| Lewis Gale Physicians LLC | |
|
1802 Braeburn Dr Salem VA 24153-7357 | |
| (540) 772-3671 | |
| (540) 725-5067 |
| Full Name | Lewis Gale Physicians LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1802 Braeburn Dr, Salem, Virginia |
| Authorized Official Name and Position | Suzanne Bergamo (VP) |
| Authorized Official Contact | 8042675950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Gale Physicians LLC 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7406 | Lewis Gale Physicians LLC 1802 Braeburn Dr Salem VA 24153-7357 Ph: (540) 772-3671 |
| NPI Number | 1902977705 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 11/20/2025 |
| Certification Date | 11/20/2025 |
| Medicare PECOS PAC ID | 6507886231 |
|---|---|
| Medicare Enrollment ID | O20051128000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902977705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Virginia) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Virginia) | Secondary |
| Provider Name | Joseph Troise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285629345 PECOS PAC ID: 7113822867 Enrollment ID: I20031210000333 |
| Provider Name | Joyce a Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750367215 PECOS PAC ID: 7012818958 Enrollment ID: I20040115000171 |
| Provider Name | Tamera L Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174504773 PECOS PAC ID: 4486540705 Enrollment ID: I20040224001004 |
| Provider Name | Julie B Crocker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346235843 PECOS PAC ID: 0345222147 Enrollment ID: I20040604000603 |
| Provider Name | Brian J Van Der Linden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184602864 PECOS PAC ID: 6103892088 Enrollment ID: I20040902000989 |
| Provider Name | Everett Kirk Luder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046701 PECOS PAC ID: 1557322765 Enrollment ID: I20041021000308 |
| Provider Name | Hassan K Honainy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932104023 PECOS PAC ID: 0143281782 Enrollment ID: I20041026000826 |
| Provider Name | Carl R Hannah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700848363 PECOS PAC ID: 8123080496 Enrollment ID: I20041028001137 |
| Provider Name | Matthew B Bowles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942236948 PECOS PAC ID: 0941264410 Enrollment ID: I20041115000716 |
| Provider Name | Robert C Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902864374 PECOS PAC ID: 6002865268 Enrollment ID: I20050114000611 |
| Provider Name | Joseph M Carbone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245282458 PECOS PAC ID: 3870404205 Enrollment ID: I20050120000849 |
| Provider Name | Angela D Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285657890 PECOS PAC ID: 8426092800 Enrollment ID: I20050616000357 |
| Provider Name | John L Harding |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457318776 PECOS PAC ID: 1850320029 Enrollment ID: I20050808001013 |
| Provider Name | Christopher Keeley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417914821 PECOS PAC ID: 7113956384 Enrollment ID: I20050808001024 |
| Provider Name | Vandana R Karri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932188562 PECOS PAC ID: 3971536707 Enrollment ID: I20050913000787 |
| Provider Name | Ali M Sajadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326028614 PECOS PAC ID: 0547294266 Enrollment ID: I20050922000405 |
| Provider Name | Stephen a Couture |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457337974 PECOS PAC ID: 8527088160 Enrollment ID: I20051129000251 |
| Provider Name | John F Daugherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164409652 PECOS PAC ID: 3476573957 Enrollment ID: I20051129000663 |
| Provider Name | Susanne E Voekler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972574861 PECOS PAC ID: 4981624483 Enrollment ID: I20051129000795 |
| Provider Name | Roy Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588643100 PECOS PAC ID: 9032139480 Enrollment ID: I20051130000148 |
| Provider Name | Russell E Delaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427035880 PECOS PAC ID: 0547280927 Enrollment ID: I20051130000357 |
| Provider Name | Clement a Elechi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538146915 PECOS PAC ID: 3870585433 Enrollment ID: I20051130000628 |
| Provider Name | Nelson B Greene |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801875455 PECOS PAC ID: 7911927264 Enrollment ID: I20051201000090 |
| Provider Name | James a Witten |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407827231 PECOS PAC ID: 4789604042 Enrollment ID: I20051201000136 |
| Provider Name | Vashist Nobbee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265411573 PECOS PAC ID: 5890715171 Enrollment ID: I20051201000296 |
| Provider Name | Andrew J Maiolo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013996669 PECOS PAC ID: 9335169630 Enrollment ID: I20051201000492 |
| Provider Name | Mackenzie Prandi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659342327 PECOS PAC ID: 4385668953 Enrollment ID: I20060123000197 |
| Provider Name | Sachinder Vasudeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053387167 PECOS PAC ID: 7214958016 Enrollment ID: I20060125000552 |
| Provider Name | Christopher Guth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457322398 PECOS PAC ID: 0244244341 Enrollment ID: I20060127000428 |
| Provider Name | Alan Early Mcluckie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962402024 PECOS PAC ID: 4385652510 Enrollment ID: I20060330000302 |
| Provider Name | Bradley Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467475053 PECOS PAC ID: 0840297354 Enrollment ID: I20061025000708 |
| Provider Name | Muddasar Chaudry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396795936 PECOS PAC ID: 0749289387 Enrollment ID: I20061209000014 |
| Provider Name | Kamran Rasul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356306591 PECOS PAC ID: 6800896895 Enrollment ID: I20061221000215 |
| Provider Name | Kimberly a Mizack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639251762 PECOS PAC ID: 0143322925 Enrollment ID: I20070226000237 |
| Provider Name | Eric Christian Steen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518058650 PECOS PAC ID: 8527054840 Enrollment ID: I20070309000248 |
| Provider Name | Michael H Clary |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053374264 PECOS PAC ID: 1355444027 Enrollment ID: I20070319000094 |
| Provider Name | Scott Robert Boerth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366439721 PECOS PAC ID: 7315041795 Enrollment ID: I20070323000274 |
| Provider Name | Sherrie J Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285628834 PECOS PAC ID: 3173531522 Enrollment ID: I20070409000331 |
| Provider Name | Nathan P Goldin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033198072 PECOS PAC ID: 3971608191 Enrollment ID: I20070417000640 |
| Provider Name | Elizabeth Anne Hutchens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467678193 PECOS PAC ID: 9234222092 Enrollment ID: I20070910000839 |
| Provider Name | Mark Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922127950 PECOS PAC ID: 0244324002 Enrollment ID: I20070924000695 |
| Provider Name | Paul a Yeaman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033174586 PECOS PAC ID: 1658465562 Enrollment ID: I20070925000323 |
| Provider Name | Stephan J Vivian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619975877 PECOS PAC ID: 9133199904 Enrollment ID: I20080108000739 |
| Provider Name | Steven S Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285677740 PECOS PAC ID: 1153356795 Enrollment ID: I20080118000491 |
| Provider Name | Christine D Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568685485 PECOS PAC ID: 6709969413 Enrollment ID: I20080218000533 |
| Provider Name | Jolene Bryner Henshaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164549978 PECOS PAC ID: 7719058916 Enrollment ID: I20080616000534 |
| Provider Name | Serge E Depret-guillaume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063488534 PECOS PAC ID: 9931272853 Enrollment ID: I20080724000677 |
| Provider Name | Deepak Deshmukh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942224522 PECOS PAC ID: 0749355584 Enrollment ID: I20080813000774 |
| Provider Name | Jason P Beissinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518914290 PECOS PAC ID: 5799855854 Enrollment ID: I20080926000600 |
| Provider Name | Laurie E Moyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811148133 PECOS PAC ID: 9234298340 Enrollment ID: I20081104000706 |
| Provider Name | Heather M Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063661049 PECOS PAC ID: 7012077407 Enrollment ID: I20081114000394 |
| Provider Name | Carla E Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598901464 PECOS PAC ID: 6901963875 Enrollment ID: I20090319000439 |
| Provider Name | Quasir Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497846943 PECOS PAC ID: 8527009398 Enrollment ID: I20090616000723 |
| Provider Name | Phillip J Patterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376604215 PECOS PAC ID: 0648346478 Enrollment ID: I20090723000493 |
| Provider Name | Mohammed a Bhatti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629159512 PECOS PAC ID: 7315009917 Enrollment ID: I20090806000255 |
| Provider Name | Bassel Moughrabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376548438 PECOS PAC ID: 0244278539 Enrollment ID: I20090819000311 |
| Provider Name | William R Jones |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841288891 PECOS PAC ID: 9234224536 Enrollment ID: I20091124000729 |
| Provider Name | Jason Fowlkes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356534952 PECOS PAC ID: 0345389706 Enrollment ID: I20091125000258 |
| Provider Name | Glenda Beekmann Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215126107 PECOS PAC ID: 2961530480 Enrollment ID: I20100504000571 |
| Provider Name | Corey Roland Weidman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013912104 PECOS PAC ID: 3274661319 Enrollment ID: I20100511000105 |
| Provider Name | George Thomas Zolovick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750471579 PECOS PAC ID: 4183760614 Enrollment ID: I20101101000648 |
| Provider Name | Richard P Konstance |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407893639 PECOS PAC ID: 2062479918 Enrollment ID: I20101115000581 |
| Provider Name | Joe Marshall Pack |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1679578751 PECOS PAC ID: 5294823639 Enrollment ID: I20101201001206 |
| Provider Name | Kristin H Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306880422 PECOS PAC ID: 8527255041 Enrollment ID: I20101209001245 |
| Provider Name | Eric D Swisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720002868 PECOS PAC ID: 3971782293 Enrollment ID: I20110119000513 |
| Provider Name | Brian E Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073577888 PECOS PAC ID: 5991985905 Enrollment ID: I20110208001081 |
| Provider Name | James R Wickham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740244615 PECOS PAC ID: 7517147523 Enrollment ID: I20110208001093 |
| Provider Name | James K Moles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336103407 PECOS PAC ID: 0042490997 Enrollment ID: I20110209000561 |
| Provider Name | Madalina Minciu Macrea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396791505 PECOS PAC ID: 3072794460 Enrollment ID: I20110217000563 |
| Provider Name | Richard Preston Leggett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104968403 PECOS PAC ID: 3779765805 Enrollment ID: I20110310001077 |
| Provider Name | John Bouldin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386624930 PECOS PAC ID: 6002999869 Enrollment ID: I20110419000586 |
| Provider Name | Paul Lee Strausbaugh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619927134 PECOS PAC ID: 0042106346 Enrollment ID: I20110509000707 |
| Provider Name | Ruth E Peevey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740576586 PECOS PAC ID: 0042489320 Enrollment ID: I20110802000506 |
| Provider Name | Michael R Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780652719 PECOS PAC ID: 9931378841 Enrollment ID: I20110810000641 |
| Provider Name | Robert M Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740228329 PECOS PAC ID: 6002089638 Enrollment ID: I20111027000122 |
| Provider Name | Preston Waldrop |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447292511 PECOS PAC ID: 5193612364 Enrollment ID: I20111027000130 |
| Provider Name | Elizabeth C Barwick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518157668 PECOS PAC ID: 1456524537 Enrollment ID: I20111107000076 |
| Provider Name | Mona Sadek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275500746 PECOS PAC ID: 5597930396 Enrollment ID: I20111206000570 |
| Provider Name | Sabrina M Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942461892 PECOS PAC ID: 7911173828 Enrollment ID: I20111227000261 |
| Provider Name | Melanie M Hinkle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700158508 PECOS PAC ID: 4880854082 Enrollment ID: I20120326000717 |
| Provider Name | John C Conrad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043582422 PECOS PAC ID: 4789846379 Enrollment ID: I20120426000497 |
| Provider Name | Laurie a Buchwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952435737 PECOS PAC ID: 8628234655 Enrollment ID: I20120719000350 |
| Provider Name | Lauren C Good |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538427547 PECOS PAC ID: 3870742455 Enrollment ID: I20120926000417 |
| Provider Name | Robbin C Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870786 PECOS PAC ID: 7315197209 Enrollment ID: I20121031000261 |
| Provider Name | Abraham B Hardee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114198926 PECOS PAC ID: 8921257528 Enrollment ID: I20121128000371 |
| Provider Name | Megan C Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902063423 PECOS PAC ID: 1456522523 Enrollment ID: I20121220000471 |
| Provider Name | Dawn N Fouse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316250590 PECOS PAC ID: 7012101603 Enrollment ID: I20130116000511 |
| Provider Name | Amanda Kay Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972840940 PECOS PAC ID: 5193961597 Enrollment ID: I20130409000216 |
| Provider Name | Christopher L Starks |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588827968 PECOS PAC ID: 3173779725 Enrollment ID: I20130809000499 |
| Provider Name | Kelly R Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942632344 PECOS PAC ID: 8123253150 Enrollment ID: I20131029002002 |
| Provider Name | Elliot S Freed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902192750 PECOS PAC ID: 5991954109 Enrollment ID: I20131231001982 |
| Provider Name | Amanda H Reese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124289582 PECOS PAC ID: 6305070418 Enrollment ID: I20140117000477 |
| Provider Name | Michael L Matteson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033386115 PECOS PAC ID: 0840470266 Enrollment ID: I20140414001220 |
| Provider Name | John B Patterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073573226 PECOS PAC ID: 6002894821 Enrollment ID: I20140613001643 |
| Provider Name | Joshua P Langston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205060902 PECOS PAC ID: 7012133556 Enrollment ID: I20140718001544 |
| Provider Name | Jonh James Pineda-bonilla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760640429 PECOS PAC ID: 5698829240 Enrollment ID: I20140813001008 |
| Provider Name | Wei Wei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154536142 PECOS PAC ID: 7911131826 Enrollment ID: I20140825000762 |
| Provider Name | Gerald a Demasters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164746988 PECOS PAC ID: 9830337773 Enrollment ID: I20140829001485 |
| Provider Name | Julianna D Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747311 PECOS PAC ID: 4688893662 Enrollment ID: I20140924001808 |
| Provider Name | Jennifer Leigh Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942439096 PECOS PAC ID: 6103068432 Enrollment ID: I20141118002150 |
| Provider Name | Madiha M Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619270568 PECOS PAC ID: 8527380526 Enrollment ID: I20141202001498 |
| Provider Name | Brian C Gross |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831327089 PECOS PAC ID: 0941325765 Enrollment ID: I20141209002532 |
| Provider Name | Deborah E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053715318 PECOS PAC ID: 9638492986 Enrollment ID: I20141218000475 |
| Provider Name | Rafik D Muawwad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184629420 PECOS PAC ID: 4082646518 Enrollment ID: I20150303001008 |
| Provider Name | Micah W I Jones |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1508006388 PECOS PAC ID: 6002133816 Enrollment ID: I20150316000623 |
| Provider Name | Stephen Greer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306868666 PECOS PAC ID: 7618866153 Enrollment ID: I20150427000964 |
| Provider Name | Andre D Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306238902 PECOS PAC ID: 2567781495 Enrollment ID: I20150427002522 |
| Provider Name | Matthew W Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699032060 PECOS PAC ID: 0749439081 Enrollment ID: I20150708002681 |
| Provider Name | David R Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194113464 PECOS PAC ID: 7618289125 Enrollment ID: I20150710001813 |
| Provider Name | Megan M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043685399 PECOS PAC ID: 9133426034 Enrollment ID: I20160321000673 |
| Provider Name | Akinwunmi Olatokunbo Ojo-carons |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033378344 PECOS PAC ID: 4183936800 Enrollment ID: I20160708000328 |
| Provider Name | Lisa M Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649411539 PECOS PAC ID: 5092959874 Enrollment ID: I20160721001360 |
| Provider Name | Parrish Moree |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518123447 PECOS PAC ID: 1658505284 Enrollment ID: I20160722000808 |
| Provider Name | Michael K Bowman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376510073 PECOS PAC ID: 3072595602 Enrollment ID: I20160725000922 |
| Provider Name | Raymond I Cruz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609034362 PECOS PAC ID: 8123264819 Enrollment ID: I20160725001203 |
| Provider Name | Valentine T Nduku |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871770263 PECOS PAC ID: 2163572967 Enrollment ID: I20160906000204 |
| Provider Name | Robyn J Hakanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124012117 PECOS PAC ID: 6507847472 Enrollment ID: I20160926001219 |
| Provider Name | Chuan L Miao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962660696 PECOS PAC ID: 6608921705 Enrollment ID: I20160927002081 |
| Provider Name | Jennifer M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932657087 PECOS PAC ID: 0345521332 Enrollment ID: I20170105002368 |
| Provider Name | Sarah a Markwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255875589 PECOS PAC ID: 8426332966 Enrollment ID: I20170301002183 |
| Provider Name | Samantha Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053869271 PECOS PAC ID: 6709160971 Enrollment ID: I20170307002192 |
| Provider Name | Todd Sterling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982699849 PECOS PAC ID: 7012137060 Enrollment ID: I20170323002159 |
| Provider Name | Frederic Albert Rawlins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235450727 PECOS PAC ID: 8729201421 Enrollment ID: I20170428001900 |
| Provider Name | Shannon M Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699215434 PECOS PAC ID: 9436436763 Enrollment ID: I20170515001197 |
| Provider Name | Meredith a Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205376167 PECOS PAC ID: 4981973427 Enrollment ID: I20170627001481 |
| Provider Name | Kimberly C Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063946358 PECOS PAC ID: 1153692637 Enrollment ID: I20170801003210 |
| Provider Name | Beth a Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073040200 PECOS PAC ID: 4385915123 Enrollment ID: I20170811002581 |
| Provider Name | Jeremy Smalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326334293 PECOS PAC ID: 8426347238 Enrollment ID: I20170822002387 |
| Provider Name | Gretchen Junko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730143876 PECOS PAC ID: 3577782614 Enrollment ID: I20170911002357 |
| Provider Name | Dominique Dempah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073763751 PECOS PAC ID: 0446488910 Enrollment ID: I20171006001916 |
| Provider Name | Jessica Fultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114445897 PECOS PAC ID: 4789959974 Enrollment ID: I20171016000359 |
| Provider Name | William E Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770002172 PECOS PAC ID: 7618235714 Enrollment ID: I20171219001678 |
| Provider Name | Brad Lee Bauer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457352684 PECOS PAC ID: 8123073079 Enrollment ID: I20180118000692 |
| Provider Name | Edward a Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275590374 PECOS PAC ID: 4789738709 Enrollment ID: I20180214001231 |
| Provider Name | Eva S Quiroz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861426264 PECOS PAC ID: 7618952318 Enrollment ID: I20180326001831 |
| Provider Name | Brijesh Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528367349 PECOS PAC ID: 9335383074 Enrollment ID: I20180713000249 |
| Provider Name | Shannon Green Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544089 PECOS PAC ID: 8325397607 Enrollment ID: I20180820002449 |
| Provider Name | Jeffrey M Kang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710963871 PECOS PAC ID: 2567771934 Enrollment ID: I20180918003024 |
| Provider Name | Amanda Pysher Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700129111 PECOS PAC ID: 1456602606 Enrollment ID: I20180926003721 |
| Provider Name | Harris Monroe Wexler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508276791 PECOS PAC ID: 6608165840 Enrollment ID: I20181114002392 |
| Provider Name | Neeta Vorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801399555 PECOS PAC ID: 7416201975 Enrollment ID: I20181120000228 |
| Provider Name | Brent M May |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205953908 PECOS PAC ID: 9335290154 Enrollment ID: I20181227001555 |
| Provider Name | Amanda Bright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740665470 PECOS PAC ID: 6709193824 Enrollment ID: I20190110002857 |
| Provider Name | Pedro Armando Jovel Gallegos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871085290 PECOS PAC ID: 1355687179 Enrollment ID: I20190115001400 |
| Provider Name | Sean Quigley Kern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740416262 PECOS PAC ID: 6901193549 Enrollment ID: I20190205000616 |
| Provider Name | Robin Patience Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154800209 PECOS PAC ID: 6800137803 Enrollment ID: I20190329002383 |
| Provider Name | Ashley R Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700357316 PECOS PAC ID: 1557602398 Enrollment ID: I20190404002024 |
| Provider Name | Crystal C Barksdale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255305785 PECOS PAC ID: 4981945672 Enrollment ID: I20190405001706 |
| Provider Name | Mark Burson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104808229 PECOS PAC ID: 7113949728 Enrollment ID: I20190507002859 |
| Provider Name | Jeremy C Kelley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841584794 PECOS PAC ID: 4486871449 Enrollment ID: I20190521002416 |
| Provider Name | Jaromir Kohout |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245423367 PECOS PAC ID: 1456441070 Enrollment ID: I20190701000027 |
| Provider Name | Nolie G Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023676657 PECOS PAC ID: 4789914953 Enrollment ID: I20191001003330 |
| Provider Name | Owusu Asamoah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083840870 PECOS PAC ID: 0840439931 Enrollment ID: I20191007002296 |
| Provider Name | Sidney B Barnes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740247162 PECOS PAC ID: 1850350745 Enrollment ID: I20191106000887 |
| Provider Name | Eric Olsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730692591 PECOS PAC ID: 5294097952 Enrollment ID: I20191210002481 |
| Provider Name | Nicholas F Marko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114199791 PECOS PAC ID: 3476718669 Enrollment ID: I20191218001330 |
| Provider Name | Brittany D Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801240924 PECOS PAC ID: 2860788429 Enrollment ID: I20191223000764 |
| Provider Name | Kathryn Lipscomb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790096956 PECOS PAC ID: 2365675311 Enrollment ID: I20200114001562 |
| Provider Name | Rachael Marie Poff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518523711 PECOS PAC ID: 0941636534 Enrollment ID: I20200129002671 |
| Provider Name | Olivia J Darwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083279376 PECOS PAC ID: 9335575414 Enrollment ID: I20200210000465 |
| Provider Name | Stephanie Rose Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742731 PECOS PAC ID: 8820425671 Enrollment ID: I20200217004958 |
| Provider Name | Heidi Peters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568007516 PECOS PAC ID: 0648608927 Enrollment ID: I20200319002730 |
| Provider Name | Grace J Valiulis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841851433 PECOS PAC ID: 6507294899 Enrollment ID: I20200320000308 |
| Provider Name | Natosha Marie Saunders |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619507589 PECOS PAC ID: 1759710163 Enrollment ID: I20200407000699 |
| Provider Name | Maria L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669007282 PECOS PAC ID: 5799114872 Enrollment ID: I20200413000420 |
| Provider Name | Lillian a Arogo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801437306 PECOS PAC ID: 5193156222 Enrollment ID: I20200505002676 |
| Provider Name | Laura Gayton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841547973 PECOS PAC ID: 3678722543 Enrollment ID: I20200529001178 |
| Provider Name | Caleb Vass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588198949 PECOS PAC ID: 9830462126 Enrollment ID: I20200601000061 |
| Provider Name | Trevor Bruce Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881121705 PECOS PAC ID: 1759650583 Enrollment ID: I20200623002319 |
| Provider Name | Michael Timothy Quinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225370893 PECOS PAC ID: 5799910329 Enrollment ID: I20200814001615 |
| Provider Name | Bahraum Daniel Daneshfar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447552039 PECOS PAC ID: 6103128434 Enrollment ID: I20200908002856 |
| Provider Name | Kelly Denise Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275894420 PECOS PAC ID: 3072809011 Enrollment ID: I20200922003224 |
| Provider Name | Elizabeth B Mick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336752492 PECOS PAC ID: 0840603098 Enrollment ID: I20210106002584 |
| Provider Name | Mazen Hasan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386859205 PECOS PAC ID: 9931268737 Enrollment ID: I20210112001741 |
| Provider Name | Mary Morgan Mitchell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982051660 PECOS PAC ID: 1850685272 Enrollment ID: I20210519001990 |
| Provider Name | Melissa W Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952986804 PECOS PAC ID: 9537568365 Enrollment ID: I20210528000335 |
| Provider Name | Conner Overfelt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417580572 PECOS PAC ID: 9537569926 Enrollment ID: I20210607000236 |
| Provider Name | Sandria Taquania Vernon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235633520 PECOS PAC ID: 2668872243 Enrollment ID: I20210618001227 |
| Provider Name | Amanda Joy Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407480460 PECOS PAC ID: 5799186243 Enrollment ID: I20210622002548 |
| Provider Name | Tracy Downs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619080553 PECOS PAC ID: 6305981952 Enrollment ID: I20210723002108 |
| Provider Name | Patrick Kennedy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689069577 PECOS PAC ID: 5698033017 Enrollment ID: I20210826002318 |
| Provider Name | Joshua Seth Prol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184294811 PECOS PAC ID: 6901294297 Enrollment ID: I20211019000515 |
| Provider Name | Jamee V Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215600267 PECOS PAC ID: 5092103044 Enrollment ID: I20211026000133 |
| Provider Name | Bernard J Hynes |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144229345 PECOS PAC ID: 5193765006 Enrollment ID: I20211028001477 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477829281 PECOS PAC ID: 8628397833 Enrollment ID: I20211101001342 |
| Provider Name | Christopher John Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144817677 PECOS PAC ID: 9931598323 Enrollment ID: I20211104002239 |
| Provider Name | James L Derrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457459448 PECOS PAC ID: 2860590304 Enrollment ID: I20220210002853 |
| Provider Name | Kassie Elizabeth Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023605474 PECOS PAC ID: 3375938103 Enrollment ID: I20220315000415 |
| Provider Name | Joshua T Prickett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467751248 PECOS PAC ID: 9537135504 Enrollment ID: I20220525001919 |
| Provider Name | Aaron Joseph Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417418658 PECOS PAC ID: 1557691557 Enrollment ID: I20220615003330 |
| Provider Name | Owori B Mang'eni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992232144 PECOS PAC ID: 2961881040 Enrollment ID: I20220621000324 |
| Provider Name | Aaron S Boren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740560689 PECOS PAC ID: 3870844509 Enrollment ID: I20220729001304 |
| Provider Name | Brynn Elise Austin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174279038 PECOS PAC ID: 3173905171 Enrollment ID: I20220808003397 |
| Provider Name | Hussein Al-mohamad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598151482 PECOS PAC ID: 7517342470 Enrollment ID: I20220914000999 |
| Provider Name | Arielle Schreck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992167100 PECOS PAC ID: 2466873526 Enrollment ID: I20230119003287 |
| Provider Name | Abigail Elizabeth Quantock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215644927 PECOS PAC ID: 0143692442 Enrollment ID: I20230215000705 |
| Provider Name | Joshua Schuyler Slakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124656525 PECOS PAC ID: 9739501396 Enrollment ID: I20230713000935 |
| Provider Name | Scott H Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194010389 PECOS PAC ID: 5991945826 Enrollment ID: I20230717002870 |
| Provider Name | Janie Katherine Lozovski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649768227 PECOS PAC ID: 2466703194 Enrollment ID: I20230727000419 |
| Provider Name | Kayla D. Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669157707 PECOS PAC ID: 2769843291 Enrollment ID: I20230801001346 |
| Provider Name | Chelsea Greenway Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598140857 PECOS PAC ID: 1355702457 Enrollment ID: I20230807000728 |
| Provider Name | Tamara K Higgins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366103913 PECOS PAC ID: 0749676310 Enrollment ID: I20230817002595 |
| Provider Name | Erica Michelle Duerbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487340220 PECOS PAC ID: 6002261567 Enrollment ID: I20231018002984 |
| Provider Name | Eboni Woodard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700177821 PECOS PAC ID: 7416129192 Enrollment ID: I20231102001563 |
| Provider Name | John Nicholas Foley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114613148 PECOS PAC ID: 8022465244 Enrollment ID: I20231109002437 |
| Provider Name | Lisa W Ross |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770026460 PECOS PAC ID: 8628354404 Enrollment ID: I20231113003661 |
| Provider Name | Eric Hick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346236353 PECOS PAC ID: 9436283025 Enrollment ID: I20231204001668 |
| Provider Name | Shelby Sorensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962111682 PECOS PAC ID: 6507217668 Enrollment ID: I20240112002977 |
| Provider Name | Haley F Mullins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912782467 PECOS PAC ID: 6406209899 Enrollment ID: I20240201002710 |
| Provider Name | Robert Lee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992499024 PECOS PAC ID: 9335582816 Enrollment ID: I20240212003775 |
| Provider Name | Emily Boothe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841634946 PECOS PAC ID: 9931472289 Enrollment ID: I20240219002891 |
| Provider Name | John Devin Watson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386969137 PECOS PAC ID: 5496040214 Enrollment ID: I20240412001251 |
| Provider Name | Birgit a Arb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669466405 PECOS PAC ID: 7214019215 Enrollment ID: I20240607002123 |
| Provider Name | Mark V Larkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740230317 PECOS PAC ID: 3072565175 Enrollment ID: I20240624003610 |
| Provider Name | Emily Jordan Santolla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306695689 PECOS PAC ID: 9133666035 Enrollment ID: I20240808002045 |
| Provider Name | Nicholas Kaknes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740556471 PECOS PAC ID: 7618320284 Enrollment ID: I20240830001904 |
| Provider Name | Hatcher G Cox |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952834657 PECOS PAC ID: 3577004373 Enrollment ID: I20240919003884 |
| Provider Name | Richard Zhou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528644648 PECOS PAC ID: 0840694352 Enrollment ID: I20241104002885 |
| Provider Name | Ashley D Worley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902631146 PECOS PAC ID: 0547795742 Enrollment ID: I20241125003383 |
| Provider Name | Ronald P Januchowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477531952 PECOS PAC ID: 7517951437 Enrollment ID: I20241217003358 |
| Provider Name | Rebecca K White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972747079 PECOS PAC ID: 5395896948 Enrollment ID: I20250307001091 |
| Provider Name | Donald Culley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548281397 PECOS PAC ID: 1557327202 Enrollment ID: I20250324000337 |
| Provider Name | Zachary Thomas Manuel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467282558 PECOS PAC ID: 1355864091 Enrollment ID: I20250402003465 |
| Provider Name | Quang Ma |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497080857 PECOS PAC ID: 6002127685 Enrollment ID: I20250418000454 |
| Provider Name | Angela M Eggleston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477791796 PECOS PAC ID: 3678628195 Enrollment ID: I20250423003873 |
| Provider Name | Akshitkumar Mistry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831532035 PECOS PAC ID: 7719280643 Enrollment ID: I20250522003274 |
| Provider Name | Krista R Hoevemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619557089 PECOS PAC ID: 8820499262 Enrollment ID: I20250717002866 |
| Provider Name | Bosco Cody Theodore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306422811 PECOS PAC ID: 6709288772 Enrollment ID: I20250729001502 |
| Provider Name | Alexandra Hope Burklow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821885393 PECOS PAC ID: 9739697400 Enrollment ID: I20250804002575 |
| Provider Name | Ama Achiamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992445936 PECOS PAC ID: 4183079486 Enrollment ID: I20250806003353 |
| Provider Name | Sotiris Stamou |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316078835 PECOS PAC ID: 8527126408 Enrollment ID: I20250902000110 |
| Provider Name | Andrew S Hodge |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417302340 PECOS PAC ID: 4880982958 Enrollment ID: I20250924003215 |
| Provider Name | Janine Rees Appleton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083293476 PECOS PAC ID: 6507361912 Enrollment ID: I20250925004828 |
| Provider Name | Matthew W Khouri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902652712 PECOS PAC ID: 6406352491 Enrollment ID: I20250930000357 |
| Provider Name | Lynellen Gregory |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124409461 PECOS PAC ID: 4880946847 Enrollment ID: I20251027002299 |
| Provider Name | Olivia F Offermann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174316897 PECOS PAC ID: 3375034770 Enrollment ID: I20251113002245 |
| Provider Name | Grey Elizabeth Capozzoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336029396 PECOS PAC ID: 4880185172 Enrollment ID: I20251114001178 |
| Provider Name | Chloe Lonnie Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164318721 PECOS PAC ID: 5991298010 Enrollment ID: I20251205002409 |
| Provider Name | Joshua L Hudgens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649531161 PECOS PAC ID: 9335449966 Enrollment ID: I20251219003500 |
| Provider Name | Jason a Levy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437505518 PECOS PAC ID: 4688074743 Enrollment ID: I20251222000022 |
| Provider Name | Joshua Lim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770878993 PECOS PAC ID: 3274839113 Enrollment ID: I20260105000790 |
| Provider Name | Julia Marie Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588465843 PECOS PAC ID: 2567942741 Enrollment ID: I20260217001433 |
| Provider Name | Michael E Halligan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366413353 PECOS PAC ID: 5092727446 Enrollment ID: I20260219000068 |
| Provider Name | Susan Trocciola |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831365345 PECOS PAC ID: 2769631183 Enrollment ID: I20260219001868 |
| Provider Name | Adelaide Coleman Kingery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437017969 PECOS PAC ID: 6608357330 Enrollment ID: I20260220002543 |
| Provider Name | Adam Creed Semones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184504938 PECOS PAC ID: 6305327792 Enrollment ID: I20260224003041 |
| Provider Name | Debbie L Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164497509 PECOS PAC ID: 5698766384 Enrollment ID: I20260313001690 |
| Provider Name | Clauden Louis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023472503 PECOS PAC ID: 8426307901 Enrollment ID: I20260527001278 |
Salem Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Roanoke Blvd, Suite 3, Salem, VA 24153 Phone: 540-345-3556 |
May Chiropractic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Apperson Dr, Salem, VA 24153 Phone: 540-387-1680 Fax: 540-387-3769 |
Main Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3671 Fax: 540-725-5067 |
Valley Internal Medicine Associates P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 W. Main Street, Ste 102, Salem, VA 24153 Phone: 540-380-3722 Fax: 833-378-0873 |
Coremedx Salem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1461 W Main St, Salem, VA 24153 Phone: 540-375-9220 Fax: 434-793-9315 |
Family Doctor, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Roanoke Blvd, Suite B, Salem, VA 24153 Phone: 540-389-0092 Fax: 540-389-0644 |