| Levine Cancer Institute | |
|
7666 Charlotte Hwy Suite 200-a Indian Land SC 29707-7000 | |
| (704) 302-9600 | |
| (704) 302-9601 |
| Full Name | Levine Cancer Institute |
|---|---|
| Speciality | Internal Medicine |
| Location | 7666 Charlotte Hwy, Indian Land, South Carolina |
| Authorized Official Name and Position | Thomas Ford Laymon (SVP) |
| Authorized Official Contact | 7046310002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Levine Cancer Institute Po Box 602120 Charlotte NC 28260-2120 Ph: (704) 302-9600 | Levine Cancer Institute 7666 Charlotte Hwy Suite 200-a Indian Land SC 29707-7000 Ph: (704) 302-9600 |
| NPI Number | 1669738829 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 08/12/2016 |
| Medicare PECOS PAC ID | 2961310685 |
|---|---|
| Medicare Enrollment ID | O20100309000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669738829 | NPI | - | NPPES |
| 5919924 | Medicaid | NC | |
| NPB475 | Medicaid | SC |
| Provider Name | George D Robinette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124048863 PECOS PAC ID: 6002712445 Enrollment ID: I20031208000972 |
| Provider Name | Patricia M Oliver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073562435 PECOS PAC ID: 0143128199 Enrollment ID: I20031229000626 |
| Provider Name | Phyllis Bourn Arthur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982648283 PECOS PAC ID: 6406755792 Enrollment ID: I20040106000402 |
| Provider Name | Timothy J Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144200429 PECOS PAC ID: 4385557180 Enrollment ID: I20040115001053 |
| Provider Name | Cathy A Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609885573 PECOS PAC ID: 0547161192 Enrollment ID: I20040116000218 |
| Provider Name | Christine S Saraceno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932140829 PECOS PAC ID: 0446147730 Enrollment ID: I20040302000383 |
| Provider Name | Laura D Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164499059 PECOS PAC ID: 9537056684 Enrollment ID: I20040303000032 |
| Provider Name | Michael H Finlon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639183650 PECOS PAC ID: 1254229552 Enrollment ID: I20040309000027 |
| Provider Name | Laura Herman Julian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386660967 PECOS PAC ID: 3870481898 Enrollment ID: I20040310000171 |
| Provider Name | Karen D Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861507303 PECOS PAC ID: 7012805088 Enrollment ID: I20040310000453 |
| Provider Name | Lucinda Moody Chreitzberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588604318 PECOS PAC ID: 1355337569 Enrollment ID: I20040422001445 |
| Provider Name | Angela L Mcconnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992720031 PECOS PAC ID: 4284621236 Enrollment ID: I20040429001413 |
| Provider Name | Gregory S Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689694796 PECOS PAC ID: 4284622515 Enrollment ID: I20040504001557 |
| Provider Name | Jennifer L Zoba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215960141 PECOS PAC ID: 7719975051 Enrollment ID: I20040504001575 |
| Provider Name | Alan M Thomley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457464497 PECOS PAC ID: 6103816111 Enrollment ID: I20040513000098 |
| Provider Name | Mary J Griggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538114061 PECOS PAC ID: 5193715118 Enrollment ID: I20040513000186 |
| Provider Name | Thomas A Steffens |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447222161 PECOS PAC ID: 7214927052 Enrollment ID: I20040514000195 |
| Provider Name | Allan R Krusell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073584843 PECOS PAC ID: 2668463472 Enrollment ID: I20040520000889 |
| Provider Name | Brian P Kersten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437177474 PECOS PAC ID: 0042201444 Enrollment ID: I20040524000741 |
| Provider Name | Chandana Ganguli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285651620 PECOS PAC ID: 8628059904 Enrollment ID: I20040525000573 |
| Provider Name | Donald Wayne Woodburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801822655 PECOS PAC ID: 8527040401 Enrollment ID: I20040603001241 |
| Provider Name | Bertha Parthenia Richardson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184674707 PECOS PAC ID: 0547243487 Enrollment ID: I20040610001398 |
| Provider Name | Steven L Zacks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467530758 PECOS PAC ID: 0042294043 Enrollment ID: I20040616001328 |
| Provider Name | Wendy G Brick |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811913056 PECOS PAC ID: 9133103955 Enrollment ID: I20040617000732 |
| Provider Name | Jonathan P Mckinsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568433258 PECOS PAC ID: 6406831288 Enrollment ID: I20040624000356 |
| Provider Name | Ted A Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487626784 PECOS PAC ID: 3779568563 Enrollment ID: I20040624000400 |
| Provider Name | John Richard Graham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558319558 PECOS PAC ID: 5597742973 Enrollment ID: I20040702000717 |
| Provider Name | Kenneth G Coggins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245257682 PECOS PAC ID: 4789662503 Enrollment ID: I20040708001517 |
| Provider Name | Douglas B Robinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346260643 PECOS PAC ID: 1658359229 Enrollment ID: I20040709001171 |
| Provider Name | Michael Steven Reif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588684690 PECOS PAC ID: 9638157944 Enrollment ID: I20040713000387 |
| Provider Name | Barry E Coalson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275526683 PECOS PAC ID: 1153300181 Enrollment ID: I20040714001198 |
| Provider Name | Rody Ben Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548255680 PECOS PAC ID: 0840279675 Enrollment ID: I20040715001030 |
| Provider Name | Ashley Pendleton Gaines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811967771 PECOS PAC ID: 0648259028 Enrollment ID: I20040719000749 |
| Provider Name | Daniel K Howard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962422212 PECOS PAC ID: 4880674969 Enrollment ID: I20040720001579 |
| Provider Name | Oscar Sven Brann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003891094 PECOS PAC ID: 2961482963 Enrollment ID: I20040721000824 |
| Provider Name | Robert E Schneider |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831318476 PECOS PAC ID: 0749260610 Enrollment ID: I20040721001375 |
| Provider Name | Diane R Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487767406 PECOS PAC ID: 5395725907 Enrollment ID: I20040723000610 |
| Provider Name | Jason Wyatt Todd |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780656751 PECOS PAC ID: 9133109671 Enrollment ID: I20040723000896 |
| Provider Name | Jennifer T Bhojwani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366464307 PECOS PAC ID: 4082694559 Enrollment ID: I20040723001067 |
| Provider Name | Terica N Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427020304 PECOS PAC ID: 9133199250 Enrollment ID: I20040727001395 |
| Provider Name | Mala A Freeman-kwaku |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972582286 PECOS PAC ID: 7810967635 Enrollment ID: I20040729000257 |
| Provider Name | David E Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629003314 PECOS PAC ID: 8527039726 Enrollment ID: I20040802001644 |
| Provider Name | Ginger A Dickerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558385062 PECOS PAC ID: 7214908086 Enrollment ID: I20040804001186 |
| Provider Name | Grant L Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437173937 PECOS PAC ID: 1254302037 Enrollment ID: I20040804001249 |
| Provider Name | Robert Dee Vaughn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942291232 PECOS PAC ID: 0143291930 Enrollment ID: I20040804001323 |
| Provider Name | Winston Y Godwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568448280 PECOS PAC ID: 6709857477 Enrollment ID: I20040804001901 |
| Provider Name | David Antonio Cosenza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033196399 PECOS PAC ID: 7719879634 Enrollment ID: I20040811000478 |
| Provider Name | Kerry R Bianchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659324333 PECOS PAC ID: 0446223937 Enrollment ID: I20040813000385 |
| Provider Name | Missy Elaine Mims Kirkman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487693305 PECOS PAC ID: 9739153065 Enrollment ID: I20040823001310 |
| Provider Name | Seungjean Chai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093702201 PECOS PAC ID: 5193799229 Enrollment ID: I20040824000529 |
| Provider Name | Daniel Edwin Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093708414 PECOS PAC ID: 2062486152 Enrollment ID: I20040824000925 |
| Provider Name | Mary A Knovich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750365128 PECOS PAC ID: 2062486871 Enrollment ID: I20040825001308 |
| Provider Name | Laura L Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902876840 PECOS PAC ID: 9537135462 Enrollment ID: I20040902000612 |
| Provider Name | Peter Michael Voorhees |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1457412454 PECOS PAC ID: 1355318213 Enrollment ID: I20040911000129 |
| Provider Name | Peter J Honerkamp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659395333 PECOS PAC ID: 1557338373 Enrollment ID: I20040913000263 |
| Provider Name | Michael Shawn Gaddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518994516 PECOS PAC ID: 2668431941 Enrollment ID: I20041004000934 |
| Provider Name | Caroline Neill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770525131 PECOS PAC ID: 3779543145 Enrollment ID: I20041012000427 |
| Provider Name | Gregory Bracewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316997497 PECOS PAC ID: 3173583309 Enrollment ID: I20041013000121 |
| Provider Name | George Andrew Burhans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265472666 PECOS PAC ID: 0648230318 Enrollment ID: I20041016000226 |
| Provider Name | Michael Dixon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346260577 PECOS PAC ID: 4789644337 Enrollment ID: I20041018000683 |
| Provider Name | Shantala A Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700891421 PECOS PAC ID: 6204897747 Enrollment ID: I20041019000881 |
| Provider Name | Mark J Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770553869 PECOS PAC ID: 7618938978 Enrollment ID: I20041020001233 |
| Provider Name | Elizabeth I Abernathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871518910 PECOS PAC ID: 7517928427 Enrollment ID: I20041025000195 |
| Provider Name | William R Dennis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518986272 PECOS PAC ID: 4284696808 Enrollment ID: I20041027000246 |
| Provider Name | Jonathan Abram Shraga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932187820 PECOS PAC ID: 6800858937 Enrollment ID: I20041103000417 |
| Provider Name | Boris Michael Krivitsky |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962551986 PECOS PAC ID: 9234192733 Enrollment ID: I20041105000530 |
| Provider Name | Pat Geary Shafer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861577603 PECOS PAC ID: 8022073543 Enrollment ID: I20041124000100 |
| Provider Name | Corinne Munn Chausse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568548402 PECOS PAC ID: 6800851320 Enrollment ID: I20041124000130 |
| Provider Name | Judith K Gais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780651612 PECOS PAC ID: 8022073022 Enrollment ID: I20041201000174 |
| Provider Name | Tony R Hinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003887159 PECOS PAC ID: 7315903275 Enrollment ID: I20041202000976 |
| Provider Name | William Doss Howell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023108958 PECOS PAC ID: 7517923915 Enrollment ID: I20041207001212 |
| Provider Name | Marcus L Wever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700850732 PECOS PAC ID: 1850357195 Enrollment ID: I20041208000290 |
| Provider Name | Kimberly A Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477574721 PECOS PAC ID: 2466418777 Enrollment ID: I20041208000854 |
| Provider Name | Lynda W Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053495481 PECOS PAC ID: 7012974017 Enrollment ID: I20041210000837 |
| Provider Name | James G Zolzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104854173 PECOS PAC ID: 9537126370 Enrollment ID: I20041216000686 |
| Provider Name | Jan G Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598702896 PECOS PAC ID: 3072561034 Enrollment ID: I20050106000073 |
| Provider Name | Sean A Mccaffrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073543443 PECOS PAC ID: 8325096936 Enrollment ID: I20050111000286 |
| Provider Name | Jason Alex Espada |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013932284 PECOS PAC ID: 6305895723 Enrollment ID: I20050112000958 |
| Provider Name | Douglas G Kelling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396717708 PECOS PAC ID: 6002865516 Enrollment ID: I20050121000295 |
| Provider Name | Sherry L Bernardo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124055819 PECOS PAC ID: 9931150778 Enrollment ID: I20050209000291 |
| Provider Name | Phyllis Tyson Kupsick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033199682 PECOS PAC ID: 3476505611 Enrollment ID: I20050215001063 |
| Provider Name | Neeraj Ashri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871501700 PECOS PAC ID: 6406809193 Enrollment ID: I20050222000764 |
| Provider Name | Amy W Courson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659302834 PECOS PAC ID: 8820041007 Enrollment ID: I20050228000821 |
| Provider Name | Andrew Scott Bensky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659387280 PECOS PAC ID: 1052365616 Enrollment ID: I20050307000217 |
| Provider Name | George Craig Clinard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992812150 PECOS PAC ID: 4486608049 Enrollment ID: I20050307000238 |
| Provider Name | Richard T Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801806377 PECOS PAC ID: 7416901087 Enrollment ID: I20050307000308 |
| Provider Name | Sanjeev K Gulati |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1578574638 PECOS PAC ID: 3274587803 Enrollment ID: I20050308000192 |
| Provider Name | Sanjay R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811004997 PECOS PAC ID: 9537113162 Enrollment ID: I20050308000204 |
| Provider Name | Theodore Alan Frank |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1942211164 PECOS PAC ID: 6204728454 Enrollment ID: I20050308000214 |
| Provider Name | Samuel H Zimmern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750494753 PECOS PAC ID: 4981658440 Enrollment ID: I20050308000454 |
| Provider Name | Philip James Iuliano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003828716 PECOS PAC ID: 9133173313 Enrollment ID: I20050310000320 |
| Provider Name | Joyclyn Thompson Rusk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467408419 PECOS PAC ID: 3072567148 Enrollment ID: I20050310001073 |
| Provider Name | Marc K Dy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366412207 PECOS PAC ID: 4587619010 Enrollment ID: I20050317000778 |
| Provider Name | Charles T Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982631305 PECOS PAC ID: 6608821897 Enrollment ID: I20050321000893 |
| Provider Name | Scott A Sherrill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447294137 PECOS PAC ID: 8628024502 Enrollment ID: I20050323001095 |
| Provider Name | Lisa P Hood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720022718 PECOS PAC ID: 0345297404 Enrollment ID: I20050401000030 |
| Provider Name | Adam D Kokoszka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821180076 PECOS PAC ID: 5193764397 Enrollment ID: I20050427000772 |
| Provider Name | Christopher D Sepe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154363646 PECOS PAC ID: 3476592387 Enrollment ID: I20050429000663 |
| Provider Name | Patrick L Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528010881 PECOS PAC ID: 4880633528 Enrollment ID: I20050502000746 |
| Provider Name | Robert M Smith |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659490357 PECOS PAC ID: 7517907058 Enrollment ID: I20050504000811 |
| Provider Name | Heather Lee Mertz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477533115 PECOS PAC ID: 9537109913 Enrollment ID: I20050504001150 |
| Provider Name | William M Satterwhite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063471654 PECOS PAC ID: 4981644200 Enrollment ID: I20050510001038 |
| Provider Name | Guy E De Gent |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558323139 PECOS PAC ID: 9931140753 Enrollment ID: I20050520000993 |
| Provider Name | Janet Uhlan Crook |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417075813 PECOS PAC ID: 5597707786 Enrollment ID: I20050527000153 |
| Provider Name | Darlene Hicks Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760634554 PECOS PAC ID: 0648213942 Enrollment ID: I20050608000022 |
| Provider Name | Matthew K Tsuei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942275276 PECOS PAC ID: 8022051176 Enrollment ID: I20050609000086 |
| Provider Name | Anthony J Caprio |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659459659 PECOS PAC ID: 4688649700 Enrollment ID: I20050629000538 |
| Provider Name | Nikki C Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992749196 PECOS PAC ID: 2062448947 Enrollment ID: I20050712000803 |
| Provider Name | Rene Bermudez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003895004 PECOS PAC ID: 2961438809 Enrollment ID: I20050712001217 |
| Provider Name | Garry H Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588636294 PECOS PAC ID: 5294762803 Enrollment ID: I20050725001050 |
| Provider Name | Geoffrey D Rackoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070184 PECOS PAC ID: 5698703056 Enrollment ID: I20050728000039 |
| Provider Name | David W Mcmurry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114999539 PECOS PAC ID: 0446246433 Enrollment ID: I20050728000060 |
| Provider Name | James E Wheless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407828056 PECOS PAC ID: 4385672740 Enrollment ID: I20050728000076 |
| Provider Name | Amy T Watson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235101882 PECOS PAC ID: 7214965151 Enrollment ID: I20050801001001 |
| Provider Name | John Erol Barkenbus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285655290 PECOS PAC ID: 0345278206 Enrollment ID: I20050801001163 |
| Provider Name | Nicholas B Sliz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801806344 PECOS PAC ID: 8527096239 Enrollment ID: I20050802001266 |
| Provider Name | Gail Sutton Wooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023019361 PECOS PAC ID: 1456381987 Enrollment ID: I20050815000984 |
| Provider Name | Susan M Stephen Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073513388 PECOS PAC ID: 5799759825 Enrollment ID: I20050822000188 |
| Provider Name | Robert C Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245227651 PECOS PAC ID: 5092746883 Enrollment ID: I20050822000778 |
| Provider Name | Elizabeth L Beal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295779189 PECOS PAC ID: 3173554938 Enrollment ID: I20050822001334 |
| Provider Name | Sridhaar E Pal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245253640 PECOS PAC ID: 2062443641 Enrollment ID: I20050823000925 |
| Provider Name | John Stuart Salmon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043234370 PECOS PAC ID: 8921065467 Enrollment ID: I20050824001050 |
| Provider Name | Joy K Ball |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366444218 PECOS PAC ID: 1557391455 Enrollment ID: I20050826000406 |
| Provider Name | Michael J Kennelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720021637 PECOS PAC ID: 4183655350 Enrollment ID: I20050826000912 |
| Provider Name | Daniel S Senft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437175890 PECOS PAC ID: 2365474228 Enrollment ID: I20050831000688 |
| Provider Name | Carolyn Davis Eskridge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841209681 PECOS PAC ID: 4284666934 Enrollment ID: I20050902000282 |
| Provider Name | Mariealane Barbara Hellner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457376469 PECOS PAC ID: 0244263184 Enrollment ID: I20050913000103 |
| Provider Name | Annette P Sido |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770548406 PECOS PAC ID: 4688608029 Enrollment ID: I20050924000030 |
| Provider Name | Daniel Campo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922033521 PECOS PAC ID: 3072548189 Enrollment ID: I20050928000137 |
| Provider Name | Angela S Yacuzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437257029 PECOS PAC ID: 1153346390 Enrollment ID: I20051007000021 |
| Provider Name | Michele N Schaefer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366414393 PECOS PAC ID: 6901822303 Enrollment ID: I20051014000471 |
| Provider Name | Sherri L Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447206479 PECOS PAC ID: 2264459361 Enrollment ID: I20051027001190 |
| Provider Name | Ronald J Bibey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841392040 PECOS PAC ID: 7012972763 Enrollment ID: I20051101000761 |
| Provider Name | Michael J Reddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356431290 PECOS PAC ID: 5991722670 Enrollment ID: I20051101000825 |
| Provider Name | Aradhana Patel Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134190283 PECOS PAC ID: 7012934656 Enrollment ID: I20051102000075 |
| Provider Name | Edward Mccutcheon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932125283 PECOS PAC ID: 8426076076 Enrollment ID: I20051102001074 |
| Provider Name | Michael G Ribadeneyra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194718528 PECOS PAC ID: 0648298034 Enrollment ID: I20051103000958 |
| Provider Name | Richard Lee Sigmon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922026269 PECOS PAC ID: 9335168954 Enrollment ID: I20051114000345 |
| Provider Name | Melonie A Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093766511 PECOS PAC ID: 9638198906 Enrollment ID: I20051116000062 |
| Provider Name | Leslie B Sossoman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952318560 PECOS PAC ID: 1658390638 Enrollment ID: I20051118000485 |
| Provider Name | Asim Amin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518965607 PECOS PAC ID: 1153340955 Enrollment ID: I20051121000853 |
| Provider Name | Tina P Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871560607 PECOS PAC ID: 0446270011 Enrollment ID: I20051128000506 |
| Provider Name | Lavonia Carter Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528039252 PECOS PAC ID: 2567482623 Enrollment ID: I20051205000055 |
| Provider Name | Richard Laverne White |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609890656 PECOS PAC ID: 2264453034 Enrollment ID: I20051208000830 |
| Provider Name | Thomas R Rapisardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710908066 PECOS PAC ID: 3375564768 Enrollment ID: I20051213000611 |
| Provider Name | Kenneth Irwin Fink |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205817558 PECOS PAC ID: 1759302847 Enrollment ID: I20051216000409 |
| Provider Name | Lara Junine Pons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033107800 PECOS PAC ID: 5395766497 Enrollment ID: I20051216000516 |
| Provider Name | Michael S Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043233356 PECOS PAC ID: 7810919826 Enrollment ID: I20051219000668 |
| Provider Name | Michael W Kendall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134142433 PECOS PAC ID: 6507888518 Enrollment ID: I20051219000693 |
| Provider Name | Carrie Alene Copeland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518095033 PECOS PAC ID: 2163445222 Enrollment ID: I20060104000788 |
| Provider Name | Shirley K Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124098298 PECOS PAC ID: 7315848934 Enrollment ID: I20060123000148 |
| Provider Name | Charles L Tucker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033189501 PECOS PAC ID: 5890717920 Enrollment ID: I20060125000872 |
| Provider Name | Benjamin Kunesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477524148 PECOS PAC ID: 1254345275 Enrollment ID: I20060130000467 |
| Provider Name | Linda D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558338210 PECOS PAC ID: 2365456217 Enrollment ID: I20060130000819 |
| Provider Name | Jay N Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982670501 PECOS PAC ID: 5597700575 Enrollment ID: I20060215000391 |
| Provider Name | John C Vick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033137666 PECOS PAC ID: 3678589090 Enrollment ID: I20060222000603 |
| Provider Name | Jaspal Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720010895 PECOS PAC ID: 3173425162 Enrollment ID: I20060301000357 |
| Provider Name | Crystal P Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669490884 PECOS PAC ID: 3375550304 Enrollment ID: I20060315000498 |
| Provider Name | Carmen M Hatley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417976291 PECOS PAC ID: 1355358292 Enrollment ID: I20060316000572 |
| Provider Name | Beth E Susi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063445724 PECOS PAC ID: 1153338942 Enrollment ID: I20060320000649 |
| Provider Name | Maureen H Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407894835 PECOS PAC ID: 2668480716 Enrollment ID: I20060330000602 |
| Provider Name | Jane Elizabeth Nymberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316963580 PECOS PAC ID: 3476562877 Enrollment ID: I20060412000631 |
| Provider Name | Melissa D Matulis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881648723 PECOS PAC ID: 1153332309 Enrollment ID: I20060601000116 |
| Provider Name | Jean Francois Lefaivre |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477500239 PECOS PAC ID: 1153334255 Enrollment ID: I20060712000297 |
| Provider Name | Craig J Speiser |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689602856 PECOS PAC ID: 9032122734 Enrollment ID: I20060725000285 |
| Provider Name | Thomas A Cornett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811920648 PECOS PAC ID: 1951314467 Enrollment ID: I20060731000380 |
| Provider Name | Carolyn Dutton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861446213 PECOS PAC ID: 6507881919 Enrollment ID: I20060810000074 |
| Provider Name | Mark J Makhuli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003847310 PECOS PAC ID: 7416950415 Enrollment ID: I20060811000354 |
| Provider Name | Connie Tsang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932138559 PECOS PAC ID: 7012910979 Enrollment ID: I20060814000453 |
| Provider Name | Nadine A Lettman-carswell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558397778 PECOS PAC ID: 1759384357 Enrollment ID: I20060822000184 |
| Provider Name | Everlyn Hall-baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174574149 PECOS PAC ID: 5496750572 Enrollment ID: I20060923000024 |
| Provider Name | Jason J Batley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962463372 PECOS PAC ID: 8820093677 Enrollment ID: I20060928000578 |
| Provider Name | James A Wheeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760406029 PECOS PAC ID: 1557366267 Enrollment ID: I20060930000053 |
| Provider Name | Adam G Ravin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164460465 PECOS PAC ID: 6204832702 Enrollment ID: I20061005000482 |
| Provider Name | Denise K Hogan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659395101 PECOS PAC ID: 0042216004 Enrollment ID: I20061013000526 |
| Provider Name | Nikki Koklanaris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265447742 PECOS PAC ID: 4284536459 Enrollment ID: I20061013000585 |
| Provider Name | Stephen Lingo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376658575 PECOS PAC ID: 1456366004 Enrollment ID: I20061016000154 |
| Provider Name | Scott M Sprouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437174653 PECOS PAC ID: 8729084512 Enrollment ID: I20061019000103 |
| Provider Name | Kelly R Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114955242 PECOS PAC ID: 3577560440 Enrollment ID: I20061107000323 |
| Provider Name | Leslie M Schlappich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336180389 PECOS PAC ID: 1951308733 Enrollment ID: I20061109000169 |
| Provider Name | Nirav P Chiniwalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114955291 PECOS PAC ID: 0446258602 Enrollment ID: I20061122000159 |
| Provider Name | Jeffrey Brian Pitman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699794909 PECOS PAC ID: 2860490927 Enrollment ID: I20061128000233 |
| Provider Name | Suzanne Mclester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831118298 PECOS PAC ID: 4981602885 Enrollment ID: I20061130000326 |
| Provider Name | Reza Nazemzadeh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124137716 PECOS PAC ID: 7719986546 Enrollment ID: I20061205000488 |
| Provider Name | Nihan Gurcanlar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417962242 PECOS PAC ID: 5698732071 Enrollment ID: I20061206000366 |
| Provider Name | Jessica W Steed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689607954 PECOS PAC ID: 4880693589 Enrollment ID: I20061206000461 |
| Provider Name | Pierce B Irby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538109905 PECOS PAC ID: 6002815560 Enrollment ID: I20061211000192 |
| Provider Name | Timothy M Fain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417969809 PECOS PAC ID: 5294734679 Enrollment ID: I20061212000586 |
| Provider Name | Amy Y Gorman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225053416 PECOS PAC ID: 4385643774 Enrollment ID: I20061212000702 |
| Provider Name | David A Iannitti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447257332 PECOS PAC ID: 0143280917 Enrollment ID: I20061214000391 |
| Provider Name | Susan Lynn Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912009424 PECOS PAC ID: 2365482700 Enrollment ID: I20061215000264 |
| Provider Name | Julie Michelle Freeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417966938 PECOS PAC ID: 3870593619 Enrollment ID: I20070102000051 |
| Provider Name | Tooba Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225112899 PECOS PAC ID: 6901806108 Enrollment ID: I20070112000159 |
| Provider Name | Keenya L Little |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912988080 PECOS PAC ID: 3678575370 Enrollment ID: I20070208000704 |
| Provider Name | Terri Wallace Accardo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518052497 PECOS PAC ID: 1850393471 Enrollment ID: I20070212000397 |
| Provider Name | Corey Allyson Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144329251 PECOS PAC ID: 6800898396 Enrollment ID: I20070213000450 |
| Provider Name | Robert Wendel Naumann |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730196098 PECOS PAC ID: 0941202246 Enrollment ID: I20070214000366 |
| Provider Name | Gary P Frenette |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235144692 PECOS PAC ID: 5294737581 Enrollment ID: I20070215000781 |
| Provider Name | Marialice Wagner Gulledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770675027 PECOS PAC ID: 9335241223 Enrollment ID: I20070223000238 |
| Provider Name | Michael B Livingston |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396769618 PECOS PAC ID: 3870695653 Enrollment ID: I20070226000232 |
| Provider Name | John S Hanson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164470175 PECOS PAC ID: 9739075383 Enrollment ID: I20070302000478 |
| Provider Name | David Loren Tait |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1215969613 PECOS PAC ID: 1557464674 Enrollment ID: I20070310000060 |
| Provider Name | Jerry Allen Wedincamp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700978590 PECOS PAC ID: 6709989742 Enrollment ID: I20070313000387 |
| Provider Name | David G Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255356515 PECOS PAC ID: 2062515893 Enrollment ID: I20070314000601 |
| Provider Name | Sarah Bonkovsky Rodela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659358141 PECOS PAC ID: 6608846175 Enrollment ID: I20070319000525 |
| Provider Name | Stephen S Zouzoulas |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033140892 PECOS PAC ID: 0749384089 Enrollment ID: I20070327000351 |
| Provider Name | Jonathan C Salo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699790840 PECOS PAC ID: 1850495979 Enrollment ID: I20070329000591 |
| Provider Name | Crystal A Manuel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366524720 PECOS PAC ID: 4789788829 Enrollment ID: I20070330000053 |
| Provider Name | Michelle Karen Chiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407871767 PECOS PAC ID: 7214031269 Enrollment ID: I20070330000287 |
| Provider Name | Robert T Yavorski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043236318 PECOS PAC ID: 0749384683 Enrollment ID: I20070402000528 |
| Provider Name | Daniel P Mcmahon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720002140 PECOS PAC ID: 3072617786 Enrollment ID: I20070404000456 |
| Provider Name | Andrew G Ferris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245395185 PECOS PAC ID: 9931203619 Enrollment ID: I20070406000248 |
| Provider Name | Rhett Michael Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285678771 PECOS PAC ID: 0941305205 Enrollment ID: I20070414000028 |
| Provider Name | Martin William Scobey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467478990 PECOS PAC ID: 4880799154 Enrollment ID: I20070414000087 |
| Provider Name | Charles H Packman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1992720494 PECOS PAC ID: 7719082924 Enrollment ID: I20070417000560 |
| Provider Name | Thomas J Pacicco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356367619 PECOS PAC ID: 7315042413 Enrollment ID: I20070418000422 |
| Provider Name | Lon B Eskind |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689605305 PECOS PAC ID: 8325143423 Enrollment ID: I20070418000495 |
| Provider Name | Briana Wright Heniford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841298098 PECOS PAC ID: 2163527193 Enrollment ID: I20070419000091 |
| Provider Name | Toan T Huynh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043232887 PECOS PAC ID: 2567567597 Enrollment ID: I20070419000139 |
| Provider Name | Stephen Ward Hildebrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447247481 PECOS PAC ID: 8628173341 Enrollment ID: I20070424000696 |
| Provider Name | Brian K Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093886996 PECOS PAC ID: 1951408699 Enrollment ID: I20070515000202 |
| Provider Name | Michael Andrew Zgoda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902910854 PECOS PAC ID: 4587694666 Enrollment ID: I20070523000602 |
| Provider Name | Emmanuel T Enohmbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508965526 PECOS PAC ID: 8527066026 Enrollment ID: I20070608000481 |
| Provider Name | Michele L Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902998115 PECOS PAC ID: 9335247675 Enrollment ID: I20070609000035 |
| Provider Name | James B Hall |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1215944616 PECOS PAC ID: 9830298884 Enrollment ID: I20070615000612 |
| Provider Name | Robert Nantais |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447234588 PECOS PAC ID: 2567435571 Enrollment ID: I20070615000627 |
| Provider Name | Paul G Gambrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609906239 PECOS PAC ID: 7315046075 Enrollment ID: I20070620000516 |
| Provider Name | Melissa M Marin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063579563 PECOS PAC ID: 2163521576 Enrollment ID: I20070626000737 |
| Provider Name | Natalie Wilson Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225106180 PECOS PAC ID: 6800995945 Enrollment ID: I20070630000009 |
| Provider Name | Ngina K Connors |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689659344 PECOS PAC ID: 3173548344 Enrollment ID: I20070702000169 |
| Provider Name | Leigh Goodwin Cicci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306816210 PECOS PAC ID: 7719087766 Enrollment ID: I20070705000476 |
| Provider Name | Robert D Roycroft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417929126 PECOS PAC ID: 1355441304 Enrollment ID: I20070705000479 |
| Provider Name | Karis J Kremers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558332320 PECOS PAC ID: 6608976659 Enrollment ID: I20070705000490 |
| Provider Name | Wayne B Phillip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336111582 PECOS PAC ID: 4880794841 Enrollment ID: I20070705000496 |
| Provider Name | Richard F Williams |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679545230 PECOS PAC ID: 8123128188 Enrollment ID: I20070705000527 |
| Provider Name | Geoffery B Van Waveren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750358651 PECOS PAC ID: 9436259322 Enrollment ID: I20070706000201 |
| Provider Name | Carol Y Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891762522 PECOS PAC ID: 3476653361 Enrollment ID: I20070706000248 |
| Provider Name | Helen B Trahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205803103 PECOS PAC ID: 6800996729 Enrollment ID: I20070706000487 |
| Provider Name | Brigid A Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295707180 PECOS PAC ID: 0143320085 Enrollment ID: I20070707000036 |
| Provider Name | Robert Moser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023080934 PECOS PAC ID: 3779683610 Enrollment ID: I20070707000037 |
| Provider Name | Nathan W Lairamore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720059496 PECOS PAC ID: 5395845234 Enrollment ID: I20070707000053 |
| Provider Name | Bing Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306817085 PECOS PAC ID: 7113027053 Enrollment ID: I20070707000055 |
| Provider Name | Russ Bodner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639149693 PECOS PAC ID: 0840390787 Enrollment ID: I20070707000058 |
| Provider Name | Francois Picot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215914080 PECOS PAC ID: 1759481690 Enrollment ID: I20070707000060 |
| Provider Name | Ryan A Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801866801 PECOS PAC ID: 2365542156 Enrollment ID: I20070709000536 |
| Provider Name | John David Turner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720050461 PECOS PAC ID: 1557461308 Enrollment ID: I20070710000531 |
| Provider Name | Roderick Lilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992772875 PECOS PAC ID: 5496855157 Enrollment ID: I20070710000685 |
| Provider Name | John Norris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124095856 PECOS PAC ID: 1557461217 Enrollment ID: I20070710000714 |
| Provider Name | James Holt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083684385 PECOS PAC ID: 1850491531 Enrollment ID: I20070710000857 |
| Provider Name | Staci F Condrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922078831 PECOS PAC ID: 2365542057 Enrollment ID: I20070710000913 |
| Provider Name | Christopher S Connelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457321978 PECOS PAC ID: 9638279334 Enrollment ID: I20070710001013 |
| Provider Name | Sylvie Bastadjian Yessayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922085844 PECOS PAC ID: 3870693583 Enrollment ID: I20070711000095 |
| Provider Name | Harold T Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174590590 PECOS PAC ID: 9032219753 Enrollment ID: I20070711000156 |
| Provider Name | Leanne Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386647808 PECOS PAC ID: 3971540675 Enrollment ID: I20070711000947 |
| Provider Name | Barbara K Barone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275512469 PECOS PAC ID: 7810097425 Enrollment ID: I20070711001020 |
| Provider Name | James Grier Wall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447222187 PECOS PAC ID: 9931209475 Enrollment ID: I20070712000357 |
| Provider Name | Tony L Walden |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104898170 PECOS PAC ID: 6406956994 Enrollment ID: I20070712000719 |
| Provider Name | Barbara L Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841212180 PECOS PAC ID: 6305947565 Enrollment ID: I20070718000702 |
| Provider Name | Robert W Surratt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700858776 PECOS PAC ID: 3476654914 Enrollment ID: I20070727000154 |
| Provider Name | Vishwa S Raj |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992912828 PECOS PAC ID: 7416058847 Enrollment ID: I20070728000242 |
| Provider Name | Robert N London |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902010168 PECOS PAC ID: 3678664851 Enrollment ID: I20070801000720 |
| Provider Name | Nancy Hendrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861610347 PECOS PAC ID: 5395836498 Enrollment ID: I20070803000196 |
| Provider Name | Erin L Moser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134339849 PECOS PAC ID: 0941391569 Enrollment ID: I20070810000123 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20070810000591 |
| Provider Name | Alan C Heffner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093700460 PECOS PAC ID: 8224074463 Enrollment ID: I20070811000120 |
| Provider Name | Andrew M Dries |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639394760 PECOS PAC ID: 6800987397 Enrollment ID: I20070813000778 |
| Provider Name | Elizabeth O Brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641573 PECOS PAC ID: 7517058985 Enrollment ID: I20070814000765 |
| Provider Name | Luci L New |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689691016 PECOS PAC ID: 5991897910 Enrollment ID: I20070822001196 |
| Provider Name | Esther L Blanks-sheard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639397680 PECOS PAC ID: 4981796828 Enrollment ID: I20070822001410 |
| Provider Name | Michael Wenning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821299728 PECOS PAC ID: 2567554413 Enrollment ID: I20070822001552 |
| Provider Name | Brad Freidinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164644837 PECOS PAC ID: 1456443118 Enrollment ID: I20070825000131 |
| Provider Name | Harold D Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790757763 PECOS PAC ID: 2769574458 Enrollment ID: I20070827000239 |
| Provider Name | Saju D Joy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356375968 PECOS PAC ID: 3173615721 Enrollment ID: I20070827000888 |
| Provider Name | Daniel Ricardo Carrizosa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912022716 PECOS PAC ID: 6305938952 Enrollment ID: I20070827000938 |
| Provider Name | Marc E Ward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518073261 PECOS PAC ID: 2365438397 Enrollment ID: I20070828000376 |
| Provider Name | Henry Y Chow |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871563775 PECOS PAC ID: 3971695487 Enrollment ID: I20070828000567 |
| Provider Name | Gordon K Lam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750427308 PECOS PAC ID: 0446343826 Enrollment ID: I20070830000087 |
| Provider Name | Yolanda Y Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982638995 PECOS PAC ID: 2365535663 Enrollment ID: I20070831000409 |
| Provider Name | Mark E Braun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083636286 PECOS PAC ID: 4082707229 Enrollment ID: I20070905000238 |
| Provider Name | Julie M Gilmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316157027 PECOS PAC ID: 3274626155 Enrollment ID: I20070908000170 |
| Provider Name | Michael Joseph Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841369840 PECOS PAC ID: 3971564170 Enrollment ID: I20070910000534 |
| Provider Name | Evangelista A Mullinax |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336197219 PECOS PAC ID: 4880787449 Enrollment ID: I20070912000689 |
| Provider Name | Candice B Pethel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225248933 PECOS PAC ID: 2466546841 Enrollment ID: I20070915000298 |
| Provider Name | Kenneth Wesley Sauser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922022102 PECOS PAC ID: 4789778952 Enrollment ID: I20070919000142 |
| Provider Name | Mary J Detchemendy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093737009 PECOS PAC ID: 3375637481 Enrollment ID: I20070920000335 |
| Provider Name | Benjamin D Bringardner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275656639 PECOS PAC ID: 2163516832 Enrollment ID: I20070926000285 |
| Provider Name | Patrick Kelly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063474419 PECOS PAC ID: 4688769318 Enrollment ID: I20070926000900 |
| Provider Name | Daisha M Dobbins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427070317 PECOS PAC ID: 4688769334 Enrollment ID: I20070926001004 |
| Provider Name | Ilona S Humes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386658383 PECOS PAC ID: 7416951314 Enrollment ID: I20071009000986 |
| Provider Name | Jennifer W Mcneace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184816167 PECOS PAC ID: 3274629605 Enrollment ID: I20071017000467 |
| Provider Name | Amy C Readling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467475178 PECOS PAC ID: 3870680614 Enrollment ID: I20071026000171 |
| Provider Name | Eugene S Dawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346282555 PECOS PAC ID: 0446347769 Enrollment ID: I20071103000033 |
| Provider Name | James Kuo Li Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720020977 PECOS PAC ID: 0042307266 Enrollment ID: I20071103000076 |
| Provider Name | Nelly F Welsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629267380 PECOS PAC ID: 5991893828 Enrollment ID: I20071110000082 |
| Provider Name | Terri A Crockett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073532743 PECOS PAC ID: 7315035250 Enrollment ID: I20071110000152 |
| Provider Name | Mary E Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518084532 PECOS PAC ID: 6608964838 Enrollment ID: I20071121000276 |
| Provider Name | Melissa H Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538140694 PECOS PAC ID: 2466541081 Enrollment ID: I20071205000280 |
| Provider Name | John D Doty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992786081 PECOS PAC ID: 2466424627 Enrollment ID: I20071210000657 |
| Provider Name | Lynda G Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942280664 PECOS PAC ID: 6204926090 Enrollment ID: I20071217000609 |
| Provider Name | Shelley M Cochrane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396925152 PECOS PAC ID: 6204926538 Enrollment ID: I20071226000260 |
| Provider Name | Jenny A Reiber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982690392 PECOS PAC ID: 5799772182 Enrollment ID: I20071226000342 |
| Provider Name | Dawn J Fyler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972565885 PECOS PAC ID: 7517915549 Enrollment ID: I20080202000034 |
| Provider Name | Kimberly F Tribo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558372300 PECOS PAC ID: 1658454798 Enrollment ID: I20080212000507 |
| Provider Name | William John Horan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801880687 PECOS PAC ID: 0648379255 Enrollment ID: I20080222000117 |
| Provider Name | Gregory S Pape |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528059771 PECOS PAC ID: 6002849361 Enrollment ID: I20080229000414 |
| Provider Name | Richard A Fellman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265443683 PECOS PAC ID: 8921025859 Enrollment ID: I20080304000832 |
| Provider Name | Randa B Eury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760651160 PECOS PAC ID: 0345326302 Enrollment ID: I20080401000176 |
| Provider Name | Amy B Edinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447439336 PECOS PAC ID: 8820173966 Enrollment ID: I20080401000619 |
| Provider Name | Jaime W Cardozo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962689299 PECOS PAC ID: 1557448016 Enrollment ID: I20080408000370 |
| Provider Name | Ryan J Jamison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912947821 PECOS PAC ID: 6608885710 Enrollment ID: I20080424000437 |
| Provider Name | Martin E English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770508855 PECOS PAC ID: 9133207418 Enrollment ID: I20080428000327 |
| Provider Name | Rizalyn L Turcotte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629253489 PECOS PAC ID: 3870508716 Enrollment ID: I20080429000131 |
| Provider Name | Allison Barbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467402123 PECOS PAC ID: 4183627169 Enrollment ID: I20080530000215 |
| Provider Name | Terry Sarantou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497718787 PECOS PAC ID: 2264502996 Enrollment ID: I20080605000902 |
| Provider Name | Aishwarya Palwai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013111327 PECOS PAC ID: 2163593591 Enrollment ID: I20080612000497 |
| Provider Name | Melissa A Manners |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750315255 PECOS PAC ID: 3678663887 Enrollment ID: I20080630000456 |
| Provider Name | Sage Ethel Louise Brook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952398729 PECOS PAC ID: 8123190964 Enrollment ID: I20080710000500 |
| Provider Name | Kerri-ann R Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649445735 PECOS PAC ID: 1951473727 Enrollment ID: I20080710000650 |
| Provider Name | Beata Malinowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912952532 PECOS PAC ID: 2264449404 Enrollment ID: I20080717000618 |
| Provider Name | Ronald Dean Butler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598717829 PECOS PAC ID: 9032283668 Enrollment ID: I20080731000024 |
| Provider Name | David Duncan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972760304 PECOS PAC ID: 2466526959 Enrollment ID: I20080731000643 |
| Provider Name | Kamari Demond Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184643454 PECOS PAC ID: 5991879496 Enrollment ID: I20080731000754 |
| Provider Name | Rachel P Ortiz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598715526 PECOS PAC ID: 9032283320 Enrollment ID: I20080805000255 |
| Provider Name | Tedra Michelle Claytor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588872642 PECOS PAC ID: 1355415498 Enrollment ID: I20080807000172 |
| Provider Name | Brian K Cain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083733273 PECOS PAC ID: 3072619014 Enrollment ID: I20080807000211 |
| Provider Name | Michael Brian Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952453623 PECOS PAC ID: 5597736520 Enrollment ID: I20080822000205 |
| Provider Name | Kris Gaston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881657252 PECOS PAC ID: 9739278755 Enrollment ID: I20080826000824 |
| Provider Name | Nehal P Thakkar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194772368 PECOS PAC ID: 7810990512 Enrollment ID: I20080904000718 |
| Provider Name | Christy C Halbedel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558529768 PECOS PAC ID: 2163598574 Enrollment ID: I20080909000655 |
| Provider Name | Sarise B Freiman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750396271 PECOS PAC ID: 5799852372 Enrollment ID: I20080923000822 |
| Provider Name | Patricia D Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174611560 PECOS PAC ID: 8628972478 Enrollment ID: I20081002000181 |
| Provider Name | Jeanne Annette Rollins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497896690 PECOS PAC ID: 1557439643 Enrollment ID: I20081002000219 |
| Provider Name | Sherma S Morton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700915873 PECOS PAC ID: 8921176520 Enrollment ID: I20081009000438 |
| Provider Name | Tiziana Paniagua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205083284 PECOS PAC ID: 8426126780 Enrollment ID: I20081014000453 |
| Provider Name | Susan M Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841459716 PECOS PAC ID: 4880752195 Enrollment ID: I20081015000098 |
| Provider Name | Sanjeev Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801012539 PECOS PAC ID: 3678631850 Enrollment ID: I20081016000064 |
| Provider Name | Kamal Chater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336115195 PECOS PAC ID: 8022085083 Enrollment ID: I20081017000398 |
| Provider Name | Misty B Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386839264 PECOS PAC ID: 9335226364 Enrollment ID: I20081023000337 |
| Provider Name | Nilima P Thakkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063496099 PECOS PAC ID: 4880658566 Enrollment ID: I20081031000328 |
| Provider Name | Linda K Bresnahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023097664 PECOS PAC ID: 9739107558 Enrollment ID: I20081106000788 |
| Provider Name | Carla A Rilling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053560672 PECOS PAC ID: 4385705797 Enrollment ID: I20081203000852 |
| Provider Name | Paula Jeanette Lastoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013164979 PECOS PAC ID: 5597826818 Enrollment ID: I20081204001004 |
| Provider Name | Melissa K Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467603290 PECOS PAC ID: 4587725718 Enrollment ID: I20081206000093 |
| Provider Name | Edward R Mogabgab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326144080 PECOS PAC ID: 9234174848 Enrollment ID: I20081218000309 |
| Provider Name | Julie G Fisher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578683397 PECOS PAC ID: 3971665373 Enrollment ID: I20081218000556 |
| Provider Name | Ervin M Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215956156 PECOS PAC ID: 6901969070 Enrollment ID: I20090115000440 |
| Provider Name | Anita Tirumalrao Deshpande |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538137526 PECOS PAC ID: 9931174430 Enrollment ID: I20090205000447 |
| Provider Name | Lisa D Houchin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801825914 PECOS PAC ID: 8729143219 Enrollment ID: I20090217000452 |
| Provider Name | Valencia Jeffcoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528143070 PECOS PAC ID: 8022174457 Enrollment ID: I20090310000048 |
| Provider Name | Edward C Blasko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245204379 PECOS PAC ID: 3476610551 Enrollment ID: I20090320000239 |
| Provider Name | Jennifer Brooks Carrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225288772 PECOS PAC ID: 4385791128 Enrollment ID: I20090413000371 |
| Provider Name | Lewis Hall Mccurdy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194701466 PECOS PAC ID: 8325195076 Enrollment ID: I20090415000176 |
| Provider Name | Cheri L Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538314349 PECOS PAC ID: 4486702529 Enrollment ID: I20090429000699 |
| Provider Name | Matthew Mcguire Rees |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114014552 PECOS PAC ID: 5698665966 Enrollment ID: I20090430000523 |
| Provider Name | Kelly Booth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437141314 PECOS PAC ID: 7618978818 Enrollment ID: I20090506000370 |
| Provider Name | Todd Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225014178 PECOS PAC ID: 1153425244 Enrollment ID: I20090511000580 |
| Provider Name | Shawn M Morrow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891751715 PECOS PAC ID: 1153224449 Enrollment ID: I20090522000274 |
| Provider Name | Gail M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013157254 PECOS PAC ID: 6204986599 Enrollment ID: I20090608000499 |
| Provider Name | Esther Gamuchiral Madzivire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407808603 PECOS PAC ID: 4688756265 Enrollment ID: I20090609000687 |
| Provider Name | Michael S Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689631244 PECOS PAC ID: 3173673365 Enrollment ID: I20090609000689 |
| Provider Name | Matthew Charles Wakefield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770537805 PECOS PAC ID: 9234289315 Enrollment ID: I20090611000184 |
| Provider Name | Michael E Richard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437139995 PECOS PAC ID: 0547310542 Enrollment ID: I20090612000538 |
| Provider Name | Cesar Garcia Aviles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326235508 PECOS PAC ID: 8123178985 Enrollment ID: I20090616000847 |
| Provider Name | Karla Duncan London |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487888152 PECOS PAC ID: 4688725062 Enrollment ID: I20090624000599 |
| Provider Name | Michael S Felder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770563686 PECOS PAC ID: 7618949884 Enrollment ID: I20090626000521 |
| Provider Name | Deborah Ann Bradley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366564247 PECOS PAC ID: 5193890648 Enrollment ID: I20090721000824 |
| Provider Name | Kathryn F Mileham |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568519411 PECOS PAC ID: 8628120565 Enrollment ID: I20090723000395 |
| Provider Name | Earle F Burgess |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194872044 PECOS PAC ID: 2769535509 Enrollment ID: I20090727000764 |
| Provider Name | Dana Michelle Bush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457457186 PECOS PAC ID: 7810040433 Enrollment ID: I20090729000883 |
| Provider Name | Kathleen R Jones Monte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750499554 PECOS PAC ID: 6204882707 Enrollment ID: I20090808000163 |
| Provider Name | James Charles Scheer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326100389 PECOS PAC ID: 6507910361 Enrollment ID: I20090813000679 |
| Provider Name | James P Moon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942294020 PECOS PAC ID: 6709887904 Enrollment ID: I20090817000706 |
| Provider Name | Basim A G Ayoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710180195 PECOS PAC ID: 0446304729 Enrollment ID: I20090820000779 |
| Provider Name | Daniel E Haggstrom |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891958013 PECOS PAC ID: 8921152190 Enrollment ID: I20090822000023 |
| Provider Name | William T Barrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659309193 PECOS PAC ID: 3779638820 Enrollment ID: I20090826000241 |
| Provider Name | Ellen Shannon Story |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104890060 PECOS PAC ID: 0244385193 Enrollment ID: I20090828000532 |
| Provider Name | Carey H Wooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205072030 PECOS PAC ID: 5395890909 Enrollment ID: I20090903000416 |
| Provider Name | Yvonne Lynnette Carter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386788776 PECOS PAC ID: 8224183439 Enrollment ID: I20090910000648 |
| Provider Name | Nagajyothi J Gavini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992846943 PECOS PAC ID: 2466508304 Enrollment ID: I20090918000186 |
| Provider Name | John David Hill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841244852 PECOS PAC ID: 8729091632 Enrollment ID: I20091008000118 |
| Provider Name | John M Robinson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770782625 PECOS PAC ID: 2466598800 Enrollment ID: I20091015000161 |
| Provider Name | Donald K Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992916928 PECOS PAC ID: 7315084332 Enrollment ID: I20091023000543 |
| Provider Name | Steven I Park |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891707709 PECOS PAC ID: 9638235559 Enrollment ID: I20091027000723 |
| Provider Name | Clara M Croce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164633269 PECOS PAC ID: 7012082100 Enrollment ID: I20091109000635 |
| Provider Name | Karen Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376784074 PECOS PAC ID: 5991844169 Enrollment ID: I20091201000207 |
| Provider Name | Heather Leslie-brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215026570 PECOS PAC ID: 8325187404 Enrollment ID: I20091202000703 |
| Provider Name | Mandy G Castor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790010775 PECOS PAC ID: 5294874202 Enrollment ID: I20091204000373 |
| Provider Name | Renee B Melton-smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003809427 PECOS PAC ID: 0143369025 Enrollment ID: I20091207000256 |
| Provider Name | Nalberta M Cormier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033158456 PECOS PAC ID: 6305987751 Enrollment ID: I20100106000825 |
| Provider Name | Brigitte Eva Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881679439 PECOS PAC ID: 7012058050 Enrollment ID: I20100112000777 |
| Provider Name | Henry A Fleishman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063494623 PECOS PAC ID: 6800938721 Enrollment ID: I20100116000171 |
| Provider Name | Mariette P Riemann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982637468 PECOS PAC ID: 1254421290 Enrollment ID: I20100120000583 |
| Provider Name | Terri M Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861720443 PECOS PAC ID: 5395887343 Enrollment ID: I20100128000722 |
| Provider Name | Kristi K Terry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336372846 PECOS PAC ID: 9739222720 Enrollment ID: I20100129000298 |
| Provider Name | Kim T Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154375483 PECOS PAC ID: 2668515537 Enrollment ID: I20100202000093 |
| Provider Name | Harry D Hobson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437137080 PECOS PAC ID: 9234033150 Enrollment ID: I20100205000468 |
| Provider Name | Michael L Barringer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225016876 PECOS PAC ID: 6103966643 Enrollment ID: I20100212000075 |
| Provider Name | Sheela B Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104803154 PECOS PAC ID: 8628168663 Enrollment ID: I20100225000213 |
| Provider Name | Stephanie F Newby |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1023006558 PECOS PAC ID: 8022153758 Enrollment ID: I20100305000769 |
| Provider Name | Lisa N Bellanfonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275625113 PECOS PAC ID: 9133223886 Enrollment ID: I20100312000644 |
| Provider Name | Cynthia Marie Wesley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316905391 PECOS PAC ID: 7214916162 Enrollment ID: I20100318000703 |
| Provider Name | Brian M Delgrosso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467775692 PECOS PAC ID: 7113052861 Enrollment ID: I20100319000177 |
| Provider Name | Jason Scott Helms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861723074 PECOS PAC ID: 6709913148 Enrollment ID: I20100416000367 |
| Provider Name | Jimmy Lewis Bramlett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114963774 PECOS PAC ID: 7517094220 Enrollment ID: I20100428000355 |
| Provider Name | Jennifer E Callaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902848310 PECOS PAC ID: 3577566801 Enrollment ID: I20100518000483 |
| Provider Name | Gregory M Brouse |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083664825 PECOS PAC ID: 5193622199 Enrollment ID: I20100521000238 |
| Provider Name | Stephanie Robinett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619084449 PECOS PAC ID: 1658457049 Enrollment ID: I20100525000264 |
| Provider Name | John L Reese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619913274 PECOS PAC ID: 9830229509 Enrollment ID: I20100608000222 |
| Provider Name | Michael Patrick Smrtka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407023989 PECOS PAC ID: 8527198902 Enrollment ID: I20100610000962 |
| Provider Name | Timothy David Keeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467493304 PECOS PAC ID: 8628973864 Enrollment ID: I20100618000011 |
| Provider Name | Alden H Reine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043264484 PECOS PAC ID: 4981609484 Enrollment ID: I20100702000312 |
| Provider Name | Eric M Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174604342 PECOS PAC ID: 0547392342 Enrollment ID: I20100714000424 |
| Provider Name | Theodore M Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154520823 PECOS PAC ID: 9335271139 Enrollment ID: I20100714000462 |
| Provider Name | James E Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417085325 PECOS PAC ID: 1658403019 Enrollment ID: I20100720000848 |
| Provider Name | Stacy R Henrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417157611 PECOS PAC ID: 6103918990 Enrollment ID: I20100720000924 |
| Provider Name | James Nelson Iglehart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275509127 PECOS PAC ID: 0547393381 Enrollment ID: I20100730000885 |
| Provider Name | Duane M Moise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780656439 PECOS PAC ID: 0547272007 Enrollment ID: I20100802000256 |
| Provider Name | David Sachar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770644478 PECOS PAC ID: 0345373049 Enrollment ID: I20100802000693 |
| Provider Name | Stephanie L Strollo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487979712 PECOS PAC ID: 9537292123 Enrollment ID: I20100803000810 |
| Provider Name | Jonathan K Levine |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194712240 PECOS PAC ID: 2062545486 Enrollment ID: I20100804001228 |
| Provider Name | Nikhil Balakrishnan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396993184 PECOS PAC ID: 3870627953 Enrollment ID: I20100811000164 |
| Provider Name | Jasdip G Bajaj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043376999 PECOS PAC ID: 4082748124 Enrollment ID: I20100811000934 |
| Provider Name | Sharai Correll Amaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437279254 PECOS PAC ID: 7315071206 Enrollment ID: I20100813000665 |
| Provider Name | Forrest L Thompson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073551859 PECOS PAC ID: 5698809937 Enrollment ID: I20100823000333 |
| Provider Name | Jay A Yeomans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376562223 PECOS PAC ID: 5395869747 Enrollment ID: I20100908000052 |
| Provider Name | Teresa G Mccormick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093783722 PECOS PAC ID: 4688571037 Enrollment ID: I20100923000975 |
| Provider Name | Amber Stepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295048973 PECOS PAC ID: 0840316899 Enrollment ID: I20100927001302 |
| Provider Name | Steven Kadiev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962627414 PECOS PAC ID: 5092767764 Enrollment ID: I20100928001483 |
| Provider Name | Meredith D Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588861843 PECOS PAC ID: 3870785264 Enrollment ID: I20101004000798 |
| Provider Name | Gregory A Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992770515 PECOS PAC ID: 4789618802 Enrollment ID: I20101004001106 |
| Provider Name | Mary C Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154396778 PECOS PAC ID: 0749230712 Enrollment ID: I20101006000879 |
| Provider Name | Pradeep Reddy Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255534343 PECOS PAC ID: 5294927398 Enrollment ID: I20101007000841 |
| Provider Name | Karel F Rybnicek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962472357 PECOS PAC ID: 5698674323 Enrollment ID: I20101007000985 |
| Provider Name | Elizabeth M Middleton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750696969 PECOS PAC ID: 5890988380 Enrollment ID: I20101015000913 |
| Provider Name | Christine C Cowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972532232 PECOS PAC ID: 9537352661 Enrollment ID: I20101021001118 |
| Provider Name | Laura Borders Owen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043249592 PECOS PAC ID: 2860685591 Enrollment ID: I20101026000575 |
| Provider Name | Ronald Sevier Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174568125 PECOS PAC ID: 3870787591 Enrollment ID: I20101027000203 |
| Provider Name | Ryan Thomas Bunch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922219849 PECOS PAC ID: 3173686896 Enrollment ID: I20101103000336 |
| Provider Name | Sesha S Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346405974 PECOS PAC ID: 9234325994 Enrollment ID: I20101122000197 |
| Provider Name | Marcia H Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558365403 PECOS PAC ID: 1153458385 Enrollment ID: I20101129000553 |
| Provider Name | Andrea Drysdale Johnson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720007107 PECOS PAC ID: 5597952556 Enrollment ID: I20101203000379 |
| Provider Name | Melissa Leigh Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538479407 PECOS PAC ID: 1557559408 Enrollment ID: I20101220000948 |
| Provider Name | Jennifer B Bunch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770792236 PECOS PAC ID: 0143320721 Enrollment ID: I20110111000310 |
| Provider Name | Amy E Sayess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023310091 PECOS PAC ID: 7113107053 Enrollment ID: I20110209000439 |
| Provider Name | Douglas S Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306860580 PECOS PAC ID: 8729268669 Enrollment ID: I20110209000474 |
| Provider Name | William Kendall Couch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790080224 PECOS PAC ID: 2466634035 Enrollment ID: I20110303000727 |
| Provider Name | James R Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699078618 PECOS PAC ID: 6002098449 Enrollment ID: I20110307000862 |
| Provider Name | Noel Desantos Ibanez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639407448 PECOS PAC ID: 3678614500 Enrollment ID: I20110307000868 |
| Provider Name | Stephanie V Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528029410 PECOS PAC ID: 4082680384 Enrollment ID: I20110329000184 |
| Provider Name | Arman K Farr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962472639 PECOS PAC ID: 2769550110 Enrollment ID: I20110401000364 |
| Provider Name | Stephanie E Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285898833 PECOS PAC ID: 6204992183 Enrollment ID: I20110401000594 |
| Provider Name | Lorie A Lisenby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578867313 PECOS PAC ID: 9739363417 Enrollment ID: I20110404000631 |
| Provider Name | Nasrollah Samiy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730159401 PECOS PAC ID: 5395762421 Enrollment ID: I20110408000369 |
| Provider Name | Swatiben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508177437 PECOS PAC ID: 9335324920 Enrollment ID: I20110425000853 |
| Provider Name | James Brenner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649204546 PECOS PAC ID: 7719975382 Enrollment ID: I20110511000505 |
| Provider Name | Gena Belk Brawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700185121 PECOS PAC ID: 3577749035 Enrollment ID: I20110517000778 |
| Provider Name | David W Litchford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659571909 PECOS PAC ID: 4789739236 Enrollment ID: I20110707000176 |
| Provider Name | Durga Bestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164622312 PECOS PAC ID: 8123296530 Enrollment ID: I20110729000014 |
| Provider Name | Jamayla J Culpepper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093980765 PECOS PAC ID: 1850560947 Enrollment ID: I20110805000578 |
| Provider Name | Matthew Patrick Burke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508161605 PECOS PAC ID: 3779752662 Enrollment ID: I20110810000484 |
| Provider Name | Charlene D Whitaker-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972891836 PECOS PAC ID: 7810166451 Enrollment ID: I20110816000349 |
| Provider Name | Betsy Wolfe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376596197 PECOS PAC ID: 2264400316 Enrollment ID: I20110817000667 |
| Provider Name | Sara B Faber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982809109 PECOS PAC ID: 8426228784 Enrollment ID: I20110824000867 |
| Provider Name | Susie C Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154651008 PECOS PAC ID: 9830233659 Enrollment ID: I20110825000323 |
| Provider Name | Emmanuel O Edosomwan-eigbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336397306 PECOS PAC ID: 4385774033 Enrollment ID: I20110913000703 |
| Provider Name | Roc W Bauman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659335685 PECOS PAC ID: 1557351624 Enrollment ID: I20110919000803 |
| Provider Name | Brockford Herring |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588656342 PECOS PAC ID: 0345216537 Enrollment ID: I20110921000276 |
| Provider Name | Sara L Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871715987 PECOS PAC ID: 3971774043 Enrollment ID: I20110921000358 |
| Provider Name | David Charles Alexander Fisher |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124216502 PECOS PAC ID: 9830360916 Enrollment ID: I20110921000427 |
| Provider Name | Tameru D Demsie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891081618 PECOS PAC ID: 4587836259 Enrollment ID: I20111003000294 |
| Provider Name | Brad J Bissell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205026903 PECOS PAC ID: 3375674492 Enrollment ID: I20111006000618 |
| Provider Name | Paul A Schmeltzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861671554 PECOS PAC ID: 8628101185 Enrollment ID: I20111011000327 |
| Provider Name | Ornob Roy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891908430 PECOS PAC ID: 0547393423 Enrollment ID: I20111024000796 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20111102000829 |
| Provider Name | Judit Dunai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982852729 PECOS PAC ID: 9133392079 Enrollment ID: I20111109000461 |
| Provider Name | Lisa Michelle Nona |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871889808 PECOS PAC ID: 5597935585 Enrollment ID: I20111115000400 |
| Provider Name | Kathryn A Jay-young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033495502 PECOS PAC ID: 5799959060 Enrollment ID: I20111123000003 |
| Provider Name | Kenneth Cartledge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124063052 PECOS PAC ID: 9436323680 Enrollment ID: I20111128000204 |
| Provider Name | Carnetha Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497886238 PECOS PAC ID: 2365624723 Enrollment ID: I20111201000611 |
| Provider Name | Paul R Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124043971 PECOS PAC ID: 2961677844 Enrollment ID: I20111205000009 |
| Provider Name | Mitzi Lorraine Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255470662 PECOS PAC ID: 1850485863 Enrollment ID: I20111205000585 |
| Provider Name | Terri S Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740504000 PECOS PAC ID: 6406987072 Enrollment ID: I20111206000771 |
| Provider Name | Wycliffe Okumu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689832354 PECOS PAC ID: 9335295310 Enrollment ID: I20120109000527 |
| Provider Name | Nicole Leigh Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073666004 PECOS PAC ID: 0547327025 Enrollment ID: I20120109000569 |
| Provider Name | Mary P Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205148624 PECOS PAC ID: 2466629357 Enrollment ID: I20120117000691 |
| Provider Name | Jennifer M Pope |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780745364 PECOS PAC ID: 1759540354 Enrollment ID: I20120316000216 |
| Provider Name | Anjana M Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033138441 PECOS PAC ID: 7214197433 Enrollment ID: I20120327000086 |
| Provider Name | Gaye M Almasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477827772 PECOS PAC ID: 2163682089 Enrollment ID: I20120329000393 |
| Provider Name | Andrew B Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992074116 PECOS PAC ID: 9739349440 Enrollment ID: I20120404000213 |
| Provider Name | Emra M Hopkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588936413 PECOS PAC ID: 9638330897 Enrollment ID: I20120416000021 |
| Provider Name | Kelly J. New |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134153364 PECOS PAC ID: 2961663067 Enrollment ID: I20120417000670 |
| Provider Name | Mary T Traynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225312143 PECOS PAC ID: 4880856152 Enrollment ID: I20120502000521 |
| Provider Name | Nabil Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508021791 PECOS PAC ID: 8123284312 Enrollment ID: I20120716000079 |
| Provider Name | Raghava R Induru |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063608388 PECOS PAC ID: 0648324962 Enrollment ID: I20120716000098 |
| Provider Name | Joshua S Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679619837 PECOS PAC ID: 1052328473 Enrollment ID: I20120802000292 |
| Provider Name | Kiran Venkatesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508093915 PECOS PAC ID: 7719133826 Enrollment ID: I20120806000444 |
| Provider Name | Kevin Michael Fischer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093862807 PECOS PAC ID: 7719133743 Enrollment ID: I20120808000021 |
| Provider Name | Jason James Lewis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144435322 PECOS PAC ID: 9436235561 Enrollment ID: I20120814000636 |
| Provider Name | Stephen B Riggs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659393718 PECOS PAC ID: 8325945389 Enrollment ID: I20120820001150 |
| Provider Name | Antonia S Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396091690 PECOS PAC ID: 1456508597 Enrollment ID: I20120824000731 |
| Provider Name | Kristin T Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053686998 PECOS PAC ID: 4183871171 Enrollment ID: I20120827000466 |
| Provider Name | Shatima D Seward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386879757 PECOS PAC ID: 7618124488 Enrollment ID: I20120829000867 |
| Provider Name | Teresa J Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275893372 PECOS PAC ID: 7113175654 Enrollment ID: I20120907000214 |
| Provider Name | Kari Hewat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750557021 PECOS PAC ID: 9032367586 Enrollment ID: I20120907000322 |
| Provider Name | Sara Zulfiqar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710114046 PECOS PAC ID: 7315110525 Enrollment ID: I20120910000320 |
| Provider Name | Shenita S Moore |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902032097 PECOS PAC ID: 8325296767 Enrollment ID: I20120910000829 |
| Provider Name | Mahvesh Z Lateef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114167913 PECOS PAC ID: 6901054352 Enrollment ID: I20120911000015 |
| Provider Name | Yongyue Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467612218 PECOS PAC ID: 8729235569 Enrollment ID: I20120911000606 |
| Provider Name | Amii Corbisiero Steele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487821419 PECOS PAC ID: 5294983250 Enrollment ID: I20120917000380 |
| Provider Name | David M Levi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245295542 PECOS PAC ID: 1850299785 Enrollment ID: I20120918000540 |
| Provider Name | Azeem Elahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780811091 PECOS PAC ID: 4284883034 Enrollment ID: I20121011000224 |
| Provider Name | Tiffany M Dewitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376849786 PECOS PAC ID: 8325298870 Enrollment ID: I20121018000748 |
| Provider Name | April J Greene |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669737292 PECOS PAC ID: 4981854064 Enrollment ID: I20121025000791 |
| Provider Name | Wendy R England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255683405 PECOS PAC ID: 9436309275 Enrollment ID: I20121101000222 |
| Provider Name | Nader N.g. Boulos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982729166 PECOS PAC ID: 1658427554 Enrollment ID: I20121106000413 |
| Provider Name | Rebecca L Elliott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396910709 PECOS PAC ID: 4486805843 Enrollment ID: I20121112000297 |
| Provider Name | Erin Killman Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730438938 PECOS PAC ID: 7618128000 Enrollment ID: I20121112000636 |
| Provider Name | Reed N Friend |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124255435 PECOS PAC ID: 2264683515 Enrollment ID: I20121113000687 |
| Provider Name | Eyob E Michail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457598914 PECOS PAC ID: 9638348279 Enrollment ID: I20121205000299 |
| Provider Name | Thomas M Przybysz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114194099 PECOS PAC ID: 5193864494 Enrollment ID: I20121214000029 |
| Provider Name | Chau C Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639335169 PECOS PAC ID: 5395997555 Enrollment ID: I20121214000340 |
| Provider Name | Abbey L Markley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710237433 PECOS PAC ID: 6901059310 Enrollment ID: I20130116000133 |
| Provider Name | Ndidi B Feinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720058431 PECOS PAC ID: 6305801630 Enrollment ID: I20130116000543 |
| Provider Name | Jill S Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881792752 PECOS PAC ID: 1759534951 Enrollment ID: I20130122000493 |
| Provider Name | Allison Marie Prinz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245425131 PECOS PAC ID: 4587791785 Enrollment ID: I20130129000171 |
| Provider Name | Kelly J Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033173232 PECOS PAC ID: 7719965235 Enrollment ID: I20130129000613 |
| Provider Name | Shannan Rowland Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891742078 PECOS PAC ID: 9436186665 Enrollment ID: I20130221000531 |
| Provider Name | Belinda Rene Avalos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467726828 PECOS PAC ID: 1557336807 Enrollment ID: I20130225000053 |
| Provider Name | Edward Copelan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962417451 PECOS PAC ID: 6204807795 Enrollment ID: I20130225000264 |
| Provider Name | Eric A Rinehardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417256462 PECOS PAC ID: 7012191323 Enrollment ID: I20130515000075 |
| Provider Name | Peter J Schupp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114271392 PECOS PAC ID: 2264670686 Enrollment ID: I20130524000240 |
| Provider Name | Brittany N Stikeleather |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427392448 PECOS PAC ID: 3870732894 Enrollment ID: I20130621000590 |
| Provider Name | Edward Sanghyun Kim |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972688984 PECOS PAC ID: 1254526866 Enrollment ID: I20130708000796 |
| Provider Name | Saad Z Usmani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962601526 PECOS PAC ID: 6406987536 Enrollment ID: I20130712000448 |
| Provider Name | Lee B Sigmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750609178 PECOS PAC ID: 7012158686 Enrollment ID: I20130724000223 |
| Provider Name | Rebecca I Pollack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225226079 PECOS PAC ID: 5294819678 Enrollment ID: I20130729000710 |
| Provider Name | Chasse Margot Bailey Dorton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326099193 PECOS PAC ID: 0749289668 Enrollment ID: I20130805000441 |
| Provider Name | Kwabena Osei Boateng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285728865 PECOS PAC ID: 7719903525 Enrollment ID: I20130826000595 |
| Provider Name | John G Lyall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417165903 PECOS PAC ID: 3678724002 Enrollment ID: I20130826000874 |
| Provider Name | Iyad Asaad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881809994 PECOS PAC ID: 6103997226 Enrollment ID: I20130826000992 |
| Provider Name | Christian Andrew Sonnefeld |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760532170 PECOS PAC ID: 0648362459 Enrollment ID: I20130827000566 |
| Provider Name | Sandra Carpenter Teal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528403433 PECOS PAC ID: 5698918217 Enrollment ID: I20130829000925 |
| Provider Name | Armando Ramirez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184849382 PECOS PAC ID: 9537316575 Enrollment ID: I20130912000492 |
| Provider Name | Smiresh S Shah |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1548473804 PECOS PAC ID: 9739323577 Enrollment ID: I20130918000487 |
| Provider Name | Kirsten T Presby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295173524 PECOS PAC ID: 5799929394 Enrollment ID: I20130923000189 |
| Provider Name | Portia N Cohens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760643704 PECOS PAC ID: 8123274479 Enrollment ID: I20130923000410 |
| Provider Name | Michael R. Grunwald |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356495949 PECOS PAC ID: 9032241948 Enrollment ID: I20130927000552 |
| Provider Name | Joseph D Mishkin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1376692640 PECOS PAC ID: 9032218482 Enrollment ID: I20130930000465 |
| Provider Name | Jennifer R Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730306655 PECOS PAC ID: 6406956564 Enrollment ID: I20131001000333 |
| Provider Name | Meghan R Forster |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1427266501 PECOS PAC ID: 1153508973 Enrollment ID: I20131002000726 |
| Provider Name | Omar R Rana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205062064 PECOS PAC ID: 5890929988 Enrollment ID: I20131002000739 |
| Provider Name | Alicia Angelica Romeo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407963218 PECOS PAC ID: 4981602042 Enrollment ID: I20131014000542 |
| Provider Name | Leah H Cupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043642366 PECOS PAC ID: 1153555669 Enrollment ID: I20131015001909 |
| Provider Name | Nicholas W Clavin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225232747 PECOS PAC ID: 4183859143 Enrollment ID: I20131028001720 |
| Provider Name | Jimmy J Hwang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487653911 PECOS PAC ID: 2365609583 Enrollment ID: I20131030000460 |
| Provider Name | Jessica-lyn Masterson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114951860 PECOS PAC ID: 2466459490 Enrollment ID: I20131104001627 |
| Provider Name | Michelle Rodriguez Coste |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457498289 PECOS PAC ID: 1658567748 Enrollment ID: I20131112000777 |
| Provider Name | Melody M Mccutcheon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881940195 PECOS PAC ID: 3971739608 Enrollment ID: I20131202000413 |
| Provider Name | Darin Lyle Blanton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871928424 PECOS PAC ID: 3476780966 Enrollment ID: I20131206001542 |
| Provider Name | Jonathan L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649607045 PECOS PAC ID: 3072740208 Enrollment ID: I20131216000761 |
| Provider Name | Laura L Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366875668 PECOS PAC ID: 3173750122 Enrollment ID: I20131218001119 |
| Provider Name | Stephanie A Kinner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285061341 PECOS PAC ID: 8729216346 Enrollment ID: I20140106000225 |
| Provider Name | Anne Atieno Oyugi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922316884 PECOS PAC ID: 6305026964 Enrollment ID: I20140113001290 |
| Provider Name | Kaylan Kumar Reddy Mogili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619288354 PECOS PAC ID: 2163657289 Enrollment ID: I20140115000803 |
| Provider Name | Jay Richard Solorio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588667513 PECOS PAC ID: 7416957311 Enrollment ID: I20140121000177 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20140310001950 |
| Provider Name | David Lee Graham |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477575652 PECOS PAC ID: 8628102506 Enrollment ID: I20140314001788 |
| Provider Name | Robert G Littlejohn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043632946 PECOS PAC ID: 9032340914 Enrollment ID: I20140317001758 |
| Provider Name | Nilanjan Ghosh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205035466 PECOS PAC ID: 8426182999 Enrollment ID: I20140318001570 |
| Provider Name | Leonard Alexander Stallings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003102146 PECOS PAC ID: 1557592862 Enrollment ID: I20140331001718 |
| Provider Name | Susan M Barbee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073935987 PECOS PAC ID: 8426280918 Enrollment ID: I20140416000676 |
| Provider Name | Nathan Allen Blake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548681828 PECOS PAC ID: 1254563414 Enrollment ID: I20140422002303 |
| Provider Name | Kendall Carolyne Haigh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720400633 PECOS PAC ID: 3779716469 Enrollment ID: I20140505000438 |
| Provider Name | Ifeyinwa Osunkwo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144266982 PECOS PAC ID: 8123924735 Enrollment ID: I20140505001051 |
| Provider Name | Lisa Marie Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295156537 PECOS PAC ID: 4587897111 Enrollment ID: I20140505002194 |
| Provider Name | Manika K Zeri |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477757227 PECOS PAC ID: 3173746344 Enrollment ID: I20140516001149 |
| Provider Name | Jaclyn M Mieczkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265866990 PECOS PAC ID: 1052534146 Enrollment ID: I20140516002033 |
| Provider Name | Michael J Roach |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487697801 PECOS PAC ID: 9032332077 Enrollment ID: I20140521000381 |
| Provider Name | Angela S Whitlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891117727 PECOS PAC ID: 9830312206 Enrollment ID: I20140603002704 |
| Provider Name | Chizomam U Ononiwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396161006 PECOS PAC ID: 9739302100 Enrollment ID: I20140604000038 |
| Provider Name | Jamie W Vano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972920684 PECOS PAC ID: 5799909636 Enrollment ID: I20140614000051 |
| Provider Name | Rita A Brintzenhoffbrown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700081890 PECOS PAC ID: 8820212699 Enrollment ID: I20140617002310 |
| Provider Name | Cynthia W Lauer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578644969 PECOS PAC ID: 3375768526 Enrollment ID: I20140702001994 |
| Provider Name | Dustin M Souther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144641788 PECOS PAC ID: 5597980524 Enrollment ID: I20140708001645 |
| Provider Name | Marquita Wallace Boggess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326467945 PECOS PAC ID: 6204051162 Enrollment ID: I20140709000566 |
| Provider Name | Joseph A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225074875 PECOS PAC ID: 8729091889 Enrollment ID: I20140711001484 |
| Provider Name | Antoinette Roslyn Tan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982781738 PECOS PAC ID: 4486684644 Enrollment ID: I20140715000182 |
| Provider Name | Brent D Matthews |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609894328 PECOS PAC ID: 1254306301 Enrollment ID: I20140826001906 |
| Provider Name | Erin H Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578738241 PECOS PAC ID: 6406074723 Enrollment ID: I20140828001793 |
| Provider Name | Nicholas E Anthony |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265607907 PECOS PAC ID: 2466670443 Enrollment ID: I20140904002176 |
| Provider Name | Terrence Macarthur Pugh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891013272 PECOS PAC ID: 8527287390 Enrollment ID: I20140910001601 |
| Provider Name | Robert Patrick Poetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790076412 PECOS PAC ID: 9234352295 Enrollment ID: I20140917002182 |
| Provider Name | Kevin R Kasten |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1003937079 PECOS PAC ID: 0042430035 Enrollment ID: I20140924002576 |
| Provider Name | Stephanie Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740605666 PECOS PAC ID: 8123248069 Enrollment ID: I20140928000025 |
| Provider Name | John Joseph Dugan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346200359 PECOS PAC ID: 3870529092 Enrollment ID: I20141010000746 |
| Provider Name | John N Mehanna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912983354 PECOS PAC ID: 2466673587 Enrollment ID: I20141014002010 |
| Provider Name | Jason M Korn |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316246788 PECOS PAC ID: 2668693714 Enrollment ID: I20141015000692 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20141015002294 |
| Provider Name | Casie Dionne Ussery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932518503 PECOS PAC ID: 6103047865 Enrollment ID: I20141021002596 |
| Provider Name | Erin K Crane |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1750594800 PECOS PAC ID: 0345406369 Enrollment ID: I20141027001354 |
| Provider Name | Edward Teng |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386822484 PECOS PAC ID: 6103047626 Enrollment ID: I20141027002630 |
| Provider Name | Manisha Bhutani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013184571 PECOS PAC ID: 1557582905 Enrollment ID: I20141028001332 |
| Provider Name | Stephen A Wyatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396756995 PECOS PAC ID: 2062517014 Enrollment ID: I20141029000859 |
| Provider Name | Kelly D Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154730554 PECOS PAC ID: 3072734391 Enrollment ID: I20141029001571 |
| Provider Name | David L Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790194504 PECOS PAC ID: 0042432148 Enrollment ID: I20141105000274 |
| Provider Name | Alicia Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326455940 PECOS PAC ID: 9638391741 Enrollment ID: I20141105000562 |
| Provider Name | Alaa Muslimani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881887826 PECOS PAC ID: 1658467915 Enrollment ID: I20141106002396 |
| Provider Name | Raashid M Haque |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992731418 PECOS PAC ID: 8325028103 Enrollment ID: I20141111000951 |
| Provider Name | Denise K Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659395101 PECOS PAC ID: 0042216004 Enrollment ID: I20141113000032 |
| Provider Name | Lori W Vaught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225439128 PECOS PAC ID: 6305168600 Enrollment ID: I20141121002012 |
| Provider Name | Kathleen A Hickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336153881 PECOS PAC ID: 9537139126 Enrollment ID: I20141124001639 |
| Provider Name | Kimberly Smith Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013324334 PECOS PAC ID: 2365764594 Enrollment ID: I20141125001419 |
| Provider Name | Deba Sarma |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053565804 PECOS PAC ID: 9436332491 Enrollment ID: I20141202001354 |
| Provider Name | Bradley W Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710008875 PECOS PAC ID: 3375720147 Enrollment ID: I20141208001195 |
| Provider Name | Brinda Koya |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811193923 PECOS PAC ID: 7113051681 Enrollment ID: I20141210000946 |
| Provider Name | Jennifer L Leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598167256 PECOS PAC ID: 2567785959 Enrollment ID: I20141215002246 |
| Provider Name | Ami P Ndiaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275932048 PECOS PAC ID: 0446573802 Enrollment ID: I20141216002420 |
| Provider Name | Elizabeth A Korede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558762773 PECOS PAC ID: 3779806906 Enrollment ID: I20141219000966 |
| Provider Name | Gina B Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831464270 PECOS PAC ID: 4880917996 Enrollment ID: I20141222001623 |
| Provider Name | Laura H Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245287 PECOS PAC ID: 1759604887 Enrollment ID: I20141222002219 |
| Provider Name | Deval Bhadrashil Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407257546 PECOS PAC ID: 1153644208 Enrollment ID: I20141223000169 |
| Provider Name | Donald Clise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285916155 PECOS PAC ID: 7517280415 Enrollment ID: I20141230000543 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20150107000141 |
| Provider Name | Rebecca L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427062447 PECOS PAC ID: 4880640002 Enrollment ID: I20150109000847 |
| Provider Name | Lucy H Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578963765 PECOS PAC ID: 9234453796 Enrollment ID: I20150112000606 |
| Provider Name | April P Hargett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710305305 PECOS PAC ID: 7810113859 Enrollment ID: I20150114000864 |
| Provider Name | Camille L Petraitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164773073 PECOS PAC ID: 9739324997 Enrollment ID: I20150116000984 |
| Provider Name | Ali Reza Golshayan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093990814 PECOS PAC ID: 4183798218 Enrollment ID: I20150123000201 |
| Provider Name | Shelby Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659789386 PECOS PAC ID: 9335463215 Enrollment ID: I20150126000038 |
| Provider Name | Dionisios V Vrochides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730597477 PECOS PAC ID: 8921323361 Enrollment ID: I20150206000841 |
| Provider Name | Kuldeep K Maradia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619139052 PECOS PAC ID: 4981871654 Enrollment ID: I20150216001365 |
| Provider Name | Kia Kayasith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942603139 PECOS PAC ID: 6305161092 Enrollment ID: I20150223000750 |
| Provider Name | Dawn M Barringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704934 PECOS PAC ID: 5092031799 Enrollment ID: I20150223001249 |
| Provider Name | Bikash Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750541132 PECOS PAC ID: 6103096672 Enrollment ID: I20150303000046 |
| Provider Name | Alison D Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225433311 PECOS PAC ID: 2860718186 Enrollment ID: I20150304001658 |
| Provider Name | Chelsea M Sprouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640461 PECOS PAC ID: 0244557627 Enrollment ID: I20150324000369 |
| Provider Name | Marlee M Bodle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013323203 PECOS PAC ID: 9234456468 Enrollment ID: I20150326001089 |
| Provider Name | Sara H Beam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598154627 PECOS PAC ID: 3375861206 Enrollment ID: I20150406000687 |
| Provider Name | Natalie D Trent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437335247 PECOS PAC ID: 5991883597 Enrollment ID: I20150429001742 |
| Provider Name | Kelli N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538551338 PECOS PAC ID: 7618297136 Enrollment ID: I20150526000623 |
| Provider Name | Liliyana Teichert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871986547 PECOS PAC ID: 2961723523 Enrollment ID: I20150608001627 |
| Provider Name | Tess C James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942699863 PECOS PAC ID: 9234450727 Enrollment ID: I20150609002407 |
| Provider Name | Lynn Jackson Howie |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730315102 PECOS PAC ID: 3870804313 Enrollment ID: I20150624001831 |
| Provider Name | Rebecca Lynne Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215330121 PECOS PAC ID: 8527370618 Enrollment ID: I20150701002822 |
| Provider Name | Rachel C Koontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558756155 PECOS PAC ID: 7810209350 Enrollment ID: I20150711000027 |
| Provider Name | Geetha D Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104036524 PECOS PAC ID: 7315011160 Enrollment ID: I20150720000492 |
| Provider Name | Philip M Newhall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376558866 PECOS PAC ID: 7719024892 Enrollment ID: I20150728005508 |
| Provider Name | Catherine Leigh Loflin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649582602 PECOS PAC ID: 0446564611 Enrollment ID: I20150731015512 |
| Provider Name | Ryan W Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114160082 PECOS PAC ID: 6103074208 Enrollment ID: I20150817000545 |
| Provider Name | April Burris Sink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659761302 PECOS PAC ID: 5193044303 Enrollment ID: I20150817002864 |
| Provider Name | Amanda K Wakeley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699037002 PECOS PAC ID: 8729393897 Enrollment ID: I20150818006022 |
| Provider Name | Joshua C Counihan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639461296 PECOS PAC ID: 1153636162 Enrollment ID: I20150820010344 |
| Provider Name | Manish Navnitlal Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558655936 PECOS PAC ID: 8820303720 Enrollment ID: I20150821013372 |
| Provider Name | Raghid Atef Zeitouni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053673483 PECOS PAC ID: 8022324680 Enrollment ID: I20150827003304 |
| Provider Name | Natalie A Ganchenko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518350271 PECOS PAC ID: 3274849245 Enrollment ID: I20150906000022 |
| Provider Name | Lauren Casat Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720470008 PECOS PAC ID: 8729394697 Enrollment ID: I20150909000544 |
| Provider Name | Jacqueline Y Tracey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013136415 PECOS PAC ID: 7416982798 Enrollment ID: I20150919000145 |
| Provider Name | Jing Ai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881837763 PECOS PAC ID: 4284942129 Enrollment ID: I20150926000285 |
| Provider Name | Tara N Heidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962882944 PECOS PAC ID: 4385952001 Enrollment ID: I20150930000709 |
| Provider Name | Christie Quietmeyer Harp |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083688204 PECOS PAC ID: 4981922911 Enrollment ID: I20151001000709 |
| Provider Name | Danyu Sun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588898639 PECOS PAC ID: 2062720683 Enrollment ID: I20151001001327 |
| Provider Name | Stephen Cj Chow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053673442 PECOS PAC ID: 4789993775 Enrollment ID: I20151013001995 |
| Provider Name | Heather Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326421751 PECOS PAC ID: 3870802747 Enrollment ID: I20151014003371 |
| Provider Name | David William Frate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871754481 PECOS PAC ID: 4587798137 Enrollment ID: I20151015002370 |
| Provider Name | Jackie Ogechi Nneji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467710228 PECOS PAC ID: 0446569255 Enrollment ID: I20151019000806 |
| Provider Name | Raksha Swamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619235017 PECOS PAC ID: 7012153620 Enrollment ID: I20151020000039 |
| Provider Name | Vignesh Rajan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184988990 PECOS PAC ID: 4880833482 Enrollment ID: I20151021001405 |
| Provider Name | Geanina Anghel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982899175 PECOS PAC ID: 4486720133 Enrollment ID: I20151023001447 |
| Provider Name | Vibhu O Dhingra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053677930 PECOS PAC ID: 1850600271 Enrollment ID: I20151024000247 |
| Provider Name | Amanda T Janes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154703924 PECOS PAC ID: 6608186671 Enrollment ID: I20151103000875 |
| Provider Name | Kate M Saftner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124401393 PECOS PAC ID: 1759681992 Enrollment ID: I20151119002689 |
| Provider Name | Crystal J Hagood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740504364 PECOS PAC ID: 1850528027 Enrollment ID: I20151123002808 |
| Provider Name | Chelsea F Mccaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912334970 PECOS PAC ID: 8820398639 Enrollment ID: I20151201001253 |
| Provider Name | Michele M Brezinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154529139 PECOS PAC ID: 0446342117 Enrollment ID: I20151208000017 |
| Provider Name | Elizabeth M Skalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356745566 PECOS PAC ID: 7315247798 Enrollment ID: I20151208001752 |
| Provider Name | Christy Lynn Wilbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750444881 PECOS PAC ID: 8224124722 Enrollment ID: I20151209000391 |
| Provider Name | Lucy Neal Rashid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326410770 PECOS PAC ID: 0648571323 Enrollment ID: I20151222002395 |
| Provider Name | Katherine E Whitton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114395175 PECOS PAC ID: 7012218662 Enrollment ID: I20151223001833 |
| Provider Name | Madeline Georgino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669841060 PECOS PAC ID: 4183925696 Enrollment ID: I20151228001785 |
| Provider Name | Richard James Botelho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508801374 PECOS PAC ID: 7911083977 Enrollment ID: I20151229000610 |
| Provider Name | Lani F Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699862912 PECOS PAC ID: 0840292025 Enrollment ID: I20160104002322 |
| Provider Name | Jeffery Marchant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336102300 PECOS PAC ID: 4880614510 Enrollment ID: I20160119000448 |
| Provider Name | Eleanor W Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518337203 PECOS PAC ID: 1153624556 Enrollment ID: I20160119001416 |
| Provider Name | Melissa R Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003133737 PECOS PAC ID: 3577692482 Enrollment ID: I20160127000239 |
| Provider Name | Jennifer B Hale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194041434 PECOS PAC ID: 4385948769 Enrollment ID: I20160204001580 |
| Provider Name | Yuan Fan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639312481 PECOS PAC ID: 7719131879 Enrollment ID: I20160208001485 |
| Provider Name | Rebecca Qureshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881068617 PECOS PAC ID: 9830493030 Enrollment ID: I20160209001376 |
| Provider Name | Anne M Vail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285037077 PECOS PAC ID: 7911201140 Enrollment ID: I20160209002495 |
| Provider Name | Shwetha Mallesara Sudhakar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245461243 PECOS PAC ID: 6406006972 Enrollment ID: I20160212000574 |
| Provider Name | Jenna A Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508114166 PECOS PAC ID: 6507010642 Enrollment ID: I20160219002051 |
| Provider Name | Elizabeth Brown Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477928711 PECOS PAC ID: 3072818327 Enrollment ID: I20160224000676 |
| Provider Name | Evgenia Alexandrovn Salnikova |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366817314 PECOS PAC ID: 8426354317 Enrollment ID: I20160302000915 |
| Provider Name | Amanda K Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275906778 PECOS PAC ID: 7214233154 Enrollment ID: I20160302002408 |
| Provider Name | Shailendra S Chauhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164487286 PECOS PAC ID: 5294799326 Enrollment ID: I20160308000963 |
| Provider Name | Daniel Scott Brickman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760636450 PECOS PAC ID: 8729228283 Enrollment ID: I20160310000366 |
| Provider Name | Ashley Ann Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508021932 PECOS PAC ID: 7416182555 Enrollment ID: I20160314000120 |
| Provider Name | Amy B Bayse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831555093 PECOS PAC ID: 0345547337 Enrollment ID: I20160317001656 |
| Provider Name | Nanci Biggerstaff Stott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649445289 PECOS PAC ID: 2668796608 Enrollment ID: I20160317001827 |
| Provider Name | Vanessa Marisol O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790140762 PECOS PAC ID: 1759688351 Enrollment ID: I20160325000663 |
| Provider Name | Amy W Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508221763 PECOS PAC ID: 3072810456 Enrollment ID: I20160330001058 |
| Provider Name | Kealin J Coffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023474764 PECOS PAC ID: 0345549416 Enrollment ID: I20160425001908 |
| Provider Name | Priyesh A Patel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1083858047 PECOS PAC ID: 1254620149 Enrollment ID: I20160517000139 |
| Provider Name | Bradley Rice Davis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992773824 PECOS PAC ID: 7911922158 Enrollment ID: I20160517002091 |
| Provider Name | Yinlee Yoong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356326664 PECOS PAC ID: 3173512860 Enrollment ID: I20160518001802 |
| Provider Name | Robert Seth Lemberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619392925 PECOS PAC ID: 2365668340 Enrollment ID: I20160520000194 |
| Provider Name | Kimberly Grazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821456344 PECOS PAC ID: 2567751969 Enrollment ID: I20160524000904 |
| Provider Name | Justin L Fletcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023474756 PECOS PAC ID: 5597055723 Enrollment ID: I20160531002480 |
| Provider Name | Debbie June Hackler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528175858 PECOS PAC ID: 9638469653 Enrollment ID: I20160603001032 |
| Provider Name | Kelecia Ruthann Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538315833 PECOS PAC ID: 2860660362 Enrollment ID: I20160614001515 |
| Provider Name | Srinivasa Reddy Sanikommu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548490717 PECOS PAC ID: 6406002716 Enrollment ID: I20160620001802 |
| Provider Name | Mary T Lovegreen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053573857 PECOS PAC ID: 1850512120 Enrollment ID: I20160621002164 |
| Provider Name | Kavita Kothari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528313244 PECOS PAC ID: 5698066553 Enrollment ID: I20160623001177 |
| Provider Name | Jennifer Lynn Atlas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538415120 PECOS PAC ID: 0749571412 Enrollment ID: I20160628000896 |
| Provider Name | Padmaja Veeramreddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174787428 PECOS PAC ID: 1850539677 Enrollment ID: I20160629002668 |
| Provider Name | Lubov Anguelova Byrum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245602416 PECOS PAC ID: 3375835796 Enrollment ID: I20160706000078 |
| Provider Name | Mufti N Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750511218 PECOS PAC ID: 0648435628 Enrollment ID: I20160715000176 |
| Provider Name | Lasherri Ann Leathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982945580 PECOS PAC ID: 2860632650 Enrollment ID: I20160725001598 |
| Provider Name | Meredith L Draper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013289040 PECOS PAC ID: 4486813805 Enrollment ID: I20160726002384 |
| Provider Name | Kaci Capps Hopkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174813513 PECOS PAC ID: 8527373455 Enrollment ID: I20160728001760 |
| Provider Name | Jeffrey Collins Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932492568 PECOS PAC ID: 2163668997 Enrollment ID: I20160803002932 |
| Provider Name | Ngehbehgnui N Achu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427415595 PECOS PAC ID: 9537453162 Enrollment ID: I20160804001828 |
| Provider Name | Aleksander Chojecki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780997585 PECOS PAC ID: 9335433788 Enrollment ID: I20160808000554 |
| Provider Name | John Patrick Wynne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619293701 PECOS PAC ID: 3678701851 Enrollment ID: I20160808001294 |
| Provider Name | Milapkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477808301 PECOS PAC ID: 2365744828 Enrollment ID: I20160808001487 |
| Provider Name | Amy Elaine Voci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699902742 PECOS PAC ID: 5294047734 Enrollment ID: I20160815000564 |
| Provider Name | Patrick Thomas Block |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265585988 PECOS PAC ID: 6204821424 Enrollment ID: I20160816000205 |
| Provider Name | Donald C Townsend |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164447660 PECOS PAC ID: 9234299223 Enrollment ID: I20160819002159 |
| Provider Name | Nanna Helen Sulai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376864017 PECOS PAC ID: 8224200290 Enrollment ID: I20160819002280 |
| Provider Name | Prabhu D Emmady |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801056247 PECOS PAC ID: 1355582487 Enrollment ID: I20160822000647 |
| Provider Name | Leigh Ann Medaris |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487945333 PECOS PAC ID: 5496988982 Enrollment ID: I20160822001816 |
| Provider Name | Joseph Hissam Zeidan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972845311 PECOS PAC ID: 4880989409 Enrollment ID: I20160822002234 |
| Provider Name | Bruce Kennedy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659758159 PECOS PAC ID: 6901805498 Enrollment ID: I20160822002954 |
| Provider Name | Jubilee Brown |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1972685105 PECOS PAC ID: 3274692173 Enrollment ID: I20160829002114 |
| Provider Name | Amy Soni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386871127 PECOS PAC ID: 3870710460 Enrollment ID: I20160830000805 |
| Provider Name | Kunal Chaitanya Kadakia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326277443 PECOS PAC ID: 9335333889 Enrollment ID: I20160831002824 |
| Provider Name | Thomas Gregory Knight |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518286244 PECOS PAC ID: 1355562075 Enrollment ID: I20160906000753 |
| Provider Name | William Ford Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811281686 PECOS PAC ID: 4688963762 Enrollment ID: I20160907002425 |
| Provider Name | Amanda H Eckenrode |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639464720 PECOS PAC ID: 1052576683 Enrollment ID: I20160912000254 |
| Provider Name | Nicole Frances Aho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588955520 PECOS PAC ID: 5294024378 Enrollment ID: I20160912001082 |
| Provider Name | Thomas C Cameron |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043656770 PECOS PAC ID: 1355569195 Enrollment ID: I20160916001473 |
| Provider Name | Amira Zekan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124478904 PECOS PAC ID: 1052608189 Enrollment ID: I20160916002349 |
| Provider Name | Michael F Bachmeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902267321 PECOS PAC ID: 8729375894 Enrollment ID: I20160919000864 |
| Provider Name | Snehankita Calarese |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730349820 PECOS PAC ID: 9739476722 Enrollment ID: I20160919001882 |
| Provider Name | Corlan Olukemi Eboh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669793303 PECOS PAC ID: 1951573732 Enrollment ID: I20160919001974 |
| Provider Name | Amanda Murphy White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730404997 PECOS PAC ID: 3072756709 Enrollment ID: I20160919002358 |
| Provider Name | Derrick Kenneth Burno |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376514067 PECOS PAC ID: 4082690805 Enrollment ID: I20161010000064 |
| Provider Name | Samantha Jo Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336467075 PECOS PAC ID: 7113149592 Enrollment ID: I20161011000589 |
| Provider Name | Usha Balmuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578905154 PECOS PAC ID: 5698063378 Enrollment ID: I20161012001984 |
| Provider Name | Anna P Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003265943 PECOS PAC ID: 1759679152 Enrollment ID: I20161018002801 |
| Provider Name | Jennifer Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922138551 PECOS PAC ID: 5698853562 Enrollment ID: I20161024000668 |
| Provider Name | Joel Wade Lynch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245637776 PECOS PAC ID: 8820314818 Enrollment ID: I20161024001075 |
| Provider Name | Sara Mohamed Elrefai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336365360 PECOS PAC ID: 6901984236 Enrollment ID: I20161024002282 |
| Provider Name | Mia Valbracht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952753766 PECOS PAC ID: 1759669898 Enrollment ID: I20161025001641 |
| Provider Name | Timothy H Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285189969 PECOS PAC ID: 8820377286 Enrollment ID: I20161108001581 |
| Provider Name | Gillian S Akins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427506922 PECOS PAC ID: 5395024442 Enrollment ID: I20161114002097 |
| Provider Name | Solianny Desouza Kennerly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780022335 PECOS PAC ID: 0345461687 Enrollment ID: I20161116002706 |
| Provider Name | Kelly Todd Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295283182 PECOS PAC ID: 5395024020 Enrollment ID: I20161121000011 |
| Provider Name | Lyndsey H Mander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750839759 PECOS PAC ID: 7911286646 Enrollment ID: I20161121000060 |
| Provider Name | Scott Mikael Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891243929 PECOS PAC ID: 4385923804 Enrollment ID: I20161128000380 |
| Provider Name | Cindy Sing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508315987 PECOS PAC ID: 9830479203 Enrollment ID: I20161201001669 |
| Provider Name | Farshad Farnejad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710172978 PECOS PAC ID: 0840449633 Enrollment ID: I20161201001721 |
| Provider Name | Rahul Ramesh Karamchandani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437318441 PECOS PAC ID: 4587880570 Enrollment ID: I20161216001280 |
| Provider Name | Laura Davis Troutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639629652 PECOS PAC ID: 1759661333 Enrollment ID: I20161219000660 |
| Provider Name | Roxanne Kathleen Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457800898 PECOS PAC ID: 5597046151 Enrollment ID: I20161220000951 |
| Provider Name | Richard Cambareri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689786212 PECOS PAC ID: 8820003775 Enrollment ID: I20161228002323 |
| Provider Name | Justin A Canter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274100 PECOS PAC ID: 2961783964 Enrollment ID: I20170106000006 |
| Provider Name | Kristin Hayes Monza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437692035 PECOS PAC ID: 7719269398 Enrollment ID: I20170113001459 |
| Provider Name | Ipe George Kalathoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992024087 PECOS PAC ID: 7517098726 Enrollment ID: I20170124002620 |
| Provider Name | Shamille Hariharan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982040978 PECOS PAC ID: 9931481801 Enrollment ID: I20170130001058 |
| Provider Name | Nicole M Fesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053015 PECOS PAC ID: 8628351046 Enrollment ID: I20170209001800 |
| Provider Name | Erik Louis Forbes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801331863 PECOS PAC ID: 1951684125 Enrollment ID: I20170214000489 |
| Provider Name | Nicole F Zeckser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417370750 PECOS PAC ID: 4587894761 Enrollment ID: I20170214000607 |
| Provider Name | Brendan Andrew O'connor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598200321 PECOS PAC ID: 7214210129 Enrollment ID: I20170220000015 |
| Provider Name | William Benjamin Merritt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053856880 PECOS PAC ID: 9537443197 Enrollment ID: I20170227000208 |
| Provider Name | Kerstin E Langdale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255876314 PECOS PAC ID: 7517241151 Enrollment ID: I20170228000520 |
| Provider Name | Amber Pisani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780129312 PECOS PAC ID: 9436433919 Enrollment ID: I20170228002539 |
| Provider Name | Margaret Stephanie Dutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235222704 PECOS PAC ID: 8729057831 Enrollment ID: I20170310000904 |
| Provider Name | Thomas F Stout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114996725 PECOS PAC ID: 5799060711 Enrollment ID: I20170314000497 |
| Provider Name | Christina M Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336430800 PECOS PAC ID: 6002075512 Enrollment ID: I20170315002112 |
| Provider Name | Brittany Mcduffie Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548705460 PECOS PAC ID: 2961787536 Enrollment ID: I20170322000412 |
| Provider Name | Heather B Maykowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992242929 PECOS PAC ID: 4880970649 Enrollment ID: I20170410000629 |
| Provider Name | Barron I Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972947679 PECOS PAC ID: 9335386010 Enrollment ID: I20170425001128 |
| Provider Name | Shannon B Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578920831 PECOS PAC ID: 1557648458 Enrollment ID: I20170502001466 |
| Provider Name | Stephanie-lynn A Cardino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477989101 PECOS PAC ID: 1951530567 Enrollment ID: I20170502002569 |
| Provider Name | Abby M Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962866715 PECOS PAC ID: 2567749336 Enrollment ID: I20170503002326 |
| Provider Name | Margaret R Moorhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356880009 PECOS PAC ID: 7618254038 Enrollment ID: I20170511001470 |
| Provider Name | Peter E Clark |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073595401 PECOS PAC ID: 9133120058 Enrollment ID: I20170531000852 |
| Provider Name | Bradley C Tenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437690237 PECOS PAC ID: 9739456419 Enrollment ID: I20170531000880 |
| Provider Name | Marcy L Dickey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407948664 PECOS PAC ID: 0446395669 Enrollment ID: I20170620000622 |
| Provider Name | Nonna K Weinstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619219169 PECOS PAC ID: 7416187919 Enrollment ID: I20170627001097 |
| Provider Name | Samantha Gwen Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609232172 PECOS PAC ID: 7113296146 Enrollment ID: I20170707001354 |
| Provider Name | Milin M Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447592787 PECOS PAC ID: 2163647298 Enrollment ID: I20170710001499 |
| Provider Name | Donna Ann Baldassare |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962662478 PECOS PAC ID: 9638305758 Enrollment ID: I20170712000623 |
| Provider Name | Ryan M Gleason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578857975 PECOS PAC ID: 0547406589 Enrollment ID: I20170713001059 |
| Provider Name | Amanda Darlene Tooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740648542 PECOS PAC ID: 1951671528 Enrollment ID: I20170714002042 |
| Provider Name | Tyler J Dodds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477852234 PECOS PAC ID: 3072751346 Enrollment ID: I20170719004064 |
| Provider Name | Marina C Kanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699201210 PECOS PAC ID: 5092085001 Enrollment ID: I20170725001481 |
| Provider Name | Makunda Abdul-mbacke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013995851 PECOS PAC ID: 0941242606 Enrollment ID: I20170726003504 |
| Provider Name | Shelbi Atrash |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417105941 PECOS PAC ID: 9032380654 Enrollment ID: I20170731002539 |
| Provider Name | Sheenu Sheela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164685202 PECOS PAC ID: 9133307721 Enrollment ID: I20170801002221 |
| Provider Name | Jiang Zhu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992047203 PECOS PAC ID: 9739450115 Enrollment ID: I20170802003766 |
| Provider Name | Bei Hu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548550494 PECOS PAC ID: 0244510048 Enrollment ID: I20170803002530 |
| Provider Name | Jennifer Wiener Hartzell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578988309 PECOS PAC ID: 9830317007 Enrollment ID: I20170804000170 |
| Provider Name | Brittany K Ragon |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1598057986 PECOS PAC ID: 3779893094 Enrollment ID: I20170808000397 |
| Provider Name | Zachary L Farmer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093126310 PECOS PAC ID: 2961773072 Enrollment ID: I20170808003417 |
| Provider Name | Lasandra Denise Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356429674 PECOS PAC ID: 8426040882 Enrollment ID: I20170814000551 |
| Provider Name | Victoria P Rollins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396007704 PECOS PAC ID: 2264751999 Enrollment ID: I20170822000857 |
| Provider Name | Tamera M Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538452610 PECOS PAC ID: 5294040648 Enrollment ID: I20170825002158 |
| Provider Name | Megan H Jagosky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730590050 PECOS PAC ID: 7911279864 Enrollment ID: I20170828001385 |
| Provider Name | Natalie L Nowak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275893927 PECOS PAC ID: 2961785654 Enrollment ID: I20170901000960 |
| Provider Name | Claud M Grigg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962794842 PECOS PAC ID: 4688968753 Enrollment ID: I20170901002776 |
| Provider Name | Aishwarya R Bhagwandass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770920266 PECOS PAC ID: 8022381581 Enrollment ID: I20170905001282 |
| Provider Name | Michael Sean Boger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336296151 PECOS PAC ID: 8921154535 Enrollment ID: I20170905001792 |
| Provider Name | Kaitlin Scarlett Benedict |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285179580 PECOS PAC ID: 9133492648 Enrollment ID: I20170905003158 |
| Provider Name | David C Olson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407144744 PECOS PAC ID: 9739452038 Enrollment ID: I20170908000732 |
| Provider Name | Sailaja Allamneni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780974816 PECOS PAC ID: 3476790072 Enrollment ID: I20170911001120 |
| Provider Name | Erik James Sass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225312937 PECOS PAC ID: 8921257106 Enrollment ID: I20170912001264 |
| Provider Name | Felice Noel Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215450945 PECOS PAC ID: 0345513412 Enrollment ID: I20170912001930 |
| Provider Name | Khalid Stanazai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437592672 PECOS PAC ID: 9537461280 Enrollment ID: I20170913000533 |
| Provider Name | Natalie Marie Boyd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992220222 PECOS PAC ID: 4486927449 Enrollment ID: I20170913002604 |
| Provider Name | Robert H Lutz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881659068 PECOS PAC ID: 4486928488 Enrollment ID: I20170914001050 |
| Provider Name | Mohamed E Salem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1497882369 PECOS PAC ID: 4486746047 Enrollment ID: I20170919000268 |
| Provider Name | Alisha Younts Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487103818 PECOS PAC ID: 5597039255 Enrollment ID: I20170919000863 |
| Provider Name | Jeffrey A Hagen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558391011 PECOS PAC ID: 7517964216 Enrollment ID: I20171003007749 |
| Provider Name | Sahar Mansoor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861791121 PECOS PAC ID: 0244505014 Enrollment ID: I20171004000795 |
| Provider Name | Angela Christine Redmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508395740 PECOS PAC ID: 2264707843 Enrollment ID: I20171006002691 |
| Provider Name | Dan Andrei Dimitriu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437324951 PECOS PAC ID: 7719127745 Enrollment ID: I20171009001887 |
| Provider Name | Emily T Philbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720502115 PECOS PAC ID: 7517232036 Enrollment ID: I20171010002028 |
| Provider Name | Lorene A Temming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891012571 PECOS PAC ID: 7517182348 Enrollment ID: I20171011001661 |
| Provider Name | Meredith S Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255853701 PECOS PAC ID: 4789959909 Enrollment ID: I20171013000854 |
| Provider Name | Brittany Forren Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013439892 PECOS PAC ID: 0446525265 Enrollment ID: I20171021000045 |
| Provider Name | Ranjana S Lord |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417473687 PECOS PAC ID: 1254607070 Enrollment ID: I20171024000598 |
| Provider Name | Jai Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023246485 PECOS PAC ID: 6507013539 Enrollment ID: I20171030002317 |
| Provider Name | Amy C Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356866362 PECOS PAC ID: 5597031807 Enrollment ID: I20171031002324 |
| Provider Name | Tanasha R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881947539 PECOS PAC ID: 7416172374 Enrollment ID: I20171102001518 |
| Provider Name | Brittany L Barnhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079093 PECOS PAC ID: 2163788399 Enrollment ID: I20171103002374 |
| Provider Name | Ejike K Ofoemezie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871931857 PECOS PAC ID: 7416213533 Enrollment ID: I20171106003078 |
| Provider Name | Sini Joseph Kalapurakal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437311958 PECOS PAC ID: 5991973562 Enrollment ID: I20171113001731 |
| Provider Name | Joann Tao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972920809 PECOS PAC ID: 3274755970 Enrollment ID: I20171114001680 |
| Provider Name | Kendra Kamera Ham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285955435 PECOS PAC ID: 9032331608 Enrollment ID: I20171114003603 |
| Provider Name | Mouza T Goova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548339146 PECOS PAC ID: 5395847859 Enrollment ID: I20171115002246 |
| Provider Name | Mary K Finnigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306363973 PECOS PAC ID: 6204193477 Enrollment ID: I20171122002244 |
| Provider Name | Joshua B Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900286 PECOS PAC ID: 5294092482 Enrollment ID: I20171125000040 |
| Provider Name | Mauricio Pineda Roman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518057090 PECOS PAC ID: 5799774675 Enrollment ID: I20171130003424 |
| Provider Name | Aakanksha Asija |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1508098609 PECOS PAC ID: 1153562533 Enrollment ID: I20171207001795 |
| Provider Name | Samuel Ross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225329816 PECOS PAC ID: 9537427083 Enrollment ID: I20171211002447 |
| Provider Name | Armida G Parala-metz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013136308 PECOS PAC ID: 9335248749 Enrollment ID: I20171218000488 |
| Provider Name | Sweiemy Tseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194234161 PECOS PAC ID: 9931467081 Enrollment ID: I20171218002936 |
| Provider Name | Stephanie A James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982043717 PECOS PAC ID: 9234350497 Enrollment ID: I20171221001107 |
| Provider Name | Melissa K Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053821843 PECOS PAC ID: 9133487978 Enrollment ID: I20171227001645 |
| Provider Name | Sirisha Perumandla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700891454 PECOS PAC ID: 1759386121 Enrollment ID: I20180124003125 |
| Provider Name | Alfred C Papali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962658856 PECOS PAC ID: 3476783358 Enrollment ID: I20180203000099 |
| Provider Name | Allison M Puechl |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245572528 PECOS PAC ID: 8729348966 Enrollment ID: I20180207001688 |
| Provider Name | Amanda M Decrow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144504465 PECOS PAC ID: 4385876523 Enrollment ID: I20180208001274 |
| Provider Name | Baharak Moshiree |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609979715 PECOS PAC ID: 6204838808 Enrollment ID: I20180209002032 |
| Provider Name | Pravesh Basnet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285969154 PECOS PAC ID: 0446492136 Enrollment ID: I20180227000616 |
| Provider Name | Jennifer E Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649784828 PECOS PAC ID: 4486915840 Enrollment ID: I20180227001156 |
| Provider Name | Kathleen Ramona Tucker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992213193 PECOS PAC ID: 5890057707 Enrollment ID: I20180312002403 |
| Provider Name | Jamie Kennedy Badger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942714019 PECOS PAC ID: 4789946500 Enrollment ID: I20180314002420 |
| Provider Name | Eric N Stipec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285149377 PECOS PAC ID: 8628330453 Enrollment ID: I20180315000057 |
| Provider Name | Tanu S. Chandra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568626182 PECOS PAC ID: 8123203684 Enrollment ID: I20180323000745 |
| Provider Name | Andrea Eudy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508368150 PECOS PAC ID: 3971866658 Enrollment ID: I20180410002987 |
| Provider Name | Kathryn Grace Grimsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518255025 PECOS PAC ID: 5799048088 Enrollment ID: I20180419002258 |
| Provider Name | Ashley M Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905329 PECOS PAC ID: 8022332816 Enrollment ID: I20180425001546 |
| Provider Name | Shanna Keneisha Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114427499 PECOS PAC ID: 1951665819 Enrollment ID: I20180502001609 |
| Provider Name | Tamara L Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598266694 PECOS PAC ID: 0941564140 Enrollment ID: I20180515001719 |
| Provider Name | Arlene Nalini Persaud Kraut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295749612 PECOS PAC ID: 1850365289 Enrollment ID: I20180521001138 |
| Provider Name | Julio Fernando Mateus Nino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700077997 PECOS PAC ID: 1052400876 Enrollment ID: I20180522000154 |
| Provider Name | Andrew Barrett Hester |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831312438 PECOS PAC ID: 1052589876 Enrollment ID: I20180604001376 |
| Provider Name | Erin Vogt Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912408956 PECOS PAC ID: 9638434061 Enrollment ID: I20180605002251 |
| Provider Name | Nilesh I Lodhia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922264654 PECOS PAC ID: 6305906702 Enrollment ID: I20180613002528 |
| Provider Name | Petronela Meszaros |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275709495 PECOS PAC ID: 0446429138 Enrollment ID: I20180614000936 |
| Provider Name | Adeel Yousaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922235563 PECOS PAC ID: 9931341609 Enrollment ID: I20180615002318 |
| Provider Name | Cathy Sue Layne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750572079 PECOS PAC ID: 8224162391 Enrollment ID: I20180618000963 |
| Provider Name | Pamela Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528050440 PECOS PAC ID: 7012043987 Enrollment ID: I20180619000097 |
| Provider Name | Katie Price Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558606228 PECOS PAC ID: 4082859822 Enrollment ID: I20180622000290 |
| Provider Name | Jessica T Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750736823 PECOS PAC ID: 4183913221 Enrollment ID: I20180622002606 |
| Provider Name | Stephenie Kristen Peploe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992294284 PECOS PAC ID: 9436404928 Enrollment ID: I20180625003049 |
| Provider Name | Emmaleigh Madeline Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487812889 PECOS PAC ID: 9537203302 Enrollment ID: I20180627001896 |
| Provider Name | Allison P Risha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720576630 PECOS PAC ID: 2860748613 Enrollment ID: I20180709002490 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20180723003303 |
| Provider Name | Lauren E Kummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952807281 PECOS PAC ID: 5294082939 Enrollment ID: I20180725004051 |
| Provider Name | Muhammad Fahair Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659788941 PECOS PAC ID: 5496974156 Enrollment ID: I20180726002620 |
| Provider Name | Ariel Catherine Haddad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336465988 PECOS PAC ID: 0749424166 Enrollment ID: I20180731000339 |
| Provider Name | Ashley N Green |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023453008 PECOS PAC ID: 5799082731 Enrollment ID: I20180806001201 |
| Provider Name | Kiran Gajurel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922213297 PECOS PAC ID: 5496800419 Enrollment ID: I20180815000198 |
| Provider Name | Charles H Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255744702 PECOS PAC ID: 3274750518 Enrollment ID: I20180827002756 |
| Provider Name | Andrea Christmas Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841782562 PECOS PAC ID: 7214286046 Enrollment ID: I20180828000144 |
| Provider Name | Rachel David Romero |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558603910 PECOS PAC ID: 1456655158 Enrollment ID: I20180828001914 |
| Provider Name | Arielle L Heeke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881950848 PECOS PAC ID: 5698025187 Enrollment ID: I20180904002173 |
| Provider Name | Christopher Scott Kuppler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679866552 PECOS PAC ID: 1052545308 Enrollment ID: I20180904002264 |
| Provider Name | Genevieve Angelina Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285123109 PECOS PAC ID: 4981954484 Enrollment ID: I20180904002569 |
| Provider Name | Maxim James Mckibben |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598022089 PECOS PAC ID: 1658591276 Enrollment ID: I20180906003165 |
| Provider Name | Natasha Adlakha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215324371 PECOS PAC ID: 2567712862 Enrollment ID: I20180907000582 |
| Provider Name | James Timothy Kearns |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316269228 PECOS PAC ID: 3870895642 Enrollment ID: I20180907001998 |
| Provider Name | Matthew Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588927891 PECOS PAC ID: 7315189842 Enrollment ID: I20180910000598 |
| Provider Name | Lisa N Clevenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871087429 PECOS PAC ID: 6800146085 Enrollment ID: I20180910001380 |
| Provider Name | Rachel Anna Garcia |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1891016556 PECOS PAC ID: 2961705934 Enrollment ID: I20180910001528 |
| Provider Name | Selwan David Barbat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346683174 PECOS PAC ID: 0446540819 Enrollment ID: I20180910001996 |
| Provider Name | Amanda Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366889792 PECOS PAC ID: 4082986047 Enrollment ID: I20180912000532 |
| Provider Name | Carly R Hamlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104203728 PECOS PAC ID: 8022326735 Enrollment ID: I20180914000760 |
| Provider Name | Jesse Kyle Sulzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699017251 PECOS PAC ID: 4688952633 Enrollment ID: I20180918000806 |
| Provider Name | Gillian Regan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174046411 PECOS PAC ID: 9638420425 Enrollment ID: I20180918000971 |
| Provider Name | Meera Gangam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114160652 PECOS PAC ID: 0345468138 Enrollment ID: I20180918003738 |
| Provider Name | Adarsh Hiremath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578735478 PECOS PAC ID: 5496807810 Enrollment ID: I20180924000914 |
| Provider Name | Louis David Viamonte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134416969 PECOS PAC ID: 1951535509 Enrollment ID: I20180924002444 |
| Provider Name | Jennifer Bromley Philips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720377989 PECOS PAC ID: 8022339936 Enrollment ID: I20180924003777 |
| Provider Name | Addison K May |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700973815 PECOS PAC ID: 1052449113 Enrollment ID: I20180925000061 |
| Provider Name | Amanda S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063657823 PECOS PAC ID: 9931450327 Enrollment ID: I20180925000152 |
| Provider Name | Karen A Jaramillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544477 PECOS PAC ID: 3173874500 Enrollment ID: I20180925002260 |
| Provider Name | Jose Raul Soto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063707578 PECOS PAC ID: 1456588946 Enrollment ID: I20181002003599 |
| Provider Name | William P Banish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760468110 PECOS PAC ID: 6305988668 Enrollment ID: I20181022003210 |
| Provider Name | Dana Goforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932686581 PECOS PAC ID: 4385997279 Enrollment ID: I20181023001101 |
| Provider Name | Atulkumar D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033292685 PECOS PAC ID: 4789750332 Enrollment ID: I20181024001504 |
| Provider Name | Sejal Dave |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124234901 PECOS PAC ID: 8325191927 Enrollment ID: I20181026000868 |
| Provider Name | Amanda Renee Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043705031 PECOS PAC ID: 5991058570 Enrollment ID: I20181029001923 |
| Provider Name | Carey J Mcpeek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851870893 PECOS PAC ID: 2365796208 Enrollment ID: I20181113002223 |
| Provider Name | Lynneice L Bowen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033522958 PECOS PAC ID: 5294024048 Enrollment ID: I20181126001904 |
| Provider Name | Sarah K Galloway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598045825 PECOS PAC ID: 9436320181 Enrollment ID: I20181127000113 |
| Provider Name | Catherine Heather Frenkel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073807236 PECOS PAC ID: 4082981592 Enrollment ID: I20181127003459 |
| Provider Name | John M Robinson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699900191 PECOS PAC ID: 7911126891 Enrollment ID: I20181129003497 |
| Provider Name | Vernon Eugene Mackie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780813147 PECOS PAC ID: 7618199175 Enrollment ID: I20181205003041 |
| Provider Name | Jessica B Rhodes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861802555 PECOS PAC ID: 8426392846 Enrollment ID: I20181211003047 |
| Provider Name | Montana Marshall Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700361466 PECOS PAC ID: 0840535233 Enrollment ID: I20181212002301 |
| Provider Name | Maria G Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306847553 PECOS PAC ID: 4284671835 Enrollment ID: I20181226002385 |
| Provider Name | Allen Douglas Desena |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770764060 PECOS PAC ID: 8921243338 Enrollment ID: I20181231000855 |
| Provider Name | Alberto R Mizrachi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821203977 PECOS PAC ID: 3375563968 Enrollment ID: I20190108000695 |
| Provider Name | Stephanie M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932695574 PECOS PAC ID: 9739425588 Enrollment ID: I20190115002572 |
| Provider Name | Michael Steven Clemens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871852095 PECOS PAC ID: 2062758840 Enrollment ID: I20190116000360 |
| Provider Name | Lucy Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131496 PECOS PAC ID: 3476890021 Enrollment ID: I20190122000143 |
| Provider Name | Amber L Amick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568940724 PECOS PAC ID: 6002153657 Enrollment ID: I20190122000179 |
| Provider Name | Kimberly S Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558835363 PECOS PAC ID: 1456699271 Enrollment ID: I20190220001480 |
| Provider Name | Colleen Megan Pettrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023455425 PECOS PAC ID: 6103050307 Enrollment ID: I20190227000020 |
| Provider Name | Nilay A Shah |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1356541445 PECOS PAC ID: 4082888029 Enrollment ID: I20190410003166 |
| Provider Name | Maggie Corvaia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588128102 PECOS PAC ID: 6507107661 Enrollment ID: I20190418001033 |
| Provider Name | Caroline Ew Mastrosante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558820936 PECOS PAC ID: 0042552002 Enrollment ID: I20190424000283 |
| Provider Name | Kelly A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649757360 PECOS PAC ID: 7315289295 Enrollment ID: I20190424001624 |
| Provider Name | Stacy Lee Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659789105 PECOS PAC ID: 9931407079 Enrollment ID: I20190502001410 |
| Provider Name | Melanie R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485046 PECOS PAC ID: 1759623135 Enrollment ID: I20190506000542 |
| Provider Name | Richard H Ruben |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801826490 PECOS PAC ID: 0840191151 Enrollment ID: I20190508003497 |
| Provider Name | Emily Ruth Buzhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134680663 PECOS PAC ID: 0547503377 Enrollment ID: I20190520001425 |
| Provider Name | Jason Chauncy Mccartt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811256902 PECOS PAC ID: 7113140237 Enrollment ID: I20190614000103 |
| Provider Name | Natalee Genevieve Stone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659638740 PECOS PAC ID: 4284855941 Enrollment ID: I20190723001437 |
| Provider Name | Colin Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205192879 PECOS PAC ID: 2668613654 Enrollment ID: I20190724001904 |
| Provider Name | Ashley G Matusz-fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356703722 PECOS PAC ID: 2365778446 Enrollment ID: I20190726001786 |
| Provider Name | Vina Sananikone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982161907 PECOS PAC ID: 8022344092 Enrollment ID: I20190729002557 |
| Provider Name | Areej Mazhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235522426 PECOS PAC ID: 5890093306 Enrollment ID: I20190730003681 |
| Provider Name | Naresh Raja Sundaresan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831518752 PECOS PAC ID: 1658673421 Enrollment ID: I20190801002892 |
| Provider Name | Hani El-halawany |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558633008 PECOS PAC ID: 9234427576 Enrollment ID: I20190805002708 |
| Provider Name | Barry Paul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760827539 PECOS PAC ID: 3678791852 Enrollment ID: I20190805003081 |
| Provider Name | Abby Howenstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750709242 PECOS PAC ID: 4587964168 Enrollment ID: I20190807000296 |
| Provider Name | Elaine M Cleveland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063706877 PECOS PAC ID: 3971830407 Enrollment ID: I20190807000761 |
| Provider Name | Patrick Naaman Salibi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891112272 PECOS PAC ID: 8527381219 Enrollment ID: I20190808000659 |
| Provider Name | Matthew Wells Mcconnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699018044 PECOS PAC ID: 7416185210 Enrollment ID: I20190808002723 |
| Provider Name | Lindsey M Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801364195 PECOS PAC ID: 6608103767 Enrollment ID: I20190812003504 |
| Provider Name | Kevin M Lamm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073977377 PECOS PAC ID: 3072881242 Enrollment ID: I20190813002641 |
| Provider Name | Lauren S Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255674834 PECOS PAC ID: 8729316294 Enrollment ID: I20190821002552 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20190822003989 |
| Provider Name | Mindy Marie Sampson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528486057 PECOS PAC ID: 7618205998 Enrollment ID: I20190823002691 |
| Provider Name | Pavan K Tenneti Venkata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578851572 PECOS PAC ID: 4789804691 Enrollment ID: I20190826000664 |
| Provider Name | Charis S Gn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306259700 PECOS PAC ID: 7012133705 Enrollment ID: I20190826003436 |
| Provider Name | Ashikaben K Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891180105 PECOS PAC ID: 7719280437 Enrollment ID: I20190828001485 |
| Provider Name | Elaina Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871905752 PECOS PAC ID: 3971728122 Enrollment ID: I20190828002111 |
| Provider Name | Christopher Ryan Pallas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235593799 PECOS PAC ID: 0840570271 Enrollment ID: I20190829004224 |
| Provider Name | Victoria Esther Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356728364 PECOS PAC ID: 0446552483 Enrollment ID: I20190905001983 |
| Provider Name | David Kalman Epstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649256223 PECOS PAC ID: 5597926857 Enrollment ID: I20190906001155 |
| Provider Name | Nicole Kuhn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811384258 PECOS PAC ID: 1052614773 Enrollment ID: I20190911001566 |
| Provider Name | Brittany Venci Seminara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194161323 PECOS PAC ID: 6800163304 Enrollment ID: I20190916000473 |
| Provider Name | Matthew Charles Starke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861811036 PECOS PAC ID: 8123357183 Enrollment ID: I20190917001604 |
| Provider Name | Mark Mitchell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902192586 PECOS PAC ID: 4082962444 Enrollment ID: I20190918003333 |
| Provider Name | Laura W Musselwhite |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942569165 PECOS PAC ID: 0648500538 Enrollment ID: I20190918003615 |
| Provider Name | Joshua Stone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083026710 PECOS PAC ID: 4082831516 Enrollment ID: I20190924003740 |
| Provider Name | Tamara K Moyo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417274994 PECOS PAC ID: 6709151376 Enrollment ID: I20190925003242 |
| Provider Name | Sheena Carllee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235541012 PECOS PAC ID: 1850518820 Enrollment ID: I20191010003111 |
| Provider Name | Punam Rajput |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568878619 PECOS PAC ID: 3072817345 Enrollment ID: I20191011001689 |
| Provider Name | Malcolm H Squires |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821315516 PECOS PAC ID: 0547530354 Enrollment ID: I20191014000365 |
| Provider Name | Michael Hugh Schecter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104208800 PECOS PAC ID: 2860709847 Enrollment ID: I20191014002962 |
| Provider Name | Kulsum Bano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114378775 PECOS PAC ID: 8527355320 Enrollment ID: I20191014003585 |
| Provider Name | Michael D Schaffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336662444 PECOS PAC ID: 8820363260 Enrollment ID: I20191015000494 |
| Provider Name | Stephanie Alicia Mcneill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922428606 PECOS PAC ID: 0446530497 Enrollment ID: I20191016000185 |
| Provider Name | Stephen J Gibbs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093125676 PECOS PAC ID: 4587941984 Enrollment ID: I20191024000168 |
| Provider Name | Felicia A Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871148288 PECOS PAC ID: 3971835646 Enrollment ID: I20191029003712 |
| Provider Name | Camille Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205489291 PECOS PAC ID: 9739511791 Enrollment ID: I20191112002751 |
| Provider Name | Gillian L Stearns Parr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225294580 PECOS PAC ID: 9133436157 Enrollment ID: I20191125003004 |
| Provider Name | Rachel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477025716 PECOS PAC ID: 6507299757 Enrollment ID: I20191203000429 |
| Provider Name | Jessica Leigh Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457994097 PECOS PAC ID: 5698108389 Enrollment ID: I20191211001047 |
| Provider Name | Kasser Saba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043691660 PECOS PAC ID: 9436469343 Enrollment ID: I20191216000615 |
| Provider Name | Claire L Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104470392 PECOS PAC ID: 2062846512 Enrollment ID: I20191217000683 |
| Provider Name | Dallas C Banner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033763537 PECOS PAC ID: 5799119863 Enrollment ID: I20191223002256 |
| Provider Name | Zachary D Held |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083193536 PECOS PAC ID: 2860826989 Enrollment ID: I20191226001144 |
| Provider Name | Lisa R Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760037634 PECOS PAC ID: 6901230994 Enrollment ID: I20191227002392 |
| Provider Name | Carter R Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942851738 PECOS PAC ID: 2961836895 Enrollment ID: I20191230001864 |
| Provider Name | Mary N Irvine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700429222 PECOS PAC ID: 9032543889 Enrollment ID: I20200102002012 |
| Provider Name | Kathia Elizabeth Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326568981 PECOS PAC ID: 2062760309 Enrollment ID: I20200106002420 |
| Provider Name | Elyse R Thakur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619404464 PECOS PAC ID: 7416381017 Enrollment ID: I20200107000041 |
| Provider Name | Shihao Lao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790335180 PECOS PAC ID: 3577998020 Enrollment ID: I20200110002018 |
| Provider Name | Ashley Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538700620 PECOS PAC ID: 3678908803 Enrollment ID: I20200116002178 |
| Provider Name | Scott Gremillion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306232004 PECOS PAC ID: 0345520540 Enrollment ID: I20200130001807 |
| Provider Name | Kamalesh Bala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093017253 PECOS PAC ID: 3779733977 Enrollment ID: I20200206002238 |
| Provider Name | Jyostna D Pulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114274586 PECOS PAC ID: 6901195205 Enrollment ID: I20200217001408 |
| Provider Name | Ryan Cannici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477198091 PECOS PAC ID: 8921435272 Enrollment ID: I20200226000315 |
| Provider Name | Samantha S Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740756253 PECOS PAC ID: 2860737301 Enrollment ID: I20200226002912 |
| Provider Name | Kathryn Muir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699039065 PECOS PAC ID: 2264860246 Enrollment ID: I20200325003331 |
| Provider Name | Leo F Mccluskey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902837792 PECOS PAC ID: 8527194885 Enrollment ID: I20200401000868 |
| Provider Name | Brittany Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053958918 PECOS PAC ID: 6103255674 Enrollment ID: I20200403001558 |
| Provider Name | Ava Opalinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932739372 PECOS PAC ID: 8628407939 Enrollment ID: I20200408003101 |
| Provider Name | Jason John Madey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245466937 PECOS PAC ID: 2062791569 Enrollment ID: I20200409001678 |
| Provider Name | Thomas Declan Walsh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285699637 PECOS PAC ID: 4486566908 Enrollment ID: I20200410002155 |
| Provider Name | Kelli Denise Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306481643 PECOS PAC ID: 0143650176 Enrollment ID: I20200415001735 |
| Provider Name | Kevin L Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821620451 PECOS PAC ID: 9931539574 Enrollment ID: I20200422000244 |
| Provider Name | Heather Waleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528694346 PECOS PAC ID: 2668803750 Enrollment ID: I20200505000835 |
| Provider Name | Shree Bathani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093368052 PECOS PAC ID: 2961833736 Enrollment ID: I20200511002685 |
| Provider Name | Bhanji D Kundaria |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619906872 PECOS PAC ID: 3779653555 Enrollment ID: I20200522001498 |
| Provider Name | Nicolas Timothy Labarre |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881007540 PECOS PAC ID: 6507088457 Enrollment ID: I20200602002298 |
| Provider Name | Stacy-ann Shemaine Comer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508149162 PECOS PAC ID: 8022266378 Enrollment ID: I20200604003359 |
| Provider Name | Leonor Lourido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326476540 PECOS PAC ID: 2961639190 Enrollment ID: I20200619000966 |
| Provider Name | Poonam Sood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578706859 PECOS PAC ID: 8224351507 Enrollment ID: I20200619001005 |
| Provider Name | Heather Maclaughlin Winn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962859728 PECOS PAC ID: 1951694322 Enrollment ID: I20200627000052 |
| Provider Name | Emily Rogers Delmas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699976514 PECOS PAC ID: 9931357068 Enrollment ID: I20200629001738 |
| Provider Name | Daniel Edwards |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487034146 PECOS PAC ID: 6608299128 Enrollment ID: I20200630003293 |
| Provider Name | Kimberly Vb Reames |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477593705 PECOS PAC ID: 8729090717 Enrollment ID: I20200701000354 |
| Provider Name | Sierra J Witte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861874133 PECOS PAC ID: 4688097520 Enrollment ID: I20200709003647 |
| Provider Name | Leah R Carnick Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093349656 PECOS PAC ID: 4284057936 Enrollment ID: I20200714000718 |
| Provider Name | Andrew S Delmas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750582672 PECOS PAC ID: 6507047123 Enrollment ID: I20200714001375 |
| Provider Name | George Edward Black |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538431994 PECOS PAC ID: 0547571754 Enrollment ID: I20200717000233 |
| Provider Name | Shahab Babakoohi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356606032 PECOS PAC ID: 6608105358 Enrollment ID: I20200717001447 |
| Provider Name | Justin T Matulay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295008324 PECOS PAC ID: 1850638776 Enrollment ID: I20200721001475 |
| Provider Name | Brittany Gaskins Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366991143 PECOS PAC ID: 4082996624 Enrollment ID: I20200727002890 |
| Provider Name | Sean Thomas Dieffenbaugher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083033971 PECOS PAC ID: 9739410895 Enrollment ID: I20200731000757 |
| Provider Name | Jong Wook An |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043419096 PECOS PAC ID: 7113350133 Enrollment ID: I20200806000092 |
| Provider Name | Christopher Diaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053852277 PECOS PAC ID: 5799060224 Enrollment ID: I20200806000806 |
| Provider Name | Joshua David Richter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467802983 PECOS PAC ID: 6608161682 Enrollment ID: I20200812000837 |
| Provider Name | Jay Bharatkumar Bhimani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417319229 PECOS PAC ID: 0244526648 Enrollment ID: I20200818001896 |
| Provider Name | Benjamin Mitchell Motz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417368689 PECOS PAC ID: 9931525144 Enrollment ID: I20200819000783 |
| Provider Name | Kaitlin P Beckman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952626319 PECOS PAC ID: 9537473020 Enrollment ID: I20200819001472 |
| Provider Name | Britney L Pettigrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770109985 PECOS PAC ID: 9234555392 Enrollment ID: I20200819003198 |
| Provider Name | Heather B England |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952838286 PECOS PAC ID: 4587939640 Enrollment ID: I20200820003169 |
| Provider Name | Shoba Jayaram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952795825 PECOS PAC ID: 2860708013 Enrollment ID: I20200821001803 |
| Provider Name | Mary Kathryn Brewer Key |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801324686 PECOS PAC ID: 0749551182 Enrollment ID: I20200824001498 |
| Provider Name | Nina-serena F Burkett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639550452 PECOS PAC ID: 1153622337 Enrollment ID: I20200824002735 |
| Provider Name | Kaitlyn O'keefe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063945467 PECOS PAC ID: 9436436565 Enrollment ID: I20200825000211 |
| Provider Name | Mukunda Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487185534 PECOS PAC ID: 5890063770 Enrollment ID: I20200831001191 |
| Provider Name | Shellian S Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265960983 PECOS PAC ID: 6507283967 Enrollment ID: I20200831001208 |
| Provider Name | Linsey Spence |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447660840 PECOS PAC ID: 9931526308 Enrollment ID: I20200831001627 |
| Provider Name | Brittany F Lees |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174966451 PECOS PAC ID: 0840431227 Enrollment ID: I20200910003067 |
| Provider Name | Boris Kiselev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023499621 PECOS PAC ID: 4284944901 Enrollment ID: I20200928002588 |
| Provider Name | Mariana Alejandra Rivera Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417482043 PECOS PAC ID: 6608112578 Enrollment ID: I20201001001197 |
| Provider Name | Matthew S Strand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164715975 PECOS PAC ID: 7315366556 Enrollment ID: I20201007002231 |
| Provider Name | Daniel Garth Tagge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225562218 PECOS PAC ID: 8123305794 Enrollment ID: I20201008003026 |
| Provider Name | Louis K Haase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295994903 PECOS PAC ID: 5597185777 Enrollment ID: I20201009001830 |
| Provider Name | Michael Ross Driedger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508344805 PECOS PAC ID: 7416206362 Enrollment ID: I20201013002753 |
| Provider Name | Lesley F Rummage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407469927 PECOS PAC ID: 1355761214 Enrollment ID: I20201014000864 |
| Provider Name | Kathryn Ann Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588272785 PECOS PAC ID: 0840610788 Enrollment ID: I20201015000974 |
| Provider Name | Laura Elizabeth Blum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912318874 PECOS PAC ID: 1153549654 Enrollment ID: I20201015002576 |
| Provider Name | Meghan Rebecca Steiner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023403516 PECOS PAC ID: 1759638729 Enrollment ID: I20201019002884 |
| Provider Name | Dawn T Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891076600 PECOS PAC ID: 0345488268 Enrollment ID: I20201020000465 |
| Provider Name | Christine Velazquez Pestana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801209515 PECOS PAC ID: 3072933381 Enrollment ID: I20201026000641 |
| Provider Name | Nigella M Siegl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942819594 PECOS PAC ID: 9234559543 Enrollment ID: I20201026000685 |
| Provider Name | Tiffany Budroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015826 PECOS PAC ID: 7517387897 Enrollment ID: I20201027000581 |
| Provider Name | Luke S Harmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821430042 PECOS PAC ID: 9032337944 Enrollment ID: I20201106001727 |
| Provider Name | Danielle M Altieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437771557 PECOS PAC ID: 9032529722 Enrollment ID: I20201109001811 |
| Provider Name | Amanda Renee Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548729239 PECOS PAC ID: 6002226685 Enrollment ID: I20201110003186 |
| Provider Name | Alexandra S Roak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306493663 PECOS PAC ID: 3072923663 Enrollment ID: I20201111000325 |
| Provider Name | Radhika Tirumala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124316757 PECOS PAC ID: 9133429566 Enrollment ID: I20201117001265 |
| Provider Name | Rafael A Torres Fajardo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124301189 PECOS PAC ID: 8820329394 Enrollment ID: I20210120003117 |
| Provider Name | Amber J Taylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023618063 PECOS PAC ID: 0840605333 Enrollment ID: I20210216000208 |
| Provider Name | Daniel Joseph Bonthius |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962497321 PECOS PAC ID: 2567556004 Enrollment ID: I20210218001282 |
| Provider Name | Nauman Tariq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801115878 PECOS PAC ID: 3173746906 Enrollment ID: I20210222000466 |
| Provider Name | Conrad Donald Braaten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144661174 PECOS PAC ID: 2567720733 Enrollment ID: I20210316002222 |
| Provider Name | Thai Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972195527 PECOS PAC ID: 9335556513 Enrollment ID: I20210406001720 |
| Provider Name | Karen D Fluet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114216744 PECOS PAC ID: 8123335742 Enrollment ID: I20210412000770 |
| Provider Name | Michael Cooper |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700266939 PECOS PAC ID: 5698005221 Enrollment ID: I20210414002136 |
| Provider Name | Allison Farrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235721549 PECOS PAC ID: 3173931938 Enrollment ID: I20210415000143 |
| Provider Name | Andre L Culpepper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801208459 PECOS PAC ID: 7113233099 Enrollment ID: I20210420000194 |
| Provider Name | Emily C Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083206734 PECOS PAC ID: 4880003177 Enrollment ID: I20210518001162 |
| Provider Name | Clarice B Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467944116 PECOS PAC ID: 6608122270 Enrollment ID: I20210525002685 |
| Provider Name | Paul Melvin Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396270740 PECOS PAC ID: 0446521892 Enrollment ID: I20210527001719 |
| Provider Name | Tamour Khan Tareen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396277067 PECOS PAC ID: 3971855008 Enrollment ID: I20210608000621 |
| Provider Name | Russell Trigonis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881057107 PECOS PAC ID: 7618245325 Enrollment ID: I20210608002435 |
| Provider Name | Kavita Kothari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528313244 PECOS PAC ID: 5698066553 Enrollment ID: I20210609003087 |
| Provider Name | Hamid Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376808329 PECOS PAC ID: 7416267653 Enrollment ID: I20210610002653 |
| Provider Name | Kristopher Joel Hansen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326485202 PECOS PAC ID: 4789979055 Enrollment ID: I20210615000933 |
| Provider Name | Sheetal O Desai-oghra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881864312 PECOS PAC ID: 9234265109 Enrollment ID: I20210615003629 |
| Provider Name | Sheetal O Desai-oghra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881864312 PECOS PAC ID: 9234265109 Enrollment ID: I20210615003668 |
| Provider Name | Dalia Abou Zeki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542606 PECOS PAC ID: 0547551251 Enrollment ID: I20210621001933 |
| Provider Name | Mary Hollist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689087983 PECOS PAC ID: 3678801875 Enrollment ID: I20210623002301 |
| Provider Name | Stephanie Lauren Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548606791 PECOS PAC ID: 8123317500 Enrollment ID: I20210706000412 |
| Provider Name | Samuel Joshua Dotson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811417041 PECOS PAC ID: 3577836741 Enrollment ID: I20210707001848 |
| Provider Name | Janson Trieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108817 PECOS PAC ID: 4981953338 Enrollment ID: I20210707002159 |
| Provider Name | Raju B Century |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700039245 PECOS PAC ID: 7315084415 Enrollment ID: I20210709001105 |
| Provider Name | Hadeer Metwally |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790219269 PECOS PAC ID: 6204102288 Enrollment ID: I20210716001567 |
| Provider Name | Ada T Ogunsiakan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255862058 PECOS PAC ID: 7315210309 Enrollment ID: I20210721001853 |
| Provider Name | Jennifer Wellington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851562 PECOS PAC ID: 1850604521 Enrollment ID: I20210721004052 |
| Provider Name | Sergey A Alentyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518366293 PECOS PAC ID: 0840514162 Enrollment ID: I20210727004053 |
| Provider Name | Hannah A Ehasz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154852465 PECOS PAC ID: 0840562989 Enrollment ID: I20210730002757 |
| Provider Name | Keith D Munson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942292503 PECOS PAC ID: 4688798309 Enrollment ID: I20210802001925 |
| Provider Name | Chelsea Kendall Osterman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427443928 PECOS PAC ID: 3779877691 Enrollment ID: I20210803000881 |
| Provider Name | Adrian D Hadiono |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659733186 PECOS PAC ID: 5294139804 Enrollment ID: I20210804001315 |
| Provider Name | Rebecca A Pierce-williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568800811 PECOS PAC ID: 0042437428 Enrollment ID: I20210812002444 |
| Provider Name | Darryl Alex Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508354366 PECOS PAC ID: 0143577056 Enrollment ID: I20210813002889 |
| Provider Name | Alyssa Kuprenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063916468 PECOS PAC ID: 0042567125 Enrollment ID: I20210818000978 |
| Provider Name | Jaime H. Kapur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205888971 PECOS PAC ID: 6002063351 Enrollment ID: I20210824001819 |
| Provider Name | Landon C Brown |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528453388 PECOS PAC ID: 3870998008 Enrollment ID: I20210825002955 |
| Provider Name | Maryam Hamid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043717176 PECOS PAC ID: 7113322314 Enrollment ID: I20210826001570 |
| Provider Name | Rebecca C Gerber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811342116 PECOS PAC ID: 2163715236 Enrollment ID: I20210827001505 |
| Provider Name | Timothy S Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932494655 PECOS PAC ID: 3173857430 Enrollment ID: I20210903001983 |
| Provider Name | Anusha Reddy Madadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447416334 PECOS PAC ID: 9133398126 Enrollment ID: I20210916003137 |
| Provider Name | Elisha John Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982377891 PECOS PAC ID: 1759788771 Enrollment ID: I20210917001370 |
| Provider Name | Kayla S Hopkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366032534 PECOS PAC ID: 2062819097 Enrollment ID: I20210917002207 |
| Provider Name | Dakota Frederick Jenneman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356846778 PECOS PAC ID: 1052718434 Enrollment ID: I20210928001724 |
| Provider Name | Eszter A Neumark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093338162 PECOS PAC ID: 1759788151 Enrollment ID: I20210928002529 |
| Provider Name | Ervis Xhihani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023466406 PECOS PAC ID: 4082011366 Enrollment ID: I20210929002394 |
| Provider Name | Manthan Dipak Makadia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396005773 PECOS PAC ID: 0143528315 Enrollment ID: I20211004000348 |
| Provider Name | Kelly R Scherger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104432046 PECOS PAC ID: 7719385558 Enrollment ID: I20211008002795 |
| Provider Name | Chrissy Guidry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356585533 PECOS PAC ID: 7719120146 Enrollment ID: I20211014002606 |
| Provider Name | Addison R Wolfkill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114690989 PECOS PAC ID: 7911305255 Enrollment ID: I20211018000965 |
| Provider Name | Kelsie Johanna Pierre |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801271556 PECOS PAC ID: 4385032051 Enrollment ID: I20211028003221 |
| Provider Name | Suzette D Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851964571 PECOS PAC ID: 0345638060 Enrollment ID: I20211029002127 |
| Provider Name | Cindy Varga |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1043555139 PECOS PAC ID: 2961620489 Enrollment ID: I20211101000128 |
| Provider Name | Hos C Loftus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295719920 PECOS PAC ID: 7113963729 Enrollment ID: I20211102000840 |
| Provider Name | Derrick E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609876606 PECOS PAC ID: 6103997945 Enrollment ID: I20211108001930 |
| Provider Name | Sparkle Toland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801228895 PECOS PAC ID: 8729215116 Enrollment ID: I20211116001958 |
| Provider Name | John B Plonk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730102211 PECOS PAC ID: 2567851207 Enrollment ID: I20211117003332 |
| Provider Name | Lindsay Blair Ostergaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285102780 PECOS PAC ID: 7416361324 Enrollment ID: I20211118003175 |
| Provider Name | Corryn M Della Flora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740954551 PECOS PAC ID: 7911397419 Enrollment ID: I20211123002619 |
| Provider Name | Griselle M Nazario Albino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518107481 PECOS PAC ID: 1557584521 Enrollment ID: I20211215002533 |
| Provider Name | Mohammad F Siddiqi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508150558 PECOS PAC ID: 0143535476 Enrollment ID: I20211217000622 |
| Provider Name | Ilvana Campagna Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614361 PECOS PAC ID: 9537413968 Enrollment ID: I20211221000828 |
| Provider Name | Madge Elaine Ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619954948 PECOS PAC ID: 3971523358 Enrollment ID: I20211229001671 |
| Provider Name | Stephanie Rita Mcdonough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215599766 PECOS PAC ID: 7113257635 Enrollment ID: I20220111000673 |
| Provider Name | Crystal L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952518151 PECOS PAC ID: 6901801729 Enrollment ID: I20220113002805 |
| Provider Name | Alexandra Santiago Vazquez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053623520 PECOS PAC ID: 0941517098 Enrollment ID: I20220118001202 |
| Provider Name | Susan B Legrand |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174587794 PECOS PAC ID: 3274567912 Enrollment ID: I20220125001716 |
| Provider Name | Lindsey C Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285279117 PECOS PAC ID: 8123456761 Enrollment ID: I20220125002709 |
| Provider Name | Howard Lawrence Kreger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174529879 PECOS PAC ID: 9638214521 Enrollment ID: I20220128000309 |
| Provider Name | Katelyn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730661521 PECOS PAC ID: 2163773763 Enrollment ID: I20220216000573 |
| Provider Name | Madison M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538758040 PECOS PAC ID: 2668866294 Enrollment ID: I20220224003118 |
| Provider Name | Frederico J Soares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134870066 PECOS PAC ID: 6305230350 Enrollment ID: I20220308001863 |
| Provider Name | Lauren Marie Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790436749 PECOS PAC ID: 2668867599 Enrollment ID: I20220311000769 |
| Provider Name | Lacondria F Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659751436 PECOS PAC ID: 6507166857 Enrollment ID: I20220311002224 |
| Provider Name | Marguerite A Swick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558975417 PECOS PAC ID: 9335534866 Enrollment ID: I20220321001493 |
| Provider Name | Eusther Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689329492 PECOS PAC ID: 3476949934 Enrollment ID: I20220408001673 |
| Provider Name | Amanda S. Walther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770815730 PECOS PAC ID: 9931230273 Enrollment ID: I20220413000758 |
| Provider Name | Alice W Muigai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922751791 PECOS PAC ID: 0345637419 Enrollment ID: I20220420002390 |
| Provider Name | Neelam V Desai |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1699864413 PECOS PAC ID: 6608942396 Enrollment ID: I20220420002740 |
| Provider Name | Arash Poursina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831379544 PECOS PAC ID: 4486828423 Enrollment ID: I20220519001781 |
| Provider Name | Padideh Rezabakhshpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376299750 PECOS PAC ID: 3577940121 Enrollment ID: I20220519002350 |
| Provider Name | Katherine C Van Poppel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194925396 PECOS PAC ID: 0840468849 Enrollment ID: I20220524001684 |
| Provider Name | Summit B Kundaria |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588896401 PECOS PAC ID: 8729204672 Enrollment ID: I20220602002503 |
| Provider Name | Joseph Mcnelis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538179734 PECOS PAC ID: 5799740288 Enrollment ID: I20220603000953 |
| Provider Name | Payal C Desai |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1629109285 PECOS PAC ID: 7719142694 Enrollment ID: I20220613003131 |
| Provider Name | Natalie B Spinella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902552136 PECOS PAC ID: 6709265648 Enrollment ID: I20220622003424 |
| Provider Name | Kayla M Marcinizyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891449047 PECOS PAC ID: 5294114161 Enrollment ID: I20220623000921 |
| Provider Name | Shreyans M Doshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407200330 PECOS PAC ID: 1254666076 Enrollment ID: I20220624000142 |
| Provider Name | Paris Charilaou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457734659 PECOS PAC ID: 0547673840 Enrollment ID: I20220628000325 |
| Provider Name | David L Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225569965 PECOS PAC ID: 2365716677 Enrollment ID: I20220629003916 |
| Provider Name | Melanie M Bucciarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194248286 PECOS PAC ID: 2860765468 Enrollment ID: I20220630000826 |
| Provider Name | Eric L Marin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215463856 PECOS PAC ID: 6608145891 Enrollment ID: I20220716000477 |
| Provider Name | Andrea W Costanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740587500 PECOS PAC ID: 8820275696 Enrollment ID: I20220718002960 |
| Provider Name | Steven Sungmin Hong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790912780 PECOS PAC ID: 3678869401 Enrollment ID: I20220719001924 |
| Provider Name | Afrayem Beniameen Morgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295266633 PECOS PAC ID: 8729350103 Enrollment ID: I20220726001946 |
| Provider Name | Bhavesh D Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124522057 PECOS PAC ID: 4082964200 Enrollment ID: I20220726002396 |
| Provider Name | Shraddha T Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215458559 PECOS PAC ID: 0345506572 Enrollment ID: I20220727002033 |
| Provider Name | Ahsan Wahab |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548644180 PECOS PAC ID: 0042512816 Enrollment ID: I20220802002887 |
| Provider Name | Mary E Hall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285166850 PECOS PAC ID: 8527440767 Enrollment ID: I20220803003605 |
| Provider Name | Caroline M Kang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497142962 PECOS PAC ID: 5395048292 Enrollment ID: I20220810000755 |
| Provider Name | Yovanni Casablanca |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1326025966 PECOS PAC ID: 1658509492 Enrollment ID: I20220810002189 |
| Provider Name | Monica N Modi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619116605 PECOS PAC ID: 5890007025 Enrollment ID: I20220810003218 |
| Provider Name | Lisa Marie Ruggiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346882081 PECOS PAC ID: 9032528138 Enrollment ID: I20220811000565 |
| Provider Name | Emily Michele Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851955082 PECOS PAC ID: 9830425586 Enrollment ID: I20220811003958 |
| Provider Name | Amar Hirendra Doshi |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1144607581 PECOS PAC ID: 1658683545 Enrollment ID: I20220812003138 |
| Provider Name | Ashley R Helseth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538401104 PECOS PAC ID: 8527441195 Enrollment ID: I20220815000631 |
| Provider Name | Nina Suzanne Cohen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508252891 PECOS PAC ID: 0648570762 Enrollment ID: I20220824000638 |
| Provider Name | Kaitlin K Eibeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033848627 PECOS PAC ID: 4688057672 Enrollment ID: I20220824002480 |
| Provider Name | Ronaldo C Mamaril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013301266 PECOS PAC ID: 7012315211 Enrollment ID: I20220831000153 |
| Provider Name | Harsh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467980045 PECOS PAC ID: 5890194930 Enrollment ID: I20220901000191 |
| Provider Name | Aaron M Dom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467846923 PECOS PAC ID: 5294003232 Enrollment ID: I20220901000833 |
| Provider Name | Shuktika Nandkeolyar |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1518353077 PECOS PAC ID: 3072896976 Enrollment ID: I20220901003356 |
| Provider Name | Yifan Pang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952758435 PECOS PAC ID: 9335431642 Enrollment ID: I20220902002621 |
| Provider Name | Shane Tipton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073977948 PECOS PAC ID: 9638465271 Enrollment ID: I20220908002468 |
| Provider Name | Dylan C Lovin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518385053 PECOS PAC ID: 8426271644 Enrollment ID: I20220908003338 |
| Provider Name | Frances Mccarron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174908586 PECOS PAC ID: 1658669833 Enrollment ID: I20220913002342 |
| Provider Name | Gaurav Mukesh Shah |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124472337 PECOS PAC ID: 8820386113 Enrollment ID: I20220916003206 |
| Provider Name | Jonathan Daniel Bouchez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174968069 PECOS PAC ID: 7517350697 Enrollment ID: I20220922002957 |
| Provider Name | Katie Jeter Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164957577 PECOS PAC ID: 1759655566 Enrollment ID: I20220929000260 |
| Provider Name | Stephen J Francis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366437816 PECOS PAC ID: 2264431089 Enrollment ID: I20221004000219 |
| Provider Name | Ye Myint Aung |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639660210 PECOS PAC ID: 9931449485 Enrollment ID: I20221006003506 |
| Provider Name | Melissa A Schramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033855531 PECOS PAC ID: 0749656015 Enrollment ID: I20221012001938 |
| Provider Name | Soo Hyun Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922271584 PECOS PAC ID: 5395813588 Enrollment ID: I20221028001848 |
| Provider Name | Alison C Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609594365 PECOS PAC ID: 9436526332 Enrollment ID: I20221107001167 |
| Provider Name | Brittani L Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962124990 PECOS PAC ID: 5991172769 Enrollment ID: I20221108000924 |
| Provider Name | Kelly B Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316440381 PECOS PAC ID: 4880943216 Enrollment ID: I20221109000168 |
| Provider Name | Colleen Mceachren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457002339 PECOS PAC ID: 2062880495 Enrollment ID: I20221116001389 |
| Provider Name | Bianca Falcone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316301260 PECOS PAC ID: 1951726587 Enrollment ID: I20221129002174 |
| Provider Name | Johann H Hsu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124225313 PECOS PAC ID: 7618197807 Enrollment ID: I20221129002526 |
| Provider Name | Nicole Tien Chao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750320545 PECOS PAC ID: 5395771133 Enrollment ID: I20221213000553 |
| Provider Name | Maithili V Chitnavis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720378730 PECOS PAC ID: 0042583510 Enrollment ID: I20221214002733 |
| Provider Name | Jacquelyn Jackson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316267057 PECOS PAC ID: 4880843101 Enrollment ID: I20221230001165 |
| Provider Name | Cam T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699422352 PECOS PAC ID: 6305216508 Enrollment ID: I20230104002471 |
| Provider Name | Janel S Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437873668 PECOS PAC ID: 3779953740 Enrollment ID: I20230109001409 |
| Provider Name | Ruben Anthony Mesa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962480475 PECOS PAC ID: 3476595125 Enrollment ID: I20230215000445 |
| Provider Name | Hana M Cayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427767334 PECOS PAC ID: 7911370440 Enrollment ID: I20230303002350 |
| Provider Name | Jordan T Hoots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851003032 PECOS PAC ID: 5991179780 Enrollment ID: I20230317000865 |
| Provider Name | Kristine Dee Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043251291 PECOS PAC ID: 4082682984 Enrollment ID: I20230317002116 |
| Provider Name | Meghan E Krisko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881306298 PECOS PAC ID: 7416321765 Enrollment ID: I20230328001441 |
| Provider Name | Ashlynn Brisben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013622398 PECOS PAC ID: 0143695312 Enrollment ID: I20230331002526 |
| Provider Name | Kevin M Phelan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497012488 PECOS PAC ID: 0446552772 Enrollment ID: I20230405001548 |
| Provider Name | Sharon E Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326518945 PECOS PAC ID: 5799117776 Enrollment ID: I20230424002761 |
| Provider Name | Brittney A Rains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033680053 PECOS PAC ID: 3375885809 Enrollment ID: I20230507000105 |
| Provider Name | Georgi Nicole Brockway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962629139 PECOS PAC ID: 7810353836 Enrollment ID: I20230517003088 |
| Provider Name | Joanna B Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386154409 PECOS PAC ID: 1850757600 Enrollment ID: I20230519002480 |
| Provider Name | Emily M Manlove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437411188 PECOS PAC ID: 9133370653 Enrollment ID: I20230601001359 |
| Provider Name | Rani Kaur Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982850418 PECOS PAC ID: 5799955233 Enrollment ID: I20230605001703 |
| Provider Name | Arundeep S Kahlon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396029088 PECOS PAC ID: 7517236029 Enrollment ID: I20230607001608 |
| Provider Name | Sarah M Brunelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730853151 PECOS PAC ID: 4082071857 Enrollment ID: I20230609001081 |
| Provider Name | Sonia Marie Abuzakhm |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659571065 PECOS PAC ID: 0749428563 Enrollment ID: I20230614003916 |
| Provider Name | Sarah A Klinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609215334 PECOS PAC ID: 7719345008 Enrollment ID: I20230619000896 |
| Provider Name | Rachel M Eyma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720030653 PECOS PAC ID: 6103861760 Enrollment ID: I20230711004661 |
| Provider Name | Srikant Nannapaneni |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407174782 PECOS PAC ID: 5193016178 Enrollment ID: I20230712004515 |
| Provider Name | Madeline Bundy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811425572 PECOS PAC ID: 3173857042 Enrollment ID: I20230717003040 |
| Provider Name | Amina Rafique |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518197086 PECOS PAC ID: 9335414903 Enrollment ID: I20230726000960 |
| Provider Name | Addie P Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548656572 PECOS PAC ID: 3476883992 Enrollment ID: I20230802004182 |
| Provider Name | Alejandra Maria Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588897664 PECOS PAC ID: 6305223991 Enrollment ID: I20230814002580 |
| Provider Name | Ashley Y Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720407422 PECOS PAC ID: 2365661873 Enrollment ID: I20230818002528 |
| Provider Name | Michael B Smigelski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902267677 PECOS PAC ID: 8426396987 Enrollment ID: I20230818003500 |
| Provider Name | Pawel P Szurnicki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164829636 PECOS PAC ID: 8325307861 Enrollment ID: I20230901001336 |
| Provider Name | Tsehaiwork T Fenikile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275627812 PECOS PAC ID: 4486847431 Enrollment ID: I20230911001213 |
| Provider Name | Alexandra Brooke Wells |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619471729 PECOS PAC ID: 7416202817 Enrollment ID: I20230913002340 |
| Provider Name | Arthur David Augustus Calloway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881184786 PECOS PAC ID: 8729336433 Enrollment ID: I20230918004280 |
| Provider Name | Shanti Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366973588 PECOS PAC ID: 2860813136 Enrollment ID: I20230919002786 |
| Provider Name | Emily Spradley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043748007 PECOS PAC ID: 5799056545 Enrollment ID: I20230919003805 |
| Provider Name | Corinna Lynn Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720608813 PECOS PAC ID: 1850715533 Enrollment ID: I20230921001215 |
| Provider Name | Christopher J Ferreri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326570870 PECOS PAC ID: 9739593559 Enrollment ID: I20230921003262 |
| Provider Name | Alexandria A Mara |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053844175 PECOS PAC ID: 3971957127 Enrollment ID: I20230921004375 |
| Provider Name | Ahmer Mohammad Ansari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477903177 PECOS PAC ID: 8628362522 Enrollment ID: I20230921004393 |
| Provider Name | Yancey Everett Warren |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1235583907 PECOS PAC ID: 4082985783 Enrollment ID: I20230925002260 |
| Provider Name | Rebecca E Kasper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578067468 PECOS PAC ID: 8426305269 Enrollment ID: I20230928003677 |
| Provider Name | Jessica Lee Sang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164955654 PECOS PAC ID: 9133406978 Enrollment ID: I20231004001205 |
| Provider Name | Kyle Thomas Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538659420 PECOS PAC ID: 6204191265 Enrollment ID: I20231014000335 |
| Provider Name | Barry L Westmoreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386340511 PECOS PAC ID: 4789048737 Enrollment ID: I20231017000256 |
| Provider Name | Neil Bhathela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851820567 PECOS PAC ID: 2163793829 Enrollment ID: I20231023002830 |
| Provider Name | Erika M Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053840371 PECOS PAC ID: 6002188851 Enrollment ID: I20231030002044 |
| Provider Name | Matthew R Alberti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417477886 PECOS PAC ID: 8628343613 Enrollment ID: I20231030003060 |
| Provider Name | Justin M Cirone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780070961 PECOS PAC ID: 6507165370 Enrollment ID: I20231113003451 |
| Provider Name | Jalal Zeyad El-akawi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174029169 PECOS PAC ID: 8729487012 Enrollment ID: I20231113003577 |
| Provider Name | Fareed Z Kadum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760495840 PECOS PAC ID: 4688677149 Enrollment ID: I20231116000263 |
| Provider Name | Brittany L Andres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851179469 PECOS PAC ID: 0941658413 Enrollment ID: I20231121002836 |
| Provider Name | Jada K Yokeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982480877 PECOS PAC ID: 7012365463 Enrollment ID: I20231127001527 |
| Provider Name | Rhyan C Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942084843 PECOS PAC ID: 9830547132 Enrollment ID: I20231128000171 |
| Provider Name | Jacob M Selig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336822998 PECOS PAC ID: 2365890431 Enrollment ID: I20231129003773 |
| Provider Name | Sarah Spradlin Festa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255111779 PECOS PAC ID: 5496103459 Enrollment ID: I20231130004014 |
| Provider Name | Jason Joung Woo Nam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689013054 PECOS PAC ID: 6901024785 Enrollment ID: I20231204001104 |
| Provider Name | Megan E Mccomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396428496 PECOS PAC ID: 0446600035 Enrollment ID: I20231221004111 |
| Provider Name | Robert Anthony Schnietz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740710631 PECOS PAC ID: 4284903071 Enrollment ID: I20240103004731 |
| Provider Name | Elizabeth Ashley Jean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528524329 PECOS PAC ID: 3678924594 Enrollment ID: I20240104003559 |
| Provider Name | Elda-rosa Coulthrust |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154643591 PECOS PAC ID: 5597117465 Enrollment ID: I20240116002853 |
| Provider Name | Maggie Matyola Okeowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962005660 PECOS PAC ID: 4486052479 Enrollment ID: I20240123000944 |
| Provider Name | Vincent Butano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790218899 PECOS PAC ID: 2567842644 Enrollment ID: I20240124000451 |
| Provider Name | Monique L Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144970 PECOS PAC ID: 0042618597 Enrollment ID: I20240124001310 |
| Provider Name | Eva Marie Kinzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376193904 PECOS PAC ID: 5890026454 Enrollment ID: I20240207002919 |
| Provider Name | Amy Fox Bacigalupi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134618549 PECOS PAC ID: 6002259595 Enrollment ID: I20240212003955 |
| Provider Name | Emma Paige Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548030471 PECOS PAC ID: 1355786633 Enrollment ID: I20240226003689 |
| Provider Name | Robert B Dotson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174163786 PECOS PAC ID: 9436594249 Enrollment ID: I20240304000749 |
Novant Health Indian Land Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Carolina Commons Dr, Suite 101, Indian Land, SC 29707 Phone: 803-548-9393 Fax: 803-548-9590 | |
Kds Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 Phone: 803-285-1082 Fax: 803-283-4329 | |
Palmetto Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy Suite 101, Indian Land, SC 29707 Phone: 803-548-7007 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Highway, Suite 200, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 803-431-8225 | |
Barnett Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7666 Charlotte Hwy, Ste 120, Indian Land, SC 29707 Phone: 803-431-8220 | |
Mackey Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707 Phone: 803-396-5368 Fax: 803-396-5350 |