| Kauai Medical Clinic | |
|
3-3420 Kuhio Hwy Suite B Lihue HI 96766-1098 | |
| (808) 245-1500 | |
| (808) 246-1625 |
| Full Name | Kauai Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3-3420 Kuhio Hwy, Lihue, Hawaii |
| Authorized Official Name and Position | David Okabe (CFO, SR. VICE PRESIDENT) |
| Authorized Official Contact | 8085357202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kauai Medical Clinic 1946 Young St Suite 320 Honolulu HI 96826-2169 Ph: (808) 973-7320 | Kauai Medical Clinic 3-3420 Kuhio Hwy Suite B Lihue HI 96766-1098 Ph: (808) 245-1500 |
| NPI Number | 1376596643 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/06/2016 |
| Medicare PECOS PAC ID | 5092628479 |
|---|---|
| Medicare Enrollment ID | O20031111000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376596643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
| Provider Name | Erik J Schumacher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396815452 PECOS PAC ID: 2163335373 Enrollment ID: I20031112000345 |
| Provider Name | Natalie LR Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942246160 PECOS PAC ID: 9931008489 Enrollment ID: I20040105000453 |
| Provider Name | David F Della Lana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356449029 PECOS PAC ID: 2860387594 Enrollment ID: I20040220000132 |
| Provider Name | Eric Brock Tulley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104853506 PECOS PAC ID: 5395647184 Enrollment ID: I20040310001570 |
| Provider Name | Mary G Pixler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043242365 PECOS PAC ID: 0749179919 Enrollment ID: I20040315000503 |
| Provider Name | Heather L Books |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033129358 PECOS PAC ID: 4981698453 Enrollment ID: I20040408001403 |
| Provider Name | Michael C Savala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295719342 PECOS PAC ID: 5193713998 Enrollment ID: I20040501000438 |
| Provider Name | Andy P Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619908266 PECOS PAC ID: 5799766853 Enrollment ID: I20040526000183 |
| Provider Name | Summer Douban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023188398 PECOS PAC ID: 9638132202 Enrollment ID: I20041105000249 |
| Provider Name | Robert D Wotring |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891803391 PECOS PAC ID: 8123085818 Enrollment ID: I20041214000946 |
| Provider Name | Michael D Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093885345 PECOS PAC ID: 6608833306 Enrollment ID: I20041214001016 |
| Provider Name | Harold R Netzer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619047842 PECOS PAC ID: 3678530318 Enrollment ID: I20041215000041 |
| Provider Name | David R Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073616561 PECOS PAC ID: 1557328291 Enrollment ID: I20041215000085 |
| Provider Name | Richard M Goodale |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639274202 PECOS PAC ID: 4284691825 Enrollment ID: I20041215000170 |
| Provider Name | Joseph M Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548330657 PECOS PAC ID: 6608833256 Enrollment ID: I20041215000198 |
| Provider Name | Paul D Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760552913 PECOS PAC ID: 5496712044 Enrollment ID: I20041215000213 |
| Provider Name | Thomas B Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497829139 PECOS PAC ID: 5991692758 Enrollment ID: I20041215000236 |
| Provider Name | Terrie L Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316017510 PECOS PAC ID: 2264499839 Enrollment ID: I20041215000368 |
| Provider Name | Donald W Traller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790801108 PECOS PAC ID: 8224095849 Enrollment ID: I20041215000772 |
| Provider Name | Tyler a Chihara |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972608453 PECOS PAC ID: 2769449388 Enrollment ID: I20041215000783 |
| Provider Name | Robert J Conrad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013012533 PECOS PAC ID: 5294792750 Enrollment ID: I20041216000021 |
| Provider Name | David Rovinsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528163284 PECOS PAC ID: 2163489634 Enrollment ID: I20041216000133 |
| Provider Name | Allen C Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134224686 PECOS PAC ID: 1254398746 Enrollment ID: I20041216000299 |
| Provider Name | John James Culliney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053416586 PECOS PAC ID: 5395702898 Enrollment ID: I20041216000349 |
| Provider Name | John T Funai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710082912 PECOS PAC ID: 7810954203 Enrollment ID: I20041217000028 |
| Provider Name | Diane K Noyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497738348 PECOS PAC ID: 2365419942 Enrollment ID: I20041217000043 |
| Provider Name | William M Downs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164527537 PECOS PAC ID: 4981661386 Enrollment ID: I20041217000138 |
| Provider Name | Bridget M Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992800403 PECOS PAC ID: 5890752208 Enrollment ID: I20041217000147 |
| Provider Name | Surendra D Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871698688 PECOS PAC ID: 0244297653 Enrollment ID: I20041217000157 |
| Provider Name | Heather a Hopkins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255436846 PECOS PAC ID: 7719944024 Enrollment ID: I20041217000235 |
| Provider Name | Linda J Weiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760407712 PECOS PAC ID: 8224931407 Enrollment ID: I20041220001132 |
| Provider Name | William B Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871683920 PECOS PAC ID: 4183661275 Enrollment ID: I20050411000577 |
| Provider Name | William Sandusky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760554786 PECOS PAC ID: 2769423847 Enrollment ID: I20050518001234 |
| Provider Name | Liliane L Kheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285639104 PECOS PAC ID: 5698702405 Enrollment ID: I20050725000028 |
| Provider Name | Christopher David Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528163847 PECOS PAC ID: 9436126760 Enrollment ID: I20051019000588 |
| Provider Name | Katalin J Terdik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548331184 PECOS PAC ID: 8325065519 Enrollment ID: I20051027000333 |
| Provider Name | Peter Weber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225029150 PECOS PAC ID: 0547281966 Enrollment ID: I20051213000906 |
| Provider Name | Robert Todd Mathis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013087303 PECOS PAC ID: 5193747053 Enrollment ID: I20051220000965 |
| Provider Name | Luke C Fornari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114001617 PECOS PAC ID: 6002823390 Enrollment ID: I20060310000474 |
| Provider Name | James Yoon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750451977 PECOS PAC ID: 6507815032 Enrollment ID: I20060321000691 |
| Provider Name | Thomas Hemingway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811952971 PECOS PAC ID: 7810922176 Enrollment ID: I20060816000123 |
| Provider Name | Tamara L Willis-buckley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669413126 PECOS PAC ID: 6406840636 Enrollment ID: I20060816000546 |
| Provider Name | Nathan Angle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598899437 PECOS PAC ID: 7719086214 Enrollment ID: I20070801000178 |
| Provider Name | Lisa S Splittstoesser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124021944 PECOS PAC ID: 8527964287 Enrollment ID: I20070911000851 |
| Provider Name | Travis H Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669551453 PECOS PAC ID: 0244239069 Enrollment ID: I20080327000520 |
| Provider Name | Robert J Millard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881769156 PECOS PAC ID: 8325124563 Enrollment ID: I20080327000609 |
| Provider Name | Allon Amitai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659325256 PECOS PAC ID: 9133132376 Enrollment ID: I20080614000119 |
| Provider Name | Joseph W Burris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053424887 PECOS PAC ID: 4284737925 Enrollment ID: I20080712000164 |
| Provider Name | Daniel B Judd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073670360 PECOS PAC ID: 6103987938 Enrollment ID: I20090110000067 |
| Provider Name | Matthew M Ruel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871797662 PECOS PAC ID: 0446316863 Enrollment ID: I20090309000574 |
| Provider Name | Jennifer a Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023065463 PECOS PAC ID: 9739190943 Enrollment ID: I20090318000185 |
| Provider Name | Brigitte a Carreau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891993846 PECOS PAC ID: 8628159241 Enrollment ID: I20090415000081 |
| Provider Name | Nathaniel Arnone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467643171 PECOS PAC ID: 4587714753 Enrollment ID: I20090815000026 |
| Provider Name | Andrew U So |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063679330 PECOS PAC ID: 5799821955 Enrollment ID: I20091001000660 |
| Provider Name | Howard Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518195023 PECOS PAC ID: 8527113414 Enrollment ID: I20091005000486 |
| Provider Name | Owen N Prentice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932374642 PECOS PAC ID: 3577600493 Enrollment ID: I20091027000155 |
| Provider Name | Linda a Miyashiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356526214 PECOS PAC ID: 3173682499 Enrollment ID: I20091208000423 |
| Provider Name | Sam Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932377900 PECOS PAC ID: 4789726795 Enrollment ID: I20100128000382 |
| Provider Name | Jay M Murphy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679569586 PECOS PAC ID: 1456337930 Enrollment ID: I20100219000371 |
| Provider Name | Akila Sreedharan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1457364390 PECOS PAC ID: 7416952361 Enrollment ID: I20100423000456 |
| Provider Name | Kiley D Perrich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295839751 PECOS PAC ID: 4183776701 Enrollment ID: I20100811000591 |
| Provider Name | Timothy C Laeger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013137280 PECOS PAC ID: 4789876269 Enrollment ID: I20101004000533 |
| Provider Name | Reza Danesh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669537908 PECOS PAC ID: 6800994716 Enrollment ID: I20101025000875 |
| Provider Name | Tracey Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902099716 PECOS PAC ID: 3870649932 Enrollment ID: I20110125000586 |
| Provider Name | Carol a Fujiyoshi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235174962 PECOS PAC ID: 7315974201 Enrollment ID: I20110322000199 |
| Provider Name | Juliette M Zelada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710179882 PECOS PAC ID: 1153481627 Enrollment ID: I20110329000580 |
| Provider Name | James J Ham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700057007 PECOS PAC ID: 9931383668 Enrollment ID: I20110405000230 |
| Provider Name | Jonathan E Rosenthal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932181443 PECOS PAC ID: 4789868753 Enrollment ID: I20110415000545 |
| Provider Name | Emilia C Suarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427281112 PECOS PAC ID: 8426234956 Enrollment ID: I20110518000605 |
| Provider Name | Derek S Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407046261 PECOS PAC ID: 2961670435 Enrollment ID: I20110728000124 |
| Provider Name | Michael a Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639374523 PECOS PAC ID: 0446428882 Enrollment ID: I20110729000334 |
| Provider Name | Reid H Tamanaha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508979709 PECOS PAC ID: 8022103944 Enrollment ID: I20110908002268 |
| Provider Name | Amy T Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649592098 PECOS PAC ID: 9638340300 Enrollment ID: I20110929000438 |
| Provider Name | Cristiana M Bertocchi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851432363 PECOS PAC ID: 3476648684 Enrollment ID: I20111121000108 |
| Provider Name | Nicholas M Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003929787 PECOS PAC ID: 8921195587 Enrollment ID: I20120312000046 |
| Provider Name | Vinh-truyen Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679693105 PECOS PAC ID: 3870689490 Enrollment ID: I20120326000792 |
| Provider Name | Nicholas L. Walle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770701872 PECOS PAC ID: 3678741519 Enrollment ID: I20120529000222 |
| Provider Name | Andrew WM Maeda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154583508 PECOS PAC ID: 7012063688 Enrollment ID: I20120801000508 |
| Provider Name | Matthew O Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699053454 PECOS PAC ID: 1153571658 Enrollment ID: I20121018000225 |
| Provider Name | Spencer D Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346448933 PECOS PAC ID: 1153468129 Enrollment ID: I20130116000433 |
| Provider Name | Catherine M Oberholzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326052549 PECOS PAC ID: 4789838426 Enrollment ID: I20130206000170 |
| Provider Name | Yang-en Kao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326013319 PECOS PAC ID: 0648316299 Enrollment ID: I20130701000099 |
| Provider Name | John M Semenza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427219443 PECOS PAC ID: 4284897398 Enrollment ID: I20130801000470 |
| Provider Name | Erin G Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043542871 PECOS PAC ID: 5193967891 Enrollment ID: I20130808000660 |
| Provider Name | Lee M Mitsumori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972681336 PECOS PAC ID: 1052380664 Enrollment ID: I20131028001133 |
| Provider Name | Vineet Chib |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750522603 PECOS PAC ID: 2466590930 Enrollment ID: I20131127000302 |
| Provider Name | Jason G J Bechard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285740845 PECOS PAC ID: 0143124875 Enrollment ID: I20140102000085 |
| Provider Name | Melissa Mei-lin Ching |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275787137 PECOS PAC ID: 2365675626 Enrollment ID: I20140513000114 |
| Provider Name | Micheal B Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205820842 PECOS PAC ID: 7618901018 Enrollment ID: I20140711001569 |
| Provider Name | David Hefer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174594188 PECOS PAC ID: 0648202689 Enrollment ID: I20140716000010 |
| Provider Name | Jeffrey Cronk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811956220 PECOS PAC ID: 4981673266 Enrollment ID: I20140729002133 |
| Provider Name | Grace M Galiza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811326853 PECOS PAC ID: 2062632862 Enrollment ID: I20140929002780 |
| Provider Name | Jennifer a White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851611172 PECOS PAC ID: 7517197296 Enrollment ID: I20141013001839 |
| Provider Name | Stephen D Coleman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952368987 PECOS PAC ID: 4789611823 Enrollment ID: I20141125000007 |
| Provider Name | Alyssa a Carnegie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952562340 PECOS PAC ID: 1052503927 Enrollment ID: I20141215000000 |
| Provider Name | Anne E Dempsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376571125 PECOS PAC ID: 4385669423 Enrollment ID: I20141217000072 |
| Provider Name | Harman K Arora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932369725 PECOS PAC ID: 6406917111 Enrollment ID: I20150228000016 |
| Provider Name | Candice T Myhre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871543710 PECOS PAC ID: 2769454123 Enrollment ID: I20150331000319 |
| Provider Name | Chelsea I Domingcil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700277191 PECOS PAC ID: 8729305776 Enrollment ID: I20150331002496 |
| Provider Name | Sundip Somabhai Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487857025 PECOS PAC ID: 0648443408 Enrollment ID: I20150615002264 |
| Provider Name | Peter Tran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891864203 PECOS PAC ID: 4284854894 Enrollment ID: I20150722005218 |
| Provider Name | Katrina M Dembeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295091445 PECOS PAC ID: 4284949462 Enrollment ID: I20150817002813 |
| Provider Name | Sashi a Braga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699962613 PECOS PAC ID: 7911213699 Enrollment ID: I20150825005567 |
| Provider Name | Lynne Ey Leung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393491 PECOS PAC ID: 5496051963 Enrollment ID: I20160309001058 |
| Provider Name | Vera R Anakalea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477918209 PECOS PAC ID: 5991002628 Enrollment ID: I20160324000548 |
| Provider Name | Yushiu Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770943680 PECOS PAC ID: 4183922446 Enrollment ID: I20160420000272 |
| Provider Name | Michael a Schremmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750365854 PECOS PAC ID: 4183616238 Enrollment ID: I20160503001800 |
| Provider Name | Bernice C Yap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255770624 PECOS PAC ID: 7012207244 Enrollment ID: I20160531002582 |
| Provider Name | Michael E Hoffman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164697611 PECOS PAC ID: 1658442249 Enrollment ID: I20160617000423 |
| Provider Name | Jason Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023206216 PECOS PAC ID: 2769565118 Enrollment ID: I20160805001307 |
| Provider Name | Heidi K Hillesland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922325349 PECOS PAC ID: 1355643214 Enrollment ID: I20160815000725 |
| Provider Name | Clyner S Antalan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700149234 PECOS PAC ID: 0749575579 Enrollment ID: I20160818000907 |
| Provider Name | Deborah Ann Volk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574081 PECOS PAC ID: 4880596311 Enrollment ID: I20160906002563 |
| Provider Name | Carrie L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083877658 PECOS PAC ID: 7719135912 Enrollment ID: I20161003001075 |
| Provider Name | Romeo F Esquivel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790758662 PECOS PAC ID: 4587743141 Enrollment ID: I20161130001497 |
| Provider Name | Matthew J Haight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730270489 PECOS PAC ID: 1355373192 Enrollment ID: I20170317000016 |
| Provider Name | Shannon L Bianchi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962664672 PECOS PAC ID: 4981859782 Enrollment ID: I20170327001540 |
| Provider Name | Holly M Poag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376755330 PECOS PAC ID: 6507940442 Enrollment ID: I20170830002995 |
| Provider Name | Aries C Kuo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528326642 PECOS PAC ID: 6406120880 Enrollment ID: I20170923000534 |
| Provider Name | Michelle a Tenorio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962815951 PECOS PAC ID: 1254605652 Enrollment ID: I20170925000721 |
| Provider Name | Leo-daniel V Butac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497279459 PECOS PAC ID: 0244505097 Enrollment ID: I20171004003634 |
| Provider Name | Amy Lynne Card |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003162959 PECOS PAC ID: 8325273733 Enrollment ID: I20171017001616 |
| Provider Name | Theresa S Faust |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952829293 PECOS PAC ID: 0143586826 Enrollment ID: I20171113003656 |
| Provider Name | Rachel a S Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780928994 PECOS PAC ID: 7214182294 Enrollment ID: I20171218001976 |
| Provider Name | Frank C Pagel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992132997 PECOS PAC ID: 2860629946 Enrollment ID: I20180103002843 |
| Provider Name | Neil M Barth |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245379858 PECOS PAC ID: 1254361546 Enrollment ID: I20180119002639 |
| Provider Name | Holly K Paris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568541944 PECOS PAC ID: 2769484880 Enrollment ID: I20180213002256 |
| Provider Name | Brandi a Bartholomew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957278 PECOS PAC ID: 0446512685 Enrollment ID: I20180327002761 |
| Provider Name | Franklin C H Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184949588 PECOS PAC ID: 8426376682 Enrollment ID: I20180508001806 |
| Provider Name | Eugene Lao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811303605 PECOS PAC ID: 2062761190 Enrollment ID: I20180822001090 |
| Provider Name | Andrew Davis Bussey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770993990 PECOS PAC ID: 3476801069 Enrollment ID: I20180905001353 |
| Provider Name | Marisa J Tabalno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457604316 PECOS PAC ID: 3678725231 Enrollment ID: I20181105001776 |
| Provider Name | Ryan C Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518356609 PECOS PAC ID: 2466709258 Enrollment ID: I20181105002058 |
| Provider Name | Niloufar Naima |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659535797 PECOS PAC ID: 6103090980 Enrollment ID: I20181115002638 |
| Provider Name | Karsha I Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235517210 PECOS PAC ID: 8820342496 Enrollment ID: I20181116002532 |
| Provider Name | Alexander W Schermer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457351397 PECOS PAC ID: 9133136021 Enrollment ID: I20181207002125 |
| Provider Name | Cora Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679893127 PECOS PAC ID: 0446488522 Enrollment ID: I20181228000150 |
| Provider Name | Jarrel Lynne Shackleford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548559099 PECOS PAC ID: 9133306491 Enrollment ID: I20190218002404 |
| Provider Name | Kristin Heather King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518346717 PECOS PAC ID: 4284997586 Enrollment ID: I20190607001567 |
| Provider Name | Matthew C Linden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558718908 PECOS PAC ID: 7113251075 Enrollment ID: I20190626001860 |
| Provider Name | Thomas Sawyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982734794 PECOS PAC ID: 6800983735 Enrollment ID: I20190701001214 |
| Provider Name | Sierra Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962573964 PECOS PAC ID: 7315937273 Enrollment ID: I20190807004197 |
| Provider Name | Timothy J K Vossler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821408873 PECOS PAC ID: 4385932565 Enrollment ID: I20190809002657 |
| Provider Name | Wesam W Agha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700273554 PECOS PAC ID: 4880954130 Enrollment ID: I20190904001556 |
| Provider Name | Anthony I Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841679057 PECOS PAC ID: 0446581565 Enrollment ID: I20191003002294 |
| Provider Name | Teresa G Hayes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376567487 PECOS PAC ID: 8527330430 Enrollment ID: I20191023001132 |
| Provider Name | Nicole L Sievers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265471668 PECOS PAC ID: 3173855566 Enrollment ID: I20191105001140 |
| Provider Name | George T Kato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043864416 PECOS PAC ID: 6103258033 Enrollment ID: I20191114003628 |
| Provider Name | Eugene F Tareshawty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699779447 PECOS PAC ID: 8527057579 Enrollment ID: I20191206001676 |
| Provider Name | Nicholas P Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710371422 PECOS PAC ID: 1355639733 Enrollment ID: I20191209000532 |
| Provider Name | Doreen Fukushima |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205030111 PECOS PAC ID: 9436273919 Enrollment ID: I20191220002341 |
| Provider Name | Daniel John Spiger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912297011 PECOS PAC ID: 3072757350 Enrollment ID: I20200115001329 |
| Provider Name | David a Adler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437507506 PECOS PAC ID: 4880940071 Enrollment ID: I20200225001984 |
| Provider Name | Ramya Srinivasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558665588 PECOS PAC ID: 1759690803 Enrollment ID: I20200305002564 |
| Provider Name | Luke K Metzker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871937722 PECOS PAC ID: 7416264981 Enrollment ID: I20200401001728 |
| Provider Name | Christopher Orlang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205217171 PECOS PAC ID: 9436419462 Enrollment ID: I20200604001998 |
| Provider Name | Jacqueline M Guerrero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891912911 PECOS PAC ID: 0446326318 Enrollment ID: I20200625002112 |
| Provider Name | Patrick D Leaf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316470560 PECOS PAC ID: 6800219932 Enrollment ID: I20200708002760 |
| Provider Name | Daniel George Spicer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306294111 PECOS PAC ID: 1658666854 Enrollment ID: I20200709001461 |
| Provider Name | Amy R Guyton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033640297 PECOS PAC ID: 7416203393 Enrollment ID: I20200812001915 |
| Provider Name | Paula Lee-valkov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558386045 PECOS PAC ID: 5799882528 Enrollment ID: I20200819003242 |
| Provider Name | Kevin P Guyton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396279527 PECOS PAC ID: 6901161363 Enrollment ID: I20200901000801 |
| Provider Name | San Francisco Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528448024 PECOS PAC ID: 6002236999 Enrollment ID: I20201014002471 |
| Provider Name | Andrea D Gomez Morad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679886758 PECOS PAC ID: 5193032589 Enrollment ID: I20201120001435 |
| Provider Name | Karen L Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659365500 PECOS PAC ID: 5890810790 Enrollment ID: I20210128002032 |
| Provider Name | Stanley I Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306940705 PECOS PAC ID: 2163566175 Enrollment ID: I20210512001007 |
| Provider Name | David D Lowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376555284 PECOS PAC ID: 4183816911 Enrollment ID: I20210526003436 |
| Provider Name | Lauren K Riley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457889461 PECOS PAC ID: 4880935881 Enrollment ID: I20210609001751 |
| Provider Name | Manon Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518919430 PECOS PAC ID: 5799712311 Enrollment ID: I20210812003870 |
| Provider Name | Amithea M Love |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427521897 PECOS PAC ID: 4688070170 Enrollment ID: I20210908004135 |
| Provider Name | Christina Uemura |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922606417 PECOS PAC ID: 3779980636 Enrollment ID: I20210921001088 |
| Provider Name | Eric W Vaughan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598730202 PECOS PAC ID: 0941326466 Enrollment ID: I20210930001664 |
| Provider Name | Steven H Lewis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528460094 PECOS PAC ID: 5597048496 Enrollment ID: I20211021001325 |
| Provider Name | Insaf Ally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750635801 PECOS PAC ID: 2769612738 Enrollment ID: I20211101000985 |
| Provider Name | Devena Evet Alston-johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891732616 PECOS PAC ID: 7315983640 Enrollment ID: I20220113001732 |
| Provider Name | Peter M Moats |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083987606 PECOS PAC ID: 4183017940 Enrollment ID: I20220131002420 |
| Provider Name | Mark Robert Keaton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477530533 PECOS PAC ID: 4486685864 Enrollment ID: I20220203001905 |
| Provider Name | Thomas a Del Ninno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972008837 PECOS PAC ID: 9931446903 Enrollment ID: I20220218002306 |
| Provider Name | Dhiraj K Yadav |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104267608 PECOS PAC ID: 6406087790 Enrollment ID: I20220224000327 |
| Provider Name | Maya M Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205215894 PECOS PAC ID: 0648586933 Enrollment ID: I20220225002133 |
| Provider Name | Robert J Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932558129 PECOS PAC ID: 5799071684 Enrollment ID: I20220303001488 |
| Provider Name | Derek Brent Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962605857 PECOS PAC ID: 6901939552 Enrollment ID: I20220311001748 |
| Provider Name | Evan Wu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891149126 PECOS PAC ID: 5799034773 Enrollment ID: I20220411000771 |
| Provider Name | Briana Horgan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912309246 PECOS PAC ID: 7113314428 Enrollment ID: I20220504002438 |
| Provider Name | Kaitlyn M Issler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922650555 PECOS PAC ID: 5193102432 Enrollment ID: I20220506001337 |
| Provider Name | Boris Tkach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518496942 PECOS PAC ID: 2567732613 Enrollment ID: I20220607002762 |
| Provider Name | Nalini Kalanadhabhatta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346746609 PECOS PAC ID: 4880931187 Enrollment ID: I20220621002905 |
| Provider Name | Harland Stresing |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144265497 PECOS PAC ID: 0749458511 Enrollment ID: I20220622003388 |
| Provider Name | Keiko Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598113615 PECOS PAC ID: 3971983396 Enrollment ID: I20220701001454 |
| Provider Name | David J Horn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255727947 PECOS PAC ID: 7012221625 Enrollment ID: I20220714002218 |
| Provider Name | Noriko S Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487732475 PECOS PAC ID: 5799863486 Enrollment ID: I20220721001125 |
| Provider Name | Russell R Means |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720436702 PECOS PAC ID: 4587919683 Enrollment ID: I20220728002448 |
| Provider Name | Robert K Chinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417991571 PECOS PAC ID: 1456313550 Enrollment ID: I20220818001160 |
| Provider Name | Johan Kwanghee Ahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972546240 PECOS PAC ID: 4183695547 Enrollment ID: I20220822000739 |
| Provider Name | Mike Tseng-che Tseng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467983742 PECOS PAC ID: 5092086199 Enrollment ID: I20220823001820 |
| Provider Name | Ross L Shockley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972895845 PECOS PAC ID: 6800198920 Enrollment ID: I20220824003754 |
| Provider Name | David E Dong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063480564 PECOS PAC ID: 0840373817 Enrollment ID: I20220825002898 |
| Provider Name | Umar Rasool Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558802751 PECOS PAC ID: 3577897529 Enrollment ID: I20220825004030 |
| Provider Name | Kenneth H Jostock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861655847 PECOS PAC ID: 0648457069 Enrollment ID: I20220902001353 |
| Provider Name | Zev S Tovian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720492713 PECOS PAC ID: 5496012668 Enrollment ID: I20220908000801 |
| Provider Name | Gladys Frias Andaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265457170 PECOS PAC ID: 6507755998 Enrollment ID: I20220908002917 |
| Provider Name | Diana Vucurevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285758540 PECOS PAC ID: 3072612415 Enrollment ID: I20221013000460 |
| Provider Name | Robert George Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902867351 PECOS PAC ID: 0749189074 Enrollment ID: I20221026000795 |
| Provider Name | Harshal G Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932562931 PECOS PAC ID: 9739472978 Enrollment ID: I20221026001786 |
| Provider Name | Patrick Showalter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558343830 PECOS PAC ID: 4183725229 Enrollment ID: I20221026001870 |
| Provider Name | Christine a Baptiste Freeman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194213710 PECOS PAC ID: 7618214297 Enrollment ID: I20221103002022 |
| Provider Name | Emi Masuda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548466865 PECOS PAC ID: 0042450413 Enrollment ID: I20221114001062 |
| Provider Name | Lingie Chiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194884528 PECOS PAC ID: 3072679588 Enrollment ID: I20221119000084 |
| Provider Name | Andrew MD Medendorp |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841346871 PECOS PAC ID: 4284896739 Enrollment ID: I20221206001520 |
| Provider Name | Jeffrey S Strong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023028438 PECOS PAC ID: 8527130624 Enrollment ID: I20221208003243 |
| Provider Name | Karen Axten |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295199404 PECOS PAC ID: 2567757172 Enrollment ID: I20221212002342 |
| Provider Name | Leila M Ben-youssef |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295172666 PECOS PAC ID: 4789970039 Enrollment ID: I20221228000789 |
| Provider Name | Carnaghi V Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346568599 PECOS PAC ID: 2668781733 Enrollment ID: I20230105002274 |
| Provider Name | Martin R Engel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578583431 PECOS PAC ID: 9032252341 Enrollment ID: I20230203001388 |
| Provider Name | Sean J Mcalister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316478480 PECOS PAC ID: 3779856927 Enrollment ID: I20230209002684 |
| Provider Name | August H Boeglin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902253891 PECOS PAC ID: 2567799166 Enrollment ID: I20230228001374 |
| Provider Name | Haley Mairead Neal Bujwid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245947167 PECOS PAC ID: 4789057373 Enrollment ID: I20230301002356 |
| Provider Name | Raghuveer B Shenoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093748618 PECOS PAC ID: 5294927117 Enrollment ID: I20230317001296 |
| Provider Name | Vishal Goyal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770946568 PECOS PAC ID: 5395070502 Enrollment ID: I20230328001271 |
| Provider Name | Nisha Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063607216 PECOS PAC ID: 0042380107 Enrollment ID: I20230501002532 |
| Provider Name | Matthew Dothager |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790191831 PECOS PAC ID: 6709179278 Enrollment ID: I20230509000330 |
| Provider Name | Michael C Devisser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215317599 PECOS PAC ID: 9032418462 Enrollment ID: I20230605000653 |
| Provider Name | Lucia Dias-hoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104893155 PECOS PAC ID: 7416094305 Enrollment ID: I20230613001125 |
| Provider Name | Amer N Abu-obeid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346212651 PECOS PAC ID: 7315939030 Enrollment ID: I20230620001423 |
| Provider Name | Jennifer M Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982318770 PECOS PAC ID: 8527426725 Enrollment ID: I20230621000332 |
| Provider Name | Nalani H Hunsaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144769886 PECOS PAC ID: 6709125610 Enrollment ID: I20230623001804 |
| Provider Name | Jelene Wong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376017095 PECOS PAC ID: 3678931417 Enrollment ID: I20230626003517 |
| Provider Name | Alexandru Barabas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619326683 PECOS PAC ID: 9537448758 Enrollment ID: I20230703001166 |
| Provider Name | Matthew C Kasprenski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558676429 PECOS PAC ID: 0446483408 Enrollment ID: I20230712004146 |
| Provider Name | Daniel Vekhter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548689433 PECOS PAC ID: 0042559908 Enrollment ID: I20230823001976 |
| Provider Name | John J Mcpherson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417158387 PECOS PAC ID: 9234379876 Enrollment ID: I20230824002144 |
| Provider Name | Shazia Sohrawardy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649792482 PECOS PAC ID: 1355765231 Enrollment ID: I20230830001179 |
| Provider Name | Catherine Weiyin Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790135895 PECOS PAC ID: 5294013348 Enrollment ID: I20230922001624 |
| Provider Name | Katharine Anne Lasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619461225 PECOS PAC ID: 1951652858 Enrollment ID: I20230928002431 |
| Provider Name | Hugh S Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316033574 PECOS PAC ID: 9830145028 Enrollment ID: I20231007000775 |
| Provider Name | Chad S Wilcox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932441151 PECOS PAC ID: 3274888359 Enrollment ID: I20231017000911 |
| Provider Name | Matthew Kon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699303974 PECOS PAC ID: 7618396524 Enrollment ID: I20231025002655 |
| Provider Name | Kyle J Mcatee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295362366 PECOS PAC ID: 6002263027 Enrollment ID: I20231114000809 |
| Provider Name | Erika R Noel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477117901 PECOS PAC ID: 9133576945 Enrollment ID: I20231115001704 |
| Provider Name | Bassam J Daghman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790798304 PECOS PAC ID: 8325944887 Enrollment ID: I20231116003169 |
| Provider Name | Megan Dickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073007936 PECOS PAC ID: 2062821317 Enrollment ID: I20231116003424 |
| Provider Name | Elbert a Fasnacht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790834828 PECOS PAC ID: 8628079357 Enrollment ID: I20240105003629 |
| Provider Name | Brandon Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982046769 PECOS PAC ID: 5294090312 Enrollment ID: I20240116004235 |
| Provider Name | Mercedes E Behar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124670757 PECOS PAC ID: 4880061746 Enrollment ID: I20240226004018 |
| Provider Name | Rachna Anand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467778472 PECOS PAC ID: 0446439582 Enrollment ID: I20240416000572 |
| Provider Name | Anthony R Little |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417480856 PECOS PAC ID: 4284991993 Enrollment ID: I20240429000386 |
| Provider Name | Christopher L Ekstam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881802932 PECOS PAC ID: 2668561531 Enrollment ID: I20240430000736 |
| Provider Name | Andrei Marconescu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861640344 PECOS PAC ID: 0244555761 Enrollment ID: I20240516001471 |
| Provider Name | Carolyn R Galiza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548438542 PECOS PAC ID: 9830268465 Enrollment ID: I20240523003733 |
| Provider Name | Denise R Maglidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245012442 PECOS PAC ID: 5395187728 Enrollment ID: I20240530001443 |
| Provider Name | Rodney W Williams |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811019599 PECOS PAC ID: 7113812363 Enrollment ID: I20240605003078 |
| Provider Name | Ted Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134514383 PECOS PAC ID: 1951615558 Enrollment ID: I20240606003595 |
| Provider Name | Lance H Knecht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417937418 PECOS PAC ID: 7719913417 Enrollment ID: I20240624001348 |
| Provider Name | Kourt Bacon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710449012 PECOS PAC ID: 8123562592 Enrollment ID: I20240627000753 |
| Provider Name | Vitaliy Y Domashevich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235165440 PECOS PAC ID: 9638065741 Enrollment ID: I20240712002781 |
| Provider Name | Kenneth G Wys |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003929712 PECOS PAC ID: 6608760459 Enrollment ID: I20240712003503 |
| Provider Name | Reese M Dare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144753427 PECOS PAC ID: 7214292408 Enrollment ID: I20240715001810 |
| Provider Name | Allan Reier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699727313 PECOS PAC ID: 0547249435 Enrollment ID: I20240723002099 |
| Provider Name | Brandon James Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568606895 PECOS PAC ID: 5092961680 Enrollment ID: I20240723003127 |
| Provider Name | Lucho Rossman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184666067 PECOS PAC ID: 9234179714 Enrollment ID: I20240820001322 |
| Provider Name | Kimberly B Gelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578007746 PECOS PAC ID: 4981988599 Enrollment ID: I20240823000359 |
| Provider Name | Pattara Rattanawong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972959385 PECOS PAC ID: 0143653576 Enrollment ID: I20240827004525 |
| Provider Name | Alysha D Enbom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457100299 PECOS PAC ID: 9436698594 Enrollment ID: I20240903003490 |
| Provider Name | Noa P Yee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376165050 PECOS PAC ID: 4981007978 Enrollment ID: I20240906002096 |
| Provider Name | Heather a Ross |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316659519 PECOS PAC ID: 1951357458 Enrollment ID: I20240906002290 |
| Provider Name | Ashley J James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174362024 PECOS PAC ID: 9638619265 Enrollment ID: I20240910004220 |
| Provider Name | Jessica Danielle Gregory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841757135 PECOS PAC ID: 5890106066 Enrollment ID: I20240911004792 |
| Provider Name | Cameron M Conrad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043508641 PECOS PAC ID: 2062683816 Enrollment ID: I20240916003523 |
| Provider Name | Kaitlynn M Ebisutani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356965347 PECOS PAC ID: 3577004910 Enrollment ID: I20240925001762 |
| Provider Name | Andrew J Gray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407341464 PECOS PAC ID: 9234485558 Enrollment ID: I20240926003140 |
| Provider Name | Thomas Gerald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336587393 PECOS PAC ID: 0648508036 Enrollment ID: I20241007001848 |
| Provider Name | Geoffrey Yee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518586486 PECOS PAC ID: 9032641881 Enrollment ID: I20241017001824 |
| Provider Name | Lorenzo Albala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003300500 PECOS PAC ID: 2365772381 Enrollment ID: I20241022005116 |
| Provider Name | Divya Thekkethala Winovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003326885 PECOS PAC ID: 3870991540 Enrollment ID: I20241031002502 |
| Provider Name | Amanda K. Tolen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811732985 PECOS PAC ID: 9133652845 Enrollment ID: I20241101000748 |
| Provider Name | Bartholomew D Sak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093755167 PECOS PAC ID: 1658267877 Enrollment ID: I20241105000875 |
| Provider Name | Lane C Childs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831239995 PECOS PAC ID: 9436119211 Enrollment ID: I20241114004447 |
| Provider Name | Edward C Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285722744 PECOS PAC ID: 5890680631 Enrollment ID: I20241210003087 |
| Provider Name | Alyse Renee Kiyuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659196368 PECOS PAC ID: 8123556826 Enrollment ID: I20250108003911 |
| Provider Name | Nutan J Vaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235380643 PECOS PAC ID: 1153587605 Enrollment ID: I20250130003920 |
| Provider Name | Mehmet Cilingiroglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710922125 PECOS PAC ID: 8022036110 Enrollment ID: I20250212002656 |
| Provider Name | Cynthia Y Ohata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912949025 PECOS PAC ID: 8527065226 Enrollment ID: I20250220001967 |
| Provider Name | Timothy W Wright |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033675046 PECOS PAC ID: 6507195245 Enrollment ID: I20250220003176 |
| Provider Name | Vishesh Kothary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982136214 PECOS PAC ID: 3274800040 Enrollment ID: I20250312002393 |
| Provider Name | Peter C Fisher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902847940 PECOS PAC ID: 2668483975 Enrollment ID: I20250313000673 |
| Provider Name | Stephen Badger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588868079 PECOS PAC ID: 6002094398 Enrollment ID: I20250428001442 |
| Provider Name | Jacob Paul Wannemacher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841645595 PECOS PAC ID: 6305139510 Enrollment ID: I20250501002513 |
| Provider Name | Jonathan M Farrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568819076 PECOS PAC ID: 3274828769 Enrollment ID: I20250514001432 |
| Provider Name | Chad Jeremy Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346339496 PECOS PAC ID: 4284784588 Enrollment ID: I20250516000774 |
| Provider Name | Blake W Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760502991 PECOS PAC ID: 3173699584 Enrollment ID: I20250610000401 |
| Provider Name | Justin M Hannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891353454 PECOS PAC ID: 3971010109 Enrollment ID: I20250730003687 |
| Provider Name | Steffan K Soosman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396190245 PECOS PAC ID: 9638550429 Enrollment ID: I20250915003058 |
| Provider Name | Rajam Raghunathan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952004723 PECOS PAC ID: 9133581598 Enrollment ID: I20250925003322 |
| Provider Name | Matthew Gadbaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558392969 PECOS PAC ID: 8224001599 Enrollment ID: I20251007001868 |
| Provider Name | Matthew a Bzdega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881957876 PECOS PAC ID: 1759524275 Enrollment ID: I20251007004205 |
| Provider Name | Howayda M Powers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043874019 PECOS PAC ID: 4284131780 Enrollment ID: I20251009003404 |
| Provider Name | Liane M Mcauliffe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679921399 PECOS PAC ID: 2860989787 Enrollment ID: I20251014003935 |
| Provider Name | Dylan S Goto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831753557 PECOS PAC ID: 5193260248 Enrollment ID: I20251015004464 |
| Provider Name | Katherine P Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972172427 PECOS PAC ID: 7315342029 Enrollment ID: I20251107002915 |
| Provider Name | Shlomit Y. Ein-gal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033312640 PECOS PAC ID: 7113086117 Enrollment ID: I20251202002052 |
| Provider Name | Collin M. Walsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366006819 PECOS PAC ID: 7911444955 Enrollment ID: I20251208000584 |
| Provider Name | Jennifer L. Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639182314 PECOS PAC ID: 3870698046 Enrollment ID: I20251208001286 |
| Provider Name | Desiree K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033000898 PECOS PAC ID: 0840784500 Enrollment ID: I20251210001500 |
| Provider Name | Nathaniel D. Kofford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407021702 PECOS PAC ID: 9537315148 Enrollment ID: I20260105001314 |
| Provider Name | Vinh Quang Trang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477810612 PECOS PAC ID: 1557685294 Enrollment ID: I20260108001122 |
| Provider Name | Aaron a Tebbs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255301479 PECOS PAC ID: 2668405291 Enrollment ID: I20260127002795 |
| Provider Name | Stanley S.L. Ling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457372294 PECOS PAC ID: 4284627001 Enrollment ID: I20260128004380 |
| Provider Name | James D. Hamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881032126 PECOS PAC ID: 7911303656 Enrollment ID: I20260129000687 |
| Provider Name | Lori Pai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083727911 PECOS PAC ID: 2264459247 Enrollment ID: I20260306002013 |
| Provider Name | Michael J Sebesta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447218409 PECOS PAC ID: 9032268222 Enrollment ID: I20260318000504 |
| Provider Name | Michael D Choley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265923999 PECOS PAC ID: 7911242078 Enrollment ID: I20260528000456 |
| Provider Name | Charles G Jose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881125938 PECOS PAC ID: 1759625387 Enrollment ID: I20260616000639 |
Bridget Collins, MD, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3175 Elua St Ste C, Lihue, HI 96766 Phone: 808-212-9867 Fax: 434-333-7504 |
Hhsc - Kauai Region Clinics the Clinic at Lihue Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4463 Pahee St Ste 206, Lihue, HI 96766 Phone: 808-241-5799 Fax: 808-241-3188 |
Michael S Braun, MD LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4473 Pahee St, Lihue, HI 96766 Phone: 808-246-2002 Fax: 808-246-2700 |
Blessed Hands IV Hydration & Wellness LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3501 Rice St Ste 2022, Lihue, HI 96766 Phone: 808-755-5056 |
R. Craig Netzer MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4473 Pahee St, Ste O, Lihue, HI 96766 Phone: 808-246-2002 Fax: 808-246-2700 |
Aloha Medical Centers, Kauai Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4484 Pahee St, Lihue, HI 96766 Phone: 808-246-3800 Fax: 808-246-3801 |