| Lehigh Valley Physician Group-schuylkill | |
|
205 E Laurel Blvd Pottsville PA 17901-2534 | |
| (570) 622-1887 | |
| (570) 622-1959 |
| Full Name | Lehigh Valley Physician Group-schuylkill |
|---|---|
| Speciality | Internal Medicine |
| Location | 205 E Laurel Blvd, Pottsville, Pennsylvania |
| Authorized Official Name and Position | James Demopoulos (SR VP & COO) |
| Authorized Official Contact | 4848844500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Physician Group-schuylkill Po Box 783311 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | Lehigh Valley Physician Group-schuylkill 205 E Laurel Blvd Pottsville PA 17901-2534 Ph: (570) 622-1887 |
| NPI Number | 1588603567 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 05/11/2022 |
| Medicare PECOS PAC ID | 0840285532 |
|---|---|
| Medicare Enrollment ID | O20040420001197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588603567 | NPI | - | NPPES |
| 0016810700002 | Medicaid | PA |
| Provider Name | Matthew Mccambridge |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851363832 PECOS PAC ID: 2769388503 Enrollment ID: I20031211000313 |
| Provider Name | Benjamin Sanchez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659369536 PECOS PAC ID: 7012813827 Enrollment ID: I20031211000661 |
| Provider Name | Ganesan Murali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897434 PECOS PAC ID: 9032016589 Enrollment ID: I20031215000272 |
| Provider Name | Debra Ahrensfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699763813 PECOS PAC ID: 2365340460 Enrollment ID: I20031229000297 |
| Provider Name | Robert P Boran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518913821 PECOS PAC ID: 9830091941 Enrollment ID: I20040121000164 |
| Provider Name | Marc A Vengrove |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578650073 PECOS PAC ID: 7911809736 Enrollment ID: I20040122000911 |
| Provider Name | Eric W. Bean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609823145 PECOS PAC ID: 6800798448 Enrollment ID: I20040123000271 |
| Provider Name | Ilene Katz Weizer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093713166 PECOS PAC ID: 0143123182 Enrollment ID: I20040130000145 |
| Provider Name | Robert Jay Kruklitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366414252 PECOS PAC ID: 1951296821 Enrollment ID: I20040219000082 |
| Provider Name | Prasant Pandey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457466518 PECOS PAC ID: 9133016652 Enrollment ID: I20040301000585 |
| Provider Name | Afifi Khoury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700977931 PECOS PAC ID: 6305733643 Enrollment ID: I20040302000653 |
| Provider Name | David Allen Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447202395 PECOS PAC ID: 5799674701 Enrollment ID: I20040315000950 |
| Provider Name | Guillermo L Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666836 PECOS PAC ID: 8729072970 Enrollment ID: I20040412001063 |
| Provider Name | Richard B Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144213240 PECOS PAC ID: 4981698560 Enrollment ID: I20040414001533 |
| Provider Name | Kenneth R Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356340269 PECOS PAC ID: 1254327091 Enrollment ID: I20040426000388 |
| Provider Name | Brenda Lynne Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407841000 PECOS PAC ID: 4284622630 Enrollment ID: I20040504000899 |
| Provider Name | Rakesh B Saraiya |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891772919 PECOS PAC ID: 7416946561 Enrollment ID: I20040512000575 |
| Provider Name | Henry C Novroski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154395887 PECOS PAC ID: 9234126673 Enrollment ID: I20040521000821 |
| Provider Name | Mark D Cipolle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609883289 PECOS PAC ID: 8628060688 Enrollment ID: I20040701000996 |
| Provider Name | Paul H Mccabe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114975299 PECOS PAC ID: 5092793802 Enrollment ID: I20040708001394 |
| Provider Name | Chris Allyn Lycette |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326055849 PECOS PAC ID: 3577456474 Enrollment ID: I20040726000063 |
| Provider Name | Kevin Cowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699717512 PECOS PAC ID: 6002887072 Enrollment ID: I20040803001340 |
| Provider Name | Charles Gerard Petersen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285684183 PECOS PAC ID: 1557333788 Enrollment ID: I20040809001163 |
| Provider Name | Annette M Mann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194799817 PECOS PAC ID: 8729052709 Enrollment ID: I20040825000137 |
| Provider Name | Suresh G Nair |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669423711 PECOS PAC ID: 4688649783 Enrollment ID: I20040901000355 |
| Provider Name | Dan Popescu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932102696 PECOS PAC ID: 6204803463 Enrollment ID: I20040916000076 |
| Provider Name | Debra M Halupa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104810647 PECOS PAC ID: 6204895329 Enrollment ID: I20041005000874 |
| Provider Name | Ryan L Tenzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962431163 PECOS PAC ID: 8022071141 Enrollment ID: I20041110000166 |
| Provider Name | Walter William Setlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881668473 PECOS PAC ID: 9335106384 Enrollment ID: I20041213000050 |
| Provider Name | David B Burmeister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144252867 PECOS PAC ID: 9931169323 Enrollment ID: I20050201000210 |
| Provider Name | Albert Peter Sarno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295786820 PECOS PAC ID: 6406807916 Enrollment ID: I20050202000278 |
| Provider Name | Elizabeth Wittig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407821622 PECOS PAC ID: 0446204077 Enrollment ID: I20050308000251 |
| Provider Name | Harvey J Hotchner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932299054 PECOS PAC ID: 4284672759 Enrollment ID: I20050425000666 |
| Provider Name | Michael J Ehrig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871544262 PECOS PAC ID: 2163314626 Enrollment ID: I20050504001018 |
| Provider Name | Wayne F Mcwilliams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316998651 PECOS PAC ID: 2062452477 Enrollment ID: I20050505000169 |
| Provider Name | Muhammad Munir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164495321 PECOS PAC ID: 7618937251 Enrollment ID: I20050510000598 |
| Provider Name | John F Wheary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841222510 PECOS PAC ID: 3476593229 Enrollment ID: I20050511000204 |
| Provider Name | Meeta S Pancholi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790779031 PECOS PAC ID: 5395786594 Enrollment ID: I20050518000543 |
| Provider Name | James Christopher Xenophon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265430334 PECOS PAC ID: 0143265553 Enrollment ID: I20050627000520 |
| Provider Name | Joanne N Quinones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639275027 PECOS PAC ID: 1153367248 Enrollment ID: I20050629000597 |
| Provider Name | Isis S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699733816 PECOS PAC ID: 9739125519 Enrollment ID: I20050701000223 |
| Provider Name | Cristin Ann Weicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114910320 PECOS PAC ID: 6709815327 Enrollment ID: I20050804000365 |
| Provider Name | Marjorie J Hottenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396086260 PECOS PAC ID: 1153355631 Enrollment ID: I20050923000506 |
| Provider Name | Meredith L Rochon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366555377 PECOS PAC ID: 1658397567 Enrollment ID: I20051020000318 |
| Provider Name | Robert B Doll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043203375 PECOS PAC ID: 6901820810 Enrollment ID: I20060118000868 |
| Provider Name | Anthony D Dippolito |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730134974 PECOS PAC ID: 4981624236 Enrollment ID: I20060327000788 |
| Provider Name | Noel D Brouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790717973 PECOS PAC ID: 3173532538 Enrollment ID: I20060412000337 |
| Provider Name | Andrew Christopher Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598707671 PECOS PAC ID: 2365451614 Enrollment ID: I20060417000010 |
| Provider Name | Gretchen A Perilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043306343 PECOS PAC ID: 6305856451 Enrollment ID: I20060504000212 |
| Provider Name | Jennifer Christine Rovella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679525166 PECOS PAC ID: 6901817436 Enrollment ID: I20060519000007 |
| Provider Name | Bruce J Silverberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033158696 PECOS PAC ID: 1658383781 Enrollment ID: I20060608000017 |
| Provider Name | Roman W Matlaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881688315 PECOS PAC ID: 9638181167 Enrollment ID: I20060626000233 |
| Provider Name | Jeanne Jacoby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891769899 PECOS PAC ID: 5193738045 Enrollment ID: I20060720000069 |
| Provider Name | Rebecca J Odorizzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932167020 PECOS PAC ID: 3678586286 Enrollment ID: I20060727000334 |
| Provider Name | Michael J Yeager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396795829 PECOS PAC ID: 5991718066 Enrollment ID: I20060728000098 |
| Provider Name | Nghia T Hoang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740235498 PECOS PAC ID: 4789697236 Enrollment ID: I20060728000303 |
| Provider Name | Shakuntala Y Varhade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811918758 PECOS PAC ID: 3476557265 Enrollment ID: I20060911000110 |
| Provider Name | Bruce Feldman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528095684 PECOS PAC ID: 7315941879 Enrollment ID: I20060914000354 |
| Provider Name | Muhammad F Saifullah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578576484 PECOS PAC ID: 7012912009 Enrollment ID: I20060926000227 |
| Provider Name | Kara Coassolo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861423055 PECOS PAC ID: 9739184649 Enrollment ID: I20060928000181 |
| Provider Name | Andrew David Sumner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114975737 PECOS PAC ID: 8729085683 Enrollment ID: I20061107000266 |
| Provider Name | Stephen Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083641260 PECOS PAC ID: 9537073705 Enrollment ID: I20061109000470 |
| Provider Name | Larry Jacobs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871554667 PECOS PAC ID: 6103824966 Enrollment ID: I20061110000245 |
| Provider Name | Rajender S Totlani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538101936 PECOS PAC ID: 0345248407 Enrollment ID: I20061128000209 |
| Provider Name | Amy Ahnert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245260587 PECOS PAC ID: 9739071952 Enrollment ID: I20061220000385 |
| Provider Name | Guillermo Antonio De La Vega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083780761 PECOS PAC ID: 5294737037 Enrollment ID: I20070208000134 |
| Provider Name | Jyoti Gnanaprakash Gopal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710937974 PECOS PAC ID: 1658475504 Enrollment ID: I20070402000607 |
| Provider Name | Ya-yu Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235271545 PECOS PAC ID: 0244338069 Enrollment ID: I20070601000381 |
| Provider Name | Brian Lovett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407973720 PECOS PAC ID: 1456459585 Enrollment ID: I20070613000136 |
| Provider Name | Vanessa Ribaudo Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306060348 PECOS PAC ID: 5496856361 Enrollment ID: I20070723000008 |
| Provider Name | Kevin Allen Vrablik |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366404766 PECOS PAC ID: 6901998061 Enrollment ID: I20070821000045 |
| Provider Name | John Anthony Guerriero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952525958 PECOS PAC ID: 2668564105 Enrollment ID: I20070828000845 |
| Provider Name | Ryan T Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114120961 PECOS PAC ID: 2860585619 Enrollment ID: I20070910000755 |
| Provider Name | Jason R Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861559387 PECOS PAC ID: 7911093232 Enrollment ID: I20071018000309 |
| Provider Name | Donald Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114969334 PECOS PAC ID: 8921060898 Enrollment ID: I20071106000235 |
| Provider Name | Philip J Cinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073509212 PECOS PAC ID: 5991893794 Enrollment ID: I20071112000598 |
| Provider Name | James T Mcnelis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336146224 PECOS PAC ID: 0446285597 Enrollment ID: I20080110000120 |
| Provider Name | Karl W Helmold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912947797 PECOS PAC ID: 2860402823 Enrollment ID: I20080128000055 |
| Provider Name | Stephan R Glicken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225144041 PECOS PAC ID: 7214967322 Enrollment ID: I20080410000544 |
| Provider Name | William E Scorza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255401741 PECOS PAC ID: 6507943610 Enrollment ID: I20080414000137 |
| Provider Name | Sheikh A Ali |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285830265 PECOS PAC ID: 6103918511 Enrollment ID: I20080422000189 |
| Provider Name | James A Sandberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245345339 PECOS PAC ID: 2365522323 Enrollment ID: I20080428000621 |
| Provider Name | Scott D Muir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982662524 PECOS PAC ID: 8527168335 Enrollment ID: I20080506000204 |
| Provider Name | Karen E Tiedeken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184730723 PECOS PAC ID: 4587735550 Enrollment ID: I20080618000651 |
| Provider Name | Matthew A Nussbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356548978 PECOS PAC ID: 5193898880 Enrollment ID: I20080714000238 |
| Provider Name | Drew Keister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407849862 PECOS PAC ID: 3779657523 Enrollment ID: I20080729000044 |
| Provider Name | Marianne Smalley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992963953 PECOS PAC ID: 0941374888 Enrollment ID: I20080811000456 |
| Provider Name | Mary C Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871589127 PECOS PAC ID: 7911075643 Enrollment ID: I20081008000640 |
| Provider Name | Nirupama Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194873356 PECOS PAC ID: 6901907476 Enrollment ID: I20081024000205 |
| Provider Name | Wendy J Prutsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477669018 PECOS PAC ID: 4981763356 Enrollment ID: I20081030000663 |
| Provider Name | Rita M Pechulis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740319987 PECOS PAC ID: 7719047711 Enrollment ID: I20081120000660 |
| Provider Name | Joan G Finno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568619260 PECOS PAC ID: 3476615816 Enrollment ID: I20081219000124 |
| Provider Name | Ivor F Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861453144 PECOS PAC ID: 3870580996 Enrollment ID: I20090123000429 |
| Provider Name | Daniel M. Spatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700872553 PECOS PAC ID: 6507915188 Enrollment ID: I20090602000003 |
| Provider Name | Jennifer L Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124292552 PECOS PAC ID: 1557412210 Enrollment ID: I20090619000530 |
| Provider Name | Dorothea T Watson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184744328 PECOS PAC ID: 1052472891 Enrollment ID: I20090622000024 |
| Provider Name | Michael C Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750308375 PECOS PAC ID: 7517937279 Enrollment ID: I20090625000204 |
| Provider Name | Nicole Purcell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689891954 PECOS PAC ID: 1850443920 Enrollment ID: I20090721000329 |
| Provider Name | Karine Thevenin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548405913 PECOS PAC ID: 0941353361 Enrollment ID: I20090803000585 |
| Provider Name | Leann Zuby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386874188 PECOS PAC ID: 4981757002 Enrollment ID: I20090806000237 |
| Provider Name | Michael B Levandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023275955 PECOS PAC ID: 3870648835 Enrollment ID: I20090827000496 |
| Provider Name | Orion A Rust |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144333154 PECOS PAC ID: 4789721846 Enrollment ID: I20091021000594 |
| Provider Name | Timothy B Coyle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316144413 PECOS PAC ID: 2567502651 Enrollment ID: I20091222000114 |
| Provider Name | Joseph B Schellenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417929399 PECOS PAC ID: 6901895580 Enrollment ID: I20100128000567 |
| Provider Name | Francis Schwiep |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326010307 PECOS PAC ID: 6103815782 Enrollment ID: I20100129000053 |
| Provider Name | Richard Strobel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184696072 PECOS PAC ID: 1557350139 Enrollment ID: I20100203000189 |
| Provider Name | Michael L Zager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326087362 PECOS PAC ID: 1456494087 Enrollment ID: I20100204000744 |
| Provider Name | Craig R Christine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801838883 PECOS PAC ID: 3476698606 Enrollment ID: I20100226000528 |
| Provider Name | Daniel E Schwed Lustgarten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760696561 PECOS PAC ID: 4385789510 Enrollment ID: I20100226000529 |
| Provider Name | Dana Cam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841455839 PECOS PAC ID: 5698800159 Enrollment ID: I20100323000343 |
| Provider Name | Deborah A Bren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528008927 PECOS PAC ID: 4789719188 Enrollment ID: I20100323000767 |
| Provider Name | Daniel Bobrowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811967649 PECOS PAC ID: 2264432046 Enrollment ID: I20100412000014 |
| Provider Name | Neil W Fisher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821069956 PECOS PAC ID: 9537169313 Enrollment ID: I20100413000010 |
| Provider Name | Carol L Henwood-dahdah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720068588 PECOS PAC ID: 1557498532 Enrollment ID: I20100422000863 |
| Provider Name | Lisa M Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922324318 PECOS PAC ID: 9830227347 Enrollment ID: I20100504000336 |
| Provider Name | Gregory Tomcho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952343931 PECOS PAC ID: 0143358507 Enrollment ID: I20100506000187 |
| Provider Name | Robert Decolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790778991 PECOS PAC ID: 4183760465 Enrollment ID: I20100519000783 |
| Provider Name | Tariq Hafiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073586178 PECOS PAC ID: 3577523117 Enrollment ID: I20100602000213 |
| Provider Name | Kimberly Hashin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972576403 PECOS PAC ID: 0941260582 Enrollment ID: I20100603000569 |
| Provider Name | Mal R Homan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215905898 PECOS PAC ID: 6901936277 Enrollment ID: I20100612000016 |
| Provider Name | George William Heffner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396717815 PECOS PAC ID: 5991789620 Enrollment ID: I20100621000393 |
| Provider Name | Angela D Zawisza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659538023 PECOS PAC ID: 7719018100 Enrollment ID: I20100629000443 |
| Provider Name | Simi Masand Rai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730140559 PECOS PAC ID: 7416089354 Enrollment ID: I20100713000417 |
| Provider Name | Gubbi Nagarai Ranganath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912979436 PECOS PAC ID: 9133189772 Enrollment ID: I20100722000701 |
| Provider Name | Ann Valerie Malantic-lin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952374324 PECOS PAC ID: 2860525573 Enrollment ID: I20100802000740 |
| Provider Name | Carol Ann Miller-schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912970443 PECOS PAC ID: 5496715039 Enrollment ID: I20100802000813 |
| Provider Name | Robert A Mccauley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992920466 PECOS PAC ID: 4486786183 Enrollment ID: I20100813000209 |
| Provider Name | Neil Lesitsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508898867 PECOS PAC ID: 1052435641 Enrollment ID: I20100903000153 |
| Provider Name | Mackenzie A Mady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760641328 PECOS PAC ID: 9931223336 Enrollment ID: I20100907000649 |
| Provider Name | Fred Michael Nichols |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982677233 PECOS PAC ID: 9830294156 Enrollment ID: I20101004001093 |
| Provider Name | Robert E Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508854274 PECOS PAC ID: 9133312754 Enrollment ID: I20101014001427 |
| Provider Name | Ernesto Rodriguez Granados |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306950035 PECOS PAC ID: 5193919835 Enrollment ID: I20101027000383 |
| Provider Name | Alexander Rosenau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033147939 PECOS PAC ID: 5799979837 Enrollment ID: I20101102000924 |
| Provider Name | David Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811925894 PECOS PAC ID: 5597844498 Enrollment ID: I20101104001105 |
| Provider Name | Mark A Wendling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699708420 PECOS PAC ID: 6709835119 Enrollment ID: I20101112000714 |
| Provider Name | Charles C Worrilow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215969993 PECOS PAC ID: 3274728290 Enrollment ID: I20101116000238 |
| Provider Name | Diane Saldukas-mazur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790716330 PECOS PAC ID: 0042406969 Enrollment ID: I20101118000058 |
| Provider Name | Glenn T Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871525030 PECOS PAC ID: 9739375692 Enrollment ID: I20101118000536 |
| Provider Name | Christine E Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801106448 PECOS PAC ID: 7810186541 Enrollment ID: I20110112000446 |
| Provider Name | Wafa S Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851387831 PECOS PAC ID: 4789873241 Enrollment ID: I20110113001188 |
| Provider Name | Wendy Rush Spinosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902824774 PECOS PAC ID: 5890976385 Enrollment ID: I20110216000439 |
| Provider Name | Kenneth D Truscott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134115082 PECOS PAC ID: 3274714126 Enrollment ID: I20110224000679 |
| Provider Name | Heather Gosch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770588469 PECOS PAC ID: 7810179843 Enrollment ID: I20110311000118 |
| Provider Name | Angela Grether |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437469814 PECOS PAC ID: 7911180229 Enrollment ID: I20110324000202 |
| Provider Name | Agnes Wane-slory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184931180 PECOS PAC ID: 8921281908 Enrollment ID: I20110329000599 |
| Provider Name | Theresa Mary Baseski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245260850 PECOS PAC ID: 4284818444 Enrollment ID: I20110412000925 |
| Provider Name | Denny John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568422848 PECOS PAC ID: 2668657693 Enrollment ID: I20110506000141 |
| Provider Name | Katerina C Valavanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073804126 PECOS PAC ID: 2668658998 Enrollment ID: I20110520000231 |
| Provider Name | Sanjeev Vasishtha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881684975 PECOS PAC ID: 2264577337 Enrollment ID: I20110601000395 |
| Provider Name | Robert Miles Zimmerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174529457 PECOS PAC ID: 5092790675 Enrollment ID: I20110609000193 |
| Provider Name | David Paul Krewson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134124811 PECOS PAC ID: 0547447021 Enrollment ID: I20110609000509 |
| Provider Name | Nauman Islam |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1689627788 PECOS PAC ID: 2466412010 Enrollment ID: I20110719000027 |
| Provider Name | Jacob N Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194059543 PECOS PAC ID: 0244408045 Enrollment ID: I20110721000836 |
| Provider Name | Michael W Evans |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972782522 PECOS PAC ID: 1759550825 Enrollment ID: I20110805000316 |
| Provider Name | Danielle E Durie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104952134 PECOS PAC ID: 0244325314 Enrollment ID: I20110824000281 |
| Provider Name | David T Ogurek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326206483 PECOS PAC ID: 3971773870 Enrollment ID: I20110901000578 |
| Provider Name | Sheryle D Wellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548224918 PECOS PAC ID: 1456391424 Enrollment ID: I20111004000231 |
| Provider Name | Stephen T. Olex |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1013114461 PECOS PAC ID: 7517139421 Enrollment ID: I20111018000406 |
| Provider Name | Michael Mandarano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184957102 PECOS PAC ID: 7618143793 Enrollment ID: I20111221000147 |
| Provider Name | Teresa M Romano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285851022 PECOS PAC ID: 0547437543 Enrollment ID: I20120113000653 |
| Provider Name | Kate H Agresti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295062461 PECOS PAC ID: 5294999819 Enrollment ID: I20120612000296 |
| Provider Name | Michael E Cheung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023341203 PECOS PAC ID: 9830353325 Enrollment ID: I20120613000414 |
| Provider Name | Jennifer L Ruch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558636423 PECOS PAC ID: 0648434878 Enrollment ID: I20120619000334 |
| Provider Name | Frank A Sperrazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871820050 PECOS PAC ID: 1052575297 Enrollment ID: I20120619000498 |
| Provider Name | Lindsay G Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003143280 PECOS PAC ID: 9739343898 Enrollment ID: I20120621000274 |
| Provider Name | Andres Zirlinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720352016 PECOS PAC ID: 1951567924 Enrollment ID: I20120718000743 |
| Provider Name | Faton Bilali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023338019 PECOS PAC ID: 1658527692 Enrollment ID: I20120808000110 |
| Provider Name | Jennifer A Strow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861696338 PECOS PAC ID: 5890941579 Enrollment ID: I20120813000297 |
| Provider Name | Beth Careyva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710120894 PECOS PAC ID: 8224284906 Enrollment ID: I20120813000324 |
| Provider Name | Daniel M Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649445388 PECOS PAC ID: 4082861331 Enrollment ID: I20120822000196 |
| Provider Name | Ellina C Feiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477744167 PECOS PAC ID: 0244487411 Enrollment ID: I20120822000489 |
| Provider Name | Kathleen Katulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811207434 PECOS PAC ID: 8628225398 Enrollment ID: I20120831000247 |
| Provider Name | Karina M Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134393713 PECOS PAC ID: 3274781554 Enrollment ID: I20120911000345 |
| Provider Name | Cindy Fine Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144395492 PECOS PAC ID: 7315194255 Enrollment ID: I20130227000073 |
| Provider Name | Babak Bozorgnia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790914299 PECOS PAC ID: 9931255353 Enrollment ID: I20130502000352 |
| Provider Name | Khyatiben B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093058166 PECOS PAC ID: 8628215084 Enrollment ID: I20130503000080 |
| Provider Name | Lisa Dapuzzo Argiriou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306071386 PECOS PAC ID: 7012154651 Enrollment ID: I20130702000662 |
| Provider Name | Jessica Boehmler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003013483 PECOS PAC ID: 0143460899 Enrollment ID: I20130806000062 |
| Provider Name | Indira Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588828230 PECOS PAC ID: 0143462952 Enrollment ID: I20130807000576 |
| Provider Name | Shamsuddin Shaik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518271154 PECOS PAC ID: 2567605140 Enrollment ID: I20130829000431 |
| Provider Name | Brian K Civic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780844555 PECOS PAC ID: 1052554540 Enrollment ID: I20130903000209 |
| Provider Name | Elizabeth A Flodin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134354111 PECOS PAC ID: 2860639705 Enrollment ID: I20130909000134 |
| Provider Name | Ghulam Akbar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578900221 PECOS PAC ID: 4880820273 Enrollment ID: I20131113000165 |
| Provider Name | Stephen P Fooskas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275562563 PECOS PAC ID: 3173716115 Enrollment ID: I20131119000745 |
| Provider Name | Raji Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316262025 PECOS PAC ID: 9537397781 Enrollment ID: I20140114001415 |
| Provider Name | Anthony A Flaim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851687966 PECOS PAC ID: 8426287749 Enrollment ID: I20140208000131 |
| Provider Name | Alison Pasierb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083036289 PECOS PAC ID: 8628208014 Enrollment ID: I20140304001825 |
| Provider Name | Allyson N Snik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936621 PECOS PAC ID: 9537382940 Enrollment ID: I20140603000486 |
| Provider Name | Justin Guthier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174817845 PECOS PAC ID: 8729227236 Enrollment ID: I20140808000521 |
| Provider Name | Aaron Czysz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073776332 PECOS PAC ID: 0547487977 Enrollment ID: I20140808000952 |
| Provider Name | Sharmila C Koshy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609037696 PECOS PAC ID: 5597992461 Enrollment ID: I20140814000831 |
| Provider Name | Courtney Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578882114 PECOS PAC ID: 7214174150 Enrollment ID: I20140827002274 |
| Provider Name | Raman S Dusaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215172648 PECOS PAC ID: 0143494716 Enrollment ID: I20140828000826 |
| Provider Name | Steven Hardy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275844391 PECOS PAC ID: 5294971842 Enrollment ID: I20140909000838 |
| Provider Name | Sophia Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942518485 PECOS PAC ID: 1052532280 Enrollment ID: I20141031000906 |
| Provider Name | Brian Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518124627 PECOS PAC ID: 7113090499 Enrollment ID: I20141223002010 |
| Provider Name | Madhavi Capoccia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063423374 PECOS PAC ID: 5395982771 Enrollment ID: I20150120002051 |
| Provider Name | Tricia Kay A Ellersick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376946970 PECOS PAC ID: 6406171040 Enrollment ID: I20150203000233 |
| Provider Name | Keisha A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194115667 PECOS PAC ID: 2769708791 Enrollment ID: I20150310000357 |
| Provider Name | Molly Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790899557 PECOS PAC ID: 6507182482 Enrollment ID: I20150312000713 |
| Provider Name | Timothy J Donaghy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558768721 PECOS PAC ID: 7315264843 Enrollment ID: I20150323000626 |
| Provider Name | Diana Warstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225348519 PECOS PAC ID: 6002127115 Enrollment ID: I20150616001833 |
| Provider Name | Apurva Vyas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386870145 PECOS PAC ID: 5799099388 Enrollment ID: I20150727000867 |
| Provider Name | Farid Razavi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407099112 PECOS PAC ID: 1658686332 Enrollment ID: I20150811004390 |
| Provider Name | Victor Catania |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457602328 PECOS PAC ID: 6608181805 Enrollment ID: I20150818003635 |
| Provider Name | Frank J Balloqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346503315 PECOS PAC ID: 3072828060 Enrollment ID: I20150820010050 |
| Provider Name | Patti Ann Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457741985 PECOS PAC ID: 5496060246 Enrollment ID: I20150824000021 |
| Provider Name | Yasotha Rajeswaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427291590 PECOS PAC ID: 3375859945 Enrollment ID: I20150827000115 |
| Provider Name | Oliana Ros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942553995 PECOS PAC ID: 3476869611 Enrollment ID: I20150902000978 |
| Provider Name | Lauren Kershes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649654500 PECOS PAC ID: 0042526162 Enrollment ID: I20150903000482 |
| Provider Name | Aileen L Love |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538326962 PECOS PAC ID: 9537355706 Enrollment ID: I20150922000757 |
| Provider Name | Chin-chan Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841514866 PECOS PAC ID: 2163666348 Enrollment ID: I20150924002489 |
| Provider Name | Andrew J Brackbill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447455209 PECOS PAC ID: 3870815400 Enrollment ID: I20151001001459 |
| Provider Name | Mary E Summa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950149 PECOS PAC ID: 0749599389 Enrollment ID: I20151021001277 |
| Provider Name | Lucile Thelusmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881910354 PECOS PAC ID: 8921300757 Enrollment ID: I20160111001027 |
| Provider Name | Rebecca D Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538536487 PECOS PAC ID: 1951606664 Enrollment ID: I20160217002194 |
| Provider Name | Daniel James Makowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790079366 PECOS PAC ID: 5799922563 Enrollment ID: I20160218000696 |
| Provider Name | Anita Sargent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053586966 PECOS PAC ID: 5193981637 Enrollment ID: I20160224000141 |
| Provider Name | Brian R Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134487200 PECOS PAC ID: 6406093525 Enrollment ID: I20160301000437 |
| Provider Name | Amy E Snedigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447498704 PECOS PAC ID: 5193853398 Enrollment ID: I20160331000210 |
| Provider Name | Elliot Busch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578903555 PECOS PAC ID: 5799076410 Enrollment ID: I20160816002388 |
| Provider Name | Talha Nazir |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952340978 PECOS PAC ID: 8820983836 Enrollment ID: I20160912000181 |
| Provider Name | Carolyn M Casey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205129228 PECOS PAC ID: 9739481607 Enrollment ID: I20160914002602 |
| Provider Name | John Stoeckle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174865802 PECOS PAC ID: 3274757315 Enrollment ID: I20160920001652 |
| Provider Name | Georgia Varvarelis Fliakos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891134797 PECOS PAC ID: 7810129434 Enrollment ID: I20160927002422 |
| Provider Name | Florence Mauro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710327929 PECOS PAC ID: 1355638867 Enrollment ID: I20160928000083 |
| Provider Name | Jonaid Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861653156 PECOS PAC ID: 0244406718 Enrollment ID: I20160929000453 |
| Provider Name | Grant Matthew Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245328772 PECOS PAC ID: 2062549280 Enrollment ID: I20161109000082 |
| Provider Name | Cheri Alissa Silverstein Fadlon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023159456 PECOS PAC ID: 6305074964 Enrollment ID: I20161212000570 |
| Provider Name | Amanda M Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952843211 PECOS PAC ID: 0244511947 Enrollment ID: I20170111000184 |
| Provider Name | Caitlin Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841731619 PECOS PAC ID: 9739465683 Enrollment ID: I20170410000071 |
| Provider Name | Nicholas Hinds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346689551 PECOS PAC ID: 2668758970 Enrollment ID: I20170420001108 |
| Provider Name | John A Dicasimirro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881812527 PECOS PAC ID: 1052698586 Enrollment ID: I20170510000321 |
| Provider Name | Liza Beth Green |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639251515 PECOS PAC ID: 1456349927 Enrollment ID: I20170601001336 |
| Provider Name | Lee Ann Klocko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558712018 PECOS PAC ID: 4981972502 Enrollment ID: I20170622000741 |
| Provider Name | Kimberly Fuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134670227 PECOS PAC ID: 3173892668 Enrollment ID: I20170626002238 |
| Provider Name | Tory Jane Miksiewicz Clugston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891107140 PECOS PAC ID: 1759676901 Enrollment ID: I20170629000032 |
| Provider Name | Richard Chow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194813907 PECOS PAC ID: 6800897612 Enrollment ID: I20170714001199 |
| Provider Name | Ileana Asanache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386007250 PECOS PAC ID: 3476824228 Enrollment ID: I20170811003022 |
| Provider Name | Rebecca Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689197873 PECOS PAC ID: 0446522023 Enrollment ID: I20170816002422 |
| Provider Name | Nael Hawwa |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1760794432 PECOS PAC ID: 8325334758 Enrollment ID: I20170817003791 |
| Provider Name | Jeffrey Gordon |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790914943 PECOS PAC ID: 7517198732 Enrollment ID: I20170818002902 |
| Provider Name | Brian Friel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821358805 PECOS PAC ID: 8628216835 Enrollment ID: I20170821001305 |
| Provider Name | Kunal Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346484664 PECOS PAC ID: 8921230434 Enrollment ID: I20170821002972 |
| Provider Name | Patricia Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356892673 PECOS PAC ID: 9830461003 Enrollment ID: I20170823000750 |
| Provider Name | Okju C Patrylo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932510278 PECOS PAC ID: 1153613088 Enrollment ID: I20170905001146 |
| Provider Name | Natalie Marie Bieber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346653276 PECOS PAC ID: 0648497438 Enrollment ID: I20170906000310 |
| Provider Name | Melissa Auer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992063556 PECOS PAC ID: 6800035098 Enrollment ID: I20170920000796 |
| Provider Name | Jennifer Stockhausen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114365194 PECOS PAC ID: 2860628344 Enrollment ID: I20170929002505 |
| Provider Name | Anant Parikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174819148 PECOS PAC ID: 6800196742 Enrollment ID: I20171010000197 |
| Provider Name | Blake A Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427317932 PECOS PAC ID: 9739484064 Enrollment ID: I20171023000576 |
| Provider Name | Steven Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386601615 PECOS PAC ID: 2264320340 Enrollment ID: I20171023001951 |
| Provider Name | Erin M Scholten |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235496241 PECOS PAC ID: 8527334317 Enrollment ID: I20171023002226 |
| Provider Name | Sherilyn Gibbs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184729147 PECOS PAC ID: 8921061193 Enrollment ID: I20171201000496 |
| Provider Name | Luis A Cervantes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215933353 PECOS PAC ID: 0345277034 Enrollment ID: I20171214000488 |
| Provider Name | Victoria E Borger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255843686 PECOS PAC ID: 5193084507 Enrollment ID: I20180110002083 |
| Provider Name | Leslie A Colip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760774798 PECOS PAC ID: 0244519502 Enrollment ID: I20180124002199 |
| Provider Name | Amy Marie Strauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922769 PECOS PAC ID: 2567722259 Enrollment ID: I20180126001438 |
| Provider Name | Tasha Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851803811 PECOS PAC ID: 9931460599 Enrollment ID: I20180223000941 |
| Provider Name | Lauren Jane Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902312770 PECOS PAC ID: 5193087658 Enrollment ID: I20180321000199 |
| Provider Name | Beth A Turoscy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144723669 PECOS PAC ID: 6507120375 Enrollment ID: I20180502000811 |
| Provider Name | Philip J Dunn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962847772 PECOS PAC ID: 8224278197 Enrollment ID: I20180619001617 |
| Provider Name | Susan Rachel Medalie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710365473 PECOS PAC ID: 6901151307 Enrollment ID: I20180626000268 |
| Provider Name | Kristine Louise Schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962761957 PECOS PAC ID: 3375771603 Enrollment ID: I20180628002665 |
| Provider Name | Paul Corotto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902198237 PECOS PAC ID: 9335428622 Enrollment ID: I20180801000701 |
| Provider Name | Yasir Abunamous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366826232 PECOS PAC ID: 6002114154 Enrollment ID: I20180820002596 |
| Provider Name | Sima Hodavance |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1982921375 PECOS PAC ID: 4789933995 Enrollment ID: I20180822000092 |
| Provider Name | Neeraj N Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285913996 PECOS PAC ID: 3678822566 Enrollment ID: I20180827001824 |
| Provider Name | Simeng Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316380611 PECOS PAC ID: 5890046767 Enrollment ID: I20180918000216 |
| Provider Name | Syed H Jafry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730566639 PECOS PAC ID: 8527351329 Enrollment ID: I20181005002337 |
| Provider Name | Christine Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225412109 PECOS PAC ID: 9436457314 Enrollment ID: I20181008002833 |
| Provider Name | Briana N Tully |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518315720 PECOS PAC ID: 4284924754 Enrollment ID: I20181018002060 |
| Provider Name | Beth A Vanselous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346711157 PECOS PAC ID: 4486993409 Enrollment ID: I20190308000350 |
| Provider Name | Misbat Chaudry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447561337 PECOS PAC ID: 2365680758 Enrollment ID: I20190703002703 |
| Provider Name | Mei Ling Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583570 PECOS PAC ID: 9133454374 Enrollment ID: I20190710003496 |
| Provider Name | Ashley Faye Bard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730646654 PECOS PAC ID: 8426383175 Enrollment ID: I20190717002237 |
| Provider Name | Natalie Kay Caruso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437690914 PECOS PAC ID: 3173890738 Enrollment ID: I20190718001054 |
| Provider Name | Brittany J Ely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780032904 PECOS PAC ID: 6002106705 Enrollment ID: I20190724003863 |
| Provider Name | Matthew Marschall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205284429 PECOS PAC ID: 4789975053 Enrollment ID: I20190726002332 |
| Provider Name | Princy George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467800466 PECOS PAC ID: 7517293293 Enrollment ID: I20190802000107 |
| Provider Name | Pradeep Adumala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770983272 PECOS PAC ID: 3577782432 Enrollment ID: I20190821001002 |
| Provider Name | Justin Darrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942650759 PECOS PAC ID: 7618268442 Enrollment ID: I20190821002124 |
| Provider Name | Kelly Marie Kalovcak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275996746 PECOS PAC ID: 3072841279 Enrollment ID: I20190827000517 |
| Provider Name | Radhika Chandramouli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386099968 PECOS PAC ID: 6406131135 Enrollment ID: I20190911000958 |
| Provider Name | Roberto Stefan Fratamico |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073958419 PECOS PAC ID: 5698907780 Enrollment ID: I20190911001172 |
| Provider Name | David Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285097592 PECOS PAC ID: 2264729854 Enrollment ID: I20190912002733 |
| Provider Name | Cori Shollenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225416118 PECOS PAC ID: 5698004893 Enrollment ID: I20190913000994 |
| Provider Name | Alexandra Dominique Printz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558723700 PECOS PAC ID: 9133414956 Enrollment ID: I20190916000019 |
| Provider Name | John Daubert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720516024 PECOS PAC ID: 7113295916 Enrollment ID: I20190924002878 |
| Provider Name | Sergio Fabian Cossu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821053364 PECOS PAC ID: 0749311397 Enrollment ID: I20190926000218 |
| Provider Name | Amy Wier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609224716 PECOS PAC ID: 5991096208 Enrollment ID: I20190927000027 |
| Provider Name | Daniel Torrens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003357864 PECOS PAC ID: 4183955164 Enrollment ID: I20191004001727 |
| Provider Name | Smeet Ramesh Bhimani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194173310 PECOS PAC ID: 0244520856 Enrollment ID: I20191008000241 |
| Provider Name | Zachary Matuzsan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518315639 PECOS PAC ID: 8527358050 Enrollment ID: I20191008000780 |
| Provider Name | Robert Gyory |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255869558 PECOS PAC ID: 1052689700 Enrollment ID: I20191008001859 |
| Provider Name | Ashley Costa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568843381 PECOS PAC ID: 4880925148 Enrollment ID: I20191017001542 |
| Provider Name | John Jacob Scholz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568903938 PECOS PAC ID: 7911239033 Enrollment ID: I20191022003743 |
| Provider Name | Brianne Marie Allerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649651340 PECOS PAC ID: 5890078133 Enrollment ID: I20191023001194 |
| Provider Name | Sara Clipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467888354 PECOS PAC ID: 6800228230 Enrollment ID: I20191122001703 |
| Provider Name | Suzanne Carroll-kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720632524 PECOS PAC ID: 4385077171 Enrollment ID: I20191210000034 |
| Provider Name | Heather Elaine Shuker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823368 PECOS PAC ID: 0042643702 Enrollment ID: I20191211000020 |
| Provider Name | John Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386294684 PECOS PAC ID: 7810320355 Enrollment ID: I20191213001462 |
| Provider Name | Claire Paulson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063940377 PECOS PAC ID: 6901173574 Enrollment ID: I20191223002175 |
| Provider Name | Louis Morolla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134577356 PECOS PAC ID: 3375833916 Enrollment ID: I20191227001454 |
| Provider Name | Joseph I Levi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841438546 PECOS PAC ID: 4183780877 Enrollment ID: I20191230000852 |
| Provider Name | Priyanka Lauber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194255273 PECOS PAC ID: 3870861339 Enrollment ID: I20200102000103 |
| Provider Name | Corrie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700424165 PECOS PAC ID: 5294160933 Enrollment ID: I20200127001415 |
| Provider Name | Kelly Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891333258 PECOS PAC ID: 1153757828 Enrollment ID: I20200129001181 |
| Provider Name | Clive Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083262075 PECOS PAC ID: 2860828209 Enrollment ID: I20200302000899 |
| Provider Name | Colleen Marie Hermany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326678301 PECOS PAC ID: 6709213812 Enrollment ID: I20200303000499 |
| Provider Name | Leah Michelle Arlequin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063868958 PECOS PAC ID: 2062707631 Enrollment ID: I20200401001890 |
| Provider Name | Ambreen Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437443637 PECOS PAC ID: 4183944788 Enrollment ID: I20200408001109 |
| Provider Name | Kelly N Strickler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831626175 PECOS PAC ID: 5193083707 Enrollment ID: I20200707000727 |
| Provider Name | Darrin Eric Doran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679011647 PECOS PAC ID: 5698044998 Enrollment ID: I20200713003453 |
| Provider Name | Matthew Romagano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427494038 PECOS PAC ID: 3971747940 Enrollment ID: I20200715001401 |
| Provider Name | Kristopher Grajny |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124414917 PECOS PAC ID: 5991031486 Enrollment ID: I20200805001498 |
| Provider Name | Victoria Psomiadis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659803872 PECOS PAC ID: 9537431697 Enrollment ID: I20200806000766 |
| Provider Name | Angela Magdaleno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720475189 PECOS PAC ID: 8123335072 Enrollment ID: I20200908002400 |
| Provider Name | Bhumi B Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982132668 PECOS PAC ID: 0749559698 Enrollment ID: I20200924002884 |
| Provider Name | Jacqueline Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679164446 PECOS PAC ID: 7315352135 Enrollment ID: I20210209000345 |
| Provider Name | Darya Rybac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679163760 PECOS PAC ID: 9638586290 Enrollment ID: I20210325002440 |
| Provider Name | Chelsea Leigh Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437749785 PECOS PAC ID: 2567879042 Enrollment ID: I20210330000092 |
| Provider Name | Kadera Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508478447 PECOS PAC ID: 1456751700 Enrollment ID: I20210609000018 |
| Provider Name | Jessica Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508395955 PECOS PAC ID: 3173891058 Enrollment ID: I20210616000048 |
| Provider Name | Jennifer Aronchick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972863066 PECOS PAC ID: 4183994056 Enrollment ID: I20210812003021 |
| Provider Name | Joseph Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548764004 PECOS PAC ID: 1153758578 Enrollment ID: I20210814000061 |
| Provider Name | James Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467025510 PECOS PAC ID: 3971909763 Enrollment ID: I20210902000123 |
| Provider Name | Natasha Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376035485 PECOS PAC ID: 9739425992 Enrollment ID: I20210924002804 |
| Provider Name | Chelsea Christine Giagni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548799398 PECOS PAC ID: 2365840451 Enrollment ID: I20211004001535 |
| Provider Name | Jessica Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326719436 PECOS PAC ID: 5890185086 Enrollment ID: I20211202000121 |
| Provider Name | Daniel Pedersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790066108 PECOS PAC ID: 7416267075 Enrollment ID: I20211209002343 |
| Provider Name | Vanessa Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184117111 PECOS PAC ID: 7810388014 Enrollment ID: I20211223000456 |
| Provider Name | Amy L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104581867 PECOS PAC ID: 1052702099 Enrollment ID: I20211229001369 |
| Provider Name | Michael Socher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811056344 PECOS PAC ID: 3870801814 Enrollment ID: I20220111002462 |
| Provider Name | Suzanne Cotter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609804137 PECOS PAC ID: 3971996042 Enrollment ID: I20220214000878 |
| Provider Name | Tanmay Lal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255380093 PECOS PAC ID: 4486646536 Enrollment ID: I20220215000001 |
| Provider Name | Marcy A Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184771370 PECOS PAC ID: 4082715081 Enrollment ID: I20220221000551 |
| Provider Name | Jicenda B Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043967714 PECOS PAC ID: 8820483712 Enrollment ID: I20220310002430 |
| Provider Name | Michele Broskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699233304 PECOS PAC ID: 8022351006 Enrollment ID: I20220615000148 |
| Provider Name | Elisabeth Rampersad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306580410 PECOS PAC ID: 9739568007 Enrollment ID: I20220616000241 |
| Provider Name | Lindsay Mrozowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861148439 PECOS PAC ID: 3870972730 Enrollment ID: I20220623000702 |
| Provider Name | William J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790417871 PECOS PAC ID: 8325421712 Enrollment ID: I20220817003528 |
| Provider Name | Solomon Saul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023493111 PECOS PAC ID: 4082915434 Enrollment ID: I20220914002661 |
| Provider Name | Kristi M Kardos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265166730 PECOS PAC ID: 7113302100 Enrollment ID: I20220920003072 |
| Provider Name | Katey J. Mcmullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598484925 PECOS PAC ID: 6608252010 Enrollment ID: I20221007000329 |
| Provider Name | Brianna Depalma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902521487 PECOS PAC ID: 0547636193 Enrollment ID: I20221021002232 |
| Provider Name | Cassie Lin Petruzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992433775 PECOS PAC ID: 0143697987 Enrollment ID: I20221107003304 |
| Provider Name | Sean Heintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245948454 PECOS PAC ID: 2860860962 Enrollment ID: I20221121003413 |
| Provider Name | Ilias Almakaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238668 PECOS PAC ID: 8628065174 Enrollment ID: I20221208001261 |
| Provider Name | Michelle Jean Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760134811 PECOS PAC ID: 7113396300 Enrollment ID: I20221209001873 |
| Provider Name | Anupam Somashekar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972036325 PECOS PAC ID: 2264707041 Enrollment ID: I20221228002992 |
| Provider Name | Izabela Dzimira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679235063 PECOS PAC ID: 4688047368 Enrollment ID: I20230228000631 |
| Provider Name | Frankline Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023716040 PECOS PAC ID: 9032582408 Enrollment ID: I20230306001605 |
| Provider Name | Kevin Beltre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215389853 PECOS PAC ID: 1951727544 Enrollment ID: I20230316002987 |
| Provider Name | Shannon Dass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588362818 PECOS PAC ID: 0244604692 Enrollment ID: I20230327000044 |
| Provider Name | Manuela Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871217778 PECOS PAC ID: 7416322813 Enrollment ID: I20230418000811 |
| Provider Name | Marissa Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356036842 PECOS PAC ID: 5991160087 Enrollment ID: I20230425000152 |
| Provider Name | Silvana Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215699228 PECOS PAC ID: 8325432032 Enrollment ID: I20230425000755 |
| Provider Name | Dat T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073140125 PECOS PAC ID: 6103257068 Enrollment ID: I20230606001032 |
| Provider Name | Rajdeep Bajwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104516954 PECOS PAC ID: 3971962796 Enrollment ID: I20230711001986 |
| Provider Name | Tori Gollie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245929546 PECOS PAC ID: 5698135093 Enrollment ID: I20230717003615 |
| Provider Name | Karolin Emia Ginting |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093200834 PECOS PAC ID: 6507220522 Enrollment ID: I20230911000009 |
| Provider Name | Luke J Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497285142 PECOS PAC ID: 9537430640 Enrollment ID: I20230913000547 |
| Provider Name | Jasmine Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801673447 PECOS PAC ID: 6002264561 Enrollment ID: I20231122002219 |
| Provider Name | Robert Ealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205619152 PECOS PAC ID: 3375992761 Enrollment ID: I20231211001886 |
| Provider Name | Jennifer Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205608239 PECOS PAC ID: 5698127405 Enrollment ID: I20240117003093 |
| Provider Name | Jhenette Lauder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912392770 PECOS PAC ID: 1557673134 Enrollment ID: I20240129003734 |
| Provider Name | Tanya Marie Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659145480 PECOS PAC ID: 7618312430 Enrollment ID: I20240301002640 |
Geisinger Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 One Norwegian Plz, Pottsville, PA 17901 Phone: 570-622-8500 | |
The Progressions Companies, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Norwegian Plz, Pottsville, PA 17901 Phone: 570-622-9448 Fax: 570-622-9102 | |
Glenn Freed Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Schuylkill Medical Plz, Suite 101, Pottsville, PA 17901 Phone: 570-622-3366 Fax: 570-622-6638 | |
Pottsville Internists Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 S Claude A Lord Blvd, Pottsville, PA 17901 Phone: 570-622-4209 Fax: 570-622-1386 | |
Maternal & Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 W Market St, Pottsville, PA 17901 Phone: 570-622-1244 Fax: 570-628-2227 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Keystone Blvd, Pottsville, PA 17901 Phone: 570-544-1633 Fax: 570-544-9872 | |
Integrated Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Tunnel Rd, Suite 203, Pottsville, PA 17901 Phone: 570-622-5455 Fax: 570-622-5493 |