| Kettering Independent Medical Group Inc | |
|
1 Prestige Pl Suite 910 Miamisburg OH 45342-3794 | |
| (937) 762-1629 | |
| Not Available |
| Full Name | Kettering Independent Medical Group Inc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1 Prestige Pl, Miamisburg, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9373958522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Independent Medical Group Inc 1 Prestige Pl Ste 550 Miamisburg OH 45342-6115 Ph: (937) 762-1310 | Kettering Independent Medical Group Inc 1 Prestige Pl Suite 910 Miamisburg OH 45342-3794 Ph: (937) 762-1629 |
| NPI Number | 1629387865 |
|---|---|
| Provider Enumeration Date | 10/06/2010 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 3173710936 |
|---|---|
| Medicare Enrollment ID | O20101207000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629387865 | NPI | - | NPPES |
| 0207472 | Medicaid | OH |
| Provider Name | Stephen E Onder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942266937 PECOS PAC ID: 9739091109 Enrollment ID: I20031104000251 |
| Provider Name | Sudhathi Chennuru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689740326 PECOS PAC ID: 6800700915 Enrollment ID: I20031113000476 |
| Provider Name | James H Sabiers |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447205638 PECOS PAC ID: 5395649321 Enrollment ID: I20031121000540 |
| Provider Name | Chirag Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043274772 PECOS PAC ID: 8921902651 Enrollment ID: I20031124000390 |
| 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 | Ammar Safar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558334581 PECOS PAC ID: 6709783988 Enrollment ID: I20031216000488 |
| Provider Name | Keren Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417978263 PECOS PAC ID: 1557268265 Enrollment ID: I20031218000851 |
| Provider Name | Howard Paul Sutcliffe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407819790 PECOS PAC ID: 2567360639 Enrollment ID: I20031229000087 |
| 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 | Jerod B Grogg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639203441 PECOS PAC ID: 5991604100 Enrollment ID: I20040107000535 |
| Provider Name | John Peck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891895538 PECOS PAC ID: 4183523194 Enrollment ID: I20040108000048 |
| 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 | Raymond J Poelstra |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972530848 PECOS PAC ID: 5294638938 Enrollment ID: I20040202000640 |
| Provider Name | Victoria Surdulescu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326005877 PECOS PAC ID: 8426942269 Enrollment ID: I20040213000347 |
| Provider Name | Fuad Hajjar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891860011 PECOS PAC ID: 2769378165 Enrollment ID: I20040224000210 |
| Provider Name | Elaine Beed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326143777 PECOS PAC ID: 6002702453 Enrollment ID: I20040224000522 |
| Provider Name | Errol O'neil 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 | Stacie D Singleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154402378 PECOS PAC ID: 2961391495 Enrollment ID: I20040312000880 |
| Provider Name | Michael W Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144257163 PECOS PAC ID: 5698665586 Enrollment ID: I20040316000634 |
| 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 | Darla R Baker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194718171 PECOS PAC ID: 1456344324 Enrollment ID: I20040406001184 |
| 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 | Peritha Garland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386684355 PECOS PAC ID: 2567457922 Enrollment ID: I20040416000308 |
| 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 | 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 | Bal K Srivastava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871592345 PECOS PAC ID: 3476534397 Enrollment ID: I20040526001537 |
| Provider Name | Sunita Mall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962455634 PECOS PAC ID: 6507848728 Enrollment ID: I20040602000952 |
| 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 | 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 | James Obryan Willey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326059692 PECOS PAC ID: 4183694920 Enrollment ID: I20040728001469 |
| Provider Name | Roxane Weighall |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1497711493 PECOS PAC ID: 3678543931 Enrollment ID: I20040728001658 |
| Provider Name | Stephen R Vijan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700804168 PECOS PAC ID: 3476524786 Enrollment ID: I20040802000851 |
| Provider Name | Brian Wayne Ondulick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336129485 PECOS PAC ID: 2860463676 Enrollment ID: I20040805001043 |
| 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 | Jonathan Mark Saxe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265498257 PECOS PAC ID: 9931173820 Enrollment ID: I20040825001109 |
| Provider Name | Michael F Cunningham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366515405 PECOS PAC ID: 0840267084 Enrollment ID: I20040915001249 |
| 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 | Daniel J Dunaway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669483152 PECOS PAC ID: 7416944103 Enrollment ID: I20041019000059 |
| 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 | Frank P Mannarino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356346985 PECOS PAC ID: 7911994694 Enrollment ID: I20041201000010 |
| Provider Name | Raymond Russell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447206933 PECOS PAC ID: 6002717618 Enrollment ID: I20041202000849 |
| Provider Name | Jonathan Alan Borden |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336251834 PECOS PAC ID: 0749188290 Enrollment ID: I20041228000915 |
| Provider Name | Ceferino J Cata |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306815808 PECOS PAC ID: 7719969997 Enrollment ID: I20050106000864 |
| 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 | Priya G Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912093360 PECOS PAC ID: 2668423310 Enrollment ID: I20050210000012 |
| Provider Name | Salman Sarwar Razi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114944063 PECOS PAC ID: 2769437722 Enrollment ID: I20050314000348 |
| Provider Name | Alejandro R Calvo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457341760 PECOS PAC ID: 0840286522 Enrollment ID: I20050419001306 |
| Provider Name | Brian D Caldwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982709192 PECOS PAC ID: 1557304045 Enrollment ID: I20050606000843 |
| Provider Name | Gregory James Staten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194703660 PECOS PAC ID: 3678517539 Enrollment ID: I20050613000647 |
| 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 | Jason Drew Schofield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700806486 PECOS PAC ID: 7214964162 Enrollment ID: I20050721000765 |
| Provider Name | Junaid Sa Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598859852 PECOS PAC ID: 9032156922 Enrollment ID: I20050725000503 |
| 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 | Paul Jeffrey Pawlosky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508842600 PECOS PAC ID: 6204864051 Enrollment ID: I20050802000713 |
| 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 | Michael Karram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467455881 PECOS PAC ID: 6002719143 Enrollment ID: I20050915000310 |
| Provider Name | Todd William Christie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831173061 PECOS PAC ID: 0840223970 Enrollment ID: I20050919000066 |
| 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 | Elizabeth C Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134138522 PECOS PAC ID: 3678593498 Enrollment ID: I20051123000000 |
| 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 | Margaret M Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700842788 PECOS PAC ID: 6002836004 Enrollment ID: I20051206000567 |
| Provider Name | Rebecca J Paessun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225083496 PECOS PAC ID: 1052334463 Enrollment ID: I20060117000172 |
| Provider Name | Mary E Gaeke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134180664 PECOS PAC ID: 1951315217 Enrollment ID: I20060130000148 |
| 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 | 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 | Surender R Neravetla |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801843602 PECOS PAC ID: 0749185387 Enrollment ID: I20060706000003 |
| Provider Name | Steven D Vordenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740216555 PECOS PAC ID: 7517970411 Enrollment ID: I20060719000041 |
| Provider Name | Santosh R Likki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316926934 PECOS PAC ID: 5496728370 Enrollment ID: I20060801000031 |
| 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 | Pedro Roca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427059278 PECOS PAC ID: 9133122856 Enrollment ID: I20060818000551 |
| Provider Name | Jose U Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407877244 PECOS PAC ID: 1456355296 Enrollment ID: I20060908000219 |
| Provider Name | Karen Lyn Seta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851313456 PECOS PAC ID: 7911901418 Enrollment ID: I20060913000590 |
| Provider Name | Carol Joanne Sawmiller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043235070 PECOS PAC ID: 1951392588 Enrollment ID: I20060918000246 |
| Provider Name | Chad B Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457371460 PECOS PAC ID: 9830194125 Enrollment ID: I20060920000086 |
| Provider Name | Aderemi Basit Alli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447348982 PECOS PAC ID: 2365449535 Enrollment ID: I20061031000479 |
| Provider Name | Michael a Elrod |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629001359 PECOS PAC ID: 3870590722 Enrollment ID: I20061107000192 |
| Provider Name | Yalaunda 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 | Aimee G Russell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528008679 PECOS PAC ID: 3870592462 Enrollment ID: I20061208000208 |
| Provider Name | Scott Cryder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215018205 PECOS PAC ID: 0244239606 Enrollment ID: I20061212000430 |
| Provider Name | David S Nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639250145 PECOS PAC ID: 7810996204 Enrollment ID: I20061213000005 |
| Provider Name | Sylvia Polenakovik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003842550 PECOS PAC ID: 5991704116 Enrollment ID: I20061215000082 |
| Provider Name | Bruce Yacyshyn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467466771 PECOS PAC ID: 7315947199 Enrollment ID: I20061229000008 |
| Provider Name | Stuart Alan Weprin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154327088 PECOS PAC ID: 4284692914 Enrollment ID: I20070116000132 |
| 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 | Jacqueline L Roethlisberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366561870 PECOS PAC ID: 3779680970 Enrollment ID: I20070523000338 |
| Provider Name | Joel Rahman Simmons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487861688 PECOS PAC ID: 6406955236 Enrollment ID: I20070620000196 |
| 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 | Sunila Pillai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699826776 PECOS PAC ID: 2567554579 Enrollment ID: I20070822001073 |
| Provider Name | Gregory S Mangen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386856581 PECOS PAC ID: 9931293321 Enrollment ID: I20070917000036 |
| Provider Name | Jacob Yannetta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992873046 PECOS PAC ID: 4082709340 Enrollment ID: I20071001000773 |
| Provider Name | Frances Joanna M Cathcart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235148248 PECOS PAC ID: 5193780278 Enrollment ID: I20071004000254 |
| Provider Name | Sharat Kalvakota |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457433831 PECOS PAC ID: 0143263756 Enrollment ID: I20071213000545 |
| Provider Name | Nadeem M Ahmed |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295795284 PECOS PAC ID: 2769463025 Enrollment ID: I20071217000462 |
| Provider Name | Polly S Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063609287 PECOS PAC ID: 3375625320 Enrollment ID: I20080129000682 |
| 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 | 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 | Leeana K Weiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730260381 PECOS PAC ID: 4981783115 Enrollment ID: I20080429000926 |
| Provider Name | Derrick Lamar Reedus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194929463 PECOS PAC ID: 8022197482 Enrollment ID: I20080509000422 |
| Provider Name | Kavya Pontzloff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770704298 PECOS PAC ID: 3274606280 Enrollment ID: I20080724000492 |
| Provider Name | Thomas M Yunger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962496844 PECOS PAC ID: 3173696929 Enrollment ID: I20080726000142 |
| Provider Name | Melissa R Lippincott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730340597 PECOS PAC ID: 3072687870 Enrollment ID: I20080728000432 |
| Provider Name | Hetal Bhartvhari Desai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942461702 PECOS PAC ID: 5496829293 Enrollment ID: I20080728000485 |
| 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 | Nancy M Solada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487722526 PECOS PAC ID: 4880760149 Enrollment ID: I20080910000374 |
| Provider Name | Scott D Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871699652 PECOS PAC ID: 3577475904 Enrollment ID: I20080915000005 |
| Provider Name | Carri Rae Warshak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811051824 PECOS PAC ID: 3971608365 Enrollment ID: I20080919000384 |
| Provider Name | Minia Hellan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699851279 PECOS PAC ID: 1951301191 Enrollment ID: I20081002000203 |
| Provider Name | Jamie Leeann Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760589055 PECOS PAC ID: 8325116106 Enrollment ID: I20081007000173 |
| Provider Name | Kara B Markham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487863247 PECOS PAC ID: 2163581182 Enrollment ID: I20081106000030 |
| Provider Name | Jennifer Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497902944 PECOS PAC ID: 0648330670 Enrollment ID: I20081121000000 |
| 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 Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20081226000034 |
| Provider Name | Kelly D Risner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285749846 PECOS PAC ID: 5799889002 Enrollment ID: I20090211000167 |
| 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 | Mohammed Osman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194934117 PECOS PAC ID: 4183780588 Enrollment ID: I20090311000042 |
| Provider Name | Kirshan Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316964398 PECOS PAC ID: 7315956323 Enrollment ID: I20090323000320 |
| Provider Name | Sarah E Dooley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699911586 PECOS PAC ID: 9931256427 Enrollment ID: I20090421000341 |
| Provider Name | Sarah Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790762854 PECOS PAC ID: 2466500236 Enrollment ID: I20090505000202 |
| Provider Name | Jill a O Connor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861631145 PECOS PAC ID: 4880742410 Enrollment ID: I20090508000046 |
| Provider Name | Karen M Buddendeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407956790 PECOS PAC ID: 4587765698 Enrollment ID: I20090520000640 |
| Provider Name | Glenda Mae Updyke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174582597 PECOS PAC ID: 5496805046 Enrollment ID: I20090602000733 |
| Provider Name | Jason T Jankowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053512822 PECOS PAC ID: 4486713427 Enrollment ID: I20090630000026 |
| Provider Name | Jason Robert Roller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689798662 PECOS PAC ID: 3779635883 Enrollment ID: I20090721000711 |
| Provider Name | Annette E Bombrys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801977749 PECOS PAC ID: 9234284084 Enrollment ID: I20090901000191 |
| Provider Name | David Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063410538 PECOS PAC ID: 2769538446 Enrollment ID: I20090922000343 |
| Provider Name | Gurpal S Ahluwalia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740314954 PECOS PAC ID: 7113070541 Enrollment ID: I20091013000665 |
| Provider Name | Mark E Krebs |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487653945 PECOS PAC ID: 3971407479 Enrollment ID: I20091027000279 |
| Provider Name | Yvonne V Kuhn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508099425 PECOS PAC ID: 3577601020 Enrollment ID: I20091103000772 |
| Provider Name | Stephen C Wenzke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982603379 PECOS PAC ID: 2062316565 Enrollment ID: I20091109000628 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| 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 | F Ward Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649236662 PECOS PAC ID: 9638214687 Enrollment ID: I20100303000013 |
| Provider Name | John Mark Shie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356328439 PECOS PAC ID: 6406915206 Enrollment ID: I20100325000127 |
| Provider Name | Rajesh C Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225022965 PECOS PAC ID: 8820078561 Enrollment ID: I20100329000988 |
| Provider Name | Gayatri G Acebal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285966911 PECOS PAC ID: 6204962236 Enrollment ID: I20100330000337 |
| 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 | 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 | 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 | Anuj Goyal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144214818 PECOS PAC ID: 1850328857 Enrollment ID: I20100519000417 |
| Provider Name | Kenneth B Pugar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528060399 PECOS PAC ID: 2163319930 Enrollment ID: I20100520000672 |
| Provider Name | Matthew K Shotwell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912975608 PECOS PAC ID: 4688607112 Enrollment ID: I20100524000511 |
| Provider Name | Trina Marie Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417273285 PECOS PAC ID: 8325177389 Enrollment ID: I20100601000281 |
| 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 | Phillip C Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063456747 PECOS PAC ID: 9830220805 Enrollment ID: I20100708000719 |
| Provider Name | Timothy Lee Schoonover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033111802 PECOS PAC ID: 7416844295 Enrollment ID: I20100720000695 |
| 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 | 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 | 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 | 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 | Neetu Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1508088147 PECOS PAC ID: 2567561970 Enrollment ID: I20100928000277 |
| Provider Name | Miriam Emile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831209923 PECOS PAC ID: 2668577453 Enrollment ID: I20101005000739 |
| 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 | Kenneth Pohl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356312565 PECOS PAC ID: 7618162132 Enrollment ID: I20101110001014 |
| Provider Name | Patrick Allan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609954940 PECOS PAC ID: 8628265204 Enrollment ID: I20101208000689 |
| Provider Name | Nirmala R Abraham |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043259971 PECOS PAC ID: 2466352042 Enrollment ID: I20110105000148 |
| 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 | Myra Bibb Dowler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033215462 PECOS PAC ID: 8123217445 Enrollment ID: I20110118000630 |
| Provider Name | Michael Kelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043284698 PECOS PAC ID: 3072567809 Enrollment ID: I20110218000674 |
| 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 Brittany 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 | Saranda D Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760789598 PECOS PAC ID: 3274715925 Enrollment ID: I20110316000893 |
| 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 Chenier 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 | Michelle Matlock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952600801 PECOS PAC ID: 7911181912 Enrollment ID: I20110418000074 |
| 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 | 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 | 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 | Shauna L Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386653756 PECOS PAC ID: 5698943371 Enrollment ID: I20110725000270 |
| Provider Name | Anthony Joseph Blanchard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497909741 PECOS PAC ID: 1355510629 Enrollment ID: I20110803000717 |
| Provider Name | Angela Prickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982937413 PECOS PAC ID: 9830368968 Enrollment ID: I20110808000160 |
| Provider Name | Phillip M Porcelli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629287677 PECOS PAC ID: 4688843527 Enrollment ID: I20110809000774 |
| Provider Name | Adam Fershko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780833244 PECOS PAC ID: 7810166394 Enrollment ID: I20110818000333 |
| Provider Name | Raja 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 Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245527803 PECOS PAC ID: 4981874666 Enrollment ID: I20110907001478 |
| 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 | 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 | Amy M Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831366889 PECOS PAC ID: 6800068974 Enrollment ID: I20111013000649 |
| Provider Name | William Gebele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205111713 PECOS PAC ID: 6507039518 Enrollment ID: I20111107000538 |
| Provider Name | Hayley R Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649577420 PECOS PAC ID: 7214102037 Enrollment ID: I20111206000719 |
| Provider Name | Ahmed B Arshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154461531 PECOS PAC ID: 1759579634 Enrollment ID: I20111212000353 |
| Provider Name | Mohammed M Abdelaziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831326701 PECOS PAC ID: 6406021849 Enrollment ID: I20111213000464 |
| Provider Name | William David Nickell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376826925 PECOS PAC ID: 2062303423 Enrollment ID: I20120120000537 |
| Provider Name | Stephanie D Guajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649425380 PECOS PAC ID: 9739356122 Enrollment ID: I20120126000204 |
| Provider Name | Lisa Egbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457309973 PECOS PAC ID: 6002840485 Enrollment ID: I20120127000660 |
| 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 | 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 | Julie E Lurie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447571534 PECOS PAC ID: 5698934842 Enrollment ID: I20120308000200 |
| 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 | Grant R Brame |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154600534 PECOS PAC ID: 9931369824 Enrollment ID: I20120330000283 |
| Provider Name | Firas Al-ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891775268 PECOS PAC ID: 3375535123 Enrollment ID: I20120511000283 |
| 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 Riggs Carter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003875535 PECOS PAC ID: 2961533526 Enrollment ID: I20120608000117 |
| 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 | 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 | John M Whapham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154347011 PECOS PAC ID: 9931102365 Enrollment ID: I20120730000109 |
| 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 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 | Joshua Alan Paulick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942499611 PECOS PAC ID: 9032365549 Enrollment ID: I20120815000399 |
| 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 | Mohi Mitiek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154643039 PECOS PAC ID: 4082742234 Enrollment ID: I20120830000395 |
| 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 | Benjamin Sigmond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225220320 PECOS PAC ID: 3971775461 Enrollment ID: I20121008000234 |
| Provider Name | Misty I Dickerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427296318 PECOS PAC ID: 7416107685 Enrollment ID: I20121024000360 |
| Provider Name | Craig M Zart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891047148 PECOS PAC ID: 9436309465 Enrollment ID: I20121026000617 |
| Provider Name | Camelia Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720385479 PECOS PAC ID: 5991976573 Enrollment ID: I20121029000205 |
| 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 | Jenna Denise Wise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366792491 PECOS PAC ID: 1355594011 Enrollment ID: I20130104000274 |
| Provider Name | Lindsey R Bowen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033462833 PECOS PAC ID: 0446403885 Enrollment ID: I20130114000389 |
| Provider Name | Ravi Gurujal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467563957 PECOS PAC ID: 5890777361 Enrollment ID: I20130115000004 |
| Provider Name | Sarah C Gibble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821342320 PECOS PAC ID: 3476707340 Enrollment ID: I20130130000051 |
| 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 | Kristie L Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388315 PECOS PAC ID: 9739326950 Enrollment ID: I20130507000721 |
| 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 Ray 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 | 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 | 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 | Prasanth Lingam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912160268 PECOS PAC ID: 2567615768 Enrollment ID: I20130906000413 |
| Provider Name | Jorge Arzola |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205856382 PECOS PAC ID: 1951557750 Enrollment ID: I20130917000753 |
| Provider Name | Gwendolyn Irene Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619302791 PECOS PAC ID: 3779717731 Enrollment ID: I20131004000284 |
| Provider Name | Ryan S Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396049011 PECOS PAC ID: 4183862105 Enrollment ID: I20131015000780 |
| Provider Name | Kerry Lecky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396952651 PECOS PAC ID: 5698840064 Enrollment ID: I20131025001107 |
| Provider Name | Kelleen Marie Graver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639518806 PECOS PAC ID: 9234365677 Enrollment ID: I20131113001778 |
| Provider Name | Brandon J Cutler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356464614 PECOS PAC ID: 6002042215 Enrollment ID: I20131118001257 |
| Provider Name | Lathanikone L Louprasong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396171336 PECOS PAC ID: 7517193279 Enrollment ID: I20131202001416 |
| Provider Name | Jodi K Regan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528059482 PECOS PAC ID: 8628125663 Enrollment ID: I20131210001244 |
| 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 Garner Zazuo 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 | Yaser Yahia Jbara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306145990 PECOS PAC ID: 2860620465 Enrollment ID: I20140314001900 |
| Provider Name | Monica M Fowler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881019131 PECOS PAC ID: 5092947960 Enrollment ID: I20140408000112 |
| Provider Name | Daniel W Nesselroade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942545470 PECOS PAC ID: 5395978530 Enrollment ID: I20140423002453 |
| Provider Name | Kevin a Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053403329 PECOS PAC ID: 0941372551 Enrollment ID: I20140501001286 |
| Provider Name | Sarah Lynn Raines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922315217 PECOS PAC ID: 4981899218 Enrollment ID: I20140507000966 |
| Provider Name | Wendy L Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275954679 PECOS PAC ID: 8729201389 Enrollment ID: I20140529000350 |
| 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 | 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 | Erin Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599277 PECOS PAC ID: 6608093349 Enrollment ID: I20140804001941 |
| 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 | Subbaraju Budharaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184915050 PECOS PAC ID: 4688891518 Enrollment ID: I20140815001969 |
| Provider Name | Nancy J Hampton-jones |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881001535 PECOS PAC ID: 8820217045 Enrollment ID: I20140919000842 |
| 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 | Laura Vikmanis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982003695 PECOS PAC ID: 5395965719 Enrollment ID: I20141007002900 |
| Provider Name | Olivia C Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750782496 PECOS PAC ID: 6901026111 Enrollment ID: I20141009001466 |
| Provider Name | Pierre Celestin Nkurunziza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902214307 PECOS PAC ID: 1658593769 Enrollment ID: I20141105000494 |
| Provider Name | Jacob Douglas Sillaman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902208309 PECOS PAC ID: 0244452126 Enrollment ID: I20141107002029 |
| Provider Name | Brennan Lowell Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881096311 PECOS PAC ID: 3577785237 Enrollment ID: I20141112002339 |
| Provider Name | Jayanta T Mukherjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023120250 PECOS PAC ID: 3375587074 Enrollment ID: I20141117000772 |
| 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 | Kelly L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245596626 PECOS PAC ID: 1355579962 Enrollment ID: I20150126000507 |
| Provider Name | Keira Beachler Urschel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831322452 PECOS PAC ID: 2264660562 Enrollment ID: I20150202001056 |
| 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 | 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 | William Springer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629330808 PECOS PAC ID: 9638327513 Enrollment ID: I20150309000625 |
| 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 | John L Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538257803 PECOS PAC ID: 4880584762 Enrollment ID: I20150415001799 |
| Provider Name | Parthiv Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932323409 PECOS PAC ID: 4981846623 Enrollment ID: I20150519002125 |
| Provider Name | Jason C Massengill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134263338 PECOS PAC ID: 3870780067 Enrollment ID: I20150609001872 |
| 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 | Peter a Bouz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538326392 PECOS PAC ID: 1951528330 Enrollment ID: I20150717002143 |
| Provider Name | Kenneth R Foster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457616450 PECOS PAC ID: 9931412889 Enrollment ID: I20150721001605 |
| Provider Name | Joseph Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568844850 PECOS PAC ID: 0648226589 Enrollment ID: I20150723009696 |
| Provider Name | Stacy Anne Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295119931 PECOS PAC ID: 8224341821 Enrollment ID: I20150724010429 |
| Provider Name | Michael Stephen Guy |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174773287 PECOS PAC ID: 9335396704 Enrollment ID: I20150729007014 |
| Provider Name | Andrew D Moren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952667735 PECOS PAC ID: 1355588229 Enrollment ID: I20150729010287 |
| Provider Name | Frances Charlene Briones Horenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033466008 PECOS PAC ID: 9830403187 Enrollment ID: I20150731014600 |
| 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 | Baker Machhadieh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518167295 PECOS PAC ID: 8123188950 Enrollment ID: I20150824001645 |
| Provider Name | Erika M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053729855 PECOS PAC ID: 4082920822 Enrollment ID: I20150825003678 |
| 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 | 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 | Glenn Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104072230 PECOS PAC ID: 2264740802 Enrollment ID: I20151001002039 |
| 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 | Beth a Sander -thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861869240 PECOS PAC ID: 6204136237 Enrollment ID: I20151124001400 |
| 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 - Hospitalist |
| Provider Identifiers | NPI Number: 1992084727 PECOS PAC ID: 0244452340 Enrollment ID: I20151202002685 |
| Provider Name | Christen Michelle Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326473851 PECOS PAC ID: 7911134952 Enrollment ID: I20151216001202 |
| 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 | Megan Haas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992175798 PECOS PAC ID: 5799087110 Enrollment ID: I20151231000912 |
| Provider Name | James Tan Dunlap |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457577702 PECOS PAC ID: 7113111774 Enrollment ID: I20160114000565 |
| Provider Name | Erica L Ertel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013381037 PECOS PAC ID: 9032412929 Enrollment ID: I20160127001312 |
| Provider Name | Christie Astor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788867 PECOS PAC ID: 3971808627 Enrollment ID: I20160218000815 |
| Provider Name | Andrew D Galusha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265753487 PECOS PAC ID: 0840507786 Enrollment ID: I20160226001169 |
| Provider Name | Vihang Vijaykumar Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184967598 PECOS PAC ID: 2062653322 Enrollment ID: I20160303001362 |
| Provider Name | Ahmed Ahsan Habib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447230859 PECOS PAC ID: 0446267199 Enrollment ID: I20160309000097 |
| Provider Name | Lashauna Dene Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083073696 PECOS PAC ID: 1153628037 Enrollment ID: I20160318002231 |
| Provider Name | Fazel Dinary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912347360 PECOS PAC ID: 8820397383 Enrollment ID: I20160504001949 |
| Provider Name | Kristie Michelle Farkash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407219439 PECOS PAC ID: 9537458823 Enrollment ID: I20160509002393 |
| 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 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 | Meghan T Landreville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437508660 PECOS PAC ID: 6002107653 Enrollment ID: I20160629000574 |
| Provider Name | Nathaniel Joseph 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 | Scott Ryan Day |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720010614 PECOS PAC ID: 5496710634 Enrollment ID: I20160708002023 |
| 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 | Ihab O Elhassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043415755 PECOS PAC ID: 2062647407 Enrollment ID: I20160809002261 |
| Provider Name | Christa Renee Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245697085 PECOS PAC ID: 4486949799 Enrollment ID: I20160825002309 |
| Provider Name | Aida E Scanlon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427409309 PECOS PAC ID: 9032405923 Enrollment ID: I20160831002715 |
| 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 | Kasidy G Depew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053775395 PECOS PAC ID: 3779879044 Enrollment ID: I20160913001326 |
| Provider Name | Ralph Eric Vatner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013298264 PECOS PAC ID: 2062720261 Enrollment ID: I20160913002984 |
| Provider Name | Hind N Moussa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639361595 PECOS PAC ID: 0345317418 Enrollment ID: I20160915002289 |
| Provider Name | Saiyid-naufal Zaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790122307 PECOS PAC ID: 5092038760 Enrollment ID: I20160923001572 |
| Provider Name | Michelle Aimee Caesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750509642 PECOS PAC ID: 2466749916 Enrollment ID: I20160927000877 |
| Provider Name | Amy L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710433909 PECOS PAC ID: 6103104450 Enrollment ID: I20161020002424 |
| Provider Name | Kathleen N Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508315391 PECOS PAC ID: 6204114358 Enrollment ID: I20161025002062 |
| Provider Name | Angela Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740739051 PECOS PAC ID: 0345528113 Enrollment ID: I20161028001628 |
| Provider Name | Soumya Reddy 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 | 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 | David N Mckinney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841519790 PECOS PAC ID: 6002196573 Enrollment ID: I20161130000357 |
| Provider Name | Blair a Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124479373 PECOS PAC ID: 7315227105 Enrollment ID: I20161214000190 |
| 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 | Emily G Trompak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033667480 PECOS PAC ID: 2062794308 Enrollment ID: I20170123001355 |
| Provider Name | Kirsten Marta Upton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083156459 PECOS PAC ID: 9133401177 Enrollment ID: I20170126001607 |
| 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 | Shasling Delgado-cordero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649722786 PECOS PAC ID: 4183908965 Enrollment ID: I20170222001211 |
| Provider Name | Carlos J Gallego |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417161977 PECOS PAC ID: 1153446000 Enrollment ID: I20170307001405 |
| Provider Name | Cynthia Jordan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720528714 PECOS PAC ID: 5496030652 Enrollment ID: I20170330001318 |
| 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 | Abdulfatah Abdul Issak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720406325 PECOS PAC ID: 1254551617 Enrollment ID: I20170515001033 |
| Provider Name | Jessica L Tyler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497161608 PECOS PAC ID: 8628393584 Enrollment ID: I20170524002607 |
| Provider Name | Kenneth D Pugar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174961874 PECOS PAC ID: 9234368333 Enrollment ID: I20170526001569 |
| Provider Name | Justin Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730595141 PECOS PAC ID: 3173847266 Enrollment ID: I20170602001742 |
| 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 | Nonso Ezema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| 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 | Dimitrios Topalidis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578611182 PECOS PAC ID: 0941429732 Enrollment ID: I20170703001206 |
| 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 | Catherine Jo Hauck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740519693 PECOS PAC ID: 4789715392 Enrollment ID: I20170719002559 |
| Provider Name | Daniel J Pearson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962708552 PECOS PAC ID: 9931344983 Enrollment ID: I20170720002815 |
| 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 Todd Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043615420 PECOS PAC ID: 2961794029 Enrollment ID: I20170809001323 |
| 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 | 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 | Patricia Lynn Pienaar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235651092 PECOS PAC ID: 5698048718 Enrollment ID: I20170911003099 |
| Provider Name | Rebecca Saroyan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134643984 PECOS PAC ID: 4385917301 Enrollment ID: I20170913001206 |
| Provider Name | Jill M Reese |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194246009 PECOS PAC ID: 0749553790 Enrollment ID: I20170913001991 |
| Provider Name | Dallas Hansen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720214935 PECOS PAC ID: 2860620168 Enrollment ID: I20170913003936 |
| Provider Name | Heena P Santry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144428160 PECOS PAC ID: 5294836706 Enrollment ID: I20170915002825 |
| Provider Name | Ifeoma Sylvia Ekeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841631884 PECOS PAC ID: 5698063949 Enrollment ID: I20170921003170 |
| Provider Name | Leroy Odom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144274234 PECOS PAC ID: 0345285359 Enrollment ID: I20170927004050 |
| Provider Name | Thomas Slone Wilkinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932624707 PECOS PAC ID: 1153696133 Enrollment ID: I20170929002707 |
| Provider Name | Denisa Despina Jacobs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801312616 PECOS PAC ID: 5597030890 Enrollment ID: I20171012003120 |
| 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 | Glen Papaioannou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275744542 PECOS PAC ID: 8628145661 Enrollment ID: I20171030000526 |
| Provider Name | Shawntae Marie Romanello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922531631 PECOS PAC ID: 0143596486 Enrollment ID: I20171101000286 |
| Provider Name | Brittney Morgan Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154840023 PECOS PAC ID: 5991061210 Enrollment ID: I20171102000308 |
| Provider Name | Erin Marie Haston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629596044 PECOS PAC ID: 4880950070 Enrollment ID: I20171103000410 |
| 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 | Tiarah Alisha Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285147827 PECOS PAC ID: 1951668193 Enrollment ID: I20171127001545 |
| Provider Name | Michelle Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891206868 PECOS PAC ID: 0941567002 Enrollment ID: I20171127002852 |
| 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 | Lyndsey S Filbrun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215455423 PECOS PAC ID: 4385902600 Enrollment ID: I20171214001585 |
| Provider Name | Daniel Johnstone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548718802 PECOS PAC ID: 3173810546 Enrollment ID: I20171220003379 |
| Provider Name | Jessamine Sothard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769033 PECOS PAC ID: 0042578981 Enrollment ID: I20171221002402 |
| Provider Name | Jennifer P Allender |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033624192 PECOS PAC ID: 2365703295 Enrollment ID: I20180309000944 |
| 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 | 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 | 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 | Erik Robinette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700306230 PECOS PAC ID: 4486917309 Enrollment ID: I20180405002770 |
| 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 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 | Robert Jonathon Fresch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497161947 PECOS PAC ID: 3870819501 Enrollment ID: I20180619001584 |
| 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 | 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 | 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 | Erin C Radominski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659865103 PECOS PAC ID: 1951659796 Enrollment ID: I20180809005907 |
| Provider Name | Immaculate W Foy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841644069 PECOS PAC ID: 8224320429 Enrollment ID: I20180821002160 |
| Provider Name | Amanda Yun Anania |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013288166 PECOS PAC ID: 5698935179 Enrollment ID: I20180822003278 |
| Provider Name | Nisha Deol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457735318 PECOS PAC ID: 7012212905 Enrollment ID: I20180823001004 |
| 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 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 | Laura Renee Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801382320 PECOS PAC ID: 4183974074 Enrollment ID: I20180914001155 |
| Provider Name | Lisa N Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649761305 PECOS PAC ID: 4688925423 Enrollment ID: I20180918003101 |
| Provider Name | Carol L Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780123562 PECOS PAC ID: 4880945336 Enrollment ID: I20180921000655 |
| Provider Name | Lauren Danielle Neal |
|---|---|
| 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 | William E Carrigg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487137691 PECOS PAC ID: 1658622626 Enrollment ID: I20181002000477 |
| Provider Name | Madhavi Inturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225515216 PECOS PAC ID: 8921350836 Enrollment ID: I20181003003262 |
| Provider Name | Katie Hewlett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629552609 PECOS PAC ID: 2062764889 Enrollment ID: I20181005001845 |
| Provider Name | Catherine J 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 | Meghan a Reddick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184103129 PECOS PAC ID: 3173876158 Enrollment ID: I20181019002815 |
| Provider Name | Sarah Rachelle Dekoski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528460219 PECOS PAC ID: 5092037473 Enrollment ID: I20181025002701 |
| Provider Name | David Malesko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427533595 PECOS PAC ID: 5496008195 Enrollment ID: I20181026000261 |
| Provider Name | Ehsan Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518309616 PECOS PAC ID: 2062707797 Enrollment ID: I20181029001647 |
| 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 | Kyle Walton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043704323 PECOS PAC ID: 4385997840 Enrollment ID: I20181030002407 |
| 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 | 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 | Lauren Aleice Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891266441 PECOS PAC ID: 7113264987 Enrollment ID: I20190201000333 |
| Provider Name | Kelly E Nagy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851634398 PECOS PAC ID: 9739317942 Enrollment ID: I20190208002414 |
| Provider Name | Sarah Ellsworth Dudley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124599451 PECOS PAC ID: 8527306703 Enrollment ID: I20190213002117 |
| 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 | Robert Todd Mcclure |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750309845 PECOS PAC ID: 6800978891 Enrollment ID: I20190221002306 |
| Provider Name | Chelsea Anne Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801368485 PECOS PAC ID: 1759620396 Enrollment ID: I20190226003392 |
| Provider Name | Robin Michelle Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972076735 PECOS PAC ID: 6103165295 Enrollment ID: I20190307001851 |
| Provider Name | Shawn M Hannah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235693029 PECOS PAC ID: 9436498532 Enrollment ID: I20190307002543 |
| Provider Name | Rajiva Ranjan Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023597143 PECOS PAC ID: 4789923731 Enrollment ID: I20190308001620 |
| Provider Name | Laura a Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104262443 PECOS PAC ID: 9133469265 Enrollment ID: I20190327001153 |
| Provider Name | Alyssa Rose Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831656891 PECOS PAC ID: 0749521102 Enrollment ID: I20190411001682 |
| Provider Name | Calib Cox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689133308 PECOS PAC ID: 0840532321 Enrollment ID: I20190502001556 |
| 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 | Daniel Straiton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104384577 PECOS PAC ID: 9830432962 Enrollment ID: I20190513002239 |
| Provider Name | Andrew Marc Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710462734 PECOS PAC ID: 4688824683 Enrollment ID: I20190523001276 |
| Provider Name | Theresa M Topp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609314566 PECOS PAC ID: 1557634599 Enrollment ID: I20190530003107 |
| 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 Sarao |
|---|---|
| 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 | Amy B Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821574104 PECOS PAC ID: 3577898840 Enrollment ID: I20190709000982 |
| Provider Name | Jessica Lynn Ullery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063071520 PECOS PAC ID: 9133454903 Enrollment ID: I20190716002761 |
| 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 | Aashish Anand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841487576 PECOS PAC ID: 8527348234 Enrollment ID: I20190809002286 |
| Provider Name | Brendan Anthony Korpanty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871848309 PECOS PAC ID: 2961649819 Enrollment ID: I20190812002955 |
| 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 | 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 | 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 | 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 | Syed Nasim Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336264860 PECOS PAC ID: 2860447851 Enrollment ID: I20191004002902 |
| Provider Name | Emily Eileen Nolan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275185480 PECOS PAC ID: 5092046763 Enrollment ID: I20191010000635 |
| Provider Name | Aleesha M Schafers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396307138 PECOS PAC ID: 8921339227 Enrollment ID: I20191018000163 |
| Provider Name | Emily C Wilder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760034243 PECOS PAC ID: 3779815907 Enrollment ID: I20191021003123 |
| 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 | Kurian T Maliel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952629057 PECOS PAC ID: 6204122609 Enrollment ID: I20191104000468 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20191104002914 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20191106001836 |
| Provider Name | Angelle Loges |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437510708 PECOS PAC ID: 5890093967 Enrollment ID: I20191119003257 |
| Provider Name | Jennifer Marie Seibert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265088017 PECOS PAC ID: 0547692196 Enrollment ID: I20191119003407 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20191203001724 |
| 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 | Kellie J Maertz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346891462 PECOS PAC ID: 5890128334 Enrollment ID: I20191213001561 |
| 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 | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20191226000705 |
| 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 | Emily Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598300618 PECOS PAC ID: 3870928708 Enrollment ID: I20200122002336 |
| 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 | 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 | Kathleen Sarah Derr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912538562 PECOS PAC ID: 6204263304 Enrollment ID: I20200303000205 |
| Provider Name | Kevin Carl Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023658218 PECOS PAC ID: 8628406196 Enrollment ID: I20200316001344 |
| 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 | Elizabeth a Colebank-andes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336233 PECOS PAC ID: 1153674866 Enrollment ID: I20200403001439 |
| Provider Name | Kellye Moore-texter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891354247 PECOS PAC ID: 8628408184 Enrollment ID: I20200423002235 |
| Provider Name | Robert Jacoby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961531 PECOS PAC ID: 9032003462 Enrollment ID: I20200424002160 |
| Provider Name | Melissa Whitesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528251113 PECOS PAC ID: 8921186412 Enrollment ID: I20200505003313 |
| 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 | Mauricio D Carballo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508173568 PECOS PAC ID: 6305090564 Enrollment ID: I20200605000732 |
| 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 | Brandon Lee Mosely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669690 PECOS PAC ID: 3779905617 Enrollment ID: I20200622002208 |
| Provider Name | Rami Alashram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437481793 PECOS PAC ID: 2163657776 Enrollment ID: I20200623003261 |
| Provider Name | Mohamad Mouchli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821324179 PECOS PAC ID: 7618123035 Enrollment ID: I20200626002260 |
| Provider Name | Martin Leonard Burbank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033642004 PECOS PAC ID: 6305123951 Enrollment ID: I20200630001774 |
| Provider Name | Juliet Elizabeth Wolford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497002232 PECOS PAC ID: 3971810920 Enrollment ID: I20200706002514 |
| Provider Name | Nicole King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841450632 PECOS PAC ID: 3577815273 Enrollment ID: I20200707001893 |
| 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 | Ann N Imber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164837233 PECOS PAC ID: 3173814845 Enrollment ID: I20200730003634 |
| Provider Name | Melissa 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 | 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 | 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 | Connor Michael-lehman Wolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578173878 PECOS PAC ID: 8921427758 Enrollment ID: I20200929001026 |
| Provider Name | Jennifer Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194330852 PECOS PAC ID: 3678993896 Enrollment ID: I20201008003098 |
| Provider Name | Marie Therese Mualla Oram |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043838782 PECOS PAC ID: 8426478603 Enrollment ID: I20201009001699 |
| Provider Name | Cassandra Noel Graybill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497937783 PECOS PAC ID: 2163561671 Enrollment ID: I20201012002473 |
| Provider Name | Shannon M Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730791146 PECOS PAC ID: 9133549975 Enrollment ID: I20201016002632 |
| Provider Name | Stephanie Elizabeth Nicholls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104437425 PECOS PAC ID: 1153731476 Enrollment ID: I20201027002920 |
| 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 | Kristen M Morrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922615954 PECOS PAC ID: 7113337106 Enrollment ID: I20201103000705 |
| 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 | Christopher N Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982249546 PECOS PAC ID: 9638589492 Enrollment ID: I20201105001425 |
| Provider Name | Cynthia Lorraine Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649870486 PECOS PAC ID: 8921419987 Enrollment ID: I20201123001996 |
| Provider Name | Angela S Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124634787 PECOS PAC ID: 4981015849 Enrollment ID: I20201124003179 |
| Provider Name | Nicole Marie Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467054874 PECOS PAC ID: 6901217751 Enrollment ID: I20201130000919 |
| Provider Name | Anthony Andrew Cochet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649408485 PECOS PAC ID: 7113204314 Enrollment ID: I20201207002328 |
| Provider Name | Piam Shanehsaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538312228 PECOS PAC ID: 4284802653 Enrollment ID: I20201208002922 |
| Provider Name | Amanda Lee Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316330897 PECOS PAC ID: 7113238296 Enrollment ID: I20201221000361 |
| Provider Name | Chizoba Emmanuel Ugwummadu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700174232 PECOS PAC ID: 0547486722 Enrollment ID: I20201229002363 |
| Provider Name | Emily Brooke Boucher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255933263 PECOS PAC ID: 1557774411 Enrollment ID: I20210113002761 |
| 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 | Douglas Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277857 PECOS PAC ID: 9032445853 Enrollment ID: I20210202001241 |
| Provider Name | Jaimie Cherie Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982295622 PECOS PAC ID: 7517371529 Enrollment ID: I20210203001583 |
| 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 | Abram James Basinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275134801 PECOS PAC ID: 8628483641 Enrollment ID: I20210224001090 |
| Provider Name | Katherine Hendrickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922458975 PECOS PAC ID: 6305259904 Enrollment ID: I20210224001812 |
| Provider Name | Brittany Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669073052 PECOS PAC ID: 6406262161 Enrollment ID: I20210304001998 |
| Provider Name | Nicole Amber Buckingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053906156 PECOS PAC ID: 2961818422 Enrollment ID: I20210308001336 |
| Provider Name | Barbara Obrien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821097304 PECOS PAC ID: 6204029986 Enrollment ID: I20210316002057 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20210317002526 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20210319001463 |
| Provider Name | Mark 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 | Brandon Leelan Ryhlick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225535578 PECOS PAC ID: 4486919024 Enrollment ID: I20210323001659 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20210329001682 |
| Provider Name | Gretchen L Polinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588195382 PECOS PAC ID: 0143507293 Enrollment ID: I20210412001044 |
| Provider Name | Micayah Madison Mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982289468 PECOS PAC ID: 6709294424 Enrollment ID: I20210419002345 |
| 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 | Tamara M. Barlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831771336 PECOS PAC ID: 0648689489 Enrollment ID: I20210507002341 |
| Provider Name | Breanne Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083213946 PECOS PAC ID: 0345659041 Enrollment ID: I20210510002715 |
| Provider Name | Brittany Ann Holloway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932799277 PECOS PAC ID: 0749699312 Enrollment ID: I20210511002751 |
| Provider Name | Courtney N Laczko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790210532 PECOS PAC ID: 1951671775 Enrollment ID: I20210514001910 |
| 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 | Steven Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063917805 PECOS PAC ID: 5395092993 Enrollment ID: I20210615003134 |
| Provider Name | Joshua a Ahier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841610987 PECOS PAC ID: 4981930278 Enrollment ID: I20210701001019 |
| Provider Name | Douglas Weissman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801800289 PECOS PAC ID: 6709989437 Enrollment ID: I20210701001459 |
| Provider Name | John Thomas Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861073017 PECOS PAC ID: 5799707600 Enrollment ID: I20210707001034 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20210707002145 |
| 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 | Daniel C Dekoski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841794823 PECOS PAC ID: 2264780964 Enrollment ID: I20210712003284 |
| Provider Name | Forrest Foster |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346694056 PECOS PAC ID: 2961795083 Enrollment ID: I20210714003475 |
| Provider Name | Ahmed Amro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952716789 PECOS PAC ID: 2062631138 Enrollment ID: I20210715002411 |
| Provider Name | Cody Hedrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326546052 PECOS PAC ID: 9335497338 Enrollment ID: I20210715003536 |
| Provider Name | Sara Ramquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245762459 PECOS PAC ID: 9739466533 Enrollment ID: I20210720003824 |
| Provider Name | Sneha Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538658117 PECOS PAC ID: 5092064436 Enrollment ID: I20210722001784 |
| Provider Name | Brian Christopher Westcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276915 PECOS PAC ID: 7719381540 Enrollment ID: I20210802001308 |
| Provider Name | Lindsey Nicole Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194399766 PECOS PAC ID: 3678977105 Enrollment ID: I20210805002582 |
| Provider Name | Ala' Abdel Jalil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427267871 PECOS PAC ID: 5991868366 Enrollment ID: I20210811002126 |
| Provider Name | Ruchi Bisen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578059044 PECOS PAC ID: 2668723867 Enrollment ID: I20210816002802 |
| 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 | 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 | Tieca Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306515382 PECOS PAC ID: 1254739337 Enrollment ID: I20211004001114 |
| Provider Name | Megan Suzanne Matt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306510474 PECOS PAC ID: 1850329368 Enrollment ID: I20211004002209 |
| Provider Name | Jonathan T Eaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093270548 PECOS PAC ID: 7810395704 Enrollment ID: I20211006003394 |
| Provider Name | Benjamin Strange Cooley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508245770 PECOS PAC ID: 5395066401 Enrollment ID: I20211007002109 |
| Provider Name | Lettrice Taylor-blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487320495 PECOS PAC ID: 3274931043 Enrollment ID: I20211007003530 |
| Provider Name | Erica Nicole Lotte |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922605088 PECOS PAC ID: 1355749896 Enrollment ID: I20211013001863 |
| Provider Name | Alyssa Michelle Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215604343 PECOS PAC ID: 9234527110 Enrollment ID: I20211026001625 |
| Provider Name | Nikhil Tej Kurapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013405406 PECOS PAC ID: 4789939174 Enrollment ID: I20211111002468 |
| Provider Name | Gabrielle Lauren Lasala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871178194 PECOS PAC ID: 8325437304 Enrollment ID: I20211112000780 |
| Provider Name | Johnny Joseph Naples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043895402 PECOS PAC ID: 4486043361 Enrollment ID: I20211115002042 |
| Provider Name | Meghan Wilke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598420671 PECOS PAC ID: 6204226582 Enrollment ID: I20211130001801 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20211208000987 |
| Provider Name | Stephen Charles Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992478689 PECOS PAC ID: 5395135016 Enrollment ID: I20211210001875 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20211214001335 |
| Provider Name | Arielle M Hafle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730843079 PECOS PAC ID: 3577954163 Enrollment ID: I20211215000360 |
| Provider Name | Colby Allen Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20211215001708 |
| Provider Name | Cory R Heuerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922649912 PECOS PAC ID: 1254769623 Enrollment ID: I20211228002092 |
| 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 | Brandy L Mullett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043970494 PECOS PAC ID: 4587057922 Enrollment ID: I20220208002219 |
| 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 | Emmanuel Aguh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588058549 PECOS PAC ID: 3971864497 Enrollment ID: I20220223002454 |
| Provider Name | Gregory William Lanouette |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710974365 PECOS PAC ID: 0345141487 Enrollment ID: I20220228001071 |
| Provider Name | David M Welker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356307326 PECOS PAC ID: 3072414309 Enrollment ID: I20220317002286 |
| Provider Name | Elise Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102816 PECOS PAC ID: 2769878826 Enrollment ID: I20220330000628 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220404002539 |
| 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 | Patricio C Gargollo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982661781 PECOS PAC ID: 6305854357 Enrollment ID: I20220412002346 |
| Provider Name | David Cha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| 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 | Vikas Jain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558508176 PECOS PAC ID: 2668799495 Enrollment ID: I20220429002121 |
| Provider Name | Marian Gaida Duselis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124615695 PECOS PAC ID: 1658784061 Enrollment ID: I20220502000160 |
| Provider Name | Ajibola a Adesanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306504543 PECOS PAC ID: 2466849971 Enrollment ID: I20220503000457 |
| Provider Name | Mariah Nicole Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639648322 PECOS PAC ID: 2264770189 Enrollment ID: I20220509001965 |
| Provider Name | Ammar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366905390 PECOS PAC ID: 0345574331 Enrollment ID: I20220518000426 |
| Provider Name | Lauren Gin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457812646 PECOS PAC ID: 7416281308 Enrollment ID: I20220519001753 |
| Provider Name | Paul J Kreinbrink |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073044640 PECOS PAC ID: 1951671130 Enrollment ID: I20220601000581 |
| Provider Name | Brooke Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225701584 PECOS PAC ID: 6204228141 Enrollment ID: I20220610001771 |
| Provider Name | Srivani Chunchulu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881009538 PECOS PAC ID: 0648598474 Enrollment ID: I20220615002735 |
| Provider Name | Audrey Nathalie Grenga |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467849448 PECOS PAC ID: 0547513277 Enrollment ID: I20220617002499 |
| Provider Name | Annabeth Dora Barry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033757554 PECOS PAC ID: 6406268887 Enrollment ID: I20220618000256 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20220621001939 |
| 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 | Mohamed Ahmed Eltigani Abdelrahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396299483 PECOS PAC ID: 4688056831 Enrollment ID: I20220804000177 |
| Provider Name | Wesley R Rieger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750038402 PECOS PAC ID: 8921480112 Enrollment ID: I20220804001733 |
| 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 Brianne Johnson Riggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942690060 PECOS PAC ID: 4284963182 Enrollment ID: I20220818002142 |
| 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 I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220909003044 |
| Provider Name | Jeri Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528714888 PECOS PAC ID: 9638554504 Enrollment ID: I20220913001379 |
| Provider Name | Cord Neal Gothard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750879797 PECOS PAC ID: 4981952934 Enrollment ID: I20220914003604 |
| Provider Name | Qasim Bashir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780861807 PECOS PAC ID: 8325114093 Enrollment ID: I20220921001978 |
| Provider Name | Rachael 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 | Rebekah Ruth Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578284113 PECOS PAC ID: 9234515727 Enrollment ID: I20221006002397 |
| Provider Name | Linda R Vaders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811945041 PECOS PAC ID: 6305740747 Enrollment ID: I20221007001129 |
| Provider Name | Caroline Marie Symons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780303180 PECOS PAC ID: 9234515594 Enrollment ID: I20221011000299 |
| Provider Name | Carolyn Barbara Goyne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265196539 PECOS PAC ID: 0840666137 Enrollment ID: I20221011001570 |
| Provider Name | Camille Elizabeth Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073240941 PECOS PAC ID: 0648646711 Enrollment ID: I20221013002928 |
| Provider Name | Joshua Matthew Tindall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336868827 PECOS PAC ID: 5991171084 Enrollment ID: I20221013003596 |
| 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 | Kristen Lea Whitlock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20221027001526 |
| Provider Name | Allison Morgan Ramke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417696485 PECOS PAC ID: 1456737329 Enrollment ID: I20221101002486 |
| Provider Name | Jaspreet Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033521679 PECOS PAC ID: 9931576626 Enrollment ID: I20221109002638 |
| 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 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 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 | Erin Kristina Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679298525 PECOS PAC ID: 9234507039 Enrollment ID: I20221129002274 |
| Provider Name | Adam Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881120343 PECOS PAC ID: 0840675641 Enrollment ID: I20221214002345 |
| Provider Name | Jeremy Thomas Queen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063132702 PECOS PAC ID: 1557730280 Enrollment ID: I20221219002642 |
| Provider Name | Nicole Lynne Epard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619534781 PECOS PAC ID: 2466823067 Enrollment ID: I20230118001575 |
| Provider Name | Erin Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225767015 PECOS PAC ID: 1254703911 Enrollment ID: I20230207002171 |
| Provider Name | Jacob D Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821712316 PECOS PAC ID: 2163894171 Enrollment ID: I20230220001749 |
| Provider Name | Kayla Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235681636 PECOS PAC ID: 0749655868 Enrollment ID: I20230403002072 |
| Provider Name | Linda N Nabha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558520601 PECOS PAC ID: 9537303995 Enrollment ID: I20230510000988 |
| Provider Name | Kuwong Bomwara Mwamukonda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689849192 PECOS PAC ID: 5395877849 Enrollment ID: I20230511000620 |
| Provider Name | Nicole Zeiders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568174746 PECOS PAC ID: 9234595539 Enrollment ID: I20230511000725 |
| Provider Name | Zoltan Krudy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659877991 PECOS PAC ID: 3971867854 Enrollment ID: I20230512000962 |
| Provider Name | Lauren Elizabeth Sarita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720684897 PECOS PAC ID: 4981060043 Enrollment ID: I20230515002423 |
| Provider Name | Bahar Cheema |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841654654 PECOS PAC ID: 0941592646 Enrollment ID: I20230515003007 |
| Provider Name | Patrick Njoku |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497945026 PECOS PAC ID: 4284799941 Enrollment ID: I20230516000638 |
| Provider Name | Shahzad Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326675661 PECOS PAC ID: 5597196238 Enrollment ID: I20230516001234 |
| Provider Name | Stacey Lee Blurton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255044905 PECOS PAC ID: 4880050921 Enrollment ID: I20230516002604 |
| Provider Name | Matthew Clark Garrett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881985943 PECOS PAC ID: 7810233970 Enrollment ID: I20230517002569 |
| Provider Name | Mary R Mullen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780079186 PECOS PAC ID: 5193030724 Enrollment ID: I20230524000675 |
| Provider Name | Sarah Sample-eppinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578925277 PECOS PAC ID: 9234421314 Enrollment ID: I20230530002468 |
| Provider Name | Oluwaseun B Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316333040 PECOS PAC ID: 3173876489 Enrollment ID: I20230605003243 |
| Provider Name | Corinna Marie Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508594169 PECOS PAC ID: 0547627408 Enrollment ID: I20230607003334 |
| Provider Name | Kokou Selom Adompreh Fia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952922817 PECOS PAC ID: 1557729183 Enrollment ID: I20230614001090 |
| Provider Name | Lillian Elaine Haerr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306553789 PECOS PAC ID: 1759749088 Enrollment ID: I20230620000687 |
| Provider Name | Michael S Hatesohl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427510510 PECOS PAC ID: 8325381189 Enrollment ID: I20230620001180 |
| Provider Name | Erin Tinnerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942240460 PECOS PAC ID: 7911938089 Enrollment ID: I20230630000456 |
| Provider Name | Vikram N Balakumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770924243 PECOS PAC ID: 6406073741 Enrollment ID: I20230705003192 |
| Provider Name | Erin Elizabeth Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760176937 PECOS PAC ID: 1850751538 Enrollment ID: I20230712004014 |
| Provider Name | Natoya Tavernier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437848850 PECOS PAC ID: 6305206483 Enrollment ID: I20230720003165 |
| Provider Name | Ramya Raghavan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952899155 PECOS PAC ID: 2769731686 Enrollment ID: I20230721001929 |
| Provider Name | Daniela I Rosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063948305 PECOS PAC ID: 7214200153 Enrollment ID: I20230725000360 |
| Provider Name | Gabriel Hanna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164108338 PECOS PAC ID: 0648631580 Enrollment ID: I20230725003056 |
| Provider Name | Rory Howard Lewis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548213267 PECOS PAC ID: 5698799286 Enrollment ID: I20230725003152 |
| Provider Name | Carter Mikesell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609371327 PECOS PAC ID: 1254684129 Enrollment ID: I20230727002049 |
| Provider Name | Jared Austin Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538874102 PECOS PAC ID: 4284095985 Enrollment ID: I20230727002227 |
| Provider Name | Emanuela Cimpeanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760914857 PECOS PAC ID: 2264779396 Enrollment ID: I20230727003242 |
| Provider Name | Merissa M Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134680424 PECOS PAC ID: 1254665870 Enrollment ID: I20230807003078 |
| Provider Name | Sojin Youn Wass |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316332356 PECOS PAC ID: 4385006923 Enrollment ID: I20230815001487 |
| Provider Name | Mira Mckary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073052221 PECOS PAC ID: 9436429354 Enrollment ID: I20230816003569 |
| Provider Name | Sarah Nicole Dula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447887922 PECOS PAC ID: 2567893266 Enrollment ID: I20230821001573 |
| Provider Name | Arun Balagopal Pillai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831753227 PECOS PAC ID: 6103150180 Enrollment ID: I20230821003659 |
| Provider Name | Madelynn Owens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750089454 PECOS PAC ID: 3870956659 Enrollment ID: I20230825003208 |
| Provider Name | Allyson Michelle Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508543141 PECOS PAC ID: 8022471846 Enrollment ID: I20230828000989 |
| Provider Name | Rachel K Booth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043876394 PECOS PAC ID: 4880928852 Enrollment ID: I20230830002088 |
| Provider Name | Kelly Renee Kirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902366313 PECOS PAC ID: 3971836230 Enrollment ID: I20230905001747 |
| Provider Name | Anna C Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386344851 PECOS PAC ID: 7618331836 Enrollment ID: I20230906003497 |
| Provider Name | Hailey Kate Spry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154006708 PECOS PAC ID: 6305200239 Enrollment ID: I20230912000610 |
| Provider Name | Catherine Alisa Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215612031 PECOS PAC ID: 3577917459 Enrollment ID: I20230926003237 |
| Provider Name | Kathleen Nicole Calderon Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740963420 PECOS PAC ID: 0042664682 Enrollment ID: I20230929002361 |
| Provider Name | Alexa a Lyman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720616220 PECOS PAC ID: 9830510346 Enrollment ID: I20231002000977 |
| Provider Name | Joseph Granite |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861980179 PECOS PAC ID: 4688905227 Enrollment ID: I20231009002952 |
| Provider Name | Jessica a Christman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336927508 PECOS PAC ID: 2466807565 Enrollment ID: I20231010001460 |
| Provider Name | Nathaniel Kopp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861001638 PECOS PAC ID: 4981023074 Enrollment ID: I20231011002557 |
| Provider Name | Jessica Rose Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548581218 PECOS PAC ID: 5799130670 Enrollment ID: I20231012001887 |
| Provider Name | Zubin Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861768061 PECOS PAC ID: 5294158176 Enrollment ID: I20231013001201 |
| Provider Name | Ryan D Nicklas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770075533 PECOS PAC ID: 9931459468 Enrollment ID: I20231016001205 |
| Provider Name | Jessica L Karp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023243698 PECOS PAC ID: 6709156946 Enrollment ID: I20231027002471 |
| Provider Name | Naveen K Vijayam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033747092 PECOS PAC ID: 6305224296 Enrollment ID: I20231106000454 |
| Provider Name | Farzam Saleem Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902434467 PECOS PAC ID: 4688021959 Enrollment ID: I20231108000483 |
| Provider Name | Jennifer Kaye Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972385698 PECOS PAC ID: 6507213659 Enrollment ID: I20231110000330 |
| Provider Name | Jorge Enrique Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669651881 PECOS PAC ID: 4789718024 Enrollment ID: I20231114001064 |
| Provider Name | Avneil Singh Yashpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265975155 PECOS PAC ID: 0648604389 Enrollment ID: I20231116001920 |
| Provider Name | Daniel Manzanillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336729078 PECOS PAC ID: 9537578422 Enrollment ID: I20231206003935 |
| Provider Name | Karlene Denise Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013783687 PECOS PAC ID: 4880043124 Enrollment ID: I20231212000571 |
| Provider Name | Ananda Joy Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518744457 PECOS PAC ID: 8628427721 Enrollment ID: I20231214003035 |
| Provider Name | Sarah-ashley Elmore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679816961 PECOS PAC ID: 5496984197 Enrollment ID: I20231220004062 |
| Provider Name | Melissa Dawn Steele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588024343 PECOS PAC ID: 6901257807 Enrollment ID: I20240104002549 |
| Provider Name | Amy J Dunham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578788642 PECOS PAC ID: 7416308358 Enrollment ID: I20240104004331 |
| Provider Name | Kimberly Renee Eberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457944704 PECOS PAC ID: 9133512783 Enrollment ID: I20240122001725 |
| Provider Name | Katlyn Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366148819 PECOS PAC ID: 2466805460 Enrollment ID: I20240125003556 |
| Provider Name | Jamie Lynn Mason |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336923887 PECOS PAC ID: 4880047703 Enrollment ID: I20240126003764 |
| Provider Name | Jena R Cosby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215376439 PECOS PAC ID: 9436427366 Enrollment ID: I20240127000633 |
| Provider Name | Ryan Patrick Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225518608 PECOS PAC ID: 7214278043 Enrollment ID: I20240201004579 |
| Provider Name | Christina L Klasmeier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316617798 PECOS PAC ID: 4385087956 Enrollment ID: I20240210000582 |
| Provider Name | Anthony G Vande Hei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942620240 PECOS PAC ID: 2860785441 Enrollment ID: I20240212000332 |
| Provider Name | Erin Michele Cavanaugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568233500 PECOS PAC ID: 5294178612 Enrollment ID: I20240213001030 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20240219001069 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20240219003040 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20240220000773 |
| Provider Name | Crystal Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021886 PECOS PAC ID: 9931321338 Enrollment ID: I20240220000955 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20240220001167 |
| Provider Name | Parham J Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20240220001780 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20240220003195 |
| Provider Name | Robert a Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20240220004186 |
| Provider Name | Piotr T Tekiela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902268626 PECOS PAC ID: 2264725290 Enrollment ID: I20240220004284 |
| Provider Name | Kyle William Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20240220004669 |
| Provider Name | Chris Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362613 PECOS PAC ID: 7416196639 Enrollment ID: I20240221000312 |
| Provider Name | Vivian Nguyen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265203475 PECOS PAC ID: 3678917242 Enrollment ID: I20240222001256 |
| Provider Name | Justin T De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20240227000432 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20240229000371 |
| Provider Name | Ashley Michelle Burch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811315708 PECOS PAC ID: 7719322510 Enrollment ID: I20240304000673 |
| Provider Name | Danoushka Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20240305003036 |
| Provider Name | Karl M Meisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508068750 PECOS PAC ID: 2365608965 Enrollment ID: I20240318001648 |
| Provider Name | Julie B Seibert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740253822 PECOS PAC ID: 9436115961 Enrollment ID: I20240319001774 |
| Provider Name | Komal Rastogi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063774669 PECOS PAC ID: 4082906342 Enrollment ID: I20240319001935 |
| Provider Name | Olivia Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205249968 PECOS PAC ID: 8224378138 Enrollment ID: I20240319002030 |
| Provider Name | Sang Myung Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700433398 PECOS PAC ID: 9739512278 Enrollment ID: I20240322004080 |
| Provider Name | Audra P Puzio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457112955 PECOS PAC ID: 7315384351 Enrollment ID: I20240326001688 |
| Provider Name | Tisa Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649964107 PECOS PAC ID: 6709224322 Enrollment ID: I20240402002238 |
| Provider Name | Delani Loralye Deckard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871350520 PECOS PAC ID: 6103265061 Enrollment ID: I20240411004634 |
| Provider Name | Karley Schlensker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447726310 PECOS PAC ID: 2567801814 Enrollment ID: I20240418003607 |
| Provider Name | Matthew Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205290277 PECOS PAC ID: 4880931971 Enrollment ID: I20240502002601 |
| Provider Name | Kelli Marie Rasor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780255976 PECOS PAC ID: 2567804602 Enrollment ID: I20240521003595 |
| Provider Name | Damian N Valencia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639602063 PECOS PAC ID: 8921376450 Enrollment ID: I20240521004270 |
| Provider Name | Douglas Franz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053582221 PECOS PAC ID: 7214009042 Enrollment ID: I20240523000502 |
| Provider Name | William MD Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649706474 PECOS PAC ID: 6204105380 Enrollment ID: I20240523002461 |
| Provider Name | Abhishek Udupa Narayana Achar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427400746 PECOS PAC ID: 6103185814 Enrollment ID: I20240523003265 |
| Provider Name | Nicholas L Zalewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669818399 PECOS PAC ID: 5597906115 Enrollment ID: I20240528002428 |
| Provider Name | Juan Linares Velandia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043749930 PECOS PAC ID: 2860760501 Enrollment ID: I20240528003350 |
| Provider Name | Jacob Arthur Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20240529003274 |
| Provider Name | Amy E Steinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780180885 PECOS PAC ID: 8527316975 Enrollment ID: I20240529004090 |
| Provider Name | Erica R Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20240530002230 |
| Provider Name | Robert E Malka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174785513 PECOS PAC ID: 7416118658 Enrollment ID: I20240530002443 |
| Provider Name | Stephanie Marie Altick Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487417374 PECOS PAC ID: 2567904428 Enrollment ID: I20240606001848 |
| Provider Name | Gabriel Menendez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619400520 PECOS PAC ID: 4183901960 Enrollment ID: I20240606004233 |
| Provider Name | Khadija Irshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528494689 PECOS PAC ID: 1153673462 Enrollment ID: I20240612002114 |
| Provider Name | Stephen L Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093159444 PECOS PAC ID: 3779857735 Enrollment ID: I20240618002634 |
| Provider Name | Brad Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366510794 PECOS PAC ID: 3375533235 Enrollment ID: I20240620000305 |
| Provider Name | Hamidreza Abbasi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578060075 PECOS PAC ID: 6406194455 Enrollment ID: I20240701000597 |
| Provider Name | Jamie Jones Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699525774 PECOS PAC ID: 6709321391 Enrollment ID: I20240708001933 |
| Provider Name | Cinthi Pillai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538435953 PECOS PAC ID: 9335434968 Enrollment ID: I20240709000795 |
| Provider Name | Robert Martin Henison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659085496 PECOS PAC ID: 1355886334 Enrollment ID: I20240715001428 |
| Provider Name | Andrew M Steffensmeier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720583925 PECOS PAC ID: 3476804212 Enrollment ID: I20240722003485 |
| Provider Name | Kamil Salam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275117293 PECOS PAC ID: 4587064357 Enrollment ID: I20240724003429 |
| Provider Name | Mai-lynn Bui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730628579 PECOS PAC ID: 5395020838 Enrollment ID: I20240725000566 |
| Provider Name | Nancy Bello |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669734620 PECOS PAC ID: 8022382126 Enrollment ID: I20240726002765 |
| Provider Name | Adam F Sitzmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902366560 PECOS PAC ID: 2961821210 Enrollment ID: I20240729002952 |
| Provider Name | Rachel E Carlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023472115 PECOS PAC ID: 8123311487 Enrollment ID: I20240729004093 |
| Provider Name | Christopher Alexander Kelesoglou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124589015 PECOS PAC ID: 8921540659 Enrollment ID: I20240730001945 |
| Provider Name | Jeffrey L Ortstadt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467480376 PECOS PAC ID: 4880631274 Enrollment ID: I20240730002272 |
| Provider Name | Kapil Puri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962494211 PECOS PAC ID: 8628039344 Enrollment ID: I20240730003967 |
| Provider Name | Kevin Schmitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952780108 PECOS PAC ID: 2567709959 Enrollment ID: I20240731001029 |
| Provider Name | Jose Falero-pomales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801373089 PECOS PAC ID: 5698001071 Enrollment ID: I20240731003724 |
| Provider Name | Abby Elizabeth Hinkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659909729 PECOS PAC ID: 9638509193 Enrollment ID: I20240802002221 |
| Provider Name | Deanne Renee Jacobs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124438163 PECOS PAC ID: 0749502052 Enrollment ID: I20240803000216 |
| Provider Name | Amy R Harrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568620136 PECOS PAC ID: 3173774916 Enrollment ID: I20240806004170 |
| Provider Name | Aamir Waheed Akram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043890627 PECOS PAC ID: 8123566064 Enrollment ID: I20240809003354 |
| Provider Name | James R Mangerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093078446 PECOS PAC ID: 5799932083 Enrollment ID: I20240815004600 |
| Provider Name | Amrit Thakur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134649205 PECOS PAC ID: 0244593200 Enrollment ID: I20240821002979 |
| Provider Name | Annie Rose Burnett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164050605 PECOS PAC ID: 4880036706 Enrollment ID: I20240823001675 |
| Provider Name | Tiffany D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457709792 PECOS PAC ID: 4486904760 Enrollment ID: I20240823002811 |
| Provider Name | Nathaniel Han |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902462385 PECOS PAC ID: 6608299748 Enrollment ID: I20240903003715 |
| Provider Name | Ali Alavi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508936592 PECOS PAC ID: 7012906688 Enrollment ID: I20240903003851 |
| Provider Name | Tamer Ammar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780846303 PECOS PAC ID: 1456507425 Enrollment ID: I20240909003740 |
| Provider Name | Sarah Jo Atkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871988170 PECOS PAC ID: 2365798212 Enrollment ID: I20240910002500 |
| Provider Name | Gordon L Fifer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497729933 PECOS PAC ID: 2769639343 Enrollment ID: I20240910003814 |
| Provider Name | William Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508842725 PECOS PAC ID: 4082795109 Enrollment ID: I20240911003918 |
| Provider Name | Sara E Hocker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710141502 PECOS PAC ID: 3678697752 Enrollment ID: I20240912001708 |
| Provider Name | Danelvis Paredes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326562257 PECOS PAC ID: 1254795941 Enrollment ID: I20240912002520 |
| Provider Name | Sarah E. Tybring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518486174 PECOS PAC ID: 1052687191 Enrollment ID: I20240912002793 |
| Provider Name | Ashwaan Uddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568090058 PECOS PAC ID: 4486078573 Enrollment ID: I20240916003665 |
| Provider Name | Kita L Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689820912 PECOS PAC ID: 5294981841 Enrollment ID: I20240927002923 |
| Provider Name | Brett Brandon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629653639 PECOS PAC ID: 8628462959 Enrollment ID: I20240930003266 |
| Provider Name | Kate Grayson Meizlish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053940924 PECOS PAC ID: 4486060142 Enrollment ID: I20241001003628 |
| Provider Name | Yasier Vicente Medina Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740767599 PECOS PAC ID: 9931522729 Enrollment ID: I20241002004161 |
| Provider Name | We'am Hussain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609371608 PECOS PAC ID: 4486901162 Enrollment ID: I20241003003070 |
| Provider Name | William Forrest Richards |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194728675 PECOS PAC ID: 3870523004 Enrollment ID: I20241004001221 |
| Provider Name | Amy M Cogan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083147102 PECOS PAC ID: 3577830272 Enrollment ID: I20241007001888 |
| Provider Name | Aaron Ross Burket |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750736997 PECOS PAC ID: 6406149863 Enrollment ID: I20241008001646 |
| Provider Name | Zachary Lee Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326538216 PECOS PAC ID: 0749539195 Enrollment ID: I20241008002831 |
| Provider Name | Roland T Hamilton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245541085 PECOS PAC ID: 6305169087 Enrollment ID: I20241011001109 |
| Provider Name | Rachel a Herman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861225849 PECOS PAC ID: 8224560313 Enrollment ID: I20241014004312 |
| Provider Name | Maitreyi Murthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508248600 PECOS PAC ID: 8921313701 Enrollment ID: I20241015002126 |
| Provider Name | Sugat Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518947233 PECOS PAC ID: 7810996451 Enrollment ID: I20241018003424 |
| Provider Name | Robert White Yancey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407804792 PECOS PAC ID: 1153395884 Enrollment ID: I20241021003050 |
| Provider Name | Joshua Taylor Bernal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780264325 PECOS PAC ID: 5092114934 Enrollment ID: I20241023002808 |
| Provider Name | Jose P Pizarro-otero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669528550 PECOS PAC ID: 6002986536 Enrollment ID: I20241030003881 |
| Provider Name | Mallory Suzanne Zedella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568298578 PECOS PAC ID: 6608309471 Enrollment ID: I20241031003359 |
| Provider Name | Michael Sean Wojdan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316308729 PECOS PAC ID: 7911276498 Enrollment ID: I20241104002307 |
| Provider Name | Nora Takla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962464271 PECOS PAC ID: 8628093044 Enrollment ID: I20241105002516 |
| Provider Name | Pooja Sofat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568779254 PECOS PAC ID: 7214295526 Enrollment ID: I20241107003348 |
| Provider Name | Jing Li Huang |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1205195435 PECOS PAC ID: 1052616224 Enrollment ID: I20241108001324 |
| Provider Name | Mark a Nielsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790873164 PECOS PAC ID: 7517988900 Enrollment ID: I20241108003188 |
| Provider Name | Jiaying Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902059322 PECOS PAC ID: 2860633005 Enrollment ID: I20241120001642 |
| Provider Name | Aimee M Greutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841011509 PECOS PAC ID: 9032644224 Enrollment ID: I20241125002687 |
| Provider Name | Evelyn Marie Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275354979 PECOS PAC ID: 8123553336 Enrollment ID: I20241125003690 |
| Provider Name | Natalie Allman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548429137 PECOS PAC ID: 5496903791 Enrollment ID: I20241127001255 |
| Provider Name | Allison N. Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518787522 PECOS PAC ID: 0244765014 Enrollment ID: I20241203002442 |
| Provider Name | Richard K Monroe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316106891 PECOS PAC ID: 9133376148 Enrollment ID: I20241204001964 |
| Provider Name | Shaina Logemann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730684366 PECOS PAC ID: 7315294113 Enrollment ID: I20241205002614 |
| Provider Name | Julie Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306683412 PECOS PAC ID: 2961938469 Enrollment ID: I20241206003043 |
| Provider Name | Alyson Lynn Spiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891518171 PECOS PAC ID: 7810423936 Enrollment ID: I20241211004593 |
| Provider Name | Katelyn Michelle Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588484927 PECOS PAC ID: 3971030438 Enrollment ID: I20241220003543 |
| Provider Name | Poonam Poonam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427579259 PECOS PAC ID: 6507132339 Enrollment ID: I20241226000909 |
| Provider Name | Adam Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932943164 PECOS PAC ID: 0042747123 Enrollment ID: I20241231003132 |
| Provider Name | Lex Philip Leonhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386104024 PECOS PAC ID: 8527300334 Enrollment ID: I20250115001798 |
| Provider Name | Syrah E Nicaisse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245530641 PECOS PAC ID: 8224277595 Enrollment ID: I20250128001988 |
| Provider Name | Kara Mcabee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316488661 PECOS PAC ID: 2769751171 Enrollment ID: I20250129001741 |
| Provider Name | Neelantha M De Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407944002 PECOS PAC ID: 9537315536 Enrollment ID: I20250211001156 |
| Provider Name | Laura T Adam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619318532 PECOS PAC ID: 6800102559 Enrollment ID: I20250212001844 |
| Provider Name | Heather Ann Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891505863 PECOS PAC ID: 5991773988 Enrollment ID: I20250217001638 |
| Provider Name | Tyler Matthew Peckham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013423367 PECOS PAC ID: 2365962529 Enrollment ID: I20250219001193 |
| Provider Name | Shey Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033500541 PECOS PAC ID: 5193045771 Enrollment ID: I20250221001603 |
| Provider Name | Ian Michael Delvalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427682962 PECOS PAC ID: 1951718428 Enrollment ID: I20250311002192 |
| Provider Name | Keerthana Akkineni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275928715 PECOS PAC ID: 9133542806 Enrollment ID: I20250312002098 |
| Provider Name | Akira Todo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376820514 PECOS PAC ID: 3870749153 Enrollment ID: I20250313002227 |
| Provider Name | William Louis Hills |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609080886 PECOS PAC ID: 6507957313 Enrollment ID: I20250325000990 |
| Provider Name | Rebecca Kathryn Klark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427858992 PECOS PAC ID: 6305369125 Enrollment ID: I20250402000288 |
| Provider Name | Ariel Christine Herdeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124851530 PECOS PAC ID: 6002330743 Enrollment ID: I20250403002611 |
| Provider Name | Courtney N Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932701604 PECOS PAC ID: 6608288378 Enrollment ID: I20250407002036 |
| Provider Name | Dara Daniela Regn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316151251 PECOS PAC ID: 4183861396 Enrollment ID: I20250411002877 |
| Provider Name | Aaron Loomis Berenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881344844 PECOS PAC ID: 9830576941 Enrollment ID: I20250414000582 |
| Provider Name | Ilana Ruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851550743 PECOS PAC ID: 1355593302 Enrollment ID: I20250415000733 |
| Provider Name | Viviana Di Stefano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427651033 PECOS PAC ID: 5991105124 Enrollment ID: I20250417000779 |
| Provider Name | Ananda-kriiya Fine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104115492 PECOS PAC ID: 3577868967 Enrollment ID: I20250417000887 |
| Provider Name | Michaela Marie Fritson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629754379 PECOS PAC ID: 9830614841 Enrollment ID: I20250422002260 |
| Provider Name | Mustapha El Halabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316292329 PECOS PAC ID: 3678721206 Enrollment ID: I20250422002970 |
| Provider Name | Juanita Marguerite Krisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922871508 PECOS PAC ID: 1355877424 Enrollment ID: I20250423002528 |
| Provider Name | Umair Sohail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376879940 PECOS PAC ID: 0143468066 Enrollment ID: I20250424000637 |
| Provider Name | Jessica Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386420313 PECOS PAC ID: 7810343605 Enrollment ID: I20250501002894 |
| Provider Name | Vaijayantee K Belle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063771178 PECOS PAC ID: 7416246814 Enrollment ID: I20250508001353 |
| Provider Name | Marryanne Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528330081 PECOS PAC ID: 5092102871 Enrollment ID: I20250512000369 |
| Provider Name | Virginia L Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881104875 PECOS PAC ID: 5092126821 Enrollment ID: I20250522002879 |
| Provider Name | Lily Whiteside |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558099929 PECOS PAC ID: 6305212333 Enrollment ID: I20250523002220 |
| Provider Name | Andrew M Weinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053384834 PECOS PAC ID: 8123080546 Enrollment ID: I20250611001053 |
| Provider Name | Daniel Zarrate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780324715 PECOS PAC ID: 0648658195 Enrollment ID: I20250624002312 |
| Provider Name | Romel Jose Garcia-montilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275715310 PECOS PAC ID: 5496826380 Enrollment ID: I20250625004328 |
| Provider Name | Rachael K Bauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861209736 PECOS PAC ID: 8527570324 Enrollment ID: I20250626000849 |
| Provider Name | Claire Rose Healy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932789583 PECOS PAC ID: 7012420581 Enrollment ID: I20250627002746 |
| Provider Name | Jane K. King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629867296 PECOS PAC ID: 1759894074 Enrollment ID: I20250701000137 |
| Provider Name | Jessica Chachere Baity |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750743621 PECOS PAC ID: 8729367420 Enrollment ID: I20250701000619 |
| Provider Name | Paulo Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033606660 PECOS PAC ID: 2668725359 Enrollment ID: I20250701001138 |
| Provider Name | Kaysea Shea Sonterre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942997291 PECOS PAC ID: 8820501059 Enrollment ID: I20250701002843 |
| Provider Name | Danielle Haskins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144232893 PECOS PAC ID: 0840337333 Enrollment ID: I20250701003508 |
| Provider Name | Matthew Paul Kozminski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649303108 PECOS PAC ID: 1153586805 Enrollment ID: I20250702000197 |
| Provider Name | Robin Dharia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831416064 PECOS PAC ID: 6800029844 Enrollment ID: I20250702001387 |
| Provider Name | Christopher G Rieman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699009118 PECOS PAC ID: 0547288821 Enrollment ID: I20250702002061 |
| Provider Name | Renny George Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891174397 PECOS PAC ID: 3476846031 Enrollment ID: I20250707000481 |
| Provider Name | Nathan Lawrence |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346624327 PECOS PAC ID: 9436488061 Enrollment ID: I20250708004200 |
| Provider Name | Heather Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619227048 PECOS PAC ID: 3274879952 Enrollment ID: I20250709003140 |
| Provider Name | Julio Ventura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164659546 PECOS PAC ID: 2163662495 Enrollment ID: I20250711001642 |
| Provider Name | Isabel Kathleen Stoffel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013726702 PECOS PAC ID: 0345755336 Enrollment ID: I20250717002255 |
| Provider Name | Samuel Joseph Keltner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538797733 PECOS PAC ID: 6608382437 Enrollment ID: I20250718004089 |
| Provider Name | Emily Fuller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194354506 PECOS PAC ID: 3577962166 Enrollment ID: I20250722000453 |
| Provider Name | Shaigan Bhatti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578147286 PECOS PAC ID: 5092115956 Enrollment ID: I20250722000839 |
| Provider Name | Paul C Menell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548820210 PECOS PAC ID: 8820415466 Enrollment ID: I20250722003457 |
| Provider Name | Nazir Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568872224 PECOS PAC ID: 8224306386 Enrollment ID: I20250723000565 |
| Provider Name | Megan Barry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851654834 PECOS PAC ID: 9234373622 Enrollment ID: I20250723001749 |
| Provider Name | Alexander Oliver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023779857 PECOS PAC ID: 9436525383 Enrollment ID: I20250725002325 |
| Provider Name | Vikas Ravi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891321824 PECOS PAC ID: 3577092923 Enrollment ID: I20250729004911 |
| Provider Name | Victoria Rice |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700415734 PECOS PAC ID: 8224469101 Enrollment ID: I20250730000552 |
| Provider Name | Tanmay Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881128320 PECOS PAC ID: 2466710793 Enrollment ID: I20250730003324 |
| Provider Name | Spencer C Mcfarlane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609403781 PECOS PAC ID: 6709393929 Enrollment ID: I20250730003448 |
| Provider Name | Sonia Masih |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740816263 PECOS PAC ID: 7719304005 Enrollment ID: I20250731003651 |
| Provider Name | Lenay Santana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124215538 PECOS PAC ID: 5496944530 Enrollment ID: I20250801003021 |
| Provider Name | Andrew Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033506175 PECOS PAC ID: 1052625126 Enrollment ID: I20250806000948 |
| Provider Name | Maria Eliza Alexianu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235109059 PECOS PAC ID: 8325038813 Enrollment ID: I20250808001787 |
| Provider Name | Emma Grace Boyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942018940 PECOS PAC ID: 7416455415 Enrollment ID: I20250808003291 |
| Provider Name | Antipas Polycarp Marati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427624147 PECOS PAC ID: 1951701911 Enrollment ID: I20250811002840 |
| Provider Name | Austin K Bramwell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134749450 PECOS PAC ID: 1153740774 Enrollment ID: I20250813000260 |
| Provider Name | Luke K Griffiths |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760945836 PECOS PAC ID: 0547705477 Enrollment ID: I20250820000949 |
| Provider Name | Jeffrey Bowers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295356400 PECOS PAC ID: 6608296355 Enrollment ID: I20250821002301 |
| Provider Name | Cyrus a Rais |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225691777 PECOS PAC ID: 9032625025 Enrollment ID: I20250821003193 |
| Provider Name | Randall S Dunston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730746603 PECOS PAC ID: 9234466830 Enrollment ID: I20250822001472 |
| Provider Name | Jessica Antoinette Lowe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811348501 PECOS PAC ID: 8921393646 Enrollment ID: I20250825002981 |
| Provider Name | Ashkan Javadzadeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437779170 PECOS PAC ID: 1052733086 Enrollment ID: I20250829001652 |
| Provider Name | April Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952002610 PECOS PAC ID: 9537534920 Enrollment ID: I20250902001056 |
| Provider Name | Danielle Sue Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669354015 PECOS PAC ID: 3870095219 Enrollment ID: I20250905001428 |
| Provider Name | Digna Janakbhai Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548144934 PECOS PAC ID: 8729580659 Enrollment ID: I20250909000381 |
| Provider Name | Vaniolky Losada Leon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043690423 PECOS PAC ID: 5991068975 Enrollment ID: I20250911000588 |
| Provider Name | Nina-serena Burkett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639550452 PECOS PAC ID: 1153622337 Enrollment ID: I20250915001554 |
| Provider Name | Laura Marie Segovia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326415167 PECOS PAC ID: 9830692821 Enrollment ID: I20250915001626 |
| Provider Name | Adam M Nagy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881037240 PECOS PAC ID: 4486956364 Enrollment ID: I20250915002814 |
| Provider Name | Katie Ray Zellers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497631360 PECOS PAC ID: 8628572195 Enrollment ID: I20250917004170 |
| Provider Name | Haley Jean Petges |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609753607 PECOS PAC ID: 9234633298 Enrollment ID: I20250922002059 |
| Provider Name | Isaac James Albright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710867577 PECOS PAC ID: 3072018944 Enrollment ID: I20250923003244 |
| Provider Name | Michael Anthony Leander Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205104411 PECOS PAC ID: 3870739642 Enrollment ID: I20250930003449 |
| Provider Name | Courtney E Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134017163 PECOS PAC ID: 1951807312 Enrollment ID: I20251003001990 |
| Provider Name | Michael Collins Hadley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417209610 PECOS PAC ID: 8325290703 Enrollment ID: I20251003003571 |
| Provider Name | Meagan Elaine Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912879024 PECOS PAC ID: 9133626229 Enrollment ID: I20251007001020 |
| Provider Name | Sarah Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780008706 PECOS PAC ID: 2668605429 Enrollment ID: I20251024002367 |
| Provider Name | Lydia H Nefedov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349772 PECOS PAC ID: 5092096206 Enrollment ID: I20251027001740 |
| Provider Name | Ryan Mizell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922426907 PECOS PAC ID: 3375858780 Enrollment ID: I20251106002592 |
| Provider Name | Atif Zafar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942588983 PECOS PAC ID: 3678713880 Enrollment ID: I20251106002732 |
| Provider Name | Chasity Rene Lemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003780784 PECOS PAC ID: 6406346428 Enrollment ID: I20251107002489 |
| Provider Name | Zachary Carlisle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023994035 PECOS PAC ID: 9931699865 Enrollment ID: I20251107003155 |
| Provider Name | Hermelinda Abcede |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956678 PECOS PAC ID: 3577732601 Enrollment ID: I20251113004524 |
| Provider Name | Tyler Koehn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588084800 PECOS PAC ID: 9234405101 Enrollment ID: I20251114000538 |
| Provider Name | Patricia a Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20251114002758 |
| Provider Name | Kathryn Keyes Koble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649986936 PECOS PAC ID: 7517459183 Enrollment ID: I20251120004291 |
| Provider Name | Scarlett Amber Sarbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083918965 PECOS PAC ID: 2062905409 Enrollment ID: I20251203003079 |
| Provider Name | Jason E Burley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376428433 PECOS PAC ID: 6800380817 Enrollment ID: I20251208002889 |
| Provider Name | William Barrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487970497 PECOS PAC ID: 9830409820 Enrollment ID: I20251211003221 |
| Provider Name | Olayinka Afolabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730526153 PECOS PAC ID: 3072804244 Enrollment ID: I20251212002968 |
| Provider Name | Wendy E Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20251217000609 |
| Provider Name | Uzoamaka Flake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184043523 PECOS PAC ID: 8921300781 Enrollment ID: I20251217001116 |
| Provider Name | Amol Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20251217002115 |
| Provider Name | Aravind Viswanathan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982068250 PECOS PAC ID: 1355636192 Enrollment ID: I20251222003129 |
| Provider Name | Cameron B Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700486685 PECOS PAC ID: 3678980190 Enrollment ID: I20251222003333 |
| Provider Name | Elliot Dawson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144664806 PECOS PAC ID: 1759500671 Enrollment ID: I20260121003836 |
| Provider Name | Cara N Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790663458 PECOS PAC ID: 1052898996 Enrollment ID: I20260122000135 |
| Provider Name | Danielle Cooper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457216392 PECOS PAC ID: 9032696927 Enrollment ID: I20260122001449 |
| Provider Name | David Alan Schlaff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962470583 PECOS PAC ID: 5597653097 Enrollment ID: I20260123002861 |
| Provider Name | Thomas S Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215381751 PECOS PAC ID: 2365739570 Enrollment ID: I20260211002903 |
| Provider Name | Lindsay Shanley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780352401 PECOS PAC ID: 0547650798 Enrollment ID: I20260220003614 |
| Provider Name | Cecily Cole Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154472314 PECOS PAC ID: 7416921564 Enrollment ID: I20260225002684 |
| Provider Name | Najib Nassani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477935807 PECOS PAC ID: 3779831292 Enrollment ID: I20260227000594 |
| Provider Name | Jessica Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730045022 PECOS PAC ID: 4587146188 Enrollment ID: I20260303003927 |
| Provider Name | Gilda M Tafreshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891946950 PECOS PAC ID: 7911030408 Enrollment ID: I20260310003393 |
| Provider Name | Jia Zhen Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891080941 PECOS PAC ID: 0941575542 Enrollment ID: I20260312000549 |
| Provider Name | Kanitha Chelese Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659601136 PECOS PAC ID: 2769965086 Enrollment ID: I20260313002781 |
| Provider Name | Salman a Mahmood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427637974 PECOS PAC ID: 2668874363 Enrollment ID: I20260316001913 |
| Provider Name | Mindy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962942961 PECOS PAC ID: 0941622278 Enrollment ID: I20260401001135 |
| Provider Name | Marija Bogojevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417538430 PECOS PAC ID: 7012454002 Enrollment ID: I20260406002571 |
| Provider Name | Apoorv Prasad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760820948 PECOS PAC ID: 4587912498 Enrollment ID: I20260407003602 |
| Provider Name | Hannah Goodrum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073246203 PECOS PAC ID: 0749656296 Enrollment ID: I20260414002389 |
| Provider Name | Farhan Aslam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922268986 PECOS PAC ID: 0941360168 Enrollment ID: I20260414003229 |
| Provider Name | Anna D Beasley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376980045 PECOS PAC ID: 7012157043 Enrollment ID: I20260421003657 |
| Provider Name | Daniel B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629695358 PECOS PAC ID: 7416363544 Enrollment ID: I20260423001873 |
| Provider Name | Madison Selby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821971904 PECOS PAC ID: 5890263206 Enrollment ID: I20260505000291 |
| Provider Name | Amanda Crabtree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225709041 PECOS PAC ID: 0547738676 Enrollment ID: I20260507001228 |
| Provider Name | Annie N Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740068717 PECOS PAC ID: 5395284129 Enrollment ID: I20260508002895 |
| Provider Name | Angel Hadaway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902471469 PECOS PAC ID: 9133694482 Enrollment ID: I20260514004195 |
| Provider Name | Raymond Catton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174028963 PECOS PAC ID: 9931456035 Enrollment ID: I20260518001690 |
| Provider Name | Amy Dichiara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336350990 PECOS PAC ID: 9234381567 Enrollment ID: I20260518003060 |
| Provider Name | Matthew Hileman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912357161 PECOS PAC ID: 9931495397 Enrollment ID: I20260527000619 |
| Provider Name | Moniqua Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235505280 PECOS PAC ID: 5294044343 Enrollment ID: I20260602002176 |
| Provider Name | Matthew James Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386101608 PECOS PAC ID: 1153733506 Enrollment ID: I20260610003885 |
| Provider Name | Mohammad Raza Anees |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124137104 PECOS PAC ID: 5294877718 Enrollment ID: I20260611003682 |
| Provider Name | Veeral Mahendra Oza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275769580 PECOS PAC ID: 2668612003 Enrollment ID: I20260611004365 |
| Provider Name | Kelly Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083292874 PECOS PAC ID: 9537639109 Enrollment ID: I20260612001262 |
| Provider Name | William Asher Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801189550 PECOS PAC ID: 5092095281 Enrollment ID: I20260612003375 |
| Provider Name | Sheharyar Merwat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982816310 PECOS PAC ID: 7810034766 Enrollment ID: I20260617003461 |
| Provider Name | Ubong R Atiata |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801541578 PECOS PAC ID: 8224402060 Enrollment ID: I20260617003685 |
| Provider Name | April Konzman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881319945 PECOS PAC ID: 3779953419 Enrollment ID: I20260622002907 |
| Provider Name | Fatemeh Mirzamohammadi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1679079115 PECOS PAC ID: 3476890336 Enrollment ID: I20260624004335 |
| Provider Name | Casey Ann Koth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265135750 PECOS PAC ID: 6103281076 Enrollment ID: I20260626001153 |
Internal Medicine Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 Leiter Rd, Miamisburg, OH 45342 Phone: 937-384-6800 Fax: 937-384-6939 |
Sycamore Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Miamisburg Centerville Rd, Suite 410b, Miamisburg, OH 45342 Phone: 937-384-0790 Fax: 937-384-0794 |
Pulmonary & Medicine of Dayton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 Phone: 937-439-3600 Fax: 937-741-8366 |
WS Wellness LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549 |
Mound Family Practice Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Central Ave, Miamisburg, OH 45342 Phone: 937-866-0741 Fax: 937-866-8861 |
Compassionate Foot Care Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 Greenway Ct, Miamisburg, OH 45342 Phone: 937-315-1731 |