| Lakeview Medical Center Clinic/prof Services | |
|
1700 W Stout St Rice Lake WI 54868-5000 | |
| (715) 236-6133 | |
| Not Available |
| Full Name | Lakeview Medical Center Clinic/prof Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 W Stout St, Rice Lake, Wisconsin |
| Authorized Official Name and Position | Gordon Edwards (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7153875840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Medical Center Clinic/prof Services 1000 N Oak Ave Marshfield WI 54449-5703 Ph: (715) 389-0645 | Lakeview Medical Center Clinic/prof Services 1700 W Stout St Rice Lake WI 54868-5000 Ph: (715) 236-6133 |
| NPI Number | 1093201832 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Medicare PECOS PAC ID | 6103737820 |
|---|---|
| Medicare Enrollment ID | O20180817001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093201832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Christopher J Cangelosi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992814008 PECOS PAC ID: 8224932017 Enrollment ID: I20031124000135 |
| Provider Name | Renee A Hoynacke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821106832 PECOS PAC ID: 5294630471 Enrollment ID: I20031201000738 |
| Provider Name | Joan M Kazda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578667655 PECOS PAC ID: 5294632436 Enrollment ID: I20031216000829 |
| Provider Name | Joseph O Mennen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467567925 PECOS PAC ID: 8123927779 Enrollment ID: I20040102000756 |
| Provider Name | Kori K Krueger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760582134 PECOS PAC ID: 0941109243 Enrollment ID: I20040106000423 |
| Provider Name | James M Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477663524 PECOS PAC ID: 9739089509 Enrollment ID: I20040109000582 |
| Provider Name | Virginia V Harrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487635850 PECOS PAC ID: 6406754381 Enrollment ID: I20040114000294 |
| Provider Name | Mary Lynn Zupanc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861444366 PECOS PAC ID: 6800798372 Enrollment ID: I20040123001067 |
| Provider Name | Jon M Brandt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336168137 PECOS PAC ID: 7719880012 Enrollment ID: I20040202000367 |
| Provider Name | Nyle C Neta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578575239 PECOS PAC ID: 8820981640 Enrollment ID: I20040205000576 |
| Provider Name | Edward P Hayes |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922194976 PECOS PAC ID: 4183517568 Enrollment ID: I20040209000149 |
| Provider Name | David J Schifeling |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932211281 PECOS PAC ID: 9133013311 Enrollment ID: I20040210000038 |
| Provider Name | Dorene Binder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659331643 PECOS PAC ID: 5698669661 Enrollment ID: I20040211000019 |
| Provider Name | Jayne L Rieper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063517464 PECOS PAC ID: 3971498353 Enrollment ID: I20040216000704 |
| Provider Name | Sean R Amoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295752251 PECOS PAC ID: 0446147912 Enrollment ID: I20040301000288 |
| Provider Name | Robert K Breger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003837816 PECOS PAC ID: 6507753118 Enrollment ID: I20040301000655 |
| Provider Name | Robert C Hardie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366552531 PECOS PAC ID: 1951298314 Enrollment ID: I20040301000864 |
| Provider Name | Gregory E Salton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861502023 PECOS PAC ID: 4688561087 Enrollment ID: I20040301001108 |
| Provider Name | Uma Suriyanarayanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841217809 PECOS PAC ID: 9638066053 Enrollment ID: I20040301001222 |
| Provider Name | Daniel C Bloomgarden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821019639 PECOS PAC ID: 7517854961 Enrollment ID: I20040302000091 |
| Provider Name | Randolph B Waskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497780134 PECOS PAC ID: 2961390364 Enrollment ID: I20040308000878 |
| Provider Name | Stephanie F Kohlhepp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154416428 PECOS PAC ID: 5991695777 Enrollment ID: I20040316001227 |
| Provider Name | Andrew T Pankratz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366538530 PECOS PAC ID: 5395635023 Enrollment ID: I20040317000703 |
| Provider Name | Pieter John Vanderlijn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437188091 PECOS PAC ID: 5698666717 Enrollment ID: I20040320000078 |
| Provider Name | Jill M Viergutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922195676 PECOS PAC ID: 0446142236 Enrollment ID: I20040326000589 |
| Provider Name | Mark A Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134103146 PECOS PAC ID: 2860383700 Enrollment ID: I20040331001097 |
| Provider Name | James A Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700998069 PECOS PAC ID: 2961496161 Enrollment ID: I20040412000700 |
| Provider Name | John L Ziemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366547077 PECOS PAC ID: 4183618986 Enrollment ID: I20040414000103 |
| Provider Name | Denise L Frahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952419236 PECOS PAC ID: 1153316732 Enrollment ID: I20040415000183 |
| Provider Name | Jeffrey R Shepich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306931670 PECOS PAC ID: 9436147915 Enrollment ID: I20040504000331 |
| Provider Name | Arun Jain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588691489 PECOS PAC ID: 4587653027 Enrollment ID: I20040510000733 |
| Provider Name | Colette J Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558378018 PECOS PAC ID: 5698678506 Enrollment ID: I20040510001424 |
| Provider Name | Steven J Gerndt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487667549 PECOS PAC ID: 0840102034 Enrollment ID: I20040512000994 |
| Provider Name | Susan J Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184606469 PECOS PAC ID: 9032106232 Enrollment ID: I20040518000864 |
| Provider Name | Syed M Sajjad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316047509 PECOS PAC ID: 0042201808 Enrollment ID: I20040520000526 |
| Provider Name | Jonathan K Glazer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750384830 PECOS PAC ID: 1658355276 Enrollment ID: I20040614000261 |
| Provider Name | Shelley R Danielson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265418909 PECOS PAC ID: 8123003209 Enrollment ID: I20040622001403 |
| Provider Name | Somsak Tanawattanacharoen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851487888 PECOS PAC ID: 3476532250 Enrollment ID: I20040715000747 |
| Provider Name | Nathaniel S Jalil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417043449 PECOS PAC ID: 3678552460 Enrollment ID: I20040715000794 |
| Provider Name | Kenneth A Klein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736963 PECOS PAC ID: 9335040237 Enrollment ID: I20040719000247 |
| Provider Name | Stephen P Fernau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851343123 PECOS PAC ID: 5496725186 Enrollment ID: I20040729000801 |
| Provider Name | Adriane Gianlupi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326121773 PECOS PAC ID: 8820069669 Enrollment ID: I20040804000932 |
| Provider Name | Jeffrey J Anderegg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982608352 PECOS PAC ID: 7719967264 Enrollment ID: I20040805001029 |
| Provider Name | Kimberly J Kurtz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770568222 PECOS PAC ID: 7315934080 Enrollment ID: I20040810000028 |
| Provider Name | Christine A Block |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932209111 PECOS PAC ID: 7113999111 Enrollment ID: I20040810001124 |
| Provider Name | Jeffrey M Marquardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295840775 PECOS PAC ID: 9739090457 Enrollment ID: I20040816000067 |
| Provider Name | Lisa A Mink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275645624 PECOS PAC ID: 7315910320 Enrollment ID: I20040818000037 |
| Provider Name | Susan A Tauzell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578555082 PECOS PAC ID: 8022097955 Enrollment ID: I20040819000012 |
| Provider Name | Robin K Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710982723 PECOS PAC ID: 8325012784 Enrollment ID: I20040823000019 |
| Provider Name | Tomislav T Lakic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629057872 PECOS PAC ID: 6901705532 Enrollment ID: I20040823001152 |
| Provider Name | Stephen T Holthaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386756732 PECOS PAC ID: 3173599842 Enrollment ID: I20040903000196 |
| Provider Name | Eric N Carlsen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689789166 PECOS PAC ID: 7214903392 Enrollment ID: I20040909000632 |
| Provider Name | Thomas L Kintzinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588779441 PECOS PAC ID: 1951377902 Enrollment ID: I20040909001265 |
| Provider Name | Balasubramanyan Napa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932211406 PECOS PAC ID: 8527047059 Enrollment ID: I20040914000717 |
| Provider Name | Cary G Tauchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891800389 PECOS PAC ID: 7719954197 Enrollment ID: I20040915000028 |
| Provider Name | Nicholas P Wyskoarko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205945177 PECOS PAC ID: 5193794766 Enrollment ID: I20040930000024 |
| Provider Name | Nizar Ottoman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366546475 PECOS PAC ID: 2769451293 Enrollment ID: I20040930000615 |
| Provider Name | Mary T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518935717 PECOS PAC ID: 1951361567 Enrollment ID: I20041018000386 |
| Provider Name | George Prackup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740209998 PECOS PAC ID: 1052304987 Enrollment ID: I20041022001157 |
| Provider Name | Stephen J Handrich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265454003 PECOS PAC ID: 5496717621 Enrollment ID: I20041101000128 |
| Provider Name | Bilal H Naqvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598865818 PECOS PAC ID: 3577525369 Enrollment ID: I20041103000625 |
| Provider Name | Michael J Schaars |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528097888 PECOS PAC ID: 5890758486 Enrollment ID: I20041104000931 |
| Provider Name | Hariprasad Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574834 PECOS PAC ID: 7719941491 Enrollment ID: I20041112000528 |
| Provider Name | Gregory W Petermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932199940 PECOS PAC ID: 1951365014 Enrollment ID: I20041117001207 |
| Provider Name | Ronald Vesely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548209604 PECOS PAC ID: 4789648767 Enrollment ID: I20041118000816 |
| Provider Name | Craig A Wolfe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396845012 PECOS PAC ID: 6103883194 Enrollment ID: I20041210000759 |
| Provider Name | Mohammad D Alaoua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487667481 PECOS PAC ID: 5092705558 Enrollment ID: I20050103000749 |
| Provider Name | Joseph J Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457463606 PECOS PAC ID: 5799733002 Enrollment ID: I20050104000245 |
| Provider Name | Irina Selezneva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881791077 PECOS PAC ID: 5991753212 Enrollment ID: I20050104000326 |
| Provider Name | Craig J Santolin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669577250 PECOS PAC ID: 1254389539 Enrollment ID: I20050104000741 |
| Provider Name | Brian H Ewert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306946256 PECOS PAC ID: 9537117361 Enrollment ID: I20050110000044 |
| Provider Name | Jill M Nisbit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518973395 PECOS PAC ID: 4981686870 Enrollment ID: I20050201000318 |
| Provider Name | Julene A Diedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912009911 PECOS PAC ID: 2365493855 Enrollment ID: I20050202000095 |
| Provider Name | Devin B Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154365625 PECOS PAC ID: 7719938075 Enrollment ID: I20050203000293 |
| Provider Name | David A Polomis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073649703 PECOS PAC ID: 6901857101 Enrollment ID: I20050204000441 |
| Provider Name | Thomas K Eilen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326135088 PECOS PAC ID: 5092767608 Enrollment ID: I20050211000266 |
| Provider Name | William Scott Carpenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275638900 PECOS PAC ID: 8022060417 Enrollment ID: I20050214000766 |
| Provider Name | Robert A Nogler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306947395 PECOS PAC ID: 4880646769 Enrollment ID: I20050218000662 |
| Provider Name | Camilla C Larson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710966940 PECOS PAC ID: 5991750119 Enrollment ID: I20050321000371 |
| Provider Name | Aditya A Sukhwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881259 PECOS PAC ID: 8527014570 Enrollment ID: I20050323000822 |
| Provider Name | Thomas R Silbernagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922097351 PECOS PAC ID: 8426098997 Enrollment ID: I20050504000992 |
| Provider Name | Daryl L Fish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619077955 PECOS PAC ID: 0244274249 Enrollment ID: I20050610000317 |
| Provider Name | Timothy L Swan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346340668 PECOS PAC ID: 7214974146 Enrollment ID: I20050718000885 |
| Provider Name | Patricia L Gump |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588640239 PECOS PAC ID: 9032146865 Enrollment ID: I20050722000456 |
| Provider Name | Thomas L Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609820620 PECOS PAC ID: 9133193089 Enrollment ID: I20050722000571 |
| Provider Name | John J Olson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457350944 PECOS PAC ID: 4486626025 Enrollment ID: I20050802000652 |
| Provider Name | Feng Lu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720039571 PECOS PAC ID: 3779511308 Enrollment ID: I20050803000803 |
| Provider Name | Patcharin Tanawattanacharoen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942300272 PECOS PAC ID: 9436180957 Enrollment ID: I20050824001041 |
| Provider Name | Michael Todd Tennier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922084615 PECOS PAC ID: 5799717393 Enrollment ID: I20050902000704 |
| Provider Name | Gillian Marie Battino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073522892 PECOS PAC ID: 0941232250 Enrollment ID: I20050908000038 |
| Provider Name | Mark M Hinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326122201 PECOS PAC ID: 0143211136 Enrollment ID: I20050929000548 |
| Provider Name | Todd A Risa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982708061 PECOS PAC ID: 8820023765 Enrollment ID: I20050929000646 |
| Provider Name | Thomas W Lundquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508976754 PECOS PAC ID: 4880629732 Enrollment ID: I20050929000691 |
| Provider Name | John J Warner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831291871 PECOS PAC ID: 4789619636 Enrollment ID: I20050929000700 |
| Provider Name | Margo B Cousins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477655157 PECOS PAC ID: 8820023690 Enrollment ID: I20050929000917 |
| Provider Name | Kristin M Gerndt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013017391 PECOS PAC ID: 3173558954 Enrollment ID: I20050929001010 |
| Provider Name | Andrew H Rikkers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558455386 PECOS PAC ID: 9739125766 Enrollment ID: I20051001000018 |
| Provider Name | Warren W Olds |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326146606 PECOS PAC ID: 1355369950 Enrollment ID: I20051102000636 |
| Provider Name | Melissa L Emmerich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093814519 PECOS PAC ID: 2860410198 Enrollment ID: I20051104000738 |
| Provider Name | Judith M Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992778419 PECOS PAC ID: 8325066137 Enrollment ID: I20051109000856 |
| Provider Name | Chris T Waldo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720066814 PECOS PAC ID: 2264451640 Enrollment ID: I20051115000465 |
| Provider Name | Michael J Michalske |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225253040 PECOS PAC ID: 6507894623 Enrollment ID: I20051129000945 |
| Provider Name | Patrick A Wolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326148081 PECOS PAC ID: 1254351356 Enrollment ID: I20051205000531 |
| Provider Name | Michael D Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982646006 PECOS PAC ID: 1759301732 Enrollment ID: I20051206000368 |
| Provider Name | Jennifer L Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699885764 PECOS PAC ID: 3072535814 Enrollment ID: I20051221000513 |
| Provider Name | Foluke A Otitoju |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144298167 PECOS PAC ID: 3375565468 Enrollment ID: I20060104000191 |
| Provider Name | Purushotham Veluvolu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1043310766 PECOS PAC ID: 4688698772 Enrollment ID: I20060117000112 |
| Provider Name | Michelle L Henrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205882990 PECOS PAC ID: 3577587690 Enrollment ID: I20060117000325 |
| Provider Name | Bronwyn Dilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407809072 PECOS PAC ID: 2860416369 Enrollment ID: I20060124000330 |
| Provider Name | Donald S Hart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609854900 PECOS PAC ID: 2961417191 Enrollment ID: I20060209000364 |
| Provider Name | Lance Lagerstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184616625 PECOS PAC ID: 3274515192 Enrollment ID: I20060214000735 |
| Provider Name | Dean A Delmastro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699875922 PECOS PAC ID: 5597771055 Enrollment ID: I20060221000906 |
| Provider Name | Christopher Previn Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912959313 PECOS PAC ID: 2668438482 Enrollment ID: I20060308000803 |
| Provider Name | Carlos X Condado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205028768 PECOS PAC ID: 2860478690 Enrollment ID: I20060313000396 |
| Provider Name | Jonathan S Lowrey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013912997 PECOS PAC ID: 5991753477 Enrollment ID: I20060320000384 |
| Provider Name | Patricia Ann Hautamaki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528168267 PECOS PAC ID: 8022025899 Enrollment ID: I20060320000500 |
| Provider Name | Muhammad A Muslim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861571218 PECOS PAC ID: 4880602150 Enrollment ID: I20060328000484 |
| Provider Name | Greg A Burnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588776934 PECOS PAC ID: 5799795290 Enrollment ID: I20060427000765 |
| Provider Name | Robert R Kohl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689628901 PECOS PAC ID: 7214948561 Enrollment ID: I20060526000087 |
| Provider Name | James E Tomic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134174873 PECOS PAC ID: 4183636731 Enrollment ID: I20060622000149 |
| Provider Name | Lisa M Bratvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477584266 PECOS PAC ID: 8123098852 Enrollment ID: I20060719000298 |
| Provider Name | Michael Husak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386679959 PECOS PAC ID: 1557371408 Enrollment ID: I20060807000205 |
| Provider Name | Brenda J Banaszynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730104613 PECOS PAC ID: 4486657046 Enrollment ID: I20060821000321 |
| Provider Name | Eric B Callaghan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528056488 PECOS PAC ID: 5496790248 Enrollment ID: I20060822000243 |
| Provider Name | Moshe Schein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497758999 PECOS PAC ID: 7517935299 Enrollment ID: I20060829000083 |
| Provider Name | Joel A Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528070455 PECOS PAC ID: 8123062692 Enrollment ID: I20060829000269 |
| Provider Name | Oghomwen K Sule |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043221385 PECOS PAC ID: 7517961642 Enrollment ID: I20060905000106 |
| Provider Name | Gregory T Richburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376596684 PECOS PAC ID: 4082618095 Enrollment ID: I20060906000285 |
| Provider Name | Jason E Kanz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518970524 PECOS PAC ID: 0042214066 Enrollment ID: I20060906000324 |
| Provider Name | Kelli R Wehman-tubbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851302624 PECOS PAC ID: 0345244232 Enrollment ID: I20060907000374 |
| Provider Name | Jessica A Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801902580 PECOS PAC ID: 0042214827 Enrollment ID: I20060911000064 |
| Provider Name | Charles V Kenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528172491 PECOS PAC ID: 0244283547 Enrollment ID: I20060911000387 |
| Provider Name | Sarah S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134137995 PECOS PAC ID: 6608871033 Enrollment ID: I20060919000121 |
| Provider Name | John S To |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346214715 PECOS PAC ID: 0345134854 Enrollment ID: I20060922000441 |
| Provider Name | Briana M Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316919681 PECOS PAC ID: 7517944523 Enrollment ID: I20061010000074 |
| Provider Name | Gerald J Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700844529 PECOS PAC ID: 8729085402 Enrollment ID: I20061024000080 |
| Provider Name | Robin Jean Kalk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093810103 PECOS PAC ID: 0648277236 Enrollment ID: I20061024000281 |
| Provider Name | Kevin D Roberts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336147446 PECOS PAC ID: 3678570694 Enrollment ID: I20061103000181 |
| Provider Name | Aaron R Dagit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376531228 PECOS PAC ID: 1355387549 Enrollment ID: I20061103000435 |
| Provider Name | Kelly J Noreen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912094913 PECOS PAC ID: 6507864741 Enrollment ID: I20061122000005 |
| Provider Name | James A Halminiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083709448 PECOS PAC ID: 6406855329 Enrollment ID: I20061204000211 |
| Provider Name | Abdou A Elhendy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104874304 PECOS PAC ID: 6204835184 Enrollment ID: I20061205000015 |
| Provider Name | Edward Ebert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285604850 PECOS PAC ID: 5395653661 Enrollment ID: I20061218000170 |
| Provider Name | Mark T Labor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699741124 PECOS PAC ID: 1951301928 Enrollment ID: I20061226000008 |
| Provider Name | Ralph W Fitz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043274723 PECOS PAC ID: 4284621020 Enrollment ID: I20070122000503 |
| Provider Name | Stacey J Sperlingas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295790822 PECOS PAC ID: 1052313343 Enrollment ID: I20070215000736 |
| Provider Name | Benjamin E Lawler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629188800 PECOS PAC ID: 0345343356 Enrollment ID: I20070313000187 |
| Provider Name | Jaime A Boero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902822133 PECOS PAC ID: 6103806138 Enrollment ID: I20070315000361 |
| Provider Name | Andrzej P Stryczek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952411100 PECOS PAC ID: 9638273824 Enrollment ID: I20070328000085 |
| Provider Name | Kelley P Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700996238 PECOS PAC ID: 3375649486 Enrollment ID: I20070507000521 |
| Provider Name | Michael P Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518909647 PECOS PAC ID: 2365440914 Enrollment ID: I20070516000163 |
| Provider Name | Kevin R Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003928912 PECOS PAC ID: 1759488786 Enrollment ID: I20070525000230 |
| Provider Name | Christopher W Felton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669423398 PECOS PAC ID: 0941308332 Enrollment ID: I20070608000073 |
| Provider Name | Mayro R Kubista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861601247 PECOS PAC ID: 6103924162 Enrollment ID: I20070614000483 |
| Provider Name | Nathan M Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992887848 PECOS PAC ID: 4082713060 Enrollment ID: I20070618000165 |
| Provider Name | Philip J Mofle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184829947 PECOS PAC ID: 8921107269 Enrollment ID: I20070627000175 |
| Provider Name | Gregory C Tyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871695452 PECOS PAC ID: 3971603176 Enrollment ID: I20070717000010 |
| Provider Name | Erin E Verkerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477612794 PECOS PAC ID: 4789785114 Enrollment ID: I20070728000238 |
| Provider Name | Jessica A Wernberg |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720069743 PECOS PAC ID: 2567407372 Enrollment ID: I20070801000770 |
| Provider Name | Christopher K Tornehl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548482177 PECOS PAC ID: 4981796364 Enrollment ID: I20070815000838 |
| Provider Name | Kathryn K Schaus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245340785 PECOS PAC ID: 8325130511 Enrollment ID: I20070817000079 |
| Provider Name | David J Heegeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265537997 PECOS PAC ID: 0345332326 Enrollment ID: I20070822000795 |
| Provider Name | Tejas N Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336239904 PECOS PAC ID: 6406948371 Enrollment ID: I20070823000109 |
| Provider Name | Randy A Musack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811043037 PECOS PAC ID: 8820181175 Enrollment ID: I20070904000144 |
| Provider Name | Evan K Sandok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750491957 PECOS PAC ID: 6507950458 Enrollment ID: I20070921000820 |
| Provider Name | Sanjoy Saha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508809195 PECOS PAC ID: 0143293159 Enrollment ID: I20070926000540 |
| Provider Name | Anegundi Nagendra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174688683 PECOS PAC ID: 1658467816 Enrollment ID: I20071018000612 |
| Provider Name | Darren Patric Corteen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649297482 PECOS PAC ID: 9931140977 Enrollment ID: I20071020000149 |
| Provider Name | Odette A Morgan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942300819 PECOS PAC ID: 0941397632 Enrollment ID: I20071026000663 |
| Provider Name | Sharlene P Kreitlow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699883900 PECOS PAC ID: 6608963228 Enrollment ID: I20071030000186 |
| Provider Name | Andrea T Dangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154514925 PECOS PAC ID: 2668560525 Enrollment ID: I20071112000192 |
| Provider Name | Rachel M Gilbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639389034 PECOS PAC ID: 2961590492 Enrollment ID: I20071117000040 |
| Provider Name | Sharat Ahluwalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629179221 PECOS PAC ID: 1254411846 Enrollment ID: I20080109000075 |
| Provider Name | John L Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194835249 PECOS PAC ID: 0042391724 Enrollment ID: I20080118000663 |
| Provider Name | Subramanian Natarajan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457446767 PECOS PAC ID: 4082662911 Enrollment ID: I20080220000605 |
| Provider Name | Abolghasem D Javaherian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639116023 PECOS PAC ID: 4082798079 Enrollment ID: I20080229000176 |
| Provider Name | Mary C Nofftz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104820638 PECOS PAC ID: 2365529559 Enrollment ID: I20080412000051 |
| Provider Name | George G Metropulos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649442641 PECOS PAC ID: 6002994514 Enrollment ID: I20080424000331 |
| Provider Name | Mary A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851582357 PECOS PAC ID: 1759460009 Enrollment ID: I20080512000387 |
| Provider Name | Bradley J Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750553616 PECOS PAC ID: 3971674243 Enrollment ID: I20080612000865 |
| Provider Name | Brennan R Harding |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225018724 PECOS PAC ID: 8224100466 Enrollment ID: I20080703000564 |
| Provider Name | Pneuma Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912167834 PECOS PAC ID: 4587736657 Enrollment ID: I20080707000365 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20080707000662 |
| Provider Name | Asegid H Kebede |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598716201 PECOS PAC ID: 7810991833 Enrollment ID: I20080709000181 |
| Provider Name | Matthew J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700985645 PECOS PAC ID: 5395817175 Enrollment ID: I20080710000748 |
| Provider Name | Jayanth G Vedre |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124225982 PECOS PAC ID: 5496827156 Enrollment ID: I20080712000025 |
| Provider Name | Stephanie M Bixler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952395139 PECOS PAC ID: 2062449325 Enrollment ID: I20080716000709 |
| Provider Name | Sabo Tanimu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417063793 PECOS PAC ID: 1254404304 Enrollment ID: I20080722000672 |
| Provider Name | Shana L Vifian Ray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033327184 PECOS PAC ID: 5294808358 Enrollment ID: I20080722000725 |
| Provider Name | Rajnish Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790985810 PECOS PAC ID: 4385717446 Enrollment ID: I20080722000727 |
| Provider Name | Mohammad Abdrabbo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104828201 PECOS PAC ID: 9032145644 Enrollment ID: I20080724000386 |
| Provider Name | Brian J Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841405495 PECOS PAC ID: 3476626250 Enrollment ID: I20080728000197 |
| Provider Name | Dana K Bessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215102686 PECOS PAC ID: 1557435377 Enrollment ID: I20080728000632 |
| Provider Name | Kent E Ray |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598754350 PECOS PAC ID: 4082696091 Enrollment ID: I20080806000490 |
| Provider Name | Daniel R Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316059769 PECOS PAC ID: 7214821396 Enrollment ID: I20080806000563 |
| Provider Name | Kathryn M Swartz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386609675 PECOS PAC ID: 5294826418 Enrollment ID: I20080808000628 |
| Provider Name | Brett Bahler Carmichael |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871587584 PECOS PAC ID: 5092767483 Enrollment ID: I20080820000153 |
| Provider Name | Leon Mcnealy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447294673 PECOS PAC ID: 8628960812 Enrollment ID: I20080821000475 |
| Provider Name | Stephen F Carlson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033229612 PECOS PAC ID: 5395811855 Enrollment ID: I20080906000109 |
| Provider Name | Laure A Kline |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194793620 PECOS PAC ID: 3870669930 Enrollment ID: I20080915000195 |
| Provider Name | April L Micke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851551402 PECOS PAC ID: 1456428911 Enrollment ID: I20080924000746 |
| Provider Name | Susanne J Schaars |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942381488 PECOS PAC ID: 5294802476 Enrollment ID: I20080930000648 |
| Provider Name | Justin W Schoen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114977287 PECOS PAC ID: 5799853248 Enrollment ID: I20081010000105 |
| Provider Name | Amy E Nikolai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477716462 PECOS PAC ID: 7810055084 Enrollment ID: I20081017000254 |
| Provider Name | Paulette G Holley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598892531 PECOS PAC ID: 2668370503 Enrollment ID: I20081017000397 |
| Provider Name | Karla O Arrigoni |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740305374 PECOS PAC ID: 5597824102 Enrollment ID: I20081111000258 |
| Provider Name | Jolene S Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699926212 PECOS PAC ID: 3577624139 Enrollment ID: I20081202000277 |
| Provider Name | Maureen B Hartzheim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164528576 PECOS PAC ID: 0840352035 Enrollment ID: I20081223000040 |
| Provider Name | William F Melms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750493904 PECOS PAC ID: 2264595255 Enrollment ID: I20090119000049 |
| Provider Name | Duane J Myklejord |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578656955 PECOS PAC ID: 2062577935 Enrollment ID: I20090210000670 |
| Provider Name | Jeff J Tavassoli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588631162 PECOS PAC ID: 3971670373 Enrollment ID: I20090224000232 |
| Provider Name | Angelene K Timmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265475966 PECOS PAC ID: 9032275151 Enrollment ID: I20090225000489 |
| Provider Name | Robert K Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437119781 PECOS PAC ID: 8022192178 Enrollment ID: I20090306000344 |
| Provider Name | Farrah A Becker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265618128 PECOS PAC ID: 7517041304 Enrollment ID: I20090309000447 |
| Provider Name | Tasha L Ramis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609049105 PECOS PAC ID: 7214084532 Enrollment ID: I20090402000325 |
| Provider Name | Humberto J Vidaillet |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417057167 PECOS PAC ID: 7911054457 Enrollment ID: I20090420000532 |
| Provider Name | Christopher J Bizjak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710099981 PECOS PAC ID: 2668521568 Enrollment ID: I20090526000346 |
| Provider Name | Yolanta T Soroko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386756559 PECOS PAC ID: 0446309231 Enrollment ID: I20090528000034 |
| Provider Name | Vicky A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811009061 PECOS PAC ID: 6608926324 Enrollment ID: I20090617000733 |
| Provider Name | Seung Lae Kim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871616391 PECOS PAC ID: 2163573627 Enrollment ID: I20090624000310 |
| Provider Name | Paul A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558467704 PECOS PAC ID: 6406884527 Enrollment ID: I20090626000400 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | Rudolph D Bescherer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447281175 PECOS PAC ID: 5395846943 Enrollment ID: I20090714000467 |
| Provider Name | Philip M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952351876 PECOS PAC ID: 2567475890 Enrollment ID: I20090716000450 |
| Provider Name | Heather L Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255568895 PECOS PAC ID: 6204989866 Enrollment ID: I20090729000346 |
| Provider Name | Jackie Lynn Yaeger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144205618 PECOS PAC ID: 1951453265 Enrollment ID: I20090805000063 |
| Provider Name | Josiah D Nelson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376595074 PECOS PAC ID: 0244383354 Enrollment ID: I20090806000151 |
| Provider Name | Beth A Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447489083 PECOS PAC ID: 8022161165 Enrollment ID: I20090806000491 |
| Provider Name | Bessant A Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023242641 PECOS PAC ID: 8224182134 Enrollment ID: I20090812000180 |
| Provider Name | Om P Ahuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861563058 PECOS PAC ID: 9931253788 Enrollment ID: I20090813000619 |
| Provider Name | Randal F Wojciehoski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457489650 PECOS PAC ID: 9032263439 Enrollment ID: I20090819000853 |
| Provider Name | Kip Alan Kircher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013983022 PECOS PAC ID: 5698829968 Enrollment ID: I20090820000699 |
| Provider Name | Vivekananda A Gonugunta |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336319623 PECOS PAC ID: 8527113513 Enrollment ID: I20090826000769 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20090914000503 |
| Provider Name | Jaye J Stricker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750474136 PECOS PAC ID: 4981750726 Enrollment ID: I20090921000523 |
| Provider Name | Cullen T Kehoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013166925 PECOS PAC ID: 5496808289 Enrollment ID: I20091005000667 |
| Provider Name | John T Orth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457580326 PECOS PAC ID: 4385780097 Enrollment ID: I20091012000103 |
| Provider Name | Cynthia M Koehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568798593 PECOS PAC ID: 7618015553 Enrollment ID: I20091112000478 |
| Provider Name | Neelakantan Namboodiri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437259173 PECOS PAC ID: 7012055676 Enrollment ID: I20091119000185 |
| Provider Name | Mary A Ocwieja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598875742 PECOS PAC ID: 8426197708 Enrollment ID: I20091125000569 |
| Provider Name | Kelly S Aue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962739144 PECOS PAC ID: 0749320232 Enrollment ID: I20091214000585 |
| Provider Name | Christine A Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225261985 PECOS PAC ID: 0143362517 Enrollment ID: I20100122000535 |
| Provider Name | Donn David Dexter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093788515 PECOS PAC ID: 9133261233 Enrollment ID: I20100128000184 |
| Provider Name | Omar Atassi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154380046 PECOS PAC ID: 7517862642 Enrollment ID: I20100219000055 |
| Provider Name | John J Hayes |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972613420 PECOS PAC ID: 7012052541 Enrollment ID: I20100308000726 |
| Provider Name | Steven S Santos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700975232 PECOS PAC ID: 0244378420 Enrollment ID: I20100310000849 |
| Provider Name | Michele C Byron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033224514 PECOS PAC ID: 1254466568 Enrollment ID: I20100311000745 |
| Provider Name | Shereif H Rezkalla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396853669 PECOS PAC ID: 0244365518 Enrollment ID: I20100312000198 |
| Provider Name | Thomas D Sandager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306947908 PECOS PAC ID: 5496880684 Enrollment ID: I20100312000513 |
| Provider Name | Christine A Albertus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962513507 PECOS PAC ID: 4183759152 Enrollment ID: I20100316000315 |
| Provider Name | Zahir A Rashid |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407956865 PECOS PAC ID: 6709942030 Enrollment ID: I20100319000274 |
| Provider Name | Thomas G Gerber |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013022508 PECOS PAC ID: 6002942323 Enrollment ID: I20100325000877 |
| Provider Name | Roland R More |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437250065 PECOS PAC ID: 2860528056 Enrollment ID: I20100326000568 |
| Provider Name | Chirasakdi Ratanawong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760583462 PECOS PAC ID: 8820124050 Enrollment ID: I20100326000950 |
| Provider Name | Melissa S Eskridge Schaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255653770 PECOS PAC ID: 8426184664 Enrollment ID: I20100327000099 |
| Provider Name | Tae J Gardner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952565194 PECOS PAC ID: 1355478447 Enrollment ID: I20100421000684 |
| Provider Name | Juan E Mesa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508974874 PECOS PAC ID: 9133256126 Enrollment ID: I20100422001079 |
| Provider Name | Steven D Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619957891 PECOS PAC ID: 2365571684 Enrollment ID: I20100525000980 |
| Provider Name | Arlene Gayle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831206101 PECOS PAC ID: 5991890121 Enrollment ID: I20100527000245 |
| Provider Name | Rama Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669580684 PECOS PAC ID: 9335278357 Enrollment ID: I20100528000449 |
| Provider Name | Bradley P Bekkum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316054687 PECOS PAC ID: 8224117015 Enrollment ID: I20100601000785 |
| Provider Name | David M Bihrle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538274006 PECOS PAC ID: 4880723733 Enrollment ID: I20100602000518 |
| Provider Name | Ali W. Bseiso |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962575902 PECOS PAC ID: 2668502485 Enrollment ID: I20100604000722 |
| Provider Name | Swati S Biswas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033209911 PECOS PAC ID: 0143350991 Enrollment ID: I20100604001110 |
| Provider Name | Barbara J Boyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679685820 PECOS PAC ID: 5698805463 Enrollment ID: I20100605000101 |
| Provider Name | Gregory A Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134234610 PECOS PAC ID: 6002946795 Enrollment ID: I20100607000296 |
| Provider Name | Sandra J Frohling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164532313 PECOS PAC ID: 0042340408 Enrollment ID: I20100610000757 |
| Provider Name | William A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128170 PECOS PAC ID: 3274663604 Enrollment ID: I20100611000339 |
| Provider Name | Brandon L Parkhurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104927706 PECOS PAC ID: 4385774652 Enrollment ID: I20100611000879 |
| Provider Name | Grace C Devadas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023128279 PECOS PAC ID: 6204966575 Enrollment ID: I20100612000094 |
| Provider Name | Christine M Murphy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205918471 PECOS PAC ID: 3870623168 Enrollment ID: I20100614000107 |
| Provider Name | Farhat N Kokan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932200557 PECOS PAC ID: 2769512920 Enrollment ID: I20100615000106 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Rana M Nasser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194825406 PECOS PAC ID: 6507996659 Enrollment ID: I20100616000303 |
| Provider Name | Gary L Gasser |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760579767 PECOS PAC ID: 2062542996 Enrollment ID: I20100618000729 |
| Provider Name | Ronald K Waits |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528167079 PECOS PAC ID: 4385774223 Enrollment ID: I20100618000805 |
| Provider Name | Lawrence C Scherrer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790867968 PECOS PAC ID: 3173654084 Enrollment ID: I20100621000716 |
| Provider Name | Lonna L Grosskopf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003856618 PECOS PAC ID: 4284765116 Enrollment ID: I20100621000934 |
| Provider Name | Milind S Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225148760 PECOS PAC ID: 0143351007 Enrollment ID: I20100622000309 |
| Provider Name | David J Henningsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124138375 PECOS PAC ID: 8729119680 Enrollment ID: I20100622000394 |
| Provider Name | John A Cragg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154436624 PECOS PAC ID: 1052442928 Enrollment ID: I20100622000437 |
| Provider Name | Alfonso L Velasco |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144321993 PECOS PAC ID: 8325179088 Enrollment ID: I20100624000894 |
| Provider Name | Marlon J Navarro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295822948 PECOS PAC ID: 3173654787 Enrollment ID: I20100625000674 |
| Provider Name | Erik J Stratman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780799213 PECOS PAC ID: 9032240650 Enrollment ID: I20100625000755 |
| Provider Name | Eram Rahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568570539 PECOS PAC ID: 5092846576 Enrollment ID: I20100628000194 |
| Provider Name | Jacey T Graser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699874016 PECOS PAC ID: 4688706575 Enrollment ID: I20100712000523 |
| Provider Name | Paul F Kramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912005760 PECOS PAC ID: 4486786290 Enrollment ID: I20100714000522 |
| Provider Name | Michelle H Pedersen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912990425 PECOS PAC ID: 9931231602 Enrollment ID: I20100715000307 |
| Provider Name | Brad W Christopherson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639332992 PECOS PAC ID: 3072675388 Enrollment ID: I20100717000159 |
| Provider Name | Daniel M Wolner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750481123 PECOS PAC ID: 5496887010 Enrollment ID: I20100717000250 |
| Provider Name | Param P Sharma |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376653816 PECOS PAC ID: 2567594187 Enrollment ID: I20100717000265 |
| Provider Name | Cheryl C Deets |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780794842 PECOS PAC ID: 5496887754 Enrollment ID: I20100722000101 |
| Provider Name | Kathleen A Weix Klippel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750485066 PECOS PAC ID: 7618000159 Enrollment ID: I20100804000129 |
| Provider Name | Nathan M Zelinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730112459 PECOS PAC ID: 7911030259 Enrollment ID: I20100806000164 |
| Provider Name | Seema Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871694406 PECOS PAC ID: 5193858397 Enrollment ID: I20100809000112 |
| Provider Name | Elvis A Peter |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689779266 PECOS PAC ID: 0840357968 Enrollment ID: I20100812001086 |
| Provider Name | Seth O Fagbemi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205922374 PECOS PAC ID: 8820122583 Enrollment ID: I20100817000366 |
| Provider Name | Kenneth V Ostermann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851386213 PECOS PAC ID: 9830153618 Enrollment ID: I20100819000548 |
| Provider Name | David M Junker |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1245203025 PECOS PAC ID: 7810061850 Enrollment ID: I20100819000958 |
| Provider Name | Adetunji A Adejumo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942532528 PECOS PAC ID: 9638294986 Enrollment ID: I20100910000295 |
| Provider Name | Diane M Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164749636 PECOS PAC ID: 6103942263 Enrollment ID: I20100927000042 |
| Provider Name | Janice M Mcclelland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124130570 PECOS PAC ID: 5890987291 Enrollment ID: I20101004000907 |
| Provider Name | Nicholas J Brahm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245414861 PECOS PAC ID: 5698967735 Enrollment ID: I20101007001317 |
| Provider Name | Paula A Aston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144286675 PECOS PAC ID: 0547315632 Enrollment ID: I20101015001204 |
| Provider Name | Roger Vawter Branham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437243151 PECOS PAC ID: 8426199282 Enrollment ID: I20101021000741 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | Maria G Cruz-apolinario |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215926795 PECOS PAC ID: 3173716057 Enrollment ID: I20101023000278 |
| Provider Name | Karen A Winch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578872230 PECOS PAC ID: 3476747668 Enrollment ID: I20101102000131 |
| Provider Name | Kevin Gelshenen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225204662 PECOS PAC ID: 7315090701 Enrollment ID: I20101207001187 |
| Provider Name | Caryl Ann Dellinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588833925 PECOS PAC ID: 5395802078 Enrollment ID: I20101217000564 |
| Provider Name | Tina M Schulist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689994196 PECOS PAC ID: 1355539578 Enrollment ID: I20110103000417 |
| Provider Name | Corrie L Boon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962681767 PECOS PAC ID: 0547449498 Enrollment ID: I20110124001107 |
| Provider Name | Muhammad T Nawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265687685 PECOS PAC ID: 2466631270 Enrollment ID: I20110126000420 |
| Provider Name | Edward J Coleman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801889845 PECOS PAC ID: 9638147259 Enrollment ID: I20110205000042 |
| Provider Name | Brandi L Sparks-luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487954657 PECOS PAC ID: 7517147259 Enrollment ID: I20110211000665 |
| Provider Name | Kara A Fedie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700843984 PECOS PAC ID: 9739142431 Enrollment ID: I20110222000668 |
| Provider Name | Russell W Creel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134265739 PECOS PAC ID: 5890833230 Enrollment ID: I20110223000810 |
| Provider Name | Michelle R Corbin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831337708 PECOS PAC ID: 9032390018 Enrollment ID: I20110223001192 |
| Provider Name | Steven F Krah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164581138 PECOS PAC ID: 7517934847 Enrollment ID: I20110224000525 |
| Provider Name | Daniel J Resop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417938358 PECOS PAC ID: 0244292019 Enrollment ID: I20110225000872 |
| Provider Name | James S Iwakiri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972689057 PECOS PAC ID: 8729170196 Enrollment ID: I20110302000753 |
| Provider Name | Michael S Hirsh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346326428 PECOS PAC ID: 7810089281 Enrollment ID: I20110302000910 |
| Provider Name | Allyson B Mayeux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871899716 PECOS PAC ID: 5092998369 Enrollment ID: I20110323000799 |
| Provider Name | Steven S Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912094665 PECOS PAC ID: 5597940130 Enrollment ID: I20110426000530 |
| Provider Name | Kristine L Gilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215221429 PECOS PAC ID: 2668659053 Enrollment ID: I20110613000396 |
| Provider Name | Alyssa J Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891016739 PECOS PAC ID: 5395930986 Enrollment ID: I20110621000591 |
| Provider Name | Shankar S Bettadahalli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740449099 PECOS PAC ID: 6709064751 Enrollment ID: I20110622000724 |
| Provider Name | Yusuf Kasirye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114162666 PECOS PAC ID: 3971781659 Enrollment ID: I20110628000610 |
| Provider Name | Dominee M Manzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568610376 PECOS PAC ID: 5395913974 Enrollment ID: I20110726000669 |
| Provider Name | Brian P Resop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790075299 PECOS PAC ID: 7810165222 Enrollment ID: I20110728000593 |
| Provider Name | Hector Rey A Manzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205082237 PECOS PAC ID: 8224207386 Enrollment ID: I20110805000156 |
| Provider Name | Kathy L Obermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003100033 PECOS PAC ID: 0941479885 Enrollment ID: I20110809000780 |
| Provider Name | Kryselle C Geroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245538768 PECOS PAC ID: 0648449504 Enrollment ID: I20110810000055 |
| Provider Name | James J Kinsella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821295635 PECOS PAC ID: 9638348154 Enrollment ID: I20110817000554 |
| Provider Name | Mateen Fatima Abidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730333980 PECOS PAC ID: 9830369073 Enrollment ID: I20110826000242 |
| Provider Name | Eric M Jakubowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326266867 PECOS PAC ID: 5890965032 Enrollment ID: I20110826000300 |
| Provider Name | Dora A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306125562 PECOS PAC ID: 8820268600 Enrollment ID: I20110906000152 |
| Provider Name | Bobby P Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982983532 PECOS PAC ID: 9234300559 Enrollment ID: I20110919000266 |
| Provider Name | Timothy R Vayder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942230123 PECOS PAC ID: 6406864610 Enrollment ID: I20111005000864 |
| Provider Name | Nicholas J Abram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437374303 PECOS PAC ID: 4486721875 Enrollment ID: I20111010000168 |
| Provider Name | Kelly J Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104100718 PECOS PAC ID: 3375715428 Enrollment ID: I20111013000355 |
| Provider Name | Justin L Willuweit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033492566 PECOS PAC ID: 2567635311 Enrollment ID: I20111024000402 |
| Provider Name | Aaron A Juliar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770866915 PECOS PAC ID: 8628241965 Enrollment ID: I20111101000351 |
| Provider Name | Samantha E Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003191297 PECOS PAC ID: 7719150614 Enrollment ID: I20111108000784 |
| Provider Name | Jaime M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205112877 PECOS PAC ID: 3779757141 Enrollment ID: I20111121000602 |
| Provider Name | Paula K Mcintyre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568566776 PECOS PAC ID: 4688849342 Enrollment ID: I20111207000447 |
| Provider Name | Dawn M Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639448095 PECOS PAC ID: 1456528967 Enrollment ID: I20120125000153 |
| Provider Name | Steve M Hoffmeister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376649780 PECOS PAC ID: 9234396698 Enrollment ID: I20120214000113 |
| Provider Name | Sara M Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942395223 PECOS PAC ID: 9638338601 Enrollment ID: I20120310000004 |
| Provider Name | Jennifer J Rees |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639270242 PECOS PAC ID: 2365601333 Enrollment ID: I20120310000007 |
| Provider Name | Bao Bui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477767523 PECOS PAC ID: 8022140938 Enrollment ID: I20120620000692 |
| Provider Name | Sumithra D Tirunagaram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932412855 PECOS PAC ID: 2769647817 Enrollment ID: I20120622000522 |
| Provider Name | James J Macneal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366692287 PECOS PAC ID: 8921136458 Enrollment ID: I20120808000362 |
| Provider Name | Meghan C Pesko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518126028 PECOS PAC ID: 9537315981 Enrollment ID: I20120820000022 |
| Provider Name | Joshua Hight Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154520179 PECOS PAC ID: 9830368893 Enrollment ID: I20120822000684 |
| Provider Name | Kareem H Abdelhadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841494432 PECOS PAC ID: 1355599192 Enrollment ID: I20120919000613 |
| Provider Name | Michelle L Brost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518978519 PECOS PAC ID: 4789833013 Enrollment ID: I20121002000517 |
| Provider Name | Andrea J Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134479819 PECOS PAC ID: 0143479196 Enrollment ID: I20121005000650 |
| Provider Name | Eric D Zellner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588913396 PECOS PAC ID: 2668624040 Enrollment ID: I20121211000211 |
| Provider Name | Kari A Paulson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679704134 PECOS PAC ID: 3072765452 Enrollment ID: I20121211000257 |
| Provider Name | Maria Charlotte Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932291986 PECOS PAC ID: 1052359940 Enrollment ID: I20130116000382 |
| Provider Name | Lisa L Tennyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871562603 PECOS PAC ID: 3971756149 Enrollment ID: I20130122000237 |
| Provider Name | Steven B Sanford |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1669565156 PECOS PAC ID: 0042279614 Enrollment ID: I20130314000174 |
| Provider Name | Joseph F Ponik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619214152 PECOS PAC ID: 5597900613 Enrollment ID: I20130320000618 |
| Provider Name | Ann M Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326484981 PECOS PAC ID: 2567602055 Enrollment ID: I20130703000644 |
| Provider Name | Vidya Sagar Reddy Cirra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124339593 PECOS PAC ID: 6002057866 Enrollment ID: I20130722000292 |
| Provider Name | Sharath Kommu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366753931 PECOS PAC ID: 7012158694 Enrollment ID: I20130724000344 |
| Provider Name | Karen S Wirtanen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477769180 PECOS PAC ID: 2062653587 Enrollment ID: I20130726000024 |
| Provider Name | Melissa M Tomesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609218932 PECOS PAC ID: 8123260361 Enrollment ID: I20130816000802 |
| Provider Name | Sarah D Savu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427361476 PECOS PAC ID: 2769625656 Enrollment ID: I20130824000106 |
| Provider Name | Kathryn J Smrz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972938314 PECOS PAC ID: 5991949000 Enrollment ID: I20130911000342 |
| Provider Name | Stephanie K Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148512 PECOS PAC ID: 3971747585 Enrollment ID: I20130923000199 |
| Provider Name | Nathan T N Schreiber |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558515924 PECOS PAC ID: 1456585710 Enrollment ID: I20130930000281 |
| Provider Name | David M Hirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568605293 PECOS PAC ID: 7911131115 Enrollment ID: I20131001000198 |
| Provider Name | Patrick L Andreae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215361670 PECOS PAC ID: 7911131701 Enrollment ID: I20131010000476 |
| Provider Name | Andrew B Oebser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497187785 PECOS PAC ID: 5991939472 Enrollment ID: I20131016001824 |
| Provider Name | Jordan L Ashton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932412392 PECOS PAC ID: 0244465649 Enrollment ID: I20131018001838 |
| Provider Name | Khine T Swe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568787653 PECOS PAC ID: 3274768304 Enrollment ID: I20131028000577 |
| Provider Name | Anne M Zenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619303864 PECOS PAC ID: 5991930844 Enrollment ID: I20131030000796 |
| Provider Name | Nicole L Pederson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659498475 PECOS PAC ID: 1254505142 Enrollment ID: I20131127001198 |
| Provider Name | Sher Vang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427480516 PECOS PAC ID: 2163650557 Enrollment ID: I20140109001477 |
| Provider Name | Andrew J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790108793 PECOS PAC ID: 7810127644 Enrollment ID: I20140224000353 |
| Provider Name | Reyaad A Hayek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710992276 PECOS PAC ID: 1557392263 Enrollment ID: I20140402002321 |
| Provider Name | Laleh Karimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518195395 PECOS PAC ID: 9335371533 Enrollment ID: I20140422000097 |
| Provider Name | Kristie M Guite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730315607 PECOS PAC ID: 1759504483 Enrollment ID: I20140528001299 |
| Provider Name | James G Berbee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720376015 PECOS PAC ID: 2961635347 Enrollment ID: I20140617001245 |
| Provider Name | Nicholas P. Morley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821317009 PECOS PAC ID: 4688899651 Enrollment ID: I20140707001783 |
| Provider Name | Thomas J Bramwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619103215 PECOS PAC ID: 5991942245 Enrollment ID: I20140717002085 |
| Provider Name | James Leonard Merrick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285937151 PECOS PAC ID: 9931325065 Enrollment ID: I20140728000363 |
| Provider Name | Maria V Bravo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942572060 PECOS PAC ID: 4587880430 Enrollment ID: I20140729002508 |
| Provider Name | Nathaniel L Stepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942491030 PECOS PAC ID: 0244492262 Enrollment ID: I20140729002887 |
| Provider Name | Luke T Fraundorf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447492590 PECOS PAC ID: 6305079922 Enrollment ID: I20140730000628 |
| Provider Name | Henny Liwan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376855007 PECOS PAC ID: 9335365113 Enrollment ID: I20140731001345 |
| Provider Name | Chady Abboud Leon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770737744 PECOS PAC ID: 1658599840 Enrollment ID: I20140829001991 |
| Provider Name | Mary C Phung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265841589 PECOS PAC ID: 8224257993 Enrollment ID: I20140910002123 |
| Provider Name | Cassie K Littlejohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760881882 PECOS PAC ID: 2769602275 Enrollment ID: I20141006000931 |
| Provider Name | Keshani Bhushan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124250790 PECOS PAC ID: 1052508942 Enrollment ID: I20141006002322 |
| Provider Name | Sarah L Holets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124380803 PECOS PAC ID: 3779704242 Enrollment ID: I20141027000814 |
| Provider Name | Lisa M Gowey-fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083014492 PECOS PAC ID: 8022239516 Enrollment ID: I20141027001376 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063528867 PECOS PAC ID: 1153329255 Enrollment ID: I20141106000212 |
| Provider Name | Jason S Duelge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326032509 PECOS PAC ID: 2769676667 Enrollment ID: I20141108000172 |
| Provider Name | Kirsten Vetterkind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659705507 PECOS PAC ID: 3779706767 Enrollment ID: I20141114000380 |
| Provider Name | John E Dahlin |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1427194828 PECOS PAC ID: 7517053010 Enrollment ID: I20150220002215 |
| Provider Name | Shannon Marie Mccrory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699179531 PECOS PAC ID: 0143546911 Enrollment ID: I20150313001599 |
| Provider Name | Jennifer Jean Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992733166 PECOS PAC ID: 2365493061 Enrollment ID: I20150320001396 |
| Provider Name | David F Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174916720 PECOS PAC ID: 9830416197 Enrollment ID: I20150325001317 |
| Provider Name | Timothy C Kakuschke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043221526 PECOS PAC ID: 8123346038 Enrollment ID: I20150406000140 |
| Provider Name | Dana A Prusinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129518 PECOS PAC ID: 1153640917 Enrollment ID: I20150429002564 |
| Provider Name | Janice M Drinsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669866273 PECOS PAC ID: 9032155338 Enrollment ID: I20150601002861 |
| Provider Name | Nicholas A Bodmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588820542 PECOS PAC ID: 3173748696 Enrollment ID: I20150602001306 |
| Provider Name | Stephanie J Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790176675 PECOS PAC ID: 5294048765 Enrollment ID: I20150714000531 |
| Provider Name | Diane M Woehlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184006066 PECOS PAC ID: 2668785924 Enrollment ID: I20150716001173 |
| Provider Name | Isaac K Yeboah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164775102 PECOS PAC ID: 0749593341 Enrollment ID: I20150724010558 |
| Provider Name | Christina M Spofford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639380314 PECOS PAC ID: 5193810539 Enrollment ID: I20150724011575 |
| Provider Name | Marita D Fisher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275827792 PECOS PAC ID: 9234450743 Enrollment ID: I20150730011114 |
| Provider Name | Sergey I Zhadanov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356583728 PECOS PAC ID: 4981918273 Enrollment ID: I20150730012421 |
| Provider Name | Brock T Urie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184985517 PECOS PAC ID: 4880810597 Enrollment ID: I20150803001977 |
| Provider Name | Patrick W Volk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437325925 PECOS PAC ID: 0840504866 Enrollment ID: I20150805006805 |
| Provider Name | Bevan H Ly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730405143 PECOS PAC ID: 1759697337 Enrollment ID: I20150827000388 |
| Provider Name | Caitlin Ms Yenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488834 PECOS PAC ID: 3173839735 Enrollment ID: I20150828000059 |
| Provider Name | Jason C Tompkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336177864 PECOS PAC ID: 0547231375 Enrollment ID: I20150828000073 |
| Provider Name | Jena K Moertel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255707824 PECOS PAC ID: 4486960515 Enrollment ID: I20150903000901 |
| Provider Name | Aliya Bayanagari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821343625 PECOS PAC ID: 1254574759 Enrollment ID: I20150908003056 |
| Provider Name | Jeremiah V Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669505384 PECOS PAC ID: 9931124146 Enrollment ID: I20151103001534 |
| Provider Name | Sandra K Matzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417320698 PECOS PAC ID: 2769783760 Enrollment ID: I20151216001917 |
| Provider Name | Maura L Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831202803 PECOS PAC ID: 9638062565 Enrollment ID: I20151223001797 |
| Provider Name | Carol M Grabowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669582532 PECOS PAC ID: 8325093909 Enrollment ID: I20160120001936 |
| Provider Name | Marcio A Shiokawa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629388475 PECOS PAC ID: 7416105895 Enrollment ID: I20160127002393 |
| Provider Name | Jason D Randall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235550955 PECOS PAC ID: 2466760095 Enrollment ID: I20160211000035 |
| Provider Name | Susan J Estrada-brodmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568403335 PECOS PAC ID: 1153302583 Enrollment ID: I20160229000882 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20160511001220 |
| Provider Name | Eric M Blaschke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386957678 PECOS PAC ID: 0941515365 Enrollment ID: I20160513000825 |
| Provider Name | Bridget A Mrozla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851663330 PECOS PAC ID: 7416117569 Enrollment ID: I20160526000066 |
| Provider Name | Brittany M Nikolay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962850966 PECOS PAC ID: 9335439991 Enrollment ID: I20160609002226 |
| Provider Name | Muhammad Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841619632 PECOS PAC ID: 1951692235 Enrollment ID: I20160616000481 |
| Provider Name | Shameem S Kunhammed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306077284 PECOS PAC ID: 6406158963 Enrollment ID: I20160712000327 |
| Provider Name | Wajdi N Bader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740622513 PECOS PAC ID: 1355647348 Enrollment ID: I20160715001351 |
| Provider Name | Ryan H Holzhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508272139 PECOS PAC ID: 9234422353 Enrollment ID: I20160727001944 |
| Provider Name | Anthony C Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386901791 PECOS PAC ID: 0547409658 Enrollment ID: I20160804000674 |
| Provider Name | Jacquelyn R Draxler Rauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671660 PECOS PAC ID: 8921392549 Enrollment ID: I20160804001436 |
| Provider Name | Hee W Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346686441 PECOS PAC ID: 6507165453 Enrollment ID: I20160808001260 |
| Provider Name | Judith Stucki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881653582 PECOS PAC ID: 9638338064 Enrollment ID: I20160808002017 |
| Provider Name | Andrew J Manspeaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851730378 PECOS PAC ID: 2365670619 Enrollment ID: I20160808002603 |
| Provider Name | Saurabh Khurana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851656292 PECOS PAC ID: 3072807155 Enrollment ID: I20160812000243 |
| Provider Name | Nicole J Sederholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942663877 PECOS PAC ID: 2264723535 Enrollment ID: I20160818001464 |
| Provider Name | Eseoghene Bosede Abokede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780027938 PECOS PAC ID: 6901105840 Enrollment ID: I20160915001107 |
| Provider Name | Brianna L Czaikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750835062 PECOS PAC ID: 4284921388 Enrollment ID: I20160916001417 |
| Provider Name | Tamira J Miranowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558682393 PECOS PAC ID: 8729375563 Enrollment ID: I20160922001607 |
| Provider Name | Sonja Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003073636 PECOS PAC ID: 8224212006 Enrollment ID: I20161004001444 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20161108001423 |
| Provider Name | Lisa A Grams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841691607 PECOS PAC ID: 8325359011 Enrollment ID: I20161123001915 |
| Provider Name | Jacob Stephen Feldman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104137710 PECOS PAC ID: 5799918876 Enrollment ID: I20161202002020 |
| Provider Name | Dee Cha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396287447 PECOS PAC ID: 3274814223 Enrollment ID: I20170105000621 |
| Provider Name | Zjia A Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164967568 PECOS PAC ID: 5799066775 Enrollment ID: I20170105001944 |
| Provider Name | Kevin R Keller |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1790720795 PECOS PAC ID: 6709855000 Enrollment ID: I20170206002473 |
| Provider Name | Rebecca K Wohlk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649713090 PECOS PAC ID: 0941584064 Enrollment ID: I20170308001823 |
| Provider Name | Nicole M Dilger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114377132 PECOS PAC ID: 3072897107 Enrollment ID: I20170308002155 |
| Provider Name | Skyler C Lynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740573955 PECOS PAC ID: 8123303765 Enrollment ID: I20170323000337 |
| Provider Name | Anne Elizabeth Newbold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566428 PECOS PAC ID: 1456591122 Enrollment ID: I20170413002217 |
| Provider Name | Sheree D Emmert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467814962 PECOS PAC ID: 9335448851 Enrollment ID: I20170615000088 |
| Provider Name | Stacy Jk Wogernese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912433848 PECOS PAC ID: 7719255322 Enrollment ID: I20170622000327 |
| Provider Name | Arinzechukwu I Uzoechina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467860262 PECOS PAC ID: 2567766769 Enrollment ID: I20170622002965 |
| Provider Name | Rana Raheel Hafeez Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336555390 PECOS PAC ID: 2365711587 Enrollment ID: I20170703000827 |
| Provider Name | Adetoun Adebule |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881035715 PECOS PAC ID: 2961771183 Enrollment ID: I20170703001000 |
| Provider Name | Erics Samuel Espinoza Moscoso |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528375276 PECOS PAC ID: 7214160456 Enrollment ID: I20170705000604 |
| Provider Name | Christopher Tl Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043637903 PECOS PAC ID: 9830319359 Enrollment ID: I20170718003459 |
| Provider Name | Nicholas M Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689916793 PECOS PAC ID: 7618277658 Enrollment ID: I20170726003739 |
| Provider Name | Christopher J Keto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134446339 PECOS PAC ID: 4981844743 Enrollment ID: I20170731001875 |
| Provider Name | Jared Re Hylton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245559509 PECOS PAC ID: 8022300169 Enrollment ID: I20170801001873 |
| Provider Name | Erin M Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942733845 PECOS PAC ID: 9234400284 Enrollment ID: I20170809001751 |
| Provider Name | Jessica L Lemke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518384411 PECOS PAC ID: 9032407614 Enrollment ID: I20170816000051 |
| Provider Name | James Q Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013323187 PECOS PAC ID: 6901022011 Enrollment ID: I20170818000165 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20170818001936 |
| Provider Name | Akanksha Joshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821370487 PECOS PAC ID: 7214168061 Enrollment ID: I20170824002989 |
| Provider Name | Erica L Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316207046 PECOS PAC ID: 3870865769 Enrollment ID: I20170828003212 |
| Provider Name | Melissa Matzumura Kuan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477818375 PECOS PAC ID: 8820220544 Enrollment ID: I20170829002860 |
| Provider Name | Anne Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235651530 PECOS PAC ID: 2769755263 Enrollment ID: I20170905002679 |
| Provider Name | Angela Sue St Onge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982152393 PECOS PAC ID: 4688947096 Enrollment ID: I20170907000347 |
| Provider Name | Tahlia Leigh Weis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982967840 PECOS PAC ID: 2860613361 Enrollment ID: I20170911002298 |
| Provider Name | Michelle Ellis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194926600 PECOS PAC ID: 0446475545 Enrollment ID: I20170912003329 |
| Provider Name | Susan Ann Wodrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700856499 PECOS PAC ID: 3476546797 Enrollment ID: I20170914001702 |
| Provider Name | Adam H Kibola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366861445 PECOS PAC ID: 0244504108 Enrollment ID: I20170916000196 |
| Provider Name | Karen J Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033462395 PECOS PAC ID: 4486899564 Enrollment ID: I20170926000193 |
| Provider Name | Amanda Leigh Eilers |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427349075 PECOS PAC ID: 0749574333 Enrollment ID: I20170928003301 |
| Provider Name | John R Simmons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689760944 PECOS PAC ID: 6002911484 Enrollment ID: I20171009000165 |
| Provider Name | Rohit Sharma |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720271570 PECOS PAC ID: 3779609912 Enrollment ID: I20171107002466 |
| Provider Name | Elizabeth B Hathaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073600110 PECOS PAC ID: 3476457284 Enrollment ID: I20171115000570 |
| Provider Name | Simon Maltais |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1457665911 PECOS PAC ID: 0840486510 Enrollment ID: I20171117000009 |
| Provider Name | Mostafa Farache |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366646879 PECOS PAC ID: 7618041740 Enrollment ID: I20171130001890 |
| Provider Name | Erika H Poehm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669448551 PECOS PAC ID: 6305881939 Enrollment ID: I20171212000140 |
| Provider Name | Heather B Breen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740547702 PECOS PAC ID: 1759681372 Enrollment ID: I20171226001246 |
| Provider Name | Alboury Sow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063790400 PECOS PAC ID: 4082834551 Enrollment ID: I20180112000415 |
| Provider Name | Mohamed Chebaclo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386708931 PECOS PAC ID: 0648280172 Enrollment ID: I20180117000700 |
| Provider Name | Kara T Bos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942596408 PECOS PAC ID: 2466767199 Enrollment ID: I20180118000819 |
| Provider Name | Mario J Potvin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003869637 PECOS PAC ID: 4688587355 Enrollment ID: I20180131003164 |
| Provider Name | Erin M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645193 PECOS PAC ID: 2163783416 Enrollment ID: I20180228002387 |
| Provider Name | Eric Michael Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497261333 PECOS PAC ID: 4880955004 Enrollment ID: I20180305001950 |
| Provider Name | Glenn Webster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063518660 PECOS PAC ID: 3173582582 Enrollment ID: I20180314000612 |
| Provider Name | Alexander Korittnig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972503845 PECOS PAC ID: 7315209608 Enrollment ID: I20180327000003 |
| Provider Name | Chase Hurtig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740782242 PECOS PAC ID: 3971866815 Enrollment ID: I20180406001034 |
| Provider Name | Daniel Eggeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20180411000255 |
| Provider Name | Miles E Ellsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841703402 PECOS PAC ID: 0547524415 Enrollment ID: I20180430001759 |
| Provider Name | Elizabeth J Marcoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679079859 PECOS PAC ID: 7810279965 Enrollment ID: I20180517001102 |
| Provider Name | Benjamin J Graboyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720424807 PECOS PAC ID: 2264723519 Enrollment ID: I20180615000361 |
| Provider Name | Jennifer L Baldini |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164515367 PECOS PAC ID: 5890040455 Enrollment ID: I20180622000336 |
| Provider Name | Jonathan R Gilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265921217 PECOS PAC ID: 7315293115 Enrollment ID: I20180710000828 |
| Provider Name | Bradley T Kook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881037836 PECOS PAC ID: 5294038147 Enrollment ID: I20180711000944 |
| Provider Name | Chad Joseph Giles |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972949501 PECOS PAC ID: 1153550942 Enrollment ID: I20180713001633 |
| Provider Name | Joseph S Brantman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090676 PECOS PAC ID: 0749594018 Enrollment ID: I20180716001299 |
| Provider Name | Kevin P Quirke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417306911 PECOS PAC ID: 3870888738 Enrollment ID: I20180717003218 |
| Provider Name | Gregory T Hammons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790725711 PECOS PAC ID: 9032191846 Enrollment ID: I20180718001493 |
| Provider Name | Eric W Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447541271 PECOS PAC ID: 2668699893 Enrollment ID: I20180725001786 |
| Provider Name | Peter E Humphrey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972642916 PECOS PAC ID: 2961535083 Enrollment ID: I20180725003954 |
| Provider Name | William D Mccormick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548502354 PECOS PAC ID: 9436397338 Enrollment ID: I20180726000971 |
| Provider Name | Abuzaid A Medani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528474079 PECOS PAC ID: 5395055271 Enrollment ID: I20180807001704 |
| Provider Name | Brett E Sorge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235558271 PECOS PAC ID: 3375844947 Enrollment ID: I20180808002276 |
| Provider Name | Klaus P Kutschke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598746349 PECOS PAC ID: 1658356001 Enrollment ID: I20180811000005 |
| Provider Name | Nathan A Blankenheim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871989657 PECOS PAC ID: 9931405537 Enrollment ID: I20180817001233 |
| Provider Name | Paige R Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487144432 PECOS PAC ID: 3971852922 Enrollment ID: I20180823002918 |
| Provider Name | Matthew H Brookes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114366424 PECOS PAC ID: 2567711351 Enrollment ID: I20180828002892 |
| Provider Name | Teresa A Gonzaga |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073776928 PECOS PAC ID: 1456522812 Enrollment ID: I20180828003391 |
| Provider Name | Carolyn Cheryl Mccarty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376760306 PECOS PAC ID: 9234285297 Enrollment ID: I20180830001517 |
| Provider Name | Krzysztof A Rus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154748200 PECOS PAC ID: 0345510897 Enrollment ID: I20180906001908 |
| Provider Name | Stephanie Ann Olson-mcraith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760791412 PECOS PAC ID: 9638442007 Enrollment ID: I20180907001594 |
| Provider Name | Kessa A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700171857 PECOS PAC ID: 5991055956 Enrollment ID: I20180912002511 |
| Provider Name | Brad T Morrow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659691228 PECOS PAC ID: 0941550917 Enrollment ID: I20180912002732 |
| Provider Name | Brenda K Kibola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821415795 PECOS PAC ID: 1052662236 Enrollment ID: I20180927001118 |
| Provider Name | Prabeer Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720420839 PECOS PAC ID: 1951689017 Enrollment ID: I20181015003510 |
| Provider Name | Brook L Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427531912 PECOS PAC ID: 5991057150 Enrollment ID: I20181016003608 |
| Provider Name | Jennifer Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760976096 PECOS PAC ID: 3678826625 Enrollment ID: I20181022002340 |
| Provider Name | Yaser Fathi Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811289911 PECOS PAC ID: 0749412591 Enrollment ID: I20181029001135 |
| Provider Name | Kaitlin M Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614213 PECOS PAC ID: 8729331350 Enrollment ID: I20181030000835 |
| Provider Name | David C Gaylord |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144288655 PECOS PAC ID: 6709847759 Enrollment ID: I20181106003255 |
| Provider Name | Crispus N Ombui |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578084281 PECOS PAC ID: 4486908654 Enrollment ID: I20181107001982 |
| Provider Name | Kathryn A Wingate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265915250 PECOS PAC ID: 6204180540 Enrollment ID: I20181126001796 |
| Provider Name | Daniel C Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124503677 PECOS PAC ID: 5991059289 Enrollment ID: I20181127001145 |
| Provider Name | Shanna R Badje |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174099634 PECOS PAC ID: 5799029427 Enrollment ID: I20181206000030 |
| Provider Name | Shakil Karim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720039019 PECOS PAC ID: 0446201974 Enrollment ID: I20181219000909 |
| Provider Name | Sudhakar V Girotra |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710184163 PECOS PAC ID: 5092936385 Enrollment ID: I20181226001801 |
| Provider Name | Tammy G Buchanan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487627022 PECOS PAC ID: 9335108463 Enrollment ID: I20190104000721 |
| Provider Name | Amir S Gholami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447425806 PECOS PAC ID: 4981890159 Enrollment ID: I20190109000725 |
| Provider Name | Stephanie J Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649740564 PECOS PAC ID: 9537405576 Enrollment ID: I20190111000084 |
| Provider Name | Larry C Munch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205836889 PECOS PAC ID: 4082757869 Enrollment ID: I20190131001363 |
| Provider Name | Katherine S Winiarczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841670726 PECOS PAC ID: 7911286216 Enrollment ID: I20190214002252 |
| Provider Name | Laura M Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891266060 PECOS PAC ID: 1951649763 Enrollment ID: I20190220001239 |
| Provider Name | William S Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861964934 PECOS PAC ID: 2062750896 Enrollment ID: I20190220002067 |
| Provider Name | Susan M Ksiazek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548326796 PECOS PAC ID: 9537357199 Enrollment ID: I20190222000122 |
| Provider Name | Cathryn A Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346240975 PECOS PAC ID: 9739178880 Enrollment ID: I20190305000713 |
| Provider Name | Kay F Johnson-keys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043247190 PECOS PAC ID: 4587621271 Enrollment ID: I20190312000165 |
| Provider Name | Melissa A Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821562679 PECOS PAC ID: 0941540314 Enrollment ID: I20190321000955 |
| Provider Name | Stefanie N Rinehardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649691361 PECOS PAC ID: 9436373776 Enrollment ID: I20190412000416 |
| Provider Name | Tiana K Kristensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417437351 PECOS PAC ID: 6305187683 Enrollment ID: I20190415001795 |
| Provider Name | Corey M Cronrath |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1770878878 PECOS PAC ID: 8729238191 Enrollment ID: I20190416000064 |
| Provider Name | Andrew John Miller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1699822403 PECOS PAC ID: 4587807631 Enrollment ID: I20190423001176 |
| Provider Name | Adam P Wadzinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669899530 PECOS PAC ID: 2668714551 Enrollment ID: I20190424002274 |
| Provider Name | Milan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558756460 PECOS PAC ID: 7315256161 Enrollment ID: I20190429002612 |
| Provider Name | Emily C Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558617506 PECOS PAC ID: 1456577543 Enrollment ID: I20190502000877 |
| Provider Name | Yasmeen A Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356359384 PECOS PAC ID: 5698779684 Enrollment ID: I20190510001084 |
| Provider Name | Donald G Nordstrom |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225039365 PECOS PAC ID: 7719979715 Enrollment ID: I20190515000270 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Christopher Michael Myczkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659783652 PECOS PAC ID: 9133443930 Enrollment ID: I20190523001793 |
| Provider Name | Akhter Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699783340 PECOS PAC ID: 8921236449 Enrollment ID: I20190606002446 |
| Provider Name | Kristin J Baxter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841854536 PECOS PAC ID: 0446583892 Enrollment ID: I20190618000324 |
| Provider Name | Katlyn A Rohr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225692858 PECOS PAC ID: 7911231121 Enrollment ID: I20190621001436 |
| Provider Name | Charlene M Sealy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609229327 PECOS PAC ID: 3577897503 Enrollment ID: I20190626000071 |
| Provider Name | Aaron Matthew Vandreel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164798286 PECOS PAC ID: 5193010635 Enrollment ID: I20190628001868 |
| Provider Name | Christopher I Ordonez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396192076 PECOS PAC ID: 7315271954 Enrollment ID: I20190702000089 |
| Provider Name | James J Neitzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861843344 PECOS PAC ID: 4587957196 Enrollment ID: I20190702001572 |
| Provider Name | Gita Zamani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902284847 PECOS PAC ID: 9032444039 Enrollment ID: I20190712002254 |
| Provider Name | Kevin D Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164885406 PECOS PAC ID: 1355635640 Enrollment ID: I20190715000666 |
| Provider Name | Jeremiah Josh Libby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184045213 PECOS PAC ID: 3173872041 Enrollment ID: I20190723002893 |
| Provider Name | Michael K Donnelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477789105 PECOS PAC ID: 2062659980 Enrollment ID: I20190725002629 |
| Provider Name | Samantha A Barg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073170791 PECOS PAC ID: 9032445093 Enrollment ID: I20190729002453 |
| Provider Name | Kimberly M Finlan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831741180 PECOS PAC ID: 3971839648 Enrollment ID: I20190802000092 |
| Provider Name | Katya Alcaraz Voelker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295198570 PECOS PAC ID: 1153613096 Enrollment ID: I20190820000459 |
| Provider Name | Chuong Huu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968202 PECOS PAC ID: 7810270956 Enrollment ID: I20190829002526 |
| Provider Name | Anna M Priebe |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1386765501 PECOS PAC ID: 0345317012 Enrollment ID: I20190829002830 |
| Provider Name | Benjamin Mark Faustich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699092916 PECOS PAC ID: 8123246451 Enrollment ID: I20190829003556 |
| Provider Name | Rachel M Randall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457694309 PECOS PAC ID: 9830491968 Enrollment ID: I20190911001853 |
| Provider Name | John E Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962442913 PECOS PAC ID: 0345382354 Enrollment ID: I20190918001801 |
| Provider Name | Samantha E Tyler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689166944 PECOS PAC ID: 5799037230 Enrollment ID: I20190923001882 |
| Provider Name | Carolyn F Haus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710272984 PECOS PAC ID: 1951619790 Enrollment ID: I20190926000849 |
| Provider Name | Tracy A Nims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639183155 PECOS PAC ID: 6800866427 Enrollment ID: I20190926001082 |
| Provider Name | Yousuf Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609286590 PECOS PAC ID: 1254633605 Enrollment ID: I20191002003210 |
| Provider Name | Carmen A Alcala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583560 PECOS PAC ID: 8325343460 Enrollment ID: I20191011001212 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20191011002437 |
| Provider Name | Kayla L Jenness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114578457 PECOS PAC ID: 3870925076 Enrollment ID: I20191108001167 |
| Provider Name | Rachael L Haupt-harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758398 PECOS PAC ID: 9436581469 Enrollment ID: I20191113002400 |
| Provider Name | Heather M Bone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679546881 PECOS PAC ID: 7810320033 Enrollment ID: I20191202002116 |
| Provider Name | Jeffrey C Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699725416 PECOS PAC ID: 3072576677 Enrollment ID: I20191212000155 |
| Provider Name | Kathryn G Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420130 PECOS PAC ID: 7618301250 Enrollment ID: I20200107001795 |
| Provider Name | Yana Puckett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154682169 PECOS PAC ID: 2466754924 Enrollment ID: I20200129000669 |
| Provider Name | Amanda J Welke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184075525 PECOS PAC ID: 3971881582 Enrollment ID: I20200131001950 |
| Provider Name | Sarah Minasyan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669646451 PECOS PAC ID: 9335104694 Enrollment ID: I20200206000966 |
| Provider Name | Martin J Cristanelli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952474983 PECOS PAC ID: 9032142872 Enrollment ID: I20200213000257 |
| Provider Name | Kayiguvwe O Kragha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972551315 PECOS PAC ID: 1759306970 Enrollment ID: I20200220001043 |
| Provider Name | Anup Sud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316972631 PECOS PAC ID: 4486752649 Enrollment ID: I20200227001903 |
| Provider Name | Scott B Bennion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720287394 PECOS PAC ID: 9537346069 Enrollment ID: I20200319001025 |
| Provider Name | Jennifer Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154864981 PECOS PAC ID: 5799061255 Enrollment ID: I20200327002655 |
| Provider Name | Ann L Lapacinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750850871 PECOS PAC ID: 1850631979 Enrollment ID: I20200413003704 |
| Provider Name | James H Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720162365 PECOS PAC ID: 4486620960 Enrollment ID: I20200427001716 |
| Provider Name | Denise D Mcmahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825926 PECOS PAC ID: 3173953569 Enrollment ID: I20200427001957 |
| Provider Name | Brian P Cone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578859328 PECOS PAC ID: 7113153354 Enrollment ID: I20200501000839 |
| Provider Name | Janis M Cekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831737048 PECOS PAC ID: 9335570449 Enrollment ID: I20200505001791 |
| Provider Name | Alejandro Jimenez Restrepo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609058890 PECOS PAC ID: 7911273800 Enrollment ID: I20200526001520 |
| Provider Name | Erin D Zigler-miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851926034 PECOS PAC ID: 2365864790 Enrollment ID: I20200612000186 |
| Provider Name | Evlyn I Eickhoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710417308 PECOS PAC ID: 0143594051 Enrollment ID: I20200629000392 |
| Provider Name | Lynda K Vielbig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063040244 PECOS PAC ID: 9436571908 Enrollment ID: I20200630000977 |
| Provider Name | Arshad Aliabd Al-mashhadani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245771476 PECOS PAC ID: 7719250901 Enrollment ID: I20200730003821 |
| Provider Name | Gina M Claussen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528290533 PECOS PAC ID: 2264579358 Enrollment ID: I20200805000657 |
| Provider Name | Kemal Kucuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053844142 PECOS PAC ID: 7214205764 Enrollment ID: I20200805002483 |
| Provider Name | Allyson Darga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649633157 PECOS PAC ID: 8820389307 Enrollment ID: I20200812003165 |
| Provider Name | Jemstone W Bathe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063945483 PECOS PAC ID: 6709153398 Enrollment ID: I20200817003731 |
| Provider Name | Melissa S Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154959518 PECOS PAC ID: 3779909049 Enrollment ID: I20200817003825 |
| Provider Name | Denis Maltz Grutcki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922488568 PECOS PAC ID: 5395050413 Enrollment ID: I20200818000642 |
| Provider Name | Brittany B Myczkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376958538 PECOS PAC ID: 1951529544 Enrollment ID: I20200831001881 |
| Provider Name | Inimfon Udoh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720438187 PECOS PAC ID: 4082955232 Enrollment ID: I20200909001364 |
| Provider Name | William R Krause |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982081576 PECOS PAC ID: 4284913328 Enrollment ID: I20200925001406 |
| Provider Name | Emma Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134563869 PECOS PAC ID: 1153548748 Enrollment ID: I20201008000318 |
| Provider Name | Shelly R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598382061 PECOS PAC ID: 1355761826 Enrollment ID: I20201022000358 |
| Provider Name | Sami A Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205355351 PECOS PAC ID: 2668892175 Enrollment ID: I20201022002566 |
| Provider Name | Lorrel Y Benoit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982070777 PECOS PAC ID: 7911215561 Enrollment ID: I20201026002096 |
| Provider Name | Heather Cork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225649890 PECOS PAC ID: 2961822218 Enrollment ID: I20201026002878 |
| Provider Name | Brita L Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164033387 PECOS PAC ID: 9931529229 Enrollment ID: I20201027001218 |
| Provider Name | Jeffrey A Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043436132 PECOS PAC ID: 8921108366 Enrollment ID: I20201111001127 |
| Provider Name | Angela E Colby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174139869 PECOS PAC ID: 1759791247 Enrollment ID: I20201112001581 |
| Provider Name | Waleed Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20201210002640 |
| Provider Name | Claire M Roehl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558978544 PECOS PAC ID: 5597177725 Enrollment ID: I20201212000185 |
| Provider Name | Tony Yang |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1700044237 PECOS PAC ID: 4789987249 Enrollment ID: I20201214001435 |
| Provider Name | Jamison M Gould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326131137 PECOS PAC ID: 3375566953 Enrollment ID: I20210121002758 |
| Provider Name | Bradley Richard Brossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968687 PECOS PAC ID: 3577977057 Enrollment ID: I20210125000293 |
| Provider Name | Judith Cook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891714606 PECOS PAC ID: 4981639770 Enrollment ID: I20210219001916 |
| Provider Name | Richard Rezko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134489693 PECOS PAC ID: 0941446835 Enrollment ID: I20210222000323 |
| Provider Name | Mark Keaton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477530533 PECOS PAC ID: 4486685864 Enrollment ID: I20210309002824 |
| Provider Name | James Anthony Spoto |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457563959 PECOS PAC ID: 6305938168 Enrollment ID: I20210310000066 |
| Provider Name | Timothy J Rolle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205071065 PECOS PAC ID: 4385874171 Enrollment ID: I20210323000298 |
| Provider Name | Anderson A Bauer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043422207 PECOS PAC ID: 2769638261 Enrollment ID: I20210326000855 |
| Provider Name | Robert A Frankenthaler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487663944 PECOS PAC ID: 0244275303 Enrollment ID: I20210326001079 |
| Provider Name | Jack E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780274191 PECOS PAC ID: 4981011103 Enrollment ID: I20210405001789 |
| Provider Name | Banke Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134137011 PECOS PAC ID: 4284779539 Enrollment ID: I20210428001977 |
| Provider Name | Elizabeth Tacheny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811095409 PECOS PAC ID: 6305030453 Enrollment ID: I20210505003085 |
| Provider Name | Timothy D Hovde |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982193157 PECOS PAC ID: 5698021343 Enrollment ID: I20210520000829 |
| Provider Name | Jose Luis Pino-y-torres |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053310672 PECOS PAC ID: 5294625752 Enrollment ID: I20210520002992 |
| Provider Name | Linda L Mcintire |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063481919 PECOS PAC ID: 6608807896 Enrollment ID: I20210607002326 |
| Provider Name | Giancarlo A Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265969984 PECOS PAC ID: 0749680056 Enrollment ID: I20210608001869 |
| Provider Name | Taylor R Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831773894 PECOS PAC ID: 1759781461 Enrollment ID: I20210617001879 |
| Provider Name | Christine Rukamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811436793 PECOS PAC ID: 2062783400 Enrollment ID: I20210618000625 |
| Provider Name | Scott A Sordahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285127837 PECOS PAC ID: 7517399066 Enrollment ID: I20210624001721 |
| Provider Name | Michael A Roegner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1487000436 PECOS PAC ID: 6901216621 Enrollment ID: I20210624001902 |
| Provider Name | Mark P Ridder |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821542739 PECOS PAC ID: 2163779869 Enrollment ID: I20210701000242 |
| Provider Name | Vanessa G Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116128 PECOS PAC ID: 0941214142 Enrollment ID: I20210709002948 |
| Provider Name | Tricia E Fredrickson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215591813 PECOS PAC ID: 7810399904 Enrollment ID: I20210712004133 |
| Provider Name | Kayley A Eslinger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538741673 PECOS PAC ID: 3870995517 Enrollment ID: I20210716002244 |
| Provider Name | Sarah A Wirtz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588231294 PECOS PAC ID: 6709289416 Enrollment ID: I20210719002142 |
| Provider Name | Omesh G Toolsie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972911865 PECOS PAC ID: 0345643995 Enrollment ID: I20210720004068 |
| Provider Name | Megan M Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417539263 PECOS PAC ID: 1153724232 Enrollment ID: I20210727002752 |
| Provider Name | Elizabeth G Ethington |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184152894 PECOS PAC ID: 4183994759 Enrollment ID: I20210803000624 |
| Provider Name | Megan G Bisson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184297632 PECOS PAC ID: 6709280951 Enrollment ID: I20210810001661 |
| Provider Name | Eyob Kassaye Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609372929 PECOS PAC ID: 2062818818 Enrollment ID: I20210902002367 |
| Provider Name | Brett N Scoles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649943226 PECOS PAC ID: 2365849494 Enrollment ID: I20210916000858 |
| Provider Name | Amy M Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820626 PECOS PAC ID: 9638576697 Enrollment ID: I20210920000419 |
| Provider Name | Nikhil Shelke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396131405 PECOS PAC ID: 6709178734 Enrollment ID: I20210920000788 |
| Provider Name | Katie Jopp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588974695 PECOS PAC ID: 8325445026 Enrollment ID: I20210923000082 |
| Provider Name | Syed M Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689089674 PECOS PAC ID: 9931327475 Enrollment ID: I20210923003771 |
| Provider Name | Anthony Scott Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285250787 PECOS PAC ID: 9830596436 Enrollment ID: I20210924000272 |
| Provider Name | Prompan Mingbunjerdsuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386030609 PECOS PAC ID: 5597062562 Enrollment ID: I20210924000713 |
| Provider Name | Philip A Kramer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821471681 PECOS PAC ID: 3870830839 Enrollment ID: I20210924001115 |
| Provider Name | Laura S Wargowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396322947 PECOS PAC ID: 1052718426 Enrollment ID: I20210928001353 |
| Provider Name | Elsa J Spitzmueller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396419628 PECOS PAC ID: 9931506326 Enrollment ID: I20210928001916 |
| Provider Name | Steven Schwartz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275574832 PECOS PAC ID: 8628142809 Enrollment ID: I20210929002568 |
| Provider Name | Kristal Ragbir-toolsie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457767634 PECOS PAC ID: 1850655069 Enrollment ID: I20211008002141 |
| Provider Name | Bridget L Flaten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801469143 PECOS PAC ID: 1254739089 Enrollment ID: I20211008002420 |
| Provider Name | Amanda L Underwood |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831866318 PECOS PAC ID: 9931597119 Enrollment ID: I20211020001026 |
| Provider Name | Bailey A Thorgerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295305076 PECOS PAC ID: 6002204294 Enrollment ID: I20211020001550 |
| Provider Name | Thomas M Leschke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457730988 PECOS PAC ID: 7113205683 Enrollment ID: I20211022001737 |
| Provider Name | Daniel Galban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215432661 PECOS PAC ID: 4284036153 Enrollment ID: I20211026000099 |
| Provider Name | Matthew C Britton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629456769 PECOS PAC ID: 2365747284 Enrollment ID: I20211101002165 |
| Provider Name | Rachel E Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508353178 PECOS PAC ID: 4789939372 Enrollment ID: I20211105002274 |
| Provider Name | Suzanne Sherman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417103359 PECOS PAC ID: 6901295039 Enrollment ID: I20211111001359 |
| Provider Name | Cheryl R Petrus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184630618 PECOS PAC ID: 3476943812 Enrollment ID: I20211129002412 |
| Provider Name | Earl E Kessel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174563100 PECOS PAC ID: 0547283434 Enrollment ID: I20211202002148 |
| Provider Name | Judith A Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484412 PECOS PAC ID: 8224428065 Enrollment ID: I20211209001089 |
| Provider Name | Erin Ann Nolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227625 PECOS PAC ID: 9436540770 Enrollment ID: I20211222000629 |
| Provider Name | Jamie L Spatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972274181 PECOS PAC ID: 0749671980 Enrollment ID: I20211227000601 |
| Provider Name | Paula A Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750830105 PECOS PAC ID: 8123410826 Enrollment ID: I20220107002153 |
| Provider Name | Kasra Badiozamani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194833780 PECOS PAC ID: 6709871247 Enrollment ID: I20220202000026 |
| Provider Name | Guy D Gober |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982602660 PECOS PAC ID: 0547299380 Enrollment ID: I20220216001245 |
| Provider Name | Ann Margaret Deckers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679224463 PECOS PAC ID: 6204220551 Enrollment ID: I20220302001215 |
| Provider Name | Emily T Cullen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336809342 PECOS PAC ID: 7214322189 Enrollment ID: I20220312000360 |
| Provider Name | Erin Egan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902992381 PECOS PAC ID: 2466425947 Enrollment ID: I20220419002660 |
| Provider Name | Christopher W Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114212040 PECOS PAC ID: 9931409265 Enrollment ID: I20220426003023 |
| Provider Name | Leah Shevaun Matuszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750040960 PECOS PAC ID: 7214324862 Enrollment ID: I20220428001785 |
| Provider Name | Ivica Vucic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779371 PECOS PAC ID: 5395872857 Enrollment ID: I20220428002090 |
| Provider Name | Tracie Anne Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003571936 PECOS PAC ID: 9032506613 Enrollment ID: I20220428002691 |
| Provider Name | Paul D Roesler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346263118 PECOS PAC ID: 1052580339 Enrollment ID: I20220429001586 |
| Provider Name | Riley M Niebuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093466245 PECOS PAC ID: 2062899131 Enrollment ID: I20220510002133 |
| Provider Name | Stuart Babcock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366463689 PECOS PAC ID: 4880756790 Enrollment ID: I20220519002656 |
| Provider Name | Subba Alapati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487642039 PECOS PAC ID: 7012974686 Enrollment ID: I20220526000244 |
| Provider Name | Pamela Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306988589 PECOS PAC ID: 6608886478 Enrollment ID: I20220526001755 |
| Provider Name | Steven Bullard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235502030 PECOS PAC ID: 1052616521 Enrollment ID: I20220607001171 |
| Provider Name | Andrey Mironenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174185292 PECOS PAC ID: 1658608229 Enrollment ID: I20220614001889 |
| Provider Name | Roman Krasnov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194211722 PECOS PAC ID: 1759630429 Enrollment ID: I20220620000867 |
| Provider Name | Brian S Rougeux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285167858 PECOS PAC ID: 4688946544 Enrollment ID: I20220622001085 |
| Provider Name | Sinduja Lakkunarajah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801246921 PECOS PAC ID: 1557690120 Enrollment ID: I20220708000857 |
| Provider Name | Laura Arkoush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518698620 PECOS PAC ID: 4183004047 Enrollment ID: I20220708003012 |
| Provider Name | Whitney Louise Mcmullin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346983616 PECOS PAC ID: 5698155463 Enrollment ID: I20220711002347 |
| Provider Name | Maleeha Ajmal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548822612 PECOS PAC ID: 2769801976 Enrollment ID: I20220711002588 |
| Provider Name | Kimberly L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053549873 PECOS PAC ID: 5294889853 Enrollment ID: I20220711003221 |
| Provider Name | Pavel Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922391796 PECOS PAC ID: 9537450549 Enrollment ID: I20220711003232 |
| Provider Name | Danielle Ranee Soltis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114672136 PECOS PAC ID: 2668852336 Enrollment ID: I20220712002123 |
| Provider Name | Michael Christian Mccarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528327012 PECOS PAC ID: 7517277791 Enrollment ID: I20220712003316 |
| Provider Name | Frederick Gehrmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861480055 PECOS PAC ID: 9931180353 Enrollment ID: I20220713002217 |
| Provider Name | Haibin Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689236754 PECOS PAC ID: 5991119117 Enrollment ID: I20220713002367 |
| Provider Name | Tiyonnoh Cash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114053550 PECOS PAC ID: 6608091723 Enrollment ID: I20220714002050 |
| Provider Name | Muhammad B Gilani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750943833 PECOS PAC ID: 9830504158 Enrollment ID: I20220721000828 |
| Provider Name | Philip J Kostka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720646409 PECOS PAC ID: 9830570761 Enrollment ID: I20220722002077 |
| Provider Name | Ahmed Elsayed Ali Hanafy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629537741 PECOS PAC ID: 9133500911 Enrollment ID: I20220726000905 |
| Provider Name | Isaac Chris Boyack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942663414 PECOS PAC ID: 6800278698 Enrollment ID: I20220726001709 |
| Provider Name | Andrea Gosalvez Tejada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558810192 PECOS PAC ID: 2264780162 Enrollment ID: I20220726002045 |
| Provider Name | Emily E Hulke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962815019 PECOS PAC ID: 9830462712 Enrollment ID: I20220726002251 |
| Provider Name | Carl Liebe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285294348 PECOS PAC ID: 8426383431 Enrollment ID: I20220727000542 |
| Provider Name | Heather M Conn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790155182 PECOS PAC ID: 8325357783 Enrollment ID: I20220727001355 |
| Provider Name | Michelle L Hulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131344 PECOS PAC ID: 5496137044 Enrollment ID: I20220729001176 |
| Provider Name | Joshua Andrew Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427511476 PECOS PAC ID: 0244612703 Enrollment ID: I20220729001953 |
| Provider Name | Preeti V Adeshara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447506779 PECOS PAC ID: 2860783420 Enrollment ID: I20220801000046 |
| Provider Name | Casey Terrence Waldvogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578202867 PECOS PAC ID: 8123400470 Enrollment ID: I20220802003910 |
| Provider Name | Brittany D Samson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194276568 PECOS PAC ID: 2567717911 Enrollment ID: I20220803000185 |
| Provider Name | Mohammed M Khadir |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679862296 PECOS PAC ID: 7113218173 Enrollment ID: I20220803003437 |
| Provider Name | Drew T Rupp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851931570 PECOS PAC ID: 5092141150 Enrollment ID: I20220805001100 |
| Provider Name | Michael G Lubahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477127116 PECOS PAC ID: 0143625483 Enrollment ID: I20220809001266 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20220810003698 |
| Provider Name | Jose M Barrera Bermejo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356665012 PECOS PAC ID: 9032341722 Enrollment ID: I20220812000606 |
| Provider Name | Meghan D Asleson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306587035 PECOS PAC ID: 1850774589 Enrollment ID: I20220812002848 |
| Provider Name | Anthony H Devries |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053762088 PECOS PAC ID: 5991076036 Enrollment ID: I20220815001666 |
| Provider Name | Jennifer A Rosicky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629313085 PECOS PAC ID: 1557744190 Enrollment ID: I20220816000164 |
| Provider Name | James Brand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104571140 PECOS PAC ID: 7012390578 Enrollment ID: I20220816001315 |
| Provider Name | Daniel Alan Jurczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043716434 PECOS PAC ID: 5991054694 Enrollment ID: I20220816002307 |
| Provider Name | Kelly M. Spanier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588270557 PECOS PAC ID: 7012390404 Enrollment ID: I20220817003284 |
| Provider Name | Nicole A Krolak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407342561 PECOS PAC ID: 4486084878 Enrollment ID: I20220818003642 |
| Provider Name | Kathleen M Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972102937 PECOS PAC ID: 8325421613 Enrollment ID: I20220819000326 |
| Provider Name | Chidozie C Agu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982952156 PECOS PAC ID: 5395036610 Enrollment ID: I20220823000145 |
| Provider Name | Andrei R Bandarchuk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013323831 PECOS PAC ID: 2365764107 Enrollment ID: I20220823000809 |
| Provider Name | Christopher J Osterbauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427543578 PECOS PAC ID: 6709133796 Enrollment ID: I20220824000510 |
| Provider Name | Rebecca Rose Kemnitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108122 PECOS PAC ID: 8224382189 Enrollment ID: I20220825001412 |
| Provider Name | Jason D Servi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811554850 PECOS PAC ID: 2163806951 Enrollment ID: I20220827000671 |
| Provider Name | Haytham Yousef Hasan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982050290 PECOS PAC ID: 7618213349 Enrollment ID: I20220829000252 |
| Provider Name | Jessica Lynn Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528797255 PECOS PAC ID: 5698159358 Enrollment ID: I20220829003265 |
| Provider Name | Desirae Alyssa Schuh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831822501 PECOS PAC ID: 9234513920 Enrollment ID: I20220830000664 |
| Provider Name | Abhijit Deshmukh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043276231 PECOS PAC ID: 9537110176 Enrollment ID: I20220831000295 |
| Provider Name | Charles J Bettag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881199750 PECOS PAC ID: 2961759287 Enrollment ID: I20220831001201 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20220831001371 |
| Provider Name | Angelica Christine Lorenzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356834170 PECOS PAC ID: 3870848468 Enrollment ID: I20220907000053 |
| Provider Name | George Robert Dulabon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649264680 PECOS PAC ID: 4789789322 Enrollment ID: I20220907002911 |
| Provider Name | Kyle M Dennison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467009233 PECOS PAC ID: 1951785146 Enrollment ID: I20220907003440 |
| Provider Name | Rachel P Chenoweth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840308 PECOS PAC ID: 6608250808 Enrollment ID: I20220907003866 |
| Provider Name | Muhammad Haseeb Zubair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922480235 PECOS PAC ID: 3072997105 Enrollment ID: I20220908001611 |
| Provider Name | Anna Leigh Mathy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497420582 PECOS PAC ID: 5294110391 Enrollment ID: I20220909001292 |
| Provider Name | Cameron Fredrick Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689300618 PECOS PAC ID: 4183009202 Enrollment ID: I20220909001966 |
| Provider Name | Chimkama Ibe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366606337 PECOS PAC ID: 1456525914 Enrollment ID: I20220909002742 |
| Provider Name | Caitlin E Timmers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669963799 PECOS PAC ID: 2567727936 Enrollment ID: I20220909003006 |
| Provider Name | Igor V Bulatov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912091646 PECOS PAC ID: 9436376209 Enrollment ID: I20220914001052 |
| Provider Name | Kelsey J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770211302 PECOS PAC ID: 5890170450 Enrollment ID: I20220916003117 |
| Provider Name | Stephanie C Carr |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992159800 PECOS PAC ID: 2961777065 Enrollment ID: I20220920003406 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20220921002031 |
| Provider Name | Alyssa M Harp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194395756 PECOS PAC ID: 8123429743 Enrollment ID: I20220921003136 |
| Provider Name | Samuel J Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669920930 PECOS PAC ID: 7618211616 Enrollment ID: I20220922000502 |
| Provider Name | Kyle Micheal Gamoke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144958968 PECOS PAC ID: 6608251905 Enrollment ID: I20220922003492 |
| Provider Name | K V R Mohan Rao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477596799 PECOS PAC ID: 7113938655 Enrollment ID: I20220926000526 |
| Provider Name | Trista J Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760126460 PECOS PAC ID: 5092191148 Enrollment ID: I20220927004107 |
| Provider Name | Sophie S Arbefeville |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093986960 PECOS PAC ID: 1153592605 Enrollment ID: I20220928000155 |
| Provider Name | Ashley Marie Stepanovs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942936257 PECOS PAC ID: 5496131484 Enrollment ID: I20220928001935 |
| Provider Name | Anna Jane Smugala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528790276 PECOS PAC ID: 2860878865 Enrollment ID: I20220928002383 |
| Provider Name | Paul A Saconn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255518734 PECOS PAC ID: 2264600196 Enrollment ID: I20220929001093 |
| Provider Name | Britney Papp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972954857 PECOS PAC ID: 1951670744 Enrollment ID: I20220929001182 |
| Provider Name | Ellen A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568193910 PECOS PAC ID: 2062898950 Enrollment ID: I20220929002436 |
| Provider Name | Jeffrey K Rossow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366890402 PECOS PAC ID: 7517204126 Enrollment ID: I20220929003724 |
| Provider Name | Cesar A Sanchez Padron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215467485 PECOS PAC ID: 8729352950 Enrollment ID: I20220930000039 |
| Provider Name | Rula T Al-baghdadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154819761 PECOS PAC ID: 5193101913 Enrollment ID: I20221003001071 |
| Provider Name | Charles Kotulski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902398407 PECOS PAC ID: 0547517617 Enrollment ID: I20221003002336 |
| Provider Name | Duffy M Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346478161 PECOS PAC ID: 0345473187 Enrollment ID: I20221004001025 |
| Provider Name | Taylor L Effertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962136580 PECOS PAC ID: 2668858382 Enrollment ID: I20221004002454 |
| Provider Name | Daniel Hyatt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548622996 PECOS PAC ID: 5698066264 Enrollment ID: I20221004003443 |
| Provider Name | Matthew William Oley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376273474 PECOS PAC ID: 4486030020 Enrollment ID: I20221004003993 |
| Provider Name | Erika Jane Stauss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508516832 PECOS PAC ID: 1052797669 Enrollment ID: I20221005002629 |
| Provider Name | Eric L Lo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497782023 PECOS PAC ID: 8123193208 Enrollment ID: I20221006001018 |
| Provider Name | Samer X Kanaan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689864522 PECOS PAC ID: 0143318071 Enrollment ID: I20221007001898 |
| Provider Name | George N Batty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003020413 PECOS PAC ID: 2163675810 Enrollment ID: I20221008000048 |
| Provider Name | Priyanka Timothy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669824843 PECOS PAC ID: 4587929757 Enrollment ID: I20221011002599 |
| Provider Name | Nicole K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124501283 PECOS PAC ID: 8224404249 Enrollment ID: I20221017001599 |
| Provider Name | Sergejs Stepanovs |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073964615 PECOS PAC ID: 1456619477 Enrollment ID: I20221020002856 |
| Provider Name | Chad J Rosen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164865960 PECOS PAC ID: 1557635133 Enrollment ID: I20221025002273 |
| Provider Name | Margo Lynn Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962122705 PECOS PAC ID: 5496121899 Enrollment ID: I20221025003344 |
| Provider Name | George A Cortas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194802074 PECOS PAC ID: 3476553108 Enrollment ID: I20221027000424 |
| Provider Name | Kelly Theresia Dassow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359499 PECOS PAC ID: 7416324777 Enrollment ID: I20221031001290 |
| Provider Name | Chhama Sarawagi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023498797 PECOS PAC ID: 9234506478 Enrollment ID: I20221101002131 |
| Provider Name | Mckenna R Rickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114409406 PECOS PAC ID: 5395112551 Enrollment ID: I20221101003161 |
| Provider Name | Barbara T Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245417401 PECOS PAC ID: 3173698701 Enrollment ID: I20221104001357 |
| Provider Name | Santosh Gowda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639259823 PECOS PAC ID: 8921151200 Enrollment ID: I20221110000744 |
| Provider Name | Hannah Nicole Everson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801523121 PECOS PAC ID: 0749657377 Enrollment ID: I20221110001139 |
| Provider Name | Amanda V Olsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407227507 PECOS PAC ID: 0446539910 Enrollment ID: I20221115002101 |
| Provider Name | Emilia Krol |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952531386 PECOS PAC ID: 0143527689 Enrollment ID: I20221117001265 |
| Provider Name | Seth E Bollinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013652932 PECOS PAC ID: 0244608248 Enrollment ID: I20221123000709 |
| Provider Name | Kiara Iris Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336864719 PECOS PAC ID: 5698144244 Enrollment ID: I20221205000355 |
| Provider Name | Gary B. Sinensky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376585067 PECOS PAC ID: 8921284449 Enrollment ID: I20221205001799 |
| Provider Name | Michael P Siegenthaler |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1093863532 PECOS PAC ID: 7012918782 Enrollment ID: I20221219000799 |
| Provider Name | Rebecca Ann Cronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447974647 PECOS PAC ID: 6002285731 Enrollment ID: I20221219002659 |
| Provider Name | Jennifer L Sperl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750019691 PECOS PAC ID: 9537539226 Enrollment ID: I20221220002558 |
| Provider Name | Devesh B. Vyas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154446664 PECOS PAC ID: 8426066523 Enrollment ID: I20221222002000 |
| Provider Name | Megan Kristine Cannon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710484878 PECOS PAC ID: 2163892738 Enrollment ID: I20221226000126 |
| Provider Name | Krishna S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225533615 PECOS PAC ID: 2264857580 Enrollment ID: I20230104002064 |
| Provider Name | Ezra Jay Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517251 PECOS PAC ID: 0446620553 Enrollment ID: I20230106001271 |
| Provider Name | Gregory W Cotter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659363067 PECOS PAC ID: 8325039209 Enrollment ID: I20230111002420 |
| Provider Name | Lyndsey Vogler Strang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639807035 PECOS PAC ID: 6103297916 Enrollment ID: I20230113000927 |
| Provider Name | Brian Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487118840 PECOS PAC ID: 5496096984 Enrollment ID: I20230113000966 |
| Provider Name | Faiza Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337568 PECOS PAC ID: 1456722750 Enrollment ID: I20230125000102 |
| Provider Name | Molly F Mcneely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316654825 PECOS PAC ID: 1052782265 Enrollment ID: I20230126001976 |
| Provider Name | Lia Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356068662 PECOS PAC ID: 8527439736 Enrollment ID: I20230126002269 |
| Provider Name | Tia K Mathwich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043798341 PECOS PAC ID: 6507237724 Enrollment ID: I20230126002455 |
| Provider Name | Natalie A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113189 PECOS PAC ID: 4587996285 Enrollment ID: I20230127000374 |
| Provider Name | Melissa Lynn Leopold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782185 PECOS PAC ID: 2961873047 Enrollment ID: I20230127002374 |
| Provider Name | Jeremy J Logan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053383729 PECOS PAC ID: 9638101827 Enrollment ID: I20230131001803 |
| Provider Name | Naeem A Chaudhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174727457 PECOS PAC ID: 3678659828 Enrollment ID: I20230206002089 |
| Provider Name | Kevin S Wippermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962852673 PECOS PAC ID: 1052783784 Enrollment ID: I20230207000956 |
| Provider Name | Jessica L Hardesty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083842884 PECOS PAC ID: 4587884788 Enrollment ID: I20230223002834 |
| Provider Name | Nicholas M Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245681725 PECOS PAC ID: 6204129885 Enrollment ID: I20230224001014 |
| Provider Name | Jessica Jean Wincentsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164157129 PECOS PAC ID: 9436522018 Enrollment ID: I20230301001738 |
| Provider Name | Timothy Stephens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265922983 PECOS PAC ID: 8527453471 Enrollment ID: I20230308001671 |
| Provider Name | James E Boatman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285615724 PECOS PAC ID: 1153313275 Enrollment ID: I20230308002200 |
| Provider Name | Wilson D Heredia Nunez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255776589 PECOS PAC ID: 9133450067 Enrollment ID: I20230310002147 |
| Provider Name | Amaris A Vesely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437861606 PECOS PAC ID: 6103290200 Enrollment ID: I20230313000470 |
| Provider Name | Lara Charity Stauner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063124642 PECOS PAC ID: 3971977869 Enrollment ID: I20230315002596 |
| Provider Name | Howard J Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033108139 PECOS PAC ID: 5698712115 Enrollment ID: I20230323001482 |
| Provider Name | Patricia A Rindfleisch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427324904 PECOS PAC ID: 4284008756 Enrollment ID: I20230323002104 |
| Provider Name | Anna Marie Byrne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003387382 PECOS PAC ID: 9537533948 Enrollment ID: I20230327002607 |
| Provider Name | Kolapo O Dasilva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366766040 PECOS PAC ID: 1355582230 Enrollment ID: I20230329002948 |
| Provider Name | Mackenzie Suzanne Wockenfus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508361460 PECOS PAC ID: 5698149888 Enrollment ID: I20230330001651 |
| Provider Name | Jennifer R Nimerick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073622759 PECOS PAC ID: 7214039320 Enrollment ID: I20230404000431 |
| Provider Name | Branden L Enright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619422060 PECOS PAC ID: 4385019140 Enrollment ID: I20230407001930 |
| Provider Name | Abby Sue Millard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841997483 PECOS PAC ID: 1759756539 Enrollment ID: I20230410000482 |
| Provider Name | Sumina Goel |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1639332893 PECOS PAC ID: 0941489538 Enrollment ID: I20230412002617 |
| Provider Name | Michael J Fallon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184623381 PECOS PAC ID: 8426016635 Enrollment ID: I20230414000646 |
| Provider Name | Amanda M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750091179 PECOS PAC ID: 8729453139 Enrollment ID: I20230417000585 |
| Provider Name | Mohamad Salah El Bash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235343922 PECOS PAC ID: 3870667538 Enrollment ID: I20230417002085 |
| Provider Name | Ashley W Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025730 PECOS PAC ID: 4486913944 Enrollment ID: I20230417002557 |
| Provider Name | Carley A Vento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689289258 PECOS PAC ID: 5294153482 Enrollment ID: I20230419000088 |
| Provider Name | Ethan M Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811163199 PECOS PAC ID: 9133398365 Enrollment ID: I20230419001554 |
| Provider Name | James M Perkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205005113 PECOS PAC ID: 8426127432 Enrollment ID: I20230421000286 |
| Provider Name | Belinda A Murphy Denmark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689600785 PECOS PAC ID: 0547200552 Enrollment ID: I20230424001879 |
| Provider Name | Ellie P Skelton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629763743 PECOS PAC ID: 6103281845 Enrollment ID: I20230502000898 |
| Provider Name | Sierra Rae Kind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679272454 PECOS PAC ID: 6406211978 Enrollment ID: I20230505001177 |
| Provider Name | Catherine Anne Hopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093238263 PECOS PAC ID: 1456717818 Enrollment ID: I20230510001798 |
| Provider Name | Christie L Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679287916 PECOS PAC ID: 0749646040 Enrollment ID: I20230511000996 |
| Provider Name | Leslie M Sharpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740228568 PECOS PAC ID: 5395768212 Enrollment ID: I20230515001321 |
| Provider Name | Howard A. Peth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639265283 PECOS PAC ID: 3577694975 Enrollment ID: I20230516003359 |
| Provider Name | Mackenzie Johanna Derrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588362743 PECOS PAC ID: 3476919481 Enrollment ID: I20230517002600 |
| Provider Name | Elsaid Rabie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336427525 PECOS PAC ID: 4183867039 Enrollment ID: I20230519002088 |
| Provider Name | Sergio A Castillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114906468 PECOS PAC ID: 9032194782 Enrollment ID: I20230522001182 |
| Provider Name | Jessica R Pandolfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326681370 PECOS PAC ID: 9830509595 Enrollment ID: I20230523001651 |
| Provider Name | Spencer L Franchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154771798 PECOS PAC ID: 0941623938 Enrollment ID: I20230523002008 |
| Provider Name | Kristin M Kemp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881653251 PECOS PAC ID: 5193992212 Enrollment ID: I20230523002718 |
| Provider Name | Dustin J Wasylik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083027346 PECOS PAC ID: 3173833753 Enrollment ID: I20230526001385 |
| Provider Name | Jason B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669987335 PECOS PAC ID: 8123421815 Enrollment ID: I20230531003035 |
| Provider Name | Oleysa Sypchenko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588103139 PECOS PAC ID: 0446536742 Enrollment ID: I20230601002841 |
| Provider Name | Tian Xia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437357423 PECOS PAC ID: 2961681713 Enrollment ID: I20230602002603 |
| Provider Name | Jason Bauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326029950 PECOS PAC ID: 4587690821 Enrollment ID: I20230608001901 |
| Provider Name | Dana Marie Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396717013 PECOS PAC ID: 6305813528 Enrollment ID: I20230613001089 |
| Provider Name | Timothy J Mathwich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194311761 PECOS PAC ID: 2668830035 Enrollment ID: I20230615003446 |
| Provider Name | Benjamin Lee Alt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649973892 PECOS PAC ID: 5496113771 Enrollment ID: I20230619000655 |
| Provider Name | Morgan A Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356012561 PECOS PAC ID: 3870983943 Enrollment ID: I20230621000343 |
| Provider Name | Manjot K Jassal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487016424 PECOS PAC ID: 0446558928 Enrollment ID: I20230621000719 |
| Provider Name | Kali R Hackmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548939135 PECOS PAC ID: 2961860952 Enrollment ID: I20230623000951 |
| Provider Name | Oscar F Mandes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386184679 PECOS PAC ID: 1951729672 Enrollment ID: I20230628000523 |
| Provider Name | Kristen M. French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568179 PECOS PAC ID: 7113140518 Enrollment ID: I20230628000590 |
| Provider Name | Mark O Probasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356709190 PECOS PAC ID: 0244698926 Enrollment ID: I20230628001746 |
| Provider Name | Daniel Okobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194257741 PECOS PAC ID: 7012247471 Enrollment ID: I20230628002079 |
| Provider Name | Marissa Lorena Walczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871291906 PECOS PAC ID: 5193184802 Enrollment ID: I20230628003265 |
| Provider Name | Latasha Lynn Newbury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770133316 PECOS PAC ID: 9739548314 Enrollment ID: I20230629001455 |
| Provider Name | Lauren Elizabeth Grandpre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982393 PECOS PAC ID: 5890056162 Enrollment ID: I20230630002547 |
| Provider Name | Jeffrey M Quednow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780236562 PECOS PAC ID: 3678932134 Enrollment ID: I20230701000222 |
| Provider Name | Mike Jay Charlier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013571645 PECOS PAC ID: 2365801560 Enrollment ID: I20230706002290 |
| Provider Name | Mark Edward Reinhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033382825 PECOS PAC ID: 2466640693 Enrollment ID: I20230712001174 |
| Provider Name | Tekabe Nigussie Birhane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376170605 PECOS PAC ID: 0840650537 Enrollment ID: I20230712004500 |
| Provider Name | Kelsey J Kemnitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285346965 PECOS PAC ID: 9436519048 Enrollment ID: I20230714000298 |
| Provider Name | Luis Manon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154854610 PECOS PAC ID: 8426320227 Enrollment ID: I20230714002872 |
| Provider Name | Artem Sharko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952924987 PECOS PAC ID: 1052771532 Enrollment ID: I20230714003466 |
| Provider Name | Marjan Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770194185 PECOS PAC ID: 7416340666 Enrollment ID: I20230717000345 |
| Provider Name | Joseph Edmund |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821518457 PECOS PAC ID: 8426418872 Enrollment ID: I20230717001403 |
| Provider Name | Hafiz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275986390 PECOS PAC ID: 2365735461 Enrollment ID: I20230717002220 |
| Provider Name | Babar Shahzad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174131395 PECOS PAC ID: 1254707144 Enrollment ID: I20230717002772 |
| Provider Name | Abdallah Qasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205314036 PECOS PAC ID: 0345592747 Enrollment ID: I20230721001248 |
| Provider Name | Mabelle H Cohen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770661167 PECOS PAC ID: 6406033380 Enrollment ID: I20230721001955 |
| Provider Name | Kayla E Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023442084 PECOS PAC ID: 1254791247 Enrollment ID: I20230724000188 |
| Provider Name | Sheri Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598939142 PECOS PAC ID: 9638539547 Enrollment ID: I20230724001066 |
| Provider Name | Adrien M Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366860983 PECOS PAC ID: 6103043195 Enrollment ID: I20230724003590 |
| Provider Name | Clare N Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245920875 PECOS PAC ID: 7315308251 Enrollment ID: I20230725003285 |
| Provider Name | Rebecca Renee Gust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619531225 PECOS PAC ID: 1759624521 Enrollment ID: I20230725003569 |
| Provider Name | Sarah E Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164042479 PECOS PAC ID: 8628409109 Enrollment ID: I20230725003582 |
| Provider Name | Kaitlyn Robin Streachek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104542521 PECOS PAC ID: 2365803061 Enrollment ID: I20230727002256 |
| Provider Name | Phu Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376078360 PECOS PAC ID: 9739457763 Enrollment ID: I20230728001973 |
| Provider Name | Bruce L Mcham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578004974 PECOS PAC ID: 3577833177 Enrollment ID: I20230728002575 |
| Provider Name | Kaitlyn J Hogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811683295 PECOS PAC ID: 2961863451 Enrollment ID: I20230731004044 |
| Provider Name | Javariah I Asghar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467688804 PECOS PAC ID: 5193911014 Enrollment ID: I20230801001288 |
| Provider Name | Rayan S Suliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063030492 PECOS PAC ID: 5799158879 Enrollment ID: I20230803001033 |
| Provider Name | Gul Nawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457964389 PECOS PAC ID: 1254720121 Enrollment ID: I20230804003443 |
| Provider Name | Matthew C Stoflet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063039659 PECOS PAC ID: 3678970910 Enrollment ID: I20230806000021 |
| Provider Name | Weijia Wang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790124360 PECOS PAC ID: 4486943081 Enrollment ID: I20230807001737 |
| Provider Name | Dusan P Markovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922620970 PECOS PAC ID: 3274925425 Enrollment ID: I20230807002466 |
| Provider Name | Hailee Jane Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134824345 PECOS PAC ID: 4688035678 Enrollment ID: I20230808000508 |
| Provider Name | Holly E Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275038739 PECOS PAC ID: 2860740990 Enrollment ID: I20230808002218 |
| Provider Name | Temesgen T Shibre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407465677 PECOS PAC ID: 6406218395 Enrollment ID: I20230809001254 |
| Provider Name | Christian Horazeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629496369 PECOS PAC ID: 7911256888 Enrollment ID: I20230810001542 |
| Provider Name | Rose Philomena Zignego |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649958117 PECOS PAC ID: 2264894062 Enrollment ID: I20230810002171 |
| Provider Name | Claire F Fabian |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851089775 PECOS PAC ID: 8325400096 Enrollment ID: I20230811001138 |
| Provider Name | Jonah Matthew Schuch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154014777 PECOS PAC ID: 1052773629 Enrollment ID: I20230814002358 |
| Provider Name | Sheetal Aatrai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417568965 PECOS PAC ID: 5890167597 Enrollment ID: I20230814002636 |
| Provider Name | Jan A Herholdt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558449538 PECOS PAC ID: 0446341226 Enrollment ID: I20230816003448 |
| Provider Name | Mohammad R Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477965739 PECOS PAC ID: 7214303585 Enrollment ID: I20230818001224 |
| Provider Name | Derek R Corporon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417416595 PECOS PAC ID: 4486989449 Enrollment ID: I20230821003092 |
| Provider Name | Munir H Idriss |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1750887444 PECOS PAC ID: 4284969759 Enrollment ID: I20230822003384 |
| Provider Name | Heather D Ebert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336590850 PECOS PAC ID: 8426411406 Enrollment ID: I20230823002524 |
| Provider Name | Felipe M Echeverria Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235740838 PECOS PAC ID: 3678961299 Enrollment ID: I20230823003822 |
| Provider Name | Omar Nihad Al-masri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770212433 PECOS PAC ID: 1052774064 Enrollment ID: I20230823004023 |
| Provider Name | David A Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821214735 PECOS PAC ID: 3779527239 Enrollment ID: I20230823004355 |
| Provider Name | Sierra Lynn Litwaitis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396439014 PECOS PAC ID: 4789047739 Enrollment ID: I20230824000858 |
| Provider Name | Kasie Lynn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053017434 PECOS PAC ID: 9234592296 Enrollment ID: I20230824001243 |
| Provider Name | Sandra C Roland |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659321545 PECOS PAC ID: 0446149868 Enrollment ID: I20230827000128 |
| Provider Name | Don Custodio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316152598 PECOS PAC ID: 2062585359 Enrollment ID: I20230828002128 |
| Provider Name | Carli R Gurholt |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1255059333 PECOS PAC ID: 4688037302 Enrollment ID: I20230829001961 |
| Provider Name | Vishal Ravella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417574435 PECOS PAC ID: 8527421866 Enrollment ID: I20230903000011 |
| Provider Name | Pooja Srivastava |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891271599 PECOS PAC ID: 3870956113 Enrollment ID: I20230904000150 |
| Provider Name | Amanda A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952001893 PECOS PAC ID: 4587027719 Enrollment ID: I20230905003950 |
| Provider Name | Lisa N Albanese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245285923 PECOS PAC ID: 2860516341 Enrollment ID: I20230906000249 |
| Provider Name | Megan M Messerschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558056606 PECOS PAC ID: 4486018686 Enrollment ID: I20230906002819 |
| Provider Name | Magen Lynn Reigel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285319392 PECOS PAC ID: 7911361183 Enrollment ID: I20230907001152 |
| Provider Name | Cynthia A De Meester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476168 PECOS PAC ID: 4486656501 Enrollment ID: I20230908001217 |
| Provider Name | Alissa Lee Small |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275192668 PECOS PAC ID: 2062876030 Enrollment ID: I20230908001536 |
| Provider Name | Abdul-ghaffaar Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053949305 PECOS PAC ID: 9830514967 Enrollment ID: I20230913003384 |
| Provider Name | Hoai Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407030737 PECOS PAC ID: 1658559208 Enrollment ID: I20230913003501 |
| Provider Name | Alison Bennett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144977083 PECOS PAC ID: 6406227735 Enrollment ID: I20230920000727 |
| Provider Name | Omar Abdelmegid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760943633 PECOS PAC ID: 4688094931 Enrollment ID: I20230920002057 |
| Provider Name | Jenny May E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720789811 PECOS PAC ID: 8820442155 Enrollment ID: I20230920002974 |
| Provider Name | Harsh W Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20230922001566 |
| Provider Name | Violet Lynne Ellington Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770947756 PECOS PAC ID: 4688960743 Enrollment ID: I20230922003351 |
| Provider Name | Florence Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716648 PECOS PAC ID: 3870841695 Enrollment ID: I20230926000725 |
| Provider Name | Megan M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851999114 PECOS PAC ID: 7810341518 Enrollment ID: I20230929000111 |
| Provider Name | Frederick B Hernaez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205498227 PECOS PAC ID: 9830507516 Enrollment ID: I20231002000793 |
| Provider Name | Kaitlyn Taylor Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770367666 PECOS PAC ID: 8729432331 Enrollment ID: I20231002001147 |
| Provider Name | Krista Marie Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902538804 PECOS PAC ID: 8325492804 Enrollment ID: I20231003000263 |
| Provider Name | Katie Marie Jelinek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063102911 PECOS PAC ID: 3577917053 Enrollment ID: I20231003000464 |
| Provider Name | Fernando Norona |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164488128 PECOS PAC ID: 3577747708 Enrollment ID: I20231004002528 |
| Provider Name | Taylor N Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093304735 PECOS PAC ID: 8820443773 Enrollment ID: I20231012000757 |
| Provider Name | Benjamin J Usey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730249533 PECOS PAC ID: 5496798746 Enrollment ID: I20231012001601 |
| Provider Name | Robert E Love |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952676157 PECOS PAC ID: 7113229543 Enrollment ID: I20231013001379 |
| Provider Name | Elizabeth M Chacko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912529983 PECOS PAC ID: 6103291232 Enrollment ID: I20231017001125 |
| Provider Name | Lukresse Tatiana Njiojob |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164888004 PECOS PAC ID: 6901251503 Enrollment ID: I20231018000184 |
| Provider Name | Ngassa A Mssika |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932410461 PECOS PAC ID: 5991984189 Enrollment ID: I20231018002782 |
| Provider Name | Brianna R Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801577242 PECOS PAC ID: 5496100950 Enrollment ID: I20231018002806 |
| Provider Name | Susan E Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912266768 PECOS PAC ID: 5193022408 Enrollment ID: I20231018003080 |
| Provider Name | Ariana J Frisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629758578 PECOS PAC ID: 1951756428 Enrollment ID: I20231018003314 |
| Provider Name | Jeffrey W Rickard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124229521 PECOS PAC ID: 9032285077 Enrollment ID: I20231019001226 |
| Provider Name | Mariam M Ibdaiwi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417452087 PECOS PAC ID: 2365790367 Enrollment ID: I20231020001545 |
| Provider Name | Amy C Roy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629274493 PECOS PAC ID: 4880744465 Enrollment ID: I20231025001801 |
| Provider Name | Paula Marie Gella |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598950362 PECOS PAC ID: 3072969138 Enrollment ID: I20231025002015 |
| Provider Name | Leah Jean Bloechl-gruna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669155198 PECOS PAC ID: 4688020407 Enrollment ID: I20231030002565 |
| Provider Name | Morgan Lynn Kamholz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275044414 PECOS PAC ID: 7719333442 Enrollment ID: I20231031003567 |
| Provider Name | Kellie S Jones Monahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467568345 PECOS PAC ID: 5991833691 Enrollment ID: I20231031003753 |
| Provider Name | Andrew Kenneth Wolfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710609474 PECOS PAC ID: 5991152563 Enrollment ID: I20231103003190 |
| Provider Name | Roshini Jagdish Ramwani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801258348 PECOS PAC ID: 2567752876 Enrollment ID: I20231107001905 |
| Provider Name | Nicole M Kraft |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598449936 PECOS PAC ID: 9638526981 Enrollment ID: I20231108003455 |
| Provider Name | Irene Nicole Presnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915298 PECOS PAC ID: 5193955151 Enrollment ID: I20231111000598 |
| Provider Name | Ernest L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245015171 PECOS PAC ID: 3274981477 Enrollment ID: I20231129000713 |
| Provider Name | Christine A Daub |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528253614 PECOS PAC ID: 4880042092 Enrollment ID: I20231129001266 |
| Provider Name | Robert H Hubers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861413064 PECOS PAC ID: 4284733155 Enrollment ID: I20231206000767 |
| Provider Name | Sharon A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912151044 PECOS PAC ID: 0244374783 Enrollment ID: I20231206001725 |
| Provider Name | Treve Henwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548233497 PECOS PAC ID: 2860423597 Enrollment ID: I20231206002134 |
| Provider Name | Fahd M Shaukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649883794 PECOS PAC ID: 7618326315 Enrollment ID: I20231206002745 |
| Provider Name | Ashesh H Sanghvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336185685 PECOS PAC ID: 5193743102 Enrollment ID: I20231212000102 |
| Provider Name | Mark J Mogul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336113752 PECOS PAC ID: 0042244972 Enrollment ID: I20231213002267 |
| Provider Name | Lanette Rickborn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174985444 PECOS PAC ID: 0941590830 Enrollment ID: I20231213002419 |
| Provider Name | Junhong Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597063 PECOS PAC ID: 1951750900 Enrollment ID: I20231215001329 |
| Provider Name | David C Okonkwo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457796062 PECOS PAC ID: 2567821598 Enrollment ID: I20231221000307 |
| Provider Name | Carey R Martens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598880833 PECOS PAC ID: 2062503782 Enrollment ID: I20231221001765 |
| Provider Name | Alahna Jo Keil |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104692730 PECOS PAC ID: 2961852611 Enrollment ID: I20231221001892 |
| Provider Name | Kristopher C Wampole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548856156 PECOS PAC ID: 3274983606 Enrollment ID: I20231228000718 |
| Provider Name | Anne T Cahill |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326066036 PECOS PAC ID: 5092711465 Enrollment ID: I20240104003050 |
| Provider Name | Maria T Decastro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558326470 PECOS PAC ID: 6305732587 Enrollment ID: I20240105002773 |
| Provider Name | Halie Marie Ciokiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104603380 PECOS PAC ID: 4082065305 Enrollment ID: I20240110003681 |
| Provider Name | Harbinder Singh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124061288 PECOS PAC ID: 2668482613 Enrollment ID: I20240110005027 |
| Provider Name | Patricia Sue Benoit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538340492 PECOS PAC ID: 3476904582 Enrollment ID: I20240112001276 |
| Provider Name | Sharon L Besterfeldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083949028 PECOS PAC ID: 1254783392 Enrollment ID: I20240115000381 |
| Provider Name | Rebecca L Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548741259 PECOS PAC ID: 7416309315 Enrollment ID: I20240116003776 |
| Provider Name | Rebeca J Argiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467946871 PECOS PAC ID: 5698127371 Enrollment ID: I20240118000900 |
| Provider Name | Vidallah Mulley Nordquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851175699 PECOS PAC ID: 6901258631 Enrollment ID: I20240118002561 |
| Provider Name | Kevin Charles Tolzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861104911 PECOS PAC ID: 9133571748 Enrollment ID: I20240119000537 |
| Provider Name | Brianne N Snider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881361780 PECOS PAC ID: 6002291556 Enrollment ID: I20240122001041 |
| Provider Name | Adeloye Omoyemi Soyege |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912774365 PECOS PAC ID: 9537511852 Enrollment ID: I20240122004130 |
| Provider Name | James A Raczek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114945433 PECOS PAC ID: 1658329289 Enrollment ID: I20240123002805 |
| Provider Name | Lisa S Dorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144604216 PECOS PAC ID: 9335591528 Enrollment ID: I20240124000437 |
| Provider Name | Sierra L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902673528 PECOS PAC ID: 9537512587 Enrollment ID: I20240126000708 |
| Provider Name | Paul A Reder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871521567 PECOS PAC ID: 5496728958 Enrollment ID: I20240126003025 |
| Provider Name | Maria Fuertes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972778389 PECOS PAC ID: 8426112376 Enrollment ID: I20240130000043 |
| Provider Name | Peter R Bream |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255428355 PECOS PAC ID: 8426187196 Enrollment ID: I20240205000743 |
| Provider Name | Heather Hilda Roen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457610750 PECOS PAC ID: 2860835006 Enrollment ID: I20240205003360 |
| Provider Name | Christina B Schreiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285874982 PECOS PAC ID: 9032552880 Enrollment ID: I20240208001381 |
| Provider Name | Jamie Christine Hanrahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336606359 PECOS PAC ID: 6507209392 Enrollment ID: I20240208002724 |
| Provider Name | John W Wyllie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831171180 PECOS PAC ID: 3274592118 Enrollment ID: I20240214000668 |
| Provider Name | Rebecca L Janssen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184887861 PECOS PAC ID: 9830533298 Enrollment ID: I20240214001146 |
| Provider Name | Seth F Tatel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144433467 PECOS PAC ID: 8426214875 Enrollment ID: I20240214001511 |
| Provider Name | Daniel G. Derezinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174629927 PECOS PAC ID: 2769826056 Enrollment ID: I20240214002602 |
| Provider Name | Deborah Jean Furgason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255677217 PECOS PAC ID: 6406290675 Enrollment ID: I20240215001168 |
| Provider Name | Robyne D Camana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477874238 PECOS PAC ID: 0446498281 Enrollment ID: I20240215003738 |
| Provider Name | Bethany F Peri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114137015 PECOS PAC ID: 6800074147 Enrollment ID: I20240216001763 |
| Provider Name | Amanda Rae Butterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558149922 PECOS PAC ID: 2264876283 Enrollment ID: I20240219000835 |
| Provider Name | Linda B Kedrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710356548 PECOS PAC ID: 4082058862 Enrollment ID: I20240220003455 |
| Provider Name | Vanessa M Larose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730561333 PECOS PAC ID: 3779927413 Enrollment ID: I20240221001089 |
| Provider Name | Luis Dibos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20240221002614 |
| Provider Name | Tierney D Woodward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326803982 PECOS PAC ID: 3173968799 Enrollment ID: I20240305001267 |
Lakeland Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 West Ave Ste C, Rice Lake, WI 54868 Phone: 715-202-6727 | |
Marshfield Clinic Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8103 | |
Swanson Eye Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 S Wisconsin Ave, Rice Lake, WI 54868 Phone: 608-341-9636 | |
Jacobson Optometry Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1801 W Knapp St Ste 3, Rice Lake, WI 54868 Phone: 715-234-3113 Fax: 715-234-2339 | |
Piic Clinical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 S Wisconsin Ave, Rice Lake, WI 54868 Phone: 715-403-5880 | |
Northwoods Dentistry, Rice Lake Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E Thomas St, Rice Lake, WI 54868 Phone: 715-234-4636 Fax: 715-234-2982 |