAC ID: 0042529745 Enrollment ID: I20221221002203 |
| Provider Name | Christopher Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245730811 PECOS PAC ID: 9133482227 Enrollment ID: I20221222002855 |
| Provider Name | Rouzbeh Shams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437458981 PECOS PAC ID: 8325265671 Enrollment ID: I20230102000262 |
| Provider Name | Peter Ma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811316359 PECOS PAC ID: 3779873211 Enrollment ID: I20230106000112 |
| Provider Name | Aman Gebremedhin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558742510 PECOS PAC ID: 7719130467 Enrollment ID: I20230107000013 |
| Provider Name | Janitzio Guzman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235592643 PECOS PAC ID: 3577933589 Enrollment ID: I20230110000057 |
| Provider Name | Melat Aberra Gebremichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003376740 PECOS PAC ID: 1658741665 Enrollment ID: I20230110000122 |
| Provider Name | Olivier De Raet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780870063 PECOS PAC ID: 5395929541 Enrollment ID: I20230123000511 |
| Provider Name | Bruce Ludwig |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649250580 PECOS PAC ID: 9032202346 Enrollment ID: I20230127000365 |
| Provider Name | Vikram Shenoy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710397906 PECOS PAC ID: 5991002909 Enrollment ID: I20230321002093 |
| Provider Name | Fatima Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831492198 PECOS PAC ID: 1153571211 Enrollment ID: I20230326000015 |
| Provider Name | Marie Pereira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124480637 PECOS PAC ID: 3971898727 Enrollment ID: I20230328002940 |
| Provider Name | Jihyun Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578274718 PECOS PAC ID: 3577937721 Enrollment ID: I20230329003507 |
| Provider Name | Katherine Kurzius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912553686 PECOS PAC ID: 4688097264 Enrollment ID: I20230412001548 |
| Provider Name | Ghadah Al-naqeeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487185948 PECOS PAC ID: 4981948288 Enrollment ID: I20230527000015 |
| Provider Name | Nyein Yu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003348525 PECOS PAC ID: 1254753023 Enrollment ID: I20230718002526 |
| Provider Name | Michael Pope |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497318430 PECOS PAC ID: 1658606553 Enrollment ID: I20230803004372 |
| Provider Name | Omeed Sizar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295268258 PECOS PAC ID: 8224465877 Enrollment ID: I20230809000924 |
| Provider Name | William Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811359011 PECOS PAC ID: 7315245867 Enrollment ID: I20230809003690 |
| Provider Name | Vidhyalakshmy Vivek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578851721 PECOS PAC ID: 8224252440 Enrollment ID: I20230810004436 |
| Provider Name | Ethan Elias Witt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881221851 PECOS PAC ID: 6800211996 Enrollment ID: I20230811000308 |
| Provider Name | Leah Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952339384 PECOS PAC ID: 2062499734 Enrollment ID: I20230822004294 |
| Provider Name | Syed Aleem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104359264 PECOS PAC ID: 7517234453 Enrollment ID: I20230831000024 |
| Provider Name | Ashrithpal Police Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649807256 PECOS PAC ID: 5597128009 Enrollment ID: I20230831001561 |
| Provider Name | Ogechukwu Chika-nwosuh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801327515 PECOS PAC ID: 3274993191 Enrollment ID: I20230901001324 |
| Provider Name | Nicholas Christopher Clemm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073076642 PECOS PAC ID: 2264895549 Enrollment ID: I20230905001417 |
| Provider Name | Laura Wioletta Migasiuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811519382 PECOS PAC ID: 7911361829 Enrollment ID: I20230912000077 |
| Provider Name | Justin Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609404458 PECOS PAC ID: 2769846542 Enrollment ID: I20230912003659 |
| Provider Name | Taylor Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851092613 PECOS PAC ID: 3476917261 Enrollment ID: I20230912003773 |
| Provider Name | Sergio Lizama-hernandez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780079129 PECOS PAC ID: 1951646090 Enrollment ID: I20230914001497 |
| Provider Name | Jordan E Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861195562 PECOS PAC ID: 3375907645 Enrollment ID: I20230920001135 |
| Provider Name | Rehan Talibi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275093395 PECOS PAC ID: 6709218985 Enrollment ID: I20230927002067 |
| Provider Name | Katherine L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720787658 PECOS PAC ID: 1254785066 Enrollment ID: I20230928000054 |
| Provider Name | Nabha Tokekar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102964 PECOS PAC ID: 2365837879 Enrollment ID: I20230928000481 |
| Provider Name | Katherine Fradeneck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992329221 PECOS PAC ID: 9234550898 Enrollment ID: I20230928000564 |
| Provider Name | Vishal Dasari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669091211 PECOS PAC ID: 8224448535 Enrollment ID: I20230928004108 |
| Provider Name | Rugiatu Jalloh-camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376835231 PECOS PAC ID: 8325383094 Enrollment ID: I20231012002957 |
| Provider Name | Christopher Koller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760987689 PECOS PAC ID: 5092174268 Enrollment ID: I20231013001726 |
| Provider Name | Camellia Banerjee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134547441 PECOS PAC ID: 7517201064 Enrollment ID: I20231016000197 |
| Provider Name | Zaid Safiullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912526377 PECOS PAC ID: 7416388913 Enrollment ID: I20231016003228 |
| Provider Name | Lauren Larocca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114489861 PECOS PAC ID: 4486986734 Enrollment ID: I20231021000000 |
| Provider Name | Margaret Ann Tuinstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457045981 PECOS PAC ID: 9234585688 Enrollment ID: I20231021000682 |
| Provider Name | Anthony Keller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720059694 PECOS PAC ID: 0547490575 Enrollment ID: I20231023000480 |
| Provider Name | Mary Elizabeth Richert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184159535 PECOS PAC ID: 2365717105 Enrollment ID: I20231025000011 |
| Provider Name | Mustafa Azimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568064046 PECOS PAC ID: 0244642270 Enrollment ID: I20231026000965 |
| Provider Name | Zaneta Franklin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992334791 PECOS PAC ID: 2365860541 Enrollment ID: I20231028000641 |
| Provider Name | Godly Jack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114452588 PECOS PAC ID: 0244508224 Enrollment ID: I20231101002354 |
| Provider Name | Caitlin Sorci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497455802 PECOS PAC ID: 6305293887 Enrollment ID: I20231106002958 |
| Provider Name | Mack Bell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801359930 PECOS PAC ID: 1052643392 Enrollment ID: I20231114001703 |
| Provider Name | Kadija Hersi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740593987 PECOS PAC ID: 9335374628 Enrollment ID: I20231116002105 |
| Provider Name | Mustafa Khaliqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629488994 PECOS PAC ID: 3274808936 Enrollment ID: I20231122000297 |
| Provider Name | Minhal Makshood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265965214 PECOS PAC ID: 5991081333 Enrollment ID: I20231127000283 |
| Provider Name | Bhavna Seth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497140941 PECOS PAC ID: 2769797927 Enrollment ID: I20231129000678 |
| Provider Name | Vinay Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609984517 PECOS PAC ID: 6204920531 Enrollment ID: I20231206004301 |
| Provider Name | John Shumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407389125 PECOS PAC ID: 1557787371 Enrollment ID: I20231220003275 |
| Provider Name | Sandeep Gurram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205270667 PECOS PAC ID: 4688050859 Enrollment ID: I20231228000227 |
| Provider Name | Misha Varma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346701513 PECOS PAC ID: 7618206657 Enrollment ID: I20240107000038 |
| Provider Name | Albert Samost |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609339787 PECOS PAC ID: 2567799067 Enrollment ID: I20240108003966 |
| Provider Name | Sonal Vaid |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295267201 PECOS PAC ID: 0143599811 Enrollment ID: I20240109004679 |
| Provider Name | Samiha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669826202 PECOS PAC ID: 5799075404 Enrollment ID: I20240111001318 |
| Provider Name | Gyan Das |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841738150 PECOS PAC ID: 1557734076 Enrollment ID: I20240125003649 |
| Provider Name | Kala Kashla Davis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841408051 PECOS PAC ID: 7517059850 Enrollment ID: I20240131004140 |
| Provider Name | Marina Zeltser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912343708 PECOS PAC ID: 7012208127 Enrollment ID: I20240218000145 |
| Provider Name | Jennifer Krizman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740053685 PECOS PAC ID: 0648615872 Enrollment ID: I20240228000636 |
Leslie H Fenton Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6614 Melody Lane, Bethesda, MD 20817 Phone: 301-365-0266 Fax: 301-365-3253 | |
The Wellness Center Operated By Premise Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6801 Rockledge Dr, Bethesda, MD 20817 Phone: 301-214-3132 Fax: 301-571-3167 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5616 Shields Dr Ste 4000, Bethesda, MD 20817 Phone: 301-897-5522 | |
Montgomery Sports Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6931 Arlington Rd Ste 550, Bethesda, MD 20814 Phone: 301-754-0505 Fax: 301-754-0509 | |
Mindscape Psych, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Sangamore Rd Ste N100, Bethesda, MD 20816 Phone: 240-484-4226 | |
New Era Consultancy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10419 Montrose Ave Apt 302, Bethesda, MD 20814 Phone: 346-433-9029 | |
Nava Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6410 Rockledge Dr Ste 510, Bethesda, MD 20817 Phone: 800-762-6282 |