| Jupiter Medical Center Physicians Group Inc | |
|
1210 S Old Dixie Hwy Jupiter FL 33458-7205 | |
| (561) 747-2234 | |
| Not Available |
| Full Name | Jupiter Medical Center Physicians Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1210 S Old Dixie Hwy, Jupiter, Florida |
| Authorized Official Name and Position | Steven Seeley (SENIOR VP CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5612633561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Medical Center Physicians Group Inc Po Box 95000-8797 Philadelphia PA 19195-0001 Ph: (561) 263-7270 | Jupiter Medical Center Physicians Group Inc 1210 S Old Dixie Hwy Jupiter FL 33458-7205 Ph: (561) 747-2234 |
| NPI Number | 1396992475 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 09/10/2026 |
| Certification Date | 09/10/2026 |
| Medicare PECOS PAC ID | 4284797069 |
|---|---|
| Medicare Enrollment ID | O20090106000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396992475 | NPI | - | NPPES |
| Provider Name | Anthony T Perrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124003546 PECOS PAC ID: 0042119141 Enrollment ID: I20040116000385 |
| Provider Name | Barry M Miskin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538121298 PECOS PAC ID: 8325940596 Enrollment ID: I20040329001421 |
| Provider Name | Eric M Klopman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861505919 PECOS PAC ID: 9931193455 Enrollment ID: I20040408001068 |
| Provider Name | Kenneth a Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295734960 PECOS PAC ID: 1254325020 Enrollment ID: I20040413001807 |
| Provider Name | David Mateo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679542039 PECOS PAC ID: 6002806692 Enrollment ID: I20040515000062 |
| Provider Name | Harry J Romero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700854163 PECOS PAC ID: 7810970092 Enrollment ID: I20040609000719 |
| Provider Name | Maya N Stamboliyska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649266982 PECOS PAC ID: 3577556000 Enrollment ID: I20040923000743 |
| Provider Name | Jeffrey E Ingeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063491850 PECOS PAC ID: 3072575091 Enrollment ID: I20041102000507 |
| Provider Name | Marshall Stone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649255324 PECOS PAC ID: 5092778753 Enrollment ID: I20041108000070 |
| Provider Name | Arthur Katz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124035720 PECOS PAC ID: 1557310703 Enrollment ID: I20050118000246 |
| Provider Name | Constance B Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376766980 PECOS PAC ID: 4284671769 Enrollment ID: I20050415000477 |
| Provider Name | Ella V Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20050810000396 |
| Provider Name | Donna M Pinelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023019023 PECOS PAC ID: 0547292484 Enrollment ID: I20050831000544 |
| Provider Name | Leila M Patallo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346275948 PECOS PAC ID: 4789618471 Enrollment ID: I20050923000133 |
| Provider Name | Kenneth J Fuquay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225095599 PECOS PAC ID: 8224080205 Enrollment ID: I20051019000491 |
| Provider Name | David a Lickstein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275642183 PECOS PAC ID: 9638197114 Enrollment ID: I20051105000062 |
| Provider Name | Adrienne Cay Parlette Guinan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770565152 PECOS PAC ID: 5092733105 Enrollment ID: I20051108000124 |
| Provider Name | Harold Rabinovitz |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1093710618 PECOS PAC ID: 4880602622 Enrollment ID: I20060405000218 |
| Provider Name | Gabriel H Domenech |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427043785 PECOS PAC ID: 5496758682 Enrollment ID: I20060808000262 |
| Provider Name | Joyce E Defrancesco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568433597 PECOS PAC ID: 8628077088 Enrollment ID: I20061212000418 |
| Provider Name | Richard a Dube |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356360606 PECOS PAC ID: 7911008743 Enrollment ID: I20070724000566 |
| Provider Name | Lee a Fox |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659323368 PECOS PAC ID: 9032107040 Enrollment ID: I20070811000100 |
| Provider Name | Hassan Borghei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093913550 PECOS PAC ID: 6406949866 Enrollment ID: I20070830000827 |
| Provider Name | Peter W Komatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164442836 PECOS PAC ID: 8224137443 Enrollment ID: I20070926001115 |
| Provider Name | Jefferson R Vaughan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780649988 PECOS PAC ID: 9537163167 Enrollment ID: I20071212000327 |
| Provider Name | George R Simon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164438768 PECOS PAC ID: 4880784560 Enrollment ID: I20071218000532 |
| Provider Name | Nathaniel R Drourr |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1336186915 PECOS PAC ID: 0648358358 Enrollment ID: I20080422000301 |
| Provider Name | Juliet T Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538359443 PECOS PAC ID: 0143391490 Enrollment ID: I20080614000074 |
| Provider Name | Vicki J Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063616159 PECOS PAC ID: 8729150701 Enrollment ID: I20080708000567 |
| Provider Name | Hillary Clair Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790971356 PECOS PAC ID: 6608940770 Enrollment ID: I20080807000296 |
| Provider Name | Nicolas Pineiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235300211 PECOS PAC ID: 9931267390 Enrollment ID: I20081029000362 |
| Provider Name | Arlyn L Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699931030 PECOS PAC ID: 7214090356 Enrollment ID: I20090115000204 |
| Provider Name | Irene M Mayer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073601944 PECOS PAC ID: 2062579584 Enrollment ID: I20090326000507 |
| Provider Name | Philip W Moyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457396814 PECOS PAC ID: 1557373164 Enrollment ID: I20090422000203 |
| Provider Name | Rahul Aggarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740336908 PECOS PAC ID: 5799885513 Enrollment ID: I20090722000685 |
| Provider Name | Michael P Defrain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851369490 PECOS PAC ID: 5395774467 Enrollment ID: I20090814000479 |
| Provider Name | Lawrence a Tepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528033958 PECOS PAC ID: 9830266303 Enrollment ID: I20091015000364 |
| Provider Name | Marcia Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265667877 PECOS PAC ID: 5294872123 Enrollment ID: I20091027000267 |
| Provider Name | Aharon E Sareli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104989698 PECOS PAC ID: 4183711070 Enrollment ID: I20091109000560 |
| Provider Name | Peter Lyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033219076 PECOS PAC ID: 2860416609 Enrollment ID: I20100218000260 |
| Provider Name | Sean a Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902831787 PECOS PAC ID: 1658319736 Enrollment ID: I20100510000580 |
| Provider Name | Craig D Vogel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144298829 PECOS PAC ID: 6608907035 Enrollment ID: I20100629000834 |
| Provider Name | Michael L Blum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134115165 PECOS PAC ID: 3971500752 Enrollment ID: I20100730000553 |
| Provider Name | Roxanne Dujour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255642856 PECOS PAC ID: 2769507029 Enrollment ID: I20100910000390 |
| Provider Name | John a P Rimmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376679209 PECOS PAC ID: 0648293886 Enrollment ID: I20101203000754 |
| Provider Name | Ronald S Zelnick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871589598 PECOS PAC ID: 7810183191 Enrollment ID: I20101220000678 |
| Provider Name | David L Liporace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184610818 PECOS PAC ID: 8325228745 Enrollment ID: I20110222000593 |
| Provider Name | Tohmina Begum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366680357 PECOS PAC ID: 7911176987 Enrollment ID: I20110808000684 |
| Provider Name | Marina a Yudis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083918460 PECOS PAC ID: 8820267305 Enrollment ID: I20110818000321 |
| Provider Name | Jennifer L Pina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588785240 PECOS PAC ID: 2264603398 Enrollment ID: I20110922000220 |
| Provider Name | Allison Holley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104050848 PECOS PAC ID: 5991977951 Enrollment ID: I20111017000602 |
| Provider Name | David S Weisman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235302803 PECOS PAC ID: 6002968757 Enrollment ID: I20111128000771 |
| Provider Name | Vincent J Turiano |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982650842 PECOS PAC ID: 3274700505 Enrollment ID: I20120126000786 |
| Provider Name | Susan M Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225394497 PECOS PAC ID: 4587828355 Enrollment ID: I20120606000492 |
| Provider Name | Jose M Fragoso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578756524 PECOS PAC ID: 8123296100 Enrollment ID: I20120914000564 |
| Provider Name | Belinda L Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134450620 PECOS PAC ID: 0042460867 Enrollment ID: I20121101000039 |
| Provider Name | Jennifer Coby |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1386843530 PECOS PAC ID: 0042386336 Enrollment ID: I20121206000504 |
| Provider Name | Madai Ortiz Santiago |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427360593 PECOS PAC ID: 4880869817 Enrollment ID: I20121212000510 |
| Provider Name | Tara D Darvill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149992 PECOS PAC ID: 5294988218 Enrollment ID: I20121226000192 |
| Provider Name | Melissa Dail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679822449 PECOS PAC ID: 2163677659 Enrollment ID: I20130307000407 |
| Provider Name | Bradley J Wallrath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720329485 PECOS PAC ID: 3476790718 Enrollment ID: I20130506000346 |
| Provider Name | William a Gustave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720312739 PECOS PAC ID: 5092997767 Enrollment ID: I20130605000107 |
| Provider Name | Florine Samson-alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972856896 PECOS PAC ID: 7214176866 Enrollment ID: I20130612000201 |
| Provider Name | Andrew M Hall |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710182407 PECOS PAC ID: 9830339126 Enrollment ID: I20130710000256 |
| Provider Name | Morteza Tavakol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043476807 PECOS PAC ID: 9830243682 Enrollment ID: I20130716000163 |
| Provider Name | Julie C Manrique |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841450939 PECOS PAC ID: 5597907394 Enrollment ID: I20130807000439 |
| Provider Name | Mohammad a Wehbe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386982213 PECOS PAC ID: 5395987127 Enrollment ID: I20130807000786 |
| Provider Name | Monique L Jaquith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649546870 PECOS PAC ID: 4789818881 Enrollment ID: I20131003000131 |
| Provider Name | Teaondra Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467887059 PECOS PAC ID: 2466686159 Enrollment ID: I20131011001497 |
| Provider Name | Cheryl Ann Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952650459 PECOS PAC ID: 1759516511 Enrollment ID: I20131101001178 |
| Provider Name | Sydney V Mee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437582517 PECOS PAC ID: 3678708492 Enrollment ID: I20131104001076 |
| Provider Name | Sofia Noohani Kohn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215363023 PECOS PAC ID: 3577799048 Enrollment ID: I20131112001242 |
| Provider Name | Andrew L Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447243878 PECOS PAC ID: 2062483019 Enrollment ID: I20140619001185 |
| Provider Name | Carlos a Miniet Cespedes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104115344 PECOS PAC ID: 8325267230 Enrollment ID: I20140908001843 |
| Provider Name | Nicole M Sousa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255744710 PECOS PAC ID: 3779704895 Enrollment ID: I20141014002204 |
| Provider Name | Jennie a Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467447573 PECOS PAC ID: 2062491871 Enrollment ID: I20141015002397 |
| Provider Name | Valerie Fiordilino Maslow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710389721 PECOS PAC ID: 6608098041 Enrollment ID: I20141119001185 |
| Provider Name | Michelle Santomassino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871668517 PECOS PAC ID: 3072836147 Enrollment ID: I20141222000017 |
| Provider Name | Emily a Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013315019 PECOS PAC ID: 7911224142 Enrollment ID: I20150326001306 |
| Provider Name | Sujal S Shah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346426566 PECOS PAC ID: 4486714003 Enrollment ID: I20150505001743 |
| Provider Name | Kathie Kowalczyk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639425986 PECOS PAC ID: 7618297516 Enrollment ID: I20150515001829 |
| Provider Name | Valerie a Broome |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710371141 PECOS PAC ID: 7810204823 Enrollment ID: I20150923000644 |
| Provider Name | Brittany L Zimmerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831361401 PECOS PAC ID: 2062581853 Enrollment ID: I20150929002990 |
| Provider Name | Gary L Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457631350 PECOS PAC ID: 2567770134 Enrollment ID: I20150930002969 |
| Provider Name | Maureen Annette Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306851126 PECOS PAC ID: 1951359819 Enrollment ID: I20151002001982 |
| Provider Name | Orna Hadar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669443867 PECOS PAC ID: 2567650518 Enrollment ID: I20151009001715 |
| Provider Name | Howard B Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528132032 PECOS PAC ID: 4880685833 Enrollment ID: I20151202000293 |
| Provider Name | Eva M Takacs-di Lorenzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225039985 PECOS PAC ID: 6800873498 Enrollment ID: I20151216002428 |
| Provider Name | Monica C Dorvil-bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861763526 PECOS PAC ID: 5193963445 Enrollment ID: I20160113000182 |
| Provider Name | Suzette M Prendergast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255706065 PECOS PAC ID: 7113222605 Enrollment ID: I20160222000854 |
| Provider Name | Henrietta C Caday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598134348 PECOS PAC ID: 9830495472 Enrollment ID: I20160308002927 |
| Provider Name | Svetlana Kovtunova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033226899 PECOS PAC ID: 9931201191 Enrollment ID: I20160520000757 |
| Provider Name | Lara Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336500586 PECOS PAC ID: 4082905286 Enrollment ID: I20160620000005 |
| Provider Name | Kerone P Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538470919 PECOS PAC ID: 1951520337 Enrollment ID: I20160622001704 |
| Provider Name | Lindsay K Silas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962856559 PECOS PAC ID: 2365735719 Enrollment ID: I20160722002480 |
| Provider Name | Christopher J Darcey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801988720 PECOS PAC ID: 8426125014 Enrollment ID: I20160726000402 |
| Provider Name | Michelle L Frazee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497114755 PECOS PAC ID: 9739472937 Enrollment ID: I20160726001647 |
| Provider Name | Lila Saidian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992018725 PECOS PAC ID: 9830323591 Enrollment ID: I20160802000415 |
| Provider Name | Michele H Deltieure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821241779 PECOS PAC ID: 1052607819 Enrollment ID: I20160906000916 |
| Provider Name | Danielle M Lucien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054035 PECOS PAC ID: 7517253636 Enrollment ID: I20160915000939 |
| Provider Name | Nathan B Tennyson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881986800 PECOS PAC ID: 4082857982 Enrollment ID: I20161003002613 |
| Provider Name | Michael Jared Hobbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477001717 PECOS PAC ID: 5395023485 Enrollment ID: I20161025000061 |
| Provider Name | Sarah E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417403122 PECOS PAC ID: 4688952682 Enrollment ID: I20161026001175 |
| Provider Name | Jessica Visser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912249756 PECOS PAC ID: 6901185784 Enrollment ID: I20161118000592 |
| Provider Name | Ekta Ashok Solanki |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982947834 PECOS PAC ID: 2163702481 Enrollment ID: I20161202001349 |
| Provider Name | Zahidul Huq |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811253057 PECOS PAC ID: 9133409279 Enrollment ID: I20161207002580 |
| Provider Name | Christine M Lozano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881146025 PECOS PAC ID: 9830470400 Enrollment ID: I20161220001443 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Juan Gomez |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437335833 PECOS PAC ID: 6204004724 Enrollment ID: I20170208003006 |
| Provider Name | Christine B Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205143369 PECOS PAC ID: 5890975791 Enrollment ID: I20170220001538 |
| Provider Name | David Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903654 PECOS PAC ID: 4880978840 Enrollment ID: I20170313000387 |
| Provider Name | William J Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679757082 PECOS PAC ID: 7012801715 Enrollment ID: I20170504002354 |
| Provider Name | Artur Velcani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710211701 PECOS PAC ID: 7214179134 Enrollment ID: I20170822003345 |
| Provider Name | Sunil M Chauhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912922881 PECOS PAC ID: 5698705408 Enrollment ID: I20170908000633 |
| Provider Name | Julian K Berrocal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164711479 PECOS PAC ID: 8921392135 Enrollment ID: I20171012000856 |
| Provider Name | Melissa G Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063953628 PECOS PAC ID: 5597030841 Enrollment ID: I20171012001197 |
| Provider Name | Kelli a Saifman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639620826 PECOS PAC ID: 4880960137 Enrollment ID: I20171101000757 |
| Provider Name | Amir H Saghari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851675276 PECOS PAC ID: 7911131677 Enrollment ID: I20171106003035 |
| Provider Name | Denise a Cardenal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164861977 PECOS PAC ID: 8325341878 Enrollment ID: I20171107001785 |
| Provider Name | Patrick Vergel De Dios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993786 PECOS PAC ID: 9931466216 Enrollment ID: I20171121001494 |
| Provider Name | Doris Mindy Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366966863 PECOS PAC ID: 4981961471 Enrollment ID: I20171208002187 |
| Provider Name | Nadina a Tackore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851731947 PECOS PAC ID: 1850659152 Enrollment ID: I20171214000911 |
| Provider Name | Shanel Balwant Bhagwandin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609192509 PECOS PAC ID: 4486914694 Enrollment ID: I20180208001590 |
| Provider Name | Anna Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417116559 PECOS PAC ID: 9032353008 Enrollment ID: I20180216001096 |
| Provider Name | Alyzza De La Uz Forte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922536648 PECOS PAC ID: 4880955905 Enrollment ID: I20180305002407 |
| Provider Name | Michael a Shaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932276177 PECOS PAC ID: 7719909373 Enrollment ID: I20180404001005 |
| Provider Name | Michael Cancio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851786594 PECOS PAC ID: 9436463726 Enrollment ID: I20180706001589 |
| Provider Name | Courtney L Hoey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992904072 PECOS PAC ID: 9032350418 Enrollment ID: I20180713000029 |
| Provider Name | Jessika Eby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649665571 PECOS PAC ID: 1557613155 Enrollment ID: I20181009003711 |
| Provider Name | Kathryn M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790160380 PECOS PAC ID: 3072865534 Enrollment ID: I20181010002806 |
| Provider Name | Sarah M Robitaille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265935399 PECOS PAC ID: 0648522789 Enrollment ID: I20181017003000 |
| Provider Name | Michael Marsh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689961591 PECOS PAC ID: 1052636008 Enrollment ID: I20181023002366 |
| Provider Name | Mildred a Castro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902300676 PECOS PAC ID: 4486908233 Enrollment ID: I20181113003135 |
| Provider Name | James Michael Gardner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679848766 PECOS PAC ID: 0941511877 Enrollment ID: I20181120002511 |
| Provider Name | Samantha a Baroody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891175964 PECOS PAC ID: 6800101841 Enrollment ID: I20181210001272 |
| Provider Name | Atif a Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164817805 PECOS PAC ID: 1153668983 Enrollment ID: I20190131002258 |
| Provider Name | Nicole Y Greiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240516 PECOS PAC ID: 1052628310 Enrollment ID: I20190211003165 |
| Provider Name | Melissa C Rankow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467916486 PECOS PAC ID: 2062751472 Enrollment ID: I20190301001866 |
| Provider Name | Shalini Hemachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659724573 PECOS PAC ID: 2668712423 Enrollment ID: I20190314001704 |
| Provider Name | Dana L Correnti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164905741 PECOS PAC ID: 4082954698 Enrollment ID: I20190319000322 |
| Provider Name | Kevin R Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346602927 PECOS PAC ID: 7214220680 Enrollment ID: I20190509000937 |
| Provider Name | Adiena Amaro Herist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846038 PECOS PAC ID: 1557694643 Enrollment ID: I20190604002595 |
| Provider Name | Cynthia Amber Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477893832 PECOS PAC ID: 4587807987 Enrollment ID: I20190617002905 |
| Provider Name | Steven G Bentley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790781870 PECOS PAC ID: 3173626314 Enrollment ID: I20190625000854 |
| Provider Name | Daniela Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043673932 PECOS PAC ID: 7214261833 Enrollment ID: I20190701001936 |
| Provider Name | Mark Phillip Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821450834 PECOS PAC ID: 6103104260 Enrollment ID: I20190709000747 |
| Provider Name | Hiep C Nguyen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821189937 PECOS PAC ID: 9436251642 Enrollment ID: I20190724002287 |
| Provider Name | Ryan H Devine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568622207 PECOS PAC ID: 1254576291 Enrollment ID: I20190802002342 |
| Provider Name | Michael J Agatstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730543638 PECOS PAC ID: 0446587364 Enrollment ID: I20190814002893 |
| Provider Name | Adrienne C Flemming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447810130 PECOS PAC ID: 9335477447 Enrollment ID: I20190828001166 |
| Provider Name | Jessica Samantha Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679093579 PECOS PAC ID: 3779812789 Enrollment ID: I20190916003283 |
| Provider Name | Eliot a Waron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114040235 PECOS PAC ID: 1456446509 Enrollment ID: I20191029001818 |
| Provider Name | Briana B Minich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538703491 PECOS PAC ID: 9537592472 Enrollment ID: I20191205002958 |
| Provider Name | Kevin T Shope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003450016 PECOS PAC ID: 7719312263 Enrollment ID: I20200110002265 |
| Provider Name | Jessica L Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134763287 PECOS PAC ID: 0648606988 Enrollment ID: I20200205002652 |
| Provider Name | Kelly Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184270209 PECOS PAC ID: 9335576255 Enrollment ID: I20200305000234 |
| Provider Name | Kyle Brandon Slazyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588017388 PECOS PAC ID: 0547698128 Enrollment ID: I20200313000137 |
| Provider Name | Nikola Jovanovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417332438 PECOS PAC ID: 1557657699 Enrollment ID: I20200430002524 |
| Provider Name | Mina Awadallah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497288088 PECOS PAC ID: 8022385160 Enrollment ID: I20200513002667 |
| Provider Name | Craig Michael Forleiter |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700178936 PECOS PAC ID: 5092086413 Enrollment ID: I20200521002890 |
| Provider Name | Dave R Prashad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154854305 PECOS PAC ID: 6406123751 Enrollment ID: I20200522000095 |
| Provider Name | Kevan Manraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598299802 PECOS PAC ID: 3476819921 Enrollment ID: I20200603002269 |
| Provider Name | Natalie Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538798764 PECOS PAC ID: 0941622963 Enrollment ID: I20200622000578 |
| Provider Name | Blessen Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033640743 PECOS PAC ID: 9133457229 Enrollment ID: I20200625002028 |
| Provider Name | Michael F Ambrose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841222403 PECOS PAC ID: 9133287725 Enrollment ID: I20200804000373 |
| Provider Name | Eren Erdem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306937271 PECOS PAC ID: 1456323039 Enrollment ID: I20200813002229 |
| Provider Name | Peter S Zijlstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598283327 PECOS PAC ID: 5496171324 Enrollment ID: I20200821001863 |
| Provider Name | Vanessa Antoine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477940864 PECOS PAC ID: 0143513697 Enrollment ID: I20200925000706 |
| Provider Name | Ashley M Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891286209 PECOS PAC ID: 6800216904 Enrollment ID: I20201012000332 |
| Provider Name | Adrianna Kelmendi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528475621 PECOS PAC ID: 1456641414 Enrollment ID: I20201021002455 |
| Provider Name | Debra S Brandt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710918032 PECOS PAC ID: 4880607324 Enrollment ID: I20201112001729 |
| Provider Name | Katie L Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509561 PECOS PAC ID: 2062823156 Enrollment ID: I20201120001450 |
| Provider Name | Anthony R Mangano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447216924 PECOS PAC ID: 4082711213 Enrollment ID: I20201214000920 |
| Provider Name | Rachel L Romnosky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619439288 PECOS PAC ID: 7416361795 Enrollment ID: I20210127002887 |
| Provider Name | Jennifer a Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679179485 PECOS PAC ID: 4284048265 Enrollment ID: I20210203000479 |
| Provider Name | Dhimant R Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851330120 PECOS PAC ID: 7810914397 Enrollment ID: I20210401000775 |
| Provider Name | Wayne J Olan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629068333 PECOS PAC ID: 1951291285 Enrollment ID: I20210407000864 |
| Provider Name | Quanecia Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427534676 PECOS PAC ID: 0840608659 Enrollment ID: I20210415002206 |
| Provider Name | Sandina Samantha Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225623408 PECOS PAC ID: 9234547407 Enrollment ID: I20210428001211 |
| Provider Name | Taylor a Ferrer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558944868 PECOS PAC ID: 7810306529 Enrollment ID: I20210511000163 |
| Provider Name | Patrick Tenbrink |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245685908 PECOS PAC ID: 9133407596 Enrollment ID: I20210527001914 |
| Provider Name | Geami a Britt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578958443 PECOS PAC ID: 6103124730 Enrollment ID: I20210528000550 |
| Provider Name | Joshua Shinoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760986293 PECOS PAC ID: 4880009372 Enrollment ID: I20210607001575 |
| Provider Name | Jasmine Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225535933 PECOS PAC ID: 0345597217 Enrollment ID: I20210611001839 |
| Provider Name | Jonathan Salter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700318706 PECOS PAC ID: 1254731235 Enrollment ID: I20210614000143 |
| Provider Name | Yoel Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164959128 PECOS PAC ID: 5193138568 Enrollment ID: I20210621000404 |
| Provider Name | Lara T Dakhoul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144663147 PECOS PAC ID: 1456661545 Enrollment ID: I20210706003331 |
| Provider Name | Muhammad S Faiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285137059 PECOS PAC ID: 4183026032 Enrollment ID: I20210714002323 |
| Provider Name | Tatiana Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043635618 PECOS PAC ID: 2163824871 Enrollment ID: I20210716001026 |
| Provider Name | Christopher De Jesus |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1184019374 PECOS PAC ID: 0345584348 Enrollment ID: I20210726000266 |
| Provider Name | Nael E Saad |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1497762801 PECOS PAC ID: 1850464298 Enrollment ID: I20210727002322 |
| Provider Name | Christal Elise Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639737026 PECOS PAC ID: 1759784614 Enrollment ID: I20210729001864 |
| Provider Name | William Wunder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750464020 PECOS PAC ID: 1456493733 Enrollment ID: I20210803002550 |
| Provider Name | Sara R Iskandar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104329242 PECOS PAC ID: 7113357815 Enrollment ID: I20210825000301 |
| Provider Name | Angel P Mercado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669751293 PECOS PAC ID: 9739307679 Enrollment ID: I20210908001595 |
| Provider Name | Ram Kishore Kaveti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538491626 PECOS PAC ID: 7517150139 Enrollment ID: I20210916000940 |
| Provider Name | Alexandra Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467993915 PECOS PAC ID: 6406186659 Enrollment ID: I20210922000795 |
| Provider Name | Giorgio J Meyers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003436080 PECOS PAC ID: 3577960251 Enrollment ID: I20210922003043 |
| Provider Name | Jadeene Cheal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942872494 PECOS PAC ID: 4587062245 Enrollment ID: I20211011000697 |
| Provider Name | Courtney L Desrosiers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689249799 PECOS PAC ID: 9133527716 Enrollment ID: I20211012002906 |
| Provider Name | Catalina Bulla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811453749 PECOS PAC ID: 5395088082 Enrollment ID: I20211013001523 |
| Provider Name | Victoria Pinchera Martell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023601184 PECOS PAC ID: 0749670784 Enrollment ID: I20211206001090 |
| Provider Name | Adam J Kotkiewicz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356491179 PECOS PAC ID: 1052509783 Enrollment ID: I20211209000945 |
| Provider Name | Lisa L Ciaravino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255921227 PECOS PAC ID: 9032509849 Enrollment ID: I20211210000882 |
| Provider Name | Abelardo Escriba Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578051355 PECOS PAC ID: 0345631800 Enrollment ID: I20211217001148 |
| Provider Name | Sarah L Stamos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144982018 PECOS PAC ID: 0840682001 Enrollment ID: I20220120000208 |
| Provider Name | Boris G Naraev |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437313491 PECOS PAC ID: 5890840219 Enrollment ID: I20220120000449 |
| Provider Name | Victoria Lyndsey Canarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669825238 PECOS PAC ID: 5991198186 Enrollment ID: I20220211000082 |
| Provider Name | Jennifer Leigh Bart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553571 PECOS PAC ID: 5698160919 Enrollment ID: I20220322003137 |
| Provider Name | Olga Bartov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417618125 PECOS PAC ID: 8426444324 Enrollment ID: I20220401000079 |
| Provider Name | James Takara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902883747 PECOS PAC ID: 5597770263 Enrollment ID: I20220418000264 |
| Provider Name | Paul G Cofnas |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124462783 PECOS PAC ID: 1759704711 Enrollment ID: I20220603002601 |
| Provider Name | Katie Nicole Bava |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922755123 PECOS PAC ID: 5597145789 Enrollment ID: I20220706001290 |
| Provider Name | Mitesh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346771912 PECOS PAC ID: 7810269040 Enrollment ID: I20220713000957 |
| Provider Name | Skirmante Sirvaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316402696 PECOS PAC ID: 2860874328 Enrollment ID: I20220729002031 |
| Provider Name | Maggie Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346972783 PECOS PAC ID: 0446633176 Enrollment ID: I20220812003103 |
| Provider Name | Jennifer N Tarakmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215433537 PECOS PAC ID: 0446634315 Enrollment ID: I20220826002789 |
| Provider Name | Veena Anna Varki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376108233 PECOS PAC ID: 4587097795 Enrollment ID: I20220926000391 |
| Provider Name | Anika Bethel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376003467 PECOS PAC ID: 3971838624 Enrollment ID: I20220928001513 |
| Provider Name | Namratha Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629430434 PECOS PAC ID: 5698068922 Enrollment ID: I20221005002588 |
| Provider Name | Erica G Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912674979 PECOS PAC ID: 6204234693 Enrollment ID: I20221013000254 |
| Provider Name | Thomas C O'malley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073593471 PECOS PAC ID: 5395880298 Enrollment ID: I20221025003188 |
| Provider Name | Theodore Heninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275266728 PECOS PAC ID: 1850768698 Enrollment ID: I20221107003395 |
| Provider Name | Alex Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962884205 PECOS PAC ID: 6709192529 Enrollment ID: I20221212002053 |
| Provider Name | Zakiya Moyenda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073878138 PECOS PAC ID: 0143537563 Enrollment ID: I20230131002992 |
| Provider Name | Christine Marie Obermaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952785610 PECOS PAC ID: 7810203643 Enrollment ID: I20230215002379 |
| Provider Name | Majd Jazaerly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093219537 PECOS PAC ID: 0749512242 Enrollment ID: I20230417000331 |
| Provider Name | Vivek Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568515393 PECOS PAC ID: 3779634761 Enrollment ID: I20230421002589 |
| Provider Name | Elizabeth Fathauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184321440 PECOS PAC ID: 3779949722 Enrollment ID: I20230516003682 |
| Provider Name | Marise Desir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801552393 PECOS PAC ID: 5698131498 Enrollment ID: I20230522001000 |
| Provider Name | Nicole M Bails |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467149831 PECOS PAC ID: 0143687582 Enrollment ID: I20230531000963 |
| Provider Name | April a Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942689039 PECOS PAC ID: 1456668219 Enrollment ID: I20230613002681 |
| Provider Name | Michael S Sabbah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467872481 PECOS PAC ID: 3577780295 Enrollment ID: I20230626002390 |
| Provider Name | Heidy Fernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548816069 PECOS PAC ID: 3173982592 Enrollment ID: I20230703002375 |
| Provider Name | Michael Worley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013157734 PECOS PAC ID: 7911145321 Enrollment ID: I20230714002996 |
| Provider Name | Maria a Suarez-hamman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932736709 PECOS PAC ID: 6305276999 Enrollment ID: I20230727003363 |
| Provider Name | Saryleine Ortiz De Choudens |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912384280 PECOS PAC ID: 9335520733 Enrollment ID: I20230809004255 |
| Provider Name | Jon S Dubois |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922080241 PECOS PAC ID: 1153337290 Enrollment ID: I20230816004205 |
| Provider Name | Carrie Lynn Salvia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144675596 PECOS PAC ID: 3173813508 Enrollment ID: I20230831004088 |
| Provider Name | Laura C Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235215138 PECOS PAC ID: 9537219498 Enrollment ID: I20231003001533 |
| Provider Name | Maria Gabrielle Dimler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407528284 PECOS PAC ID: 2264820885 Enrollment ID: I20231218002984 |
| Provider Name | Daniel Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437745205 PECOS PAC ID: 5395180616 Enrollment ID: I20240227000927 |
| Provider Name | Michelle Valentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992006514 PECOS PAC ID: 7416125315 Enrollment ID: I20240229001390 |
| Provider Name | Janet Cooper |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982761912 PECOS PAC ID: 4183632300 Enrollment ID: I20240326002652 |
| Provider Name | Roxanne P Imam Obikwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215640156 PECOS PAC ID: 1052752987 Enrollment ID: I20240509002642 |
| Provider Name | Denise C Arce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972229482 PECOS PAC ID: 6709228620 Enrollment ID: I20240523002432 |
| Provider Name | Mckenzie D Merritt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487274270 PECOS PAC ID: 3678997566 Enrollment ID: I20240617000418 |
| Provider Name | Angelina Mathew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730717349 PECOS PAC ID: 9234672221 Enrollment ID: I20240618004359 |
| Provider Name | Tyler R Heldreth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679193619 PECOS PAC ID: 5092139881 Enrollment ID: I20240702004625 |
| Provider Name | Shyrlena L Bogard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467615898 PECOS PAC ID: 6204025836 Enrollment ID: I20240709001967 |
| Provider Name | Monique M Damico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215786694 PECOS PAC ID: 2668918715 Enrollment ID: I20240724004239 |
| Provider Name | Sean Desilva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851734354 PECOS PAC ID: 9931505591 Enrollment ID: I20240814000839 |
| Provider Name | Julie V Amador |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306686381 PECOS PAC ID: 1456892983 Enrollment ID: I20240924001174 |
| Provider Name | Loren M Neimark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568295178 PECOS PAC ID: 9739610676 Enrollment ID: I20241003000810 |
| Provider Name | Shelby J Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902386998 PECOS PAC ID: 4688105406 Enrollment ID: I20241003004213 |
| Provider Name | Marissa N Cannata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134895089 PECOS PAC ID: 8729457775 Enrollment ID: I20241018003193 |
| Provider Name | Peggy P Bastien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275809469 PECOS PAC ID: 6608021357 Enrollment ID: I20241205004365 |
| Provider Name | Christine Curran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20250311000183 |
| Provider Name | Garentina Gogo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245045285 PECOS PAC ID: 5698298081 Enrollment ID: I20250326002177 |
| Provider Name | Joshua Zahabian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871233023 PECOS PAC ID: 5496274052 Enrollment ID: I20250527003315 |
| Provider Name | Adam Nolte |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891358198 PECOS PAC ID: 1658814991 Enrollment ID: I20250723002071 |
| Provider Name | Nicole M Joel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265852636 PECOS PAC ID: 4688947963 Enrollment ID: I20250815003885 |
| Provider Name | Ian David Joel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093134330 PECOS PAC ID: 5294157673 Enrollment ID: I20250818001053 |
| Provider Name | Andrew D Nicholson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528293701 PECOS PAC ID: 8527367978 Enrollment ID: I20250908002044 |
| Provider Name | Khoa Lam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225318827 PECOS PAC ID: 1254753429 Enrollment ID: I20250916001555 |
| Provider Name | Danielle N Krol |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346595683 PECOS PAC ID: 8224387402 Enrollment ID: I20250925003579 |
| Provider Name | Juan Gomez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437335833 PECOS PAC ID: 6204004724 Enrollment ID: I20251016000258 |
| Provider Name | Jennifer G Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093717514 PECOS PAC ID: 4688922487 Enrollment ID: I20251027003128 |
| Provider Name | Hannah M Chenoweth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265307821 PECOS PAC ID: 0244721736 Enrollment ID: I20251112002894 |
| Provider Name | Ali S Al Ameri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558700450 PECOS PAC ID: 3476942764 Enrollment ID: I20251204000144 |
| Provider Name | Kimberly T Aldas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114887940 PECOS PAC ID: 4284120270 Enrollment ID: I20251229003131 |
| Provider Name | Michelle M Cilli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104706142 PECOS PAC ID: 0547746778 Enrollment ID: I20260107004467 |
| Provider Name | Priscilla Cribe Holness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467302539 PECOS PAC ID: 2668940206 Enrollment ID: I20260501002362 |
| Provider Name | Sharon Baribeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104878370 PECOS PAC ID: 5597705434 Enrollment ID: I20260507000746 |
MD Now Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-300-4123 Fax: 866-816-0932 |
Palm Beach Holistic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 W Indiantown Rd, Suite 100, Jupiter, FL 33458 Phone: 561-935-1090 Fax: 561-935-1080 |
Tenet Florida Physician Services, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 University Blvd, Ste 208, Jupiter, FL 33458 Phone: 561-625-6177 |
Pink Pearl Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Heritage Dr Ste 210, Jupiter, FL 33458 Phone: 561-295-8115 Fax: 561-437-8176 |
Reunion Health Professional Limited Liability Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Hardwood Pt, Jupiter, FL 33458 Phone: 305-725-8258 Fax: 561-408-4165 |
Pure IV Therapy Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Military Trl Ste 110, Jupiter, FL 33458 Phone: 561-774-3443 Fax: 561-630-6011 |