| Legacy Clinics LLC | |
|
1130 Nw 22nd Ave Ste 220 Portland OR 97210-2969 | |
| (503) 413-2901 | |
| Not Available |
| Full Name | Legacy Clinics LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1130 Nw 22nd Ave Ste 220, Portland, Oregon |
| Authorized Official Name and Position | Sarah Jensen (VP FINANCE) |
| Authorized Official Contact | 5034155145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Clinics LLC Po Box 3777 Portland OR 97208-3777 Ph: (503) 413-3900 | Legacy Clinics LLC 1130 Nw 22nd Ave Ste 220 Portland OR 97210-2969 Ph: (503) 413-2901 |
| NPI Number | 1902827272 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 01/20/2026 |
| Certification Date | 01/20/2026 |
| Medicare PECOS PAC ID | 0244144004 |
|---|---|
| Medicare Enrollment ID | O20031117000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902827272 | NPI | - | NPPES |
| 277776 | Medicaid | OR | |
| 804702000 | Other | OR | REGENCE BLUE CROSS |
| 9646449 | Medicaid | WA | |
| 022930 | Medicaid | OR | |
| 134334 | Medicaid | OR | |
| 286709 | Medicaid | OR | |
| 226982 | Medicaid | OR | |
| 286482 | Medicaid | OR | |
| 227592 | Medicaid | OR | |
| 7098429 | Medicaid | WA | |
| 7101124 | Medicaid | WA | |
| 227692 | Medicaid | OR | |
| 286717 | Medicaid | OR | |
| 7130628 | Medicaid | WA | |
| 277799 | Medicaid | OR | |
| 286822 | Medicaid | OR |
| Provider Name | Samuel S M Lau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811995087 PECOS PAC ID: 9931012226 Enrollment ID: I20031112000210 |
| Provider Name | Christine M Kenlan Laurent |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568438182 PECOS PAC ID: 9234035700 Enrollment ID: I20031208000579 |
| Provider Name | Deborah a Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255369559 PECOS PAC ID: 6901703362 Enrollment ID: I20031215000832 |
| Provider Name | Ameet Jhooty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295795938 PECOS PAC ID: 5799684031 Enrollment ID: I20040106000146 |
| Provider Name | David S Peizner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245235233 PECOS PAC ID: 0042104051 Enrollment ID: I20040211000246 |
| Provider Name | Tana M Haynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639160369 PECOS PAC ID: 7911809082 Enrollment ID: I20040217000588 |
| Provider Name | Jennifer H Christiansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851394878 PECOS PAC ID: 0648168997 Enrollment ID: I20040308001241 |
| Provider Name | Paul Tseng |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811990484 PECOS PAC ID: 1951299213 Enrollment ID: I20040308001286 |
| Provider Name | Daniel Urbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952386377 PECOS PAC ID: 2769371012 Enrollment ID: I20040313000554 |
| Provider Name | Melinda J Muller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649246182 PECOS PAC ID: 3678463049 Enrollment ID: I20040318000919 |
| Provider Name | Danacia M Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851315329 PECOS PAC ID: 0042100463 Enrollment ID: I20040318001195 |
| Provider Name | Ramnik S Jhooty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548265457 PECOS PAC ID: 8628968971 Enrollment ID: I20040318001470 |
| Provider Name | Cheryl a Springer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881687945 PECOS PAC ID: 6800787862 Enrollment ID: I20040322000431 |
| Provider Name | Daniela C Goldenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962463836 PECOS PAC ID: 2264324771 Enrollment ID: I20040329000960 |
| Provider Name | Mark S Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659346252 PECOS PAC ID: 5799777959 Enrollment ID: I20040330001645 |
| Provider Name | Elizabeth R Sammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437127347 PECOS PAC ID: 8820081334 Enrollment ID: I20040408000164 |
| Provider Name | Beth Vermont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487759775 PECOS PAC ID: 7113819723 Enrollment ID: I20040408000636 |
| Provider Name | Charles Y Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659598944 PECOS PAC ID: 0941294441 Enrollment ID: I20040408000883 |
| Provider Name | Nicholas E Clarke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124112016 PECOS PAC ID: 1052306131 Enrollment ID: I20040419000026 |
| Provider Name | Gordon Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235103276 PECOS PAC ID: 8820083603 Enrollment ID: I20040420000392 |
| Provider Name | Kenneth L Rhoads |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912904103 PECOS PAC ID: 1456348150 Enrollment ID: I20040426001639 |
| Provider Name | Kim Marie Heydon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881649705 PECOS PAC ID: 6204824055 Enrollment ID: I20040503000362 |
| Provider Name | Adam Barmada |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235108929 PECOS PAC ID: 7618965260 Enrollment ID: I20040504000003 |
| Provider Name | Elizabeth Allen North |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336111616 PECOS PAC ID: 1254329808 Enrollment ID: I20040504000006 |
| Provider Name | Richard Barry Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588656896 PECOS PAC ID: 7810895307 Enrollment ID: I20040505001032 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659363190 PECOS PAC ID: 5092704791 Enrollment ID: I20040507001348 |
| Provider Name | Karen Joan Wesenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811980998 PECOS PAC ID: 0042209744 Enrollment ID: I20040508000015 |
| Provider Name | Charles D Culbertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467412239 PECOS PAC ID: 4789673880 Enrollment ID: I20040512000136 |
| Provider Name | Alan Wayne Hurty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225020191 PECOS PAC ID: 9931199478 Enrollment ID: I20040515000556 |
| Provider Name | Shirin R Sukumar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245278993 PECOS PAC ID: 3971593427 Enrollment ID: I20040517000023 |
| Provider Name | Jennifer M Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144299900 PECOS PAC ID: 4385634682 Enrollment ID: I20040518000231 |
| Provider Name | Fred H Coleman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891760492 PECOS PAC ID: 2163413352 Enrollment ID: I20040518000898 |
| Provider Name | Robert S Brookshire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295708378 PECOS PAC ID: 3274524137 Enrollment ID: I20040519001422 |
| Provider Name | Andrew Cho Tsen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659364719 PECOS PAC ID: 8527966191 Enrollment ID: I20040602001347 |
| Provider Name | Erich J Meihoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144295916 PECOS PAC ID: 3173505245 Enrollment ID: I20040602001349 |
| Provider Name | Jonathan R Van Horn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992798060 PECOS PAC ID: 2466434543 Enrollment ID: I20040602001411 |
| Provider Name | Eli a Rosenthal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356346399 PECOS PAC ID: 3274515853 Enrollment ID: I20040607000603 |
| Provider Name | Matthew I Foley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982667630 PECOS PAC ID: 6305820457 Enrollment ID: I20040616000193 |
| Provider Name | Andrew I Mones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710901681 PECOS PAC ID: 8527043504 Enrollment ID: I20040623000495 |
| Provider Name | Richard N Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851387484 PECOS PAC ID: 6901795012 Enrollment ID: I20040624000304 |
| Provider Name | Anne M Knudsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821006958 PECOS PAC ID: 2264419639 Enrollment ID: I20040702000727 |
| Provider Name | Marcos L Barnatan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477512051 PECOS PAC ID: 4688652928 Enrollment ID: I20040712001480 |
| Provider Name | Alexander D Nicoloff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386610277 PECOS PAC ID: 7517947724 Enrollment ID: I20040720001010 |
| Provider Name | Ellen P Duplain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225066301 PECOS PAC ID: 7315927951 Enrollment ID: I20040723000204 |
| Provider Name | Lawrence H Neville |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134124639 PECOS PAC ID: 6406828219 Enrollment ID: I20040811001183 |
| Provider Name | John H Mcanulty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518993492 PECOS PAC ID: 2264405182 Enrollment ID: I20040818000173 |
| Provider Name | Brooke D Renard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538191085 PECOS PAC ID: 2961476627 Enrollment ID: I20040902000200 |
| Provider Name | Joanna L Lezak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366445967 PECOS PAC ID: 7719954130 Enrollment ID: I20040915000399 |
| Provider Name | David a Siegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528179090 PECOS PAC ID: 1658340880 Enrollment ID: I20040924000972 |
| Provider Name | Cliffton T. Bong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609950849 PECOS PAC ID: 6608845763 Enrollment ID: I20040927000594 |
| Provider Name | Pasala S Ravichandran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487669990 PECOS PAC ID: 8921067786 Enrollment ID: I20041007000179 |
| Provider Name | Sun J Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811914484 PECOS PAC ID: 5193789626 Enrollment ID: I20041115001156 |
| Provider Name | Kimya-anhcina Lan Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073596243 PECOS PAC ID: 0749265478 Enrollment ID: I20041215000633 |
| Provider Name | Petya Nikolova Gueordjeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346268059 PECOS PAC ID: 1052379922 Enrollment ID: I20041222000765 |
| Provider Name | Lynn E Osmundsen |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1265409916 PECOS PAC ID: 4587561618 Enrollment ID: I20050128000734 |
| Provider Name | Ahmed Muneer Raslan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356550206 PECOS PAC ID: 5294780292 Enrollment ID: I20050312000037 |
| Provider Name | Anil Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629047212 PECOS PAC ID: 0345295796 Enrollment ID: I20050317000990 |
| Provider Name | Carolyn D Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881705093 PECOS PAC ID: 5698720779 Enrollment ID: I20050322000559 |
| Provider Name | Isadora Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972603553 PECOS PAC ID: 5991751232 Enrollment ID: I20050329001338 |
| Provider Name | Robert J Azar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255316857 PECOS PAC ID: 1153368451 Enrollment ID: I20050408000180 |
| Provider Name | David Gahtan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215903059 PECOS PAC ID: 3678510195 Enrollment ID: I20050414001364 |
| Provider Name | Paula Dietsch Kuiper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508869157 PECOS PAC ID: 0547217069 Enrollment ID: I20050428000400 |
| Provider Name | Mark Alan Martin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548252992 PECOS PAC ID: 7113825761 Enrollment ID: I20050614000106 |
| Provider Name | Craig S Broberg |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1508874058 PECOS PAC ID: 7911942313 Enrollment ID: I20050627000467 |
| Provider Name | Leonard a Mankin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710992201 PECOS PAC ID: 8123058328 Enrollment ID: I20050817000651 |
| Provider Name | Carber Ching-ho Huang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831151968 PECOS PAC ID: 6305877911 Enrollment ID: I20050823001206 |
| Provider Name | Song Jin Sunny Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275685455 PECOS PAC ID: 5991736456 Enrollment ID: I20050824000479 |
| Provider Name | Narda Sherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922192764 PECOS PAC ID: 7416980313 Enrollment ID: I20050912001077 |
| Provider Name | Andrew D Glass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437103223 PECOS PAC ID: 9537192083 Enrollment ID: I20050914001278 |
| Provider Name | Susan Carla Dahlberg Noble |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720011521 PECOS PAC ID: 5799719241 Enrollment ID: I20050923000221 |
| Provider Name | Megumi M Morishita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609854272 PECOS PAC ID: 7113951690 Enrollment ID: I20050923000445 |
| Provider Name | Anthony S Ladogana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275508418 PECOS PAC ID: 8628041480 Enrollment ID: I20050927001128 |
| Provider Name | Elizabeth Tacvorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467414417 PECOS PAC ID: 3779508742 Enrollment ID: I20051008000186 |
| Provider Name | Bradley H Evans |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568464261 PECOS PAC ID: 6103724604 Enrollment ID: I20051020001106 |
| Provider Name | Judah Gold Markel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104890557 PECOS PAC ID: 8123045689 Enrollment ID: I20051025000335 |
| Provider Name | Jay C Jan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417949926 PECOS PAC ID: 5597782904 Enrollment ID: I20051025000876 |
| Provider Name | Vee Seng Yoong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700833217 PECOS PAC ID: 6002840014 Enrollment ID: I20051027000377 |
| Provider Name | Daniel K Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285723726 PECOS PAC ID: 8628096393 Enrollment ID: I20051110000882 |
| Provider Name | Leslie Ann Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558313817 PECOS PAC ID: 7618956426 Enrollment ID: I20051118000550 |
| Provider Name | Lisa M Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447223987 PECOS PAC ID: 9234126897 Enrollment ID: I20051130000228 |
| Provider Name | Anthony a Ferroggiaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245254606 PECOS PAC ID: 4688602105 Enrollment ID: I20051205000039 |
| Provider Name | Enoch T Huang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265494751 PECOS PAC ID: 9537056858 Enrollment ID: I20051209000748 |
| Provider Name | Michael Paul Traynor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720141914 PECOS PAC ID: 7012982754 Enrollment ID: I20051219000680 |
| Provider Name | Todd a Hochenedel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285710772 PECOS PAC ID: 4587685698 Enrollment ID: I20060123000776 |
| Provider Name | Michael T Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407934037 PECOS PAC ID: 9032130141 Enrollment ID: I20060123000792 |
| Provider Name | Janice P Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194803718 PECOS PAC ID: 3678594785 Enrollment ID: I20060123001012 |
| Provider Name | Jonathan G Erich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093789596 PECOS PAC ID: 1153385018 Enrollment ID: I20060131000539 |
| Provider Name | Mary Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679581714 PECOS PAC ID: 0143235580 Enrollment ID: I20060207000462 |
| Provider Name | Naji M Hamdan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679570873 PECOS PAC ID: 2163438227 Enrollment ID: I20060227000362 |
| Provider Name | Rosa Martha Garcia-jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912063256 PECOS PAC ID: 9133135965 Enrollment ID: I20060302000334 |
| Provider Name | Phillip D Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497781355 PECOS PAC ID: 0749296531 Enrollment ID: I20060303000090 |
| Provider Name | Soriah N Hamide |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417051665 PECOS PAC ID: 3476561895 Enrollment ID: I20060327000827 |
| Provider Name | Christine M Barlow Reed |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568481216 PECOS PAC ID: 3375551229 Enrollment ID: I20060404000201 |
| Provider Name | David Weingarten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871575316 PECOS PAC ID: 7719997345 Enrollment ID: I20060427000149 |
| Provider Name | Nicole E Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669478210 PECOS PAC ID: 2365452620 Enrollment ID: I20060501000678 |
| Provider Name | Julie E Yeggy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770550626 PECOS PAC ID: 7012928203 Enrollment ID: I20060602000069 |
| Provider Name | Mikeanne Minter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376715 PECOS PAC ID: 8921019126 Enrollment ID: I20060602000138 |
| Provider Name | Won S Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902894793 PECOS PAC ID: 0446283402 Enrollment ID: I20060629000311 |
| Provider Name | Manish Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750310173 PECOS PAC ID: 8921002593 Enrollment ID: I20060913000261 |
| Provider Name | Amy E Page |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225093131 PECOS PAC ID: 9537135702 Enrollment ID: I20060921000439 |
| Provider Name | Patricia M Engle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477562239 PECOS PAC ID: 2264437250 Enrollment ID: I20060926000255 |
| Provider Name | Laura M Vanderwerff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255360350 PECOS PAC ID: 4385649177 Enrollment ID: I20060929000300 |
| Provider Name | Megan Bird |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841225323 PECOS PAC ID: 4587660097 Enrollment ID: I20061005000549 |
| Provider Name | John E Oppenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922071513 PECOS PAC ID: 9335174614 Enrollment ID: I20061012000542 |
| Provider Name | Jason R Leong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982623674 PECOS PAC ID: 6406852516 Enrollment ID: I20061012000626 |
| Provider Name | Reynaldo Danilo T Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134148927 PECOS PAC ID: 8527064518 Enrollment ID: I20061016000104 |
| Provider Name | Margaret a George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679687149 PECOS PAC ID: 9133125057 Enrollment ID: I20061016000428 |
| Provider Name | Sharon J Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821009606 PECOS PAC ID: 1254338668 Enrollment ID: I20061027000222 |
| Provider Name | Darin M Friess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215963368 PECOS PAC ID: 3779516190 Enrollment ID: I20061102000036 |
| Provider Name | Peter Farkas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215035639 PECOS PAC ID: 5193722940 Enrollment ID: I20061108000650 |
| Provider Name | Anthony G Hadden |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396701504 PECOS PAC ID: 1355340951 Enrollment ID: I20061208000289 |
| Provider Name | Jill R Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518050459 PECOS PAC ID: 9234138744 Enrollment ID: I20061211000606 |
| Provider Name | Kristin M Linzmeyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932200524 PECOS PAC ID: 6608875919 Enrollment ID: I20061214000458 |
| Provider Name | Jennifer Van Atta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295818383 PECOS PAC ID: 1052311446 Enrollment ID: I20070109000377 |
| Provider Name | Janet C West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447299284 PECOS PAC ID: 0143237628 Enrollment ID: I20070118000608 |
| Provider Name | Vitalie D Lupu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609837913 PECOS PAC ID: 5092716753 Enrollment ID: I20070123000341 |
| Provider Name | David C Nazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457329286 PECOS PAC ID: 3173524683 Enrollment ID: I20070126000181 |
| Provider Name | Judith Angela Nigro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760566368 PECOS PAC ID: 7416955935 Enrollment ID: I20070126000242 |
| Provider Name | Gregorio a Sicard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295817112 PECOS PAC ID: 7618978032 Enrollment ID: I20070126000315 |
| Provider Name | Kathleen M Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699796201 PECOS PAC ID: 9436041902 Enrollment ID: I20070126000623 |
| Provider Name | Peter P Singson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568483774 PECOS PAC ID: 0143116590 Enrollment ID: I20070129000109 |
| Provider Name | Kristen a Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578575775 PECOS PAC ID: 9830190180 Enrollment ID: I20070129000759 |
| Provider Name | Justin a Tidwell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710908892 PECOS PAC ID: 0042244725 Enrollment ID: I20070206000698 |
| Provider Name | Jared K Remmers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932112463 PECOS PAC ID: 5496757890 Enrollment ID: I20070214000273 |
| Provider Name | William Edward Winter |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295716496 PECOS PAC ID: 3971519372 Enrollment ID: I20070307000199 |
| Provider Name | Sanjiv Manharlal Panwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023047321 PECOS PAC ID: 9739282823 Enrollment ID: I20070309000367 |
| Provider Name | Charles E Chambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831144187 PECOS PAC ID: 0648375048 Enrollment ID: I20070413000007 |
| Provider Name | Tracy Laidley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437128451 PECOS PAC ID: 2961507363 Enrollment ID: I20070413000054 |
| Provider Name | Keith a Haugen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104806959 PECOS PAC ID: 1759317464 Enrollment ID: I20070413000288 |
| Provider Name | Louis T Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467492629 PECOS PAC ID: 0941307706 Enrollment ID: I20070514000269 |
| Provider Name | Ronald R Barbosa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134104961 PECOS PAC ID: 0749260487 Enrollment ID: I20070518000439 |
| Provider Name | Charles Webb |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1811967235 PECOS PAC ID: 4284648452 Enrollment ID: I20070529000217 |
| Provider Name | Blake C Osmundsen |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1457300550 PECOS PAC ID: 7416055348 Enrollment ID: I20070531000166 |
| Provider Name | Huey J Meeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437242997 PECOS PAC ID: 0648378422 Enrollment ID: I20070601000065 |
| Provider Name | Alec Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932158953 PECOS PAC ID: 6103924733 Enrollment ID: I20070606000096 |
| Provider Name | Vandy L Sherbin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083711857 PECOS PAC ID: 1052410644 Enrollment ID: I20070622000109 |
| Provider Name | Eric E Swiridoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467456053 PECOS PAC ID: 2062511413 Enrollment ID: I20070626000154 |
| Provider Name | Christopher Ginocchio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346274131 PECOS PAC ID: 0446350433 Enrollment ID: I20070703000704 |
| Provider Name | Virginia G King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336351352 PECOS PAC ID: 9436259959 Enrollment ID: I20070713000072 |
| Provider Name | Steven L Grund |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851420863 PECOS PAC ID: 4385744606 Enrollment ID: I20070716000117 |
| Provider Name | Karen a Vernier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144309204 PECOS PAC ID: 2860421070 Enrollment ID: I20070723000409 |
| Provider Name | Diana K Boss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023239407 PECOS PAC ID: 5597866269 Enrollment ID: I20070725000094 |
| Provider Name | William a Spisak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740274554 PECOS PAC ID: 6204937931 Enrollment ID: I20070725000607 |
| Provider Name | Timothy J Roddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083683023 PECOS PAC ID: 7012008337 Enrollment ID: I20070801000076 |
| Provider Name | Annabelle L Sammis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1588792568 PECOS PAC ID: 6709977028 Enrollment ID: I20070801000110 |
| Provider Name | Bryce Bederka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831215987 PECOS PAC ID: 4789775982 Enrollment ID: I20070802000036 |
| Provider Name | Willscott E Naugler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689698342 PECOS PAC ID: 6507868767 Enrollment ID: I20070803000179 |
| Provider Name | Frederic J Cole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285603050 PECOS PAC ID: 9931107430 Enrollment ID: I20070806000468 |
| Provider Name | Timothy Fernstrom |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457552168 PECOS PAC ID: 3678665551 Enrollment ID: I20070823000232 |
| Provider Name | Amy J Munro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972719268 PECOS PAC ID: 2961594692 Enrollment ID: I20070824000720 |
| Provider Name | Melody a Berman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538206875 PECOS PAC ID: 5294828315 Enrollment ID: I20070906000243 |
| Provider Name | Angela R Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093850182 PECOS PAC ID: 6800989799 Enrollment ID: I20070910000089 |
| Provider Name | Daniel S Isenbarger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780765941 PECOS PAC ID: 4284728528 Enrollment ID: I20070918000477 |
| Provider Name | Paula a Folger |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558564492 PECOS PAC ID: 1658465638 Enrollment ID: I20070921000083 |
| Provider Name | Joseph H Frankhouse |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1487683181 PECOS PAC ID: 0143315234 Enrollment ID: I20071004000403 |
| Provider Name | Jennifer L Letourneau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033177886 PECOS PAC ID: 7214996446 Enrollment ID: I20071015000034 |
| Provider Name | Brian a Rainka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407075534 PECOS PAC ID: 7517053663 Enrollment ID: I20071019000529 |
| Provider Name | Janis L Denning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295929198 PECOS PAC ID: 3476640319 Enrollment ID: I20071024000645 |
| Provider Name | Eric C Chang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720290190 PECOS PAC ID: 8224125232 Enrollment ID: I20071107000241 |
| Provider Name | Jennifer M Slack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043401813 PECOS PAC ID: 1355439563 Enrollment ID: I20071121000066 |
| Provider Name | Charles M Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902961907 PECOS PAC ID: 0244333607 Enrollment ID: I20071210000253 |
| Provider Name | Mohammad a Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174505044 PECOS PAC ID: 1759471931 Enrollment ID: I20071212000608 |
| Provider Name | Merrill M Ahrens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194839225 PECOS PAC ID: 5294825949 Enrollment ID: I20071218000299 |
| Provider Name | Holly I Tse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912089947 PECOS PAC ID: 9234219304 Enrollment ID: I20071231000569 |
| Provider Name | Audrey E Tarr |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1922110972 PECOS PAC ID: 9931280039 Enrollment ID: I20080115000347 |
| Provider Name | Joseph Stalfire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487768396 PECOS PAC ID: 1153402185 Enrollment ID: I20080116000382 |
| Provider Name | Casey E Ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447375233 PECOS PAC ID: 1759373319 Enrollment ID: I20080219000510 |
| Provider Name | Gina Bawden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245414978 PECOS PAC ID: 4880778984 Enrollment ID: I20080228000153 |
| Provider Name | Rachel L Lemke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922284025 PECOS PAC ID: 1254415094 Enrollment ID: I20080303000641 |
| Provider Name | Richard Strauss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629175294 PECOS PAC ID: 9537120043 Enrollment ID: I20080307000174 |
| Provider Name | John a Gilliam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598781429 PECOS PAC ID: 9537242854 Enrollment ID: I20080307000251 |
| Provider Name | Patricia S Rotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407826050 PECOS PAC ID: 5991880379 Enrollment ID: I20080310000296 |
| Provider Name | Wendy J Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124135207 PECOS PAC ID: 0446336663 Enrollment ID: I20080327000392 |
| Provider Name | Valerie Halpin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750307989 PECOS PAC ID: 0143208082 Enrollment ID: I20080401000069 |
| Provider Name | Katherine Jo Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629240239 PECOS PAC ID: 3971680372 Enrollment ID: I20080409000713 |
| Provider Name | Leslie Root |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831167907 PECOS PAC ID: 2163591520 Enrollment ID: I20080527000577 |
| Provider Name | Catherine J Markin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285731059 PECOS PAC ID: 9032288402 Enrollment ID: I20080527000609 |
| Provider Name | Mark F Schray |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063400752 PECOS PAC ID: 6608807516 Enrollment ID: I20080603000549 |
| Provider Name | Andrew Y Kee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043299217 PECOS PAC ID: 0446283162 Enrollment ID: I20080604000014 |
| Provider Name | Kai E Engstad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174793830 PECOS PAC ID: 8820160211 Enrollment ID: I20080630000284 |
| Provider Name | William Louis Hills |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609080886 PECOS PAC ID: 6507957313 Enrollment ID: I20080709000328 |
| Provider Name | Robert F Quintos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750324653 PECOS PAC ID: 5890737886 Enrollment ID: I20080710000300 |
| Provider Name | John M Dempster |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1386854974 PECOS PAC ID: 8820161375 Enrollment ID: I20080717000209 |
| Provider Name | John M Aregood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168608 PECOS PAC ID: 2961575303 Enrollment ID: I20080718000225 |
| Provider Name | Anne M Breitinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871772442 PECOS PAC ID: 3476627266 Enrollment ID: I20080728000385 |
| Provider Name | Alma Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285897009 PECOS PAC ID: 6103990742 Enrollment ID: I20080731000133 |
| Provider Name | Eric J Putz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740272533 PECOS PAC ID: 1951481597 Enrollment ID: I20080808000344 |
| Provider Name | Gregory Eilers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134323843 PECOS PAC ID: 1355416660 Enrollment ID: I20080821000344 |
| Provider Name | Mark W Sands |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043416191 PECOS PAC ID: 9537234588 Enrollment ID: I20080826000587 |
| Provider Name | Cassandra Stell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598951501 PECOS PAC ID: 7113095035 Enrollment ID: I20081006000313 |
| Provider Name | David K Solondz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689896599 PECOS PAC ID: 7315015070 Enrollment ID: I20081008000007 |
| Provider Name | Gail a Moses |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841259389 PECOS PAC ID: 5597774513 Enrollment ID: I20081010000101 |
| Provider Name | Yolanda B Suarez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124126362 PECOS PAC ID: 4688658503 Enrollment ID: I20081021000211 |
| Provider Name | Julie a Knoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457556292 PECOS PAC ID: 0941368997 Enrollment ID: I20081021000404 |
| Provider Name | Akram Khan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710993498 PECOS PAC ID: 1850380973 Enrollment ID: I20081028000329 |
| Provider Name | Aaron L Kabb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780852517 PECOS PAC ID: 4880753821 Enrollment ID: I20081106000153 |
| Provider Name | Kirk W Walker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922076546 PECOS PAC ID: 1456345834 Enrollment ID: I20081126000060 |
| Provider Name | Stephen J Lenssen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568616928 PECOS PAC ID: 2264594035 Enrollment ID: I20090105000197 |
| Provider Name | Erin N Khoury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649231259 PECOS PAC ID: 8921040882 Enrollment ID: I20090106000093 |
| Provider Name | Susan S Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750318788 PECOS PAC ID: 3173686102 Enrollment ID: I20090116000211 |
| Provider Name | Alivia K Cetas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134340904 PECOS PAC ID: 1456415207 Enrollment ID: I20090123000139 |
| Provider Name | Rebecca G Hills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942259833 PECOS PAC ID: 6800950593 Enrollment ID: I20090123000528 |
| Provider Name | Sarah P Townley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942244140 PECOS PAC ID: 3971570417 Enrollment ID: I20090211000415 |
| Provider Name | Aaron M Liere |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255352985 PECOS PAC ID: 2860558541 Enrollment ID: I20090304000549 |
| Provider Name | Mary E Gearn |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972532836 PECOS PAC ID: 4880751650 Enrollment ID: I20090323000146 |
| Provider Name | Heidi S Dyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922150580 PECOS PAC ID: 6901981687 Enrollment ID: I20090324000104 |
| Provider Name | Scott D Sonek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164688156 PECOS PAC ID: 2163579897 Enrollment ID: I20090414000714 |
| Provider Name | John G Buckmaster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013922525 PECOS PAC ID: 4183725484 Enrollment ID: I20090429000421 |
| Provider Name | Robert Pentz Barlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902842081 PECOS PAC ID: 6204823362 Enrollment ID: I20090505000492 |
| Provider Name | Marty Caudle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639318645 PECOS PAC ID: 4880742535 Enrollment ID: I20090506000425 |
| Provider Name | William E Muth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598853822 PECOS PAC ID: 2769462902 Enrollment ID: I20090604000269 |
| Provider Name | Robert S Nicol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578682100 PECOS PAC ID: 0042384752 Enrollment ID: I20090706000337 |
| Provider Name | Rhonda K Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538341490 PECOS PAC ID: 9436200300 Enrollment ID: I20090706000688 |
| Provider Name | Anna Kate Westmoreland |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821171570 PECOS PAC ID: 8729130299 Enrollment ID: I20090714000342 |
| Provider Name | Laura E Van Houten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194937110 PECOS PAC ID: 7416000179 Enrollment ID: I20090729000253 |
| Provider Name | Shane Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871623678 PECOS PAC ID: 4789745787 Enrollment ID: I20090803000240 |
| Provider Name | Amy Zastrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942219431 PECOS PAC ID: 5597818914 Enrollment ID: I20090803000573 |
| Provider Name | Thomas P Warrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740484914 PECOS PAC ID: 4587717897 Enrollment ID: I20090804000757 |
| Provider Name | Mary I Buckland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912066986 PECOS PAC ID: 7719924307 Enrollment ID: I20090904000173 |
| Provider Name | Kevin Breger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497925143 PECOS PAC ID: 0648338459 Enrollment ID: I20090914000176 |
| Provider Name | Sumeeth M Bhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720235500 PECOS PAC ID: 0446306419 Enrollment ID: I20090916000008 |
| Provider Name | Jeffrey C La Rochelle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306006457 PECOS PAC ID: 3476626904 Enrollment ID: I20090917000382 |
| Provider Name | Christine M Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497985220 PECOS PAC ID: 8527114081 Enrollment ID: I20090924000389 |
| Provider Name | Robert Dong Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780620096 PECOS PAC ID: 5597783738 Enrollment ID: I20090924000569 |
| Provider Name | Nicole B Weksler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457542391 PECOS PAC ID: 5698811792 Enrollment ID: I20091002000452 |
| Provider Name | Sophana Karnchanasorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710165303 PECOS PAC ID: 6800933276 Enrollment ID: I20091019000102 |
| Provider Name | Angela T Marshall Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841493988 PECOS PAC ID: 4284771429 Enrollment ID: I20091021000302 |
| Provider Name | Colleen Mccormick |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1740362052 PECOS PAC ID: 3274532841 Enrollment ID: I20091021000741 |
| Provider Name | Peter E Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952324139 PECOS PAC ID: 9739226655 Enrollment ID: I20091119000189 |
| Provider Name | Donald W Stoddard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205818663 PECOS PAC ID: 9032259395 Enrollment ID: I20091216000659 |
| Provider Name | James H Stageman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639152549 PECOS PAC ID: 5890685978 Enrollment ID: I20100107000570 |
| Provider Name | Paul R Ash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063417392 PECOS PAC ID: 8729015516 Enrollment ID: I20100107000690 |
| Provider Name | Lauren E Ciolli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568799054 PECOS PAC ID: 7416096656 Enrollment ID: I20100112000112 |
| Provider Name | David P Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144407123 PECOS PAC ID: 5991848640 Enrollment ID: I20100204000009 |
| Provider Name | Sumitra Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225184815 PECOS PAC ID: 0547335184 Enrollment ID: I20100208000453 |
| Provider Name | Vernon L Cowell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932129418 PECOS PAC ID: 1850434036 Enrollment ID: I20100210000525 |
| Provider Name | Jason K Carr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326376484 PECOS PAC ID: 0840333027 Enrollment ID: I20100210000539 |
| Provider Name | Hemangini J Thakar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194929661 PECOS PAC ID: 6800930488 Enrollment ID: I20100219000675 |
| Provider Name | Kristine M Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023248846 PECOS PAC ID: 6709921935 Enrollment ID: I20100226000569 |
| Provider Name | Joan L Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831241082 PECOS PAC ID: 7315082245 Enrollment ID: I20100303000801 |
| Provider Name | Thomas W Lyttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154659209 PECOS PAC ID: 9234274051 Enrollment ID: I20100304000612 |
| Provider Name | Dawnrenee Cinocco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851596837 PECOS PAC ID: 5597800094 Enrollment ID: I20100309000319 |
| Provider Name | William R Shawler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821018060 PECOS PAC ID: 7214062850 Enrollment ID: I20100322000055 |
| Provider Name | Shawn Timothy Patrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699769786 PECOS PAC ID: 1254466733 Enrollment ID: I20100323000531 |
| Provider Name | David Edward Wu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063404739 PECOS PAC ID: 1658451299 Enrollment ID: I20100323000643 |
| Provider Name | Sandra J Lewis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427040179 PECOS PAC ID: 0244310886 Enrollment ID: I20100324000130 |
| Provider Name | Tatiana L Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114070455 PECOS PAC ID: 1052374519 Enrollment ID: I20100324000560 |
| Provider Name | Kendra J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760637920 PECOS PAC ID: 8729114046 Enrollment ID: I20100325000885 |
| Provider Name | Marc M Morishige |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649595786 PECOS PAC ID: 2860527215 Enrollment ID: I20100330001276 |
| Provider Name | Alan Perry Hendin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437127644 PECOS PAC ID: 4183750995 Enrollment ID: I20100331000876 |
| Provider Name | Andrew Peter Rose-innes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578649224 PECOS PAC ID: 3971583238 Enrollment ID: I20100406000075 |
| Provider Name | Jay P Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306874037 PECOS PAC ID: 0446387716 Enrollment ID: I20100416000719 |
| Provider Name | Christopher S Ritchie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487673190 PECOS PAC ID: 3274661525 Enrollment ID: I20100507000380 |
| Provider Name | Charmika T Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902133176 PECOS PAC ID: 5799813762 Enrollment ID: I20100512000617 |
| Provider Name | Sheeten B Doshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154307478 PECOS PAC ID: 4284679416 Enrollment ID: I20100520000180 |
| Provider Name | Jacqueline Fernandez Adlawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598708125 PECOS PAC ID: 8022016070 Enrollment ID: I20100609000074 |
| Provider Name | Shaun Lan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528224474 PECOS PAC ID: 2365574365 Enrollment ID: I20100709000049 |
| Provider Name | Emily Coombes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952509200 PECOS PAC ID: 1557493558 Enrollment ID: I20100709000170 |
| Provider Name | Ruth Medak |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245470640 PECOS PAC ID: 8426181280 Enrollment ID: I20100729000859 |
| Provider Name | Bruce N Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790754273 PECOS PAC ID: 7012040678 Enrollment ID: I20100803000467 |
| Provider Name | Stephen F Baugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972577740 PECOS PAC ID: 2466586920 Enrollment ID: I20100819000185 |
| Provider Name | Marc G Levitte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699775742 PECOS PAC ID: 5294869632 Enrollment ID: I20100819001241 |
| Provider Name | Kelly F Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144294885 PECOS PAC ID: 5799819173 Enrollment ID: I20100820000603 |
| Provider Name | Curtis Marr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669447264 PECOS PAC ID: 0840324232 Enrollment ID: I20100820000654 |
| Provider Name | Brenda L Kehoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770599128 PECOS PAC ID: 7618959859 Enrollment ID: I20100827000980 |
| Provider Name | Molly H Tveite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619171022 PECOS PAC ID: 9931223716 Enrollment ID: I20100831000496 |
| Provider Name | Chloe M Shanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881885705 PECOS PAC ID: 6002930559 Enrollment ID: I20100903000972 |
| Provider Name | Renee N Goodreau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770787681 PECOS PAC ID: 5991820763 Enrollment ID: I20100916000806 |
| Provider Name | Anika Denali-luengo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871774281 PECOS PAC ID: 6103941851 Enrollment ID: I20100917000531 |
| Provider Name | Aruna Jayaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720308620 PECOS PAC ID: 1254456940 Enrollment ID: I20100917001113 |
| Provider Name | Nathalie Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942224936 PECOS PAC ID: 7911043690 Enrollment ID: I20100923000840 |
| Provider Name | Gregory William Mallek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003012303 PECOS PAC ID: 6406972785 Enrollment ID: I20100923000912 |
| Provider Name | Hannah R Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760439707 PECOS PAC ID: 0941326870 Enrollment ID: I20100928000921 |
| Provider Name | George B Demetrion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326048950 PECOS PAC ID: 4385836998 Enrollment ID: I20101013001256 |
| Provider Name | Marie Juliette Budesa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750563946 PECOS PAC ID: 8224169487 Enrollment ID: I20101014000844 |
| Provider Name | Annette Schweiger Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356405690 PECOS PAC ID: 1456544915 Enrollment ID: I20101018000551 |
| Provider Name | Jocelyn F Camara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760454615 PECOS PAC ID: 0143232751 Enrollment ID: I20101019000343 |
| Provider Name | Armando D Camara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851363709 PECOS PAC ID: 4880669324 Enrollment ID: I20101019000382 |
| Provider Name | Evonne Maria Kandas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689677445 PECOS PAC ID: 0547453854 Enrollment ID: I20101019001222 |
| Provider Name | Jaspreet Kaur Khangura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194983593 PECOS PAC ID: 1951594050 Enrollment ID: I20101021000604 |
| Provider Name | Kenneth L Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902875016 PECOS PAC ID: 2163615154 Enrollment ID: I20101022000524 |
| Provider Name | Mary F Afsari Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356500821 PECOS PAC ID: 2668665530 Enrollment ID: I20101023000108 |
| Provider Name | Samantha a Mckay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801087283 PECOS PAC ID: 1951594845 Enrollment ID: I20101023000328 |
| Provider Name | Michael J Zalanka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063675916 PECOS PAC ID: 7416010707 Enrollment ID: I20101026000347 |
| Provider Name | Andrea Orfanakis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861549669 PECOS PAC ID: 0840484523 Enrollment ID: I20101027000886 |
| Provider Name | Gwen Grewe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326014234 PECOS PAC ID: 2961696240 Enrollment ID: I20101101000210 |
| Provider Name | Tricia Child |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114199528 PECOS PAC ID: 9234324682 Enrollment ID: I20101110001149 |
| Provider Name | Bella Nelson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1801087713 PECOS PAC ID: 1355536640 Enrollment ID: I20101111001580 |
| Provider Name | Arvin C Gee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295817716 PECOS PAC ID: 5193910339 Enrollment ID: I20101112000710 |
| Provider Name | Jordan D Fein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255316345 PECOS PAC ID: 3678666468 Enrollment ID: I20101117000179 |
| Provider Name | Caryl Kenworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396757662 PECOS PAC ID: 4981890456 Enrollment ID: I20101123000336 |
| Provider Name | Susan H Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982633228 PECOS PAC ID: 6901860766 Enrollment ID: I20101130000397 |
| Provider Name | Nora M Sang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700978046 PECOS PAC ID: 9436046273 Enrollment ID: I20101201000488 |
| Provider Name | Lishiana S Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497827158 PECOS PAC ID: 6901824275 Enrollment ID: I20101202000897 |
| Provider Name | David S Wakeling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770544900 PECOS PAC ID: 6406043850 Enrollment ID: I20101210000288 |
| Provider Name | Michael R Tangum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497729321 PECOS PAC ID: 5890982250 Enrollment ID: I20101210000381 |
| Provider Name | Marilyn L Replogle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255391033 PECOS PAC ID: 4688861040 Enrollment ID: I20101210000401 |
| Provider Name | Maria Dulce Regina T Zarraga |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1386835981 PECOS PAC ID: 8022205376 Enrollment ID: I20101213000397 |
| Provider Name | Aura Theresa B De Olazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063738128 PECOS PAC ID: 5799973814 Enrollment ID: I20101216000072 |
| Provider Name | Timothy Persse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396710810 PECOS PAC ID: 6305034208 Enrollment ID: I20101220000335 |
| Provider Name | Lissa C Daimaru-enoki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083699078 PECOS PAC ID: 3678548427 Enrollment ID: I20110106000852 |
| Provider Name | Mustaquim F Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033223656 PECOS PAC ID: 3072702745 Enrollment ID: I20110111000678 |
| Provider Name | Leon Bruce Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487703450 PECOS PAC ID: 1850382086 Enrollment ID: I20110127001214 |
| Provider Name | Christopher Vernin Chien |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477732535 PECOS PAC ID: 9830378272 Enrollment ID: I20110201000044 |
| Provider Name | Maryanne B. Garvie-loveland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326004086 PECOS PAC ID: 2062693286 Enrollment ID: I20110222000420 |
| Provider Name | Simona a Parau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932381316 PECOS PAC ID: 4183785389 Enrollment ID: I20110428000653 |
| Provider Name | Dawn M Larson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710130976 PECOS PAC ID: 6305021528 Enrollment ID: I20110503000131 |
| Provider Name | Jun Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417266354 PECOS PAC ID: 0749466019 Enrollment ID: I20110520000652 |
| Provider Name | Troy H Dillard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730351529 PECOS PAC ID: 4587614227 Enrollment ID: I20110614000629 |
| Provider Name | Deborah R Syna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447285689 PECOS PAC ID: 1052214236 Enrollment ID: I20110712000362 |
| Provider Name | Stephen E Griffith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659552818 PECOS PAC ID: 2466620463 Enrollment ID: I20110718000769 |
| Provider Name | B J Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619103199 PECOS PAC ID: 1850560822 Enrollment ID: I20110808000771 |
| Provider Name | Ting Ting Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598930851 PECOS PAC ID: 1951570548 Enrollment ID: I20110817000081 |
| Provider Name | Hui En Gilpin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942595160 PECOS PAC ID: 7618147000 Enrollment ID: I20110822000294 |
| Provider Name | Aneet J Deo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013107556 PECOS PAC ID: 2466622592 Enrollment ID: I20110829000694 |
| Provider Name | Eric L Pacini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043420086 PECOS PAC ID: 6002086139 Enrollment ID: I20110829000698 |
| Provider Name | Daniel P Stein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285775957 PECOS PAC ID: 8820198427 Enrollment ID: I20110901000670 |
| Provider Name | June L Jia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225204886 PECOS PAC ID: 5698945210 Enrollment ID: I20110908002002 |
| Provider Name | Mallik N Tella |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649380395 PECOS PAC ID: 1153591706 Enrollment ID: I20110908002357 |
| Provider Name | Cameron D Klug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114139029 PECOS PAC ID: 2062683584 Enrollment ID: I20110913000927 |
| Provider Name | Jerry M Tran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366618340 PECOS PAC ID: 8325219793 Enrollment ID: I20110914000647 |
| Provider Name | Sohee Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649595638 PECOS PAC ID: 4183895287 Enrollment ID: I20110921000712 |
| Provider Name | Nicole C Mcleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992005920 PECOS PAC ID: 9436320132 Enrollment ID: I20110928000455 |
| Provider Name | Leonidez De Guzman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699900340 PECOS PAC ID: 5597936211 Enrollment ID: I20110928000760 |
| Provider Name | Melissa N Moffitt |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1346307709 PECOS PAC ID: 0547432171 Enrollment ID: I20111004000379 |
| Provider Name | Charles Lewis Fein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538217872 PECOS PAC ID: 3476659822 Enrollment ID: I20111010000478 |
| Provider Name | David Andrew Stenstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265607485 PECOS PAC ID: 9133391345 Enrollment ID: I20111012000617 |
| Provider Name | Viktoriya D Monroe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649431693 PECOS PAC ID: 1153593363 Enrollment ID: I20111012000724 |
| Provider Name | Gladys Vu Phuong Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982871869 PECOS PAC ID: 6608048640 Enrollment ID: I20111017000376 |
| Provider Name | Tara L Eagle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023213436 PECOS PAC ID: 8123290178 Enrollment ID: I20111017000529 |
| Provider Name | Jill Edminster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114193836 PECOS PAC ID: 9537332150 Enrollment ID: I20111026000984 |
| Provider Name | Caroline a Motika |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245359454 PECOS PAC ID: 6406029636 Enrollment ID: I20111102000785 |
| Provider Name | Miriam Nehama Rosenberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861771230 PECOS PAC ID: 4981877867 Enrollment ID: I20111110000056 |
| Provider Name | Warren I Okuns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134385461 PECOS PAC ID: 5698949717 Enrollment ID: I20111129000298 |
| Provider Name | Anya Bailis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851439657 PECOS PAC ID: 3375638794 Enrollment ID: I20111219000263 |
| Provider Name | Khidir a Dalouk |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386823987 PECOS PAC ID: 3577690056 Enrollment ID: I20120111000291 |
| Provider Name | Jennifer Garreau |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1427278399 PECOS PAC ID: 7315020815 Enrollment ID: I20120119000200 |
| Provider Name | Sarah M Malone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205119468 PECOS PAC ID: 1052588571 Enrollment ID: I20120124000138 |
| Provider Name | Mukesh K Thawani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174716427 PECOS PAC ID: 5890832810 Enrollment ID: I20120216000232 |
| Provider Name | Kathleen J Wilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861609521 PECOS PAC ID: 6608964655 Enrollment ID: I20120223000506 |
| Provider Name | Daniel a Lowery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275623324 PECOS PAC ID: 6608035662 Enrollment ID: I20120309000646 |
| Provider Name | David K Epstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649256223 PECOS PAC ID: 5597926857 Enrollment ID: I20120412000485 |
| Provider Name | Corrie a Doyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902179237 PECOS PAC ID: 7911169305 Enrollment ID: I20120501000443 |
| Provider Name | Jonathan Daniel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609031475 PECOS PAC ID: 6901952845 Enrollment ID: I20120507000319 |
| Provider Name | David J Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306038245 PECOS PAC ID: 4284896291 Enrollment ID: I20120508000370 |
| Provider Name | Jolanta S Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346244043 PECOS PAC ID: 6204924962 Enrollment ID: I20120518000182 |
| Provider Name | Vanessa L Peterson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1205958576 PECOS PAC ID: 8325202336 Enrollment ID: I20120601000534 |
| Provider Name | Charlotte a Haws |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114285301 PECOS PAC ID: 9830353218 Enrollment ID: I20120614000725 |
| Provider Name | Kathi L Norman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679681035 PECOS PAC ID: 7810938123 Enrollment ID: I20120622000559 |
| Provider Name | Joseph a Amavisca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316178189 PECOS PAC ID: 9436314895 Enrollment ID: I20120710000304 |
| Provider Name | Albert E Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922200393 PECOS PAC ID: 9537325378 Enrollment ID: I20120724000485 |
| Provider Name | Corrin E Ginnow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942443114 PECOS PAC ID: 4880850445 Enrollment ID: I20120725000974 |
| Provider Name | Robert Abernathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063433449 PECOS PAC ID: 4981662798 Enrollment ID: I20120815000094 |
| Provider Name | Barbra Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679695050 PECOS PAC ID: 4486754645 Enrollment ID: I20120816000981 |
| Provider Name | Julian J Uselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306075791 PECOS PAC ID: 4587811997 Enrollment ID: I20120820000889 |
| Provider Name | Jonathan S Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972738847 PECOS PAC ID: 5294982252 Enrollment ID: I20120827000209 |
| Provider Name | Deryk M Zinser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336371517 PECOS PAC ID: 1456507888 Enrollment ID: I20120905000493 |
| Provider Name | Joy Shan-fong Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992980213 PECOS PAC ID: 6002065729 Enrollment ID: I20121012000168 |
| Provider Name | Abby P Furukawa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427219518 PECOS PAC ID: 1850541269 Enrollment ID: I20121019000658 |
| Provider Name | Danielle Cataxinos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295964310 PECOS PAC ID: 5092965806 Enrollment ID: I20121031000564 |
| Provider Name | Christian M Molstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912134552 PECOS PAC ID: 8729245097 Enrollment ID: I20121112000318 |
| Provider Name | Darci J Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740441245 PECOS PAC ID: 7315198579 Enrollment ID: I20121115000575 |
| Provider Name | Dyea L Summers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073744769 PECOS PAC ID: 6507017563 Enrollment ID: I20121123000017 |
| Provider Name | Vikas Grover |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710943303 PECOS PAC ID: 6103819099 Enrollment ID: I20121127000072 |
| Provider Name | Robert Umberhandt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194934307 PECOS PAC ID: 6608028444 Enrollment ID: I20121130000493 |
| Provider Name | Alizah Rotramel |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093030074 PECOS PAC ID: 8325290174 Enrollment ID: I20121130000508 |
| Provider Name | Lisa Andersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730484312 PECOS PAC ID: 8426200742 Enrollment ID: I20121213000430 |
| Provider Name | Amelia H Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962755801 PECOS PAC ID: 3476705534 Enrollment ID: I20121218000508 |
| Provider Name | Nicholas a Kuhn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053457937 PECOS PAC ID: 0648326660 Enrollment ID: I20121219000512 |
| Provider Name | Alexandra K Dimitrova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295980951 PECOS PAC ID: 8527210590 Enrollment ID: I20121221000090 |
| Provider Name | Luc Dupont Jasmin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083623193 PECOS PAC ID: 1355360256 Enrollment ID: I20130108000074 |
| Provider Name | Alison H Linka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497001689 PECOS PAC ID: 6709039431 Enrollment ID: I20130109000265 |
| Provider Name | Richard Paul Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275626137 PECOS PAC ID: 5294626685 Enrollment ID: I20130204000549 |
| Provider Name | Craig Edward Tanner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477662112 PECOS PAC ID: 0042384810 Enrollment ID: I20130207000218 |
| Provider Name | Antonio M Germann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235394107 PECOS PAC ID: 9830351881 Enrollment ID: I20130207000464 |
| Provider Name | Gerald a Bassett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588693113 PECOS PAC ID: 4284731951 Enrollment ID: I20130215000252 |
| Provider Name | Lionel P Marx |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013268200 PECOS PAC ID: 8123273208 Enrollment ID: I20130220000368 |
| Provider Name | Angela Wynia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881939288 PECOS PAC ID: 9830344373 Enrollment ID: I20130306000490 |
| Provider Name | Diana L Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821372715 PECOS PAC ID: 3779756820 Enrollment ID: I20130308000468 |
| Provider Name | Michele L Stowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366788879 PECOS PAC ID: 6305081969 Enrollment ID: I20130402000302 |
| Provider Name | Erica C Delgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922138627 PECOS PAC ID: 1153499736 Enrollment ID: I20130419000315 |
| Provider Name | Brian T Pavic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972822195 PECOS PAC ID: 1254577869 Enrollment ID: I20130425000569 |
| Provider Name | Kristen E Nicolescu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457637860 PECOS PAC ID: 3577723659 Enrollment ID: I20130515000646 |
| Provider Name | Cameron Ramsay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255455929 PECOS PAC ID: 8729133814 Enrollment ID: I20130521000647 |
| Provider Name | James Bordley V |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346566981 PECOS PAC ID: 1759536543 Enrollment ID: I20130523000566 |
| Provider Name | Elizabeth G Gienger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366793846 PECOS PAC ID: 7012155393 Enrollment ID: I20130528000358 |
| Provider Name | Heather M Mikes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235364340 PECOS PAC ID: 7416102223 Enrollment ID: I20130529000782 |
| Provider Name | Annie E Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396029930 PECOS PAC ID: 9436397379 Enrollment ID: I20130604000628 |
| Provider Name | Megan I Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699016972 PECOS PAC ID: 6507006236 Enrollment ID: I20130701000453 |
| Provider Name | Heather M Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730383514 PECOS PAC ID: 4082854435 Enrollment ID: I20130708000158 |
| Provider Name | Anne R Peel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568657070 PECOS PAC ID: 9830369909 Enrollment ID: I20130710000919 |
| Provider Name | Christopher L Fraley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821011693 PECOS PAC ID: 6608870845 Enrollment ID: I20130716000154 |
| Provider Name | Reda T Bassaly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043551930 PECOS PAC ID: 0143461814 Enrollment ID: I20130722000489 |
| Provider Name | Gillian R Piro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033464664 PECOS PAC ID: 6709027444 Enrollment ID: I20130723000866 |
| Provider Name | Joseph Deng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700099223 PECOS PAC ID: 3779523774 Enrollment ID: I20130730000168 |
| Provider Name | Anong Y Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932205556 PECOS PAC ID: 6709962368 Enrollment ID: I20130730000577 |
| Provider Name | Erika Moseson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790010387 PECOS PAC ID: 9133305337 Enrollment ID: I20130801000886 |
| Provider Name | Jennifer Salati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164664389 PECOS PAC ID: 5698917425 Enrollment ID: I20130807000868 |
| Provider Name | Aman Bagla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467771188 PECOS PAC ID: 6800038290 Enrollment ID: I20130814000825 |
| Provider Name | Emmanuel Tavan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003007907 PECOS PAC ID: 8224283056 Enrollment ID: I20130820000325 |
| Provider Name | James E Meeker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659592566 PECOS PAC ID: 2769651520 Enrollment ID: I20130822000088 |
| Provider Name | Melissa Pendergrass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649463118 PECOS PAC ID: 1355584913 Enrollment ID: I20130829000233 |
| Provider Name | Ben V Ly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760706709 PECOS PAC ID: 7719123637 Enrollment ID: I20130903000162 |
| Provider Name | Ange Mong Ly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114248218 PECOS PAC ID: 6901049493 Enrollment ID: I20130903000171 |
| Provider Name | Kristophe Jemel Karami |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902929714 PECOS PAC ID: 3678737210 Enrollment ID: I20130903000369 |
| Provider Name | Khaled R Pharaon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902090061 PECOS PAC ID: 3375798101 Enrollment ID: I20130904000893 |
| Provider Name | Paul R Cieslak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083758130 PECOS PAC ID: 9133177199 Enrollment ID: I20130906000488 |
| Provider Name | Kimberlee a Fielder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396020186 PECOS PAC ID: 0042463028 Enrollment ID: I20130913000147 |
| Provider Name | Jenny Nordeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871789024 PECOS PAC ID: 2163614389 Enrollment ID: I20130918000607 |
| Provider Name | Bryan C Rimel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295902831 PECOS PAC ID: 6608044284 Enrollment ID: I20130923000615 |
| Provider Name | Colene I Andersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710932421 PECOS PAC ID: 8426052663 Enrollment ID: I20130924000270 |
| Provider Name | Christopher S Estes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114123221 PECOS PAC ID: 4284881301 Enrollment ID: I20130924000827 |
| Provider Name | Quratulain Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730454265 PECOS PAC ID: 7315181708 Enrollment ID: I20130925000648 |
| Provider Name | Daniel John Spiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912297011 PECOS PAC ID: 3072757350 Enrollment ID: I20130926000881 |
| Provider Name | Jody H Tate |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1740318815 PECOS PAC ID: 8123252442 Enrollment ID: I20130927000593 |
| Provider Name | Kenna M Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336460567 PECOS PAC ID: 0345474672 Enrollment ID: I20130927000669 |
| Provider Name | Regina S. Won |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619173085 PECOS PAC ID: 8325295991 Enrollment ID: I20130927000726 |
| Provider Name | Rebecca E Clinton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124228929 PECOS PAC ID: 9032343249 Enrollment ID: I20131001000411 |
| Provider Name | Smitha R Chadaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952362295 PECOS PAC ID: 7214999325 Enrollment ID: I20131002000055 |
| Provider Name | Karen Lavery Weis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912227646 PECOS PAC ID: 2062646136 Enrollment ID: I20131002000508 |
| Provider Name | Laura Ostrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528371382 PECOS PAC ID: 1850526955 Enrollment ID: I20131025001590 |
| Provider Name | Lisa Jane Sabally |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992093819 PECOS PAC ID: 6305091992 Enrollment ID: I20131028000351 |
| Provider Name | Joseph R Stenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699759142 PECOS PAC ID: 2163460536 Enrollment ID: I20131120000400 |
| Provider Name | Kyle Markwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891123592 PECOS PAC ID: 5597991398 Enrollment ID: I20131127000990 |
| Provider Name | Jill a Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700211513 PECOS PAC ID: 4486880192 Enrollment ID: I20131127001773 |
| Provider Name | Diana Seaders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285979138 PECOS PAC ID: 1254585441 Enrollment ID: I20131204002289 |
| Provider Name | Cassandra Tomczak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689991804 PECOS PAC ID: 1951538438 Enrollment ID: I20131206001059 |
| Provider Name | Andrew B Shinabarger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972814358 PECOS PAC ID: 0749415537 Enrollment ID: I20131226000772 |
| Provider Name | Kristine K Roesen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962644005 PECOS PAC ID: 5597902122 Enrollment ID: I20140107000688 |
| Provider Name | Wendy S Berger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427119387 PECOS PAC ID: 2961630330 Enrollment ID: I20140109000816 |
| Provider Name | Urmee Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285865923 PECOS PAC ID: 7113155359 Enrollment ID: I20140114001266 |
| Provider Name | Kendra Underhill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598190274 PECOS PAC ID: 3678701448 Enrollment ID: I20140124001472 |
| Provider Name | Susan Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902863467 PECOS PAC ID: 5698961613 Enrollment ID: I20140210001097 |
| Provider Name | Maryann W Ogden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811131261 PECOS PAC ID: 9436300845 Enrollment ID: I20140311001902 |
| Provider Name | Michelle De Geest |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053308627 PECOS PAC ID: 5193755247 Enrollment ID: I20140328001064 |
| Provider Name | Douglas Mcintyre Whelan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588607485 PECOS PAC ID: 3274549944 Enrollment ID: I20140404000794 |
| Provider Name | Kristen L Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235353996 PECOS PAC ID: 2264620111 Enrollment ID: I20140408001300 |
| Provider Name | Kelsey a Barrick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952612384 PECOS PAC ID: 2163669169 Enrollment ID: I20140430001655 |
| Provider Name | Jennifer K Rossi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386832442 PECOS PAC ID: 6709073224 Enrollment ID: I20140514001228 |
| Provider Name | Mindy S Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982021531 PECOS PAC ID: 3870716962 Enrollment ID: I20140516002040 |
| Provider Name | Lidija Mcgrath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073803086 PECOS PAC ID: 2365687266 Enrollment ID: I20140519001457 |
| Provider Name | Keiran Keith Tuck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578889630 PECOS PAC ID: 2769637610 Enrollment ID: I20140522002154 |
| Provider Name | Jared Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336485259 PECOS PAC ID: 6305069162 Enrollment ID: I20140528001195 |
| Provider Name | Delphine Engel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093915480 PECOS PAC ID: 2567588080 Enrollment ID: I20140623000596 |
| Provider Name | Kathryn Victoria Panwala |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972591618 PECOS PAC ID: 7214927433 Enrollment ID: I20140709002532 |
| Provider Name | Allison L Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831488444 PECOS PAC ID: 8527283290 Enrollment ID: I20140714001573 |
| Provider Name | Marsha S Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730323528 PECOS PAC ID: 3476690983 Enrollment ID: I20140716000812 |
| Provider Name | Christopher K Kwock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619103553 PECOS PAC ID: 2567627276 Enrollment ID: I20140721000407 |
| Provider Name | Edward Dyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760601694 PECOS PAC ID: 1254586753 Enrollment ID: I20140723001298 |
| Provider Name | Qian Leng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154637015 PECOS PAC ID: 1658524723 Enrollment ID: I20140724000599 |
| Provider Name | Greg Starley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215148812 PECOS PAC ID: 3375772551 Enrollment ID: I20140804000725 |
| Provider Name | Atul Karki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114205747 PECOS PAC ID: 7214154921 Enrollment ID: I20140804001030 |
| Provider Name | Christine E Shrader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437561768 PECOS PAC ID: 4284851130 Enrollment ID: I20140816000095 |
| Provider Name | Brendan John Daly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275731226 PECOS PAC ID: 6406988187 Enrollment ID: I20140823000363 |
| Provider Name | Dean J Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689964116 PECOS PAC ID: 6507084613 Enrollment ID: I20140903001486 |
| Provider Name | Karen Archabald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144486507 PECOS PAC ID: 6103003983 Enrollment ID: I20140904002564 |
| Provider Name | Misa M Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356338149 PECOS PAC ID: 0648257436 Enrollment ID: I20140909001968 |
| Provider Name | Jenna M Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053606137 PECOS PAC ID: 3678792066 Enrollment ID: I20140917001157 |
| Provider Name | Crystal L Griffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902229958 PECOS PAC ID: 6103045158 Enrollment ID: I20140924000767 |
| Provider Name | Tanja Epley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336119635 PECOS PAC ID: 9436212230 Enrollment ID: I20140925000324 |
| Provider Name | Nina C O'mailia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316116684 PECOS PAC ID: 3375621568 Enrollment ID: I20141002001854 |
| Provider Name | Jessica L Voge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245556042 PECOS PAC ID: 9234384801 Enrollment ID: I20141007002492 |
| Provider Name | Thao Thi Minh Van |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467851600 PECOS PAC ID: 2365662616 Enrollment ID: I20141008001438 |
| Provider Name | James D Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114144193 PECOS PAC ID: 6103047881 Enrollment ID: I20141021003174 |
| Provider Name | Tom Shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538454723 PECOS PAC ID: 2860613460 Enrollment ID: I20141023002505 |
| Provider Name | Jordan a Ehrlich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689915753 PECOS PAC ID: 4981825411 Enrollment ID: I20141024001425 |
| Provider Name | Veronica Mary Rayburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063691608 PECOS PAC ID: 6507946225 Enrollment ID: I20141030001168 |
| Provider Name | Kristopher M Cox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871936880 PECOS PAC ID: 2062633357 Enrollment ID: I20141030001473 |
| Provider Name | Wai Man Belinda SIU |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275854671 PECOS PAC ID: 8628211323 Enrollment ID: I20141114001037 |
| Provider Name | Nora E Swinburne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427320902 PECOS PAC ID: 7113149626 Enrollment ID: I20141118002369 |
| Provider Name | Carolyn F Farrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174800031 PECOS PAC ID: 7315111895 Enrollment ID: I20141121001457 |
| Provider Name | Luke a Parr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235363797 PECOS PAC ID: 0648592907 Enrollment ID: I20141124001266 |
| Provider Name | Mary S Mckenzie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447417100 PECOS PAC ID: 6800027657 Enrollment ID: I20141204000680 |
| Provider Name | Paige Pfunder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730474974 PECOS PAC ID: 2961724760 Enrollment ID: I20141205001415 |
| Provider Name | Erica T Ballard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932542503 PECOS PAC ID: 0042533036 Enrollment ID: I20141224000142 |
| Provider Name | Joshua D Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417112673 PECOS PAC ID: 4789848052 Enrollment ID: I20150120001670 |
| Provider Name | Leslie a Sanchez-goettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306985312 PECOS PAC ID: 6608919568 Enrollment ID: I20150204001247 |
| Provider Name | Stacy a Landers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477973204 PECOS PAC ID: 7012232408 Enrollment ID: I20150206001004 |
| Provider Name | Luong M Banh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457560609 PECOS PAC ID: 1557416179 Enrollment ID: I20150318000198 |
| Provider Name | Amy Ruhoff |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114121852 PECOS PAC ID: 7416033709 Enrollment ID: I20150319002542 |
| Provider Name | Raquel Noonan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942691811 PECOS PAC ID: 3476870973 Enrollment ID: I20150321000020 |
| Provider Name | Audra R Norris-jacob |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770809303 PECOS PAC ID: 8224283791 Enrollment ID: I20150327002611 |
| Provider Name | Joshua D Dillard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982954715 PECOS PAC ID: 6901123991 Enrollment ID: I20150401001422 |
| Provider Name | Allean C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144540063 PECOS PAC ID: 8325164304 Enrollment ID: I20150417000893 |
| Provider Name | Heike Huchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144547308 PECOS PAC ID: 6507996477 Enrollment ID: I20150425000018 |
| Provider Name | Donald Mccorkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346639440 PECOS PAC ID: 9032438759 Enrollment ID: I20150430002509 |
| Provider Name | Kathleen F Brookfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770756561 PECOS PAC ID: 5890958953 Enrollment ID: I20150518002090 |
| Provider Name | Judith Tamarah Marcus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437139011 PECOS PAC ID: 6103954771 Enrollment ID: I20150519000225 |
| Provider Name | Julia M Curren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336403468 PECOS PAC ID: 8426201179 Enrollment ID: I20150528000010 |
| Provider Name | Bradford Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417383886 PECOS PAC ID: 2163743147 Enrollment ID: I20150602002249 |
| Provider Name | Amish J Desai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134282932 PECOS PAC ID: 9537190756 Enrollment ID: I20150603003148 |
| Provider Name | Kenneth M Leclerc |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760483754 PECOS PAC ID: 6507836814 Enrollment ID: I20150615002057 |
| Provider Name | Kirsten S Gwynn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982041703 PECOS PAC ID: 1557672599 Enrollment ID: I20150618000021 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20150623001219 |
| Provider Name | Nathalie Ines Marie Van Havre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255711636 PECOS PAC ID: 3577875814 Enrollment ID: I20150630000621 |
| Provider Name | Makoto Uchiyama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437476223 PECOS PAC ID: 9234363847 Enrollment ID: I20150716003353 |
| Provider Name | Joshua David Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902163934 PECOS PAC ID: 8729304456 Enrollment ID: I20150722006195 |
| Provider Name | Claire Hoelscher Gould |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184681736 PECOS PAC ID: 0840503579 Enrollment ID: I20150723008040 |
| Provider Name | Jennifer Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023214533 PECOS PAC ID: 9931343019 Enrollment ID: I20150728004368 |
| Provider Name | Pamela T Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811011174 PECOS PAC ID: 2062726144 Enrollment ID: I20150803001904 |
| Provider Name | Collin M Mclaughlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215220306 PECOS PAC ID: 2860618642 Enrollment ID: I20150810002838 |
| Provider Name | Ivonne M Daly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639379811 PECOS PAC ID: 4789775404 Enrollment ID: I20150818003614 |
| Provider Name | Omar Nazir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912140419 PECOS PAC ID: 0749409225 Enrollment ID: I20150818005615 |
| Provider Name | Gina L Westhoff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1598927261 PECOS PAC ID: 8820240567 Enrollment ID: I20150825004570 |
| Provider Name | Eric J Macevoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912267816 PECOS PAC ID: 3072825926 Enrollment ID: I20150827000803 |
| Provider Name | Michele Keffeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477810190 PECOS PAC ID: 5597089144 Enrollment ID: I20150909003133 |
| Provider Name | Kelly Kuo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477871937 PECOS PAC ID: 5698990836 Enrollment ID: I20150915003520 |
| Provider Name | Erica Coppola |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811305220 PECOS PAC ID: 6901113042 Enrollment ID: I20150922001259 |
| Provider Name | Matthew H Noland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770872426 PECOS PAC ID: 6901046176 Enrollment ID: I20150924002401 |
| Provider Name | Margaret Elizabeth Savransky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801157284 PECOS PAC ID: 4981928538 Enrollment ID: I20151001001530 |
| Provider Name | Martin S Gizzi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174523468 PECOS PAC ID: 0143245837 Enrollment ID: I20151006002905 |
| Provider Name | Andrea Louisell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508232448 PECOS PAC ID: 5193033249 Enrollment ID: I20151009000434 |
| Provider Name | Maree E Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710318654 PECOS PAC ID: 3375864291 Enrollment ID: I20151013002316 |
| Provider Name | Elizabeth York |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952770802 PECOS PAC ID: 7911216643 Enrollment ID: I20151021000399 |
| Provider Name | Skye Anthony Nehs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740515097 PECOS PAC ID: 9739498460 Enrollment ID: I20151021000402 |
| Provider Name | Heather D Carrion |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740506237 PECOS PAC ID: 7618286162 Enrollment ID: I20151022002452 |
| Provider Name | Rachell R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003282310 PECOS PAC ID: 0345559829 Enrollment ID: I20151023000785 |
| Provider Name | Samuel Carli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275821076 PECOS PAC ID: 2668691759 Enrollment ID: I20151027003168 |
| Provider Name | Dana J Ulrich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356717359 PECOS PAC ID: 0345550596 Enrollment ID: I20151030001504 |
| Provider Name | Amy Sarah Mild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982736872 PECOS PAC ID: 4981914413 Enrollment ID: I20151112000747 |
| Provider Name | Khalil I Shasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942233564 PECOS PAC ID: 2466558432 Enrollment ID: I20151113001468 |
| Provider Name | Sommer Verley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043617608 PECOS PAC ID: 9739499039 Enrollment ID: I20151116002106 |
| Provider Name | Adam L Heller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710183041 PECOS PAC ID: 5991879793 Enrollment ID: I20151223001731 |
| Provider Name | Cibi Arumugam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376822742 PECOS PAC ID: 9436378106 Enrollment ID: I20160114001785 |
| Provider Name | Kimberly P Boe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144523473 PECOS PAC ID: 1456524248 Enrollment ID: I20160126002691 |
| Provider Name | Kristopher Scot Terry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518233055 PECOS PAC ID: 1456584218 Enrollment ID: I20160204000688 |
| Provider Name | Sarah Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487943569 PECOS PAC ID: 5597087965 Enrollment ID: I20160223001487 |
| Provider Name | Alberto R Figueroa-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912167594 PECOS PAC ID: 3072754175 Enrollment ID: I20160303002620 |
| Provider Name | Leigh Carlton Warsing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942693908 PECOS PAC ID: 8820394448 Enrollment ID: I20160308002244 |
| Provider Name | Justin P Hadaller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134521909 PECOS PAC ID: 9133443641 Enrollment ID: I20160316000802 |
| Provider Name | Erryn M Weggenman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821463589 PECOS PAC ID: 0547568917 Enrollment ID: I20160419000440 |
| Provider Name | Amanda R Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609232248 PECOS PAC ID: 7911206941 Enrollment ID: I20160426001452 |
| Provider Name | Michael a Rott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609293174 PECOS PAC ID: 0042519969 Enrollment ID: I20160427002115 |
| Provider Name | Andrea a Kuchler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831509439 PECOS PAC ID: 9234438052 Enrollment ID: I20160429000423 |
| Provider Name | Joseph Alexander Rutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023195310 PECOS PAC ID: 8325103526 Enrollment ID: I20160429000884 |
| Provider Name | Cherisa Sandrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568664944 PECOS PAC ID: 8123192739 Enrollment ID: I20160503002318 |
| Provider Name | Christopher Y Way |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598024515 PECOS PAC ID: 1456579267 Enrollment ID: I20160509000122 |
| Provider Name | Kelsey M Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801255120 PECOS PAC ID: 0840589651 Enrollment ID: I20160518001305 |
| Provider Name | Daniel Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699090407 PECOS PAC ID: 7214256676 Enrollment ID: I20160527001911 |
| Provider Name | Donald Hoffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396772059 PECOS PAC ID: 4688689151 Enrollment ID: I20160603001100 |
| Provider Name | Michelle D Pies |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700224516 PECOS PAC ID: 2769772664 Enrollment ID: I20160606001427 |
| Provider Name | Avishai J Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750437364 PECOS PAC ID: 5294982559 Enrollment ID: I20160610001605 |
| Provider Name | Nicholas O Beach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568805786 PECOS PAC ID: 4486973468 Enrollment ID: I20160630001797 |
| Provider Name | Annalisa C Hawthorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922445394 PECOS PAC ID: 3476784356 Enrollment ID: I20160701001773 |
| Provider Name | Aaron W Spaugy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356608335 PECOS PAC ID: 4385881424 Enrollment ID: I20160705000450 |
| Provider Name | Anna Meyers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184986325 PECOS PAC ID: 3779875133 Enrollment ID: I20160706001286 |
| Provider Name | Brandon Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932546504 PECOS PAC ID: 3173758091 Enrollment ID: I20160712002527 |
| Provider Name | Michael Alexander Lane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942568969 PECOS PAC ID: 9234428244 Enrollment ID: I20160712002998 |
| Provider Name | Heather Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669815791 PECOS PAC ID: 2668798976 Enrollment ID: I20160719002403 |
| Provider Name | Thatcher M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194168971 PECOS PAC ID: 4385969336 Enrollment ID: I20160720001583 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20160720001774 |
| Provider Name | Lucas J Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376920918 PECOS PAC ID: 4587957899 Enrollment ID: I20160725002413 |
| Provider Name | Micah S Bicker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518053511 PECOS PAC ID: 8123002961 Enrollment ID: I20160803002818 |
| Provider Name | Meredith a Schledorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265499651 PECOS PAC ID: 7315978566 Enrollment ID: I20160809002837 |
| Provider Name | Pratishtha Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417365503 PECOS PAC ID: 8123312451 Enrollment ID: I20160810000726 |
| Provider Name | Arija I Iverson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487097861 PECOS PAC ID: 7517251432 Enrollment ID: I20160815002665 |
| Provider Name | Joseph Robert Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134354244 PECOS PAC ID: 8426285917 Enrollment ID: I20160819001216 |
| Provider Name | Maryika Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427471275 PECOS PAC ID: 1850686460 Enrollment ID: I20160822001699 |
| Provider Name | Anne E Amspoker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720340151 PECOS PAC ID: 0547418154 Enrollment ID: I20160823001781 |
| Provider Name | Lara a Weyl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629333414 PECOS PAC ID: 6204121726 Enrollment ID: I20160823002499 |
| Provider Name | Amanda Rosen Bonner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093073629 PECOS PAC ID: 3779723416 Enrollment ID: I20160824000577 |
| Provider Name | Arun Singh Chhabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922398726 PECOS PAC ID: 6507150174 Enrollment ID: I20160824001276 |
| Provider Name | David Harris Delman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669764924 PECOS PAC ID: 4082833926 Enrollment ID: I20160831000741 |
| Provider Name | Weiya Zhang Wysham |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730322702 PECOS PAC ID: 2264687847 Enrollment ID: I20160902001591 |
| Provider Name | Daniel O'neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588007926 PECOS PAC ID: 4183944598 Enrollment ID: I20160913000785 |
| Provider Name | Khayree Butler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1649430430 PECOS PAC ID: 4385887124 Enrollment ID: I20160913002264 |
| Provider Name | Laarnie Chaco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568760551 PECOS PAC ID: 0244402121 Enrollment ID: I20160920000621 |
| Provider Name | Sonia Rajput |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609119551 PECOS PAC ID: 3476840380 Enrollment ID: I20160920003139 |
| Provider Name | Julie a Shiprack |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326499666 PECOS PAC ID: 8325335276 Enrollment ID: I20160921001332 |
| Provider Name | Arjun Kumar Chagarlamudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568699932 PECOS PAC ID: 4587954847 Enrollment ID: I20160922001234 |
| Provider Name | Sean Robert Schulz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164866885 PECOS PAC ID: 4183846017 Enrollment ID: I20160930000345 |
| Provider Name | Janelle M Potts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992153365 PECOS PAC ID: 6204123466 Enrollment ID: I20161003001205 |
| Provider Name | Aileen Kang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467896787 PECOS PAC ID: 7113215039 Enrollment ID: I20161010001068 |
| Provider Name | Venu G Parachuri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437314143 PECOS PAC ID: 5890914238 Enrollment ID: I20161018001552 |
| Provider Name | Alexis Smithers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487030326 PECOS PAC ID: 6406162395 Enrollment ID: I20161020000565 |
| Provider Name | Ashley Crowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922551910 PECOS PAC ID: 2365720182 Enrollment ID: I20161031000573 |
| Provider Name | Loan TQ Duong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952858300 PECOS PAC ID: 0244518983 Enrollment ID: I20161031001573 |
| Provider Name | Bridget J Marick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487771721 PECOS PAC ID: 7810089299 Enrollment ID: I20161103000212 |
| Provider Name | Kori Danielle Pienovi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457326662 PECOS PAC ID: 2466490305 Enrollment ID: I20161108002367 |
| Provider Name | Lena Soo Hee Wood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285181974 PECOS PAC ID: 7911286257 Enrollment ID: I20161109001957 |
| Provider Name | Katie E Wright |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154685485 PECOS PAC ID: 4789977208 Enrollment ID: I20161115000192 |
| Provider Name | Anaise H Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447561279 PECOS PAC ID: 8426244138 Enrollment ID: I20161115001277 |
| Provider Name | Radu Teodorescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841279601 PECOS PAC ID: 5294731584 Enrollment ID: I20161122001889 |
| Provider Name | Erik M Sasovetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851515365 PECOS PAC ID: 2769602218 Enrollment ID: I20161123001797 |
| Provider Name | Kathryn Lynn Blachly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487736971 PECOS PAC ID: 0143508978 Enrollment ID: I20161214002764 |
| Provider Name | Mark a Gelfand |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659546992 PECOS PAC ID: 0345316170 Enrollment ID: I20161220001278 |
| Provider Name | Sara B Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942619283 PECOS PAC ID: 8729302609 Enrollment ID: I20161220002036 |
| Provider Name | Kyle a Saxe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659757193 PECOS PAC ID: 9032490222 Enrollment ID: I20161230000697 |
| Provider Name | Laura a Mcguire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841386703 PECOS PAC ID: 1153412515 Enrollment ID: I20161230001308 |
| Provider Name | Morgan S Huey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831640267 PECOS PAC ID: 9739460627 Enrollment ID: I20170109001671 |
| Provider Name | Lisa Poritz |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427014505 PECOS PAC ID: 1759287311 Enrollment ID: I20170109002953 |
| Provider Name | Theresa Rene Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154872638 PECOS PAC ID: 2062794761 Enrollment ID: I20170112001386 |
| Provider Name | Josie Cowburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613429 PECOS PAC ID: 1052693587 Enrollment ID: I20170118001923 |
| Provider Name | Gabrielle L Engelhard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891247037 PECOS PAC ID: 7911289046 Enrollment ID: I20170124002854 |
| Provider Name | David W Curran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194770206 PECOS PAC ID: 7911039482 Enrollment ID: I20170126000990 |
| Provider Name | Elizabeth Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944340 PECOS PAC ID: 9133401045 Enrollment ID: I20170127001930 |
| Provider Name | Christine Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619125689 PECOS PAC ID: 4789577503 Enrollment ID: I20170202000570 |
| Provider Name | Brian Hanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851654891 PECOS PAC ID: 7719208305 Enrollment ID: I20170210001519 |
| Provider Name | Veronika V. Bibikova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689055618 PECOS PAC ID: 9335422328 Enrollment ID: I20170217001086 |
| Provider Name | Hanieh Rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265582233 PECOS PAC ID: 4587726062 Enrollment ID: I20170223000998 |
| Provider Name | Joshua Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417274200 PECOS PAC ID: 2567616840 Enrollment ID: I20170228000800 |
| Provider Name | Luis E Leyton-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013911601 PECOS PAC ID: 8022047174 Enrollment ID: I20170310001373 |
| Provider Name | David E Strickland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265897599 PECOS PAC ID: 2163726381 Enrollment ID: I20170310002031 |
| Provider Name | Chuen-fu Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20170324000792 |
| Provider Name | Susan Rosen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992990527 PECOS PAC ID: 3870535834 Enrollment ID: I20170404002673 |
| Provider Name | Teng Ji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164408274 PECOS PAC ID: 2860421054 Enrollment ID: I20170411002584 |
| Provider Name | Sandra V Law |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144454877 PECOS PAC ID: 0648427013 Enrollment ID: I20170427001332 |
| Provider Name | Jamie Mieras |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871819078 PECOS PAC ID: 0547499196 Enrollment ID: I20170427001730 |
| Provider Name | Elizabeth Jane Harbottle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639501737 PECOS PAC ID: 3274858238 Enrollment ID: I20170519002047 |
| Provider Name | Matthew D Champion |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962778902 PECOS PAC ID: 9537477047 Enrollment ID: I20170522000791 |
| Provider Name | Gayle Lauren Shears |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093140550 PECOS PAC ID: 1557597390 Enrollment ID: I20170524002345 |
| Provider Name | Debbie Ann Yoro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891095402 PECOS PAC ID: 7214126788 Enrollment ID: I20170526000362 |
| Provider Name | Elizabeth B Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087823 PECOS PAC ID: 2961779319 Enrollment ID: I20170606002497 |
| Provider Name | Zubaida Abdulai Mackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841737889 PECOS PAC ID: 0143506626 Enrollment ID: I20170615002322 |
| Provider Name | Paul Robert Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912347600 PECOS PAC ID: 8224272158 Enrollment ID: I20170620003198 |
| Provider Name | Camille Santarpio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497781702 PECOS PAC ID: 3072510338 Enrollment ID: I20170621001319 |
| Provider Name | Jill Kaspar Baird |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326381500 PECOS PAC ID: 9335373323 Enrollment ID: I20170621002615 |
| Provider Name | Todd Boleyn Macleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538426499 PECOS PAC ID: 7315101250 Enrollment ID: I20170622002871 |
| Provider Name | Son T DO |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285668822 PECOS PAC ID: 2668371337 Enrollment ID: I20170626001871 |
| Provider Name | Abigail P Ritter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225424088 PECOS PAC ID: 8426327875 Enrollment ID: I20170628003328 |
| Provider Name | Lindsey Wooliscroft |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184063232 PECOS PAC ID: 2961771100 Enrollment ID: I20170703001467 |
| Provider Name | Jane T Luu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124281423 PECOS PAC ID: 4587812664 Enrollment ID: I20170717003387 |
| Provider Name | Nikolaus a Kashey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538155775 PECOS PAC ID: 4183653389 Enrollment ID: I20170717003501 |
| Provider Name | Amanda Christine Marsiglia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649790221 PECOS PAC ID: 1355611351 Enrollment ID: I20170725001013 |
| Provider Name | Carrie M Kent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679839302 PECOS PAC ID: 0840519328 Enrollment ID: I20170727002122 |
| Provider Name | Joseph David Nickolas Freeburg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174898381 PECOS PAC ID: 7012224298 Enrollment ID: I20170731000652 |
| Provider Name | Gurjeet Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780947937 PECOS PAC ID: 8224261763 Enrollment ID: I20170731001640 |
| Provider Name | Tara Dawn Pfaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053840330 PECOS PAC ID: 3870864424 Enrollment ID: I20170801001218 |
| Provider Name | Ratna Bitra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619347606 PECOS PAC ID: 1052681806 Enrollment ID: I20170801002863 |
| Provider Name | Danielle a Smith |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1679863542 PECOS PAC ID: 1951606979 Enrollment ID: I20170802002992 |
| Provider Name | Anil Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497172530 PECOS PAC ID: 1951529650 Enrollment ID: I20170804002131 |
| Provider Name | Sierra C Ford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568721405 PECOS PAC ID: 7416175344 Enrollment ID: I20170809002981 |
| Provider Name | Sujeet Govindan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194045872 PECOS PAC ID: 3870710932 Enrollment ID: I20170814002021 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20170816004306 |
| Provider Name | Angela M Gibbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487034484 PECOS PAC ID: 1951614304 Enrollment ID: I20170818002042 |
| Provider Name | John Frederic Mission |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912224858 PECOS PAC ID: 7517191778 Enrollment ID: I20170822003363 |
| Provider Name | Ravindra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316344807 PECOS PAC ID: 4880966910 Enrollment ID: I20170823003753 |
| Provider Name | Kelly Lorelle Rickman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932577400 PECOS PAC ID: 6507166212 Enrollment ID: I20170829004313 |
| Provider Name | Canaan Baer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730488453 PECOS PAC ID: 4981840097 Enrollment ID: I20170920003871 |
| Provider Name | Lauren M Champion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902218340 PECOS PAC ID: 9032415260 Enrollment ID: I20170922002750 |
| Provider Name | Rahul Raghavan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659634707 PECOS PAC ID: 2365690401 Enrollment ID: I20170927004121 |
| Provider Name | Su Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508109463 PECOS PAC ID: 3678879434 Enrollment ID: I20170928001726 |
| Provider Name | Tony Adams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497098602 PECOS PAC ID: 5799926291 Enrollment ID: I20170928003126 |
| Provider Name | Michelle Brookey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679096705 PECOS PAC ID: 3476828120 Enrollment ID: I20171005000333 |
| Provider Name | Christin Trost |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285159186 PECOS PAC ID: 6002182656 Enrollment ID: I20171025003216 |
| Provider Name | Kathrin R Meyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013258383 PECOS PAC ID: 6901122621 Enrollment ID: I20171028000224 |
| Provider Name | Margie L Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124557715 PECOS PAC ID: 6608132766 Enrollment ID: I20171107001132 |
| Provider Name | Kelly a Fair |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144547415 PECOS PAC ID: 3173768918 Enrollment ID: I20171107002265 |
| Provider Name | Cory a Donovan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205062692 PECOS PAC ID: 0840435541 Enrollment ID: I20171107003272 |
| Provider Name | Mohamed Refaat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053607457 PECOS PAC ID: 1557591625 Enrollment ID: I20171129000688 |
| Provider Name | Jennifer Edith Pizzuti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457862260 PECOS PAC ID: 2163780545 Enrollment ID: I20171212001083 |
| Provider Name | Paul K Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043448095 PECOS PAC ID: 4284888462 Enrollment ID: I20171227000326 |
| Provider Name | Christopher Robertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407189145 PECOS PAC ID: 4587686951 Enrollment ID: I20180115000617 |
| Provider Name | Margeaux D Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427584077 PECOS PAC ID: 5597035204 Enrollment ID: I20180115000985 |
| Provider Name | Stephen Daniel Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750648754 PECOS PAC ID: 9436385143 Enrollment ID: I20180118000227 |
| Provider Name | Julie Cohn |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1669608402 PECOS PAC ID: 2860774486 Enrollment ID: I20180118000269 |
| Provider Name | Aravind Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255742466 PECOS PAC ID: 3375809080 Enrollment ID: I20180118001601 |
| Provider Name | Megan Rose Lundeberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245524479 PECOS PAC ID: 6901127158 Enrollment ID: I20180122000448 |
| Provider Name | Gabriel Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801162789 PECOS PAC ID: 4284875410 Enrollment ID: I20180123000372 |
| Provider Name | Melissa Dolbec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669840443 PECOS PAC ID: 9032478938 Enrollment ID: I20180123001587 |
| Provider Name | Kenny L Phu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497282289 PECOS PAC ID: 6305106873 Enrollment ID: I20180131002001 |
| Provider Name | Christine S Chun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376050989 PECOS PAC ID: 6204196793 Enrollment ID: I20180131003114 |
| Provider Name | Sodasavanh Joy Khamsoukthavong |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508212283 PECOS PAC ID: 9133480239 Enrollment ID: I20180307000180 |
| Provider Name | Erin P Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346756269 PECOS PAC ID: 8628339611 Enrollment ID: I20180308001723 |
| Provider Name | Naveena S Bushan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952309007 PECOS PAC ID: 5890740906 Enrollment ID: I20180320001702 |
| Provider Name | Tarah Day |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306393103 PECOS PAC ID: 6103105598 Enrollment ID: I20180323000948 |
| Provider Name | William Castleberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558495424 PECOS PAC ID: 8820197726 Enrollment ID: I20180402000965 |
| Provider Name | Emmanuel Dwomoh-tweneboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529243 PECOS PAC ID: 1951664762 Enrollment ID: I20180409002163 |
| Provider Name | Kimberly a Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194757385 PECOS PAC ID: 5193768588 Enrollment ID: I20180501000811 |
| Provider Name | Thomas R Milam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669457677 PECOS PAC ID: 5294727889 Enrollment ID: I20180511001066 |
| Provider Name | Christine Lasich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649799032 PECOS PAC ID: 6002170347 Enrollment ID: I20180514001151 |
| Provider Name | Lauren R Holmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548510696 PECOS PAC ID: 1759536790 Enrollment ID: I20180516000064 |
| Provider Name | Valentina Doumanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205882693 PECOS PAC ID: 8527063098 Enrollment ID: I20180517001795 |
| Provider Name | Hoda a Ilias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114315603 PECOS PAC ID: 1850656513 Enrollment ID: I20180530000402 |
| Provider Name | Stewart Alan Weber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609118009 PECOS PAC ID: 3870712680 Enrollment ID: I20180530003212 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20180531002299 |
| Provider Name | Patricia Funk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003203993 PECOS PAC ID: 3375858509 Enrollment ID: I20180531002488 |
| Provider Name | Donna Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710434055 PECOS PAC ID: 6709168081 Enrollment ID: I20180604002162 |
| Provider Name | Laura Elaine Adler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538420997 PECOS PAC ID: 4284951427 Enrollment ID: I20180605002552 |
| Provider Name | Megan Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396100459 PECOS PAC ID: 9133474554 Enrollment ID: I20180626000920 |
| Provider Name | Kateryna Sergiyivna Ivanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699066373 PECOS PAC ID: 5294964318 Enrollment ID: I20180702002901 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20180717002142 |
| Provider Name | Jada Khosla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457474272 PECOS PAC ID: 0648589192 Enrollment ID: I20180719001580 |
| Provider Name | Chen-wen C Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20180721000132 |
| Provider Name | Jennifer Maire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902293459 PECOS PAC ID: 6608124177 Enrollment ID: I20180731004208 |
| Provider Name | Rebecca L Corbett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912391830 PECOS PAC ID: 9032424171 Enrollment ID: I20180807001819 |
| Provider Name | Cassandra Michelle Niemi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861781767 PECOS PAC ID: 3476708470 Enrollment ID: I20180807003952 |
| Provider Name | Dean K Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033559869 PECOS PAC ID: 2668789876 Enrollment ID: I20180808000916 |
| Provider Name | Robert E Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689068652 PECOS PAC ID: 5193031771 Enrollment ID: I20180813000643 |
| Provider Name | Adam Randall Bartling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427550367 PECOS PAC ID: 1850640244 Enrollment ID: I20180817001890 |
| Provider Name | Kevin H. Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811337629 PECOS PAC ID: 0648588996 Enrollment ID: I20180820003615 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20180823003280 |
| Provider Name | Jennifer Yealy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912365347 PECOS PAC ID: 4981903465 Enrollment ID: I20180827003463 |
| Provider Name | Sheneen S Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851707160 PECOS PAC ID: 2466709662 Enrollment ID: I20180911001013 |
| Provider Name | Sean P Glass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083938955 PECOS PAC ID: 8921224627 Enrollment ID: I20180918003494 |
| Provider Name | David Gerard Burger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881679363 PECOS PAC ID: 4880622273 Enrollment ID: I20180918004361 |
| Provider Name | Andrew Dworkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851711972 PECOS PAC ID: 3173849478 Enrollment ID: I20181003003615 |
| Provider Name | Kendall Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750873436 PECOS PAC ID: 0345592168 Enrollment ID: I20181005001762 |
| Provider Name | Lisa M Cuneo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447632146 PECOS PAC ID: 7719293372 Enrollment ID: I20181010001028 |
| Provider Name | Seth Alkire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942615869 PECOS PAC ID: 3971899444 Enrollment ID: I20181010001197 |
| Provider Name | Michael J. H. Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942794839 PECOS PAC ID: 0345593323 Enrollment ID: I20181019002841 |
| Provider Name | Andrew D Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083900419 PECOS PAC ID: 8527311547 Enrollment ID: I20181022001053 |
| Provider Name | Samuel W Bullick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386904662 PECOS PAC ID: 2860633286 Enrollment ID: I20181022002155 |
| Provider Name | Laura E Holton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487090270 PECOS PAC ID: 5890920714 Enrollment ID: I20181022002396 |
| Provider Name | Christin John |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871015909 PECOS PAC ID: 8729351044 Enrollment ID: I20181023001460 |
| Provider Name | Heidi Noel Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565856 PECOS PAC ID: 2961755889 Enrollment ID: I20181023002355 |
| Provider Name | Matthew J Studer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225586589 PECOS PAC ID: 5294088993 Enrollment ID: I20181026000346 |
| Provider Name | Mark Bollman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164841219 PECOS PAC ID: 2365711850 Enrollment ID: I20181030001550 |
| Provider Name | Carley Putnam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649782699 PECOS PAC ID: 8820356637 Enrollment ID: I20181031003252 |
| Provider Name | Jason Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154702538 PECOS PAC ID: 6204140080 Enrollment ID: I20181126003535 |
| Provider Name | Stephen Ki Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689917700 PECOS PAC ID: 5193010296 Enrollment ID: I20181212000210 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20181212001252 |
| Provider Name | Molly K Bushnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295117414 PECOS PAC ID: 2466766001 Enrollment ID: I20181214000638 |
| Provider Name | Jillian Bianchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649605684 PECOS PAC ID: 6002034733 Enrollment ID: I20181217003052 |
| Provider Name | Emily R Rogalette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821315698 PECOS PAC ID: 6002083904 Enrollment ID: I20181220002717 |
| Provider Name | Melissa Renee Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437636065 PECOS PAC ID: 3971848623 Enrollment ID: I20181227001190 |
| Provider Name | Taj N Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497976864 PECOS PAC ID: 6901707512 Enrollment ID: I20181228002206 |
| Provider Name | Davut J Savaser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922266089 PECOS PAC ID: 4082870696 Enrollment ID: I20181231001210 |
| Provider Name | Marie Didario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740591304 PECOS PAC ID: 3678700291 Enrollment ID: I20181231001893 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20190108002578 |
| Provider Name | Mark N Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932181849 PECOS PAC ID: 5092732388 Enrollment ID: I20190110001919 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20190125002834 |
| Provider Name | Min Joo Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447708714 PECOS PAC ID: 3274870993 Enrollment ID: I20190201002656 |
| Provider Name | Stephanie Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528267226 PECOS PAC ID: 7911171269 Enrollment ID: I20190213000881 |
| Provider Name | Christine a Carey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609394253 PECOS PAC ID: 4981942984 Enrollment ID: I20190218002055 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20190218002388 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20190221002435 |
| Provider Name | Melissa J Koziol |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811419682 PECOS PAC ID: 3870859259 Enrollment ID: I20190222002549 |
| Provider Name | Jasdeep Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043768377 PECOS PAC ID: 9032458666 Enrollment ID: I20190226002867 |
| Provider Name | Jessica P Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20190227000396 |
| Provider Name | Teresa B Keirns |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114231016 PECOS PAC ID: 6608061288 Enrollment ID: I20190301001649 |
| Provider Name | Michael P Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992289698 PECOS PAC ID: 3678812781 Enrollment ID: I20190307002810 |
| Provider Name | Daniel Thomas Matthew Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396053575 PECOS PAC ID: 4385928225 Enrollment ID: I20190318000692 |
| Provider Name | Benjamin W Hoover |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346717261 PECOS PAC ID: 5294075826 Enrollment ID: I20190319001126 |
| Provider Name | Kathryn Burk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871065649 PECOS PAC ID: 5597005058 Enrollment ID: I20190319002733 |
| Provider Name | Nikhil Pillarisetti Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629211347 PECOS PAC ID: 5496063430 Enrollment ID: I20190325001717 |
| Provider Name | Ruchi J Wanchoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992000228 PECOS PAC ID: 7810170164 Enrollment ID: I20190401001533 |
| Provider Name | Elana Underwood Scharff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053813741 PECOS PAC ID: 5193066900 Enrollment ID: I20190404000666 |
| Provider Name | Parham K Ghavami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386819480 PECOS PAC ID: 0345314076 Enrollment ID: I20190405002307 |
| Provider Name | Heather H Jennings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891280632 PECOS PAC ID: 7810238102 Enrollment ID: I20190415002472 |
| Provider Name | Garrett Comfort |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043667595 PECOS PAC ID: 1052652351 Enrollment ID: I20190415002674 |
| Provider Name | Jennifer Dawn Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039984 PECOS PAC ID: 6103071139 Enrollment ID: I20190416000239 |
| Provider Name | Jesse Akaki Hodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518435585 PECOS PAC ID: 7911248174 Enrollment ID: I20190416002457 |
| Provider Name | Arlan P Mintz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417921255 PECOS PAC ID: 1658317714 Enrollment ID: I20190425002217 |
| Provider Name | Jeffrey M Drood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558419770 PECOS PAC ID: 1456249481 Enrollment ID: I20190425002408 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20190429001337 |
| Provider Name | Therease M Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649469164 PECOS PAC ID: 5991048100 Enrollment ID: I20190509002040 |
| Provider Name | Arnold Kiyong Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811320179 PECOS PAC ID: 0749505998 Enrollment ID: I20190522000408 |
| Provider Name | Julie E Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174042824 PECOS PAC ID: 7719210079 Enrollment ID: I20190531002097 |
| Provider Name | Michael Northrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235557182 PECOS PAC ID: 9032434667 Enrollment ID: I20190603001786 |
| Provider Name | Holly P Jastak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023541869 PECOS PAC ID: 0446583330 Enrollment ID: I20190607001721 |
| Provider Name | David Allen Yam |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649495896 PECOS PAC ID: 8123143369 Enrollment ID: I20190610001456 |
| Provider Name | Kimberly Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265939185 PECOS PAC ID: 2365775988 Enrollment ID: I20190612003241 |
| Provider Name | Amy C Anderton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568802361 PECOS PAC ID: 5395012942 Enrollment ID: I20190613001836 |
| Provider Name | Annie W Chiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376924670 PECOS PAC ID: 4880980192 Enrollment ID: I20190621001380 |
| Provider Name | Dennis Patrick Grusenmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20190621002037 |
| Provider Name | Stefan Christison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639586191 PECOS PAC ID: 9830482355 Enrollment ID: I20190621002196 |
| Provider Name | Johannes Karl-friedrich Steiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205084605 PECOS PAC ID: 9739307943 Enrollment ID: I20190624000674 |
| Provider Name | Luke Ivan Masha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154687622 PECOS PAC ID: 0244462968 Enrollment ID: I20190625002348 |
| Provider Name | Suchada Chaiwechakarn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558647495 PECOS PAC ID: 3678748647 Enrollment ID: I20190627002613 |
| Provider Name | Nalini Anne Colaco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447518923 PECOS PAC ID: 5193005866 Enrollment ID: I20190709002519 |
| Provider Name | Emily Anne Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215322862 PECOS PAC ID: 7911216874 Enrollment ID: I20190709002522 |
| Provider Name | Steven Sears |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275890675 PECOS PAC ID: 5496990921 Enrollment ID: I20190725003264 |
| Provider Name | Kathryn R Foutch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568826386 PECOS PAC ID: 8123311750 Enrollment ID: I20190729000568 |
| Provider Name | Michael D Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043685407 PECOS PAC ID: 4789977992 Enrollment ID: I20190801001929 |
| Provider Name | Lauren M Piacente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225484967 PECOS PAC ID: 6305139502 Enrollment ID: I20190816003027 |
| Provider Name | Robert Bruce Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407068828 PECOS PAC ID: 5395633812 Enrollment ID: I20190827000720 |
| Provider Name | Mary E Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639730666 PECOS PAC ID: 3274861117 Enrollment ID: I20190829003663 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20190903001145 |
| Provider Name | Yazan M Suradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600223 PECOS PAC ID: 5698055945 Enrollment ID: I20190903002744 |
| Provider Name | Lindy L West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285028563 PECOS PAC ID: 3971818774 Enrollment ID: I20190905003576 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20190906002846 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20190910002198 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20190912002014 |
| Provider Name | Jeffrey D Crawford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003106071 PECOS PAC ID: 2769627462 Enrollment ID: I20190913000380 |
| Provider Name | Vanessa R Layoun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811382245 PECOS PAC ID: 9739498445 Enrollment ID: I20190913002462 |
| Provider Name | Kyle a Fischer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407137334 PECOS PAC ID: 4183897143 Enrollment ID: I20190917001119 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20190918000941 |
| Provider Name | Raelin Fullmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528487956 PECOS PAC ID: 8921393448 Enrollment ID: I20190925002472 |
| Provider Name | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20191003000412 |
| Provider Name | Sydney Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750788113 PECOS PAC ID: 1153615414 Enrollment ID: I20191021000775 |
| Provider Name | Alexa J Ladiges |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568019073 PECOS PAC ID: 7416289186 Enrollment ID: I20191029003731 |
| Provider Name | Joy Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265467849 PECOS PAC ID: 0244236529 Enrollment ID: I20191101001147 |
| Provider Name | Gabriel Crowl |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538588272 PECOS PAC ID: 4880926252 Enrollment ID: I20191105000370 |
| Provider Name | Courtney a Roach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194296327 PECOS PAC ID: 1850623240 Enrollment ID: I20191105000905 |
| Provider Name | Joseph a Something |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740797166 PECOS PAC ID: 8729410899 Enrollment ID: I20191111001439 |
| Provider Name | Nicholas J Saenger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700146891 PECOS PAC ID: 7719319607 Enrollment ID: I20191114001511 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20191115001266 |
| Provider Name | George R Dulabon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649264680 PECOS PAC ID: 4789789322 Enrollment ID: I20191204000287 |
| Provider Name | Tamera S Fuller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376935270 PECOS PAC ID: 8022398833 Enrollment ID: I20191204001201 |
| Provider Name | Manuel Alejandro Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548380488 PECOS PAC ID: 7719032465 Enrollment ID: I20191210001024 |
| Provider Name | Arpan Shrivastava |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801230024 PECOS PAC ID: 7113231515 Enrollment ID: I20191212000545 |
| Provider Name | Paul Kaminsky |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295173763 PECOS PAC ID: 2466748058 Enrollment ID: I20191212000977 |
| Provider Name | Amie Yoon Bates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508407941 PECOS PAC ID: 7113351511 Enrollment ID: I20191217003175 |
| Provider Name | Jennifer Zoe Giannopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255803888 PECOS PAC ID: 9638503089 Enrollment ID: I20191218001818 |
| Provider Name | Lori Helen Sharrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710232137 PECOS PAC ID: 1850541905 Enrollment ID: I20191219003127 |
| Provider Name | Paul Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962558833 PECOS PAC ID: 1951588359 Enrollment ID: I20191231000938 |
| Provider Name | Emily Stahl Mollenkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356842207 PECOS PAC ID: 0345674164 Enrollment ID: I20200102000676 |
| Provider Name | Brian C Beldowicz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952503989 PECOS PAC ID: 2860625233 Enrollment ID: I20200115002083 |
| Provider Name | Alexandra Marie Wadford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264725 PECOS PAC ID: 9638504830 Enrollment ID: I20200116001063 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20200121000749 |
| Provider Name | Colleen Mcdevitt-maslen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750925913 PECOS PAC ID: 6901230804 Enrollment ID: I20200121002026 |
| Provider Name | Maksim Yefimov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447812268 PECOS PAC ID: 5193150035 Enrollment ID: I20200122002549 |
| Provider Name | Jennifer S Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598076986 PECOS PAC ID: 9133555618 Enrollment ID: I20200131000154 |
| Provider Name | Thanita Pradhanang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851937924 PECOS PAC ID: 7810323029 Enrollment ID: I20200206002910 |
| Provider Name | Laura a Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619423886 PECOS PAC ID: 4981986429 Enrollment ID: I20200211000302 |
| Provider Name | Gelar Paul N Biscaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760821664 PECOS PAC ID: 8123314663 Enrollment ID: I20200211002727 |
| Provider Name | Julia Egli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417943358 PECOS PAC ID: 1153428636 Enrollment ID: I20200213001316 |
| Provider Name | Benjamin Rogoway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336363290 PECOS PAC ID: 4981851151 Enrollment ID: I20200224000030 |
| Provider Name | Brenda Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548555451 PECOS PAC ID: 7315251600 Enrollment ID: I20200224001496 |
| Provider Name | Carlos Ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447451323 PECOS PAC ID: 6103014535 Enrollment ID: I20200228001068 |
| Provider Name | Bora Ozguler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598785073 PECOS PAC ID: 4981601564 Enrollment ID: I20200318001931 |
| Provider Name | Mackenzie a Mccrorey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023271632 PECOS PAC ID: 8426105339 Enrollment ID: I20200320001476 |
| Provider Name | Tenzin D Gorab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700277001 PECOS PAC ID: 0941638431 Enrollment ID: I20200323000970 |
| Provider Name | Jeffrey M Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154418457 PECOS PAC ID: 5698956936 Enrollment ID: I20200326002240 |
| Provider Name | Sarah Lottie Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891330288 PECOS PAC ID: 2466889084 Enrollment ID: I20200327000648 |
| Provider Name | Patrick M Fraser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942367560 PECOS PAC ID: 5698784437 Enrollment ID: I20200409000031 |
| Provider Name | Christy a Meade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962573725 PECOS PAC ID: 2668487661 Enrollment ID: I20200409001138 |
| Provider Name | Marianne Wachalovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316247737 PECOS PAC ID: 2567686918 Enrollment ID: I20200409001562 |
| Provider Name | Angela Massoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043649908 PECOS PAC ID: 9234361825 Enrollment ID: I20200414003476 |
| Provider Name | Nicholas J Abbott |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124319330 PECOS PAC ID: 9335437813 Enrollment ID: I20200421001347 |
| Provider Name | Aurora Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538609938 PECOS PAC ID: 5799053419 Enrollment ID: I20200506001564 |
| Provider Name | Leslie Palacios-helgeson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770945172 PECOS PAC ID: 2668712464 Enrollment ID: I20200513000424 |
| Provider Name | Inga Marie Giske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20200518000683 |
| Provider Name | Cameron L Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861855058 PECOS PAC ID: 6002184835 Enrollment ID: I20200520002553 |
| Provider Name | Gordon Jeremy Juriansz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023151735 PECOS PAC ID: 8224938451 Enrollment ID: I20200615002874 |
| Provider Name | Brittany Kozak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598961641 PECOS PAC ID: 4385714419 Enrollment ID: I20200701000160 |
| Provider Name | Lauren Noll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659708386 PECOS PAC ID: 9537430251 Enrollment ID: I20200702001842 |
| Provider Name | Thomas B Knowles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114337466 PECOS PAC ID: 3678790425 Enrollment ID: I20200706002661 |
| Provider Name | Bradley M Zwahlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629581558 PECOS PAC ID: 6800219163 Enrollment ID: I20200706002695 |
| Provider Name | Monica E Venn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992039309 PECOS PAC ID: 7315106630 Enrollment ID: I20200715001857 |
| Provider Name | Emily Marcella Seery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948772 PECOS PAC ID: 8921433509 Enrollment ID: I20200716000004 |
| Provider Name | Clifford William Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200717002878 |
| Provider Name | David C Karam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538447677 PECOS PAC ID: 0446400618 Enrollment ID: I20200722000825 |
| Provider Name | Ari R Tallen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306286133 PECOS PAC ID: 6002100674 Enrollment ID: I20200731001756 |
| Provider Name | Diana Zellner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164876827 PECOS PAC ID: 1951698539 Enrollment ID: I20200803000400 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20200803000615 |
| Provider Name | Phyllis Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821450859 PECOS PAC ID: 4183917545 Enrollment ID: I20200807002568 |
| Provider Name | Dana G Eustis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235517376 PECOS PAC ID: 1557634425 Enrollment ID: I20200813002860 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200817002847 |
| Provider Name | Amilyn Taplin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295027472 PECOS PAC ID: 0648539130 Enrollment ID: I20200818001949 |
| Provider Name | Lindsey Louise Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427676493 PECOS PAC ID: 7618394396 Enrollment ID: I20200826002101 |
| Provider Name | Christine Garrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336787 PECOS PAC ID: 2961829551 Enrollment ID: I20200827001690 |
| Provider Name | Debra L Pankiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013449966 PECOS PAC ID: 5294088050 Enrollment ID: I20200828002080 |
| Provider Name | Britta Ameel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558777342 PECOS PAC ID: 4183910847 Enrollment ID: I20200902002524 |
| Provider Name | Julice Ogando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892786 PECOS PAC ID: 8426301003 Enrollment ID: I20200903002018 |
| Provider Name | Matthew Sabongi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760878243 PECOS PAC ID: 5193022507 Enrollment ID: I20200909001861 |
| Provider Name | Jared Goodwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497312128 PECOS PAC ID: 4183951387 Enrollment ID: I20200914000487 |
| Provider Name | Jessica Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700272689 PECOS PAC ID: 5799038600 Enrollment ID: I20200914000625 |
| Provider Name | Amanda L Carlson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801214028 PECOS PAC ID: 1153667175 Enrollment ID: I20200914001154 |
| Provider Name | Nicole F Weis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760090666 PECOS PAC ID: 1355769910 Enrollment ID: I20200915003573 |
| Provider Name | Courtney Elizabeth Perry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275003204 PECOS PAC ID: 2567701642 Enrollment ID: I20200916002495 |
| Provider Name | Brian J Magnuson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265827059 PECOS PAC ID: 8628386737 Enrollment ID: I20200917002397 |
| Provider Name | Ryan Yuan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225189772 PECOS PAC ID: 2668441858 Enrollment ID: I20200917002538 |
| Provider Name | Valerie Ing |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1356743041 PECOS PAC ID: 8628380201 Enrollment ID: I20200918000400 |
| Provider Name | Heather E Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861056269 PECOS PAC ID: 7012335292 Enrollment ID: I20200921001701 |
| Provider Name | Mehwish Farooqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750872214 PECOS PAC ID: 7416386685 Enrollment ID: I20200922000989 |
| Provider Name | Shidrokh Taeidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780110205 PECOS PAC ID: 5698046662 Enrollment ID: I20200925000953 |
| Provider Name | Christopher J Darus |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1912026600 PECOS PAC ID: 6406947050 Enrollment ID: I20200930002563 |
| Provider Name | Luai Zarour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912273236 PECOS PAC ID: 4284889866 Enrollment ID: I20201007003394 |
| Provider Name | Shereen Seyal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225423064 PECOS PAC ID: 3274841887 Enrollment ID: I20201009002110 |
| Provider Name | James Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720254204 PECOS PAC ID: 3476728908 Enrollment ID: I20201013002466 |
| Provider Name | Conrad J Macon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215203252 PECOS PAC ID: 3577860774 Enrollment ID: I20201015000843 |
| Provider Name | Kelsey L Hilley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376991539 PECOS PAC ID: 6305132309 Enrollment ID: I20201015002032 |
| Provider Name | Ravneel K Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073967840 PECOS PAC ID: 9739509597 Enrollment ID: I20201015002583 |
| Provider Name | Khac on Lai Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982055521 PECOS PAC ID: 9335470970 Enrollment ID: I20201016002455 |
| Provider Name | Marye Lou Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134643372 PECOS PAC ID: 6608129424 Enrollment ID: I20201019000000 |
| Provider Name | John Jurgensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679035489 PECOS PAC ID: 4486074739 Enrollment ID: I20201026002524 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20201116003004 |
| Provider Name | Kelly D Carrier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144757311 PECOS PAC ID: 2365710340 Enrollment ID: I20201124001077 |
| Provider Name | Juvenal Fils |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801456124 PECOS PAC ID: 3779994710 Enrollment ID: I20201124001794 |
| Provider Name | Eric Humphrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356951891 PECOS PAC ID: 8426469024 Enrollment ID: I20201203001874 |
| Provider Name | Johanna Eppelsheimer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457916827 PECOS PAC ID: 2365853827 Enrollment ID: I20201204001876 |
| Provider Name | Alison L Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760831051 PECOS PAC ID: 1557792884 Enrollment ID: I20201207000292 |
| Provider Name | Shyam Kishor Daya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326483140 PECOS PAC ID: 4880911817 Enrollment ID: I20201209003286 |
| Provider Name | Samantha Larelle Cowling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518570738 PECOS PAC ID: 9436561263 Enrollment ID: I20201218000925 |
| Provider Name | Lina Rossetti-grulich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225639040 PECOS PAC ID: 2062824600 Enrollment ID: I20201223001909 |
| Provider Name | Melissa M Tufts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780223479 PECOS PAC ID: 9436562063 Enrollment ID: I20201228002408 |
| Provider Name | Kathy Hoang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841679818 PECOS PAC ID: 9234542747 Enrollment ID: I20201230000672 |
| Provider Name | Sandra Eugenia Lohstroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770094682 PECOS PAC ID: 1052657269 Enrollment ID: I20210107002731 |
| Provider Name | Mark Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20210112000324 |
| Provider Name | Mimi S Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164684973 PECOS PAC ID: 4587883475 Enrollment ID: I20210119000595 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20210120000239 |
| Provider Name | Mary Frances Lowdermilk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245453315 PECOS PAC ID: 5890982599 Enrollment ID: I20210120002091 |
| Provider Name | Hami Ramani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871819284 PECOS PAC ID: 2466760939 Enrollment ID: I20210122000762 |
| Provider Name | Elizabeth Madarang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396824785 PECOS PAC ID: 2365338738 Enrollment ID: I20210201000213 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20210211001592 |
| Provider Name | Mayank Agrawal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831308063 PECOS PAC ID: 5799816096 Enrollment ID: I20210218000928 |
| Provider Name | Kyle a Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811477359 PECOS PAC ID: 5799195061 Enrollment ID: I20210219001417 |
| Provider Name | April Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235507963 PECOS PAC ID: 4385059336 Enrollment ID: I20210224002611 |
| Provider Name | Nattasha Judith Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20210308000337 |
| Provider Name | Joel Masami Oyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154915338 PECOS PAC ID: 9739595042 Enrollment ID: I20210311001885 |
| Provider Name | Bernadette Borte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366678344 PECOS PAC ID: 3072759604 Enrollment ID: I20210312002307 |
| Provider Name | Amber Rae Oyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558975151 PECOS PAC ID: 7012335607 Enrollment ID: I20210315002278 |
| Provider Name | Sarah E Barco Foster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467895102 PECOS PAC ID: 1355757360 Enrollment ID: I20210316002330 |
| Provider Name | Sydney Svob |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760044879 PECOS PAC ID: 6002223005 Enrollment ID: I20210318000266 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20210325001312 |
| Provider Name | Jessica J Bonilla |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710593967 PECOS PAC ID: 1456768936 Enrollment ID: I20210330000155 |
| Provider Name | Denise Crosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063497469 PECOS PAC ID: 3476579053 Enrollment ID: I20210401000771 |
| Provider Name | Sherry L Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053610527 PECOS PAC ID: 4688081920 Enrollment ID: I20210401001962 |
| Provider Name | Brandon Alan Dyer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295155968 PECOS PAC ID: 0244567220 Enrollment ID: I20210405000356 |
| Provider Name | Krista Jensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093112583 PECOS PAC ID: 8921374406 Enrollment ID: I20210408000359 |
| Provider Name | Abigail Marie Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861087538 PECOS PAC ID: 9032527924 Enrollment ID: I20210413002989 |
| Provider Name | Jennifer Leong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881894889 PECOS PAC ID: 0941263974 Enrollment ID: I20210415001484 |
| Provider Name | Jaime Wasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821516287 PECOS PAC ID: 1557637071 Enrollment ID: I20210421002059 |
| Provider Name | Erica Julie Chang-patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184147126 PECOS PAC ID: 8921420530 Enrollment ID: I20210422001538 |
| Provider Name | Anne Gerlicher Harned |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316597339 PECOS PAC ID: 7012325244 Enrollment ID: I20210427003182 |
| Provider Name | Tai Chon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578806782 PECOS PAC ID: 8426374711 Enrollment ID: I20210507002042 |
| Provider Name | Aparna Pendurthi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962765230 PECOS PAC ID: 7719253913 Enrollment ID: I20210512003326 |
| Provider Name | Rachel a Westwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144724808 PECOS PAC ID: 7618228222 Enrollment ID: I20210514002386 |
| Provider Name | Brian J Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20210524000565 |
| Provider Name | Tigist Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20210524001330 |
| Provider Name | Monica Stickfort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336644210 PECOS PAC ID: 8022361179 Enrollment ID: I20210526001894 |
| Provider Name | Paul Musgrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447612007 PECOS PAC ID: 4880977784 Enrollment ID: I20210611000559 |
| Provider Name | Forrest Orme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083119218 PECOS PAC ID: 4789937723 Enrollment ID: I20210611002171 |
| Provider Name | Amardeep S Mann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396715181 PECOS PAC ID: 4183676679 Enrollment ID: I20210616001363 |
| Provider Name | Kathryn Mcgonigle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417042854 PECOS PAC ID: 1850332081 Enrollment ID: I20210624000000 |
| Provider Name | Matthew a Razon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639253420 PECOS PAC ID: 0547334112 Enrollment ID: I20210624002814 |
| Provider Name | Jennifer Hines |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205274370 PECOS PAC ID: 0547486730 Enrollment ID: I20210709002595 |
| Provider Name | Brieanna R Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843351 PECOS PAC ID: 0244586998 Enrollment ID: I20210709002700 |
| Provider Name | Heather Mae Webster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407327596 PECOS PAC ID: 4981006053 Enrollment ID: I20210712003290 |
| Provider Name | Sarah Jo Atkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871988170 PECOS PAC ID: 2365798212 Enrollment ID: I20210714001433 |
| Provider Name | Nicole E Gregoire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437762333 PECOS PAC ID: 3173925039 Enrollment ID: I20210714002800 |
| Provider Name | Janel Desalvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770089468 PECOS PAC ID: 0143570283 Enrollment ID: I20210715000931 |
| Provider Name | Jenna Marie Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922460211 PECOS PAC ID: 2860785979 Enrollment ID: I20210716000165 |
| Provider Name | Scott Hoffmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164855037 PECOS PAC ID: 9133492499 Enrollment ID: I20210720003078 |
| Provider Name | Garrett H Waagmeester |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700204062 PECOS PAC ID: 1850607706 Enrollment ID: I20210727002527 |
| Provider Name | Julia E Fehniger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245679984 PECOS PAC ID: 1153623921 Enrollment ID: I20210729001377 |
| Provider Name | Lorenzo Ramon Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982226411 PECOS PAC ID: 6709280514 Enrollment ID: I20210802000536 |
| Provider Name | Ahmad Nazih N Chebbo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710115910 PECOS PAC ID: 3971742305 Enrollment ID: I20210804003835 |
| Provider Name | Shannon M Stoll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144896879 PECOS PAC ID: 1557765054 Enrollment ID: I20210805001245 |
| Provider Name | Marivic a Rustia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376012104 PECOS PAC ID: 3577897495 Enrollment ID: I20210805002440 |
| Provider Name | Nathan C Osbun |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548535784 PECOS PAC ID: 0345557682 Enrollment ID: I20210806002975 |
| Provider Name | Amy D Echelberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093757148 PECOS PAC ID: 6406948405 Enrollment ID: I20210809002309 |
| Provider Name | Maura R Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20210813000754 |
| Provider Name | Robert Edward Lieberson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598863326 PECOS PAC ID: 6002992963 Enrollment ID: I20210818002183 |
| Provider Name | Alma San Juan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063094621 PECOS PAC ID: 1456756816 Enrollment ID: I20210823002424 |
| Provider Name | Sandip Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760917520 PECOS PAC ID: 3173893294 Enrollment ID: I20210823003175 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20210824000308 |
| Provider Name | Audrey H O'connor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063932440 PECOS PAC ID: 0345664579 Enrollment ID: I20210826003223 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20210914000645 |
| Provider Name | Daniel Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982067021 PECOS PAC ID: 5294020269 Enrollment ID: I20210920000130 |
| Provider Name | Benjamin a Walsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558982587 PECOS PAC ID: 7618374414 Enrollment ID: I20210921003058 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20210927001400 |
| Provider Name | Teri L Mccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912577537 PECOS PAC ID: 5890192249 Enrollment ID: I20210928000461 |
| Provider Name | Deepti G Singhvi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639411291 PECOS PAC ID: 9032408331 Enrollment ID: I20210928003530 |
| Provider Name | Micah Franklin Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295373959 PECOS PAC ID: 5890192116 Enrollment ID: I20210928003730 |
| Provider Name | Christopher M Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891173043 PECOS PAC ID: 1355689381 Enrollment ID: I20210929001439 |
| Provider Name | Evan G Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346260247 PECOS PAC ID: 6103724554 Enrollment ID: I20210929002072 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20210929002860 |
| Provider Name | Anna Baldwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043742562 PECOS PAC ID: 1557639549 Enrollment ID: I20210930001815 |
| Provider Name | Alexander John Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093320699 PECOS PAC ID: 1759789993 Enrollment ID: I20211001001998 |
| Provider Name | Zhi Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083076954 PECOS PAC ID: 0648565390 Enrollment ID: I20211001002293 |
| Provider Name | Sarah Louise Storniolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215554068 PECOS PAC ID: 5698173847 Enrollment ID: I20211001002794 |
| Provider Name | Taylor Jay Delamarter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184002610 PECOS PAC ID: 2769777275 Enrollment ID: I20211001002837 |
| Provider Name | Sophie Cain Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518494004 PECOS PAC ID: 4880011592 Enrollment ID: I20211005003054 |
| Provider Name | Sara E Wohlgemuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291708 PECOS PAC ID: 3274931191 Enrollment ID: I20211007001145 |
| Provider Name | Dawn a Miller |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1801337258 PECOS PAC ID: 0345510202 Enrollment ID: I20211008001991 |
| Provider Name | Jessica L Cyphert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205507662 PECOS PAC ID: 5698173086 Enrollment ID: I20211015001412 |
| Provider Name | Bhumy D Heliker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770865305 PECOS PAC ID: 3779873120 Enrollment ID: I20211015001627 |
| Provider Name | Ola Abd Lafi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356728042 PECOS PAC ID: 4587936620 Enrollment ID: I20211018000824 |
| Provider Name | Taylor C Myers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093100158 PECOS PAC ID: 7113232901 Enrollment ID: I20211019001253 |
| Provider Name | Mazen Alkahwaji Almidani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20211021001074 |
| Provider Name | Anna CB Stecher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490333 PECOS PAC ID: 1153694054 Enrollment ID: I20211021003084 |
| Provider Name | Gregory Glenn Kautz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518458926 PECOS PAC ID: 4284022310 Enrollment ID: I20211022000868 |
| Provider Name | Jacqueline Rubinstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174108039 PECOS PAC ID: 6204224876 Enrollment ID: I20211101001873 |
| Provider Name | Alexandra L Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396415741 PECOS PAC ID: 6800285206 Enrollment ID: I20211104002470 |
| Provider Name | Kristi Patricia Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750514261 PECOS PAC ID: 6406080811 Enrollment ID: I20211115000188 |
| Provider Name | Tara L Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164721981 PECOS PAC ID: 4688859234 Enrollment ID: I20211129000035 |
| Provider Name | Eric J Seymour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730507401 PECOS PAC ID: 7214257005 Enrollment ID: I20211129002666 |
| Provider Name | Krystalyna E Montano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477030989 PECOS PAC ID: 4981945797 Enrollment ID: I20211201002136 |
| Provider Name | Adriana Aleixo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457806424 PECOS PAC ID: 8628094463 Enrollment ID: I20211201003229 |
| Provider Name | Misty Dawn Van Cleave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285305870 PECOS PAC ID: 6406246552 Enrollment ID: I20211202002924 |
| Provider Name | Mark T Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225492796 PECOS PAC ID: 2466722897 Enrollment ID: I20211203001985 |
| Provider Name | Colby Allen Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20211208003192 |
| Provider Name | Tina Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669869871 PECOS PAC ID: 7618226077 Enrollment ID: I20211209000041 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20211209001683 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20211209002367 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20211209002921 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20211210000793 |
| Provider Name | Julia a Menard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497027569 PECOS PAC ID: 3173784345 Enrollment ID: I20211213000973 |
| Provider Name | Cynthia Tien-bao Chao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124164207 PECOS PAC ID: 9436057577 Enrollment ID: I20211214000794 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20211214002963 |
| Provider Name | Nicole Severts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184161754 PECOS PAC ID: 5597047498 Enrollment ID: I20211215000865 |
| Provider Name | Stephanie Nicole White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114680956 PECOS PAC ID: 9638560246 Enrollment ID: I20211215001302 |
| Provider Name | Alexander J Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033880901 PECOS PAC ID: 1850782434 Enrollment ID: I20211216000643 |
| Provider Name | KC Bly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902198708 PECOS PAC ID: 3375721012 Enrollment ID: I20211220002378 |
| Provider Name | Suzanne D Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306266853 PECOS PAC ID: 0648576884 Enrollment ID: I20211222001415 |
| Provider Name | Candice H Kam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205283462 PECOS PAC ID: 8628360898 Enrollment ID: I20211223001542 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20211223001638 |
| Provider Name | Anthony J Simons |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1811995053 PECOS PAC ID: 8426086604 Enrollment ID: I20211228002283 |
| Provider Name | Qudsia W Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245553098 PECOS PAC ID: 6507006517 Enrollment ID: I20211229002278 |
| Provider Name | Todd Skenandore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013680370 PECOS PAC ID: 9234537499 Enrollment ID: I20220104002026 |
| Provider Name | Duy C Nguyen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558688739 PECOS PAC ID: 6709216559 Enrollment ID: I20220105002004 |
| Provider Name | Kyle J Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326687120 PECOS PAC ID: 8123453024 Enrollment ID: I20220105002105 |
| Provider Name | Srividya Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922388255 PECOS PAC ID: 1951528181 Enrollment ID: I20220105002306 |
| Provider Name | Amika C Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902427594 PECOS PAC ID: 1456742170 Enrollment ID: I20220106000885 |
| Provider Name | Joshua M Marick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487266250 PECOS PAC ID: 9931590619 Enrollment ID: I20220107000665 |
| Provider Name | Kartik Ramakrishna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528323755 PECOS PAC ID: 7012210263 Enrollment ID: I20220110001084 |
| Provider Name | Jamie Pease |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528640174 PECOS PAC ID: 5496147142 Enrollment ID: I20220110001348 |
| Provider Name | Teresa Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528720679 PECOS PAC ID: 4789076902 Enrollment ID: I20220120002613 |
| Provider Name | Nicholas Robert Grzenda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831867761 PECOS PAC ID: 0941692164 Enrollment ID: I20220120002709 |
| Provider Name | Haley Anne Beeson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922622828 PECOS PAC ID: 3476945544 Enrollment ID: I20220121002026 |
| Provider Name | Joanne P Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962452433 PECOS PAC ID: 4587655527 Enrollment ID: I20220121002135 |
| Provider Name | Lani B Astorga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285115881 PECOS PAC ID: 4486998135 Enrollment ID: I20220124001446 |
| Provider Name | Bradley T Boye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578940623 PECOS PAC ID: 1355658162 Enrollment ID: I20220128000203 |
| Provider Name | Martin Morrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326206335 PECOS PAC ID: 7012142276 Enrollment ID: I20220128001974 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220201001130 |
| Provider Name | Heather Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558567065 PECOS PAC ID: 2961652151 Enrollment ID: I20220203000135 |
| Provider Name | Michelle M Wayne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689051534 PECOS PAC ID: 3678889821 Enrollment ID: I20220208001822 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20220215001183 |
| Provider Name | Jeremy a Pottash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497142046 PECOS PAC ID: 9931443470 Enrollment ID: I20220217001488 |
| Provider Name | Hao Kee Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649791385 PECOS PAC ID: 3779993522 Enrollment ID: I20220217001604 |
| Provider Name | Stephen Noble |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861697278 PECOS PAC ID: 2264669225 Enrollment ID: I20220221001240 |
| Provider Name | Michelle F Benoit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831224369 PECOS PAC ID: 9537058250 Enrollment ID: I20220221002206 |
| Provider Name | Kimberly a Liepold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962162289 PECOS PAC ID: 5092109579 Enrollment ID: I20220225002067 |
| Provider Name | Stephanie D Parmley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457015729 PECOS PAC ID: 7810381183 Enrollment ID: I20220302001809 |
| Provider Name | Ravneet K Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841647443 PECOS PAC ID: 3577855972 Enrollment ID: I20220303001629 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20220304001750 |
| Provider Name | Yasha Annah Shapiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891149019 PECOS PAC ID: 2668867615 Enrollment ID: I20220310000184 |
| Provider Name | Kathryn E Palomino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326043381 PECOS PAC ID: 6406982024 Enrollment ID: I20220311002055 |
| Provider Name | Kelly Lynn Vanderhave |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053375170 PECOS PAC ID: 3274538723 Enrollment ID: I20220316000786 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20220317002070 |
| Provider Name | Dikshya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639581226 PECOS PAC ID: 4688090418 Enrollment ID: I20220321001754 |
| Provider Name | Kristyn C Demello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104585298 PECOS PAC ID: 4082009410 Enrollment ID: I20220321001874 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20220323002280 |
| Provider Name | Jonathan Christian Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417163510 PECOS PAC ID: 2264558485 Enrollment ID: I20220324001106 |
| Provider Name | Satinder K Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20220404001864 |
| Provider Name | Reid Pearl Bondurant |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720679905 PECOS PAC ID: 1850787508 Enrollment ID: I20220405001562 |
| Provider Name | Shannon Leann Mabie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124502190 PECOS PAC ID: 7113271289 Enrollment ID: I20220414000298 |
| Provider Name | Joshua L Hoerger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801257712 PECOS PAC ID: 6406119353 Enrollment ID: I20220419001238 |
| Provider Name | Jordan N Nomie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245762889 PECOS PAC ID: 7315272457 Enrollment ID: I20220420000940 |
| Provider Name | Nicholas D Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20220421001341 |
| Provider Name | Janet Sung |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851844641 PECOS PAC ID: 3173910049 Enrollment ID: I20220422001167 |
| Provider Name | Anna H Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447655931 PECOS PAC ID: 1153758065 Enrollment ID: I20220422001288 |
| Provider Name | Julie a Tenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20220425002464 |
| Provider Name | Graham Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730844838 PECOS PAC ID: 0345637013 Enrollment ID: I20220427001763 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20220427002856 |
| Provider Name | Kofoworola Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942658075 PECOS PAC ID: 4981000262 Enrollment ID: I20220501000027 |
| Provider Name | Kelly Block |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740786631 PECOS PAC ID: 4688061187 Enrollment ID: I20220502002362 |
| Provider Name | Kathleen Gardner Judd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477013159 PECOS PAC ID: 3678808391 Enrollment ID: I20220510001654 |
| Provider Name | Jonathan P Daniels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043214935 PECOS PAC ID: 8325101223 Enrollment ID: I20220511002266 |
| Provider Name | Erik Lee Liederbauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467913848 PECOS PAC ID: 5597008896 Enrollment ID: I20220512002014 |
| Provider Name | Edward P Cheng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417360587 PECOS PAC ID: 7113227844 Enrollment ID: I20220518001593 |
| Provider Name | Brian J Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487151288 PECOS PAC ID: 0547665705 Enrollment ID: I20220518002476 |
| Provider Name | Joshua Loya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710372701 PECOS PAC ID: 1456626456 Enrollment ID: I20220518002618 |
| Provider Name | Kristina V Fisher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578223681 PECOS PAC ID: 8022495670 Enrollment ID: I20220519002341 |
| Provider Name | Nataly Raviv |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134513625 PECOS PAC ID: 1153666086 Enrollment ID: I20220520000129 |
| Provider Name | Christopher M Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003470238 PECOS PAC ID: 4587998109 Enrollment ID: I20220520001755 |
| Provider Name | Marc K Obando |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710354337 PECOS PAC ID: 9032596556 Enrollment ID: I20220521000039 |
| Provider Name | Grant a Harmon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639606379 PECOS PAC ID: 9335497213 Enrollment ID: I20220526001108 |
| Provider Name | Erin K Donovan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205399318 PECOS PAC ID: 8729410170 Enrollment ID: I20220531000525 |
| Provider Name | Caitlin J Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023463890 PECOS PAC ID: 4486945722 Enrollment ID: I20220603001199 |
| Provider Name | Peter a Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083019574 PECOS PAC ID: 1052738986 Enrollment ID: I20220606001519 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220608000739 |
| Provider Name | Kimball Fuiks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932170362 PECOS PAC ID: 0840211660 Enrollment ID: I20220614001882 |
| Provider Name | Anastasia H Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578067682 PECOS PAC ID: 7618308339 Enrollment ID: I20220615003376 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220624002678 |
| Provider Name | Aalap D Narichania |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144665266 PECOS PAC ID: 3779712328 Enrollment ID: I20220629001673 |
| Provider Name | Benjamin Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114488897 PECOS PAC ID: 7517296510 Enrollment ID: I20220629003175 |
| Provider Name | Jeffrey Marbach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215290895 PECOS PAC ID: 6204068323 Enrollment ID: I20220630002119 |
| Provider Name | Lori a Gore-green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578658654 PECOS PAC ID: 7618974585 Enrollment ID: I20220630002748 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20220706003432 |
| Provider Name | Tiffany Odell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295145878 PECOS PAC ID: 4789085598 Enrollment ID: I20220707003069 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220714000459 |
| Provider Name | Chase D Papenfuss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389295 PECOS PAC ID: 2567790231 Enrollment ID: I20220718001855 |
| Provider Name | Irina Dimitrova |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1003847237 PECOS PAC ID: 8527082999 Enrollment ID: I20220722002655 |
| Provider Name | Jacquelyn a Corley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275929473 PECOS PAC ID: 0648651471 Enrollment ID: I20220725002604 |
| Provider Name | Neda Dee Jooya |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1588059638 PECOS PAC ID: 9234472390 Enrollment ID: I20220726003199 |
| Provider Name | Reena Baharani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659631950 PECOS PAC ID: 5395018865 Enrollment ID: I20220804001265 |
| Provider Name | Ashley Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255826673 PECOS PAC ID: 9931581121 Enrollment ID: I20220804001687 |
| Provider Name | Anthony Q Tran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013324979 PECOS PAC ID: 2567757271 Enrollment ID: I20220804002569 |
| Provider Name | Laura Burbach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376005314 PECOS PAC ID: 4587993001 Enrollment ID: I20220808002742 |
| Provider Name | Leena Eileen Youssefian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376963959 PECOS PAC ID: 1759713548 Enrollment ID: I20220815003426 |
| Provider Name | Arthur Haffey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407014335 PECOS PAC ID: 2466835913 Enrollment ID: I20220816000920 |
| Provider Name | Brooke Taylor Mejorado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427729953 PECOS PAC ID: 9537542006 Enrollment ID: I20220816001490 |
| Provider Name | Pam P Liu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407284045 PECOS PAC ID: 2668604851 Enrollment ID: I20220816001602 |
| Provider Name | Steven J Gangloff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220826003015 |
| Provider Name | Daniel J Henery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932606407 PECOS PAC ID: 8325397268 Enrollment ID: I20220901001051 |
| Provider Name | Pedro Alejandro Bauza-feliciano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104135128 PECOS PAC ID: 7810114840 Enrollment ID: I20220901003509 |
| Provider Name | David F Cawthon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063587384 PECOS PAC ID: 2163480005 Enrollment ID: I20220913003510 |
| Provider Name | Karen D Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083998371 PECOS PAC ID: 4587899570 Enrollment ID: I20220920001476 |
| Provider Name | Sabareesh Natarajan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912190083 PECOS PAC ID: 1658655386 Enrollment ID: I20220921002886 |
| Provider Name | Brian P Kuklok |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205321882 PECOS PAC ID: 8426383159 Enrollment ID: I20220922001621 |
| Provider Name | Eva Nystrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922071422 PECOS PAC ID: 5890769749 Enrollment ID: I20220922003060 |
| Provider Name | Hali Nygard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760144455 PECOS PAC ID: 1557747318 Enrollment ID: I20220930002003 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20221003000681 |
| Provider Name | Elizabeth G Harmon |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205357548 PECOS PAC ID: 2567732191 Enrollment ID: I20221010003168 |
| Provider Name | Stuart Jacobson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1841327210 PECOS PAC ID: 5092812123 Enrollment ID: I20221014002054 |
| Provider Name | Nicholas E Calvo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972958593 PECOS PAC ID: 4183918279 Enrollment ID: I20221014002260 |
| Provider Name | Raymond D Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245640515 PECOS PAC ID: 0749577450 Enrollment ID: I20221019003177 |
| Provider Name | Ravi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531636 PECOS PAC ID: 7911975560 Enrollment ID: I20221020002620 |
| Provider Name | Kevin Schmitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952780108 PECOS PAC ID: 2567709959 Enrollment ID: I20221020002631 |
| Provider Name | John Mckenna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316333610 PECOS PAC ID: 0345530465 Enrollment ID: I20221021000831 |
| Provider Name | Sheldon Rhee Fox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306515556 PECOS PAC ID: 6103292545 Enrollment ID: I20221026001185 |
| Provider Name | Rishi Rattan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659507523 PECOS PAC ID: 1557652567 Enrollment ID: I20221026001732 |
| Provider Name | Maggie Schein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558873547 PECOS PAC ID: 4880061035 Enrollment ID: I20221101002559 |
| Provider Name | Diane Lynn Braxmeyer Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275132128 PECOS PAC ID: 2062889124 Enrollment ID: I20221101003498 |
| Provider Name | Samuel Bryan Valdivia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003439084 PECOS PAC ID: 5698142628 Enrollment ID: I20221104000685 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20221108002843 |
| Provider Name | Khalid Amro Hararah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053808501 PECOS PAC ID: 3678801552 Enrollment ID: I20221111000627 |
| Provider Name | Sophie Claire Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20221114000251 |
| Provider Name | Gretchen C Burchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659975092 PECOS PAC ID: 1759759038 Enrollment ID: I20221117002231 |
| Provider Name | Robert J Mcknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538693270 PECOS PAC ID: 3476825191 Enrollment ID: I20221129001243 |
| Provider Name | James Samuel Shoemaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083337257 PECOS PAC ID: 1456720986 Enrollment ID: I20221206000527 |
| Provider Name | Patrick D Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598489767 PECOS PAC ID: 3173992344 Enrollment ID: I20221209001179 |
| Provider Name | Madhavi Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144323619 PECOS PAC ID: 5890947154 Enrollment ID: I20221221003161 |
| Provider Name | Leah C Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053773283 PECOS PAC ID: 3274869706 Enrollment ID: I20221222002876 |
| Provider Name | Chris Sloffer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073638185 PECOS PAC ID: 0143320481 Enrollment ID: I20221227000695 |
| Provider Name | Frank J Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780974774 PECOS PAC ID: 6709175185 Enrollment ID: I20221227001108 |
| Provider Name | Jennette L Boakes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972569531 PECOS PAC ID: 6406942374 Enrollment ID: I20221227002256 |
| Provider Name | Steven J Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306160031 PECOS PAC ID: 1254649353 Enrollment ID: I20221228000781 |
| Provider Name | Carol L Shields |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962170944 PECOS PAC ID: 0345372082 Enrollment ID: I20221228001814 |
| Provider Name | Kelsey Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689290660 PECOS PAC ID: 5294105425 Enrollment ID: I20230105000749 |
| Provider Name | Jamal Taha |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801861018 PECOS PAC ID: 0446271357 Enrollment ID: I20230113002571 |
| Provider Name | Kevin M Ray |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053724880 PECOS PAC ID: 5799175386 Enrollment ID: I20230118002405 |
| Provider Name | Connor Michael Hambelton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811427057 PECOS PAC ID: 2264760115 Enrollment ID: I20230119000805 |
| Provider Name | Jean M Gibb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700204260 PECOS PAC ID: 4981956133 Enrollment ID: I20230120001046 |
| Provider Name | Ryan Alan Williamson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003234204 PECOS PAC ID: 9133458581 Enrollment ID: I20230123000079 |
| Provider Name | Samantha S Berliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629553151 PECOS PAC ID: 5395078042 Enrollment ID: I20230123002496 |
| Provider Name | Brianna L Ray |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477915932 PECOS PAC ID: 8921348434 Enrollment ID: I20230124002692 |
| Provider Name | Raeann L Nesta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104597855 PECOS PAC ID: 7911378153 Enrollment ID: I20230125002685 |
| Provider Name | Harjot K Thind-deol |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992123707 PECOS PAC ID: 2769882653 Enrollment ID: I20230126001806 |
| Provider Name | Marcia Ribeiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225087885 PECOS PAC ID: 4688632458 Enrollment ID: I20230127000729 |
| Provider Name | Keeona Gay Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636156 PECOS PAC ID: 1557732989 Enrollment ID: I20230130001969 |
| Provider Name | Vivek Krishna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295920320 PECOS PAC ID: 7719148238 Enrollment ID: I20230202001641 |
| Provider Name | Samuel S Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20230203001528 |
| Provider Name | Raymond Silva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184665747 PECOS PAC ID: 7719051994 Enrollment ID: I20230203002102 |
| Provider Name | Renata Chalfin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043637143 PECOS PAC ID: 4486988383 Enrollment ID: I20230207001746 |
| Provider Name | Natalie Duimstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760054951 PECOS PAC ID: 1153793815 Enrollment ID: I20230207002217 |
| Provider Name | Emily M Teeple |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194436766 PECOS PAC ID: 2567834039 Enrollment ID: I20230209001054 |
| Provider Name | Roger Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952480683 PECOS PAC ID: 7911187679 Enrollment ID: I20230209002498 |
| Provider Name | Kathleen Ponsford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053548669 PECOS PAC ID: 2365596699 Enrollment ID: I20230210000230 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20230213001193 |
| Provider Name | Ashley R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861017774 PECOS PAC ID: 6406278977 Enrollment ID: I20230214001776 |
| Provider Name | Colby James Schrum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497134985 PECOS PAC ID: 8123331329 Enrollment ID: I20230220001130 |
| Provider Name | Yohko Ogawa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417694209 PECOS PAC ID: 8123490141 Enrollment ID: I20230220002385 |
| Provider Name | Kelley R Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225622293 PECOS PAC ID: 8426421389 Enrollment ID: I20230224000709 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20230310002545 |
| Provider Name | Diego F Tovar Quiroga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790099380 PECOS PAC ID: 6103040647 Enrollment ID: I20230313001354 |
| Provider Name | Igor a Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20230313001387 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20230316001308 |
| Provider Name | Kayce Lea Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891412730 PECOS PAC ID: 4981078789 Enrollment ID: I20230317001418 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20230319000101 |
| Provider Name | Debbie T Hoang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346732328 PECOS PAC ID: 7012305998 Enrollment ID: I20230327001028 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20230327001121 |
| Provider Name | Amit B Ayer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841638293 PECOS PAC ID: 9931481181 Enrollment ID: I20230403001551 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20230405001477 |
| Provider Name | Matthew J Keelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528532306 PECOS PAC ID: 5799115523 Enrollment ID: I20230405002258 |
| Provider Name | Noah H Mostkoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548716459 PECOS PAC ID: 9436410842 Enrollment ID: I20230406001559 |
| Provider Name | Mary Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679581714 PECOS PAC ID: 0143235580 Enrollment ID: I20230406002094 |
| Provider Name | Mehwish Farooqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750872214 PECOS PAC ID: 7416386685 Enrollment ID: I20230406002391 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230407000403 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20230410001099 |
| Provider Name | Patricia a Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20230410001528 |
| Provider Name | Jerrah M Mostkoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528553682 PECOS PAC ID: 2769739556 Enrollment ID: I20230410001884 |
| Provider Name | James H Keene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316136476 PECOS PAC ID: 2769612092 Enrollment ID: I20230410002307 |
| Provider Name | Felix Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20230410002516 |
| Provider Name | Diana W Pham-crain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700380946 PECOS PAC ID: 4981957917 Enrollment ID: I20230413000960 |
| Provider Name | Tara Brantley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932685740 PECOS PAC ID: 2567868334 Enrollment ID: I20230414002100 |
| Provider Name | Arifa Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225598899 PECOS PAC ID: 8123359783 Enrollment ID: I20230417001943 |
| Provider Name | Chelsey N Chen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184337065 PECOS PAC ID: 8224493473 Enrollment ID: I20230424000967 |
| Provider Name | Anne Vestergaard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699842005 PECOS PAC ID: 4284688201 Enrollment ID: I20230424001319 |
| Provider Name | Dotty Seeley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821481110 PECOS PAC ID: 1355706482 Enrollment ID: I20230425001858 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230427000823 |
| Provider Name | Safal Hathiramani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841584745 PECOS PAC ID: 5395069306 Enrollment ID: I20230428000134 |
| Provider Name | Mariama Bayoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407203243 PECOS PAC ID: 2466730593 Enrollment ID: I20230501001747 |
| Provider Name | William Dotson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033343579 PECOS PAC ID: 7719103332 Enrollment ID: I20230503001895 |
| Provider Name | Kristen Lea Whitlock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20230515001986 |
| Provider Name | Alexandra Ayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043962921 PECOS PAC ID: 1759776578 Enrollment ID: I20230515003344 |
| Provider Name | Crystal G Bensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285662999 PECOS PAC ID: 3577691963 Enrollment ID: I20230516001095 |
| Provider Name | Donald Lee Pierce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790197523 PECOS PAC ID: 4880811264 Enrollment ID: I20230517002436 |
| Provider Name | Amna Ramzan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063953297 PECOS PAC ID: 0244612356 Enrollment ID: I20230517003386 |
| Provider Name | Timothy F Simpson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396187696 PECOS PAC ID: 8820329261 Enrollment ID: I20230522002718 |
| Provider Name | Jared a Maas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740775618 PECOS PAC ID: 1951642628 Enrollment ID: I20230522003261 |
| Provider Name | Edward Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20230523001870 |
| Provider Name | Janette Coelho Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992090708 PECOS PAC ID: 4981844305 Enrollment ID: I20230523002747 |
| Provider Name | Katlin E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168662 PECOS PAC ID: 2466713474 Enrollment ID: I20230524001430 |
| Provider Name | Jessica E Decker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649835422 PECOS PAC ID: 2062744832 Enrollment ID: I20230524002087 |
| Provider Name | Celeste Arden Swain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225598964 PECOS PAC ID: 4183080781 Enrollment ID: I20230524003223 |
| Provider Name | Alison a Spillane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003442039 PECOS PAC ID: 8022419548 Enrollment ID: I20230531001044 |
| Provider Name | Megan D Anthony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130847 PECOS PAC ID: 7315369956 Enrollment ID: I20230607001548 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230607001792 |
| Provider Name | Zhuchen Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396373411 PECOS PAC ID: 4880010347 Enrollment ID: I20230607003189 |
| Provider Name | Megan Sturdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033590997 PECOS PAC ID: 3173882958 Enrollment ID: I20230608001700 |
| Provider Name | Michael R Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639433659 PECOS PAC ID: 8820354715 Enrollment ID: I20230608002599 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20230612000597 |
| Provider Name | Denise J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477624294 PECOS PAC ID: 4880921667 Enrollment ID: I20230613001382 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230615001696 |
| Provider Name | Victoria C Walston |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396230017 PECOS PAC ID: 0749538585 Enrollment ID: I20230615003389 |
| Provider Name | Stafford Austin Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20230616000896 |
| Provider Name | Edward Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20230619001243 |
| Provider Name | Neysan Pucks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073142659 PECOS PAC ID: 5395168348 Enrollment ID: I20230620000845 |
| Provider Name | Maria Kay Kulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346924446 PECOS PAC ID: 8527426659 Enrollment ID: I20230622001650 |
| Provider Name | Nicolette M Bottesini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114554037 PECOS PAC ID: 0244652261 Enrollment ID: I20230626001844 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20230626002237 |
| Provider Name | Anthony Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831639780 PECOS PAC ID: 5193096261 Enrollment ID: I20230629002673 |
| Provider Name | Frederick L Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255970869 PECOS PAC ID: 0143659326 Enrollment ID: I20230630002411 |
| Provider Name | Hannah J Bachrach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518593409 PECOS PAC ID: 9133541147 Enrollment ID: I20230706000879 |
| Provider Name | Shamay Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841659109 PECOS PAC ID: 6800186198 Enrollment ID: I20230706000955 |
| Provider Name | Shikhi C Bhansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699277830 PECOS PAC ID: 2466874870 Enrollment ID: I20230714003061 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230717002180 |
| Provider Name | Zachary Rollins Barnard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306216726 PECOS PAC ID: 7618394586 Enrollment ID: I20230717003666 |
| Provider Name | Akshai a Subramanian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831551100 PECOS PAC ID: 6608101936 Enrollment ID: I20230718000942 |
| Provider Name | Alexandra Schroeder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053930255 PECOS PAC ID: 5890106702 Enrollment ID: I20230719000904 |
| Provider Name | Cindy Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821783572 PECOS PAC ID: 3173983210 Enrollment ID: I20230720001618 |
| Provider Name | Danielle Desjardins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427554062 PECOS PAC ID: 4486904018 Enrollment ID: I20230720002700 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20230721001493 |
| Provider Name | Abigail Beth Swanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366129066 PECOS PAC ID: 1951762806 Enrollment ID: I20230725003326 |
| Provider Name | Darcy Trenkle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114217619 PECOS PAC ID: 9638484769 Enrollment ID: I20230726003263 |
| Provider Name | Alexandra Lee Dixon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457713851 PECOS PAC ID: 3375839640 Enrollment ID: I20230728002802 |
| Provider Name | Teresa J. Nitti |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255705521 PECOS PAC ID: 1557666823 Enrollment ID: I20230807003369 |
| Provider Name | Hannah R Dischinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720576549 PECOS PAC ID: 8123448040 Enrollment ID: I20230808001651 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230808002141 |
| Provider Name | Julian P Ponsetto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427549187 PECOS PAC ID: 8426305160 Enrollment ID: I20230808003314 |
| Provider Name | Evan Hunter Alldredge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194276931 PECOS PAC ID: 8224375415 Enrollment ID: I20230809001246 |
| Provider Name | James Edward Mccarthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417174608 PECOS PAC ID: 1759536097 Enrollment ID: I20230809002428 |
| Provider Name | Parham J Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20230809003376 |
| Provider Name | Alexander I Kraev |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841444197 PECOS PAC ID: 8527209162 Enrollment ID: I20230809003872 |
| Provider Name | Kyungjeen Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881196525 PECOS PAC ID: 4385067685 Enrollment ID: I20230814001487 |
| Provider Name | Christina Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669739306 PECOS PAC ID: 4981914868 Enrollment ID: I20230816001439 |
| Provider Name | Anela Puljic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659688323 PECOS PAC ID: 9234489964 Enrollment ID: I20230818000627 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230824002628 |
| Provider Name | Elizabeth T Walz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609817261 PECOS PAC ID: 5597796375 Enrollment ID: I20230824003261 |
| Provider Name | William M Shimanek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053873067 PECOS PAC ID: 7618206137 Enrollment ID: I20230824003906 |
| Provider Name | David a Kidd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053733774 PECOS PAC ID: 9436426087 Enrollment ID: I20230829003288 |
| Provider Name | Shannon E Thurston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134813405 PECOS PAC ID: 1355704917 Enrollment ID: I20230829004267 |
| Provider Name | Duna Alkhalaileh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366071458 PECOS PAC ID: 2668895145 Enrollment ID: I20230830000355 |
| Provider Name | Quang Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942220520 PECOS PAC ID: 6103840616 Enrollment ID: I20230831004059 |
| Provider Name | Numthip Chitravas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073761789 PECOS PAC ID: 4486898095 Enrollment ID: I20230901001023 |
| Provider Name | Chris Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362613 PECOS PAC ID: 7416196639 Enrollment ID: I20230905001867 |
| Provider Name | Justin T De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230905003910 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20230908001184 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20230908001625 |
| Provider Name | Ronette Lammers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396904587 PECOS PAC ID: 7012080849 Enrollment ID: I20230920004006 |
| Provider Name | Sherifat I Forcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043861438 PECOS PAC ID: 8022442235 Enrollment ID: I20230925000635 |
| Provider Name | Bassel Obaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366693210 PECOS PAC ID: 3072779842 Enrollment ID: I20230926002210 |
| Provider Name | Lorin Casey Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699466524 PECOS PAC ID: 8325492002 Enrollment ID: I20230928003502 |
| Provider Name | Sarah E Germaine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417301912 PECOS PAC ID: 2961750799 Enrollment ID: I20231002003471 |
| Provider Name | Tracy F Obrien |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437402237 PECOS PAC ID: 8325359169 Enrollment ID: I20231003003888 |
| Provider Name | Ndubuisi D Ahuruonye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467959494 PECOS PAC ID: 7911258264 Enrollment ID: I20231010000849 |
| Provider Name | Kyle William Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20231016000580 |
| Provider Name | Joseph Rainier Van Bindsbergen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073236055 PECOS PAC ID: 0840645313 Enrollment ID: I20231018003374 |
| Provider Name | Gregory Smithers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639847403 PECOS PAC ID: 3971959495 Enrollment ID: I20231019001810 |
| Provider Name | Daniel W Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174143572 PECOS PAC ID: 5092138255 Enrollment ID: I20231023000830 |
| Provider Name | Elizabeth M Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114688439 PECOS PAC ID: 6103210554 Enrollment ID: I20231026003934 |
| Provider Name | Caleb Ross Lippman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598703910 PECOS PAC ID: 1951378009 Enrollment ID: I20231031001722 |
| Provider Name | Morgan T Einwaller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952995144 PECOS PAC ID: 1850747650 Enrollment ID: I20231031001968 |
| Provider Name | Melinda M Mantooth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639708175 PECOS PAC ID: 3476972381 Enrollment ID: I20231101000583 |
| Provider Name | Krithika Ramaprabhu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215570866 PECOS PAC ID: 9133546070 Enrollment ID: I20231101003256 |
| Provider Name | Christina Yun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184392359 PECOS PAC ID: 2466808027 Enrollment ID: I20231102001524 |
| Provider Name | Sawyer James Hinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891210324 PECOS PAC ID: 7517378078 Enrollment ID: I20231104000492 |
| Provider Name | Nicole Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639814130 PECOS PAC ID: 5799132114 Enrollment ID: I20231107002051 |
| Provider Name | Alyssa Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942080346 PECOS PAC ID: 9931556248 Enrollment ID: I20231108001376 |
| Provider Name | Allyson Marie Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831867894 PECOS PAC ID: 7315394293 Enrollment ID: I20231114003746 |
| Provider Name | Alexandra N Prince |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346823127 PECOS PAC ID: 4587011333 Enrollment ID: I20231115003479 |
| Provider Name | Helen Montie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003698424 PECOS PAC ID: 1557718251 Enrollment ID: I20231116001997 |
| Provider Name | Jacob Geyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770284481 PECOS PAC ID: 7810344538 Enrollment ID: I20231116002665 |
| Provider Name | Adeola Adelayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996907 PECOS PAC ID: 1557322641 Enrollment ID: I20231117002766 |
| Provider Name | Sayre Metcalf White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194319699 PECOS PAC ID: 0749638237 Enrollment ID: I20231121003821 |
| Provider Name | Jabril M Abdul-rashed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467195826 PECOS PAC ID: 3274917273 Enrollment ID: I20231122002897 |
| Provider Name | Karli Whittam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639123300 PECOS PAC ID: 4183662026 Enrollment ID: I20231127001315 |
| Provider Name | Michelle T Nguyen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801358965 PECOS PAC ID: 6204160849 Enrollment ID: I20231128002675 |
| Provider Name | Randall Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124516398 PECOS PAC ID: 5294168357 Enrollment ID: I20231129000441 |
| Provider Name | Marisa Lynn Sturza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891222493 PECOS PAC ID: 2365711546 Enrollment ID: I20231129001086 |
| Provider Name | Ryan J Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285429 PECOS PAC ID: 9032567078 Enrollment ID: I20231130002997 |
| Provider Name | Racheal Peterson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760845879 PECOS PAC ID: 7113211293 Enrollment ID: I20231201000407 |
| Provider Name | Colleen M Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811316706 PECOS PAC ID: 8628292067 Enrollment ID: I20231205002322 |
| Provider Name | Tiffany White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053846139 PECOS PAC ID: 4486087301 Enrollment ID: I20231208001168 |
| Provider Name | Angela J Hunter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366810418 PECOS PAC ID: 2062791775 Enrollment ID: I20231211001153 |
| Provider Name | Angelina E Winfield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487396040 PECOS PAC ID: 5890163737 Enrollment ID: I20231214001050 |
| Provider Name | Steven Richard Debiase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184252355 PECOS PAC ID: 1951762814 Enrollment ID: I20231215002589 |
| Provider Name | Laorence Wassom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578189262 PECOS PAC ID: 5799109096 Enrollment ID: I20231221001998 |
| Provider Name | Christopher Niehues |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518453448 PECOS PAC ID: 7315296357 Enrollment ID: I20231226001727 |
| Provider Name | James J Muller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730742818 PECOS PAC ID: 7618205485 Enrollment ID: I20231228003668 |
| Provider Name | Cynthia R Murphy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184826125 PECOS PAC ID: 2466533047 Enrollment ID: I20240102003563 |
| Provider Name | Avnish Tripathi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801150214 PECOS PAC ID: 0244581916 Enrollment ID: I20240108004414 |
| Provider Name | Adriana Susanna Grimes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750001962 PECOS PAC ID: 4981055068 Enrollment ID: I20240112003658 |
| Provider Name | Kevin D Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215480959 PECOS PAC ID: 8123352119 Enrollment ID: I20240112003701 |
| Provider Name | Edsel Condez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073978680 PECOS PAC ID: 9436439254 Enrollment ID: I20240116001463 |
| Provider Name | Emily Pearlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437441565 PECOS PAC ID: 2365767415 Enrollment ID: I20240116004619 |
| Provider Name | Deborah Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073737680 PECOS PAC ID: 6608954524 Enrollment ID: I20240125001052 |
| Provider Name | Hilary S Gallowaylong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760991301 PECOS PAC ID: 6709239536 Enrollment ID: I20240129002838 |
| Provider Name | Nicole M Sazonov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386364768 PECOS PAC ID: 0840643516 Enrollment ID: I20240130000089 |
| Provider Name | Catalina Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255563268 PECOS PAC ID: 2860538691 Enrollment ID: I20240209001686 |
| Provider Name | Sara Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316602428 PECOS PAC ID: 0143615005 Enrollment ID: I20240213001159 |
| Provider Name | Tokunbo L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422274 PECOS PAC ID: 3173763661 Enrollment ID: I20240218000071 |
| Provider Name | Erin R Biernacki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932475860 PECOS PAC ID: 5092978338 Enrollment ID: I20240229003507 |
| Provider Name | Dajonitta L Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265896195 PECOS PAC ID: 1052745106 Enrollment ID: I20240304003977 |
| Provider Name | Tiffany Tryniszewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467831255 PECOS PAC ID: 4688910078 Enrollment ID: I20240306003354 |
| Provider Name | Naomi Sheff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932804200 PECOS PAC ID: 5799121646 Enrollment ID: I20240313003341 |
| Provider Name | Marilynn J Denson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902861909 PECOS PAC ID: 6406899277 Enrollment ID: I20240313003568 |
| Provider Name | Brittney Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184237935 PECOS PAC ID: 2860838737 Enrollment ID: I20240313004285 |
| Provider Name | Carrie Brooke Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457115818 PECOS PAC ID: 5799121513 Enrollment ID: I20240314001862 |
| Provider Name | Sean S Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740644913 PECOS PAC ID: 0749574929 Enrollment ID: I20240320000096 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20240322003939 |
| Provider Name | Xiaonan Sun |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295121259 PECOS PAC ID: 2961747290 Enrollment ID: I20240324000098 |
| Provider Name | Anne E Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144981259 PECOS PAC ID: 2961849062 Enrollment ID: I20240325003755 |
| Provider Name | Amy E Steinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780180885 PECOS PAC ID: 8527316975 Enrollment ID: I20240326000543 |
| Provider Name | Piotr T Tekiela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902268626 PECOS PAC ID: 2264725290 Enrollment ID: I20240326001864 |
| Provider Name | Quinn Omoto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871957464 PECOS PAC ID: 8426382052 Enrollment ID: I20240327002817 |
| Provider Name | Rodney James Deaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003934274 PECOS PAC ID: 8921240425 Enrollment ID: I20240401003225 |
| Provider Name | Jennifer Audette Henningfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528540465 PECOS PAC ID: 1850739459 Enrollment ID: I20240402001499 |
| Provider Name | David S Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962422386 PECOS PAC ID: 9537266473 Enrollment ID: I20240402003814 |
| Provider Name | Charles Michel Lavigne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023138799 PECOS PAC ID: 1254409667 Enrollment ID: I20240403002321 |
| Provider Name | Ian Blubaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952751661 PECOS PAC ID: 1658610563 Enrollment ID: I20240405003864 |
| Provider Name | Sienna C Wickramasekera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962096636 PECOS PAC ID: 0749628956 Enrollment ID: I20240408001783 |
| Provider Name | Virginia Owen White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124522156 PECOS PAC ID: 6204170574 Enrollment ID: I20240410000528 |
| Provider Name | Molly Groskreutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053173823 PECOS PAC ID: 4183063092 Enrollment ID: I20240411002027 |
| Provider Name | Mofei Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952806390 PECOS PAC ID: 1759744063 Enrollment ID: I20240411002261 |
| Provider Name | John S Golden |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780744268 PECOS PAC ID: 2567512973 Enrollment ID: I20240412001836 |
| Provider Name | Ryan Hargraves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306983556 PECOS PAC ID: 9234500745 Enrollment ID: I20240412003934 |
| Provider Name | Molly J Tiesenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977932 PECOS PAC ID: 5395085872 Enrollment ID: I20240417003370 |
| Provider Name | Timothy Ahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154992121 PECOS PAC ID: 0648619023 Enrollment ID: I20240418001437 |
| Provider Name | Greta Miracle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245485846 PECOS PAC ID: 0840354007 Enrollment ID: I20240419001702 |
| Provider Name | Natalie B San Luis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366193856 PECOS PAC ID: 2062851140 Enrollment ID: I20240423000871 |
| Provider Name | Julie B Seibert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740253822 PECOS PAC ID: 9436115961 Enrollment ID: I20240503002285 |
| Provider Name | Anas Rihawi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386083830 PECOS PAC ID: 6103147525 Enrollment ID: I20240506000976 |
| Provider Name | Jennifer L Zakhireh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912032707 PECOS PAC ID: 5193824191 Enrollment ID: I20240507003601 |
| Provider Name | William MD Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649706474 PECOS PAC ID: 6204105380 Enrollment ID: I20240508000965 |
| Provider Name | Wendy E Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20240508001752 |
| Provider Name | Briana Moore Poynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194221598 PECOS PAC ID: 3072977495 Enrollment ID: I20240515001697 |
| Provider Name | Michael T Liu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1669009866 PECOS PAC ID: 1658781406 Enrollment ID: I20240515003472 |
| Provider Name | Andrew C W Baldwin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437440179 PECOS PAC ID: 1052603784 Enrollment ID: I20240520001557 |
| Provider Name | Emily E Lundstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538746821 PECOS PAC ID: 4486054228 Enrollment ID: I20240523003035 |
| Provider Name | James P Gutheil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497790414 PECOS PAC ID: 6608879002 Enrollment ID: I20240524001869 |
| Provider Name | Barron Neal Davis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154874469 PECOS PAC ID: 2567804545 Enrollment ID: I20240528001266 |
| Provider Name | Janet Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659569200 PECOS PAC ID: 3971743857 Enrollment ID: I20240530003847 |
| Provider Name | Colleen Marie Davies |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952951030 PECOS PAC ID: 4284067935 Enrollment ID: I20240531001637 |
| Provider Name | Bryan Gary James Roth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750050001 PECOS PAC ID: 1658813753 Enrollment ID: I20240604003500 |
| Provider Name | Irwin R Endelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083705362 PECOS PAC ID: 4789653163 Enrollment ID: I20240610001915 |
| Provider Name | Robert C Sineath |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508328907 PECOS PAC ID: 6507109725 Enrollment ID: I20240612001833 |
| Provider Name | Joshua Hanna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922531870 PECOS PAC ID: 2668747825 Enrollment ID: I20240620001447 |
| Provider Name | Shane P Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093177198 PECOS PAC ID: 6204120330 Enrollment ID: I20240620003142 |
| Provider Name | Nicholas L Zalewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669818399 PECOS PAC ID: 5597906115 Enrollment ID: I20240625002957 |
| Provider Name | Molly E Mattick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962180075 PECOS PAC ID: 3779944368 Enrollment ID: I20240626000825 |
| Provider Name | Ashley E Ballyns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932592409 PECOS PAC ID: 9032439039 Enrollment ID: I20240627000941 |
| Provider Name | Nicky R Callicotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205084845 PECOS PAC ID: 5597209460 Enrollment ID: I20240702003235 |
| Provider Name | Ryan M Whitworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861899445 PECOS PAC ID: 7517273360 Enrollment ID: I20240703004210 |
| Provider Name | Kelsey a Pinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841722485 PECOS PAC ID: 7315341732 Enrollment ID: I20240708003536 |
| Provider Name | Ashley Nicole Gaing |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225666522 PECOS PAC ID: 5294279873 Enrollment ID: I20240708003724 |
| Provider Name | Yara Christina H Badrakhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093393688 PECOS PAC ID: 4880094721 Enrollment ID: I20240710003854 |
| Provider Name | Nicholas Murdock Levin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558866228 PECOS PAC ID: 8628401650 Enrollment ID: I20240712001132 |
| Provider Name | Nolan R Uhlich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083203491 PECOS PAC ID: 0648685396 Enrollment ID: I20240712002279 |
| Provider Name | Pradeep Chandan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245735968 PECOS PAC ID: 3779839006 Enrollment ID: I20240712003828 |
| Provider Name | Jonathan Amar Greenberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659834281 PECOS PAC ID: 0345576088 Enrollment ID: I20240716003831 |
| Provider Name | Jessica C Hoover |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558833269 PECOS PAC ID: 3072853878 Enrollment ID: I20240717002971 |
| Provider Name | Thomas a Deuel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841496908 PECOS PAC ID: 7416125117 Enrollment ID: I20240717003311 |
| Provider Name | Camelia M Mihart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942045380 PECOS PAC ID: 0345785002 Enrollment ID: I20240717003548 |
| Provider Name | Emily M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285193508 PECOS PAC ID: 7719387653 Enrollment ID: I20240718001498 |
| Provider Name | Sarah a Fahmy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811576655 PECOS PAC ID: 1355741299 Enrollment ID: I20240722002848 |
| Provider Name | Malaina Lynn Mccausland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073243366 PECOS PAC ID: 6002267242 Enrollment ID: I20240724003760 |
| Provider Name | Hana Katherine Litvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073192472 PECOS PAC ID: 9638615693 Enrollment ID: I20240725003831 |
| Provider Name | Komal Rastogi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063774669 PECOS PAC ID: 4082906342 Enrollment ID: I20240725004419 |
| Provider Name | Adriana Y Koek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255992251 PECOS PAC ID: 9537494307 Enrollment ID: I20240730001234 |
| Provider Name | Justin V Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992383392 PECOS PAC ID: 7810434529 Enrollment ID: I20240730004550 |
| Provider Name | Paulo Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033606660 PECOS PAC ID: 2668725359 Enrollment ID: I20240801001885 |
| Provider Name | Kenneth Y Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467800425 PECOS PAC ID: 6800175688 Enrollment ID: I20240808004114 |
| Provider Name | Danielle Haskins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144232893 PECOS PAC ID: 0840337333 Enrollment ID: I20240814004233 |
| Provider Name | Crystal a Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760084651 PECOS PAC ID: 9537559406 Enrollment ID: I20240816001916 |
| Provider Name | Michael S Farber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982684288 PECOS PAC ID: 8628118536 Enrollment ID: I20240816002219 |
| Provider Name | Jon D Lucaj |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922591296 PECOS PAC ID: 0547516676 Enrollment ID: I20240826003590 |
| Provider Name | Heba Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568969327 PECOS PAC ID: 4183979685 Enrollment ID: I20240827000605 |
| Provider Name | Brigitte Reina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215498522 PECOS PAC ID: 1052726072 Enrollment ID: I20240827001273 |
| Provider Name | Julie J Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568916625 PECOS PAC ID: 1658797030 Enrollment ID: I20240827003295 |
| Provider Name | Chad M Mccormick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215377312 PECOS PAC ID: 4789818469 Enrollment ID: I20240828000650 |
| Provider Name | Jennifer Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104318419 PECOS PAC ID: 5496158537 Enrollment ID: I20240828003729 |
| Provider Name | Tianzan Zhou |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760845044 PECOS PAC ID: 3072915875 Enrollment ID: I20240902000147 |
| Provider Name | Virginia Gail Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164528816 PECOS PAC ID: 0840350062 Enrollment ID: I20240904000146 |
| Provider Name | April E Callister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124861315 PECOS PAC ID: 7911447883 Enrollment ID: I20240905003686 |
| Provider Name | Victoria Mohr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700848223 PECOS PAC ID: 2567436801 Enrollment ID: I20240906000541 |
| Provider Name | Cristina Baldassarri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245826320 PECOS PAC ID: 2860805108 Enrollment ID: I20240906002071 |
| Provider Name | Jennifer Lynn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699438770 PECOS PAC ID: 5698215812 Enrollment ID: I20240913001851 |
| Provider Name | Olivia F Nolan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356978910 PECOS PAC ID: 7416377668 Enrollment ID: I20240918000416 |
| Provider Name | Megan Christina West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396319000 PECOS PAC ID: 2769923390 Enrollment ID: I20240927000854 |
| Provider Name | Wendy L Abram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386254597 PECOS PAC ID: 9133651995 Enrollment ID: I20241017002317 |
| Provider Name | Landon D Ehlers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588045967 PECOS PAC ID: 7416263322 Enrollment ID: I20241017002842 |
| Provider Name | Pamela Stone |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1144421009 PECOS PAC ID: 6901995224 Enrollment ID: I20241018003472 |
| Provider Name | Jessica Anne Hargadine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124851811 PECOS PAC ID: 2769914357 Enrollment ID: I20241021003643 |
| Provider Name | Jose Falero-pomales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801373089 PECOS PAC ID: 5698001071 Enrollment ID: I20241023001906 |
| Provider Name | Caitlin Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386209328 PECOS PAC ID: 7517490782 Enrollment ID: I20241025002326 |
| Provider Name | Iryna Popiv |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750874343 PECOS PAC ID: 8628501822 Enrollment ID: I20241025003784 |
| Provider Name | Jacob Arthur Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20241028003992 |
| Provider Name | Rasheeda Crowder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346406550 PECOS PAC ID: 7810234820 Enrollment ID: I20241030000963 |
| Provider Name | Annie Rose Burnett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164050605 PECOS PAC ID: 4880036706 Enrollment ID: I20241106002877 |
| Provider Name | Joshua Carroll Tadlock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508390410 PECOS PAC ID: 2961870415 Enrollment ID: I20241106003785 |
| Provider Name | Gunjal Garg |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1851520704 PECOS PAC ID: 1153477377 Enrollment ID: I20241108003607 |
| Provider Name | Wan Xing Hong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295199867 PECOS PAC ID: 3971948191 Enrollment ID: I20241111001192 |
| Provider Name | Anna Barminova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790292100 PECOS PAC ID: 0345659710 Enrollment ID: I20241114000757 |
| Provider Name | Sung O Jeon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669979654 PECOS PAC ID: 9537415633 Enrollment ID: I20241121002338 |
| Provider Name | Morgan Amelia Mathison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700612041 PECOS PAC ID: 9133654528 Enrollment ID: I20241121003462 |
| Provider Name | Andrew Mark Rashkow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811974207 PECOS PAC ID: 4486551934 Enrollment ID: I20241125003806 |
| Provider Name | Ashwaan Uddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568090058 PECOS PAC ID: 4486078573 Enrollment ID: I20241126002680 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20241203003195 |
| Provider Name | Christopher Alexander Kelesoglou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124589015 PECOS PAC ID: 8921540659 Enrollment ID: I20241209001345 |
| Provider Name | Sandra O Kolapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568834984 PECOS PAC ID: 1052605680 Enrollment ID: I20241213002962 |
| Provider Name | Matthew H Grace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144724154 PECOS PAC ID: 4082967039 Enrollment ID: I20241213002970 |
| Provider Name | Stephanie Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811614084 PECOS PAC ID: 9234509167 Enrollment ID: I20241223002238 |
| Provider Name | Erica R Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20241226000594 |
| Provider Name | Jayapal Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073573903 PECOS PAC ID: 1850360348 Enrollment ID: I20241226002002 |
| Provider Name | Siddharth Kaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245493402 PECOS PAC ID: 4789869462 Enrollment ID: I20241227002245 |
| Provider Name | Abhishek Udupa Narayana Achar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427400746 PECOS PAC ID: 6103185814 Enrollment ID: I20250103002420 |
| Provider Name | Rachel E Carlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023472115 PECOS PAC ID: 8123311487 Enrollment ID: I20250107001481 |
| Provider Name | Evan Kyle Winograd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538426549 PECOS PAC ID: 3173861747 Enrollment ID: I20250109001925 |
| Provider Name | Hamidreza Abbasi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578060075 PECOS PAC ID: 6406194455 Enrollment ID: I20250113002307 |
| Provider Name | William Raleigh Hazel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780366971 PECOS PAC ID: 2466980784 Enrollment ID: I20250114001156 |
| Provider Name | Lydia Pearl Olson Stanford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972325934 PECOS PAC ID: 3072041326 Enrollment ID: I20250114002238 |
| Provider Name | Alyson Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821824574 PECOS PAC ID: 0749715712 Enrollment ID: I20250115003213 |
| Provider Name | Stephen Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710968102 PECOS PAC ID: 7214274117 Enrollment ID: I20250117003117 |
| Provider Name | Noor Al-asady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871832253 PECOS PAC ID: 8325269194 Enrollment ID: I20250124002375 |
| Provider Name | Karl M Meisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508068750 PECOS PAC ID: 2365608965 Enrollment ID: I20250128004449 |
| Provider Name | Ronak Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710488366 PECOS PAC ID: 8820424997 Enrollment ID: I20250129002965 |
| Provider Name | Chad Hooten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003100249 PECOS PAC ID: 3971829060 Enrollment ID: I20250130003600 |
| Provider Name | Kristen Woodward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588292999 PECOS PAC ID: 9638596869 Enrollment ID: I20250203001647 |
| Provider Name | Sophia Kathryn Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831884873 PECOS PAC ID: 9133659980 Enrollment ID: I20250207002421 |
| Provider Name | William J Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396189791 PECOS PAC ID: 5092004788 Enrollment ID: I20250211003789 |
| Provider Name | Lacey Joy Mccarley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780094631 PECOS PAC ID: 0345779922 Enrollment ID: I20250211003906 |
| Provider Name | Gabriel Menendez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619400520 PECOS PAC ID: 4183901960 Enrollment ID: I20250212001047 |
| Provider Name | Khadija Irshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528494689 PECOS PAC ID: 1153673462 Enrollment ID: I20250212003373 |
| Provider Name | Arun Balagopal Pillai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831753227 PECOS PAC ID: 6103150180 Enrollment ID: I20250213001841 |
| Provider Name | Sara E Hocker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710141502 PECOS PAC ID: 3678697752 Enrollment ID: I20250218003481 |
| Provider Name | Zachary a Decant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417343922 PECOS PAC ID: 4981940228 Enrollment ID: I20250220002705 |
| Provider Name | Rhiannon James Laurie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801611165 PECOS PAC ID: 5496275414 Enrollment ID: I20250220003350 |
| Provider Name | Robert E Malka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174785513 PECOS PAC ID: 7416118658 Enrollment ID: I20250313003677 |
| Provider Name | Kondal Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20250324002788 |
| Provider Name | Astin Mary Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255151544 PECOS PAC ID: 9830612449 Enrollment ID: I20250325000366 |
| Provider Name | Tamer Ammar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780846303 PECOS PAC ID: 1456507425 Enrollment ID: I20250325001778 |
| Provider Name | Muhammad Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609001262 PECOS PAC ID: 5597920801 Enrollment ID: I20250325003422 |
| Provider Name | Amol Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20250327003721 |
| Provider Name | Hermelinda Abcede |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956678 PECOS PAC ID: 3577732601 Enrollment ID: I20250401001024 |
| Provider Name | Hyeran S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306210760 PECOS PAC ID: 3476849985 Enrollment ID: I20250401001823 |
| Provider Name | Robert Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861992372 PECOS PAC ID: 2365870177 Enrollment ID: I20250401002405 |
| Provider Name | Maitreyi Murthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508248600 PECOS PAC ID: 8921313701 Enrollment ID: I20250402001654 |
| Provider Name | Conrad J Daniel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598449860 PECOS PAC ID: 0840638466 Enrollment ID: I20250403001531 |
| Provider Name | Monica Hull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598192635 PECOS PAC ID: 7719115930 Enrollment ID: I20250403001687 |
| Provider Name | Amy R Harrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568620136 PECOS PAC ID: 3173774916 Enrollment ID: I20250411002167 |
| Provider Name | Laura Evelyn Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679885339 PECOS PAC ID: 5294978995 Enrollment ID: I20250411002495 |
| Provider Name | Stephen L Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093159444 PECOS PAC ID: 3779857735 Enrollment ID: I20250414002031 |
| Provider Name | Bashir Sami Shihabuddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316037898 PECOS PAC ID: 3779566724 Enrollment ID: I20250418001985 |
| Provider Name | Danoushka Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20250430003599 |
| Provider Name | Tsung Ung Woo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710071006 PECOS PAC ID: 4082615273 Enrollment ID: I20250501002975 |
| Provider Name | Douglas Franz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053582221 PECOS PAC ID: 7214009042 Enrollment ID: I20250502000702 |
| Provider Name | Jeremy Ragland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174750376 PECOS PAC ID: 0446499925 Enrollment ID: I20250505001294 |
| Provider Name | Kita L Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689820912 PECOS PAC ID: 5294981841 Enrollment ID: I20250507000071 |
| Provider Name | Warren T Keyser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720607088 PECOS PAC ID: 4183047509 Enrollment ID: I20250508001143 |
| Provider Name | Danelvis Paredes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326562257 PECOS PAC ID: 1254795941 Enrollment ID: I20250508002790 |
| Provider Name | Ava Marie Giugliano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851826309 PECOS PAC ID: 1557631793 Enrollment ID: I20250509001483 |
| Provider Name | Poonam Poonam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427579259 PECOS PAC ID: 6507132339 Enrollment ID: I20250513003405 |
| Provider Name | Akira Todo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376820514 PECOS PAC ID: 3870749153 Enrollment ID: I20250514002863 |
| Provider Name | Christopher M Horn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386842284 PECOS PAC ID: 3274619143 Enrollment ID: I20250515001408 |
| Provider Name | Jiaying Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902059322 PECOS PAC ID: 2860633005 Enrollment ID: I20250519001481 |
| Provider Name | Randall S Dunston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730746603 PECOS PAC ID: 9234466830 Enrollment ID: I20250522002713 |
| Provider Name | Mary Elizabeth Herberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437652682 PECOS PAC ID: 1254850910 Enrollment ID: I20250527000724 |
| Provider Name | Michelle Masayo Kameda-smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700687662 PECOS PAC ID: 6608386651 Enrollment ID: I20250609002053 |
| Provider Name | Neelantha M De Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407944002 PECOS PAC ID: 9537315536 Enrollment ID: I20250610001040 |
| Provider Name | Ryan P Guthrie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669109005 PECOS PAC ID: 5395255145 Enrollment ID: I20250610003261 |
| Provider Name | Kathryn Dianne Jacobsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598197170 PECOS PAC ID: 9830532894 Enrollment ID: I20250612003264 |
| Provider Name | Alexander Harmon Bonte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699303206 PECOS PAC ID: 4587175047 Enrollment ID: I20250612003560 |
| Provider Name | Antonio Prado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497405823 PECOS PAC ID: 1557748118 Enrollment ID: I20250618003497 |
| Provider Name | Roland T Hamilton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245541085 PECOS PAC ID: 6305169087 Enrollment ID: I20250624001100 |
| Provider Name | Nicholas Pena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083176077 PECOS PAC ID: 0244567451 Enrollment ID: I20250626003132 |
| Provider Name | Alinne G Colin Valenzuela |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306424361 PECOS PAC ID: 3577076660 Enrollment ID: I20250701004116 |
| Provider Name | Keerthana Akkineni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275928715 PECOS PAC ID: 9133542806 Enrollment ID: I20250702002117 |
| Provider Name | Shelley Renee Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306373915 PECOS PAC ID: 9133499130 Enrollment ID: I20250702002694 |
| Provider Name | Samuel Frazier |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194451971 PECOS PAC ID: 7315323854 Enrollment ID: I20250703001824 |
| Provider Name | Adam F Sitzmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902366560 PECOS PAC ID: 2961821210 Enrollment ID: I20250707002182 |
| Provider Name | Lillian N Burrows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093344764 PECOS PAC ID: 5597142877 Enrollment ID: I20250708003242 |
| Provider Name | John M Whapham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154347011 PECOS PAC ID: 9931102365 Enrollment ID: I20250711000858 |
| Provider Name | Matthew Shook |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083280192 PECOS PAC ID: 6901283480 Enrollment ID: I20250711001531 |
| Provider Name | Tanmay Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881128320 PECOS PAC ID: 2466710793 Enrollment ID: I20250715003509 |
| Provider Name | Ryan Ashley Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104231505 PECOS PAC ID: 2668691700 Enrollment ID: I20250721002660 |
| Provider Name | Robert W Murdock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124461223 PECOS PAC ID: 6002131927 Enrollment ID: I20250723001433 |
| Provider Name | Bradley J Aebi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942380761 PECOS PAC ID: 7719200369 Enrollment ID: I20250724001572 |
| Provider Name | Shadain Akhavan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851970024 PECOS PAC ID: 9335681899 Enrollment ID: I20250728002167 |
| Provider Name | Ilana Ruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851550743 PECOS PAC ID: 1355593302 Enrollment ID: I20250729001236 |
| Provider Name | Amir J Dhillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417699745 PECOS PAC ID: 4789062431 Enrollment ID: I20250729003215 |
| Provider Name | Shanna Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598227001 PECOS PAC ID: 6608201777 Enrollment ID: I20250801000919 |
| Provider Name | Yen-yi Juo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982049664 PECOS PAC ID: 9234419045 Enrollment ID: I20250805003456 |
| Provider Name | Jaesung Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962834796 PECOS PAC ID: 4789959404 Enrollment ID: I20250807002889 |
| Provider Name | Ashley Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972021673 PECOS PAC ID: 6204183130 Enrollment ID: I20250821003744 |
| Provider Name | Lilly Xee Lor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558253450 PECOS PAC ID: 5294235586 Enrollment ID: I20250821003977 |
| Provider Name | Anuradha Devabhaktuni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033452123 PECOS PAC ID: 9032497219 Enrollment ID: I20250821004388 |
| Provider Name | David Chang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487678769 PECOS PAC ID: 9133168941 Enrollment ID: I20250826003981 |
| Provider Name | Lori Swails Spicer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750716197 PECOS PAC ID: 3274761853 Enrollment ID: I20250826004847 |
| Provider Name | Lakshmi Muralidharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780260786 PECOS PAC ID: 6204236904 Enrollment ID: I20250826005225 |
| Provider Name | Adam E Durand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417730524 PECOS PAC ID: 6901307198 Enrollment ID: I20250828004995 |
| Provider Name | Hannah W Irving |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609293562 PECOS PAC ID: 4688907207 Enrollment ID: I20250829001581 |
| Provider Name | Meghan Blair Holland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073304739 PECOS PAC ID: 9638670714 Enrollment ID: I20250829002147 |
| Provider Name | Randall K Harada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316972334 PECOS PAC ID: 3577696079 Enrollment ID: I20250908003031 |
| Provider Name | Tu Mai |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1528649977 PECOS PAC ID: 7214338342 Enrollment ID: I20250909003120 |
| Provider Name | Siddharth Dalal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811488455 PECOS PAC ID: 4789928730 Enrollment ID: I20250910002608 |
| Provider Name | Aravind B Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548756588 PECOS PAC ID: 9436527447 Enrollment ID: I20250916003277 |
| Provider Name | Melanie J Winningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588954788 PECOS PAC ID: 9335434752 Enrollment ID: I20250917002630 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20250918002342 |
| Provider Name | Khadija a Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902425549 PECOS PAC ID: 8729583422 Enrollment ID: I20250924001863 |
| Provider Name | Sree V Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346700101 PECOS PAC ID: 2769717685 Enrollment ID: I20250925004249 |
| Provider Name | Tu Cao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316238736 PECOS PAC ID: 1850651936 Enrollment ID: I20250926003346 |
| Provider Name | Paul Buechel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942250964 PECOS PAC ID: 8022049048 Enrollment ID: I20250929003172 |
| Provider Name | Rebecca a Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053294041 PECOS PAC ID: 4587160338 Enrollment ID: I20251001001899 |
| Provider Name | Kateryna Kurako |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962835538 PECOS PAC ID: 1254555345 Enrollment ID: I20251002001244 |
| Provider Name | Arianna Griffin-glasser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699598896 PECOS PAC ID: 6901302470 Enrollment ID: I20251002004450 |
| Provider Name | Emma Folchman-wagner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407564644 PECOS PAC ID: 0446756753 Enrollment ID: I20251003003270 |
| Provider Name | Jesse J Corry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215964499 PECOS PAC ID: 3577568823 Enrollment ID: I20251003003999 |
| Provider Name | Latangela Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790162493 PECOS PAC ID: 4587979232 Enrollment ID: I20251006000287 |
| Provider Name | Adarsh a Saheba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457843229 PECOS PAC ID: 3476942020 Enrollment ID: I20251008002695 |
| Provider Name | Sarah Dunn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831291517 PECOS PAC ID: 7719916493 Enrollment ID: I20251008004129 |
| Provider Name | Jonathan Isaacson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184184764 PECOS PAC ID: 6305385709 Enrollment ID: I20251016001811 |
| Provider Name | Sanjay Anandaram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013262153 PECOS PAC ID: 1850698937 Enrollment ID: I20251027000238 |
| Provider Name | David a Philips |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629040480 PECOS PAC ID: 8325261415 Enrollment ID: I20251029001872 |
| Provider Name | Pranusha Pinna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861983660 PECOS PAC ID: 6406105154 Enrollment ID: I20251029004360 |
| Provider Name | Simona Nedelcu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437689833 PECOS PAC ID: 3072886720 Enrollment ID: I20251029004707 |
| Provider Name | Marion Arthur Fossum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356875736 PECOS PAC ID: 0244772507 Enrollment ID: I20251030001258 |
| Provider Name | Amir Arain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992810709 PECOS PAC ID: 3375620339 Enrollment ID: I20251030003910 |
| Provider Name | Stephen Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093394058 PECOS PAC ID: 8820587652 Enrollment ID: I20251030005150 |
| Provider Name | Tarun Girotra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164862413 PECOS PAC ID: 5890061089 Enrollment ID: I20251031000722 |
| Provider Name | Rahul Dewan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598721029 PECOS PAC ID: 6305858242 Enrollment ID: I20251031001587 |
| Provider Name | Jonas M Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346796646 PECOS PAC ID: 6406142033 Enrollment ID: I20251031001747 |
| Provider Name | Crystal R Worsena |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831585942 PECOS PAC ID: 7012210768 Enrollment ID: I20251031001856 |
| Provider Name | Donna Ellen Newsome |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225132277 PECOS PAC ID: 9234233529 Enrollment ID: I20251031003791 |
| Provider Name | Rajat Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356541320 PECOS PAC ID: 8921276429 Enrollment ID: I20251102000152 |
| Provider Name | Priyanka Yadav |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194100529 PECOS PAC ID: 0143514778 Enrollment ID: I20251103001899 |
| Provider Name | Olga Demina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376819367 PECOS PAC ID: 2264747054 Enrollment ID: I20251103004023 |
| Provider Name | Timothy Upchurch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689628745 PECOS PAC ID: 1153325329 Enrollment ID: I20251104004361 |
| Provider Name | Jenniffer Janowiecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871051730 PECOS PAC ID: 1355754425 Enrollment ID: I20251106004613 |
| Provider Name | Vaijayantee K Belle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063771178 PECOS PAC ID: 7416246814 Enrollment ID: I20251110003536 |
| Provider Name | Vishnupriya M Krishnan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003436395 PECOS PAC ID: 0143644922 Enrollment ID: I20251111002986 |
| Provider Name | Freij a Gobal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073587614 PECOS PAC ID: 0840227104 Enrollment ID: I20251112003016 |
| Provider Name | Adam C Waddell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508237660 PECOS PAC ID: 4981035185 Enrollment ID: I20251114000711 |
| Provider Name | Caitlin Ann Hof |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710470836 PECOS PAC ID: 8123375094 Enrollment ID: I20251114002985 |
| Provider Name | Edward Chiou |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699338467 PECOS PAC ID: 3577890763 Enrollment ID: I20251118003042 |
| Provider Name | Rami-james K Assadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265819478 PECOS PAC ID: 8325343247 Enrollment ID: I20251118004127 |
| Provider Name | Charisse N Williams-stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740948470 PECOS PAC ID: 2860871126 Enrollment ID: I20251119001709 |
| Provider Name | Rosa J Carbonell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689178766 PECOS PAC ID: 0244581312 Enrollment ID: I20251120002835 |
| Provider Name | Lesley C Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346569191 PECOS PAC ID: 9638317498 Enrollment ID: I20251121000874 |
| Provider Name | Sonal Hazariwala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457579492 PECOS PAC ID: 0244326379 Enrollment ID: I20251128000411 |
| Provider Name | Evan Tank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124316054 PECOS PAC ID: 9931417813 Enrollment ID: I20251201002628 |
| Provider Name | Michael J Breyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063490878 PECOS PAC ID: 7113998519 Enrollment ID: I20251203003540 |
| Provider Name | Janelle D Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073667135 PECOS PAC ID: 0749460483 Enrollment ID: I20251211001551 |
| Provider Name | Raj B Penumetsa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952667974 PECOS PAC ID: 3678873288 Enrollment ID: I20251215002744 |
| Provider Name | Michael a Samotowka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437124021 PECOS PAC ID: 1759406382 Enrollment ID: I20251217001614 |
| Provider Name | Tori A. Lafleur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447639422 PECOS PAC ID: 7719212927 Enrollment ID: I20251217003631 |
| Provider Name | Jamie a Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831622851 PECOS PAC ID: 5395163059 Enrollment ID: I20251218002019 |
| Provider Name | Jason Matthew Tallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942330014 PECOS PAC ID: 6709927700 Enrollment ID: I20251219002947 |
| Provider Name | Syed Agha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164420741 PECOS PAC ID: 9436108024 Enrollment ID: I20251221000144 |
| Provider Name | Heather M Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164162822 PECOS PAC ID: 5193246692 Enrollment ID: I20251222001652 |
| Provider Name | Malinda Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942293998 PECOS PAC ID: 0042357998 Enrollment ID: I20251223003736 |
| Provider Name | Scott D Burnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295787240 PECOS PAC ID: 6103957030 Enrollment ID: I20251225000081 |
| Provider Name | Brooks Douglas Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992514780 PECOS PAC ID: 6709372360 Enrollment ID: I20260102001883 |
| Provider Name | Kavya Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164800496 PECOS PAC ID: 1052701927 Enrollment ID: I20260115002441 |
| Provider Name | Shanti Thirumalai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528155132 PECOS PAC ID: 0941267926 Enrollment ID: I20260115003502 |
| Provider Name | Michael C Chen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881126241 PECOS PAC ID: 3779915046 Enrollment ID: I20260116001322 |
| Provider Name | Lindsay Shanley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780352401 PECOS PAC ID: 0547650798 Enrollment ID: I20260116001685 |
| Provider Name | Christina a Mcdowell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316153737 PECOS PAC ID: 8022119007 Enrollment ID: I20260120001851 |
| Provider Name | Trevor Barton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942798723 PECOS PAC ID: 4385002914 Enrollment ID: I20260202000000 |
| Provider Name | Colby Horton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114558491 PECOS PAC ID: 7315375433 Enrollment ID: I20260203001218 |
| Provider Name | Gabriel T Faz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285936625 PECOS PAC ID: 1850682477 Enrollment ID: I20260205000289 |
| Provider Name | Barkha N Chhabra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821223157 PECOS PAC ID: 1254589831 Enrollment ID: I20260205003621 |
| Provider Name | Robert H Cho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114164126 PECOS PAC ID: 5890922702 Enrollment ID: I20260212001422 |
| Provider Name | Andrew S Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194229336 PECOS PAC ID: 2860825890 Enrollment ID: I20260213000002 |
| Provider Name | Ximena Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477537256 PECOS PAC ID: 9739159039 Enrollment ID: I20260218001399 |
| Provider Name | Kyle Bartol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669854295 PECOS PAC ID: 6305260159 Enrollment ID: I20260218001984 |
| Provider Name | Prabhjot Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053758490 PECOS PAC ID: 0840673455 Enrollment ID: I20260220002190 |
| Provider Name | Lauren Crawford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952896789 PECOS PAC ID: 5799038477 Enrollment ID: I20260220003187 |
| Provider Name | Jobana L Leon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073354965 PECOS PAC ID: 7315428075 Enrollment ID: I20260220003525 |
| Provider Name | William H Reed |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891789582 PECOS PAC ID: 1658361910 Enrollment ID: I20260223001597 |
| Provider Name | Christina Leanne Arbasetti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174703342 PECOS PAC ID: 8325529852 Enrollment ID: I20260223003881 |
| Provider Name | John Kennedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700943545 PECOS PAC ID: 5799739637 Enrollment ID: I20260224000119 |
| Provider Name | Lauren a Lill |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134743560 PECOS PAC ID: 3678955333 Enrollment ID: I20260302001934 |
| Provider Name | Kevon Hekmatdoost |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144581661 PECOS PAC ID: 3971744806 Enrollment ID: I20260309000618 |
| Provider Name | Taylor Haight |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699161547 PECOS PAC ID: 8729395033 Enrollment ID: I20260313002263 |
| Provider Name | Mohammad Movahed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578574232 PECOS PAC ID: 7719927243 Enrollment ID: I20260316001168 |
| Provider Name | Mohammad Phillip C Fejleh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205240959 PECOS PAC ID: 9133348600 Enrollment ID: I20260323003224 |
| Provider Name | Corey B Fuller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053637694 PECOS PAC ID: 4385950930 Enrollment ID: I20260401000188 |
| Provider Name | Innocent Byiringiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487275558 PECOS PAC ID: 7315362746 Enrollment ID: I20260408000809 |
| Provider Name | Jacqueline a Koichi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952988982 PECOS PAC ID: 4789060096 Enrollment ID: I20260410002824 |
| Provider Name | Holly C Appleberry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710410741 PECOS PAC ID: 8022382589 Enrollment ID: I20260410003757 |
| Provider Name | Eric James Pohlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881399541 PECOS PAC ID: 8224493648 Enrollment ID: I20260415003855 |
| Provider Name | Vanil Bhadresh Pandya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205312279 PECOS PAC ID: 4880049436 Enrollment ID: I20260417001421 |
| Provider Name | Adham Kamel Elokda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225264526 PECOS PAC ID: 9739357609 Enrollment ID: I20260428001958 |
| Provider Name | Adam Loutfy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447711429 PECOS PAC ID: 5597147322 Enrollment ID: I20260508003354 |
| Provider Name | Christina M Quijano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356387112 PECOS PAC ID: 6103810171 Enrollment ID: I20260522002528 |
| Provider Name | Soundarya Nagaraja Gowda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184821480 PECOS PAC ID: 4486825122 Enrollment ID: I20260522003022 |
| Provider Name | Ariana V Rangel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679151765 PECOS PAC ID: 8628477627 Enrollment ID: I20260526003167 |
| Provider Name | Andrew T Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770287138 PECOS PAC ID: 2567828957 Enrollment ID: I20260528002999 |
| Provider Name | Lloyd D Bellah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770575177 PECOS PAC ID: 1850492703 Enrollment ID: I20260603003210 |
| Provider Name | Hajir Zohourian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962940015 PECOS PAC ID: 9537587183 Enrollment ID: I20260605000782 |
| Provider Name | Ricky Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982284071 PECOS PAC ID: 5991100711 Enrollment ID: I20260608002678 |
| Provider Name | Daniel H Dunker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407809544 PECOS PAC ID: 3678478567 Enrollment ID: I20260610001203 |
| Provider Name | Allison R Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295282903 PECOS PAC ID: 6406101062 Enrollment ID: I20260610003889 |
| Provider Name | Roman T Pettigrew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043914419 PECOS PAC ID: 7416312996 Enrollment ID: I20260611001030 |
| Provider Name | John R Faust |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063684314 PECOS PAC ID: 4880811595 Enrollment ID: I20260618004427 |
| Provider Name | Michael Choi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891550141 PECOS PAC ID: 3072950641 Enrollment ID: I20260622003293 |
| Provider Name | Jayme Mayo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558561431 PECOS PAC ID: 9830563709 Enrollment ID: I20260627000617 |
Woodstock Family Medicine LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 |
Internal Medicine Consultants, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 |
The Wellness Center Pdx Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545 |
Providence Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 |
Interstate Medical Office West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 |
Jenna Halbert, ND LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 |