| Alliance Physicians Inc | |
|
1827 Woodman Center Dr Kettering OH 45420-1157 | |
| (937) 558-3223 | |
| (937) 558-3247 |
| Full Name | Alliance Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1827 Woodman Center Dr, Kettering, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CFO) |
| Authorized Official Contact | 9375583223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Physicians Inc 1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 Ph: (937) 762-1300 | Alliance Physicians Inc 1827 Woodman Center Dr Kettering OH 45420-1157 Ph: (937) 558-3223 |
| NPI Number | 1437125572 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 0840104360 |
|---|---|
| Medicare Enrollment ID | O20031118000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437125572 | NPI | - | NPPES |
| 2712872 | Medicaid | OH |
| Provider Name | Shirelle Dionne Applin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336196872 PECOS PAC ID: 6901718352 Enrollment ID: I20031104000173 |
| Provider Name | Kathryn M Pitchford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982750857 PECOS PAC ID: 2365356284 Enrollment ID: I20031114000672 |
| Provider Name | Kevin L Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932202710 PECOS PAC ID: 1052218146 Enrollment ID: I20031218000141 |
| Provider Name | Keren Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417978263 PECOS PAC ID: 1557268265 Enrollment ID: I20031218000851 |
| Provider Name | Saraswathi Kalvakota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548382062 PECOS PAC ID: 0345133070 Enrollment ID: I20040205000669 |
| Provider Name | Malek Mohamad Safa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427016914 PECOS PAC ID: 9537056494 Enrollment ID: I20040304000024 |
| Provider Name | John W Sawvel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780682146 PECOS PAC ID: 9032000260 Enrollment ID: I20040324001299 |
| Provider Name | Chowdry Mujahid Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881685840 PECOS PAC ID: 8426046442 Enrollment ID: I20040506000096 |
| Provider Name | Grenetta Linn Ritenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891781696 PECOS PAC ID: 6406845346 Enrollment ID: I20040507000039 |
| Provider Name | Shanthi Rajaratnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083613129 PECOS PAC ID: 4981695996 Enrollment ID: I20040519000959 |
| Provider Name | Shari L Gabbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932119096 PECOS PAC ID: 4789665399 Enrollment ID: I20040528000723 |
| Provider Name | Dena Elise Mason-zied |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982661864 PECOS PAC ID: 5597748079 Enrollment ID: I20040608000465 |
| Provider Name | Ann Trzaska Moell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457378978 PECOS PAC ID: 4981682960 Enrollment ID: I20040708000237 |
| Provider Name | Roxane Weighall |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1497711493 PECOS PAC ID: 3678543931 Enrollment ID: I20040728001658 |
| Provider Name | Dennis M Anthony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396784963 PECOS PAC ID: 7517938772 Enrollment ID: I20040804000001 |
| Provider Name | Richard K Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700886041 PECOS PAC ID: 6406828953 Enrollment ID: I20040806000386 |
| Provider Name | Sandra Lee Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033117932 PECOS PAC ID: 9436126521 Enrollment ID: I20040916001108 |
| Provider Name | Richard Wayne Winger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861468597 PECOS PAC ID: 3870561319 Enrollment ID: I20040922000338 |
| Provider Name | Peter Derussy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649251174 PECOS PAC ID: 0648239483 Enrollment ID: I20041007000004 |
| Provider Name | Kevin L Sharrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528007754 PECOS PAC ID: 0749243723 Enrollment ID: I20041110000727 |
| Provider Name | Thomas L Brunsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215976428 PECOS PAC ID: 6507829587 Enrollment ID: I20041110000763 |
| Provider Name | Richard L Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164427019 PECOS PAC ID: 0547161119 Enrollment ID: I20041202000165 |
| Provider Name | Lazaro J Pages |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821098419 PECOS PAC ID: 9335191345 Enrollment ID: I20050217000974 |
| Provider Name | Alejandro R Calvo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457341760 PECOS PAC ID: 0840286522 Enrollment ID: I20050419001306 |
| Provider Name | Erin Lindsay Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326005711 PECOS PAC ID: 4183668643 Enrollment ID: I20050615000402 |
| Provider Name | John C Sefton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559470 PECOS PAC ID: 2466480363 Enrollment ID: I20050802000180 |
| Provider Name | Michelle Marie Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366428476 PECOS PAC ID: 5890723712 Enrollment ID: I20050802000313 |
| Provider Name | James E Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508869025 PECOS PAC ID: 5395773212 Enrollment ID: I20050802000364 |
| Provider Name | Zahra Heidari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215934856 PECOS PAC ID: 3476586850 Enrollment ID: I20050915000835 |
| Provider Name | Herbert B Newton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770667164 PECOS PAC ID: 8123045085 Enrollment ID: I20051031000019 |
| Provider Name | Frederick Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477503928 PECOS PAC ID: 4789604836 Enrollment ID: I20051205000000 |
| Provider Name | Lisa Renee Vantrease |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198066 PECOS PAC ID: 4688697584 Enrollment ID: I20060106000016 |
| Provider Name | Denise Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326066713 PECOS PAC ID: 2668486705 Enrollment ID: I20060127000687 |
| Provider Name | Kirk P Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770512105 PECOS PAC ID: 5496762569 Enrollment ID: I20060314000726 |
| Provider Name | Amanda E Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154341741 PECOS PAC ID: 7517970981 Enrollment ID: I20060802000009 |
| Provider Name | Deanna M Allgeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649372855 PECOS PAC ID: 7113925983 Enrollment ID: I20061110000314 |
| Provider Name | Gary M Onady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792347 PECOS PAC ID: 1951300227 Enrollment ID: I20061214000187 |
| Provider Name | John Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710980685 PECOS PAC ID: 7012940430 Enrollment ID: I20070117000007 |
| Provider Name | Douglas Teller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083696371 PECOS PAC ID: 8527168137 Enrollment ID: I20070712000012 |
| Provider Name | Kendall J Erdahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427263292 PECOS PAC ID: 1951401272 Enrollment ID: I20070716000087 |
| Provider Name | Mark Vosler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689789869 PECOS PAC ID: 5890739478 Enrollment ID: I20070906000291 |
| Provider Name | Lauree B Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093892903 PECOS PAC ID: 8921191529 Enrollment ID: I20070912000160 |
| Provider Name | Mark Striebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700878329 PECOS PAC ID: 2769416189 Enrollment ID: I20070917000465 |
| Provider Name | Helena Duque-pages |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427057280 PECOS PAC ID: 6800876814 Enrollment ID: I20070926000213 |
| Provider Name | Gordon Walbroehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063494714 PECOS PAC ID: 7517052913 Enrollment ID: I20071001000196 |
| Provider Name | Julie R Broering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942415344 PECOS PAC ID: 0345335774 Enrollment ID: I20071001000518 |
| Provider Name | Chad J Fogt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831248905 PECOS PAC ID: 3971698309 Enrollment ID: I20071001000534 |
| Provider Name | Ronald Kahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508843079 PECOS PAC ID: 7810920352 Enrollment ID: I20071213000559 |
| Provider Name | Victoria R Buckner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598788507 PECOS PAC ID: 4981609054 Enrollment ID: I20071213000566 |
| Provider Name | Deborah L Lalich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598872509 PECOS PAC ID: 6305928797 Enrollment ID: I20080124000029 |
| Provider Name | Leah M Avera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003892399 PECOS PAC ID: 7214015122 Enrollment ID: I20080417000393 |
| Provider Name | Katherine Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366424798 PECOS PAC ID: 6002980349 Enrollment ID: I20080804000554 |
| Provider Name | Angela M Carruth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619061371 PECOS PAC ID: 5698841070 Enrollment ID: I20080909000360 |
| Provider Name | Muna Jneidi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851374615 PECOS PAC ID: 2567428733 Enrollment ID: I20081001000271 |
| Provider Name | Charles Horsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477546976 PECOS PAC ID: 9436212404 Enrollment ID: I20090116000580 |
| Provider Name | Suzanne R Hardacre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164557575 PECOS PAC ID: 9537224217 Enrollment ID: I20090212000193 |
| Provider Name | Ronald Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760482178 PECOS PAC ID: 6103982236 Enrollment ID: I20090225000507 |
| Provider Name | David S Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834153 PECOS PAC ID: 2860451010 Enrollment ID: I20090428000066 |
| Provider Name | Sarah Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790762854 PECOS PAC ID: 2466500236 Enrollment ID: I20090505000202 |
| Provider Name | Michael J Valle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285636050 PECOS PAC ID: 1153218938 Enrollment ID: I20090521000628 |
| Provider Name | Deshay M Scandrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851531628 PECOS PAC ID: 4486705126 Enrollment ID: I20090619000326 |
| Provider Name | Rick Allen Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619970704 PECOS PAC ID: 9931012861 Enrollment ID: I20090708000458 |
| Provider Name | J Naomi Sandor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649231002 PECOS PAC ID: 2567466121 Enrollment ID: I20090902000147 |
| Provider Name | Jon H Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740315159 PECOS PAC ID: 8224183868 Enrollment ID: I20090902000533 |
| Provider Name | Kelly Irgens Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659406064 PECOS PAC ID: 4587719125 Enrollment ID: I20090902000573 |
| Provider Name | Naynesh R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629042155 PECOS PAC ID: 7416980529 Enrollment ID: I20090917000002 |
| Provider Name | Michael J Timpone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942307608 PECOS PAC ID: 3274689708 Enrollment ID: I20090924000039 |
| Provider Name | Janet M Roberto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760485650 PECOS PAC ID: 6103859525 Enrollment ID: I20091130000152 |
| Provider Name | Rhea R Rowser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366409328 PECOS PAC ID: 0941340384 Enrollment ID: I20091216000370 |
| Provider Name | Mark S Roberto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750384681 PECOS PAC ID: 7719910132 Enrollment ID: I20100104000423 |
| Provider Name | Elissa B Dinsmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790882025 PECOS PAC ID: 7214030865 Enrollment ID: I20100111000454 |
| Provider Name | Marilyn Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679512164 PECOS PAC ID: 1951444645 Enrollment ID: I20100203000368 |
| Provider Name | Andrea Tewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891790754 PECOS PAC ID: 2466353032 Enrollment ID: I20100203000715 |
| Provider Name | David E Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407895543 PECOS PAC ID: 1951444553 Enrollment ID: I20100204000528 |
| Provider Name | Gregory R Wise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184605263 PECOS PAC ID: 4385540970 Enrollment ID: I20100215000572 |
| Provider Name | John Shrader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902887086 PECOS PAC ID: 2264576073 Enrollment ID: I20100217000543 |
| Provider Name | Caleb O Molokwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053573824 PECOS PAC ID: 0244375392 Enrollment ID: I20100301000946 |
| Provider Name | F Ward Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649236662 PECOS PAC ID: 9638214687 Enrollment ID: I20100303000013 |
| Provider Name | Raymond Luna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205893179 PECOS PAC ID: 3173658028 Enrollment ID: I20100317000102 |
| Provider Name | Jolinda L Caswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508822784 PECOS PAC ID: 6709911654 Enrollment ID: I20100317000112 |
| Provider Name | John F Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063479947 PECOS PAC ID: 0244365195 Enrollment ID: I20100317000124 |
| Provider Name | Tamara Christine Togliatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306802244 PECOS PAC ID: 2961506936 Enrollment ID: I20100317000335 |
| Provider Name | John E Mauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407812829 PECOS PAC ID: 4587799457 Enrollment ID: I20100317000367 |
| Provider Name | Malak S Adib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679538557 PECOS PAC ID: 5294860169 Enrollment ID: I20100317000393 |
| Provider Name | John M Thuney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215993415 PECOS PAC ID: 5597890475 Enrollment ID: I20100317000465 |
| Provider Name | Matthew L Oconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891750600 PECOS PAC ID: 8426042797 Enrollment ID: I20100322000037 |
| Provider Name | B Scott Teater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699730267 PECOS PAC ID: 5991830549 Enrollment ID: I20100322000105 |
| Provider Name | Aamir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295824746 PECOS PAC ID: 6901827781 Enrollment ID: I20100325000025 |
| Provider Name | Arvin K Nanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184624413 PECOS PAC ID: 2961538665 Enrollment ID: I20100406000264 |
| Provider Name | Robert Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225019391 PECOS PAC ID: 6901702596 Enrollment ID: I20100407000424 |
| Provider Name | Stephen Mcdonald |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790776011 PECOS PAC ID: 1153457726 Enrollment ID: I20100407000698 |
| Provider Name | James M Tytko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720071012 PECOS PAC ID: 7911035977 Enrollment ID: I20100512000422 |
| Provider Name | Kenneth B Pugar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528060399 PECOS PAC ID: 2163319930 Enrollment ID: I20100520000672 |
| Provider Name | Alvin Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568450021 PECOS PAC ID: 1951492164 Enrollment ID: I20100604000313 |
| Provider Name | Joseph Mastandrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649262924 PECOS PAC ID: 7719900547 Enrollment ID: I20100611000829 |
| Provider Name | Robert J Sawyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730160268 PECOS PAC ID: 3072643303 Enrollment ID: I20100614000447 |
| Provider Name | James D Mcnerney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740270727 PECOS PAC ID: 7719957307 Enrollment ID: I20100721000304 |
| Provider Name | Daniel Lee Whitmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649377391 PECOS PAC ID: 6002930294 Enrollment ID: I20100825000002 |
| Provider Name | Kevin C Strait |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467465179 PECOS PAC ID: 6103941497 Enrollment ID: I20100909000872 |
| Provider Name | Nathan Lewis Beebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053331009 PECOS PAC ID: 0345365789 Enrollment ID: I20100913000227 |
| Provider Name | Linda Kintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750547469 PECOS PAC ID: 8426118308 Enrollment ID: I20100921000913 |
| Provider Name | Abdul-mannan M Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033397617 PECOS PAC ID: 1254457716 Enrollment ID: I20100922000544 |
| Provider Name | Suzanne Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023214103 PECOS PAC ID: 3870619349 Enrollment ID: I20100922000576 |
| Provider Name | William Brent Ashcraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548267172 PECOS PAC ID: 0042299760 Enrollment ID: I20100929001369 |
| Provider Name | Shannon N Mcafee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609033125 PECOS PAC ID: 5799977930 Enrollment ID: I20101006001191 |
| Provider Name | Seema Sharma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619136827 PECOS PAC ID: 1456543180 Enrollment ID: I20101013000041 |
| Provider Name | Mark E Frazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194824672 PECOS PAC ID: 9234270620 Enrollment ID: I20101202000384 |
| Provider Name | Timothy N Wourms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558447573 PECOS PAC ID: 6002003654 Enrollment ID: I20101208000362 |
| Provider Name | Sarah M Hedrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043371156 PECOS PAC ID: 3274721998 Enrollment ID: I20101222000607 |
| Provider Name | Khadija L Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366567265 PECOS PAC ID: 9335338441 Enrollment ID: I20110105000521 |
| Provider Name | Megan Brittany Arbogast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023334893 PECOS PAC ID: 7517148265 Enrollment ID: I20110301000195 |
| Provider Name | Jill B Vosler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639153166 PECOS PAC ID: 1456259613 Enrollment ID: I20110310000627 |
| Provider Name | James G Beegan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508831603 PECOS PAC ID: 0042493702 Enrollment ID: I20110318000117 |
| Provider Name | Jason R Faber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144470014 PECOS PAC ID: 9830375526 Enrollment ID: I20110513000228 |
| Provider Name | Luis L Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740436252 PECOS PAC ID: 3577740927 Enrollment ID: I20110613000009 |
| Provider Name | Lawrence E Udom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659572527 PECOS PAC ID: 8325217300 Enrollment ID: I20110808000865 |
| Provider Name | Fahim Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245527803 PECOS PAC ID: 4981874666 Enrollment ID: I20110907001478 |
| Provider Name | Darci Lavonne Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225294176 PECOS PAC ID: 3476727363 Enrollment ID: I20111110000247 |
| Provider Name | Stephanie D Guajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649425380 PECOS PAC ID: 9739356122 Enrollment ID: I20120126000204 |
| Provider Name | Michael Boggs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417956772 PECOS PAC ID: 7911931027 Enrollment ID: I20120215000404 |
| Provider Name | Gloria J Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437420452 PECOS PAC ID: 8820257348 Enrollment ID: I20120301000838 |
| Provider Name | Dennis A. Bingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285777656 PECOS PAC ID: 8729009519 Enrollment ID: I20120326000429 |
| Provider Name | Michael Buch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154625564 PECOS PAC ID: 7517129315 Enrollment ID: I20120424000034 |
| Provider Name | Melissa Eileen Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821022286 PECOS PAC ID: 4082877741 Enrollment ID: I20120517000249 |
| Provider Name | Pamela J Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134392798 PECOS PAC ID: 2264698877 Enrollment ID: I20120726000416 |
| Provider Name | Amith Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510715 PECOS PAC ID: 7113194531 Enrollment ID: I20120815000836 |
| Provider Name | Courtney Stroble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205065760 PECOS PAC ID: 3577711514 Enrollment ID: I20120917000132 |
| Provider Name | Kali Hollingsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245565944 PECOS PAC ID: 4789833203 Enrollment ID: I20120927000182 |
| Provider Name | Rachel A Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306192968 PECOS PAC ID: 1254581739 Enrollment ID: I20121017000951 |
| Provider Name | Archie Enoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780683755 PECOS PAC ID: 8921076621 Enrollment ID: I20130225000346 |
| Provider Name | Mary Katelin Kanoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609194588 PECOS PAC ID: 3577703057 Enrollment ID: I20130703000624 |
| Provider Name | Catherine Marie Gilreath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770804460 PECOS PAC ID: 6800046921 Enrollment ID: I20130905000952 |
| Provider Name | Angelia M Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790117141 PECOS PAC ID: 0840433058 Enrollment ID: I20130925000618 |
| Provider Name | Nicklaus James Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437414851 PECOS PAC ID: 6709024565 Enrollment ID: I20131114001088 |
| Provider Name | Jennifer Jenay Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376971721 PECOS PAC ID: 5698901213 Enrollment ID: I20131203001848 |
| Provider Name | Amy L Walworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164857371 PECOS PAC ID: 3577792373 Enrollment ID: I20140127000523 |
| Provider Name | Thomas Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841570850 PECOS PAC ID: 9638318637 Enrollment ID: I20140303001596 |
| Provider Name | Tracy Straka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336563618 PECOS PAC ID: 8224268594 Enrollment ID: I20140306000628 |
| Provider Name | Yaser Yahia Jbara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306145990 PECOS PAC ID: 2860620465 Enrollment ID: I20140314001900 |
| Provider Name | Marcia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720408768 PECOS PAC ID: 4284867623 Enrollment ID: I20140508002235 |
| Provider Name | Gina A Wiltheiss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669891487 PECOS PAC ID: 0840413258 Enrollment ID: I20140603000695 |
| Provider Name | Kassandra D Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598040883 PECOS PAC ID: 8921249897 Enrollment ID: I20140603000697 |
| Provider Name | Lindsey Michelle Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912290743 PECOS PAC ID: 5991920928 Enrollment ID: I20140708001822 |
| Provider Name | Ewa A Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710270889 PECOS PAC ID: 3971731522 Enrollment ID: I20140814002801 |
| Provider Name | James Wes Halderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750676672 PECOS PAC ID: 4587811658 Enrollment ID: I20140902001393 |
| Provider Name | Kerri Lyn Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104124221 PECOS PAC ID: 0143467985 Enrollment ID: I20140916001787 |
| Provider Name | Soumya Nadella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417268301 PECOS PAC ID: 9032362231 Enrollment ID: I20141201001336 |
| Provider Name | Brooke L Manocchio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104193945 PECOS PAC ID: 7719126903 Enrollment ID: I20141203001588 |
| Provider Name | Nancy Elizabeth Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215374038 PECOS PAC ID: 5890926737 Enrollment ID: I20150113000522 |
| Provider Name | Karen Elizabeth Starrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205912425 PECOS PAC ID: 2769707397 Enrollment ID: I20150202002085 |
| Provider Name | Cynthia Mcmaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840548 PECOS PAC ID: 6709101439 Enrollment ID: I20150220001260 |
| Provider Name | Melanie Hynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033519442 PECOS PAC ID: 9133447121 Enrollment ID: I20150423002294 |
| Provider Name | Ryan S Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962795591 PECOS PAC ID: 5890932784 Enrollment ID: I20150619000808 |
| Provider Name | Amy Werts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306227244 PECOS PAC ID: 0547572265 Enrollment ID: I20150708002264 |
| Provider Name | Elaine M Fogle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326314238 PECOS PAC ID: 9537308036 Enrollment ID: I20150716000797 |
| Provider Name | Andrew D Moren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952667735 PECOS PAC ID: 1355588229 Enrollment ID: I20150729010287 |
| Provider Name | Naila Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275898694 PECOS PAC ID: 0042432379 Enrollment ID: I20150814014799 |
| Provider Name | Ashley N Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801266101 PECOS PAC ID: 7214237205 Enrollment ID: I20151123002908 |
| Provider Name | Katherine Joy Ruhlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609249119 PECOS PAC ID: 8325348329 Enrollment ID: I20151124000315 |
| Provider Name | Andrea R Bell-willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659366870 PECOS PAC ID: 0143304816 Enrollment ID: I20151202003073 |
| Provider Name | Ashley K Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619373545 PECOS PAC ID: 6002117025 Enrollment ID: I20151216002902 |
| Provider Name | Emily Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710350400 PECOS PAC ID: 6305149360 Enrollment ID: I20160125002695 |
| Provider Name | Paula K Reams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841658739 PECOS PAC ID: 2961709886 Enrollment ID: I20160321001339 |
| Provider Name | Joia Lynn Henson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073756581 PECOS PAC ID: 9234423757 Enrollment ID: I20160805002172 |
| Provider Name | Danielle M Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184074684 PECOS PAC ID: 2466746367 Enrollment ID: I20160815002125 |
| Provider Name | Eve Alison Connolly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598081630 PECOS PAC ID: 2163665886 Enrollment ID: I20160816001217 |
| Provider Name | Polly Ann Baltes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396198321 PECOS PAC ID: 8325085939 Enrollment ID: I20160831002624 |
| Provider Name | Saba Iftikhar Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205272598 PECOS PAC ID: 4688802358 Enrollment ID: I20161014000937 |
| Provider Name | Amy L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710433909 PECOS PAC ID: 6103104450 Enrollment ID: I20161020002424 |
| Provider Name | Kendra Vonderembse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058083 PECOS PAC ID: 0446539761 Enrollment ID: I20161109001202 |
| Provider Name | Elizabeth J Rammel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932658150 PECOS PAC ID: 7618256280 Enrollment ID: I20161123000181 |
| Provider Name | Zina Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891913000 PECOS PAC ID: 3678853082 Enrollment ID: I20161130002382 |
| Provider Name | Jill R Lykins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508179037 PECOS PAC ID: 5395057269 Enrollment ID: I20161214002099 |
| Provider Name | Jonathan Hutcheson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144500554 PECOS PAC ID: 4587893516 Enrollment ID: I20161228001116 |
| Provider Name | Tari Lin Walker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891243150 PECOS PAC ID: 2860774114 Enrollment ID: I20170120001110 |
| Provider Name | Shannon L Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053627 PECOS PAC ID: 0941583827 Enrollment ID: I20170220002493 |
| Provider Name | Darcie Rockstroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699213157 PECOS PAC ID: 4284918970 Enrollment ID: I20170223002322 |
| Provider Name | Lila F Gwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972922375 PECOS PAC ID: 2769704949 Enrollment ID: I20170224001890 |
| Provider Name | Paula Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598988677 PECOS PAC ID: 8224312830 Enrollment ID: I20170227002553 |
| Provider Name | Michelle Bizzarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619416104 PECOS PAC ID: 1759352958 Enrollment ID: I20170301000772 |
| Provider Name | Kimberly Ann Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810737 PECOS PAC ID: 1456247402 Enrollment ID: I20170309001469 |
| Provider Name | Nicholas R Bellanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063831618 PECOS PAC ID: 3274855572 Enrollment ID: I20170510002493 |
| Provider Name | Stefanie Kristine Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053758441 PECOS PAC ID: 2062789035 Enrollment ID: I20170522002834 |
| Provider Name | Jonathan A Clifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760895940 PECOS PAC ID: 0143446526 Enrollment ID: I20170621001741 |
| Provider Name | Peter Michael Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457610784 PECOS PAC ID: 2365750239 Enrollment ID: I20170622001397 |
| Provider Name | Jennifer A Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124448543 PECOS PAC ID: 9133448913 Enrollment ID: I20170626002580 |
| Provider Name | Christine Nichole Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649700196 PECOS PAC ID: 9335418268 Enrollment ID: I20170707001662 |
| Provider Name | Pam Brokaw-myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467988790 PECOS PAC ID: 9436429255 Enrollment ID: I20170726002583 |
| Provider Name | Rachel Snyder June |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669815502 PECOS PAC ID: 4688815079 Enrollment ID: I20170803003823 |
| Provider Name | Whitney J Crye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023456977 PECOS PAC ID: 8921238197 Enrollment ID: I20170817004359 |
| Provider Name | Amber L Orellana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724488 PECOS PAC ID: 5991949299 Enrollment ID: I20170818002955 |
| Provider Name | Eric Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093243420 PECOS PAC ID: 6800168162 Enrollment ID: I20170821002955 |
| Provider Name | Tracie Shoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720300924 PECOS PAC ID: 2668745373 Enrollment ID: I20170831000909 |
| Provider Name | Erin Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902225741 PECOS PAC ID: 6002138393 Enrollment ID: I20170914000252 |
| Provider Name | Rebecca Yeager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447677638 PECOS PAC ID: 6507130176 Enrollment ID: I20170920001652 |
| Provider Name | Stacy Lynn Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285948737 PECOS PAC ID: 8628340528 Enrollment ID: I20170927003739 |
| Provider Name | Michelle Denise Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164931929 PECOS PAC ID: 7810263340 Enrollment ID: I20171026003514 |
| Provider Name | Leah M Liddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639698962 PECOS PAC ID: 4587921812 Enrollment ID: I20171121003584 |
| Provider Name | Tiarah Alisha Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285147827 PECOS PAC ID: 1951668193 Enrollment ID: I20171127001545 |
| Provider Name | Hussein E El-khatib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932210762 PECOS PAC ID: 2860463247 Enrollment ID: I20171128003466 |
| Provider Name | Iman Michel Bastawros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184677585 PECOS PAC ID: 1557462868 Enrollment ID: I20171206000697 |
| Provider Name | Gary Juan Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044109 PECOS PAC ID: 8224397799 Enrollment ID: I20180109002877 |
| Provider Name | Daniel Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700386125 PECOS PAC ID: 6608138474 Enrollment ID: I20180315001544 |
| Provider Name | Krista A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093215089 PECOS PAC ID: 6709773658 Enrollment ID: I20180321002556 |
| Provider Name | Marcus P Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629571880 PECOS PAC ID: 7113280009 Enrollment ID: I20180405001632 |
| Provider Name | Jason Evan Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689113482 PECOS PAC ID: 3779846639 Enrollment ID: I20180406001558 |
| Provider Name | Afi Edi Agbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912413162 PECOS PAC ID: 7618230392 Enrollment ID: I20180410002906 |
| Provider Name | Katie M Crowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205858040 PECOS PAC ID: 1153506316 Enrollment ID: I20180613002238 |
| Provider Name | Nicholas S Hirth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194112706 PECOS PAC ID: 6204141914 Enrollment ID: I20180621000593 |
| Provider Name | Eva Marie Linkenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134611684 PECOS PAC ID: 1759636103 Enrollment ID: I20180626002050 |
| Provider Name | Thomas Alan Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063911352 PECOS PAC ID: 2860748217 Enrollment ID: I20180627002871 |
| Provider Name | Laura Striebel-williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639556095 PECOS PAC ID: 5799096111 Enrollment ID: I20180705002119 |
| Provider Name | Travis W Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720475668 PECOS PAC ID: 4183938046 Enrollment ID: I20180709001854 |
| Provider Name | Jennifer Marie Shears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265944219 PECOS PAC ID: 2668729179 Enrollment ID: I20180716000440 |
| Provider Name | Erin C Radominski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659865103 PECOS PAC ID: 1951659796 Enrollment ID: I20180809005907 |
| Provider Name | Laura Renee Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801382320 PECOS PAC ID: 4183974074 Enrollment ID: I20180914001155 |
| Provider Name | Laney B Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588144596 PECOS PAC ID: 0547511354 Enrollment ID: I20180918001961 |
| Provider Name | Douglas Matthew Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568803310 PECOS PAC ID: 8729282934 Enrollment ID: I20180924000469 |
| Provider Name | Tamu Binti Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780162172 PECOS PAC ID: 7719238930 Enrollment ID: I20180926002183 |
| Provider Name | Jonathan James Blaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245625359 PECOS PAC ID: 7618236944 Enrollment ID: I20181004001569 |
| Provider Name | Jacqueline R Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316252349 PECOS PAC ID: 7113279993 Enrollment ID: I20181004003072 |
| Provider Name | Charles Joseph Uhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235632589 PECOS PAC ID: 7012261571 Enrollment ID: I20181119003437 |
| Provider Name | Chelsea L Zastrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073081204 PECOS PAC ID: 4183962186 Enrollment ID: I20190218001985 |
| Provider Name | Eric M Thuney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245684000 PECOS PAC ID: 2668765637 Enrollment ID: I20190221001641 |
| Provider Name | Erin Rae Perilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164988945 PECOS PAC ID: 5991045304 Enrollment ID: I20190321002589 |
| Provider Name | Elizabeth Ashley Gleason Weiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891252987 PECOS PAC ID: 5193066637 Enrollment ID: I20190409003377 |
| Provider Name | Lori Jean Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922592815 PECOS PAC ID: 4183965544 Enrollment ID: I20190411001843 |
| Provider Name | Penny B Drazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598222127 PECOS PAC ID: 8628319886 Enrollment ID: I20190416002562 |
| Provider Name | Stedman Emanuel Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982162269 PECOS PAC ID: 9638411093 Enrollment ID: I20190503002384 |
| Provider Name | Angela Renee' Paugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518524065 PECOS PAC ID: 6103151022 Enrollment ID: I20190716000437 |
| Provider Name | Heather Mae Schappacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720647688 PECOS PAC ID: 5294061503 Enrollment ID: I20190724002780 |
| Provider Name | Christopher Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197891 PECOS PAC ID: 7214206655 Enrollment ID: I20190813000977 |
| Provider Name | Austin J Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346604774 PECOS PAC ID: 1951693969 Enrollment ID: I20190828004105 |
| Provider Name | Stephen G Poulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922447960 PECOS PAC ID: 5698041978 Enrollment ID: I20190830002553 |
| Provider Name | Vanessa L Copper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952831489 PECOS PAC ID: 8325317233 Enrollment ID: I20190904002490 |
| Provider Name | Katresha Janiece Williams-ellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730402579 PECOS PAC ID: 0244569937 Enrollment ID: I20190905001112 |
| Provider Name | Laura Sinda Chambers-kersh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407883630 PECOS PAC ID: 9931160165 Enrollment ID: I20190909001289 |
| Provider Name | Nicole Wentworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801245402 PECOS PAC ID: 7719274661 Enrollment ID: I20190919002383 |
| Provider Name | Shelby Lynn Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598230856 PECOS PAC ID: 9335470764 Enrollment ID: I20191015003373 |
| Provider Name | Randall Ivan Aybar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144351149 PECOS PAC ID: 8921015421 Enrollment ID: I20191022003261 |
| Provider Name | Teresa Lynn Vanhoose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568012300 PECOS PAC ID: 7113359886 Enrollment ID: I20191118003006 |
| Provider Name | Megan Dianne Kuertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093366437 PECOS PAC ID: 9335572353 Enrollment ID: I20191205002100 |
| Provider Name | Mercy Chuah Chong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942562004 PECOS PAC ID: 3274807300 Enrollment ID: I20191206000877 |
| Provider Name | Johnny W Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316594997 PECOS PAC ID: 3577997816 Enrollment ID: I20191219002396 |
| Provider Name | Krisalyn R Swayze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508211152 PECOS PAC ID: 9739472846 Enrollment ID: I20191227001995 |
| Provider Name | Angela R Sheline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114425865 PECOS PAC ID: 5991139735 Enrollment ID: I20200102001421 |
| Provider Name | Paul Flavian Haggerty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417044355 PECOS PAC ID: 3678710811 Enrollment ID: I20200113002690 |
| Provider Name | Heidi Sue Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083186324 PECOS PAC ID: 8820424062 Enrollment ID: I20200205003149 |
| Provider Name | Kristi D Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821491473 PECOS PAC ID: 5698089068 Enrollment ID: I20200331001898 |
| Provider Name | Melissa Whitesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528251113 PECOS PAC ID: 8921186412 Enrollment ID: I20200505003313 |
| Provider Name | Olivia Aikman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508480849 PECOS PAC ID: 6608298898 Enrollment ID: I20200616002703 |
| Provider Name | Steven C Tomlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598297186 PECOS PAC ID: 2062789951 Enrollment ID: I20200702002007 |
| Provider Name | Jonathan Dennis Gaskill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821520792 PECOS PAC ID: 9335416171 Enrollment ID: I20200708001477 |
| Provider Name | Ashley Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528608197 PECOS PAC ID: 5395168272 Enrollment ID: I20200710001051 |
| Provider Name | David De La Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477085702 PECOS PAC ID: 0840569380 Enrollment ID: I20200710002465 |
| Provider Name | Katherine Suzanne De La Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659802973 PECOS PAC ID: 0547532855 Enrollment ID: I20200714000372 |
| Provider Name | Elise N Striebich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780116111 PECOS PAC ID: 9032483342 Enrollment ID: I20200817003613 |
| Provider Name | Ivan Lloyd Elises |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891352910 PECOS PAC ID: 2668890617 Enrollment ID: I20200908002933 |
| Provider Name | Gabriella Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730521881 PECOS PAC ID: 0941421903 Enrollment ID: I20201119000945 |
| Provider Name | Christopher M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386233351 PECOS PAC ID: 5890108617 Enrollment ID: I20210114002715 |
| Provider Name | William Allnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780271213 PECOS PAC ID: 7416360235 Enrollment ID: I20210114002789 |
| Provider Name | Amy Rebecca Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548859168 PECOS PAC ID: 1850705880 Enrollment ID: I20210202001948 |
| Provider Name | Jonathan Michael Stofer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285130070 PECOS PAC ID: 9537422985 Enrollment ID: I20210318002494 |
| Provider Name | Gretchen L Polinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588195382 PECOS PAC ID: 0143507293 Enrollment ID: I20210412001044 |
| Provider Name | Sean Matthew Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770070831 PECOS PAC ID: 8224387824 Enrollment ID: I20210610002941 |
| Provider Name | Jerika Ortlieb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922505932 PECOS PAC ID: 5395008635 Enrollment ID: I20210621003156 |
| Provider Name | Micah B Schmal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861923575 PECOS PAC ID: 0042583338 Enrollment ID: I20210706003526 |
| Provider Name | Andrew D Fellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184073850 PECOS PAC ID: 8820386725 Enrollment ID: I20210712002174 |
| Provider Name | Christopher Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306343470 PECOS PAC ID: 5890058945 Enrollment ID: I20210723002858 |
| Provider Name | Michael Greg Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730609041 PECOS PAC ID: 4183981145 Enrollment ID: I20210824001316 |
| Provider Name | Patrick Joseph Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982375432 PECOS PAC ID: 4486042538 Enrollment ID: I20211022001637 |
| Provider Name | Cody J Cappel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415335 PECOS PAC ID: 7113319609 Enrollment ID: I20220112002610 |
| Provider Name | Vanessa Moore Salupo Wehrley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164000857 PECOS PAC ID: 7416342605 Enrollment ID: I20220325001015 |
| Provider Name | Hilary Rose Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619624731 PECOS PAC ID: 1557757341 Enrollment ID: I20220404001329 |
| Provider Name | Carmen Cornelia Elisabeth Gruia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548726755 PECOS PAC ID: 1456746999 Enrollment ID: I20220420001049 |
| Provider Name | Dale Scott Guinther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851966899 PECOS PAC ID: 6507246576 Enrollment ID: I20220707003991 |
| Provider Name | Matthew Yeager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083176697 PECOS PAC ID: 4880935972 Enrollment ID: I20220729002704 |
| Provider Name | Allyson K Halderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699237057 PECOS PAC ID: 0648512152 Enrollment ID: I20220819002426 |
| Provider Name | Rachelle M Dulan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386102176 PECOS PAC ID: 1456686500 Enrollment ID: I20220822002537 |
| Provider Name | Timothy Robert Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629535612 PECOS PAC ID: 6901130806 Enrollment ID: I20220825002504 |
| Provider Name | Carlos J Ventura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174842884 PECOS PAC ID: 4082856745 Enrollment ID: I20220825004309 |
| Provider Name | Cord Neal Gothard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750879797 PECOS PAC ID: 4981952934 Enrollment ID: I20220914003604 |
| Provider Name | Esther Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356801831 PECOS PAC ID: 8325375074 Enrollment ID: I20220920001395 |
| Provider Name | Joann R Heuker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275251605 PECOS PAC ID: 9032595434 Enrollment ID: I20221010000663 |
| Provider Name | Heather L Lavoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669196150 PECOS PAC ID: 3476929969 Enrollment ID: I20221025002613 |
| Provider Name | Mohamed Hegazy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811280100 PECOS PAC ID: 9335435254 Enrollment ID: I20221031002012 |
| Provider Name | Drew William Guisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760102123 PECOS PAC ID: 6103293311 Enrollment ID: I20221101000866 |
| Provider Name | Mindy Sue Kahlhamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578296364 PECOS PAC ID: 6800266545 Enrollment ID: I20221221002033 |
| Provider Name | Michael Jaje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538571468 PECOS PAC ID: 6305111691 Enrollment ID: I20221228002194 |
| Provider Name | Maritess Gay Asumen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588003222 PECOS PAC ID: 1153609458 Enrollment ID: I20230109000415 |
| Provider Name | Faith Madeline Connovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598479438 PECOS PAC ID: 1557735685 Enrollment ID: I20230313001486 |
| Provider Name | Jennifer Darlene Otterbacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184156358 PECOS PAC ID: 8426327636 Enrollment ID: I20230314000521 |
| Provider Name | Joseph Clayton King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770046872 PECOS PAC ID: 6608101506 Enrollment ID: I20230404001763 |
| Provider Name | Kristen E Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790105518 PECOS PAC ID: 3779805932 Enrollment ID: I20230522001422 |
| Provider Name | Elijah Jeremy Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790365286 PECOS PAC ID: 0840699112 Enrollment ID: I20230607002715 |
| Provider Name | Matthew S Lyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588292403 PECOS PAC ID: 6103255468 Enrollment ID: I20230613001070 |
| Provider Name | Adam Glendon Bussey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306308986 PECOS PAC ID: 5193067197 Enrollment ID: I20230725002332 |
| Provider Name | Alyssa Ann Vactor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508545591 PECOS PAC ID: 3375905946 Enrollment ID: I20230814002180 |
| Provider Name | Sarah Nicole Dula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447887922 PECOS PAC ID: 2567893266 Enrollment ID: I20230821001573 |
| Provider Name | Jalpa S Soni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235767187 PECOS PAC ID: 1951732445 Enrollment ID: I20230905002673 |
| Provider Name | Deanna Mae Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982480042 PECOS PAC ID: 9830544550 Enrollment ID: I20231016000897 |
| Provider Name | Rena Michelle Kalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629508494 PECOS PAC ID: 9335412063 Enrollment ID: I20240226001014 |
| Provider Name | Kira Haubach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720567514 PECOS PAC ID: 5991055451 Enrollment ID: I20240409002238 |
| Provider Name | Manisha R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912585597 PECOS PAC ID: 3072922517 Enrollment ID: I20240618003315 |
| Provider Name | Wamunyima Akakulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033795596 PECOS PAC ID: 8921417700 Enrollment ID: I20240819000975 |
| Provider Name | Kate Grayson Meizlish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053940924 PECOS PAC ID: 4486060142 Enrollment ID: I20241001003628 |
| Provider Name | Tracy T Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619592987 PECOS PAC ID: 2163847799 Enrollment ID: I20241002002850 |
| Provider Name | Erwin Wietrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063040475 PECOS PAC ID: 5496179350 Enrollment ID: I20241018000287 |
| Provider Name | Aelius Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194352799 PECOS PAC ID: 6800296161 Enrollment ID: I20241106003204 |
| Provider Name | Jocelyn Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902241904 PECOS PAC ID: 7315239993 Enrollment ID: I20241127003075 |
| Provider Name | Shaher-baano Haider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851967038 PECOS PAC ID: 2062814320 Enrollment ID: I20241212004114 |
| Provider Name | Jenny Margaret Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962226019 PECOS PAC ID: 0840728192 Enrollment ID: I20250114002474 |
Kevin G Malloy Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Far Hills Ave, Ste 250, Kettering, OH 45429 Phone: 937-435-6500 Fax: 937-435-6514 | |
Kettering Affiliated Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Lincoln Park Boulevard, Suite 200, Kettering Breast Evaluation Center, Kettering, OH 45429 Phone: 937-299-0099 | |
Post Acute Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 E Dorothy Ln, Suite A, Kettering, OH 45419 Phone: 513-575-6325 Fax: 937-853-0552 | |
Infectious Diseases Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Southern Blvd Ste 4200, Kettering, OH 45429 Phone: 937-572-7648 Fax: 937-832-8279 | |
Internal Medicine Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6845 Fax: 937-384-6939 | |
Alliance Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260 | |
Fred L Tanzer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429 Phone: 513-543-3746 Fax: 513-557-3347 |