| Kettering Health Medical Group | |
|
1827 Woodman Center Dr Kettering OH 45420-1157 | |
| (937) 558-3223 | |
| (937) 558-3247 |
| Full Name | Kettering Health Medical Group |
|---|---|
| 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 |
|---|---|
| Kettering Health Medical Group 1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 Ph: (937) 762-1300 | Kettering Health Medical Group 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 | Sudhathi Chennuru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689740326 PECOS PAC ID: 6800700915 Enrollment ID: I20031113000476 |
| 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 | Bihu G Sandhir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447243746 PECOS PAC ID: 0042124356 Enrollment ID: I20031119000308 |
| Provider Name | James H Sabiers |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447205638 PECOS PAC ID: 5395649321 Enrollment ID: I20031121000540 |
| Provider Name | Marvin D Almquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750384871 PECOS PAC ID: 9638073232 Enrollment ID: I20031125000419 |
| Provider Name | Kelly Lynn Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003927138 PECOS PAC ID: 7113821612 Enrollment ID: I20031125000938 |
| Provider Name | John Eugene Wade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619021276 PECOS PAC ID: 7214832195 Enrollment ID: I20031204000111 |
| Provider Name | David Paul Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609849264 PECOS PAC ID: 4284539750 Enrollment ID: I20031208000031 |
| Provider Name | Ammar Safar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558334581 PECOS PAC ID: 6709783988 Enrollment ID: I20031216000488 |
| 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 | Raenell J Poynter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396812467 PECOS PAC ID: 8527966696 Enrollment ID: I20031229000106 |
| Provider Name | Mohamed F Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376502500 PECOS PAC ID: 3274432752 Enrollment ID: I20040105000011 |
| Provider Name | Joseph N Gunasekera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346242534 PECOS PAC ID: 4082513569 Enrollment ID: I20040105000018 |
| Provider Name | Timothy F Peters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558385526 PECOS PAC ID: 2264332972 Enrollment ID: I20040109000834 |
| Provider Name | Fredrick M Reeve |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881618858 PECOS PAC ID: 0042110777 Enrollment ID: I20040109000911 |
| Provider Name | Peter Michael Lewis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700869161 PECOS PAC ID: 7315847522 Enrollment ID: I20040113000366 |
| Provider Name | Hari M Polenakovik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902966690 PECOS PAC ID: 3375444946 Enrollment ID: I20040116000267 |
| Provider Name | Quinton E Moss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306993985 PECOS PAC ID: 4880595271 Enrollment ID: I20040119000282 |
| Provider Name | Raymond J Poelstra |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972530848 PECOS PAC ID: 5294638938 Enrollment ID: I20040202000640 |
| Provider Name | Saraswathi Kalvakota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548382062 PECOS PAC ID: 0345133070 Enrollment ID: I20040205000669 |
| Provider Name | Victoria Surdulescu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326005877 PECOS PAC ID: 8426942269 Enrollment ID: I20040213000347 |
| Provider Name | Errol Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629141577 PECOS PAC ID: 6901793942 Enrollment ID: I20040303000950 |
| 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 J Haluschak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407895535 PECOS PAC ID: 9234033259 Enrollment ID: I20040305000369 |
| Provider Name | Reginald M Sequeira |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215933387 PECOS PAC ID: 3274423413 Enrollment ID: I20040319000301 |
| Provider Name | Mustafa Quadri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619989258 PECOS PAC ID: 9638069719 Enrollment ID: I20040320000460 |
| Provider Name | John W Sawvel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780682146 PECOS PAC ID: 9032000260 Enrollment ID: I20040324001299 |
| Provider Name | Darla R Baker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194718171 PECOS PAC ID: 1456344324 Enrollment ID: I20040406001184 |
| Provider Name | Robert E Bulow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477552271 PECOS PAC ID: 6608869334 Enrollment ID: I20040407000583 |
| Provider Name | Patrick J. Lytle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811996580 PECOS PAC ID: 3375536006 Enrollment ID: I20040407000621 |
| Provider Name | Thomas M Ruff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639178304 PECOS PAC ID: 3678566312 Enrollment ID: I20040407000674 |
| Provider Name | Anwar Din |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225039688 PECOS PAC ID: 8123011699 Enrollment ID: I20040408000545 |
| Provider Name | Susan K Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871580506 PECOS PAC ID: 9436146297 Enrollment ID: I20040428000673 |
| 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 | Bruce G Hymon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366424806 PECOS PAC ID: 2567362759 Enrollment ID: I20040510000687 |
| Provider Name | Milton F Nathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114909744 PECOS PAC ID: 1557261740 Enrollment ID: I20040510000742 |
| Provider Name | Bruce H Rank |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679551618 PECOS PAC ID: 9638074271 Enrollment ID: I20040510000776 |
| Provider Name | Nkoli Anigbogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184710121 PECOS PAC ID: 8123017266 Enrollment ID: I20040512000594 |
| Provider Name | Kathleen Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427057421 PECOS PAC ID: 8426049412 Enrollment ID: I20040519000818 |
| Provider Name | Shanthi Rajaratnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083613129 PECOS PAC ID: 4981695996 Enrollment ID: I20040519000959 |
| Provider Name | Harvey Sung Ha Hahn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811971039 PECOS PAC ID: 5991796708 Enrollment ID: I20040520000914 |
| Provider Name | Amy Byerly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023094091 PECOS PAC ID: 3173514486 Enrollment ID: I20040524000853 |
| Provider Name | Caroline Elizabeth Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851377956 PECOS PAC ID: 2163413485 Enrollment ID: I20040524000926 |
| Provider Name | Kimberly Ann Warren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932104106 PECOS PAC ID: 5991796260 Enrollment ID: I20040524001299 |
| Provider Name | Shari L Gabbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932119096 PECOS PAC ID: 4789665399 Enrollment ID: I20040528000723 |
| Provider Name | Sunita Mall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962455634 PECOS PAC ID: 6507848728 Enrollment ID: I20040602000952 |
| 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 | Aram M Donigian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033120621 PECOS PAC ID: 9032194386 Enrollment ID: I20040621001420 |
| Provider Name | Sameh N Khouzam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881696060 PECOS PAC ID: 4688659493 Enrollment ID: I20040623001542 |
| Provider Name | Melissa M Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225029549 PECOS PAC ID: 3779569611 Enrollment ID: I20040629001453 |
| Provider Name | Lewis Andrew Mahran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003873068 PECOS PAC ID: 1052398716 Enrollment ID: I20040701000512 |
| Provider Name | Ann Trzaska Moell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457378978 PECOS PAC ID: 4981682960 Enrollment ID: I20040708000237 |
| Provider Name | Andrew Louis Archer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336142603 PECOS PAC ID: 7315925492 Enrollment ID: I20040713001621 |
| Provider Name | Thomas Joseph Reid |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245296409 PECOS PAC ID: 8123008018 Enrollment ID: I20040721001530 |
| 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 | Brian Wayne Ondulick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336129485 PECOS PAC ID: 2860463676 Enrollment ID: I20040805001043 |
| Provider Name | Richard K Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700886041 PECOS PAC ID: 6406828953 Enrollment ID: I20040806000386 |
| Provider Name | Thomas J Merle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730187469 PECOS PAC ID: 3072418615 Enrollment ID: I20040811001446 |
| Provider Name | Paul Francis Hanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760507057 PECOS PAC ID: 4789657131 Enrollment ID: I20040816000055 |
| Provider Name | Carla M Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581951 PECOS PAC ID: 9739070335 Enrollment ID: I20040824000951 |
| Provider Name | Terri Riddiford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649279498 PECOS PAC ID: 9931173911 Enrollment ID: I20040825000111 |
| Provider Name | Linda M Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891785309 PECOS PAC ID: 5991770547 Enrollment ID: I20040827000918 |
| Provider Name | Mujeeb Ur-rahman Siddiqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619974797 PECOS PAC ID: 3476528936 Enrollment ID: I20040827001057 |
| Provider Name | Sandra Lee Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033117932 PECOS PAC ID: 9436126521 Enrollment ID: I20040916001108 |
| Provider Name | Marcia J Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386741429 PECOS PAC ID: 5890763791 Enrollment ID: I20040920000143 |
| Provider Name | Steven Warren Crawford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386603611 PECOS PAC ID: 2365434800 Enrollment ID: I20040920001029 |
| Provider Name | Philip Stephen Perona |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346296399 PECOS PAC ID: 7012985773 Enrollment ID: I20040921000270 |
| Provider Name | Richard Wayne Winger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861468597 PECOS PAC ID: 3870561319 Enrollment ID: I20040922000338 |
| Provider Name | Howard Lee Bernie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033158217 PECOS PAC ID: 6002884087 Enrollment ID: I20040922001127 |
| Provider Name | Peter Derussy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649251174 PECOS PAC ID: 0648239483 Enrollment ID: I20041007000004 |
| Provider Name | Daniel J Dunaway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669483152 PECOS PAC ID: 7416944103 Enrollment ID: I20041019000059 |
| Provider Name | John J Lochner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013928456 PECOS PAC ID: 6709873409 Enrollment ID: I20041019000247 |
| Provider Name | Steven M Kleinhenz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285645861 PECOS PAC ID: 4688634546 Enrollment ID: I20041019000323 |
| Provider Name | Michael C Welker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942211305 PECOS PAC ID: 7416917372 Enrollment ID: I20041019001402 |
| Provider Name | Donald W Ames |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306857891 PECOS PAC ID: 5395720122 Enrollment ID: I20041019001431 |
| Provider Name | Eugene S Chung |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1003893926 PECOS PAC ID: 0143281444 Enrollment ID: I20041020000818 |
| Provider Name | Syed Ashfaq Hussain Najeed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972560662 PECOS PAC ID: 3779545694 Enrollment ID: I20041102000621 |
| 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 | Gail Tari Askew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629147749 PECOS PAC ID: 5092770735 Enrollment ID: I20041122001249 |
| Provider Name | Frank P Mannarino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356346985 PECOS PAC ID: 7911994694 Enrollment ID: I20041201000010 |
| Provider Name | Barry A Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184617409 PECOS PAC ID: 2264497262 Enrollment ID: I20041201000129 |
| Provider Name | Richard L Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164427019 PECOS PAC ID: 0547161119 Enrollment ID: I20041202000165 |
| Provider Name | Raymond Scott Russell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447206933 PECOS PAC ID: 6002717618 Enrollment ID: I20041202000849 |
| Provider Name | Laurie Ann Bankston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295790343 PECOS PAC ID: 6507823374 Enrollment ID: I20041213001039 |
| Provider Name | Ceferino J Cata |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306815808 PECOS PAC ID: 7719969997 Enrollment ID: I20050106000864 |
| Provider Name | David L Schumacher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336132547 PECOS PAC ID: 7214922798 Enrollment ID: I20050119000234 |
| Provider Name | Carol A Amfahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245305051 PECOS PAC ID: 6406805027 Enrollment ID: I20050120000530 |
| Provider Name | Mark W Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225050560 PECOS PAC ID: 6709836034 Enrollment ID: I20050125000636 |
| Provider Name | Trisha Ann Kall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811187933 PECOS PAC ID: 9032160494 Enrollment ID: I20050203000241 |
| Provider Name | John Michael Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316971757 PECOS PAC ID: 3779472279 Enrollment ID: I20050203000645 |
| Provider Name | Priya G Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912093360 PECOS PAC ID: 2668423310 Enrollment ID: I20050210000012 |
| Provider Name | Kristy A Zechiel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376520353 PECOS PAC ID: 7416909809 Enrollment ID: I20050214000744 |
| Provider Name | Lazaro J Pages |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821098419 PECOS PAC ID: 9335191345 Enrollment ID: I20050217000974 |
| Provider Name | Bruce B Banias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639134703 PECOS PAC ID: 8325938954 Enrollment ID: I20050401000533 |
| Provider Name | Alejandro R Calvo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457341760 PECOS PAC ID: 0840286522 Enrollment ID: I20050419001306 |
| Provider Name | Joseph Anigbogu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972583508 PECOS PAC ID: 9133015894 Enrollment ID: I20050510000546 |
| Provider Name | Erin Lindsay Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326005711 PECOS PAC ID: 4183668643 Enrollment ID: I20050615000402 |
| Provider Name | Shelli A Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114941176 PECOS PAC ID: 4981648417 Enrollment ID: I20050616000337 |
| Provider Name | Joseph W Lavelle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629027727 PECOS PAC ID: 5395781264 Enrollment ID: I20050630000454 |
| Provider Name | Irshad Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073582201 PECOS PAC ID: 1355379884 Enrollment ID: I20050727000260 |
| Provider Name | Raja A Nazir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003871963 PECOS PAC ID: 6507894409 Enrollment ID: I20050802000131 |
| 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 | Lisa K Heinemeyer Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750384277 PECOS PAC ID: 5597793414 Enrollment ID: I20050802000344 |
| Provider Name | James E Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508869025 PECOS PAC ID: 5395773212 Enrollment ID: I20050802000364 |
| Provider Name | John M Duchak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841269057 PECOS PAC ID: 2264414440 Enrollment ID: I20050808000274 |
| Provider Name | Zahra Heidari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215934856 PECOS PAC ID: 3476586850 Enrollment ID: I20050915000835 |
| Provider Name | Christopher K Madison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326015504 PECOS PAC ID: 8426082983 Enrollment ID: I20050923000305 |
| Provider Name | Bhairavi Krishnakant Patel Brittain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457359069 PECOS PAC ID: 1951336080 Enrollment ID: I20050928000394 |
| Provider Name | David Joseph Doucette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679570543 PECOS PAC ID: 8325073455 Enrollment ID: I20051013000153 |
| Provider Name | Mary Ellen Leary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730186602 PECOS PAC ID: 3779518808 Enrollment ID: I20051013000172 |
| Provider Name | William M Mccullough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740287572 PECOS PAC ID: 0840224812 Enrollment ID: I20051013000198 |
| Provider Name | Robert Alan Little |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013915610 PECOS PAC ID: 8224063359 Enrollment ID: I20051013000235 |
| Provider Name | Eleia Serrano Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245293513 PECOS PAC ID: 2668499070 Enrollment ID: I20051025000904 |
| Provider Name | Herbert B Newton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770667164 PECOS PAC ID: 8123045085 Enrollment ID: I20051031000019 |
| Provider Name | Alicia Marie Buterbaugh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073126389 PECOS PAC ID: 0648290288 Enrollment ID: I20051129000222 |
| Provider Name | Frederick Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477503928 PECOS PAC ID: 4789604836 Enrollment ID: I20051205000000 |
| Provider Name | Margaret M Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700842788 PECOS PAC ID: 6002836004 Enrollment ID: I20051206000567 |
| Provider Name | Jacob Bradley Gibson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780698811 PECOS PAC ID: 4385665280 Enrollment ID: I20051207000531 |
| Provider Name | Lisa Renee Vantrease |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198066 PECOS PAC ID: 4688697584 Enrollment ID: I20060106000016 |
| Provider Name | Edward Jacobs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255330676 PECOS PAC ID: 0840213302 Enrollment ID: I20060111000000 |
| Provider Name | Rebecca J Paessun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225083496 PECOS PAC ID: 1052334463 Enrollment ID: I20060117000172 |
| Provider Name | Denise Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326066713 PECOS PAC ID: 2668486705 Enrollment ID: I20060127000687 |
| Provider Name | Anne K Reddington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821079369 PECOS PAC ID: 9335153329 Enrollment ID: I20060130000209 |
| Provider Name | Safwat Zaki |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891876470 PECOS PAC ID: 7618981192 Enrollment ID: I20060206000005 |
| Provider Name | Stephanie Sarah Locsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861561052 PECOS PAC ID: 1557376407 Enrollment ID: I20060214000145 |
| Provider Name | David Brewer Stultz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104887280 PECOS PAC ID: 2062429525 Enrollment ID: I20060308000840 |
| Provider Name | Kirk P Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770512105 PECOS PAC ID: 5496762569 Enrollment ID: I20060314000726 |
| Provider Name | M Niranjan Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780640102 PECOS PAC ID: 2163430166 Enrollment ID: I20060403000560 |
| Provider Name | Saleem Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013973429 PECOS PAC ID: 6901814912 Enrollment ID: I20060403000630 |
| Provider Name | Aamir I Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396757928 PECOS PAC ID: 7911916762 Enrollment ID: I20060406000360 |
| Provider Name | Sharilyn Ann Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821009978 PECOS PAC ID: 8426067042 Enrollment ID: I20060410000681 |
| Provider Name | Deepthi R Mosali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538108881 PECOS PAC ID: 9830101443 Enrollment ID: I20060623000253 |
| Provider Name | Surender R Neravetla |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801843602 PECOS PAC ID: 0749185387 Enrollment ID: I20060706000003 |
| Provider Name | Santosh R Likki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316926934 PECOS PAC ID: 5496728370 Enrollment ID: I20060801000031 |
| Provider Name | Amanda E Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154341741 PECOS PAC ID: 7517970981 Enrollment ID: I20060802000009 |
| Provider Name | Radhika R Akella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619905601 PECOS PAC ID: 7618970880 Enrollment ID: I20060809000275 |
| Provider Name | Ryan Maenpa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871571760 PECOS PAC ID: 5698785657 Enrollment ID: I20060816000128 |
| Provider Name | Kevin P Macy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194763193 PECOS PAC ID: 0749283117 Enrollment ID: I20060825000027 |
| Provider Name | Patricia Rubin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942244520 PECOS PAC ID: 9638061765 Enrollment ID: I20060907000101 |
| Provider Name | Jose U Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407877244 PECOS PAC ID: 1456355296 Enrollment ID: I20060908000219 |
| Provider Name | Carol Joanne Sawmiller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043235070 PECOS PAC ID: 1951392588 Enrollment ID: I20060918000246 |
| Provider Name | Alexandra J Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497781652 PECOS PAC ID: 2365447992 Enrollment ID: I20061003000411 |
| Provider Name | Barbara Y Akoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992707913 PECOS PAC ID: 8022014190 Enrollment ID: I20061012000357 |
| Provider Name | Aderemi Basit Alli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447348982 PECOS PAC ID: 2365449535 Enrollment ID: I20061031000479 |
| Provider Name | Cynthia Ann Parziale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356438899 PECOS PAC ID: 6204833304 Enrollment ID: I20061102000544 |
| Provider Name | Michael A Elrod |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629001359 PECOS PAC ID: 3870590722 Enrollment ID: I20061107000192 |
| Provider Name | Douglas B Paul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851381362 PECOS PAC ID: 9830196708 Enrollment ID: I20061107000337 |
| Provider Name | Parminder K Modgil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528166816 PECOS PAC ID: 0446257323 Enrollment ID: I20061107000463 |
| Provider Name | Deanna M Allgeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649372855 PECOS PAC ID: 7113925983 Enrollment ID: I20061110000314 |
| Provider Name | Yalaunda M Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275638504 PECOS PAC ID: 7810995867 Enrollment ID: I20061129000376 |
| Provider Name | Stephen J Francis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366437816 PECOS PAC ID: 2264431089 Enrollment ID: I20061205000379 |
| Provider Name | Hassan Golchini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497846935 PECOS PAC ID: 0345249025 Enrollment ID: I20061206000280 |
| Provider Name | Aimee G Russell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528008679 PECOS PAC ID: 3870592462 Enrollment ID: I20061208000208 |
| Provider Name | Gary M Onady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792347 PECOS PAC ID: 1951300227 Enrollment ID: I20061214000187 |
| Provider Name | Sylvia Polenakovik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003842550 PECOS PAC ID: 5991704116 Enrollment ID: I20061215000082 |
| Provider Name | Latha Venkatesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760487979 PECOS PAC ID: 6305846502 Enrollment ID: I20070112000128 |
| Provider Name | Stuart Alan Weprin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154327088 PECOS PAC ID: 4284692914 Enrollment ID: I20070116000132 |
| Provider Name | John Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710980685 PECOS PAC ID: 7012940430 Enrollment ID: I20070117000007 |
| Provider Name | Martin P Ambrose |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558389692 PECOS PAC ID: 7517968878 Enrollment ID: I20070130000032 |
| Provider Name | M Wassef Dabbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760580815 PECOS PAC ID: 0143322644 Enrollment ID: I20070302000000 |
| Provider Name | Olena M Dutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104964584 PECOS PAC ID: 4688778061 Enrollment ID: I20070323000270 |
| Provider Name | Michele D Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407877715 PECOS PAC ID: 4284739871 Enrollment ID: I20070410000173 |
| Provider Name | Hemant Mahendra Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033130885 PECOS PAC ID: 2062319114 Enrollment ID: I20070502000147 |
| Provider Name | Sanford R Kimmel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285618777 PECOS PAC ID: 9830168632 Enrollment ID: I20070509000771 |
| Provider Name | Mariano M Iberico-sanudo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942227897 PECOS PAC ID: 0749386548 Enrollment ID: I20070510000214 |
| Provider Name | Rose M Malone-jones |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053437061 PECOS PAC ID: 9931206109 Enrollment ID: I20070523000089 |
| Provider Name | Jacqueline L Roethlisberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366561870 PECOS PAC ID: 3779680970 Enrollment ID: I20070523000338 |
| Provider Name | Nancy Jeanne Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154343747 PECOS PAC ID: 2769403807 Enrollment ID: I20070613000824 |
| Provider Name | Joel R Simmons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487861688 PECOS PAC ID: 6406955236 Enrollment ID: I20070620000196 |
| Provider Name | Carl E. Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831208768 PECOS PAC ID: 4082713631 Enrollment ID: I20070621000577 |
| Provider Name | James F Slaughenhaupt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821093774 PECOS PAC ID: 7911808589 Enrollment ID: I20070629000248 |
| Provider Name | Jonathan Cain Royalty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720021306 PECOS PAC ID: 7911957469 Enrollment ID: I20070702000199 |
| 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 | Mary Elizabeth Krebs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801912308 PECOS PAC ID: 2668563784 Enrollment ID: I20070803000321 |
| Provider Name | Michael J Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720295603 PECOS PAC ID: 8325139165 Enrollment ID: I20070808000079 |
| Provider Name | Kathleen E Fitzgerald-petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700908696 PECOS PAC ID: 1052403011 Enrollment ID: I20070822000619 |
| Provider Name | Sunila Paul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699826776 PECOS PAC ID: 2567554579 Enrollment ID: I20070822001073 |
| Provider Name | Richard H Byers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417956269 PECOS PAC ID: 9638159643 Enrollment ID: I20070824000015 |
| Provider Name | Wayne C Woodard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053310706 PECOS PAC ID: 0941280929 Enrollment ID: I20070906000010 |
| Provider Name | Santosh Khurma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114926987 PECOS PAC ID: 7113907197 Enrollment ID: I20070906000019 |
| 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 | David Ettinger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619976453 PECOS PAC ID: 1254311269 Enrollment ID: I20070912000291 |
| Provider Name | Gregory S Mangen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386856581 PECOS PAC ID: 9931293321 Enrollment ID: I20070917000036 |
| 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 | Jacob Yannetta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992873046 PECOS PAC ID: 4082709340 Enrollment ID: I20071001000773 |
| Provider Name | Emily Kimble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073703831 PECOS PAC ID: 5294823951 Enrollment ID: I20071113000546 |
| Provider Name | Douglas Gula |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326091687 PECOS PAC ID: 6901793777 Enrollment ID: I20071114000124 |
| 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 | Nadeem M Ahmed |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295795284 PECOS PAC ID: 2769463025 Enrollment ID: I20071217000462 |
| Provider Name | Mark C Bidwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801980784 PECOS PAC ID: 3577643246 Enrollment ID: I20080108000048 |
| Provider Name | Deborah L Lalich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598872509 PECOS PAC ID: 6305928797 Enrollment ID: I20080124000029 |
| Provider Name | Karl J Borsody |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1679559702 PECOS PAC ID: 2264321975 Enrollment ID: I20080125000085 |
| Provider Name | Polly S Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063609287 PECOS PAC ID: 3375625320 Enrollment ID: I20080129000682 |
| Provider Name | Letitia Thompson-hargrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376764944 PECOS PAC ID: 8628150620 Enrollment ID: I20080130000199 |
| Provider Name | Robert W Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780741058 PECOS PAC ID: 4486739752 Enrollment ID: I20080311000397 |
| Provider Name | Zakir J Khanzada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578639282 PECOS PAC ID: 5395714398 Enrollment ID: I20080311000534 |
| Provider Name | Jaleh J Eslami |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083644850 PECOS PAC ID: 2264468263 Enrollment ID: I20080312000180 |
| Provider Name | Eric J Hoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063681393 PECOS PAC ID: 3779668694 Enrollment ID: I20080317000239 |
| Provider Name | Jodi L Van Jura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023122157 PECOS PAC ID: 3870679004 Enrollment ID: I20080327000513 |
| Provider Name | Thomas Michael O'brien |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1003844366 PECOS PAC ID: 0749367530 Enrollment ID: I20080403000181 |
| Provider Name | Median Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649253113 PECOS PAC ID: 6103899646 Enrollment ID: I20080409000188 |
| Provider Name | Arshad Ali Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578583605 PECOS PAC ID: 9436154945 Enrollment ID: I20080409000290 |
| Provider Name | V Joseph Karnitis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285630137 PECOS PAC ID: 1951488139 Enrollment ID: I20080411000642 |
| Provider Name | Leah M Avera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003892399 PECOS PAC ID: 7214015122 Enrollment ID: I20080417000393 |
| Provider Name | David Bruce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083611792 PECOS PAC ID: 9234104795 Enrollment ID: I20080502000654 |
| Provider Name | Rhonda J Conley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942469424 PECOS PAC ID: 9032281720 Enrollment ID: I20080714000184 |
| Provider Name | Kavya Pontzloff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770704298 PECOS PAC ID: 3274606280 Enrollment ID: I20080724000492 |
| Provider Name | Katherine Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366424798 PECOS PAC ID: 6002980349 Enrollment ID: I20080804000554 |
| Provider Name | Jonathan M Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063670602 PECOS PAC ID: 0840364964 Enrollment ID: I20080807000006 |
| Provider Name | E. Ronald Hale |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437130796 PECOS PAC ID: 3577638675 Enrollment ID: I20080826000011 |
| Provider Name | Melissa Moncrief |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821211251 PECOS PAC ID: 5698841476 Enrollment ID: I20080902000111 |
| Provider Name | Angela M Carruth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619061371 PECOS PAC ID: 5698841070 Enrollment ID: I20080909000360 |
| Provider Name | Amy Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346433810 PECOS PAC ID: 7113093469 Enrollment ID: I20080910000305 |
| Provider Name | Carri Rae Warshak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811051824 PECOS PAC ID: 3971608365 Enrollment ID: I20080919000384 |
| Provider Name | Muna Jneidi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851374615 PECOS PAC ID: 2567428733 Enrollment ID: I20081001000271 |
| Provider Name | Minia Hellan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699851279 PECOS PAC ID: 1951301191 Enrollment ID: I20081002000203 |
| Provider Name | Kara B Markham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487863247 PECOS PAC ID: 2163581182 Enrollment ID: I20081106000030 |
| Provider Name | Emily Defranco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164635553 PECOS PAC ID: 0244339125 Enrollment ID: I20081111000871 |
| Provider Name | Michael David Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043482797 PECOS PAC ID: 1759441439 Enrollment ID: I20081125000811 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20081226000034 |
| Provider Name | Charles Horsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477546976 PECOS PAC ID: 9436212404 Enrollment ID: I20090116000580 |
| Provider Name | Kelly D Risner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285749846 PECOS PAC ID: 5799889002 Enrollment ID: I20090211000167 |
| Provider Name | Suzanne R Hardacre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164557575 PECOS PAC ID: 9537224217 Enrollment ID: I20090212000193 |
| Provider Name | Brian P Schwartz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255315453 PECOS PAC ID: 7911896824 Enrollment ID: I20090212000604 |
| Provider Name | Sirisha Gaddipati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538353412 PECOS PAC ID: 4981798014 Enrollment ID: I20090216000017 |
| Provider Name | Michael L Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114988540 PECOS PAC ID: 5092749721 Enrollment ID: I20090224000633 |
| Provider Name | Ronald Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760482178 PECOS PAC ID: 6103982236 Enrollment ID: I20090225000507 |
| Provider Name | Kirshan Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316964398 PECOS PAC ID: 7315956323 Enrollment ID: I20090323000320 |
| Provider Name | Anil Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447237334 PECOS PAC ID: 9931256559 Enrollment ID: I20090416000217 |
| 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 | Kattie Y Amegatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689709099 PECOS PAC ID: 3274682505 Enrollment ID: I20090516000002 |
| Provider Name | Karen M Buddendeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407956790 PECOS PAC ID: 4587765698 Enrollment ID: I20090520000640 |
| Provider Name | Michael J Valle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285636050 PECOS PAC ID: 1153218938 Enrollment ID: I20090521000628 |
| Provider Name | Jaclyn M Scanlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700028800 PECOS PAC ID: 4284784877 Enrollment ID: I20090602000248 |
| 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 | Dino Cono Morello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306819677 PECOS PAC ID: 0345148417 Enrollment ID: I20090713000221 |
| Provider Name | Whitney Lee Sharp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609086685 PECOS PAC ID: 5092868067 Enrollment ID: I20090810000134 |
| Provider Name | Annette E Bombrys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801977749 PECOS PAC ID: 9234284084 Enrollment ID: I20090901000191 |
| 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 | Raymond Gagliardi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790734820 PECOS PAC ID: 0244203255 Enrollment ID: I20090908000190 |
| 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 | Joseph Dudash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437256187 PECOS PAC ID: 1951447176 Enrollment ID: I20091001000384 |
| Provider Name | Steven A Santanello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316936263 PECOS PAC ID: 4082646419 Enrollment ID: I20091006000324 |
| Provider Name | Nael A Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063623767 PECOS PAC ID: 4789720731 Enrollment ID: I20091006000414 |
| Provider Name | Gurpal S Ahluwalia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740314954 PECOS PAC ID: 7113070541 Enrollment ID: I20091013000665 |
| Provider Name | Joel David Macy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225031099 PECOS PAC ID: 8628117926 Enrollment ID: I20091130000117 |
| Provider Name | Peter Muir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750384632 PECOS PAC ID: 4082647409 Enrollment ID: I20091130000133 |
| 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 | Gene Lease |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740220961 PECOS PAC ID: 5890836720 Enrollment ID: I20100113000947 |
| Provider Name | Carla C Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255536819 PECOS PAC ID: 6709928666 Enrollment ID: I20100115000430 |
| Provider Name | Jonathan E Velasco |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962477661 PECOS PAC ID: 3577606409 Enrollment ID: I20100201000489 |
| Provider Name | Damian Ivan Lebamoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831163518 PECOS PAC ID: 2062448632 Enrollment ID: I20100202000220 |
| 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 | Josephine Elrod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952306805 PECOS PAC ID: 7719888387 Enrollment ID: I20100226000136 |
| Provider Name | David Michael Zapf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518948611 PECOS PAC ID: 5890830061 Enrollment ID: I20100301000025 |
| 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 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 | Carrol H Estep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639134448 PECOS PAC ID: 3577698117 Enrollment ID: I20100322000061 |
| 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 | Raymond G Pratt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891764007 PECOS PAC ID: 7214919489 Enrollment ID: I20100331000087 |
| 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 | Gregory S Volk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780682229 PECOS PAC ID: 3173414778 Enrollment ID: I20100408000158 |
| Provider Name | Ziwar Karabatak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831172329 PECOS PAC ID: 7911948559 Enrollment ID: I20100419000177 |
| Provider Name | Robert W Kiefaber |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669456943 PECOS PAC ID: 1456302306 Enrollment ID: I20100419000201 |
| Provider Name | Peter Pavlina |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881692341 PECOS PAC ID: 3476567678 Enrollment ID: I20100420000342 |
| Provider Name | Otto Dueno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467447623 PECOS PAC ID: 1456488204 Enrollment ID: I20100427000461 |
| Provider Name | Todd Lowell Sobol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972517340 PECOS PAC ID: 0244367019 Enrollment ID: I20100427000731 |
| Provider Name | Warren Muth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568437713 PECOS PAC ID: 0749236727 Enrollment ID: I20100505000864 |
| Provider Name | Gary Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891761698 PECOS PAC ID: 4981608577 Enrollment ID: I20100505000908 |
| 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 | Trina Marie Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417273285 PECOS PAC ID: 8325177389 Enrollment ID: I20100601000281 |
| 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 | Franklin Handel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649252255 PECOS PAC ID: 0941100135 Enrollment ID: I20100615000487 |
| Provider Name | Christine A Leak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093039935 PECOS PAC ID: 9234269390 Enrollment ID: I20100616000422 |
| Provider Name | William R Dorsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649257395 PECOS PAC ID: 7810028701 Enrollment ID: I20100621000577 |
| Provider Name | James S Burkhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396735296 PECOS PAC ID: 8628048212 Enrollment ID: I20100626000021 |
| Provider Name | Phillip C Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063456747 PECOS PAC ID: 9830220805 Enrollment ID: I20100708000719 |
| Provider Name | David A Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073633442 PECOS PAC ID: 6709918444 Enrollment ID: I20100716000121 |
| Provider Name | Timothy Lee Schoonover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033111802 PECOS PAC ID: 7416844295 Enrollment ID: I20100720000695 |
| Provider Name | James D Mcnerney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740270727 PECOS PAC ID: 7719957307 Enrollment ID: I20100721000304 |
| Provider Name | Paul E Obrien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912964933 PECOS PAC ID: 5395879522 Enrollment ID: I20100810000614 |
| Provider Name | Trisha A Pachiano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386621027 PECOS PAC ID: 4981738929 Enrollment ID: I20100812001118 |
| Provider Name | John Rollo Bullmaster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356327266 PECOS PAC ID: 3577697424 Enrollment ID: I20100816000086 |
| Provider Name | Michelle R Noel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376758797 PECOS PAC ID: 0446301352 Enrollment ID: I20100816000121 |
| Provider Name | Thomas Graham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295799666 PECOS PAC ID: 1254358435 Enrollment ID: I20100817000103 |
| Provider Name | Eric James Hick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346236353 PECOS PAC ID: 9436283025 Enrollment ID: I20100818000613 |
| Provider Name | Daniel Lee Whitmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649377391 PECOS PAC ID: 6002930294 Enrollment ID: I20100825000002 |
| Provider Name | Susan E Stedje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215914247 PECOS PAC ID: 8123142247 Enrollment ID: I20100826000371 |
| Provider Name | Cathy E Liesner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104883537 PECOS PAC ID: 3678697638 Enrollment ID: I20100827000561 |
| Provider Name | Sunita Reddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326003781 PECOS PAC ID: 6305960360 Enrollment ID: I20100827000686 |
| Provider Name | James A Schmotzer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821082710 PECOS PAC ID: 1153310297 Enrollment ID: I20100830000522 |
| Provider Name | Kevin C Strait |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467465179 PECOS PAC ID: 6103941497 Enrollment ID: I20100909000872 |
| Provider Name | Gary W Bedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700803780 PECOS PAC ID: 9436274875 Enrollment ID: I20100913000200 |
| Provider Name | Nathan Lewis Beebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053331009 PECOS PAC ID: 0345365789 Enrollment ID: I20100913000227 |
| Provider Name | Ronald S Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245250273 PECOS PAC ID: 2668578048 Enrollment ID: I20100913000253 |
| Provider Name | Kelly L Mccluskey-erskine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285766261 PECOS PAC ID: 3173648334 Enrollment ID: I20100913000517 |
| Provider Name | Jennifer A Brannon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710122130 PECOS PAC ID: 0648395509 Enrollment ID: I20100915000596 |
| Provider Name | Heather Scott Pulaski |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033230354 PECOS PAC ID: 8820113798 Enrollment ID: I20100915000715 |
| Provider Name | Linda Kintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750547469 PECOS PAC ID: 8426118308 Enrollment ID: I20100921000913 |
| Provider Name | Andrew Khavari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932399482 PECOS PAC ID: 6002932522 Enrollment ID: I20100921001558 |
| Provider Name | Ruth Muriithi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124209580 PECOS PAC ID: 3274659735 Enrollment ID: I20100922000522 |
| 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 | Neetu Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1508088147 PECOS PAC ID: 2567561970 Enrollment ID: I20100928000277 |
| Provider Name | Chalana U Gunawardena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023276821 PECOS PAC ID: 0749306504 Enrollment ID: I20100929000785 |
| Provider Name | Beth Shutte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376727412 PECOS PAC ID: 4789700543 Enrollment ID: I20100929000857 |
| Provider Name | William Brent Ashcraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548267172 PECOS PAC ID: 0042299760 Enrollment ID: I20100929001369 |
| Provider Name | Miriam Emile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831209923 PECOS PAC ID: 2668577453 Enrollment ID: I20101005000739 |
| Provider Name | Faisal Mahmood Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396956371 PECOS PAC ID: 4284826538 Enrollment ID: I20101006000011 |
| Provider Name | Shannon N Mcafee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609033125 PECOS PAC ID: 5799977930 Enrollment ID: I20101006001191 |
| Provider Name | Durgarani Chadalawada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639164437 PECOS PAC ID: 3274550389 Enrollment ID: I20101008000808 |
| Provider Name | William G Alter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669639779 PECOS PAC ID: 5496947426 Enrollment ID: I20101008001135 |
| Provider Name | Parasram Ramdeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821246125 PECOS PAC ID: 5294888517 Enrollment ID: I20101012000896 |
| Provider Name | Seema Sharma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619136827 PECOS PAC ID: 1456543180 Enrollment ID: I20101013000041 |
| Provider Name | Calvert Busch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023091501 PECOS PAC ID: 4385695238 Enrollment ID: I20101020000351 |
| Provider Name | Kenneth Pohl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356312565 PECOS PAC ID: 7618162132 Enrollment ID: I20101110001014 |
| Provider Name | Augusto Martinez |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1629071337 PECOS PAC ID: 3678546686 Enrollment ID: I20101111001005 |
| Provider Name | Mark E Frazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194824672 PECOS PAC ID: 9234270620 Enrollment ID: I20101202000384 |
| Provider Name | Deepak Kumar |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154324747 PECOS PAC ID: 9638061773 Enrollment ID: I20101206000812 |
| 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 | Nirmala R Abraham |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043259971 PECOS PAC ID: 2466352042 Enrollment ID: I20110105000148 |
| Provider Name | Khadija L Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366567265 PECOS PAC ID: 9335338441 Enrollment ID: I20110105000521 |
| Provider Name | Gregory Egnaczyk |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1174513733 PECOS PAC ID: 3375648637 Enrollment ID: I20110110000167 |
| Provider Name | Ajay Reddivari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063494086 PECOS PAC ID: 1850580671 Enrollment ID: I20110110000862 |
| Provider Name | Frank J Wenzke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164404745 PECOS PAC ID: 4789873480 Enrollment ID: I20110112000112 |
| Provider Name | Rosemarie Marasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124173547 PECOS PAC ID: 0143401521 Enrollment ID: I20110217000458 |
| Provider Name | Sara A Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336443993 PECOS PAC ID: 7214118231 Enrollment ID: I20110224000269 |
| Provider Name | Megan B Arbogast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023334893 PECOS PAC ID: 7517148265 Enrollment ID: I20110301000195 |
| Provider Name | Janelle Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912058041 PECOS PAC ID: 1456532050 Enrollment ID: I20110301000911 |
| Provider Name | Girish Nagesetty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073506606 PECOS PAC ID: 5496735623 Enrollment ID: I20110302000561 |
| Provider Name | Douglas L Gaker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376545673 PECOS PAC ID: 0345422986 Enrollment ID: I20110303000384 |
| Provider Name | Craig Alan Nicholson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033223318 PECOS PAC ID: 3375517600 Enrollment ID: I20110304000414 |
| Provider Name | Jill B Vosler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639153166 PECOS PAC ID: 1456259613 Enrollment ID: I20110310000627 |
| Provider Name | David H Deutsch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942200514 PECOS PAC ID: 4183806912 Enrollment ID: I20110315000519 |
| Provider Name | Saranda D Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760789598 PECOS PAC ID: 3274715925 Enrollment ID: I20110316000893 |
| Provider Name | Petre Udrea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245232024 PECOS PAC ID: 0749463461 Enrollment ID: I20110317000589 |
| Provider Name | Joseph Conrad Lawlor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801883012 PECOS PAC ID: 5496938144 Enrollment ID: I20110317000950 |
| Provider Name | Sharon S Merryman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487656260 PECOS PAC ID: 5799968442 Enrollment ID: I20110318000081 |
| 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 | Candice Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326240193 PECOS PAC ID: 5092998617 Enrollment ID: I20110319000021 |
| Provider Name | Joseph S. Scheidler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679795041 PECOS PAC ID: 7719161173 Enrollment ID: I20110408000152 |
| Provider Name | Carey Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639162449 PECOS PAC ID: 8426080698 Enrollment ID: I20110413000838 |
| Provider Name | Vijai S Tivakaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841269271 PECOS PAC ID: 6406031475 Enrollment ID: I20110506000554 |
| Provider Name | Jason R Faber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144470014 PECOS PAC ID: 9830375526 Enrollment ID: I20110513000228 |
| Provider Name | Steven Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235128281 PECOS PAC ID: 8022045665 Enrollment ID: I20110517000304 |
| Provider Name | Manisha M Nanda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164634937 PECOS PAC ID: 9032396858 Enrollment ID: I20110603000409 |
| Provider Name | Hemapriya Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750582318 PECOS PAC ID: 2163560798 Enrollment ID: I20110610000162 |
| Provider Name | Jason Allan Rigoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962446559 PECOS PAC ID: 5597947747 Enrollment ID: I20110610000242 |
| Provider Name | Mark David Pinkerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437138328 PECOS PAC ID: 5193812980 Enrollment ID: I20110610000438 |
| Provider Name | Luis L Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740436252 PECOS PAC ID: 3577740927 Enrollment ID: I20110613000009 |
| Provider Name | Paul G Peters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689708596 PECOS PAC ID: 6800064148 Enrollment ID: I20110712000756 |
| Provider Name | Kenechi Anikwe Obetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831495266 PECOS PAC ID: 0749458800 Enrollment ID: I20110718000240 |
| Provider Name | Justin W Havemann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528232741 PECOS PAC ID: 1153599931 Enrollment ID: I20110721000596 |
| Provider Name | Sarah E Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932358694 PECOS PAC ID: 8921276676 Enrollment ID: I20110722000646 |
| Provider Name | Amanda L Cheshire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619188927 PECOS PAC ID: 8527134410 Enrollment ID: I20110802000396 |
| Provider Name | Angela Prickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982937413 PECOS PAC ID: 9830368968 Enrollment ID: I20110808000160 |
| Provider Name | Lawrence E Udom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659572527 PECOS PAC ID: 8325217300 Enrollment ID: I20110808000865 |
| Provider Name | Phillip M Porcelli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629287677 PECOS PAC ID: 4688843527 Enrollment ID: I20110809000774 |
| Provider Name | Adam A Fershko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780833244 PECOS PAC ID: 7810166394 Enrollment ID: I20110818000333 |
| Provider Name | Frank Fasano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073560447 PECOS PAC ID: 6305968785 Enrollment ID: I20110823000922 |
| Provider Name | Christina R Anslinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831310606 PECOS PAC ID: 1254501562 Enrollment ID: I20110824000318 |
| Provider Name | Tamara K Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053606152 PECOS PAC ID: 9032389366 Enrollment ID: I20110824000514 |
| Provider Name | Rebecca P Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881803872 PECOS PAC ID: 4789765033 Enrollment ID: I20110825000459 |
| Provider Name | Raja A Nawaz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083828677 PECOS PAC ID: 5395915581 Enrollment ID: I20110825000503 |
| Provider Name | Erhan Erdeger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477888139 PECOS PAC ID: 7113197880 Enrollment ID: I20110907001276 |
| Provider Name | Fahim Zaman Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245527803 PECOS PAC ID: 4981874666 Enrollment ID: I20110907001478 |
| Provider Name | Ma'n A Abdullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598766891 PECOS PAC ID: 7315914280 Enrollment ID: I20110916000205 |
| Provider Name | Tope O Ajibade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740586411 PECOS PAC ID: 5092986349 Enrollment ID: I20110919000595 |
| Provider Name | Jennifer D Malek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861659039 PECOS PAC ID: 0042481095 Enrollment ID: I20110922000508 |
| Provider Name | Liesl J Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063611853 PECOS PAC ID: 5395916266 Enrollment ID: I20110926000531 |
| Provider Name | Sarah Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942596614 PECOS PAC ID: 9133390008 Enrollment ID: I20110926000619 |
| Provider Name | Robert G Sickinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740210277 PECOS PAC ID: 9830360577 Enrollment ID: I20110929000030 |
| Provider Name | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366619280 PECOS PAC ID: 4587840210 Enrollment ID: I20111005000915 |
| Provider Name | Rajinder P Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750506457 PECOS PAC ID: 9931371200 Enrollment ID: I20111010000273 |
| Provider Name | Amy M Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831366889 PECOS PAC ID: 6800068974 Enrollment ID: I20111013000649 |
| Provider Name | Stephen Fleischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134335805 PECOS PAC ID: 4688846785 Enrollment ID: I20111014000301 |
| Provider Name | Darci Lavonne Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225294176 PECOS PAC ID: 3476727363 Enrollment ID: I20111110000247 |
| Provider Name | Mohammed M Abdelaziz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831326701 PECOS PAC ID: 6406021849 Enrollment ID: I20111213000464 |
| Provider Name | Vimal P Taneja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518114883 PECOS PAC ID: 5193992238 Enrollment ID: I20120112000839 |
| Provider Name | Stephanie D Guajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649425380 PECOS PAC ID: 9739356122 Enrollment ID: I20120126000204 |
| Provider Name | Ashlee R Ames |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962655142 PECOS PAC ID: 0547427395 Enrollment ID: I20120206000528 |
| Provider Name | Michael Boggs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417956772 PECOS PAC ID: 7911931027 Enrollment ID: I20120215000404 |
| Provider Name | Donna J Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528330446 PECOS PAC ID: 5597923532 Enrollment ID: I20120222000923 |
| Provider Name | Megan Danielle Lauvray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386916740 PECOS PAC ID: 4385803899 Enrollment ID: I20120301000827 |
| Provider Name | Gloria J Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437420452 PECOS PAC ID: 8820257348 Enrollment ID: I20120301000838 |
| Provider Name | Jody Short |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053527523 PECOS PAC ID: 5193983096 Enrollment ID: I20120306000634 |
| Provider Name | Sateesh Kesari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396910824 PECOS PAC ID: 7810937372 Enrollment ID: I20120314000665 |
| Provider Name | Dennis A. Bingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285777656 PECOS PAC ID: 8729009519 Enrollment ID: I20120326000429 |
| Provider Name | Joshua A Hamilton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871744540 PECOS PAC ID: 1658531785 Enrollment ID: I20120328000373 |
| 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 | Lisa M Hemphill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881950103 PECOS PAC ID: 5991969883 Enrollment ID: I20120605000322 |
| Provider Name | Heather D Riggs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003875535 PECOS PAC ID: 2961533526 Enrollment ID: I20120608000117 |
| Provider Name | Kathleen M O'leary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164497673 PECOS PAC ID: 1052486792 Enrollment ID: I20120618000629 |
| Provider Name | Deborah A Wise |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134340599 PECOS PAC ID: 4789849548 Enrollment ID: I20120628000130 |
| Provider Name | Akosua G Afful |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184981193 PECOS PAC ID: 6406011139 Enrollment ID: I20120703000314 |
| Provider Name | Theresa R Sheridan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225345259 PECOS PAC ID: 6305001900 Enrollment ID: I20120705000402 |
| Provider Name | Rehan J Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528262029 PECOS PAC ID: 1254596851 Enrollment ID: I20120705000454 |
| Provider Name | Krista I Migliore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215114889 PECOS PAC ID: 3476719691 Enrollment ID: I20120716000354 |
| Provider Name | Yousif Sm Shareef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922235811 PECOS PAC ID: 4789840547 Enrollment ID: I20120723000631 |
| Provider Name | Willie Travis Lawson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134114044 PECOS PAC ID: 8628965530 Enrollment ID: I20120724000385 |
| Provider Name | Pamela J Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134392798 PECOS PAC ID: 2264698877 Enrollment ID: I20120726000416 |
| Provider Name | Ivan David Ongom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502433 PECOS PAC ID: 5193981686 Enrollment ID: I20120727000580 |
| Provider Name | Jason Steven Peng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659633147 PECOS PAC ID: 4789830977 Enrollment ID: I20120802000719 |
| Provider Name | Golibe A Nwafo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588952907 PECOS PAC ID: 7214183409 Enrollment ID: I20120802000729 |
| Provider Name | Titilayo Ayodele Adewunmi Oluwabusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912293077 PECOS PAC ID: 7214183359 Enrollment ID: I20120806000758 |
| Provider Name | Kappi R Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073877676 PECOS PAC ID: 0446406185 Enrollment ID: I20120810000633 |
| Provider Name | Anantha L Rojanala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538399183 PECOS PAC ID: 1456507987 Enrollment ID: I20120815000579 |
| Provider Name | Amith Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510715 PECOS PAC ID: 7113194531 Enrollment ID: I20120815000836 |
| Provider Name | Julie M Gilkeson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558544270 PECOS PAC ID: 8921254400 Enrollment ID: I20120816000363 |
| Provider Name | Marshall C Spalding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316261100 PECOS PAC ID: 4789831678 Enrollment ID: I20120828000885 |
| Provider Name | Anna M Squibb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073740353 PECOS PAC ID: 7810144417 Enrollment ID: I20120905000254 |
| 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 | Abidemi B Akande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518281690 PECOS PAC ID: 7416106869 Enrollment ID: I20121001000045 |
| Provider Name | Rachel A Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306192968 PECOS PAC ID: 1254581739 Enrollment ID: I20121017000951 |
| Provider Name | Misty I Dickerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427296318 PECOS PAC ID: 7416107685 Enrollment ID: I20121024000360 |
| Provider Name | Aisha Violette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407066061 PECOS PAC ID: 5597807958 Enrollment ID: I20121026000162 |
| Provider Name | Camelia V Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720385479 PECOS PAC ID: 5991976573 Enrollment ID: I20121029000205 |
| Provider Name | Rosalie B Beverly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457388944 PECOS PAC ID: 3375556798 Enrollment ID: I20121110000038 |
| Provider Name | Hannah Marie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427309202 PECOS PAC ID: 4880845312 Enrollment ID: I20121110000082 |
| Provider Name | Robin G Fleet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891960829 PECOS PAC ID: 2668623943 Enrollment ID: I20121114000235 |
| Provider Name | Carol A Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144496985 PECOS PAC ID: 3678724721 Enrollment ID: I20121119000367 |
| Provider Name | Ashleigh Ramsey Alsip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528321072 PECOS PAC ID: 6204089972 Enrollment ID: I20130104000482 |
| Provider Name | Archie Enoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780683755 PECOS PAC ID: 8921076621 Enrollment ID: I20130225000346 |
| Provider Name | Amish A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083938906 PECOS PAC ID: 3870748445 Enrollment ID: I20130305000364 |
| Provider Name | Caitlin K Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194952879 PECOS PAC ID: 9133374689 Enrollment ID: I20130306000594 |
| Provider Name | Suzanne M Brooks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184971368 PECOS PAC ID: 5890930788 Enrollment ID: I20130325000485 |
| Provider Name | Jodi L Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790023208 PECOS PAC ID: 8123264520 Enrollment ID: I20130409000160 |
| Provider Name | Rachel D Brannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851565261 PECOS PAC ID: 5294971214 Enrollment ID: I20130418000140 |
| Provider Name | Matthew D Hess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407056518 PECOS PAC ID: 0345406336 Enrollment ID: I20130424000622 |
| Provider Name | Keshia Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568706307 PECOS PAC ID: 0648416339 Enrollment ID: I20130425000299 |
| Provider Name | Kristie L Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388315 PECOS PAC ID: 9739326950 Enrollment ID: I20130507000721 |
| Provider Name | Chukwuemeke O Nkadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598760845 PECOS PAC ID: 0840381281 Enrollment ID: I20130508000376 |
| Provider Name | Chelsea B Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287600 PECOS PAC ID: 6608013651 Enrollment ID: I20130510000122 |
| Provider Name | Mark R Hoeprich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073714457 PECOS PAC ID: 8224276308 Enrollment ID: I20130531000177 |
| Provider Name | Jason A Stienecker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538455720 PECOS PAC ID: 9234377276 Enrollment ID: I20130603000187 |
| Provider Name | Darrell F Ballinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285952937 PECOS PAC ID: 2668611971 Enrollment ID: I20130618000323 |
| Provider Name | Marie Nicole Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265711170 PECOS PAC ID: 7911146246 Enrollment ID: I20130618000579 |
| Provider Name | Mary Katelin Kanoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609194588 PECOS PAC ID: 3577703057 Enrollment ID: I20130703000624 |
| Provider Name | Gretchen Suarez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003117383 PECOS PAC ID: 9234379728 Enrollment ID: I20130705000003 |
| Provider Name | Heather R Masters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437384716 PECOS PAC ID: 3971744467 Enrollment ID: I20130725000624 |
| Provider Name | Paul M Levy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760639884 PECOS PAC ID: 9931348786 Enrollment ID: I20130801000863 |
| Provider Name | Kenneth L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013995323 PECOS PAC ID: 1355583592 Enrollment ID: I20130816000745 |
| Provider Name | Zion O Oshikanlu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750522694 PECOS PAC ID: 0941354989 Enrollment ID: I20130828000692 |
| Provider Name | Emily Jo Franks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295929875 PECOS PAC ID: 6800039470 Enrollment ID: I20130829000349 |
| Provider Name | Catherine Marie Gilreath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770804460 PECOS PAC ID: 6800046921 Enrollment ID: I20130905000952 |
| Provider Name | Prasanth Lingam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912160268 PECOS PAC ID: 2567615768 Enrollment ID: I20130906000413 |
| Provider Name | Melissa O'ryan Mekesa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083908602 PECOS PAC ID: 8527202449 Enrollment ID: I20130916000548 |
| Provider Name | Jorge Arzola |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205856382 PECOS PAC ID: 1951557750 Enrollment ID: I20130917000753 |
| Provider Name | Dena Grace Costa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801024310 PECOS PAC ID: 8729222450 Enrollment ID: I20130919000749 |
| Provider Name | Angelia M Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790117141 PECOS PAC ID: 0840433058 Enrollment ID: I20130925000618 |
| Provider Name | Gwendolyn Irene Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619302791 PECOS PAC ID: 3779717731 Enrollment ID: I20131004000284 |
| Provider Name | Ali T Jaffery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649489105 PECOS PAC ID: 4688809049 Enrollment ID: I20131021001510 |
| Provider Name | Kerry A Lecky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396952651 PECOS PAC ID: 5698840064 Enrollment ID: I20131025001107 |
| Provider Name | Christopher John Hasseltine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205809001 PECOS PAC ID: 5890723746 Enrollment ID: I20131025001248 |
| Provider Name | Elizabeth Ann Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750615100 PECOS PAC ID: 8224270467 Enrollment ID: I20131025001328 |
| Provider Name | James R Gebhart |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447221882 PECOS PAC ID: 1759321334 Enrollment ID: I20131028001273 |
| Provider Name | Nicklaus James Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437414851 PECOS PAC ID: 6709024565 Enrollment ID: I20131114001088 |
| Provider Name | Hollie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902121973 PECOS PAC ID: 2365678604 Enrollment ID: I20131115000663 |
| Provider Name | Brandon J Cutler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356464614 PECOS PAC ID: 6002042215 Enrollment ID: I20131118001257 |
| Provider Name | Jennifer Jenay Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376971721 PECOS PAC ID: 5698901213 Enrollment ID: I20131203001848 |
| Provider Name | Jodi K Regan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528059482 PECOS PAC ID: 8628125663 Enrollment ID: I20131210001244 |
| Provider Name | Phoebe Kitsum Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639501489 PECOS PAC ID: 3971731555 Enrollment ID: I20140103000510 |
| Provider Name | Amy L Walworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164857371 PECOS PAC ID: 3577792373 Enrollment ID: I20140127000523 |
| Provider Name | Mark W Moronell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306864608 PECOS PAC ID: 1951200765 Enrollment ID: I20140204001125 |
| Provider Name | Ryan G Mihata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760466726 PECOS PAC ID: 3274670294 Enrollment ID: I20140214001326 |
| Provider Name | Swathi Datla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013222603 PECOS PAC ID: 1951531862 Enrollment ID: I20140220000227 |
| 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 Jbara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306145990 PECOS PAC ID: 2860620465 Enrollment ID: I20140314001900 |
| Provider Name | Sammy Tabbah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205025632 PECOS PAC ID: 8527297027 Enrollment ID: I20140417001484 |
| Provider Name | Craig Steven Berg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891034708 PECOS PAC ID: 0547492878 Enrollment ID: I20140418000721 |
| Provider Name | Daniel W Nesselroade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942545470 PECOS PAC ID: 5395978530 Enrollment ID: I20140423002453 |
| Provider Name | Sarah Lynn Raines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922315217 PECOS PAC ID: 4981899218 Enrollment ID: I20140507000966 |
| Provider Name | Marcia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720408768 PECOS PAC ID: 4284867623 Enrollment ID: I20140508002235 |
| Provider Name | Wendy L Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275954679 PECOS PAC ID: 8729201389 Enrollment ID: I20140529000350 |
| 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 | Rudy Jordan Bohinc |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093006405 PECOS PAC ID: 7113156050 Enrollment ID: I20140603001804 |
| Provider Name | Richard John Gorman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235475476 PECOS PAC ID: 8729225594 Enrollment ID: I20140612001713 |
| Provider Name | Samer Mohandes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356640171 PECOS PAC ID: 8527297175 Enrollment ID: I20140613001161 |
| Provider Name | Arun Sendilnathan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013298223 PECOS PAC ID: 9133343098 Enrollment ID: I20140616000757 |
| Provider Name | Syed Omar Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981455 PECOS PAC ID: 4688678253 Enrollment ID: I20140616000961 |
| Provider Name | Leonor N Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265583785 PECOS PAC ID: 9739330465 Enrollment ID: I20140618000369 |
| Provider Name | Nicholas A Mckenzie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689931206 PECOS PAC ID: 4880845213 Enrollment ID: I20140618002224 |
| Provider Name | Archana Muraleedharan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679872410 PECOS PAC ID: 8820226087 Enrollment ID: I20140618002229 |
| Provider Name | Lindsey Michelle Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912290743 PECOS PAC ID: 5991920928 Enrollment ID: I20140708001822 |
| Provider Name | Gregory Lynn Carpenter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245473727 PECOS PAC ID: 1254556947 Enrollment ID: I20140714002371 |
| Provider Name | Erin Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599277 PECOS PAC ID: 6608093349 Enrollment ID: I20140804001941 |
| Provider Name | Lawrence O Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376820639 PECOS PAC ID: 3971720624 Enrollment ID: I20140804002305 |
| Provider Name | Josephine Randazzo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659315216 PECOS PAC ID: 6507778305 Enrollment ID: I20140807001306 |
| Provider Name | Jamie L Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598179863 PECOS PAC ID: 3577780972 Enrollment ID: I20140807002641 |
| Provider Name | Kelly Marie Nolte |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851701791 PECOS PAC ID: 1658598610 Enrollment ID: I20140814001826 |
| Provider Name | Ewa A Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710270889 PECOS PAC ID: 3971731522 Enrollment ID: I20140814002801 |
| Provider Name | Subbaraju Budharaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184915050 PECOS PAC ID: 4688891518 Enrollment ID: I20140815001969 |
| Provider Name | Aleena N Slone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215292370 PECOS PAC ID: 3870711666 Enrollment ID: I20140819002340 |
| Provider Name | Senai Negassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255604609 PECOS PAC ID: 8820216542 Enrollment ID: I20140821001470 |
| 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 | Debra S Steel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285042473 PECOS PAC ID: 0941429229 Enrollment ID: I20140918001310 |
| Provider Name | Whitney L Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164833885 PECOS PAC ID: 6305065343 Enrollment ID: I20140924000663 |
| Provider Name | Juan Camilo Rojas-gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578839304 PECOS PAC ID: 7012145618 Enrollment ID: I20141001001680 |
| Provider Name | Amit Arora |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619143799 PECOS PAC ID: 1759530215 Enrollment ID: I20141003002224 |
| Provider Name | Saurabh Basundhra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689960205 PECOS PAC ID: 7315168788 Enrollment ID: I20141028002448 |
| Provider Name | Pierre Celestin Nkurunziza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902214307 PECOS PAC ID: 1658593769 Enrollment ID: I20141105000494 |
| Provider Name | Brittany K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700285327 PECOS PAC ID: 8820210149 Enrollment ID: I20141120001428 |
| Provider Name | Janny L Kehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831462183 PECOS PAC ID: 4183846405 Enrollment ID: I20141120001471 |
| Provider Name | Edward P Clack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659629053 PECOS PAC ID: 7315186277 Enrollment ID: I20141122000327 |
| 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 | Amy Michelle Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134520315 PECOS PAC ID: 9436471919 Enrollment ID: I20141212000259 |
| Provider Name | Hillary Michael Nicole Oaks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689070104 PECOS PAC ID: 4587987227 Enrollment ID: I20150103000039 |
| Provider Name | Nancy Elizabeth Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215374038 PECOS PAC ID: 5890926737 Enrollment ID: I20150113000522 |
| Provider Name | Isha L Mcconkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952693707 PECOS PAC ID: 0547408783 Enrollment ID: I20150127001518 |
| Provider Name | Keira Beachler Urschel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831322452 PECOS PAC ID: 2264660562 Enrollment ID: I20150202001056 |
| Provider Name | Karen Elizabeth Starrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205912425 PECOS PAC ID: 2769707397 Enrollment ID: I20150202002085 |
| Provider Name | Kelly Lynn Welsh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861821332 PECOS PAC ID: 3375868722 Enrollment ID: I20150206001404 |
| Provider Name | Lee D Schwieterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275933574 PECOS PAC ID: 9830414093 Enrollment ID: I20150210000902 |
| Provider Name | Cynthia Mcmaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840548 PECOS PAC ID: 6709101439 Enrollment ID: I20150220001260 |
| Provider Name | Lori Edgington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640727 PECOS PAC ID: 3274859962 Enrollment ID: I20150223001216 |
| Provider Name | Dilip Bearelly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306929435 PECOS PAC ID: 9032211776 Enrollment ID: I20150225002517 |
| Provider Name | Lucas Heinemann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154697332 PECOS PAC ID: 9032347596 Enrollment ID: I20150304001092 |
| Provider Name | Barbara Louise Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528466075 PECOS PAC ID: 2062738198 Enrollment ID: I20150306001298 |
| Provider Name | Kimberly D Mcintyre |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1871921759 PECOS PAC ID: 0749507325 Enrollment ID: I20150318002651 |
| Provider Name | Neil Niranjan Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275735250 PECOS PAC ID: 6103012778 Enrollment ID: I20150325002148 |
| Provider Name | Beka Loraine Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326183773 PECOS PAC ID: 5991937278 Enrollment ID: I20150406001837 |
| Provider Name | Mary M Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450293 PECOS PAC ID: 1254659071 Enrollment ID: I20150407001885 |
| Provider Name | Melanie Hynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033519442 PECOS PAC ID: 9133447121 Enrollment ID: I20150423002294 |
| Provider Name | Parthiv Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932323409 PECOS PAC ID: 4981846623 Enrollment ID: I20150519002125 |
| Provider Name | Raja Muhammad Arshad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124307459 PECOS PAC ID: 1456584515 Enrollment ID: I20150529001876 |
| Provider Name | Lindsay N Wardle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801163324 PECOS PAC ID: 5294976015 Enrollment ID: I20150605002189 |
| Provider Name | Jason C Massengill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134263338 PECOS PAC ID: 3870780067 Enrollment ID: I20150609001872 |
| Provider Name | Ryan S Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962795591 PECOS PAC ID: 5890932784 Enrollment ID: I20150619000808 |
| Provider Name | Eric Adam Fine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639445125 PECOS PAC ID: 7214249416 Enrollment ID: I20150630003103 |
| Provider Name | Eseoghene Ayisire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639434145 PECOS PAC ID: 1153633243 Enrollment ID: I20150701002916 |
| Provider Name | Ugochukwu Ozumba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699033571 PECOS PAC ID: 5890007843 Enrollment ID: I20150702002146 |
| Provider Name | Amy Werts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306227244 PECOS PAC ID: 0547572265 Enrollment ID: I20150708002264 |
| Provider Name | Jessica Lynn Wobb |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356653984 PECOS PAC ID: 9133351356 Enrollment ID: I20150708002711 |
| Provider Name | Elaine M Fogle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326314238 PECOS PAC ID: 9537308036 Enrollment ID: I20150716000797 |
| Provider Name | Peter A Bouz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538326392 PECOS PAC ID: 1951528330 Enrollment ID: I20150717002143 |
| Provider Name | Kelly Alexander Wilkinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962882449 PECOS PAC ID: 5991018830 Enrollment ID: I20150721001133 |
| Provider Name | Kenneth R Foster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457616450 PECOS PAC ID: 9931412889 Enrollment ID: I20150721001605 |
| Provider Name | Brian S Jenks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669737250 PECOS PAC ID: 9931413424 Enrollment ID: I20150728004866 |
| Provider Name | Michael Stephen Guy |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174773287 PECOS PAC ID: 9335396704 Enrollment ID: I20150729007014 |
| Provider Name | Adam Thomas Brule |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356626238 PECOS PAC ID: 7113231556 Enrollment ID: I20150729010229 |
| Provider Name | Andrew D Moren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952667735 PECOS PAC ID: 1355588229 Enrollment ID: I20150729010287 |
| Provider Name | Caroline C Billingsley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1619136082 PECOS PAC ID: 9537309703 Enrollment ID: I20150731017080 |
| Provider Name | Logan T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770964157 PECOS PAC ID: 2769796549 Enrollment ID: I20150806012944 |
| Provider Name | Naila Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275898694 PECOS PAC ID: 0042432379 Enrollment ID: I20150814014799 |
| Provider Name | Baker Machhadieh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518167295 PECOS PAC ID: 8123188950 Enrollment ID: I20150824001645 |
| Provider Name | Leslee A Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851374474 PECOS PAC ID: 7315004215 Enrollment ID: I20150825004844 |
| Provider Name | Ashley M Donaldson-woolum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851788244 PECOS PAC ID: 7012223209 Enrollment ID: I20150902002520 |
| Provider Name | Megan L Mackenzie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912274994 PECOS PAC ID: 8022257054 Enrollment ID: I20150904000505 |
| Provider Name | Alexander A Botsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285021279 PECOS PAC ID: 2264748284 Enrollment ID: I20150904000830 |
| Provider Name | Lucinda J Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598131351 PECOS PAC ID: 1658688429 Enrollment ID: I20150911001513 |
| Provider Name | Mary Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518394980 PECOS PAC ID: 7214244540 Enrollment ID: I20150917002625 |
| Provider Name | Macie Elizabeth Roetting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477934594 PECOS PAC ID: 7315254323 Enrollment ID: I20150923000798 |
| Provider Name | Kathryn M Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194068361 PECOS PAC ID: 2769610146 Enrollment ID: I20150924003132 |
| Provider Name | Don Mascarenhas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679776157 PECOS PAC ID: 9335237965 Enrollment ID: I20150929001671 |
| Provider Name | Niranshiny Rahunanthan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477813392 PECOS PAC ID: 7719295401 Enrollment ID: I20150929003069 |
| Provider Name | Richard A Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586680 PECOS PAC ID: 9335457589 Enrollment ID: I20151007002878 |
| Provider Name | Pardha Saradhi Saradhi Vishnumolakala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114213113 PECOS PAC ID: 8527207364 Enrollment ID: I20151008002981 |
| Provider Name | Angelique Winston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639547557 PECOS PAC ID: 5698084457 Enrollment ID: I20151016001368 |
| Provider Name | Jane Elizabeth Skipper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558746917 PECOS PAC ID: 5698084291 Enrollment ID: I20151022000517 |
| 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 | Beth A Sander -thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861869240 PECOS PAC ID: 6204136237 Enrollment ID: I20151124001400 |
| Provider Name | Alex Hisao Bunce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801201348 PECOS PAC ID: 6901129402 Enrollment ID: I20151130001920 |
| Provider Name | Rebecca M Tuttle |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1568674554 PECOS PAC ID: 0840432225 Enrollment ID: I20151202001754 |
| Provider Name | Chandra M Palla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992084727 PECOS PAC ID: 0244452340 Enrollment ID: I20151202002685 |
| 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 | Daniel C Opris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740547983 PECOS PAC ID: 4688819063 Enrollment ID: I20151209001357 |
| Provider Name | Dawn Macke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336512672 PECOS PAC ID: 9234430406 Enrollment ID: I20151211000829 |
| Provider Name | Ashley K Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619373545 PECOS PAC ID: 6002117025 Enrollment ID: I20151216002902 |
| Provider Name | Derek M Sorensen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447416896 PECOS PAC ID: 4981742392 Enrollment ID: I20151223000763 |
| Provider Name | James Tan Dunlap |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457577702 PECOS PAC ID: 7113111774 Enrollment ID: I20160114000565 |
| Provider Name | Austin D Findley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912039306 PECOS PAC ID: 6800067943 Enrollment ID: I20160114000920 |
| Provider Name | Emily Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710350400 PECOS PAC ID: 6305149360 Enrollment ID: I20160125002695 |
| Provider Name | Erica L Ertel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013381037 PECOS PAC ID: 9032412929 Enrollment ID: I20160127001312 |
| Provider Name | Dalia Wenckus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992915623 PECOS PAC ID: 8921124058 Enrollment ID: I20160204002269 |
| Provider Name | Alyssa J Gans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962638080 PECOS PAC ID: 0345478624 Enrollment ID: I20160209002028 |
| Provider Name | Lauren Elizabeth Sillaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083107 PECOS PAC ID: 7517262736 Enrollment ID: I20160226000222 |
| Provider Name | Andrew D Galusha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265753487 PECOS PAC ID: 0840507786 Enrollment ID: I20160226001169 |
| Provider Name | Lashauna Dene Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083073696 PECOS PAC ID: 1153628037 Enrollment ID: I20160318002231 |
| Provider Name | Paula K Reams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841658739 PECOS PAC ID: 2961709886 Enrollment ID: I20160321001339 |
| Provider Name | Emily J Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093176539 PECOS PAC ID: 9032416292 Enrollment ID: I20160401001846 |
| Provider Name | Melissa D Alcazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528429750 PECOS PAC ID: 9537468269 Enrollment ID: I20160503000091 |
| Provider Name | Kristie Michelle Farkash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407219439 PECOS PAC ID: 9537458823 Enrollment ID: I20160509002393 |
| Provider Name | Justin Ross Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235339870 PECOS PAC ID: 5890955041 Enrollment ID: I20160512000103 |
| Provider Name | Nichole Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619342680 PECOS PAC ID: 5799082863 Enrollment ID: I20160518001238 |
| Provider Name | Ravi Yogeshkumar Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629399035 PECOS PAC ID: 7315195435 Enrollment ID: I20160518001503 |
| Provider Name | Ahmed N Hadid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205268505 PECOS PAC ID: 5799074258 Enrollment ID: I20160523002093 |
| Provider Name | Miguel Mauricio Gaeta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336306141 PECOS PAC ID: 7012063894 Enrollment ID: I20160527001826 |
| Provider Name | Haseeb Jafri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801091541 PECOS PAC ID: 5395879399 Enrollment ID: I20160608002578 |
| Provider Name | Daniel B Verrill |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1447543525 PECOS PAC ID: 6204063159 Enrollment ID: I20160614000468 |
| Provider Name | Michael Ryan Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720320211 PECOS PAC ID: 2264666197 Enrollment ID: I20160615002342 |
| Provider Name | Miriam Atira Harewood-makola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558603746 PECOS PAC ID: 2264666239 Enrollment ID: I20160615002406 |
| Provider Name | Ryan S Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720478548 PECOS PAC ID: 2365768017 Enrollment ID: I20160620001642 |
| Provider Name | Ryan M Grote |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578834255 PECOS PAC ID: 2567600471 Enrollment ID: I20160621002902 |
| Provider Name | Christa Marie Siebenburgen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114247251 PECOS PAC ID: 9234358623 Enrollment ID: I20160622000162 |
| Provider Name | Misty M Mokrycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962786731 PECOS PAC ID: 4981834751 Enrollment ID: I20160627001563 |
| Provider Name | Marie C Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053761627 PECOS PAC ID: 4981995586 Enrollment ID: I20160628002070 |
| Provider Name | Nathaniel J Dittoe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720106685 PECOS PAC ID: 7719087246 Enrollment ID: I20160630000350 |
| Provider Name | Kathleen Jean Oxner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649512138 PECOS PAC ID: 1557595436 Enrollment ID: I20160706002038 |
| Provider Name | Chelsea A Nickolson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033557764 PECOS PAC ID: 5395974430 Enrollment ID: I20160727002846 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104169697 PECOS PAC ID: 5597993949 Enrollment ID: I20160802000624 |
| Provider Name | Bhumit A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114269222 PECOS PAC ID: 7517106362 Enrollment ID: I20160802002410 |
| Provider Name | Elizabeth Mackenzie Dulaney-cripe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063740355 PECOS PAC ID: 7214165885 Enrollment ID: I20160803000083 |
| Provider Name | Joia Lynn Henson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073756581 PECOS PAC ID: 9234423757 Enrollment ID: I20160805002172 |
| Provider Name | Zachary D Denka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972946242 PECOS PAC ID: 6305130766 Enrollment ID: I20160808001070 |
| Provider Name | Ihab O Elhassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043415755 PECOS PAC ID: 2062647407 Enrollment ID: I20160809002261 |
| 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 | Zaynab Zarrabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275972184 PECOS PAC ID: 5890016943 Enrollment ID: I20160906000913 |
| Provider Name | Sean M Niederst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724235 PECOS PAC ID: 7012203714 Enrollment ID: I20160906002702 |
| Provider Name | Jeremy L Chapman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013341098 PECOS PAC ID: 1153627989 Enrollment ID: I20160909001624 |
| Provider Name | Ragavan Narayanan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205147030 PECOS PAC ID: 3870899305 Enrollment ID: I20160912002496 |
| Provider Name | Hind N Moussa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639361595 PECOS PAC ID: 0345317418 Enrollment ID: I20160915002289 |
| Provider Name | Angela Michelle Quatman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831416866 PECOS PAC ID: 3476840489 Enrollment ID: I20160919002310 |
| Provider Name | Saiyid-naufal Zaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790122307 PECOS PAC ID: 5092038760 Enrollment ID: I20160923001572 |
| Provider Name | Kamal R Woods |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871706473 PECOS PAC ID: 9335310457 Enrollment ID: I20160927000578 |
| Provider Name | Michelle Aimee Caesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750509642 PECOS PAC ID: 2466749916 Enrollment ID: I20160927000877 |
| 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 | Angela Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740739051 PECOS PAC ID: 0345528113 Enrollment ID: I20161028001628 |
| Provider Name | Katherine A Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821432139 PECOS PAC ID: 8628210192 Enrollment ID: I20161102000727 |
| Provider Name | Soumya R Neravetla |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558511865 PECOS PAC ID: 6002082260 Enrollment ID: I20161107002516 |
| Provider Name | Robert Rossi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831451848 PECOS PAC ID: 0749584985 Enrollment ID: I20161107002646 |
| Provider Name | Kendra Vonderembse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058083 PECOS PAC ID: 0446539761 Enrollment ID: I20161109001202 |
| Provider Name | Meta Lisa Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750836565 PECOS PAC ID: 3971882119 Enrollment ID: I20161111000377 |
| Provider Name | Jennifer E Sundstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528420650 PECOS PAC ID: 2264711415 Enrollment ID: I20161111000670 |
| Provider Name | Nicole Christine Boucuvalas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851843668 PECOS PAC ID: 6305125121 Enrollment ID: I20161118002139 |
| Provider Name | Jennifer Otto Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689060824 PECOS PAC ID: 3375822018 Enrollment ID: I20161121000126 |
| Provider Name | Elizabeth J Rammel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932658150 PECOS PAC ID: 7618256280 Enrollment ID: I20161123000181 |
| Provider Name | David N Mckinney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841519790 PECOS PAC ID: 6002196573 Enrollment ID: I20161130000357 |
| Provider Name | Zina Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891913000 PECOS PAC ID: 3678853082 Enrollment ID: I20161130002382 |
| Provider Name | Jonathan Hutcheson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144500554 PECOS PAC ID: 4587893516 Enrollment ID: I20161228001116 |
| Provider Name | James E Cantrell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952320921 PECOS PAC ID: 0345144549 Enrollment ID: I20170103000027 |
| Provider Name | Mohammed O Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144532409 PECOS PAC ID: 0749581312 Enrollment ID: I20170110002039 |
| 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 | Amanda Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891238473 PECOS PAC ID: 6305128687 Enrollment ID: I20170120002499 |
| Provider Name | Ashantice K Higgins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558540674 PECOS PAC ID: 4183850902 Enrollment ID: I20170202002498 |
| Provider Name | Nicole Jean Rodriguez-borasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952848335 PECOS PAC ID: 9537442561 Enrollment ID: I20170216001667 |
| 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 | Carlos J Gallego |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417161977 PECOS PAC ID: 1153446000 Enrollment ID: I20170307001405 |
| Provider Name | Kimberly Ann Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810737 PECOS PAC ID: 1456247402 Enrollment ID: I20170309001469 |
| Provider Name | Seerin Viviane Shatavi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952544561 PECOS PAC ID: 4587853734 Enrollment ID: I20170316002057 |
| Provider Name | Kyle Lynn Ott |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093151060 PECOS PAC ID: 7517195274 Enrollment ID: I20170322002502 |
| Provider Name | Johnnie Jeanette Dillinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235371899 PECOS PAC ID: 4486939956 Enrollment ID: I20170323002380 |
| Provider Name | Teresa Siefke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699453 PECOS PAC ID: 8921384645 Enrollment ID: I20170412001845 |
| Provider Name | Jon P Durrani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932495157 PECOS PAC ID: 0941448955 Enrollment ID: I20170418001800 |
| Provider Name | Megan Louise Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364884 PECOS PAC ID: 4284911157 Enrollment ID: I20170502000532 |
| Provider Name | Aqueel Pabaney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275763591 PECOS PAC ID: 7416189014 Enrollment ID: I20170504001017 |
| Provider Name | Nicholas R Bellanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063831618 PECOS PAC ID: 3274855572 Enrollment ID: I20170510002493 |
| Provider Name | Angela A Adams-harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093071144 PECOS PAC ID: 7618254020 Enrollment ID: I20170511000965 |
| Provider Name | Sarah J Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144770454 PECOS PAC ID: 3375820640 Enrollment ID: I20170516000634 |
| Provider Name | Stefanie Kristine Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053758441 PECOS PAC ID: 2062789035 Enrollment ID: I20170522002834 |
| Provider Name | Kenneth D Pugar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174961874 PECOS PAC ID: 9234368333 Enrollment ID: I20170526001569 |
| Provider Name | Justin D Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730595141 PECOS PAC ID: 3173847266 Enrollment ID: I20170602001742 |
| Provider Name | James William Augusta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972858421 PECOS PAC ID: 7012155724 Enrollment ID: I20170608002445 |
| 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 | Anthony Joseph Paravati |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902169956 PECOS PAC ID: 8527336189 Enrollment ID: I20170622002465 |
| Provider Name | Matthew Lee Knecht |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942569041 PECOS PAC ID: 8325316904 Enrollment ID: I20170622003007 |
| Provider Name | Jennifer Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124448543 PECOS PAC ID: 9133448913 Enrollment ID: I20170626002580 |
| Provider Name | Nonso Andrew Ezema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588075626 PECOS PAC ID: 9537438080 Enrollment ID: I20170627001884 |
| Provider Name | Annette K Hawthorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629517727 PECOS PAC ID: 3173892528 Enrollment ID: I20170628003257 |
| Provider Name | Marjorie Georgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609396704 PECOS PAC ID: 3577832757 Enrollment ID: I20170630002106 |
| Provider Name | Abayomi Ogunderu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346656741 PECOS PAC ID: 5991074080 Enrollment ID: I20170705002306 |
| Provider Name | Christine Nichole Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649700196 PECOS PAC ID: 9335418268 Enrollment ID: I20170707001662 |
| Provider Name | Thomas R Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235557331 PECOS PAC ID: 5698997930 Enrollment ID: I20170711002899 |
| Provider Name | Scott Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548797608 PECOS PAC ID: 9032489638 Enrollment ID: I20170713003302 |
| Provider Name | William Casmir Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962812974 PECOS PAC ID: 8325260474 Enrollment ID: I20170719002182 |
| Provider Name | Daniel J Pearson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962708552 PECOS PAC ID: 9931344983 Enrollment ID: I20170720002815 |
| 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 | Samson E Alliu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326465683 PECOS PAC ID: 6305117532 Enrollment ID: I20170807003028 |
| Provider Name | Okechukwu Ebiem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376959544 PECOS PAC ID: 1254602311 Enrollment ID: I20170808001123 |
| Provider Name | Rachel W Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639609837 PECOS PAC ID: 6709157878 Enrollment ID: I20170808001596 |
| Provider Name | Raeanne Fondriest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194105692 PECOS PAC ID: 6800167842 Enrollment ID: I20170809001192 |
| Provider Name | Donald Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043615420 PECOS PAC ID: 2961794029 Enrollment ID: I20170809001323 |
| Provider Name | Sravya Chirumamilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851630347 PECOS PAC ID: 4688969355 Enrollment ID: I20170815002298 |
| Provider Name | Paul Evens Gregoire Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578974556 PECOS PAC ID: 3971814658 Enrollment ID: I20170815004393 |
| Provider Name | Constance Vann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780113381 PECOS PAC ID: 1951673474 Enrollment ID: I20170817004026 |
| Provider Name | Whitney J Crye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023456977 PECOS PAC ID: 8921238197 Enrollment ID: I20170817004359 |
| Provider Name | Vernesha Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902048234 PECOS PAC ID: 8729235890 Enrollment ID: I20170818002363 |
| Provider Name | Eric Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093243420 PECOS PAC ID: 6800168162 Enrollment ID: I20170821002955 |
| Provider Name | Amanda R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740010 PECOS PAC ID: 6103199062 Enrollment ID: I20170829002453 |
| Provider Name | Chika Amuche Ezigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952666257 PECOS PAC ID: 2961620737 Enrollment ID: I20170829003639 |
| Provider Name | Tracie Shoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720300924 PECOS PAC ID: 2668745373 Enrollment ID: I20170831000909 |
| Provider Name | Dallas Hansen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720214935 PECOS PAC ID: 2860620168 Enrollment ID: I20170913003936 |
| Provider Name | Erin Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902225741 PECOS PAC ID: 6002138393 Enrollment ID: I20170914000252 |
| Provider Name | Heena P Santry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144428160 PECOS PAC ID: 5294836706 Enrollment ID: I20170915002825 |
| Provider Name | Rebecca Yeager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447677638 PECOS PAC ID: 6507130176 Enrollment ID: I20170920001652 |
| Provider Name | Ifeoma Ekeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841631884 PECOS PAC ID: 5698063949 Enrollment ID: I20170921003170 |
| Provider Name | Beverly Jane Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134647522 PECOS PAC ID: 9234403734 Enrollment ID: I20170921003841 |
| Provider Name | Stacy Lynn Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285948737 PECOS PAC ID: 8628340528 Enrollment ID: I20170927003739 |
| Provider Name | Leroy Odom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144274234 PECOS PAC ID: 0345285359 Enrollment ID: I20170927004050 |
| Provider Name | Elizabeth Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407373392 PECOS PAC ID: 0547536526 Enrollment ID: I20171018001892 |
| Provider Name | Shashank Sarvepalli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124445002 PECOS PAC ID: 7618243445 Enrollment ID: I20171024001068 |
| Provider Name | James Robbins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053606459 PECOS PAC ID: 2264658491 Enrollment ID: I20171026002845 |
| Provider Name | Michelle Denise Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164931929 PECOS PAC ID: 7810263340 Enrollment ID: I20171026003514 |
| Provider Name | Glen Papaioannou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275744542 PECOS PAC ID: 8628145661 Enrollment ID: I20171030000526 |
| Provider Name | Luke D Menner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487071957 PECOS PAC ID: 1759500200 Enrollment ID: I20171109001484 |
| Provider Name | Brian Viet Dinh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427444561 PECOS PAC ID: 7416261201 Enrollment ID: I20171110000334 |
| Provider Name | Lucy Xayathone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264881 PECOS PAC ID: 6002172756 Enrollment ID: I20171113001762 |
| Provider Name | Thomas A Koroscil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588058408 PECOS PAC ID: 1951615749 Enrollment ID: I20171114002634 |
| Provider Name | Glenn R Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588950539 PECOS PAC ID: 4789940222 Enrollment ID: I20171115003701 |
| Provider Name | Robert M Ore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326213794 PECOS PAC ID: 7911144100 Enrollment ID: I20171117002483 |
| 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 | Charles William Oberer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477870178 PECOS PAC ID: 2668601337 Enrollment ID: I20171130001362 |
| 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 | Ciera Sears |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346636313 PECOS PAC ID: 0042524886 Enrollment ID: I20180126001717 |
| Provider Name | Heather M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184125536 PECOS PAC ID: 2668733619 Enrollment ID: I20180307002686 |
| Provider Name | Bradley David Boothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275032914 PECOS PAC ID: 2264793223 Enrollment ID: I20180308000449 |
| Provider Name | Sarah-jane E. Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457754236 PECOS PAC ID: 5395063549 Enrollment ID: I20180313001837 |
| Provider Name | David R Geottman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487078887 PECOS PAC ID: 5890914246 Enrollment ID: I20180314000674 |
| Provider Name | Angela Marie Keeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770099889 PECOS PAC ID: 2365704129 Enrollment ID: I20180315001398 |
| Provider Name | Daniel Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700386125 PECOS PAC ID: 6608138474 Enrollment ID: I20180315001544 |
| Provider Name | Leslee Mcelrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952747396 PECOS PAC ID: 5799913463 Enrollment ID: I20180321001428 |
| Provider Name | Krista A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093215089 PECOS PAC ID: 6709773658 Enrollment ID: I20180321002556 |
| Provider Name | Mompoloki B Nkhumane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144553553 PECOS PAC ID: 5698923282 Enrollment ID: I20180322002417 |
| Provider Name | Angela Marie Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568962355 PECOS PAC ID: 6800158015 Enrollment ID: I20180328002864 |
| Provider Name | Kimberly Butana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619478989 PECOS PAC ID: 6608138771 Enrollment ID: I20180329002523 |
| Provider Name | Marcus P Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629571880 PECOS PAC ID: 7113280009 Enrollment ID: I20180405001632 |
| Provider Name | Erik L. Robinette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700306230 PECOS PAC ID: 4486917309 Enrollment ID: I20180405002770 |
| 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 | Wendy Lynn Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962904144 PECOS PAC ID: 2961765433 Enrollment ID: I20180416000406 |
| Provider Name | Danyell Margioras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114253374 PECOS PAC ID: 3072876457 Enrollment ID: I20180417002678 |
| Provider Name | Akil P. Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013228410 PECOS PAC ID: 4385941137 Enrollment ID: I20180423001762 |
| Provider Name | Sarah Lynn Thoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061675 PECOS PAC ID: 8123383775 Enrollment ID: I20180531001393 |
| Provider Name | Kimberly Ann Ekrem Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407343999 PECOS PAC ID: 2365707940 Enrollment ID: I20180531002868 |
| Provider Name | Benjamin T Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841679107 PECOS PAC ID: 7517270994 Enrollment ID: I20180601001486 |
| Provider Name | Drew W Dula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386050821 PECOS PAC ID: 7911220512 Enrollment ID: I20180612001109 |
| Provider Name | Andrew C Gantzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578959722 PECOS PAC ID: 9537468897 Enrollment ID: I20180615001516 |
| Provider Name | Robert Jonathon Fresch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497161947 PECOS PAC ID: 3870819501 Enrollment ID: I20180619001584 |
| Provider Name | Nicholas S Hirth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194112706 PECOS PAC ID: 6204141914 Enrollment ID: I20180621000593 |
| Provider Name | Jonathan Edward Silverman |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1992047492 PECOS PAC ID: 9931333762 Enrollment ID: I20180625001424 |
| Provider Name | Keith R Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487044608 PECOS PAC ID: 2062727373 Enrollment ID: I20180625001653 |
| Provider Name | Eva Marie Linkenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134611684 PECOS PAC ID: 1759636103 Enrollment ID: I20180626002050 |
| Provider Name | Farhan Rafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912387069 PECOS PAC ID: 6406159102 Enrollment ID: I20180626003828 |
| Provider Name | Thomas Alan Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063911352 PECOS PAC ID: 2860748217 Enrollment ID: I20180627002871 |
| Provider Name | Alyssa Lynn Bonta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215227004 PECOS PAC ID: 5294963872 Enrollment ID: I20180627003651 |
| Provider Name | Erin Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477084473 PECOS PAC ID: 9032465406 Enrollment ID: I20180627003863 |
| Provider Name | Erica Rene Mathieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629465216 PECOS PAC ID: 2365751765 Enrollment ID: I20180628003297 |
| 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 | Patrick Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265859243 PECOS PAC ID: 5799907838 Enrollment ID: I20180712001945 |
| Provider Name | Jennifer Marie Shears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265944219 PECOS PAC ID: 2668729179 Enrollment ID: I20180716000440 |
| Provider Name | Rachel Lynn Hunter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851379309 PECOS PAC ID: 9234201799 Enrollment ID: I20180718003811 |
| Provider Name | Jordan David Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518305945 PECOS PAC ID: 3072742113 Enrollment ID: I20180719003581 |
| Provider Name | Amit Bansal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356736433 PECOS PAC ID: 6709190580 Enrollment ID: I20180724002439 |
| Provider Name | Whitney Nicole Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033605431 PECOS PAC ID: 5193072908 Enrollment ID: I20180725002674 |
| Provider Name | Anna Parizh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699170233 PECOS PAC ID: 6305131392 Enrollment ID: I20180731001849 |
| Provider Name | Shamsuddin Chowdhry Pracha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104872779 PECOS PAC ID: 3779525936 Enrollment ID: I20180731004199 |
| Provider Name | Julie E Garvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437644101 PECOS PAC ID: 9133477482 Enrollment ID: I20180802003824 |
| Provider Name | Andrea Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376039388 PECOS PAC ID: 4587912753 Enrollment ID: I20180803001075 |
| Provider Name | Erin C Radominski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659865103 PECOS PAC ID: 1951659796 Enrollment ID: I20180809005907 |
| Provider Name | Mohamed Altattan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477932093 PECOS PAC ID: 6608183223 Enrollment ID: I20180814003276 |
| Provider Name | Immaculate W Foy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841644069 PECOS PAC ID: 8224320429 Enrollment ID: I20180821002160 |
| Provider Name | Erica Renee Pivato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427443480 PECOS PAC ID: 1951601434 Enrollment ID: I20180828004315 |
| Provider Name | Kristen Lea Caldwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114333531 PECOS PAC ID: 3072863844 Enrollment ID: I20180829002795 |
| Provider Name | David Alan Hadley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225223043 PECOS PAC ID: 0446382865 Enrollment ID: I20180829004467 |
| Provider Name | Blake Thomas Daney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023376845 PECOS PAC ID: 4688813785 Enrollment ID: I20180905003289 |
| Provider Name | Christin Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932449543 PECOS PAC ID: 5597024331 Enrollment ID: I20180905003776 |
| Provider Name | Kristie Jimenez Blake |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871030262 PECOS PAC ID: 8527345636 Enrollment ID: I20180913001788 |
| 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 | Lisa N Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649761305 PECOS PAC ID: 4688925423 Enrollment ID: I20180918003101 |
| Provider Name | Douglas Matthew Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568803310 PECOS PAC ID: 8729282934 Enrollment ID: I20180924000469 |
| Provider Name | Lauren Danielle Sivley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821576414 PECOS PAC ID: 5890046213 Enrollment ID: I20180925001800 |
| Provider Name | Beverly Jean Alten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669415402 PECOS PAC ID: 9436116688 Enrollment ID: I20180925003099 |
| Provider Name | Tamu Binti Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780162172 PECOS PAC ID: 7719238930 Enrollment ID: I20180926002183 |
| Provider Name | Brian Scott Sprang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821595059 PECOS PAC ID: 6103178140 Enrollment ID: I20181002003632 |
| Provider Name | Madhavi Inturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225515216 PECOS PAC ID: 8921350836 Enrollment ID: I20181003003262 |
| 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 | Catherine Jean Blasser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285991703 PECOS PAC ID: 6507001559 Enrollment ID: I20181009002049 |
| Provider Name | Lizabeth A Darrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396187068 PECOS PAC ID: 8921350026 Enrollment ID: I20181017001648 |
| Provider Name | Krysta Mychal Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346728730 PECOS PAC ID: 6406109511 Enrollment ID: I20181018002725 |
| Provider Name | Nada Adel Lygrisse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871919134 PECOS PAC ID: 5496973448 Enrollment ID: I20181019002754 |
| Provider Name | Venkata Chaithanya Kumar Sunkesula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730560160 PECOS PAC ID: 1456643501 Enrollment ID: I20181022002804 |
| Provider Name | Johnna K Kern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922415553 PECOS PAC ID: 6901120989 Enrollment ID: I20181026000208 |
| Provider Name | Rebecca Anne Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225793 PECOS PAC ID: 5193078780 Enrollment ID: I20181029002368 |
| Provider Name | Stephanie Maus Ruddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154676542 PECOS PAC ID: 5597903328 Enrollment ID: I20181030001688 |
| Provider Name | Megan Lee Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346720836 PECOS PAC ID: 4587917836 Enrollment ID: I20181102001256 |
| Provider Name | Harish Raj Raj Seetha Rammohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497082697 PECOS PAC ID: 6103136841 Enrollment ID: I20181113000549 |
| Provider Name | Charles Joseph Uhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235632589 PECOS PAC ID: 7012261571 Enrollment ID: I20181119003437 |
| Provider Name | Jamie L Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023592912 PECOS PAC ID: 8820342181 Enrollment ID: I20181126003729 |
| Provider Name | Mary Elizabeth Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966287 PECOS PAC ID: 4486999497 Enrollment ID: I20181219003042 |
| Provider Name | Angela J Sweat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983179 PECOS PAC ID: 4082959515 Enrollment ID: I20190102002005 |
| Provider Name | Laura A Busteed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134695000 PECOS PAC ID: 1456697176 Enrollment ID: I20190116002133 |
| Provider Name | Jane Ashley Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952870594 PECOS PAC ID: 9638415276 Enrollment ID: I20190117003804 |
| Provider Name | Brittany Lane Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356819338 PECOS PAC ID: 6901143833 Enrollment ID: I20190130000801 |
| Provider Name | Lauren Aleice Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891266441 PECOS PAC ID: 7113264987 Enrollment ID: I20190201000333 |
| Provider Name | Lauren B Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649741075 PECOS PAC ID: 4789922840 Enrollment ID: I20190214002449 |
| 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 | Stacy Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275029928 PECOS PAC ID: 0042559825 Enrollment ID: I20190222002297 |
| Provider Name | Melissa Ann Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477047751 PECOS PAC ID: 4284973744 Enrollment ID: I20190227001347 |
| Provider Name | Robin Michelle Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972076735 PECOS PAC ID: 6103165295 Enrollment ID: I20190307001851 |
| Provider Name | Kathleen Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538683727 PECOS PAC ID: 2668711615 Enrollment ID: I20190308001297 |
| Provider Name | Rajiva Ranjan Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023597143 PECOS PAC ID: 4789923731 Enrollment ID: I20190308001620 |
| Provider Name | Erin Rae Perilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164988945 PECOS PAC ID: 5991045304 Enrollment ID: I20190321002589 |
| Provider Name | Laura A Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104262443 PECOS PAC ID: 9133469265 Enrollment ID: I20190327001153 |
| Provider Name | Elizabeth Ashley Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891252987 PECOS PAC ID: 5193066637 Enrollment ID: I20190409003377 |
| Provider Name | Alyssa Rose Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831656891 PECOS PAC ID: 0749521102 Enrollment ID: I20190411001682 |
| 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 | Asia Laroyce Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972060424 PECOS PAC ID: 7113269515 Enrollment ID: I20190506001340 |
| Provider Name | Michael Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275075152 PECOS PAC ID: 1153663489 Enrollment ID: I20190507000177 |
| Provider Name | Nadia Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659733939 PECOS PAC ID: 0345533865 Enrollment ID: I20190515002158 |
| Provider Name | Theresa M Topp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609314566 PECOS PAC ID: 1557634599 Enrollment ID: I20190530003107 |
| Provider Name | Satish Boddhula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376927558 PECOS PAC ID: 0648570457 Enrollment ID: I20190604001458 |
| Provider Name | Sujit Muthukuru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679925689 PECOS PAC ID: 1557659497 Enrollment ID: I20190606001895 |
| Provider Name | Brandie Lyn Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740768340 PECOS PAC ID: 4587997101 Enrollment ID: I20190612003075 |
| Provider Name | Erica Jane Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912415068 PECOS PAC ID: 0840523460 Enrollment ID: I20190612003108 |
| Provider Name | Richard Price Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093920514 PECOS PAC ID: 9335320951 Enrollment ID: I20190612004019 |
| Provider Name | Sukhchain Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639481393 PECOS PAC ID: 0547424798 Enrollment ID: I20190614001653 |
| Provider Name | Jared K Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255659579 PECOS PAC ID: 7416281811 Enrollment ID: I20190618002754 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20190625003653 |
| Provider Name | Benjamin Allen Bale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932562899 PECOS PAC ID: 3678832490 Enrollment ID: I20190627002779 |
| Provider Name | Angela Renee' Paugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518524065 PECOS PAC ID: 6103151022 Enrollment ID: I20190716000437 |
| Provider Name | Jessica Lynn Ullery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063071520 PECOS PAC ID: 9133454903 Enrollment ID: I20190716002761 |
| Provider Name | Kimberly K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059305 PECOS PAC ID: 1850626516 Enrollment ID: I20190717002377 |
| Provider Name | Heather Mae Schappacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720647688 PECOS PAC ID: 5294061503 Enrollment ID: I20190724002780 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20190805001149 |
| Provider Name | Daniel Thomas Pucheril |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215298104 PECOS PAC ID: 2264664168 Enrollment ID: I20190807002273 |
| Provider Name | Brendan Anthony Korpanty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871848309 PECOS PAC ID: 2961649819 Enrollment ID: I20190812002955 |
| Provider Name | Christopher Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197891 PECOS PAC ID: 7214206655 Enrollment ID: I20190813000977 |
| Provider Name | Matar G. Matar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700231552 PECOS PAC ID: 3476821505 Enrollment ID: I20190817000153 |
| Provider Name | Allison Christine Fralick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568855112 PECOS PAC ID: 0042548588 Enrollment ID: I20190822000860 |
| Provider Name | Tatyana A Pankratova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013216324 PECOS PAC ID: 9931341864 Enrollment ID: I20190823000873 |
| Provider Name | Michael M Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861819195 PECOS PAC ID: 6204158512 Enrollment ID: I20190824000284 |
| Provider Name | Zeljka Chobanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619937158 PECOS PAC ID: 4183630130 Enrollment ID: I20190826000457 |
| Provider Name | Jacqueline Delaine Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285293142 PECOS PAC ID: 4284962432 Enrollment ID: I20190826001915 |
| Provider Name | Austin J Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346604774 PECOS PAC ID: 1951693969 Enrollment ID: I20190828004105 |
| Provider Name | Kristi Lee Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265893895 PECOS PAC ID: 4880985993 Enrollment ID: I20190830001919 |
| 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 | Jason Edward Leffew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342085 PECOS PAC ID: 4587993555 Enrollment ID: I20190917002070 |
| Provider Name | Kristopher Daniel Marin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528472263 PECOS PAC ID: 7618298639 Enrollment ID: I20190917002707 |
| Provider Name | Rujin Ju |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619287570 PECOS PAC ID: 5890963490 Enrollment ID: I20190919001505 |
| Provider Name | Nicole Wentworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801245402 PECOS PAC ID: 7719274661 Enrollment ID: I20190919002383 |
| Provider Name | Cathy Sue Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740832807 PECOS PAC ID: 7719217843 Enrollment ID: I20191002002487 |
| Provider Name | Syed Nasim Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336264860 PECOS PAC ID: 2860447851 Enrollment ID: I20191004002902 |
| 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 | Jonathan P Moayyad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689076093 PECOS PAC ID: 5193077030 Enrollment ID: I20191023003305 |
| Provider Name | Nicholas Niazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144688862 PECOS PAC ID: 4789977224 Enrollment ID: I20191024002701 |
| Provider Name | Daniel B Luckenbill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154765980 PECOS PAC ID: 0648408047 Enrollment ID: I20191029003026 |
| Provider Name | Riyad J Tayim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841600574 PECOS PAC ID: 8022230333 Enrollment ID: I20191030002224 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20191104002914 |
| Provider Name | Nima Mowzoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992774327 PECOS PAC ID: 1254358401 Enrollment ID: I20191105001390 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20191105001686 |
| Provider Name | Huong-thao Thy Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700235983 PECOS PAC ID: 6507115698 Enrollment ID: I20191106000087 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20191106001836 |
| Provider Name | Jessica Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20191107002562 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20191107002766 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20191112001755 |
| Provider Name | Amanda J Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184841397 PECOS PAC ID: 9830345735 Enrollment ID: I20191113001820 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20191113002495 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20191113002746 |
| Provider Name | Adam L Heller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710183041 PECOS PAC ID: 5991879793 Enrollment ID: I20191114003318 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20191114003383 |
| Provider Name | Muhammad Masud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700179231 PECOS PAC ID: 8628381662 Enrollment ID: I20191118001590 |
| Provider Name | Zachary James Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356992028 PECOS PAC ID: 4284066952 Enrollment ID: I20191118003119 |
| Provider Name | Vivek Baluja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538205539 PECOS PAC ID: 0143408989 Enrollment ID: I20191119003137 |
| Provider Name | Angelle Loges |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437510708 PECOS PAC ID: 5890093967 Enrollment ID: I20191119003257 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20191127001589 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20191203001724 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20191204002824 |
| Provider Name | Justin Paul Fox |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194925743 PECOS PAC ID: 8820226582 Enrollment ID: I20191205000984 |
| 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 | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20191206002100 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20191209002560 |
| Provider Name | Douglas A Valenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851553879 PECOS PAC ID: 4688728181 Enrollment ID: I20191212003075 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20191212003112 |
| Provider Name | Amy Stacey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730548363 PECOS PAC ID: 8426340423 Enrollment ID: I20191216000201 |
| Provider Name | Shubhangi Chumble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881684074 PECOS PAC ID: 6305844242 Enrollment ID: I20191216000325 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20191216002421 |
| Provider Name | Faisal Hayat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336354653 PECOS PAC ID: 3476685520 Enrollment ID: I20191219000275 |
| Provider Name | Johnny W Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316594997 PECOS PAC ID: 3577997816 Enrollment ID: I20191219002396 |
| Provider Name | Raina Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366698482 PECOS PAC ID: 4385816685 Enrollment ID: I20191219002537 |
| Provider Name | Frederick James Barry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770549271 PECOS PAC ID: 3476627373 Enrollment ID: I20191220001598 |
| Provider Name | Catherine A Donaghy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205483435 PECOS PAC ID: 5890129027 Enrollment ID: I20191223000405 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20191223002289 |
| Provider Name | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20191226000705 |
| Provider Name | Yazan M Suradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600223 PECOS PAC ID: 5698055945 Enrollment ID: I20191226001212 |
| 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 | Maria Annette Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619521028 PECOS PAC ID: 3375977085 Enrollment ID: I20200103002063 |
| Provider Name | Nickolay Peter Markov |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598927824 PECOS PAC ID: 8123377090 Enrollment ID: I20200108002656 |
| Provider Name | Paul Flavian Haggerty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417044355 PECOS PAC ID: 3678710811 Enrollment ID: I20200113002690 |
| Provider Name | Matthew K Shotwell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912975608 PECOS PAC ID: 4688607112 Enrollment ID: I20200114003459 |
| Provider Name | Andrew E-kong Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356784441 PECOS PAC ID: 3870869423 Enrollment ID: I20200204001411 |
| Provider Name | Carrie Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023650165 PECOS PAC ID: 1658707914 Enrollment ID: I20200204002426 |
| Provider Name | Heidi Sue Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083186324 PECOS PAC ID: 8820424062 Enrollment ID: I20200205003149 |
| Provider Name | Mollie E Strauchon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457653933 PECOS PAC ID: 3476791328 Enrollment ID: I20200212002835 |
| Provider Name | Christopher Joseph Strauchon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215195144 PECOS PAC ID: 8628385515 Enrollment ID: I20200213003064 |
| Provider Name | Braxton Forde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912393851 PECOS PAC ID: 9436461530 Enrollment ID: I20200221000704 |
| Provider Name | Julie Broeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851922181 PECOS PAC ID: 6901233022 Enrollment ID: I20200228002361 |
| Provider Name | Carson King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083009765 PECOS PAC ID: 0941562235 Enrollment ID: I20200316001385 |
| Provider Name | Megan Ann Harnish |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770942880 PECOS PAC ID: 8628406840 Enrollment ID: I20200320001535 |
| Provider Name | Kristi D Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821491473 PECOS PAC ID: 5698089068 Enrollment ID: I20200331001898 |
| Provider Name | Elizabeth A Colebank-andes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336233 PECOS PAC ID: 1153674866 Enrollment ID: I20200403001439 |
| Provider Name | Melissa C Whitesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528251113 PECOS PAC ID: 8921186412 Enrollment ID: I20200505003313 |
| Provider Name | Stephen M Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154852861 PECOS PAC ID: 3779832258 Enrollment ID: I20200518002427 |
| Provider Name | Roxana Aguirre Pedroza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144537135 PECOS PAC ID: 8527363829 Enrollment ID: I20200519002736 |
| Provider Name | Damynus Nyakoe Gekonde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134653645 PECOS PAC ID: 3476974734 Enrollment ID: I20200522001633 |
| Provider Name | Emily N Schwieterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578195079 PECOS PAC ID: 5496176299 Enrollment ID: I20200603001639 |
| Provider Name | Xavier Atencio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386183705 PECOS PAC ID: 6406277169 Enrollment ID: I20200604001400 |
| Provider Name | Derek J Menkedick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699137364 PECOS PAC ID: 5991096117 Enrollment ID: I20200605001960 |
| Provider Name | Wesley J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619356318 PECOS PAC ID: 2769798438 Enrollment ID: I20200616001441 |
| Provider Name | Olivia Aikman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508480849 PECOS PAC ID: 6608298898 Enrollment ID: I20200616002703 |
| Provider Name | Brandon Lee Mosely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669690 PECOS PAC ID: 3779905617 Enrollment ID: I20200622002208 |
| Provider Name | Stacey Michelle Mcroberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134744378 PECOS PAC ID: 7810319308 Enrollment ID: I20200630001753 |
| Provider Name | Martin Leonard Burbank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033642004 PECOS PAC ID: 6305123951 Enrollment ID: I20200630001774 |
| Provider Name | Andrew Lichter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679960744 PECOS PAC ID: 7517271315 Enrollment ID: I20200701003066 |
| Provider Name | Steven C Tomlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598297186 PECOS PAC ID: 2062789951 Enrollment ID: I20200702002007 |
| Provider Name | Juliet Elizabeth Wolford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497002232 PECOS PAC ID: 3971810920 Enrollment ID: I20200706002514 |
| Provider Name | Daniel C Sufficool |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083098669 PECOS PAC ID: 1456774629 Enrollment ID: I20200706003041 |
| Provider Name | Jonathan Dennis Gaskill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821520792 PECOS PAC ID: 9335416171 Enrollment ID: I20200708001477 |
| Provider Name | Clifford Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200708002885 |
| 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 | Lindsey Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437682788 PECOS PAC ID: 9335411644 Enrollment ID: I20200713001459 |
| 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 | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20200717001714 |
| Provider Name | Jakai Nolan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649634015 PECOS PAC ID: 3779871603 Enrollment ID: I20200722001044 |
| Provider Name | Ashwin Bhirud |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669765814 PECOS PAC ID: 9638395056 Enrollment ID: I20200722002611 |
| Provider Name | Muhammad Tipu Rishi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063655165 PECOS PAC ID: 7719234897 Enrollment ID: I20200724001391 |
| Provider Name | Neil J Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295155364 PECOS PAC ID: 5193076578 Enrollment ID: I20200728001178 |
| Provider Name | Melissa Sue Einink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235763855 PECOS PAC ID: 4082039276 Enrollment ID: I20200805001212 |
| Provider Name | Caetlyn Danielle Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336762012 PECOS PAC ID: 3678998499 Enrollment ID: I20200810003244 |
| Provider Name | Suzette Millington-buffong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205287638 PECOS PAC ID: 0547686107 Enrollment ID: I20200813002782 |
| Provider Name | Isaac Joseph Koh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699207894 PECOS PAC ID: 7810273000 Enrollment ID: I20200814000976 |
| Provider Name | Elise N Striebich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780116111 PECOS PAC ID: 9032483342 Enrollment ID: I20200817003613 |
| Provider Name | Erik H Poldemann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689069866 PECOS PAC ID: 2466765839 Enrollment ID: I20200819001528 |
| Provider Name | Justine Holthaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316412174 PECOS PAC ID: 3971920281 Enrollment ID: I20200901003026 |
| Provider Name | Ivan Lloyd Elises |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891352910 PECOS PAC ID: 2668890617 Enrollment ID: I20200908002933 |
| Provider Name | Eric Melchior |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932524758 PECOS PAC ID: 4284965286 Enrollment ID: I20200914001757 |
| Provider Name | Rebecca Jimenez-sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154587152 PECOS PAC ID: 0143536656 Enrollment ID: I20200916000205 |
| Provider Name | Kaitlyn E Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558971291 PECOS PAC ID: 3577982628 Enrollment ID: I20200923002108 |
| Provider Name | Kaye Marie Sekas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073130902 PECOS PAC ID: 2062831902 Enrollment ID: I20200928000668 |
| Provider Name | Cassandra Noel Graybill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497937783 PECOS PAC ID: 2163561671 Enrollment ID: I20201012002473 |
| Provider Name | Taylor C Kabacinski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922476332 PECOS PAC ID: 5890086946 Enrollment ID: I20201028001088 |
| Provider Name | Michele Marie Geiger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275726556 PECOS PAC ID: 4284044405 Enrollment ID: I20201029000692 |
| Provider Name | Heather Ann Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285247593 PECOS PAC ID: 9032529292 Enrollment ID: I20201029002441 |
| Provider Name | Isaiah Michael Lee Mccombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417578360 PECOS PAC ID: 6103236054 Enrollment ID: I20201103003027 |
| Provider Name | Jarred Lee Uhrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245839844 PECOS PAC ID: 7113337981 Enrollment ID: I20201105002200 |
| Provider Name | Nattasha Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20201111001287 |
| Provider Name | Gabriella Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730521881 PECOS PAC ID: 0941421903 Enrollment ID: I20201119000945 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20201119003365 |
| Provider Name | Cynthia Lorraine Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649870486 PECOS PAC ID: 8921419987 Enrollment ID: I20201123001996 |
| Provider Name | Shelly Bansal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174793111 PECOS PAC ID: 4688801806 Enrollment ID: I20201124000602 |
| Provider Name | Nicole Marie Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467054874 PECOS PAC ID: 6901217751 Enrollment ID: I20201130000919 |
| Provider Name | Piam Shanehsaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538312228 PECOS PAC ID: 4284802653 Enrollment ID: I20201208002922 |
| Provider Name | Amanda Michelle Lipsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194332791 PECOS PAC ID: 6901218171 Enrollment ID: I20201211000282 |
| Provider Name | Chizoba Emmanuel Ugwummadu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700174232 PECOS PAC ID: 0547486722 Enrollment ID: I20201229002363 |
| 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 | Stephanie Yvonne Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982202768 PECOS PAC ID: 7517371172 Enrollment ID: I20210122001679 |
| Provider Name | Gurpreet Kaur Bahga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649698291 PECOS PAC ID: 5395045884 Enrollment ID: I20210128002412 |
| Provider Name | Rachel Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003421827 PECOS PAC ID: 8123432259 Enrollment ID: I20210201000168 |
| Provider Name | Mazen Almidani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20210201000715 |
| Provider Name | Amy Rebecca Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548859168 PECOS PAC ID: 1850705880 Enrollment ID: I20210202001948 |
| Provider Name | Kimberly G Parker-maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942505383 PECOS PAC ID: 3971918541 Enrollment ID: I20210211001523 |
| Provider Name | Katherine Hendrickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922458975 PECOS PAC ID: 6305259904 Enrollment ID: I20210224001812 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20210225002982 |
| Provider Name | Regina Joy Tatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265023782 PECOS PAC ID: 3779998638 Enrollment ID: I20210226001739 |
| Provider Name | Nicole Amber Buckingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053906156 PECOS PAC ID: 2961818422 Enrollment ID: I20210308001336 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20210311002906 |
| Provider Name | Mohammed Ayyash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420239 PECOS PAC ID: 1052748613 Enrollment ID: I20210316000121 |
| Provider Name | Tigist Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20210317001710 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20210317002526 |
| Provider Name | Jonathan Michael Stofer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285130070 PECOS PAC ID: 9537422985 Enrollment ID: I20210318002494 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20210319001463 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20210322000943 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20210322001518 |
| Provider Name | Obeidurahman Rehmani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619275963 PECOS PAC ID: 2668605106 Enrollment ID: I20210322002463 |
| Provider Name | Brandon Leelan Ryhlick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225535578 PECOS PAC ID: 4486919024 Enrollment ID: I20210323001659 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20210326001537 |
| Provider Name | Natan Khishchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821202441 PECOS PAC ID: 8224128012 Enrollment ID: I20210326001835 |
| Provider Name | Renata Chalfin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043637143 PECOS PAC ID: 4486988383 Enrollment ID: I20210329000478 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20210329001682 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20210401001715 |
| Provider Name | Gretchen L Polinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588195382 PECOS PAC ID: 0143507293 Enrollment ID: I20210412001044 |
| Provider Name | Kelli Renee Albrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790280543 PECOS PAC ID: 6608104773 Enrollment ID: I20210413001454 |
| Provider Name | Casey Marie Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568041960 PECOS PAC ID: 1850709577 Enrollment ID: I20210419002051 |
| Provider Name | Brian Sorace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639565997 PECOS PAC ID: 9032426697 Enrollment ID: I20210423001656 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20210426001739 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20210426002506 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20210427001616 |
| Provider Name | Erin M O'neill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891227088 PECOS PAC ID: 1254604945 Enrollment ID: I20210503002520 |
| Provider Name | Kwame Ofori-attah Sarkodie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235636499 PECOS PAC ID: 2567710171 Enrollment ID: I20210602003214 |
| Provider Name | Michelle Nichole Bonnet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215467261 PECOS PAC ID: 9436559598 Enrollment ID: I20210610001319 |
| Provider Name | Abdur Rehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427280965 PECOS PAC ID: 4587828090 Enrollment ID: I20210610002596 |
| Provider Name | Sean Matthew Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770070831 PECOS PAC ID: 8224387824 Enrollment ID: I20210610002941 |
| Provider Name | Steven Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063917805 PECOS PAC ID: 5395092993 Enrollment ID: I20210615003134 |
| Provider Name | Jerika Ortlieb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922505932 PECOS PAC ID: 5395008635 Enrollment ID: I20210621003156 |
| Provider Name | Joshua A Ahier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841610987 PECOS PAC ID: 4981930278 Enrollment ID: I20210701001019 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210706003268 |
| Provider Name | Micah B Schmal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861923575 PECOS PAC ID: 0042583338 Enrollment ID: I20210706003526 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659363190 PECOS PAC ID: 5092704791 Enrollment ID: I20210707002056 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20210707002145 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20210707003663 |
| Provider Name | Pratik Mukund Choksy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376864504 PECOS PAC ID: 9830335686 Enrollment ID: I20210709002815 |
| Provider Name | Michelle F Barrord |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316391386 PECOS PAC ID: 4587957659 Enrollment ID: I20210712001444 |
| Provider Name | Andrew D Fellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184073850 PECOS PAC ID: 8820386725 Enrollment ID: I20210712002174 |
| Provider Name | Daniel C Dekoski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841794823 PECOS PAC ID: 2264780964 Enrollment ID: I20210712003284 |
| Provider Name | Ahmed Amro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952716789 PECOS PAC ID: 2062631138 Enrollment ID: I20210715002411 |
| Provider Name | Sara Ramquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245762459 PECOS PAC ID: 9739466533 Enrollment ID: I20210720003824 |
| Provider Name | Raunak Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538664081 PECOS PAC ID: 2365799384 Enrollment ID: I20210723002098 |
| Provider Name | Christopher Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306343470 PECOS PAC ID: 5890058945 Enrollment ID: I20210723002858 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20210802002054 |
| Provider Name | Lindsey Nicole Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194399766 PECOS PAC ID: 3678977105 Enrollment ID: I20210805002582 |
| Provider Name | Brittany Gabrielle Dynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639741697 PECOS PAC ID: 8628473329 Enrollment ID: I20210818002202 |
| Provider Name | Ankit Krishan Bhatia |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1801200944 PECOS PAC ID: 4385865716 Enrollment ID: I20210819000287 |
| Provider Name | Tyra D Onyedumekwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831769447 PECOS PAC ID: 7810392495 Enrollment ID: I20210819001580 |
| Provider Name | Michael Greg Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730609041 PECOS PAC ID: 4183981145 Enrollment ID: I20210824001316 |
| Provider Name | Kristi Patricia Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750514261 PECOS PAC ID: 6406080811 Enrollment ID: I20210826001424 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20210826003607 |
| Provider Name | Nicole Alexander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508397043 PECOS PAC ID: 9739453077 Enrollment ID: I20210831000835 |
| Provider Name | Allison Nicole Mancz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285204982 PECOS PAC ID: 3678979614 Enrollment ID: I20210831001089 |
| Provider Name | Robert Polak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730599366 PECOS PAC ID: 2567760796 Enrollment ID: I20210831002334 |
| Provider Name | Elizabeth Ashley Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144893546 PECOS PAC ID: 7416353305 Enrollment ID: I20210831003697 |
| Provider Name | Jessica Ann Stull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750055653 PECOS PAC ID: 6204232689 Enrollment ID: I20210909003576 |
| Provider Name | Lori Annette Washing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801561550 PECOS PAC ID: 8729485412 Enrollment ID: I20210922003200 |
| Provider Name | Kelly Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275115461 PECOS PAC ID: 2961809116 Enrollment ID: I20210930001868 |
| Provider Name | Dharti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609364777 PECOS PAC ID: 5698174878 Enrollment ID: I20211004000642 |
| Provider Name | Tieca Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306515382 PECOS PAC ID: 1254739337 Enrollment ID: I20211004001114 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20211006002218 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20211007000836 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20211007001789 |
| Provider Name | Lettrice Taylor-blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487320495 PECOS PAC ID: 3274931043 Enrollment ID: I20211007003530 |
| Provider Name | Kate Allison Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992476956 PECOS PAC ID: 3072911585 Enrollment ID: I20211014001020 |
| Provider Name | Patrick Joseph Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982375432 PECOS PAC ID: 4486042538 Enrollment ID: I20211022001637 |
| Provider Name | Alyssa Michelle Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215604343 PECOS PAC ID: 9234527110 Enrollment ID: I20211026001625 |
| Provider Name | Kay A Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720750482 PECOS PAC ID: 5890184261 Enrollment ID: I20211105002396 |
| Provider Name | Denyelle Renee Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427724913 PECOS PAC ID: 0042609216 Enrollment ID: I20211109000934 |
| Provider Name | Nikhil Tej Kurapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013405406 PECOS PAC ID: 4789939174 Enrollment ID: I20211111002468 |
| Provider Name | Maurice Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730224320 PECOS PAC ID: 2860542867 Enrollment ID: I20211123003299 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20211208000987 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20211214001335 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20211214001785 |
| Provider Name | Arielle M Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730843079 PECOS PAC ID: 3577954163 Enrollment ID: I20211215000360 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20211215001708 |
| Provider Name | Guha K Venkatraman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356517593 PECOS PAC ID: 3476721887 Enrollment ID: I20211215002197 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20211215002321 |
| Provider Name | Therese M Lango |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235136821 PECOS PAC ID: 5092764910 Enrollment ID: I20211229001690 |
| Provider Name | Cody J Cappel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415335 PECOS PAC ID: 7113319609 Enrollment ID: I20220112002610 |
| Provider Name | Neetu Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194012484 PECOS PAC ID: 2062706716 Enrollment ID: I20220118002551 |
| Provider Name | Kyle D Blasser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285132852 PECOS PAC ID: 3274880950 Enrollment ID: I20220124001214 |
| Provider Name | Charles T Swafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700537362 PECOS PAC ID: 3274926993 Enrollment ID: I20220201002541 |
| Provider Name | Bobby D Robinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629488960 PECOS PAC ID: 9234410416 Enrollment ID: I20220207002155 |
| Provider Name | Rukan Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447799754 PECOS PAC ID: 7012288558 Enrollment ID: I20220208000866 |
| Provider Name | Bernadette Joy Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376201020 PECOS PAC ID: 6800289125 Enrollment ID: I20220209002764 |
| Provider Name | Tarun Mullick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912906462 PECOS PAC ID: 9032161054 Enrollment ID: I20220210001539 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20220218000969 |
| Provider Name | Evan G Black |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346260247 PECOS PAC ID: 6103724554 Enrollment ID: I20220221000629 |
| Provider Name | Ravi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531636 PECOS PAC ID: 7911975560 Enrollment ID: I20220222000343 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20220302001534 |
| Provider Name | David M Welker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356307326 PECOS PAC ID: 3072414309 Enrollment ID: I20220317002286 |
| 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 | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220404002539 |
| Provider Name | Brandon Specht |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538427141 PECOS PAC ID: 3476784380 Enrollment ID: I20220408000126 |
| Provider Name | Rachael M Polak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346882974 PECOS PAC ID: 9234563420 Enrollment ID: I20220408001334 |
| Provider Name | Hampton Lee Mcclendon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801053103 PECOS PAC ID: 3274852140 Enrollment ID: I20220409000365 |
| Provider Name | Ala Shiyab |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265679187 PECOS PAC ID: 7517099112 Enrollment ID: I20220411001827 |
| Provider Name | David Cha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477014694 PECOS PAC ID: 2466785118 Enrollment ID: I20220413002527 |
| Provider Name | Shannon Douglas Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215602628 PECOS PAC ID: 8325434624 Enrollment ID: I20220414000741 |
| 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 | Ajibola A Adesanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306504543 PECOS PAC ID: 2466849971 Enrollment ID: I20220503000457 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220504000579 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220506001373 |
| Provider Name | Grant Andrew Huish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376074849 PECOS PAC ID: 2466729702 Enrollment ID: I20220509001838 |
| Provider Name | Ammar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366905390 PECOS PAC ID: 0345574331 Enrollment ID: I20220518000426 |
| Provider Name | Paul J Kreinbrink |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073044640 PECOS PAC ID: 1951671130 Enrollment ID: I20220601000581 |
| Provider Name | James Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477947653 PECOS PAC ID: 1759632458 Enrollment ID: I20220608002304 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220608003120 |
| Provider Name | Brooke Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225701584 PECOS PAC ID: 6204228141 Enrollment ID: I20220610001771 |
| Provider Name | Stephen K Paul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700310943 PECOS PAC ID: 2668740911 Enrollment ID: I20220610001851 |
| Provider Name | Srivani Chunchulu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881009538 PECOS PAC ID: 0648598474 Enrollment ID: I20220615002735 |
| Provider Name | Harold Johannes Duarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508326182 PECOS PAC ID: 8224371976 Enrollment ID: I20220616000449 |
| Provider Name | Audrey Nathalie Grenga |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467849448 PECOS PAC ID: 0547513277 Enrollment ID: I20220617002499 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20220621001939 |
| Provider Name | Dale Scott Guinther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851966899 PECOS PAC ID: 6507246576 Enrollment ID: I20220707003991 |
| Provider Name | Jaclyn P Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023749983 PECOS PAC ID: 2466833520 Enrollment ID: I20220720002277 |
| Provider Name | Rachael F Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720711898 PECOS PAC ID: 5799167300 Enrollment ID: I20220728003558 |
| Provider Name | Luke M Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083147474 PECOS PAC ID: 8325317241 Enrollment ID: I20220729001480 |
| Provider Name | Matthew Ralston Yeager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083176697 PECOS PAC ID: 4880935972 Enrollment ID: I20220729002704 |
| Provider Name | Zechariah J Rhodes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801328760 PECOS PAC ID: 7214201821 Enrollment ID: I20220731000147 |
| Provider Name | Mohamed Ahmed Eltigani Abdelrahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396299483 PECOS PAC ID: 4688056831 Enrollment ID: I20220804000177 |
| Provider Name | Erica Lillyan Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265191456 PECOS PAC ID: 2567859465 Enrollment ID: I20220815000520 |
| Provider Name | Dakshin Gangadharamurthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609005578 PECOS PAC ID: 9133398357 Enrollment ID: I20220816001078 |
| Provider Name | Mckayla B Johnson Riggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942690060 PECOS PAC ID: 4284963182 Enrollment ID: I20220818002142 |
| 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 | Dawn Marie Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275871105 PECOS PAC ID: 6103209176 Enrollment ID: I20220824001659 |
| 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 | Erica C Seabold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932767142 PECOS PAC ID: 2769718428 Enrollment ID: I20220907000824 |
| Provider Name | Wendi Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220909003044 |
| 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 | Jordan M Knox |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396130902 PECOS PAC ID: 2062794159 Enrollment ID: I20220922001355 |
| Provider Name | Nessrine Ktaich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952535049 PECOS PAC ID: 1355488552 Enrollment ID: I20220923000815 |
| Provider Name | Rachael Nicole Spady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205329547 PECOS PAC ID: 6204212350 Enrollment ID: I20220927003957 |
| Provider Name | Sai Konduru |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972714889 PECOS PAC ID: 8628231859 Enrollment ID: I20220929001983 |
| Provider Name | Jaykumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326401647 PECOS PAC ID: 3072842830 Enrollment ID: I20221003002458 |
| Provider Name | Amna Ramzan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063953297 PECOS PAC ID: 0244612356 Enrollment ID: I20221004003379 |
| Provider Name | Joann R Heuker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275251605 PECOS PAC ID: 9032595434 Enrollment ID: I20221010000663 |
| Provider Name | Haley R Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841922713 PECOS PAC ID: 7315313293 Enrollment ID: I20221018000989 |
| Provider Name | Olaoye J Jegede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629634753 PECOS PAC ID: 1254665334 Enrollment ID: I20221018001987 |
| Provider Name | Heather L Lavoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669196150 PECOS PAC ID: 3476929969 Enrollment ID: I20221025002613 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20221026002912 |
| Provider Name | Kristen Veal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20221027001526 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20221027002618 |
| 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 | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20221109002569 |
| Provider Name | Jaspreet Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033521679 PECOS PAC ID: 9931576626 Enrollment ID: I20221109002638 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20221114002371 |
| Provider Name | Joseph Kenneth Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881238160 PECOS PAC ID: 5890163356 Enrollment ID: I20221115001961 |
| Provider Name | Jorge A Torres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134652134 PECOS PAC ID: 2668725417 Enrollment ID: I20221117003283 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20221121000278 |
| Provider Name | David S Feldman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386688711 PECOS PAC ID: 2062493125 Enrollment ID: I20221122002271 |
| Provider Name | Edward George Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20221122002505 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20221122002719 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20221128001196 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20221129000320 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20221129000476 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20221129000684 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20221129001177 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20221129001889 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20221129002004 |
| Provider Name | Monica M Noya Santana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598297228 PECOS PAC ID: 1658755574 Enrollment ID: I20221129002607 |
| Provider Name | Felix G Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20221129002792 |
| 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 | Corinna Marie Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508594169 PECOS PAC ID: 0547627408 Enrollment ID: I20230607003334 |
| Provider Name | Matthew S Lyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588292403 PECOS PAC ID: 6103255468 Enrollment ID: I20230613001070 |
| Provider Name | Daniela I Rosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063948305 PECOS PAC ID: 7214200153 Enrollment ID: I20230725000360 |
| Provider Name | Adam Glendon Bussey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306308986 PECOS PAC ID: 5193067197 Enrollment ID: I20230725002332 |
| Provider Name | Kishley Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457976656 PECOS PAC ID: 7113349234 Enrollment ID: I20230727003489 |
| Provider Name | Alyssa Ann Jones |
|---|---|
| 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 | Emily Mahran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568091254 PECOS PAC ID: 5496186397 Enrollment ID: I20230912004083 |
| 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 M Kalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629508494 PECOS PAC ID: 9335412063 Enrollment ID: I20240226001014 |
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 Breast Evaluation Center 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: Medicare Enrolled Practice Location: 3533 Southern Blvd Ste 4200, Kettering, OH 45429 Phone: 937-572-7648 Fax: 937-832-8279 | |
Coumadin Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6845 Fax: 937-384-6939 | |
Khn Ip Med 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 |