| Landmark Medical Pc | |
|
701 Seneca St Ste 646c Buffalo NY 14210-1351 | |
| (866) 948-4720 | |
| Not Available |
| Full Name | Landmark Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 701 Seneca St Ste 646c, Buffalo, New York |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6572372450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Pc 701 Seneca St Suite 416 Buffalo NY 14210-1351 Ph: (716) 995-4450 | Landmark Medical Pc 701 Seneca St Ste 646c Buffalo NY 14210-1351 Ph: (866) 948-4720 |
| NPI Number | 1962801860 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5294057105 |
|---|---|
| Medicare Enrollment ID | O20141204000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962801860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 275960 (New York) | Primary |
| Provider Name | Danielle L Testani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669579751 PECOS PAC ID: 1355233891 Enrollment ID: I20040329000499 |
| Provider Name | Linda R Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568593010 PECOS PAC ID: 8527041813 Enrollment ID: I20040608001380 |
| Provider Name | Theresa Angeles Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811929946 PECOS PAC ID: 2769467943 Enrollment ID: I20040622000601 |
| Provider Name | Bernadette N Agard-henriques |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235214669 PECOS PAC ID: 4587634084 Enrollment ID: I20040730000831 |
| Provider Name | Christian Michael Krawczyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205881547 PECOS PAC ID: 5890768279 Enrollment ID: I20040813001073 |
| Provider Name | Karen R Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770531873 PECOS PAC ID: 1254387384 Enrollment ID: I20050322000992 |
| Provider Name | Pamela Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326191107 PECOS PAC ID: 6305886011 Enrollment ID: I20050511000813 |
| Provider Name | Allison E Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588676217 PECOS PAC ID: 2567403629 Enrollment ID: I20050518001101 |
| Provider Name | Arkady Bilenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033172101 PECOS PAC ID: 9234172271 Enrollment ID: I20050609000972 |
| Provider Name | Rebecca J Stetzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437163045 PECOS PAC ID: 7012944309 Enrollment ID: I20050719000336 |
| Provider Name | Valerie K Ramsey-cummins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063410215 PECOS PAC ID: 5496787566 Enrollment ID: I20050913000690 |
| Provider Name | William D Barone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396797064 PECOS PAC ID: 3274559588 Enrollment ID: I20051017000366 |
| Provider Name | Caitlin M Lafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407847007 PECOS PAC ID: 4688689284 Enrollment ID: I20060221000357 |
| Provider Name | Craig A Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255305066 PECOS PAC ID: 5799797106 Enrollment ID: I20060630000112 |
| Provider Name | James P Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821009911 PECOS PAC ID: 5991707499 Enrollment ID: I20070213000555 |
| Provider Name | Mery Concepcion Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497825129 PECOS PAC ID: 4789786120 Enrollment ID: I20070302000477 |
| Provider Name | Deborah Wydysh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184722415 PECOS PAC ID: 3971607185 Enrollment ID: I20070328000309 |
| Provider Name | Kyle T Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417942582 PECOS PAC ID: 7012904030 Enrollment ID: I20070412000251 |
| Provider Name | Christopher Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265404982 PECOS PAC ID: 2668577974 Enrollment ID: I20070416000286 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851475792 PECOS PAC ID: 2466559257 Enrollment ID: I20070511000451 |
| Provider Name | Amy Lynn Baun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851469191 PECOS PAC ID: 6608974902 Enrollment ID: I20070611000453 |
| Provider Name | Christine M Schonour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285692483 PECOS PAC ID: 7719085851 Enrollment ID: I20070613000249 |
| Provider Name | Vivian O Adeyemo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316076508 PECOS PAC ID: 3870692064 Enrollment ID: I20070629000081 |
| Provider Name | Kiranjit Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558568584 PECOS PAC ID: 4183717465 Enrollment ID: I20070831000207 |
| Provider Name | Janet Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801089180 PECOS PAC ID: 6305934076 Enrollment ID: I20071113000615 |
| Provider Name | Claudine A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003991118 PECOS PAC ID: 3375631476 Enrollment ID: I20071126000379 |
| Provider Name | Raghu Ram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639138597 PECOS PAC ID: 3870673858 Enrollment ID: I20080103000141 |
| Provider Name | Anthony F Perna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568429330 PECOS PAC ID: 5092604256 Enrollment ID: I20080124000204 |
| Provider Name | Christine M Verni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295926327 PECOS PAC ID: 6204911670 Enrollment ID: I20080310000258 |
| Provider Name | Yama Rasoully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568640845 PECOS PAC ID: 7214095306 Enrollment ID: I20081017000544 |
| Provider Name | Pablo M Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104081074 PECOS PAC ID: 5193884096 Enrollment ID: I20081106000811 |
| Provider Name | David Holodak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639333909 PECOS PAC ID: 7618037821 Enrollment ID: I20081118000551 |
| Provider Name | Patrick J Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891718862 PECOS PAC ID: 6507921186 Enrollment ID: I20090213000463 |
| Provider Name | Eran Melissa Muto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164676946 PECOS PAC ID: 9436215233 Enrollment ID: I20090303000438 |
| Provider Name | Katherine Pearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588813208 PECOS PAC ID: 9830255595 Enrollment ID: I20090304000374 |
| Provider Name | Mimieux V Caesar-dume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649256264 PECOS PAC ID: 9335206499 Enrollment ID: I20090318000029 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Robert Brawn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437311024 PECOS PAC ID: 3678623618 Enrollment ID: I20090612000006 |
| Provider Name | Patricia D Klementowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386898799 PECOS PAC ID: 2163573973 Enrollment ID: I20090707000401 |
| Provider Name | Joan Chyong-wen Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063526291 PECOS PAC ID: 9830197714 Enrollment ID: I20090716000138 |
| Provider Name | Aileen B Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790925147 PECOS PAC ID: 4284776667 Enrollment ID: I20100122000597 |
| Provider Name | Marian Unterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013065481 PECOS PAC ID: 4082757851 Enrollment ID: I20100202000128 |
| Provider Name | Mary Anne I Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942492897 PECOS PAC ID: 3678616448 Enrollment ID: I20100202000154 |
| Provider Name | Anna Wojtaszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093905911 PECOS PAC ID: 1759424534 Enrollment ID: I20100202000292 |
| Provider Name | Magdalene Tukov-yual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962732792 PECOS PAC ID: 8224173414 Enrollment ID: I20100226000111 |
| Provider Name | Mary A Pizzingrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215904271 PECOS PAC ID: 8921134925 Enrollment ID: I20100330000028 |
| Provider Name | Shannon S Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740423375 PECOS PAC ID: 1759410178 Enrollment ID: I20100524000583 |
| Provider Name | Takesha L Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063744209 PECOS PAC ID: 8527199033 Enrollment ID: I20100628000575 |
| Provider Name | Joseph Riedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104056381 PECOS PAC ID: 5799801189 Enrollment ID: I20100922000978 |
| Provider Name | Steven Laplante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336318013 PECOS PAC ID: 6709071103 Enrollment ID: I20101111000245 |
| Provider Name | Leanna E Weinert-watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558674465 PECOS PAC ID: 0749460848 Enrollment ID: I20110207000636 |
| Provider Name | Kevin Hennessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023163813 PECOS PAC ID: 9931382207 Enrollment ID: I20110323000877 |
| Provider Name | Taylor Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336309442 PECOS PAC ID: 8921281973 Enrollment ID: I20110329000215 |
| Provider Name | Ashlyn Hyacinthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952629719 PECOS PAC ID: 6002090248 Enrollment ID: I20110412000771 |
| Provider Name | Elizabeth Therese Mccormick |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790942001 PECOS PAC ID: 1557414604 Enrollment ID: I20110414000669 |
| Provider Name | Wilgyms St Hilaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346434966 PECOS PAC ID: 6800071317 Enrollment ID: I20110427000521 |
| Provider Name | Rachel Zickl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356376693 PECOS PAC ID: 1153507660 Enrollment ID: I20110518000475 |
| Provider Name | Darlene S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023315439 PECOS PAC ID: 5799962247 Enrollment ID: I20110609000175 |
| Provider Name | Akofa F Apedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346545456 PECOS PAC ID: 6608053111 Enrollment ID: I20110610000038 |
| Provider Name | Dawn K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417254848 PECOS PAC ID: 4880872449 Enrollment ID: I20110629000760 |
| Provider Name | Lani Jo M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629372545 PECOS PAC ID: 0840462081 Enrollment ID: I20111011000624 |
| Provider Name | Carol B Curran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710084694 PECOS PAC ID: 4082790662 Enrollment ID: I20111102000422 |
| Provider Name | Carol Roeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366515330 PECOS PAC ID: 8123291036 Enrollment ID: I20111109000066 |
| Provider Name | Mary Victoria Kopke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194980458 PECOS PAC ID: 3375717937 Enrollment ID: I20111116000302 |
| Provider Name | Kristen L Thornton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821010869 PECOS PAC ID: 4789858101 Enrollment ID: I20111122000157 |
| Provider Name | Carolyn S Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598720815 PECOS PAC ID: 6002095593 Enrollment ID: I20111214001018 |
| Provider Name | Susan Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396031555 PECOS PAC ID: 0840457982 Enrollment ID: I20120201000707 |
| Provider Name | Krista Hoare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730358029 PECOS PAC ID: 2961660410 Enrollment ID: I20120301000051 |
| Provider Name | Jodi L Witman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710286141 PECOS PAC ID: 3971762410 Enrollment ID: I20120302000156 |
| Provider Name | Katherine Bergamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578833844 PECOS PAC ID: 2466611827 Enrollment ID: I20120306000015 |
| Provider Name | Nicole M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801171632 PECOS PAC ID: 4385803121 Enrollment ID: I20120314000150 |
| Provider Name | Kathleen Ann Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841560596 PECOS PAC ID: 6204096357 Enrollment ID: I20120327000568 |
| Provider Name | Anthony Rotella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134356249 PECOS PAC ID: 8325201569 Enrollment ID: I20120525000099 |
| Provider Name | James Cozza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352493 PECOS PAC ID: 2062678691 Enrollment ID: I20120725000562 |
| Provider Name | Natasha Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396018362 PECOS PAC ID: 8820244940 Enrollment ID: I20120806000530 |
| Provider Name | Amy Balog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720346869 PECOS PAC ID: 2365690302 Enrollment ID: I20120917000166 |
| Provider Name | Kathryn M Rooth |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578798922 PECOS PAC ID: 1557512258 Enrollment ID: I20121106000066 |
| Provider Name | Julie A Stein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033371984 PECOS PAC ID: 1052563087 Enrollment ID: I20121220000134 |
| Provider Name | Merry Lyn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003105610 PECOS PAC ID: 2062658123 Enrollment ID: I20130415000383 |
| Provider Name | Audrey Tan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447412291 PECOS PAC ID: 8022250950 Enrollment ID: I20130806000381 |
| Provider Name | Megan E Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205176633 PECOS PAC ID: 4688817927 Enrollment ID: I20130905000439 |
| Provider Name | Elizabeth Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285902122 PECOS PAC ID: 8628212263 Enrollment ID: I20130920000122 |
| Provider Name | Tammy Holbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154765360 PECOS PAC ID: 6305070269 Enrollment ID: I20131008000785 |
| Provider Name | Monica E Wideman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750621207 PECOS PAC ID: 6103050711 Enrollment ID: I20131015001745 |
| Provider Name | Mark Matthew Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336460823 PECOS PAC ID: 8729214358 Enrollment ID: I20131203002129 |
| Provider Name | Una B Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649605734 PECOS PAC ID: 7012144264 Enrollment ID: I20131213000106 |
| Provider Name | Alicia J Mcroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306279690 PECOS PAC ID: 9830327360 Enrollment ID: I20140108001124 |
| Provider Name | Jennifer T Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548483076 PECOS PAC ID: 7214971290 Enrollment ID: I20140115001164 |
| Provider Name | Thecla I Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679801633 PECOS PAC ID: 0840424743 Enrollment ID: I20140224001499 |
| Provider Name | Jennifer E Adjara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659645158 PECOS PAC ID: 0547491706 Enrollment ID: I20140401001490 |
| Provider Name | Maggie Berolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811311897 PECOS PAC ID: 3476785338 Enrollment ID: I20140409000423 |
| Provider Name | Karen E Bogerman Bolle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275675001 PECOS PAC ID: 7214153485 Enrollment ID: I20140723002743 |
| Provider Name | David P Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841606803 PECOS PAC ID: 8224257472 Enrollment ID: I20140919001913 |
| Provider Name | Ronald O Otwori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366859753 PECOS PAC ID: 0345460911 Enrollment ID: I20141002000199 |
| Provider Name | Vivien L. Redeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275820441 PECOS PAC ID: 5597986679 Enrollment ID: I20141015001619 |
| Provider Name | Michael Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750332409 PECOS PAC ID: 7214838374 Enrollment ID: I20141208001146 |
| Provider Name | Carrie A Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760899827 PECOS PAC ID: 3274857404 Enrollment ID: I20150119000041 |
| Provider Name | Judy A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669884243 PECOS PAC ID: 7810115839 Enrollment ID: I20150225001306 |
| Provider Name | Emily K Ilowit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629468368 PECOS PAC ID: 3476870759 Enrollment ID: I20150325001730 |
| Provider Name | Raef Madanieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831471499 PECOS PAC ID: 4486971355 Enrollment ID: I20150402002114 |
| Provider Name | Joanna Jimenez Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376951319 PECOS PAC ID: 1456679349 Enrollment ID: I20150403000752 |
| Provider Name | Jennifer Elizabeth Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649688540 PECOS PAC ID: 3678891470 Enrollment ID: I20150407001348 |
| Provider Name | Clemetine E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013306455 PECOS PAC ID: 7618297300 Enrollment ID: I20150520001734 |
| Provider Name | Hyeong Y Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912349390 PECOS PAC ID: 4789995804 Enrollment ID: I20150616002296 |
| Provider Name | Katherine E Flower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821360330 PECOS PAC ID: 3173835162 Enrollment ID: I20150706000534 |
| Provider Name | Danielle Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922338177 PECOS PAC ID: 4880813724 Enrollment ID: I20150720000500 |
| Provider Name | Cindy R Herberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780967901 PECOS PAC ID: 4587978440 Enrollment ID: I20150805008701 |
| Provider Name | Rosanne F Serra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992184774 PECOS PAC ID: 3577878040 Enrollment ID: I20150812007794 |
| Provider Name | Jamie L Zglinicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407232671 PECOS PAC ID: 4486958881 Enrollment ID: I20160204001949 |
| Provider Name | Nikki Jowan Burgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194025692 PECOS PAC ID: 6103121728 Enrollment ID: I20160219000498 |
| Provider Name | Andrea J Cottrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275903106 PECOS PAC ID: 7810292307 Enrollment ID: I20160222000651 |
| Provider Name | Sandra Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023201480 PECOS PAC ID: 5991017261 Enrollment ID: I20160502000315 |
| Provider Name | Sally Goldstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174550735 PECOS PAC ID: 2264721349 Enrollment ID: I20160512000799 |
| Provider Name | Beth Vaccarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003073115 PECOS PAC ID: 2062701022 Enrollment ID: I20160513000846 |
| Provider Name | Mercedes Rivera Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386913242 PECOS PAC ID: 1850681842 Enrollment ID: I20160603000299 |
| Provider Name | Lisa Ling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275886764 PECOS PAC ID: 4789976929 Enrollment ID: I20160708001752 |
| Provider Name | Christine M Dec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710339452 PECOS PAC ID: 0840585360 Enrollment ID: I20160823002472 |
| Provider Name | Lisamarie Better |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437509049 PECOS PAC ID: 2365739547 Enrollment ID: I20161003002075 |
| Provider Name | Tharon B Holmberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871741785 PECOS PAC ID: 0749357341 Enrollment ID: I20161010000866 |
| Provider Name | Karen Ann Pollidore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750836144 PECOS PAC ID: 9638467087 Enrollment ID: I20161018001027 |
| Provider Name | Kareem Abed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770940843 PECOS PAC ID: 4789962945 Enrollment ID: I20161024001389 |
| Provider Name | Olamide Tubi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437605664 PECOS PAC ID: 8123306586 Enrollment ID: I20161107000184 |
| Provider Name | Rosamond Reffell-pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891087771 PECOS PAC ID: 7618256421 Enrollment ID: I20161118001933 |
| Provider Name | Nwando Nzegwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154799807 PECOS PAC ID: 8921387440 Enrollment ID: I20161128000346 |
| Provider Name | Mary Beth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386886299 PECOS PAC ID: 4880985829 Enrollment ID: I20161216001640 |
| Provider Name | Melissa Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821305046 PECOS PAC ID: 0143501411 Enrollment ID: I20161228000296 |
| Provider Name | Diana P Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700109642 PECOS PAC ID: 6507147485 Enrollment ID: I20170109001453 |
| Provider Name | Hsin-ju Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174987697 PECOS PAC ID: 7113209156 Enrollment ID: I20170126001663 |
| Provider Name | Steve Samandar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639331804 PECOS PAC ID: 3274726542 Enrollment ID: I20170201001875 |
| Provider Name | Purvi S Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346504198 PECOS PAC ID: 9739481904 Enrollment ID: I20170215002198 |
| Provider Name | Portia O Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497201511 PECOS PAC ID: 7416231733 Enrollment ID: I20170306002422 |
| Provider Name | Marlene Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457638405 PECOS PAC ID: 8325323652 Enrollment ID: I20170328001868 |
| Provider Name | Theresa L Arida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622093 PECOS PAC ID: 5193001899 Enrollment ID: I20170412001060 |
| Provider Name | Donna M Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477782654 PECOS PAC ID: 3870879075 Enrollment ID: I20170424000106 |
| Provider Name | Christopher Broderick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063753390 PECOS PAC ID: 7719289107 Enrollment ID: I20170501002043 |
| Provider Name | Michael James Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952647638 PECOS PAC ID: 6103194600 Enrollment ID: I20170623001396 |
| Provider Name | Abidemi Akinkunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588991210 PECOS PAC ID: 9537431531 Enrollment ID: I20170825003155 |
| Provider Name | Chandan Kher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821418484 PECOS PAC ID: 3072886910 Enrollment ID: I20170829001528 |
| Provider Name | Katie S Tafur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659891810 PECOS PAC ID: 9739452608 Enrollment ID: I20170829002917 |
| Provider Name | Enaame L Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649539594 PECOS PAC ID: 8921375205 Enrollment ID: I20170918000113 |
| Provider Name | Rana S. Siddabattuni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376700203 PECOS PAC ID: 9133397805 Enrollment ID: I20171017001078 |
| Provider Name | Cherrisse Catherine Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568742781 PECOS PAC ID: 7618296575 Enrollment ID: I20171026000615 |
| Provider Name | Regine Anne Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417339441 PECOS PAC ID: 1759662307 Enrollment ID: I20171101000099 |
| Provider Name | Diane M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144598517 PECOS PAC ID: 7012275985 Enrollment ID: I20171222000939 |
| Provider Name | Maranda Mccray-dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154595304 PECOS PAC ID: 1254501992 Enrollment ID: I20180329001904 |
| Provider Name | Ashleigh S Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861822330 PECOS PAC ID: 6002178183 Enrollment ID: I20180330000228 |
| Provider Name | Kristina Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184936452 PECOS PAC ID: 1658635099 Enrollment ID: I20180510001565 |
| Provider Name | Louise Elizabeth Leduc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093995995 PECOS PAC ID: 2264325646 Enrollment ID: I20180510001940 |
| Provider Name | Suseela Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508904939 PECOS PAC ID: 7214027432 Enrollment ID: I20180717001216 |
| Provider Name | Umbrine Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700390770 PECOS PAC ID: 8729336144 Enrollment ID: I20180801002164 |
| Provider Name | Mutita Plabprasit Honsberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558795617 PECOS PAC ID: 4385872860 Enrollment ID: I20180806002694 |
| Provider Name | Emily Irene Van Buren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508350901 PECOS PAC ID: 7214286582 Enrollment ID: I20180820002061 |
| Provider Name | Kelly M Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306322961 PECOS PAC ID: 4385994110 Enrollment ID: I20180829000634 |
| Provider Name | Katherine N Phouthavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033669726 PECOS PAC ID: 7214219922 Enrollment ID: I20180905003290 |
| Provider Name | Elliott D Yadon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548641970 PECOS PAC ID: 7416262878 Enrollment ID: I20180910000236 |
| Provider Name | Sarah Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487137501 PECOS PAC ID: 9537412994 Enrollment ID: I20181101000387 |
| Provider Name | Stella Goldgisser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801301197 PECOS PAC ID: 7911250154 Enrollment ID: I20181105002548 |
| Provider Name | Dalu Q Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043749955 PECOS PAC ID: 3173898194 Enrollment ID: I20181206001549 |
| Provider Name | Eric I Bartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528543329 PECOS PAC ID: 2163767500 Enrollment ID: I20181213000627 |
| Provider Name | Yevgeniya S Lipina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003385220 PECOS PAC ID: 5890030530 Enrollment ID: I20181227000750 |
| Provider Name | Jessica Holley Tweedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356341366 PECOS PAC ID: 2567427834 Enrollment ID: I20190116003712 |
| Provider Name | Leilani Anicas Tandoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538621537 PECOS PAC ID: 7517290471 Enrollment ID: I20190607000392 |
| Provider Name | Magdalene Pavilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699293472 PECOS PAC ID: 9537494414 Enrollment ID: I20190715002519 |
| Provider Name | Roni Rafailov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184191801 PECOS PAC ID: 8820326838 Enrollment ID: I20190828001877 |
| Provider Name | Julianna Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619536505 PECOS PAC ID: 6800125691 Enrollment ID: I20190903003097 |
| Provider Name | William Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347946 PECOS PAC ID: 6901135458 Enrollment ID: I20190909001185 |
| Provider Name | Carl F De Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033777867 PECOS PAC ID: 1759610116 Enrollment ID: I20190910002094 |
| Provider Name | Evelyn Filpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821533761 PECOS PAC ID: 0345570255 Enrollment ID: I20190919000445 |
| Provider Name | Tene Kaia Mcdonald-gelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518439835 PECOS PAC ID: 9133459977 Enrollment ID: I20190923000274 |
| Provider Name | Marie S Destine Azor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134509136 PECOS PAC ID: 7214245737 Enrollment ID: I20191014000140 |
| Provider Name | Monalisa Ghose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093178717 PECOS PAC ID: 1254625106 Enrollment ID: I20191015003596 |
| Provider Name | Cara E Lavier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245888908 PECOS PAC ID: 9032541107 Enrollment ID: I20191111001274 |
| Provider Name | Lydia Duffus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578109088 PECOS PAC ID: 8820423254 Enrollment ID: I20200114000058 |
| Provider Name | Malissa M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821645789 PECOS PAC ID: 7012342900 Enrollment ID: I20200123000891 |
| Provider Name | Rebecca I White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922669977 PECOS PAC ID: 9537595434 Enrollment ID: I20200213001509 |
| Provider Name | Martha N Desta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285271189 PECOS PAC ID: 4082041603 Enrollment ID: I20200220001954 |
| Provider Name | Joanne Fairley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972984136 PECOS PAC ID: 8022318666 Enrollment ID: I20200305000128 |
| Provider Name | Michelle Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790153005 PECOS PAC ID: 1153610449 Enrollment ID: I20200305001167 |
| Provider Name | Christina L Mcardle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376186676 PECOS PAC ID: 5991133233 Enrollment ID: I20200319001003 |
| Provider Name | Amy L Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336779792 PECOS PAC ID: 9830528702 Enrollment ID: I20200330001147 |
| Provider Name | Laurie Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881087245 PECOS PAC ID: 0244549814 Enrollment ID: I20200512001445 |
| Provider Name | Heather Lea Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984167 PECOS PAC ID: 6406087766 Enrollment ID: I20200512001677 |
| Provider Name | Sunni Kneeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245682939 PECOS PAC ID: 9032407853 Enrollment ID: I20200512002033 |
| Provider Name | Ana Lemus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932614203 PECOS PAC ID: 6002155744 Enrollment ID: I20200512002188 |
| Provider Name | Deborah Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477843647 PECOS PAC ID: 9537345251 Enrollment ID: I20200512002282 |
| Provider Name | Lorraine Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790147999 PECOS PAC ID: 1355614645 Enrollment ID: I20200512002739 |
| Provider Name | Jenine Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043688161 PECOS PAC ID: 9436411105 Enrollment ID: I20200513000171 |
| Provider Name | Francesca Yarnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205282233 PECOS PAC ID: 8820380967 Enrollment ID: I20200513000206 |
| Provider Name | Laura Alfstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295149151 PECOS PAC ID: 4284951971 Enrollment ID: I20200513000520 |
| Provider Name | Amanda T Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568973618 PECOS PAC ID: 3577994144 Enrollment ID: I20200514001870 |
| Provider Name | Jill Felice Schwartz-chevlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295767911 PECOS PAC ID: 5092737619 Enrollment ID: I20200515000951 |
| Provider Name | Diane M Schulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720422397 PECOS PAC ID: 9830520378 Enrollment ID: I20200515002323 |
| Provider Name | Kadean A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275194045 PECOS PAC ID: 4880015908 Enrollment ID: I20200528000705 |
| Provider Name | Bernardina Garcia Baes Abayev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265718563 PECOS PAC ID: 3072764729 Enrollment ID: I20200707001650 |
| Provider Name | Tanetta Nyoka James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982226981 PECOS PAC ID: 0042635815 Enrollment ID: I20200811000654 |
| Provider Name | Irma Diasamidze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699393579 PECOS PAC ID: 6901221787 Enrollment ID: I20200811001258 |
| Provider Name | Thamar Merisier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922328632 PECOS PAC ID: 0648697953 Enrollment ID: I20200901003229 |
| Provider Name | Seeme Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609238112 PECOS PAC ID: 5193054518 Enrollment ID: I20201006001703 |
| Provider Name | Nicole Rayta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689027542 PECOS PAC ID: 3476848599 Enrollment ID: I20201015000848 |
| Provider Name | Erica Gregoire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972850469 PECOS PAC ID: 5496906380 Enrollment ID: I20201116002676 |
| Provider Name | Kimberly M Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568070779 PECOS PAC ID: 1153735600 Enrollment ID: I20210125002884 |
| Provider Name | Tiana Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598124562 PECOS PAC ID: 3173821055 Enrollment ID: I20210126002306 |
| Provider Name | Nihad Sika-santolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467057919 PECOS PAC ID: 4183039829 Enrollment ID: I20210210002980 |
| Provider Name | Stacey M Jantsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091324 PECOS PAC ID: 7810304482 Enrollment ID: I20210326000084 |
| Provider Name | Georgiy E Yusupov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164007548 PECOS PAC ID: 4587071840 Enrollment ID: I20210402000524 |
| Provider Name | Amalthea U.r.p. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295327864 PECOS PAC ID: 6709293863 Enrollment ID: I20210408000156 |
| Provider Name | Cassandra Nichole Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003163726 PECOS PAC ID: 1850709429 Enrollment ID: I20210420001636 |
| Provider Name | Regina Radogna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083122386 PECOS PAC ID: 2466714696 Enrollment ID: I20210420001711 |
| Provider Name | Melanie Anne Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124611157 PECOS PAC ID: 5092123612 Enrollment ID: I20210421000475 |
| Provider Name | Khalil Gelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225691744 PECOS PAC ID: 3072912542 Enrollment ID: I20210603001635 |
| Provider Name | Cindy Siam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689813842 PECOS PAC ID: 6103014105 Enrollment ID: I20210607001442 |
| Provider Name | Abigail Crawshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457463473 PECOS PAC ID: 9234134958 Enrollment ID: I20210611000303 |
| Provider Name | Takeisha Jamica Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801473509 PECOS PAC ID: 5193126316 Enrollment ID: I20210625000925 |
| Provider Name | Christopher Stark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104874189 PECOS PAC ID: 1759322951 Enrollment ID: I20210630001820 |
| Provider Name | Zelalem Tadesse Argaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245852003 PECOS PAC ID: 5092117564 Enrollment ID: I20210707002406 |
| Provider Name | Andrea Dorothy Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538429295 PECOS PAC ID: 4082953047 Enrollment ID: I20210708000082 |
| Provider Name | Danielle Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700455813 PECOS PAC ID: 4688076854 Enrollment ID: I20210709002185 |
| Provider Name | Maha Ghorayeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417621939 PECOS PAC ID: 4385049501 Enrollment ID: I20210825002729 |
| Provider Name | Jeannine Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619641081 PECOS PAC ID: 7012313505 Enrollment ID: I20210908003780 |
| Provider Name | Joshua M Pisagih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790137263 PECOS PAC ID: 1658650866 Enrollment ID: I20211001000813 |
| Provider Name | Hector Ivan Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225472335 PECOS PAC ID: 7911397005 Enrollment ID: I20211203001313 |
| Provider Name | Sheree Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164800629 PECOS PAC ID: 4981995693 Enrollment ID: I20211207000625 |
| Provider Name | Alicia Mcfee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629725700 PECOS PAC ID: 4587059985 Enrollment ID: I20220322001767 |
| Provider Name | Nicole Mombrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720733231 PECOS PAC ID: 3274929773 Enrollment ID: I20220411000567 |
| Provider Name | Elisabeth Britton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902893860 PECOS PAC ID: 6305801424 Enrollment ID: I20220525000994 |
| Provider Name | Amber Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831695170 PECOS PAC ID: 5890116602 Enrollment ID: I20220621000731 |
| Provider Name | Marjorie Ann Blieka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972678480 PECOS PAC ID: 8224417993 Enrollment ID: I20220627001822 |
| Provider Name | Christian Halloran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528171014 PECOS PAC ID: 7214932763 Enrollment ID: I20220630000059 |
| Provider Name | Tanya Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043965148 PECOS PAC ID: 7719367135 Enrollment ID: I20220701001384 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994648 PECOS PAC ID: 6709266158 Enrollment ID: I20220701002614 |
| Provider Name | Jaclyn Ann Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578209201 PECOS PAC ID: 7618357740 Enrollment ID: I20220707001956 |
| Provider Name | Britt-marie Cables |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164791851 PECOS PAC ID: 0941465934 Enrollment ID: I20220713000464 |
| Provider Name | Heather Towne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407479702 PECOS PAC ID: 5496159857 Enrollment ID: I20220721002559 |
| Provider Name | Cheng Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417211509 PECOS PAC ID: 6709193634 Enrollment ID: I20220721002898 |
| Provider Name | Syna Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932366077 PECOS PAC ID: 7214105154 Enrollment ID: I20220722002137 |
| Provider Name | Michael Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265072227 PECOS PAC ID: 7113300286 Enrollment ID: I20220823001100 |
| Provider Name | Daphne Phanord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528739687 PECOS PAC ID: 2062895071 Enrollment ID: I20220823003197 |
| Provider Name | Georgio Alfeche Dano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336788397 PECOS PAC ID: 0840674115 Enrollment ID: I20220906001211 |
| Provider Name | Nichola Joubert-rockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881136794 PECOS PAC ID: 4981983434 Enrollment ID: I20220921003965 |
| Provider Name | Kelechi Jane Obasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083291199 PECOS PAC ID: 2365828225 Enrollment ID: I20220929001407 |
| Provider Name | Melonie Daley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912678061 PECOS PAC ID: 6305215914 Enrollment ID: I20221202002131 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20221220000320 |
| Provider Name | Emma Katherine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871172700 PECOS PAC ID: 9234509795 Enrollment ID: I20221228001879 |
| Provider Name | Amy N Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477001055 PECOS PAC ID: 6901194794 Enrollment ID: I20221229000294 |
| Provider Name | Obuchukwuneme Calais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457829640 PECOS PAC ID: 3375880495 Enrollment ID: I20230119002585 |
| Provider Name | Jessica Lynn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205596947 PECOS PAC ID: 7315318284 Enrollment ID: I20230201001060 |
| Provider Name | Anaidra Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476423 PECOS PAC ID: 4587098959 Enrollment ID: I20230214002563 |
| Provider Name | Danielle A Dipasquale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952027401 PECOS PAC ID: 5395101042 Enrollment ID: I20230523000142 |
| Provider Name | Juliana Sahadeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548785363 PECOS PAC ID: 7416222856 Enrollment ID: I20230525002325 |
| Provider Name | Debra Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699307165 PECOS PAC ID: 6103147855 Enrollment ID: I20230526000671 |
| Provider Name | Ashleigh Ramsey Alsip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528321072 PECOS PAC ID: 6204089972 Enrollment ID: I20230615002713 |
| Provider Name | Alexa Gale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487897195 PECOS PAC ID: 5294975900 Enrollment ID: I20230718001013 |
Buffalo Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 | |
Jeremiah O Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 | |
Greater Buffalo United Accountable Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Niagara St, Buffalo, NY 14201 Phone: 716-882-0366 Fax: 716-830-4840 | |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 | |
Winston G Douglas Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 | |
Carewell Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-830-5453 Fax: 716-332-3525 | |
Nutrition With Noelle P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Sheridan Dr, Buffalo, NY 14223 Phone: 716-417-6388 |