| Loyola University Medical Center | |
|
2160 S 1st Ave Maywood IL 60153-3328 | |
| (708) 216-3215 | |
| Not Available |
| Full Name | Loyola University Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Authorized Official Name and Position | Shawn Vincent (PRESIDENT & CEO) |
| Authorized Official Contact | 7082163215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loyola University Medical Center 2160 S 1st Ave Maywood IL 60153-3328 Ph: () - | Loyola University Medical Center 2160 S 1st Ave Maywood IL 60153-3328 Ph: (708) 216-3215 |
| NPI Number | 1336159961 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 3779488903 |
|---|---|
| Medicare Enrollment ID | O20031202000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336159961 | NPI | - | NPPES |
| Provider Name | Joseph A Dipiazza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972538148 PECOS PAC ID: 5799681706 Enrollment ID: I20031210000712 |
| Provider Name | Alexander J Javois |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023099744 PECOS PAC ID: 2062317472 Enrollment ID: I20031215000446 |
| Provider Name | Ruth Ditzian Kadanoff |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891772760 PECOS PAC ID: 2365349610 Enrollment ID: I20031216000275 |
| Provider Name | Michael P Merchut |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457434896 PECOS PAC ID: 0143127308 Enrollment ID: I20031216000372 |
| Provider Name | Laurie M Lomasney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760469639 PECOS PAC ID: 0749187961 Enrollment ID: I20031216000727 |
| Provider Name | Janine M Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699852657 PECOS PAC ID: 4880591023 Enrollment ID: I20031216000804 |
| Provider Name | Matthew Fitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800513 PECOS PAC ID: 3476450438 Enrollment ID: I20031217000591 |
| Provider Name | Victor Cimino |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194792911 PECOS PAC ID: 0547167389 Enrollment ID: I20031218000431 |
| Provider Name | Jorge Asconape |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245200609 PECOS PAC ID: 1153228937 Enrollment ID: I20031218000686 |
| Provider Name | Jose Biller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366422552 PECOS PAC ID: 1759288459 Enrollment ID: I20031218000793 |
| Provider Name | Legia Mondesir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700856143 PECOS PAC ID: 0244137966 Enrollment ID: I20031218000873 |
| Provider Name | Reena Jabamoni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144294281 PECOS PAC ID: 1355249038 Enrollment ID: I20031219000753 |
| Provider Name | Angelos Halaris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891762621 PECOS PAC ID: 3678471968 Enrollment ID: I20031223000597 |
| Provider Name | Susanne Tidow Kebritchi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023082153 PECOS PAC ID: 6709785538 Enrollment ID: I20031231000261 |
| Provider Name | Paula C Kezdi Rogus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952352288 PECOS PAC ID: 2961301916 Enrollment ID: I20040108000226 |
| Provider Name | Beatrice Probst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396725149 PECOS PAC ID: 9931000676 Enrollment ID: I20040116000098 |
| Provider Name | Theodore L Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043202567 PECOS PAC ID: 1052213725 Enrollment ID: I20040126000133 |
| Provider Name | Roberto Levi-d'ancona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053394155 PECOS PAC ID: 7416850730 Enrollment ID: I20040202000518 |
| Provider Name | Edwin V Espinosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205801354 PECOS PAC ID: 3971498437 Enrollment ID: I20040216000559 |
| Provider Name | Alan K Summers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417918624 PECOS PAC ID: 7618862186 Enrollment ID: I20040216000639 |
| Provider Name | Ivan V Pacold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992784094 PECOS PAC ID: 4486556982 Enrollment ID: I20040309000615 |
| Provider Name | Michael A Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558329086 PECOS PAC ID: 8224926316 Enrollment ID: I20040309001368 |
| Provider Name | Michael J Schneck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023086642 PECOS PAC ID: 0648168732 Enrollment ID: I20040309001398 |
| Provider Name | Robert B Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417937004 PECOS PAC ID: 7719875723 Enrollment ID: I20040310000070 |
| Provider Name | Sean Duane Ruland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891807467 PECOS PAC ID: 4880582899 Enrollment ID: I20040310000078 |
| Provider Name | John T Barron |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942379441 PECOS PAC ID: 2961390885 Enrollment ID: I20040310000794 |
| Provider Name | Deepak Malhotra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023078797 PECOS PAC ID: 1456240704 Enrollment ID: I20040313000513 |
| Provider Name | Susan H Porto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487643573 PECOS PAC ID: 6608767645 Enrollment ID: I20040322000328 |
| Provider Name | Manatosh Banerji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164411435 PECOS PAC ID: 4385557339 Enrollment ID: I20040326000630 |
| Provider Name | Michail N Avramov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821068255 PECOS PAC ID: 7517950959 Enrollment ID: I20040403000124 |
| Provider Name | Paula White Prock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619941762 PECOS PAC ID: 1153314828 Enrollment ID: I20040407000873 |
| Provider Name | John Losurdo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548205594 PECOS PAC ID: 6507850732 Enrollment ID: I20040412000863 |
| Provider Name | Ameet R Kini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649241944 PECOS PAC ID: 6002800620 Enrollment ID: I20040414001037 |
| Provider Name | Alexandra T Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336129824 PECOS PAC ID: 5395739940 Enrollment ID: I20040414001266 |
| Provider Name | Fred A Luchette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285600528 PECOS PAC ID: 2163417627 Enrollment ID: I20040415000878 |
| Provider Name | Shubhra Mukherjee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790770659 PECOS PAC ID: 3870589351 Enrollment ID: I20040421000752 |
| Provider Name | David J Cziperle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295797900 PECOS PAC ID: 3678569613 Enrollment ID: I20040423000729 |
| Provider Name | John A Mitchell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528285442 PECOS PAC ID: 8628962123 Enrollment ID: I20040424000364 |
| Provider Name | Marianne Mikatstevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598735904 PECOS PAC ID: 5193712610 Enrollment ID: I20040427001445 |
| Provider Name | Mary Lou Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992913412 PECOS PAC ID: 7113914649 Enrollment ID: I20040427001508 |
| Provider Name | Terrence C Demos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984881 PECOS PAC ID: 0244227775 Enrollment ID: I20040427001560 |
| Provider Name | Maureen P Fearon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144294463 PECOS PAC ID: 8820085228 Enrollment ID: I20040428000349 |
| Provider Name | Karen L Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760417117 PECOS PAC ID: 1557359403 Enrollment ID: I20040501000061 |
| Provider Name | Sean M Cahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801862206 PECOS PAC ID: 2365430170 Enrollment ID: I20040503000079 |
| Provider Name | Keith E Veselik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649246943 PECOS PAC ID: 5597753566 Enrollment ID: I20040506000426 |
| Provider Name | Muawia Martini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386693703 PECOS PAC ID: 3274522230 Enrollment ID: I20040506001229 |
| Provider Name | Tracy Md Boykin Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407888712 PECOS PAC ID: 9739178054 Enrollment ID: I20040511000594 |
| Provider Name | Stewart B Reingold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386751790 PECOS PAC ID: 4789674912 Enrollment ID: I20040518000501 |
| Provider Name | Wayne H Franklin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538120472 PECOS PAC ID: 3779574884 Enrollment ID: I20040519000163 |
| Provider Name | Sunita Kumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386605525 PECOS PAC ID: 0042201154 Enrollment ID: I20040519000171 |
| Provider Name | Khaled A Dajani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548294929 PECOS PAC ID: 5092706408 Enrollment ID: I20040524000114 |
| Provider Name | Keith A Mclean |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497813927 PECOS PAC ID: 1254312291 Enrollment ID: I20040526000896 |
| Provider Name | Francis J Rottier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124092440 PECOS PAC ID: 6204818206 Enrollment ID: I20040603000611 |
| Provider Name | Alexandra Popescu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396720744 PECOS PAC ID: 5294718607 Enrollment ID: I20040608000746 |
| Provider Name | Doris Shuwen Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447304431 PECOS PAC ID: 4385627678 Enrollment ID: I20040609000043 |
| Provider Name | Rajesh S Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083836027 PECOS PAC ID: 8921085978 Enrollment ID: I20040707000722 |
| Provider Name | Joseph M Bresnahan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710925532 PECOS PAC ID: 4284623760 Enrollment ID: I20040709000960 |
| Provider Name | Amit K Srivastava |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770521510 PECOS PAC ID: 2668461138 Enrollment ID: I20040709001090 |
| Provider Name | Nicole M Colucci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295735017 PECOS PAC ID: 2466431424 Enrollment ID: I20040714001397 |
| Provider Name | Colleen M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396750600 PECOS PAC ID: 2365422508 Enrollment ID: I20040720001245 |
| Provider Name | Myrosia T Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083829378 PECOS PAC ID: 6103806658 Enrollment ID: I20040723000924 |
| Provider Name | Sharfi Sarker |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1669449583 PECOS PAC ID: 7416937818 Enrollment ID: I20040726000311 |
| Provider Name | Rodney Tehrani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497732747 PECOS PAC ID: 2769452044 Enrollment ID: I20040727000190 |
| Provider Name | Ali David Tabatabai |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649220625 PECOS PAC ID: 7810969839 Enrollment ID: I20040810001277 |
| Provider Name | Ann M Briggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215992680 PECOS PAC ID: 7315910882 Enrollment ID: I20040813000942 |
| Provider Name | Peter A Santucci |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295804789 PECOS PAC ID: 0840263141 Enrollment ID: I20040816000546 |
| Provider Name | Vikram Clifford Prabhu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124005004 PECOS PAC ID: 1850362617 Enrollment ID: I20040817000453 |
| Provider Name | Claire E French |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821023276 PECOS PAC ID: 5698748788 Enrollment ID: I20040817000692 |
| Provider Name | Chirag R Raval |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164499984 PECOS PAC ID: 2860466406 Enrollment ID: I20040820000458 |
| Provider Name | Eun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164540480 PECOS PAC ID: 0648244764 Enrollment ID: I20040824001175 |
| Provider Name | Frank J Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174673123 PECOS PAC ID: 6406820406 Enrollment ID: I20040825000256 |
| Provider Name | Scott Charles Graziano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538133434 PECOS PAC ID: 2062486913 Enrollment ID: I20040825000791 |
| Provider Name | Jordan Rosenblum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225189293 PECOS PAC ID: 9133195191 Enrollment ID: I20040909001268 |
| Provider Name | Sandra Vega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760454979 PECOS PAC ID: 3476520909 Enrollment ID: I20040914001042 |
| Provider Name | Stephen Littleton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841200409 PECOS PAC ID: 1456329598 Enrollment ID: I20040917000188 |
| Provider Name | Julie D Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245226265 PECOS PAC ID: 0547238958 Enrollment ID: I20040923000392 |
| Provider Name | Leticia Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356313720 PECOS PAC ID: 3375511553 Enrollment ID: I20040924000518 |
| Provider Name | John Berry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194702795 PECOS PAC ID: 3971572041 Enrollment ID: I20040927000684 |
| Provider Name | Nidhi S Undevia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649257593 PECOS PAC ID: 2860461886 Enrollment ID: I20040927001178 |
| Provider Name | Shelly S Lo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013994086 PECOS PAC ID: 0143299909 Enrollment ID: I20040928001118 |
| Provider Name | Renato Mendoza Fontanilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285635995 PECOS PAC ID: 5799754560 Enrollment ID: I20040928001179 |
| Provider Name | Nejd F Alsikafi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649271123 PECOS PAC ID: 1951360130 Enrollment ID: I20041004000988 |
| Provider Name | Deborah A Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760474233 PECOS PAC ID: 7719946888 Enrollment ID: I20041005000541 |
| Provider Name | Aziz Ahmed Ansari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558467720 PECOS PAC ID: 4981664992 Enrollment ID: I20041014000260 |
| Provider Name | Edwin C Mcgee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972576833 PECOS PAC ID: 3971564246 Enrollment ID: I20041020000542 |
| Provider Name | Stephanie Rosania |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316098387 PECOS PAC ID: 1557322484 Enrollment ID: I20041022001105 |
| Provider Name | David R Rosi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104815596 PECOS PAC ID: 9931012986 Enrollment ID: I20041027000990 |
| Provider Name | Robert John Pooley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538169438 PECOS PAC ID: 3274596861 Enrollment ID: I20041104000916 |
| Provider Name | Emily Beamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013961861 PECOS PAC ID: 6002712049 Enrollment ID: I20041108000578 |
| Provider Name | Jeffrey A Leef |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174674147 PECOS PAC ID: 3678536976 Enrollment ID: I20041108000887 |
| Provider Name | Alain L Heroux |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1609945195 PECOS PAC ID: 7517920713 Enrollment ID: I20041109000515 |
| Provider Name | Bernadette Aulivola |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780658872 PECOS PAC ID: 3375506488 Enrollment ID: I20041110000094 |
| Provider Name | Keith F Muccino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861468357 PECOS PAC ID: 8325001449 Enrollment ID: I20041110000145 |
| Provider Name | Jamie L Berkes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891809620 PECOS PAC ID: 0244293264 Enrollment ID: I20041110000235 |
| Provider Name | Nadine K Lebo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598704728 PECOS PAC ID: 0345203394 Enrollment ID: I20041110000513 |
| Provider Name | Abid Khurshid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467475848 PECOS PAC ID: 6901871078 Enrollment ID: I20041111000815 |
| Provider Name | Robert A Gordon |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1417974973 PECOS PAC ID: 6103888672 Enrollment ID: I20041115000324 |
| Provider Name | Jane M Vodvarka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003866013 PECOS PAC ID: 8325002801 Enrollment ID: I20041115000788 |
| Provider Name | Audrice Francois |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467424713 PECOS PAC ID: 4486619384 Enrollment ID: I20041119000552 |
| Provider Name | Timothy J Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962418103 PECOS PAC ID: 2466417878 Enrollment ID: I20041124000820 |
| Provider Name | Kendell A Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659569622 PECOS PAC ID: 3870558828 Enrollment ID: I20041201000563 |
| Provider Name | Andrew J Hotaling |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912984261 PECOS PAC ID: 4981661329 Enrollment ID: I20041216000754 |
| Provider Name | Dulces Leon Jauregui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999481 PECOS PAC ID: 0648237800 Enrollment ID: I20041220000446 |
| Provider Name | Bruce Linder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023189214 PECOS PAC ID: 5890753594 Enrollment ID: I20041229000190 |
| Provider Name | John G Grieco |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1023074770 PECOS PAC ID: 5496667669 Enrollment ID: I20050117000039 |
| Provider Name | Timothy J Mcdonough |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740210533 PECOS PAC ID: 9830140870 Enrollment ID: I20050207000735 |
| Provider Name | Garry S Sigman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275507279 PECOS PAC ID: 6002869278 Enrollment ID: I20050228000738 |
| Provider Name | Mark Weldon Arnett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538114616 PECOS PAC ID: 0042272361 Enrollment ID: I20050302000685 |
| Provider Name | Robert C Flanigan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508830456 PECOS PAC ID: 3678485885 Enrollment ID: I20050302000866 |
| Provider Name | Lois A Polatnick |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154356434 PECOS PAC ID: 3375597826 Enrollment ID: I20050308000423 |
| Provider Name | Melchor V Demetria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316951304 PECOS PAC ID: 2961457528 Enrollment ID: I20050316000497 |
| Provider Name | Debra D Baines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295832079 PECOS PAC ID: 2062469059 Enrollment ID: I20050401000295 |
| Provider Name | Sam J Marzo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699752568 PECOS PAC ID: 6103873054 Enrollment ID: I20050404000571 |
| Provider Name | Steve L Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588630529 PECOS PAC ID: 1557308756 Enrollment ID: I20050408001069 |
| Provider Name | Phillip J Dechristopher |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245219344 PECOS PAC ID: 1557308665 Enrollment ID: I20050411000761 |
| Provider Name | John M Jaworowicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871520205 PECOS PAC ID: 2163460973 Enrollment ID: I20050421001286 |
| Provider Name | James A Sylora |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245296912 PECOS PAC ID: 5597704882 Enrollment ID: I20050502001184 |
| Provider Name | Elizabeth R Mueller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871569186 PECOS PAC ID: 0547202137 Enrollment ID: I20050524000800 |
| Provider Name | Mary T Macis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770851792 PECOS PAC ID: 4486696424 Enrollment ID: I20050531000777 |
| Provider Name | Julie C Okeefe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568436566 PECOS PAC ID: 5799728523 Enrollment ID: I20050602001068 |
| Provider Name | Daniel F Dilling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659358539 PECOS PAC ID: 8022051895 Enrollment ID: I20050603000125 |
| Provider Name | Timothy J Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497725436 PECOS PAC ID: 9931169505 Enrollment ID: I20050608000382 |
| Provider Name | Anya Raskin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386692358 PECOS PAC ID: 0749216604 Enrollment ID: I20050712000668 |
| Provider Name | Darl K Vandevender |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497729412 PECOS PAC ID: 1850327776 Enrollment ID: I20050712001065 |
| Provider Name | Kenneth L Pierce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417934399 PECOS PAC ID: 8820024490 Enrollment ID: I20050714000681 |
| Provider Name | Matthew P Leischner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548235864 PECOS PAC ID: 1052347622 Enrollment ID: I20050714000728 |
| Provider Name | Antonio A Pangan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104892231 PECOS PAC ID: 7719913110 Enrollment ID: I20050715000807 |
| Provider Name | Ge Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891801064 PECOS PAC ID: 4587691969 Enrollment ID: I20050719000155 |
| Provider Name | Govind N Ramadurai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184673089 PECOS PAC ID: 5496782864 Enrollment ID: I20050722000145 |
| Provider Name | Jeffrey D Branch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528032513 PECOS PAC ID: 3274560040 Enrollment ID: I20050722000761 |
| Provider Name | Meda S Raghavendra |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1629048962 PECOS PAC ID: 6305873175 Enrollment ID: I20050722000818 |
| Provider Name | James F Mcdonnell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093782831 PECOS PAC ID: 0042247868 Enrollment ID: I20050725000140 |
| Provider Name | Michael S Pinzur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356315659 PECOS PAC ID: 7911934732 Enrollment ID: I20050725000173 |
| Provider Name | Ronald K Potkul |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1619941523 PECOS PAC ID: 2769419316 Enrollment ID: I20050726000094 |
| Provider Name | Charles S Bouchard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902872393 PECOS PAC ID: 8426086927 Enrollment ID: I20050727000036 |
| Provider Name | Bruce E Lewis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538238050 PECOS PAC ID: 1355379702 Enrollment ID: I20050728000019 |
| Provider Name | Robert Tracy Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528032430 PECOS PAC ID: 0143276147 Enrollment ID: I20050728000895 |
| Provider Name | Gregory Gruener |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689640138 PECOS PAC ID: 3476581679 Enrollment ID: I20050729000096 |
| Provider Name | Thomas Maynard Tucker Turk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568436541 PECOS PAC ID: 4688602683 Enrollment ID: I20050801000506 |
| Provider Name | Pierre T Levan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538139951 PECOS PAC ID: 8224066238 Enrollment ID: I20050801000601 |
| Provider Name | Amy M Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285604629 PECOS PAC ID: 3072541085 Enrollment ID: I20050801000659 |
| Provider Name | Franco Laghi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083691984 PECOS PAC ID: 6507894474 Enrollment ID: I20050801001258 |
| Provider Name | Sean M Forsythe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043297997 PECOS PAC ID: 5597793463 Enrollment ID: I20050801001267 |
| Provider Name | Jennifer E Lim Dunham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487631354 PECOS PAC ID: 6204864945 Enrollment ID: I20050803000055 |
| Provider Name | Aruna R Vade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417934381 PECOS PAC ID: 0042248619 Enrollment ID: I20050803001130 |
| Provider Name | Amal Jubran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134106081 PECOS PAC ID: 3577591148 Enrollment ID: I20050803001141 |
| Provider Name | Eva Maria Wojcik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972582062 PECOS PAC ID: 1658309224 Enrollment ID: I20050803001155 |
| Provider Name | Muralidhara S Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598732398 PECOS PAC ID: 6901834571 Enrollment ID: I20050803001169 |
| Provider Name | Julius Pawlowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407826811 PECOS PAC ID: 6608805296 Enrollment ID: I20050804000104 |
| Provider Name | Maria M Picken |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588643670 PECOS PAC ID: 7618906215 Enrollment ID: I20050804000182 |
| Provider Name | Vinod K Bansal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164409033 PECOS PAC ID: 5395774996 Enrollment ID: I20050804000225 |
| Provider Name | Pauline M Camacho |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730168816 PECOS PAC ID: 5890724413 Enrollment ID: I20050804000364 |
| Provider Name | Jack Leya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336128602 PECOS PAC ID: 3870522493 Enrollment ID: I20050804000377 |
| Provider Name | Josephine Dlugopolski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679543151 PECOS PAC ID: 7012946643 Enrollment ID: I20050804000426 |
| Provider Name | Trent A Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588644330 PECOS PAC ID: 1456380088 Enrollment ID: I20050804000443 |
| Provider Name | David R Holt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285605402 PECOS PAC ID: 2860421393 Enrollment ID: I20050805000026 |
| Provider Name | John P Leonetti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962489823 PECOS PAC ID: 8921910134 Enrollment ID: I20050805000113 |
| Provider Name | Kevin P Simpson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629055579 PECOS PAC ID: 5698704146 Enrollment ID: I20050805000128 |
| Provider Name | Marc A Borge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255318127 PECOS PAC ID: 0345279766 Enrollment ID: I20050805000739 |
| Provider Name | Alexander Ghanayem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689648917 PECOS PAC ID: 0042249310 Enrollment ID: I20050808000029 |
| Provider Name | Fatima Ahmad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760453047 PECOS PAC ID: 6901835297 Enrollment ID: I20050808000158 |
| Provider Name | Sharon R Woods |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508843475 PECOS PAC ID: 9931138245 Enrollment ID: I20050808000289 |
| Provider Name | Jasvinder P Chawla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952372948 PECOS PAC ID: 1355370578 Enrollment ID: I20050809000077 |
| Provider Name | Davide Bova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346227212 PECOS PAC ID: 2062441009 Enrollment ID: I20050810000030 |
| Provider Name | David James Wilber |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629147129 PECOS PAC ID: 0042249096 Enrollment ID: I20050810000143 |
| Provider Name | David J Leehey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689651580 PECOS PAC ID: 3870522782 Enrollment ID: I20050811000171 |
| Provider Name | John A Robinson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508843400 PECOS PAC ID: 7517996283 Enrollment ID: I20050812000149 |
| Provider Name | Christopher Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447230529 PECOS PAC ID: 2466481361 Enrollment ID: I20050812000346 |
| Provider Name | Jignasa Puri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447283908 PECOS PAC ID: 0941230676 Enrollment ID: I20050812000756 |
| Provider Name | Frank Lutrin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770549420 PECOS PAC ID: 2567492945 Enrollment ID: I20050816000384 |
| Provider Name | Hector M Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235103110 PECOS PAC ID: 1254361686 Enrollment ID: I20050816000648 |
| Provider Name | James A Gramm |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124084900 PECOS PAC ID: 3375573728 Enrollment ID: I20050816000763 |
| Provider Name | Milind M Velankar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720067812 PECOS PAC ID: 0941230205 Enrollment ID: I20050816000879 |
| Provider Name | Kathleen Ann Webster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831163815 PECOS PAC ID: 8224068598 Enrollment ID: I20050816000951 |
| Provider Name | Jay I Perlman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477533669 PECOS PAC ID: 3476583758 Enrollment ID: I20050816000975 |
| Provider Name | Bahman Emami |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588641450 PECOS PAC ID: 0042122251 Enrollment ID: I20050816001183 |
| Provider Name | Irwin Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386615664 PECOS PAC ID: 6800826140 Enrollment ID: I20050817000162 |
| Provider Name | Margaret C Shoup |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1215903356 PECOS PAC ID: 2567492705 Enrollment ID: I20050817000224 |
| Provider Name | Tulio E Rodriguez |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1831176007 PECOS PAC ID: 3476583626 Enrollment ID: I20050817000307 |
| Provider Name | Julie Lynn Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508916545 PECOS PAC ID: 5294765442 Enrollment ID: I20050817000309 |
| Provider Name | James A Rupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780658815 PECOS PAC ID: 1658301833 Enrollment ID: I20050817000505 |
| Provider Name | Holly J Kramer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003893975 PECOS PAC ID: 1052341252 Enrollment ID: I20050817000711 |
| Provider Name | James Tuchek |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1598721250 PECOS PAC ID: 0143250274 Enrollment ID: I20050817000981 |
| Provider Name | William J Hopkinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952375214 PECOS PAC ID: 2961432018 Enrollment ID: I20050817001165 |
| Provider Name | Joseph I Clark |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972580843 PECOS PAC ID: 2264462340 Enrollment ID: I20050818000188 |
| Provider Name | Robert H Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154308039 PECOS PAC ID: 4688604770 Enrollment ID: I20050818000215 |
| Provider Name | Marc Gerdisch |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508822255 PECOS PAC ID: 9638109721 Enrollment ID: I20050818000256 |
| Provider Name | Lowell H Steen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174681605 PECOS PAC ID: 1153351259 Enrollment ID: I20050818000366 |
| Provider Name | Dennis C Nwachukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487633566 PECOS PAC ID: 0244260362 Enrollment ID: I20050818000454 |
| Provider Name | Theresa M Kristopaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255306387 PECOS PAC ID: 9638109754 Enrollment ID: I20050818000524 |
| Provider Name | Thomas J Rostafinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508859521 PECOS PAC ID: 4284664202 Enrollment ID: I20050818000597 |
| Provider Name | Steven Edelstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609846021 PECOS PAC ID: 3375573314 Enrollment ID: I20050818000708 |
| Provider Name | James Paul Okeefe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386621647 PECOS PAC ID: 2567374770 Enrollment ID: I20050818000920 |
| Provider Name | Kevin P Barton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306823679 PECOS PAC ID: 7012947088 Enrollment ID: I20050818000933 |
| Provider Name | Mark J Daily |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295723120 PECOS PAC ID: 3375526460 Enrollment ID: I20050818000955 |
| Provider Name | Jeffrey P Schwartz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114906294 PECOS PAC ID: 1052341021 Enrollment ID: I20050818000990 |
| Provider Name | Kit C Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831179423 PECOS PAC ID: 5496785495 Enrollment ID: I20050819000040 |
| Provider Name | Eva Bading |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063491140 PECOS PAC ID: 0446280457 Enrollment ID: I20050819000158 |
| Provider Name | David C Schilling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083681654 PECOS PAC ID: 7113957036 Enrollment ID: I20050819000289 |
| Provider Name | Nil Ural |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407826829 PECOS PAC ID: 6406886381 Enrollment ID: I20050819000698 |
| Provider Name | N K Baker Watson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245202597 PECOS PAC ID: 4880624600 Enrollment ID: I20050822000076 |
| Provider Name | Jorge P Parada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114904471 PECOS PAC ID: 6103856935 Enrollment ID: I20050822000132 |
| Provider Name | Felipe Dealba |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558335687 PECOS PAC ID: 3375573140 Enrollment ID: I20050822000479 |
| Provider Name | Aaron J Michelfelder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811976988 PECOS PAC ID: 8729018502 Enrollment ID: I20050822000569 |
| Provider Name | Douglas A Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700850005 PECOS PAC ID: 9638109416 Enrollment ID: I20050822000570 |
| Provider Name | Thirumazhisai S Gunasekaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083651749 PECOS PAC ID: 7810956323 Enrollment ID: I20050822000962 |
| Provider Name | Paul Hering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740361112 PECOS PAC ID: 9830120641 Enrollment ID: I20050822000971 |
| Provider Name | James A Stankiewicz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740267624 PECOS PAC ID: 6406887231 Enrollment ID: I20050822001142 |
| Provider Name | Kenneth C Micetich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619954583 PECOS PAC ID: 0244261089 Enrollment ID: I20050822001204 |
| Provider Name | Patrick Stiff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558348433 PECOS PAC ID: 3072544824 Enrollment ID: I20050822001258 |
| Provider Name | Jonathan M Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508874827 PECOS PAC ID: 7416988266 Enrollment ID: I20050822001277 |
| Provider Name | Taqdees Sheikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912977257 PECOS PAC ID: 0446281208 Enrollment ID: I20050822001339 |
| Provider Name | Elaine M Adams |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699752592 PECOS PAC ID: 5597796367 Enrollment ID: I20050822001389 |
| Provider Name | Coleen H Napolitano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043287956 PECOS PAC ID: 6901837509 Enrollment ID: I20050823001067 |
| Provider Name | Karen Griffin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801873773 PECOS PAC ID: 8527099126 Enrollment ID: I20050823001081 |
| Provider Name | Steven Dejong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992779086 PECOS PAC ID: 2961433560 Enrollment ID: I20050823001104 |
| Provider Name | David Hecht |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306823208 PECOS PAC ID: 4082645692 Enrollment ID: I20050823001163 |
| Provider Name | Gerald Ambrose Charnogursky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023097102 PECOS PAC ID: 0648201269 Enrollment ID: I20050824000041 |
| Provider Name | Jayanta Mukherji |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851478945 PECOS PAC ID: 4183655707 Enrollment ID: I20050824000045 |
| Provider Name | Pietro M Tonino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538238019 PECOS PAC ID: 7315978939 Enrollment ID: I20050824000095 |
| Provider Name | Walter M Jay |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609840735 PECOS PAC ID: 3375455587 Enrollment ID: I20050824000115 |
| Provider Name | William R Jacobs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518036003 PECOS PAC ID: 5092746628 Enrollment ID: I20050824000147 |
| Provider Name | Bryan Foy |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972569754 PECOS PAC ID: 0547172827 Enrollment ID: I20050824000221 |
| Provider Name | Rekha Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205802071 PECOS PAC ID: 5193756732 Enrollment ID: I20050824000235 |
| Provider Name | Mark J Steinberg |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1477622801 PECOS PAC ID: 2264463801 Enrollment ID: I20050824000263 |
| Provider Name | Kathy S Albain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679550842 PECOS PAC ID: 6709817356 Enrollment ID: I20050824000370 |
| Provider Name | John M Santaniello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700912409 PECOS PAC ID: 8729019385 Enrollment ID: I20050824000463 |
| Provider Name | Douglas E Anderson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386621258 PECOS PAC ID: 2264463827 Enrollment ID: I20050824000477 |
| Provider Name | Martin J Tobin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801873757 PECOS PAC ID: 2466483946 Enrollment ID: I20050824000657 |
| Provider Name | Kelly M Szkliniarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124204565 PECOS PAC ID: 5991736480 Enrollment ID: I20050824000750 |
| Provider Name | Ricarchito B Manera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720052830 PECOS PAC ID: 0446281935 Enrollment ID: I20050824000753 |
| Provider Name | Rodney M Stuck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578537809 PECOS PAC ID: 3779514872 Enrollment ID: I20050829000646 |
| Provider Name | Susan M Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407823206 PECOS PAC ID: 5395776124 Enrollment ID: I20050829000781 |
| Provider Name | Suad Shuber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346214483 PECOS PAC ID: 9234160243 Enrollment ID: I20050829000823 |
| Provider Name | Ammar A Bayrakdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841243334 PECOS PAC ID: 2365473386 Enrollment ID: I20050829000879 |
| Provider Name | Terry Richard Light |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578537874 PECOS PAC ID: 4183536394 Enrollment ID: I20050915000715 |
| Provider Name | Michael S Bednar |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1609840743 PECOS PAC ID: 3072547199 Enrollment ID: I20050920000589 |
| Provider Name | Dinah Ahomka Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124051339 PECOS PAC ID: 2567497662 Enrollment ID: I20050928000101 |
| Provider Name | Marcus Quek |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457325433 PECOS PAC ID: 1254308612 Enrollment ID: I20051020000513 |
| Provider Name | James W Swan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316926140 PECOS PAC ID: 6204854805 Enrollment ID: I20051102000682 |
| Provider Name | Athena Kostidis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386624575 PECOS PAC ID: 2264451806 Enrollment ID: I20051114000498 |
| Provider Name | Megan L Koh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1841264983 PECOS PAC ID: 3476572942 Enrollment ID: I20051114000846 |
| Provider Name | Luis E Torero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952399560 PECOS PAC ID: 1850310962 Enrollment ID: I20051117000919 |
| Provider Name | Lianne Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619000932 PECOS PAC ID: 8820019573 Enrollment ID: I20051209000550 |
| Provider Name | Robert S Dieter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528126067 PECOS PAC ID: 1153302641 Enrollment ID: I20051213000131 |
| Provider Name | Mithila Janakiram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750313961 PECOS PAC ID: 2668494501 Enrollment ID: I20051220000756 |
| Provider Name | Paul D Belich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821067588 PECOS PAC ID: 2264450758 Enrollment ID: I20060103000273 |
| Provider Name | Abdallah Altarshan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174582811 PECOS PAC ID: 2668449281 Enrollment ID: I20060111001056 |
| Provider Name | Evelyn A Segal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104965565 PECOS PAC ID: 8729001003 Enrollment ID: I20060112000718 |
| Provider Name | Medhat S Gabriel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497824908 PECOS PAC ID: 1254355407 Enrollment ID: I20060116000171 |
| Provider Name | Joseph J Javorski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407943327 PECOS PAC ID: 4082638820 Enrollment ID: I20060120000067 |
| Provider Name | Sachin Chandrakant Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962475400 PECOS PAC ID: 6406870815 Enrollment ID: I20060124000494 |
| Provider Name | Yelena Polyakov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659415107 PECOS PAC ID: 1557375763 Enrollment ID: I20060126000674 |
| Provider Name | Laura Saelinger Shafer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739633 PECOS PAC ID: 1759396633 Enrollment ID: I20060214000327 |
| Provider Name | Guliz A Barkan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679654040 PECOS PAC ID: 0547275299 Enrollment ID: I20060216000174 |
| Provider Name | Scott J Cotler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225142730 PECOS PAC ID: 7214943745 Enrollment ID: I20060221000729 |
| Provider Name | Ethan J Sterk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770500373 PECOS PAC ID: 9335154178 Enrollment ID: I20060223000304 |
| Provider Name | Nina Clark |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891809067 PECOS PAC ID: 0840206587 Enrollment ID: I20060303000598 |
| Provider Name | Yi Elaine Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093782849 PECOS PAC ID: 2961472071 Enrollment ID: I20060308000801 |
| Provider Name | Peter A Russo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790759694 PECOS PAC ID: 4486661550 Enrollment ID: I20060314000733 |
| Provider Name | Ramzan Shahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720098049 PECOS PAC ID: 6204844905 Enrollment ID: I20060322000244 |
| Provider Name | Edwin James Harris |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528056843 PECOS PAC ID: 8527076579 Enrollment ID: I20060403000102 |
| Provider Name | Ruheri Perez Tamayo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1881655397 PECOS PAC ID: 5092724377 Enrollment ID: I20060413000657 |
| Provider Name | Donald I Moel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407906449 PECOS PAC ID: 0244240331 Enrollment ID: I20060503000821 |
| Provider Name | Christopher Clardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346390382 PECOS PAC ID: 6204846397 Enrollment ID: I20060503000853 |
| Provider Name | Chawki F El-zein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497711394 PECOS PAC ID: 5193736155 Enrollment ID: I20060505000599 |
| Provider Name | William Small |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336115013 PECOS PAC ID: 3173535226 Enrollment ID: I20060608000167 |
| Provider Name | Megan A Hunter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316904212 PECOS PAC ID: 5395631618 Enrollment ID: I20060809000128 |
| Provider Name | Susan M Pacheco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376570457 PECOS PAC ID: 7810991965 Enrollment ID: I20060905000250 |
| Provider Name | Khalilah B Babino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073523593 PECOS PAC ID: 9032149026 Enrollment ID: I20060906000306 |
| Provider Name | Kalee A Ahlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396859997 PECOS PAC ID: 8921002536 Enrollment ID: I20060912000538 |
| Provider Name | Sarah Frances Mcdonald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376573477 PECOS PAC ID: 9739184565 Enrollment ID: I20060928000491 |
| Provider Name | Ramona J Zak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922019082 PECOS PAC ID: 5799781241 Enrollment ID: I20061006000194 |
| Provider Name | Richard S Viglione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235141052 PECOS PAC ID: 4587660865 Enrollment ID: I20061010000217 |
| Provider Name | Marc A Singer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194732909 PECOS PAC ID: 7315943172 Enrollment ID: I20061018000560 |
| Provider Name | Jenny Y Wang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700989712 PECOS PAC ID: 4082610761 Enrollment ID: I20061020000310 |
| Provider Name | Michael L Eng |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801907878 PECOS PAC ID: 2062419625 Enrollment ID: I20061025000197 |
| Provider Name | Faisal A Sami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154312676 PECOS PAC ID: 3072510577 Enrollment ID: I20061025000650 |
| Provider Name | Laura B Ozark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295749034 PECOS PAC ID: 8729085162 Enrollment ID: I20061027000450 |
| Provider Name | Anna Maria Szpaderska |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801909098 PECOS PAC ID: 9436156536 Enrollment ID: I20061102000591 |
| Provider Name | Monica M Komorowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497763130 PECOS PAC ID: 9638176746 Enrollment ID: I20061103000032 |
| Provider Name | Eileen Gable |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124012562 PECOS PAC ID: 8729085584 Enrollment ID: I20061109000042 |
| Provider Name | Lydia E Sharp Schinsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972541712 PECOS PAC ID: 3375589401 Enrollment ID: I20061115000033 |
| Provider Name | James Patrick Gagermeier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669407912 PECOS PAC ID: 2961447594 Enrollment ID: I20061116000113 |
| Provider Name | David K Yoo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548343155 PECOS PAC ID: 7911905120 Enrollment ID: I20061127000101 |
| Provider Name | Ellen C Omi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487689816 PECOS PAC ID: 2365440484 Enrollment ID: I20061127000321 |
| Provider Name | Hariklia K Horwath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396828521 PECOS PAC ID: 0840298790 Enrollment ID: I20061201000213 |
| Provider Name | Kathleen Therese Hegarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679689988 PECOS PAC ID: 2264431774 Enrollment ID: I20061211000585 |
| Provider Name | Igor Tkachenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124064696 PECOS PAC ID: 3476552910 Enrollment ID: I20061212000183 |
| Provider Name | Lisa Gramlich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225054018 PECOS PAC ID: 1759380017 Enrollment ID: I20061214000108 |
| Provider Name | Elizabeth Schulwolf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316977556 PECOS PAC ID: 9638178635 Enrollment ID: I20061220000015 |
| Provider Name | Terese M Bertucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366510430 PECOS PAC ID: 6406856855 Enrollment ID: I20070109000017 |
| Provider Name | Stacey Boyd Whelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952323156 PECOS PAC ID: 2769482835 Enrollment ID: I20070115000122 |
| Provider Name | Jewel Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124037676 PECOS PAC ID: 5092716415 Enrollment ID: I20070126000393 |
| Provider Name | Steven J Charous |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861456022 PECOS PAC ID: 0840263554 Enrollment ID: I20070129000395 |
| Provider Name | Karen Rose Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528126836 PECOS PAC ID: 7315949336 Enrollment ID: I20070205000341 |
| Provider Name | Andrew Michael Bonwit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912064536 PECOS PAC ID: 1951303692 Enrollment ID: I20070208000215 |
| Provider Name | Brian Lee Ing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528133907 PECOS PAC ID: 7113929852 Enrollment ID: I20070208000230 |
| Provider Name | Hussein O Ads |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1801966940 PECOS PAC ID: 4486656147 Enrollment ID: I20070208000439 |
| Provider Name | Amy R Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780788851 PECOS PAC ID: 8820090178 Enrollment ID: I20070215000369 |
| Provider Name | Eugene Robert Schnitzler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679515951 PECOS PAC ID: 7911009113 Enrollment ID: I20070219000248 |
| Provider Name | James H Berman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407820731 PECOS PAC ID: 8729047337 Enrollment ID: I20070328000437 |
| Provider Name | Alan Auerbach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902913759 PECOS PAC ID: 6507962917 Enrollment ID: I20070501000678 |
| Provider Name | James R Judge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811977408 PECOS PAC ID: 9830295930 Enrollment ID: I20070507000459 |
| Provider Name | Jonathan K Muraskas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588638373 PECOS PAC ID: 4385742162 Enrollment ID: I20070601000054 |
| Provider Name | Paula J Melone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598812414 PECOS PAC ID: 8022045723 Enrollment ID: I20070604000446 |
| Provider Name | Ahmed Nadeem |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659592624 PECOS PAC ID: 0244338424 Enrollment ID: I20070612000472 |
| Provider Name | Thriveni Sanagala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083772511 PECOS PAC ID: 3375642382 Enrollment ID: I20070615000203 |
| Provider Name | Darrell Powe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871618900 PECOS PAC ID: 3678672466 Enrollment ID: I20070619000698 |
| Provider Name | Kathleen A Neacy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306801535 PECOS PAC ID: 7416920897 Enrollment ID: I20070627000502 |
| Provider Name | Shanika P Samarasinghe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548385511 PECOS PAC ID: 8022118462 Enrollment ID: I20070713000405 |
| Provider Name | Michael Edward Woods |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366541351 PECOS PAC ID: 8022112358 Enrollment ID: I20070713000717 |
| Provider Name | Hobie D Summers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104862390 PECOS PAC ID: 4486659224 Enrollment ID: I20070713000721 |
| Provider Name | Deslyn S Browne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083827810 PECOS PAC ID: 4082705256 Enrollment ID: I20070802000611 |
| Provider Name | Sandra G Uribe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952318008 PECOS PAC ID: 1850482514 Enrollment ID: I20070809000401 |
| Provider Name | Ejaaz A Kalimullah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598983967 PECOS PAC ID: 0042301731 Enrollment ID: I20070809000575 |
| Provider Name | Matthew J Blecha |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518990399 PECOS PAC ID: 2769573237 Enrollment ID: I20070813000514 |
| Provider Name | William Ashley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033238647 PECOS PAC ID: 3375634728 Enrollment ID: I20070814000505 |
| Provider Name | John E Milner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164589776 PECOS PAC ID: 8022100767 Enrollment ID: I20070824000850 |
| Provider Name | David J Ubogy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053537027 PECOS PAC ID: 4880786375 Enrollment ID: I20070829000169 |
| Provider Name | Heidi B Renner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972706299 PECOS PAC ID: 8224121140 Enrollment ID: I20070910000362 |
| Provider Name | Marco Nagy Mikhael |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023209723 PECOS PAC ID: 2860586138 Enrollment ID: I20070917000713 |
| Provider Name | Edwin S Meresh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700099025 PECOS PAC ID: 6709971427 Enrollment ID: I20070926000776 |
| Provider Name | Michael V Gavino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538352539 PECOS PAC ID: 6103911797 Enrollment ID: I20070927000286 |
| Provider Name | Karen Wu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891735536 PECOS PAC ID: 4981676038 Enrollment ID: I20070928000513 |
| Provider Name | Mary C Phillip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841339207 PECOS PAC ID: 7517052335 Enrollment ID: I20071009000040 |
| Provider Name | Helen H Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871510347 PECOS PAC ID: 2466551999 Enrollment ID: I20071017000031 |
| Provider Name | Yadira X Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386831212 PECOS PAC ID: 9739276536 Enrollment ID: I20071025000446 |
| Provider Name | Mary E Keen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831267921 PECOS PAC ID: 3274620034 Enrollment ID: I20071026000333 |
| Provider Name | Vivek Sehgal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083610943 PECOS PAC ID: 1355339656 Enrollment ID: I20071029000627 |
| Provider Name | Charles S Hemenway |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427006287 PECOS PAC ID: 7517055726 Enrollment ID: I20071121000081 |
| Provider Name | Dennis M Moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295832483 PECOS PAC ID: 9830289933 Enrollment ID: I20071213000065 |
| Provider Name | Donna M Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396878682 PECOS PAC ID: 8527158633 Enrollment ID: I20071213000103 |
| Provider Name | Ninith V Kartha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134219298 PECOS PAC ID: 0244310811 Enrollment ID: I20080108000914 |
| Provider Name | Christopher R Thorp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730127739 PECOS PAC ID: 5991886293 Enrollment ID: I20080111000706 |
| Provider Name | Hieu Ton That |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457359259 PECOS PAC ID: 8729048376 Enrollment ID: I20080111000746 |
| Provider Name | Anthony D Peterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144424649 PECOS PAC ID: 1052492741 Enrollment ID: I20080118000739 |
| Provider Name | Anthony C Chin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679604193 PECOS PAC ID: 1456434935 Enrollment ID: I20080206000515 |
| Provider Name | Gail E Reid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346440484 PECOS PAC ID: 7517040512 Enrollment ID: I20080214000246 |
| Provider Name | Takashi Nishida |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669488417 PECOS PAC ID: 6507940483 Enrollment ID: I20080303000111 |
| Provider Name | Janis Wiener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750315586 PECOS PAC ID: 2567547094 Enrollment ID: I20080308000019 |
| Provider Name | Edwin Santa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093998502 PECOS PAC ID: 6800975632 Enrollment ID: I20080506000312 |
| Provider Name | Stefanie H Benjamin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659347482 PECOS PAC ID: 3577633676 Enrollment ID: I20080602000260 |
| Provider Name | Abdul A Mazin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477500056 PECOS PAC ID: 0749352268 Enrollment ID: I20080627000435 |
| Provider Name | Cheryl M Czerlanis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083799662 PECOS PAC ID: 6103998265 Enrollment ID: I20080707000292 |
| Provider Name | Freager S Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528103207 PECOS PAC ID: 3678645348 Enrollment ID: I20080712000136 |
| Provider Name | Aparna Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619130648 PECOS PAC ID: 4183797830 Enrollment ID: I20080714000697 |
| Provider Name | Anuradha Wadhwa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306917752 PECOS PAC ID: 0042383515 Enrollment ID: I20080716000344 |
| Provider Name | Paula E Marfia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841461233 PECOS PAC ID: 8325111677 Enrollment ID: I20080718000411 |
| Provider Name | Troy A Buck |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083884308 PECOS PAC ID: 8022181312 Enrollment ID: I20080719000051 |
| Provider Name | Nathan E Derhammer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851510770 PECOS PAC ID: 3678646627 Enrollment ID: I20080723000873 |
| Provider Name | Mohammad Qasim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366532830 PECOS PAC ID: 3870584568 Enrollment ID: I20080724000276 |
| Provider Name | Brent S Rieger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437321577 PECOS PAC ID: 3577637198 Enrollment ID: I20080730000803 |
| Provider Name | Dhaval R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306034897 PECOS PAC ID: 0042384422 Enrollment ID: I20080801000687 |
| Provider Name | James M Winger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083827802 PECOS PAC ID: 1254405277 Enrollment ID: I20080808000169 |
| Provider Name | Marie Ellen T Sarvida |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801005848 PECOS PAC ID: 0345316261 Enrollment ID: I20080829000082 |
| Provider Name | Timothy M Ozga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740296227 PECOS PAC ID: 9032289129 Enrollment ID: I20080903000055 |
| Provider Name | Harold W Rees |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457472284 PECOS PAC ID: 8527159136 Enrollment ID: I20080903000311 |
| Provider Name | Angelo P Malamis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962551895 PECOS PAC ID: 8224104997 Enrollment ID: I20080903000357 |
| Provider Name | Rochella A Ostrowski |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700059508 PECOS PAC ID: 0446326029 Enrollment ID: I20080904000699 |
| Provider Name | Shawna L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922283613 PECOS PAC ID: 8729154299 Enrollment ID: I20080906000139 |
| Provider Name | Joshua Eberhardt |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1477723146 PECOS PAC ID: 6305912874 Enrollment ID: I20080906000193 |
| Provider Name | Haemi Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003035122 PECOS PAC ID: 8022184142 Enrollment ID: I20080913000057 |
| Provider Name | Michael J Orourke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619149614 PECOS PAC ID: 4183790215 Enrollment ID: I20080913000083 |
| Provider Name | Mary A Lynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841379690 PECOS PAC ID: 7113953753 Enrollment ID: I20080915000472 |
| Provider Name | Larissa Bresler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134395544 PECOS PAC ID: 2567539182 Enrollment ID: I20080924000337 |
| Provider Name | Eric R Kallwitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275716607 PECOS PAC ID: 7416024997 Enrollment ID: I20080925000180 |
| Provider Name | Noura Mohamed Sharabash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629250501 PECOS PAC ID: 4183791403 Enrollment ID: I20080927000196 |
| Provider Name | Scott Byram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417125873 PECOS PAC ID: 8527135805 Enrollment ID: I20080929000530 |
| Provider Name | Prempreet S Bajaj |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699931295 PECOS PAC ID: 3577631712 Enrollment ID: I20081001000427 |
| Provider Name | Paul F Nemeth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417907577 PECOS PAC ID: 6800964073 Enrollment ID: I20081001000762 |
| Provider Name | Stefanie A Allen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114192416 PECOS PAC ID: 6800964404 Enrollment ID: I20081009000459 |
| Provider Name | Sarah A Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558568998 PECOS PAC ID: 8628146156 Enrollment ID: I20081009000763 |
| Provider Name | Scott M Kaszuba |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518994508 PECOS PAC ID: 3375588445 Enrollment ID: I20081020000368 |
| Provider Name | Victor Munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992962146 PECOS PAC ID: 1951469634 Enrollment ID: I20081024000184 |
| Provider Name | Donna S Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073773099 PECOS PAC ID: 0749349827 Enrollment ID: I20081104000462 |
| Provider Name | Mary Capelli Schellpfeffer |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1285858365 PECOS PAC ID: 6709945314 Enrollment ID: I20081111000227 |
| Provider Name | Gail Kellberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245481092 PECOS PAC ID: 4385705557 Enrollment ID: I20081205000494 |
| Provider Name | Malek H Akhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891807871 PECOS PAC ID: 5991761181 Enrollment ID: I20081211000744 |
| Provider Name | Edward Melian |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679550545 PECOS PAC ID: 6507928009 Enrollment ID: I20081217000390 |
| Provider Name | Jerold M Stirling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811963143 PECOS PAC ID: 5193887602 Enrollment ID: I20081217000428 |
| Provider Name | Marc G Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881668713 PECOS PAC ID: 8426110966 Enrollment ID: I20081217000723 |
| Provider Name | Christine H Sajous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740254754 PECOS PAC ID: 1254493612 Enrollment ID: I20081218000178 |
| Provider Name | Lawrence N Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710951868 PECOS PAC ID: 5991867723 Enrollment ID: I20090102000310 |
| Provider Name | Deborah L Couch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639146368 PECOS PAC ID: 3173685914 Enrollment ID: I20090102000398 |
| Provider Name | Carla B Beatrici |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568438034 PECOS PAC ID: 7012070659 Enrollment ID: I20090108000454 |
| Provider Name | Mamdouh Bakhos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992919914 PECOS PAC ID: 3870678477 Enrollment ID: I20090108000722 |
| Provider Name | Michael J Klamut |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700865086 PECOS PAC ID: 7911060397 Enrollment ID: I20090112000202 |
| Provider Name | Carole C Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306062245 PECOS PAC ID: 2567525744 Enrollment ID: I20090114000407 |
| Provider Name | Kathleen B Raschka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972779007 PECOS PAC ID: 0547323537 Enrollment ID: I20090119000036 |
| Provider Name | Christine A Omalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346434446 PECOS PAC ID: 1153486048 Enrollment ID: I20090209000606 |
| Provider Name | Katherine Ann Spangenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942246954 PECOS PAC ID: 7911062641 Enrollment ID: I20090212000679 |
| Provider Name | Jill A Reda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215113303 PECOS PAC ID: 6709941255 Enrollment ID: I20090217000099 |
| Provider Name | John J Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669534111 PECOS PAC ID: 8123185626 Enrollment ID: I20090327000468 |
| Provider Name | Nadine C Rinella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396983409 PECOS PAC ID: 2466509344 Enrollment ID: I20090409000704 |
| Provider Name | Emily R Gilbert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932134269 PECOS PAC ID: 9638270804 Enrollment ID: I20090414000151 |
| Provider Name | Gregory J Ozark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558337840 PECOS PAC ID: 3476602301 Enrollment ID: I20090522000261 |
| Provider Name | William P Towne |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003803552 PECOS PAC ID: 9133022122 Enrollment ID: I20090609000124 |
| Provider Name | Sarah W Kinsinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992939250 PECOS PAC ID: 3173674793 Enrollment ID: I20090622000444 |
| Provider Name | Teresa Cappello |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346240082 PECOS PAC ID: 6103875075 Enrollment ID: I20090624000507 |
| Provider Name | Linda Galambos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326217019 PECOS PAC ID: 4486705811 Enrollment ID: I20090625000230 |
| Provider Name | Sean E Greenhalgh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497911333 PECOS PAC ID: 4183775406 Enrollment ID: I20090626000459 |
| Provider Name | Arthur P Sanford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881702876 PECOS PAC ID: 7416008743 Enrollment ID: I20090626000504 |
| Provider Name | Richard C Hershberger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497959225 PECOS PAC ID: 8820149859 Enrollment ID: I20090702000052 |
| Provider Name | Kavitha Vellanki |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386805612 PECOS PAC ID: 9234280181 Enrollment ID: I20090706000521 |
| Provider Name | Constantine V Godellas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1740251222 PECOS PAC ID: 6103977996 Enrollment ID: I20090708000411 |
| Provider Name | Matthew A Mccoyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932346566 PECOS PAC ID: 0840342648 Enrollment ID: I20090708000587 |
| Provider Name | Konrad Lebioda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295994168 PECOS PAC ID: 5890859193 Enrollment ID: I20090716000190 |
| Provider Name | Alexander Green |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093896284 PECOS PAC ID: 4880746221 Enrollment ID: I20090716000344 |
| Provider Name | Michael A Markos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861658007 PECOS PAC ID: 9739232661 Enrollment ID: I20090724000496 |
| Provider Name | Michael Presta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770748501 PECOS PAC ID: 2860545530 Enrollment ID: I20090728000344 |
| Provider Name | Alaleh Mazhari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326299611 PECOS PAC ID: 4789737461 Enrollment ID: I20090728000428 |
| Provider Name | Agnieszka Pietrzak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164679452 PECOS PAC ID: 7113070897 Enrollment ID: I20090728000456 |
| Provider Name | Benjamin Ling |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790942142 PECOS PAC ID: 3476606989 Enrollment ID: I20090731000167 |
| Provider Name | Pegge M Halandras |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649458753 PECOS PAC ID: 2860560679 Enrollment ID: I20090904000310 |
| Provider Name | Norma A Lopez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255482881 PECOS PAC ID: 4486700440 Enrollment ID: I20090917000081 |
| Provider Name | Jenny Kwak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508911801 PECOS PAC ID: 8022182484 Enrollment ID: I20090921000271 |
| Provider Name | Melinda G Tobin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275799553 PECOS PAC ID: 2062559693 Enrollment ID: I20091029000730 |
| Provider Name | Ravinder S Dhillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679643902 PECOS PAC ID: 5597803080 Enrollment ID: I20091103000320 |
| Provider Name | Courtney K Suh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528266566 PECOS PAC ID: 0648318030 Enrollment ID: I20091104000564 |
| Provider Name | Philip E Mcandrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811077902 PECOS PAC ID: 2163560251 Enrollment ID: I20091110000567 |
| Provider Name | Rebecca C Tung |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174574941 PECOS PAC ID: 6002827599 Enrollment ID: I20091123000550 |
| Provider Name | Helene Connolly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851318448 PECOS PAC ID: 0840192399 Enrollment ID: I20091221000192 |
| Provider Name | Daniel Sisbarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093789125 PECOS PAC ID: 9133260037 Enrollment ID: I20100113000658 |
| Provider Name | Susan M Rohde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225002348 PECOS PAC ID: 1850433707 Enrollment ID: I20100115000270 |
| Provider Name | John K Boblick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285600676 PECOS PAC ID: 4183766033 Enrollment ID: I20100115000295 |
| Provider Name | Jannette M Klepek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881673952 PECOS PAC ID: 4587706387 Enrollment ID: I20100115000883 |
| Provider Name | Shanti Nair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689648537 PECOS PAC ID: 2769524560 Enrollment ID: I20100115000888 |
| Provider Name | Yongsun L Ra Hurka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821062944 PECOS PAC ID: 6305988114 Enrollment ID: I20100116000077 |
| Provider Name | Nila M Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952375073 PECOS PAC ID: 8022150838 Enrollment ID: I20100116000091 |
| Provider Name | Patrice Anne Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649391186 PECOS PAC ID: 1850433673 Enrollment ID: I20100116000218 |
| Provider Name | Rebecca A Barbato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386618775 PECOS PAC ID: 2163564923 Enrollment ID: I20100118000156 |
| Provider Name | Robert Riggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063492817 PECOS PAC ID: 1254473929 Enrollment ID: I20100118000288 |
| Provider Name | Timothy M Vavra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184699076 PECOS PAC ID: 0648312132 Enrollment ID: I20100121000510 |
| Provider Name | Margaret M Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851366900 PECOS PAC ID: 2668514175 Enrollment ID: I20100121000677 |
| Provider Name | Leo Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942274089 PECOS PAC ID: 3375685886 Enrollment ID: I20100121000686 |
| Provider Name | Lisa Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609033133 PECOS PAC ID: 9638211055 Enrollment ID: I20100123000226 |
| Provider Name | Hank C Graziano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750361325 PECOS PAC ID: 5193868537 Enrollment ID: I20100206000232 |
| Provider Name | Mark E Cichon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629290655 PECOS PAC ID: 8224083217 Enrollment ID: I20100208000580 |
| Provider Name | Joseph G Mueller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841279114 PECOS PAC ID: 7810031382 Enrollment ID: I20100222000481 |
| Provider Name | Trac X Nghiem |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003896846 PECOS PAC ID: 1052455524 Enrollment ID: I20100222000528 |
| Provider Name | Edward C Sankary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972577013 PECOS PAC ID: 5496899965 Enrollment ID: I20100222000543 |
| Provider Name | Giles C Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316927155 PECOS PAC ID: 3678617156 Enrollment ID: I20100222000549 |
| Provider Name | Ann N Rudinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982670477 PECOS PAC ID: 0446394928 Enrollment ID: I20100222000598 |
| Provider Name | Mekhala Samsi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558683144 PECOS PAC ID: 4385779396 Enrollment ID: I20100316000708 |
| Provider Name | Belinda Serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558506196 PECOS PAC ID: 2860527876 Enrollment ID: I20100316000790 |
| Provider Name | Joseph R Holtman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811089600 PECOS PAC ID: 0941335970 Enrollment ID: I20100316000909 |
| Provider Name | Mary Boyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982684577 PECOS PAC ID: 8426183377 Enrollment ID: I20100317000123 |
| Provider Name | George Hyuk Lew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457323750 PECOS PAC ID: 3577698422 Enrollment ID: I20100317000162 |
| Provider Name | Paul T Prinz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407802242 PECOS PAC ID: 9436140928 Enrollment ID: I20100326000520 |
| Provider Name | Donald J Tanis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902822158 PECOS PAC ID: 9234266479 Enrollment ID: I20100420001031 |
| Provider Name | Paulina A Kuchinic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452607 PECOS PAC ID: 3274661426 Enrollment ID: I20100507000521 |
| Provider Name | Dennis Hong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285730606 PECOS PAC ID: 9133259682 Enrollment ID: I20100610000491 |
| Provider Name | Kevin Thomas Mcvary |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356369185 PECOS PAC ID: 5890825772 Enrollment ID: I20100621000320 |
| Provider Name | Sanjeev K Akkina |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619928041 PECOS PAC ID: 1052323169 Enrollment ID: I20100628000062 |
| Provider Name | Katherine Elizabeth Dux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386807691 PECOS PAC ID: 1254462245 Enrollment ID: I20100708000908 |
| Provider Name | Theresa S Kuritza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801825039 PECOS PAC ID: 4183756026 Enrollment ID: I20100713000380 |
| Provider Name | John F Hibbeln |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093773962 PECOS PAC ID: 6901895242 Enrollment ID: I20100802000498 |
| Provider Name | Mark A Desilva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609945922 PECOS PAC ID: 8224938071 Enrollment ID: I20100811000939 |
| Provider Name | Theodore J Saclarides |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1982779765 PECOS PAC ID: 2860436862 Enrollment ID: I20100816000629 |
| Provider Name | Jennifer E Layden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902094360 PECOS PAC ID: 5496889198 Enrollment ID: I20100817000909 |
| Provider Name | Elizabeth A Wantuch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437310034 PECOS PAC ID: 7012032030 Enrollment ID: I20100915000032 |
| Provider Name | Laetitia Stamboliu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306985627 PECOS PAC ID: 9931225182 Enrollment ID: I20100925000143 |
| Provider Name | Erin E Rowell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285764068 PECOS PAC ID: 1456477603 Enrollment ID: I20100925000180 |
| Provider Name | Claudine S Feliciano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770790032 PECOS PAC ID: 8921124009 Enrollment ID: I20100927000208 |
| Provider Name | Fernando N Lamounier |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1609826312 PECOS PAC ID: 5991717456 Enrollment ID: I20101007000271 |
| Provider Name | Richard Borrowdale |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184624603 PECOS PAC ID: 7416062112 Enrollment ID: I20101007000579 |
| Provider Name | Smit C Vasaiwala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134381205 PECOS PAC ID: 4284826389 Enrollment ID: I20101007000854 |
| Provider Name | James L Cook |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396859930 PECOS PAC ID: 3173715174 Enrollment ID: I20101008000789 |
| Provider Name | Allen Gustin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134159825 PECOS PAC ID: 6204864663 Enrollment ID: I20101012000302 |
| Provider Name | Lisa A Millsap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790945962 PECOS PAC ID: 6204029838 Enrollment ID: I20101014001473 |
| Provider Name | Keith W Bruninga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881638823 PECOS PAC ID: 8628261278 Enrollment ID: I20101015000289 |
| Provider Name | Adele Anna Castaldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063651909 PECOS PAC ID: 2769675099 Enrollment ID: I20101019001449 |
| Provider Name | Simon P Ros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588630768 PECOS PAC ID: 7315130366 Enrollment ID: I20101021001463 |
| Provider Name | Charles Broy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952449340 PECOS PAC ID: 7618161761 Enrollment ID: I20101102001052 |
| Provider Name | Sarkis Morales Vidal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811211899 PECOS PAC ID: 4587858592 Enrollment ID: I20101103001363 |
| Provider Name | Rex C Haydon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881759611 PECOS PAC ID: 3375737380 Enrollment ID: I20101103001404 |
| Provider Name | Jeffrey W Hartwig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124281019 PECOS PAC ID: 0749475275 Enrollment ID: I20101110000806 |
| Provider Name | Derek J Matoka |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316193824 PECOS PAC ID: 5294920658 Enrollment ID: I20101110001324 |
| Provider Name | Michael T Wiisanen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215190525 PECOS PAC ID: 9032304407 Enrollment ID: I20101110001406 |
| Provider Name | Michelle Toma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770559544 PECOS PAC ID: 8628263068 Enrollment ID: I20101111000822 |
| Provider Name | Alex Gorbonos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538341060 PECOS PAC ID: 0941353908 Enrollment ID: I20101112000451 |
| Provider Name | Michael James Mosier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568638104 PECOS PAC ID: 5890846844 Enrollment ID: I20101115000018 |
| Provider Name | Ricky B Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861649451 PECOS PAC ID: 2668667882 Enrollment ID: I20101115000080 |
| Provider Name | Terence J Beissel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679547905 PECOS PAC ID: 3870788896 Enrollment ID: I20101116000285 |
| Provider Name | Anjum S Khan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851413173 PECOS PAC ID: 3779770680 Enrollment ID: I20101203001159 |
| Provider Name | Karen E Kiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861696593 PECOS PAC ID: 9133317985 Enrollment ID: I20101221000935 |
| Provider Name | Nancy L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033313648 PECOS PAC ID: 6204024052 Enrollment ID: I20101221000961 |
| Provider Name | Mushabbar Syed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194894014 PECOS PAC ID: 1052381209 Enrollment ID: I20101221000983 |
| Provider Name | Natasha M Von Roenn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821297870 PECOS PAC ID: 3678761376 Enrollment ID: I20101222000318 |
| Provider Name | Monika Payan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588869150 PECOS PAC ID: 3971791310 Enrollment ID: I20101229000264 |
| Provider Name | Miriam R. S. Volle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144547159 PECOS PAC ID: 8921296229 Enrollment ID: I20110103000127 |
| Provider Name | Colleen T Keleher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225184351 PECOS PAC ID: 6406045541 Enrollment ID: I20110105000804 |
| Provider Name | Christopher A Molvar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942533138 PECOS PAC ID: 2769671031 Enrollment ID: I20110118001156 |
| Provider Name | May Hashimi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154342293 PECOS PAC ID: 8022297233 Enrollment ID: I20110120000317 |
| Provider Name | Christopher M Gonzalez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245268036 PECOS PAC ID: 1355520081 Enrollment ID: I20110126000695 |
| Provider Name | Daniel J Yousif |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801839154 PECOS PAC ID: 8921990573 Enrollment ID: I20110202000191 |
| Provider Name | Sujata Subramanian |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1487792057 PECOS PAC ID: 2062545890 Enrollment ID: I20110204000614 |
| Provider Name | Paula Bebej |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881771459 PECOS PAC ID: 8820278831 Enrollment ID: I20110208001049 |
| Provider Name | Sean Diamond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023082161 PECOS PAC ID: 4284814211 Enrollment ID: I20110209000218 |
| Provider Name | Jessica Mcintyre Dingman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164680518 PECOS PAC ID: 3577744051 Enrollment ID: I20110217000379 |
| Provider Name | Camilla Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336151752 PECOS PAC ID: 0840471264 Enrollment ID: I20110217000875 |
| Provider Name | Kiranmai Gorla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686885 PECOS PAC ID: 5294916912 Enrollment ID: I20110228000825 |
| Provider Name | Dionna L Lomax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639336399 PECOS PAC ID: 9638351869 Enrollment ID: I20110309000981 |
| Provider Name | Mary Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740394063 PECOS PAC ID: 7214119262 Enrollment ID: I20110311000343 |
| Provider Name | Lauren A Boyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518132075 PECOS PAC ID: 2860675022 Enrollment ID: I20110324000894 |
| Provider Name | Amy D Lu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821098641 PECOS PAC ID: 7810919768 Enrollment ID: I20110328000529 |
| Provider Name | John A Mcgann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326018334 PECOS PAC ID: 0941484497 Enrollment ID: I20110407000927 |
| Provider Name | Kate Goldhaber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063612208 PECOS PAC ID: 7012191463 Enrollment ID: I20110408000099 |
| Provider Name | Charis Habercoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821396250 PECOS PAC ID: 1052595063 Enrollment ID: I20110414000747 |
| Provider Name | Erin M Lowery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750543823 PECOS PAC ID: 4486838174 Enrollment ID: I20110503000380 |
| Provider Name | Amit Goyal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346318813 PECOS PAC ID: 5395929558 Enrollment ID: I20110510000728 |
| Provider Name | Ilana Gonik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528366853 PECOS PAC ID: 4880870096 Enrollment ID: I20110523000550 |
| Provider Name | Laura D Napier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669617551 PECOS PAC ID: 6406033349 Enrollment ID: I20110602000167 |
| Provider Name | Mohammad K Atieh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245487610 PECOS PAC ID: 6507043338 Enrollment ID: I20110603000515 |
| Provider Name | Thythy T Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285880757 PECOS PAC ID: 8527245992 Enrollment ID: I20110613000205 |
| Provider Name | Tricia L Thomson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104087030 PECOS PAC ID: 2567640501 Enrollment ID: I20110622000564 |
| Provider Name | Ryan R Coates |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184815870 PECOS PAC ID: 9032397724 Enrollment ID: I20110628000651 |
| Provider Name | Xiuzhen Duan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467499012 PECOS PAC ID: 0941271464 Enrollment ID: I20110628000716 |
| Provider Name | Sara A Doss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770747743 PECOS PAC ID: 6507044294 Enrollment ID: I20110628000755 |
| Provider Name | Emily M Tuerk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881854669 PECOS PAC ID: 8628246899 Enrollment ID: I20110714000725 |
| Provider Name | Ryan F Mayhew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760645279 PECOS PAC ID: 9537337662 Enrollment ID: I20110715000581 |
| Provider Name | Dana M Hayden |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114173192 PECOS PAC ID: 3476721234 Enrollment ID: I20110721000444 |
| Provider Name | Kevin R Polsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093978181 PECOS PAC ID: 9335317825 Enrollment ID: I20110728000254 |
| Provider Name | Jacqueline M Dziedzic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972722007 PECOS PAC ID: 3971652108 Enrollment ID: I20110802000782 |
| Provider Name | Brock Andreatta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629245709 PECOS PAC ID: 3779752530 Enrollment ID: I20110811000611 |
| Provider Name | Adam S Kabaker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013171214 PECOS PAC ID: 0547384802 Enrollment ID: I20110811000740 |
| Provider Name | Ira Shetty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992823389 PECOS PAC ID: 4183777626 Enrollment ID: I20110815000287 |
| Provider Name | Shivan Tekwani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518122035 PECOS PAC ID: 7911030242 Enrollment ID: I20110819000137 |
| Provider Name | Nicole M Sprawka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659534055 PECOS PAC ID: 1052581436 Enrollment ID: I20110822000180 |
| Provider Name | Shirin A Poonja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376709063 PECOS PAC ID: 7810167210 Enrollment ID: I20110822000400 |
| Provider Name | Andrew J Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972835494 PECOS PAC ID: 2668661380 Enrollment ID: I20110824000800 |
| Provider Name | Monica Patadia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538325212 PECOS PAC ID: 3476723339 Enrollment ID: I20110901000011 |
| Provider Name | Fang Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861792715 PECOS PAC ID: 9133399025 Enrollment ID: I20110901000340 |
| Provider Name | Gopal Gupta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326182015 PECOS PAC ID: 4587835111 Enrollment ID: I20110912000550 |
| Provider Name | Margaret Liotta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1841454303 PECOS PAC ID: 3476605494 Enrollment ID: I20110914000286 |
| Provider Name | Anar A Mashruwala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689849796 PECOS PAC ID: 0244401693 Enrollment ID: I20110915000657 |
| Provider Name | Ahmer V Farooq |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326201666 PECOS PAC ID: 3375714728 Enrollment ID: I20110915000722 |
| Provider Name | Raquel Garcia Roca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710277728 PECOS PAC ID: 6103097126 Enrollment ID: I20110923000490 |
| Provider Name | Jeffrey T Bonk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548300692 PECOS PAC ID: 1951572817 Enrollment ID: I20110926000492 |
| Provider Name | Recia L Frenn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457572703 PECOS PAC ID: 2567634702 Enrollment ID: I20111011000636 |
| Provider Name | Carrie M Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851511869 PECOS PAC ID: 5092987206 Enrollment ID: I20111012000690 |
| Provider Name | Lena B Palmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801080460 PECOS PAC ID: 5496927501 Enrollment ID: I20111014000429 |
| Provider Name | Shruti B Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588829329 PECOS PAC ID: 4880864271 Enrollment ID: I20111017000615 |
| Provider Name | Paula Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972884062 PECOS PAC ID: 9537332333 Enrollment ID: I20111021000402 |
| Provider Name | Albert Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952563546 PECOS PAC ID: 1153513254 Enrollment ID: I20111025000312 |
| Provider Name | Carol M Bier-laning |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497843387 PECOS PAC ID: 0941473680 Enrollment ID: I20111025000756 |
| Provider Name | Agnes Hurtuk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881806511 PECOS PAC ID: 8022281385 Enrollment ID: I20111101000680 |
| Provider Name | Deepti Shivakumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023221157 PECOS PAC ID: 3476648577 Enrollment ID: I20111103000378 |
| Provider Name | Christopher M Flinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063668341 PECOS PAC ID: 1658544853 Enrollment ID: I20111103000711 |
| Provider Name | Roshni A Vasaiwala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437323896 PECOS PAC ID: 6709059801 Enrollment ID: I20111107000367 |
| Provider Name | Nina Yedavalli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306094842 PECOS PAC ID: 0749200541 Enrollment ID: I20111109000701 |
| Provider Name | Victoria Davidson Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291046 PECOS PAC ID: 3870767569 Enrollment ID: I20111115000192 |
| Provider Name | Stephen Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609154699 PECOS PAC ID: 0941474381 Enrollment ID: I20111121000196 |
| Provider Name | Kelli M Nickols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578847489 PECOS PAC ID: 2860666070 Enrollment ID: I20111129000048 |
| Provider Name | Suzanne Elizabeth Shane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291434 PECOS PAC ID: 8123293081 Enrollment ID: I20111205000905 |
| Provider Name | Laura S Winterfield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629036157 PECOS PAC ID: 0042241549 Enrollment ID: I20111205000921 |
| Provider Name | Brian Medernach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801050539 PECOS PAC ID: 6103091418 Enrollment ID: I20111215000532 |
| Provider Name | Laura L Smyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578840179 PECOS PAC ID: 1153596374 Enrollment ID: I20111215000735 |
| Provider Name | Jaime Firkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659648061 PECOS PAC ID: 0143496240 Enrollment ID: I20111220000305 |
| Provider Name | Daria Ruffolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366680498 PECOS PAC ID: 0840466165 Enrollment ID: I20120106000765 |
| Provider Name | Jenny R.s Handa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063789071 PECOS PAC ID: 5496922593 Enrollment ID: I20120112000452 |
| Provider Name | Nathaniel S Jones |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932318813 PECOS PAC ID: 2961565833 Enrollment ID: I20120116000154 |
| Provider Name | Julie Elizabeth Marable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306923370 PECOS PAC ID: 7214114214 Enrollment ID: I20120121000089 |
| Provider Name | Martin Hogan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942529938 PECOS PAC ID: 5496912669 Enrollment ID: I20120131000835 |
| Provider Name | Michael Haske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982632725 PECOS PAC ID: 1052317401 Enrollment ID: I20120201000067 |
| Provider Name | Robert J Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811152234 PECOS PAC ID: 7911164009 Enrollment ID: I20120201000158 |
| Provider Name | Eevin E Judkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093092595 PECOS PAC ID: 1153588983 Enrollment ID: I20120207000459 |
| Provider Name | Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972873735 PECOS PAC ID: 7315104999 Enrollment ID: I20120209000351 |
| Provider Name | Joseph J Alioto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164685525 PECOS PAC ID: 2062679657 Enrollment ID: I20120209000559 |
| Provider Name | Abdul Haseeb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598032989 PECOS PAC ID: 4082872916 Enrollment ID: I20120223000885 |
| Provider Name | Lorraine M Fearon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427325711 PECOS PAC ID: 3678731122 Enrollment ID: I20120229000896 |
| Provider Name | Barbara L Petro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992081426 PECOS PAC ID: 5799944328 Enrollment ID: I20120316000536 |
| Provider Name | Patricia A Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508140492 PECOS PAC ID: 7315107323 Enrollment ID: I20120329000208 |
| Provider Name | Bipan Chand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891758777 PECOS PAC ID: 4486667680 Enrollment ID: I20120402000472 |
| Provider Name | Haluk Altiok |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568578441 PECOS PAC ID: 3971763749 Enrollment ID: I20120402000524 |
| Provider Name | Barbara Majcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780959502 PECOS PAC ID: 9234399916 Enrollment ID: I20120404000857 |
| Provider Name | Ann K Lal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518163401 PECOS PAC ID: 4284792094 Enrollment ID: I20120404000972 |
| Provider Name | Sameer M A Qazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083842868 PECOS PAC ID: 8820259351 Enrollment ID: I20120410000703 |
| Provider Name | Vincent F Biank |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811948243 PECOS PAC ID: 3375643042 Enrollment ID: I20120418000581 |
| Provider Name | Dorota Pietrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891069902 PECOS PAC ID: 8921269754 Enrollment ID: I20120420000660 |
| Provider Name | Linda J Juretschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124396221 PECOS PAC ID: 7113189598 Enrollment ID: I20120501000414 |
| Provider Name | Sarah E Fitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760792972 PECOS PAC ID: 3779745039 Enrollment ID: I20120502000435 |
| Provider Name | Laura D Triola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174891436 PECOS PAC ID: 9032372354 Enrollment ID: I20120524000498 |
| Provider Name | James S Welsh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790748317 PECOS PAC ID: 1759439995 Enrollment ID: I20120531000271 |
| Provider Name | Roxana D Sabau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952689713 PECOS PAC ID: 5890959670 Enrollment ID: I20120606000565 |
| Provider Name | Teresa Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386914653 PECOS PAC ID: 6103080759 Enrollment ID: I20120611000350 |
| Provider Name | Julia Schneider |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275796385 PECOS PAC ID: 5890959134 Enrollment ID: I20120618000033 |
| Provider Name | Bridget Boyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780847012 PECOS PAC ID: 6608031042 Enrollment ID: I20120710000088 |
| Provider Name | Joyce C Rabbat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144486416 PECOS PAC ID: 7113183377 Enrollment ID: I20120717000161 |
| Provider Name | Amir Darki |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285835413 PECOS PAC ID: 0648436808 Enrollment ID: I20120717000195 |
| Provider Name | Jolie Holschen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760565428 PECOS PAC ID: 2567352156 Enrollment ID: I20120725000929 |
| Provider Name | Stephen P Macleod |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1477507226 PECOS PAC ID: 9133141856 Enrollment ID: I20120801000245 |
| Provider Name | Linda C Yang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114974557 PECOS PAC ID: 4183636129 Enrollment ID: I20120806000911 |
| Provider Name | Elizabeth Henry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760646574 PECOS PAC ID: 3870749674 Enrollment ID: I20120810000181 |
| Provider Name | Tarita Thomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659572014 PECOS PAC ID: 1759537566 Enrollment ID: I20120810000205 |
| Provider Name | Mark Rabbat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114191327 PECOS PAC ID: 2668628306 Enrollment ID: I20120810000699 |
| Provider Name | Bridget Gaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780942250 PECOS PAC ID: 7911153523 Enrollment ID: I20120815000298 |
| Provider Name | Shannon C Lovett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831327592 PECOS PAC ID: 4082860580 Enrollment ID: I20120816000689 |
| Provider Name | Magan Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255692992 PECOS PAC ID: 4284880626 Enrollment ID: I20120817000207 |
| Provider Name | Anita O Nagamine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003063181 PECOS PAC ID: 7810144045 Enrollment ID: I20120823000351 |
| Provider Name | Janet M Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679773980 PECOS PAC ID: 9830254473 Enrollment ID: I20120823000632 |
| Provider Name | Patrick F Riordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467728279 PECOS PAC ID: 0143477976 Enrollment ID: I20120829000404 |
| Provider Name | Gerard J Abood |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1629237227 PECOS PAC ID: 5991999815 Enrollment ID: I20120829000684 |
| Provider Name | Michael Hakimi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508063587 PECOS PAC ID: 6103073754 Enrollment ID: I20120904000442 |
| Provider Name | Steven J Scaglione |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912088782 PECOS PAC ID: 5890942445 Enrollment ID: I20120904000496 |
| Provider Name | Joann Harano |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710144233 PECOS PAC ID: 7618125220 Enrollment ID: I20120924000129 |
| Provider Name | Katherine L Maietta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275799710 PECOS PAC ID: 6709034333 Enrollment ID: I20120924000397 |
| Provider Name | Shivani P Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255591632 PECOS PAC ID: 2860641461 Enrollment ID: I20120925000421 |
| Provider Name | Tehui M Ma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467618553 PECOS PAC ID: 3870742125 Enrollment ID: I20121002000771 |
| Provider Name | Neil Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487828653 PECOS PAC ID: 1759568389 Enrollment ID: I20121005000494 |
| Provider Name | Matthew Harkenrider |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952577967 PECOS PAC ID: 9032369681 Enrollment ID: I20121017000498 |
| Provider Name | Sarah E Perkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013173061 PECOS PAC ID: 3870743610 Enrollment ID: I20121101000243 |
| Provider Name | Alexander Dzakovic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902985385 PECOS PAC ID: 1254500101 Enrollment ID: I20121206000524 |
| Provider Name | Jude Dumfeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700048022 PECOS PAC ID: 6901058387 Enrollment ID: I20121211000241 |
| Provider Name | Beejal Y Amin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275742983 PECOS PAC ID: 1153578729 Enrollment ID: I20121211000529 |
| Provider Name | Almas F Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497991509 PECOS PAC ID: 5294988531 Enrollment ID: I20130116000553 |
| Provider Name | Samir H Navik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487814695 PECOS PAC ID: 2961655105 Enrollment ID: I20130121000078 |
| Provider Name | Candace R Blank |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194056564 PECOS PAC ID: 1951555010 Enrollment ID: I20130126000019 |
| Provider Name | Ishvari S Panarker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629208129 PECOS PAC ID: 6204080260 Enrollment ID: I20130129000467 |
| Provider Name | Ari Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952450025 PECOS PAC ID: 0749304806 Enrollment ID: I20130201000094 |
| Provider Name | Maria G Nardulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861736423 PECOS PAC ID: 3577717297 Enrollment ID: I20130205000547 |
| Provider Name | Joseph A Tylka |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730290685 PECOS PAC ID: 1759535941 Enrollment ID: I20130218000444 |
| Provider Name | Laura Wool |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548519580 PECOS PAC ID: 2264687458 Enrollment ID: I20130218000490 |
| Provider Name | Sonya P Agnew |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962640250 PECOS PAC ID: 7517112774 Enrollment ID: I20130220000123 |
| Provider Name | Tara D Henrikson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225386345 PECOS PAC ID: 2668627837 Enrollment ID: I20130220000178 |
| Provider Name | David D Pasquale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437358298 PECOS PAC ID: 1557456654 Enrollment ID: I20130222000287 |
| Provider Name | Julie Marks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619085180 PECOS PAC ID: 7012162746 Enrollment ID: I20130304000498 |
| Provider Name | Larissa A Piton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760727010 PECOS PAC ID: 7214172873 Enrollment ID: I20130402000296 |
| Provider Name | William Davenport |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790751691 PECOS PAC ID: 3072578756 Enrollment ID: I20130412000087 |
| Provider Name | Anna S Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861739641 PECOS PAC ID: 8527204650 Enrollment ID: I20130416000638 |
| Provider Name | Nicole T Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316284896 PECOS PAC ID: 1153567920 Enrollment ID: I20130424000088 |
| Provider Name | Omar Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083812192 PECOS PAC ID: 1759451248 Enrollment ID: I20130618000635 |
| Provider Name | Amy Kule- Downs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417184623 PECOS PAC ID: 2365681293 Enrollment ID: I20130625000373 |
| Provider Name | Monica R Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417278953 PECOS PAC ID: 6800035643 Enrollment ID: I20130626000856 |
| Provider Name | Marsha Apushkin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922341445 PECOS PAC ID: 2365682820 Enrollment ID: I20130703000391 |
| Provider Name | Eugene Suh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154585131 PECOS PAC ID: 0244470722 Enrollment ID: I20130703000575 |
| Provider Name | Saad A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013110816 PECOS PAC ID: 0143460584 Enrollment ID: I20130709000360 |
| Provider Name | Paul R Crisostomo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851589212 PECOS PAC ID: 9638316573 Enrollment ID: I20130717000650 |
| Provider Name | Mukund Venu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083838817 PECOS PAC ID: 0143461996 Enrollment ID: I20130722000104 |
| Provider Name | Wendy Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790930477 PECOS PAC ID: 8729229570 Enrollment ID: I20130722000167 |
| Provider Name | Jason Rice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093036931 PECOS PAC ID: 4082855838 Enrollment ID: I20130722000188 |
| Provider Name | Brian D Barbas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205127339 PECOS PAC ID: 1355582065 Enrollment ID: I20130723000440 |
| Provider Name | David C Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114153475 PECOS PAC ID: 8921250168 Enrollment ID: I20130723000491 |
| Provider Name | Mauro Vido Montevecchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871770537 PECOS PAC ID: 4082877154 Enrollment ID: I20130725000945 |
| Provider Name | Ravindra A Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124295381 PECOS PAC ID: 5193966570 Enrollment ID: I20130726000732 |
| Provider Name | Nickolas Garbis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750537452 PECOS PAC ID: 0941465520 Enrollment ID: I20130726000751 |
| Provider Name | Ewa Borys |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386807253 PECOS PAC ID: 0749459006 Enrollment ID: I20130801000723 |
| Provider Name | Disha Mahendra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457662942 PECOS PAC ID: 7113169905 Enrollment ID: I20130807000327 |
| Provider Name | Agnes R Libot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134361231 PECOS PAC ID: 2365606456 Enrollment ID: I20130812000334 |
| Provider Name | Joshua Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437386216 PECOS PAC ID: 7517109010 Enrollment ID: I20130813000618 |
| Provider Name | Matthew Kircher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013176684 PECOS PAC ID: 4688816085 Enrollment ID: I20130814000878 |
| Provider Name | Kristen M Donaldson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497928212 PECOS PAC ID: 4082895446 Enrollment ID: I20130820000123 |
| Provider Name | Lena R Wiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164665386 PECOS PAC ID: 2668616558 Enrollment ID: I20130916000206 |
| Provider Name | Patricia L Gigliotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518001189 PECOS PAC ID: 6709937097 Enrollment ID: I20131001000102 |
| Provider Name | Joseph B Baptist |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1407085053 PECOS PAC ID: 1456585504 Enrollment ID: I20131004000086 |
| Provider Name | Lenney G Kizhakepunnur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093940611 PECOS PAC ID: 7012141443 Enrollment ID: I20131017001441 |
| Provider Name | Dariusz Borys |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639385180 PECOS PAC ID: 9133210503 Enrollment ID: I20131021000264 |
| Provider Name | Michael R Ander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851528590 PECOS PAC ID: 6901031269 Enrollment ID: I20131023000939 |
| Provider Name | James L Lubawski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679729511 PECOS PAC ID: 2860627833 Enrollment ID: I20131029000127 |
| Provider Name | Krishna Raghavan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598076416 PECOS PAC ID: 6103051131 Enrollment ID: I20131029002133 |
| Provider Name | Max Liebo |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1306082094 PECOS PAC ID: 5799824876 Enrollment ID: I20131101000070 |
| Provider Name | Kelly M Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245460641 PECOS PAC ID: 7214162015 Enrollment ID: I20131104000374 |
| Provider Name | Mary M Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972944510 PECOS PAC ID: 3375779895 Enrollment ID: I20131111001268 |
| Provider Name | Amy Lauren Pittman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629230628 PECOS PAC ID: 1456515360 Enrollment ID: I20131113000058 |
| Provider Name | Asha Dhanarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346452786 PECOS PAC ID: 7810123197 Enrollment ID: I20131114000810 |
| Provider Name | Nikki J Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801223987 PECOS PAC ID: 9537395538 Enrollment ID: I20131121001729 |
| Provider Name | Siobhan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598199598 PECOS PAC ID: 1456588854 Enrollment ID: I20131210001115 |
| Provider Name | Theodote K Pontikes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407023674 PECOS PAC ID: 4385871409 Enrollment ID: I20131217001989 |
| Provider Name | Nadia K Qureshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528217288 PECOS PAC ID: 8426286097 Enrollment ID: I20140107000243 |
| Provider Name | Divya Jain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942466404 PECOS PAC ID: 7416185988 Enrollment ID: I20140107000701 |
| Provider Name | Chris E Mileos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598180135 PECOS PAC ID: 5991936445 Enrollment ID: I20140326000090 |
| Provider Name | Bartosz Wojewnik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093974669 PECOS PAC ID: 2860648391 Enrollment ID: I20140328001070 |
| Provider Name | Timothy King |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861514986 PECOS PAC ID: 7416024500 Enrollment ID: I20140515002268 |
| Provider Name | Karina Dahlerus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164849477 PECOS PAC ID: 9436372059 Enrollment ID: I20140528001315 |
| Provider Name | Abhishek Solanki |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760612808 PECOS PAC ID: 8123241742 Enrollment ID: I20140528001462 |
| Provider Name | Jodi Speiser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023332467 PECOS PAC ID: 6709009335 Enrollment ID: I20140528001705 |
| Provider Name | Faaiza Mahmoud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881643559 PECOS PAC ID: 1658456991 Enrollment ID: I20140528002017 |
| Provider Name | Xianzhong Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013143205 PECOS PAC ID: 5597906180 Enrollment ID: I20140602001430 |
| Provider Name | Paul J Hutchison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255593034 PECOS PAC ID: 2062635444 Enrollment ID: I20140604000191 |
| Provider Name | Katherine E Miles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922333590 PECOS PAC ID: 8729202973 Enrollment ID: I20140610001525 |
| Provider Name | Keith R Ganesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982867438 PECOS PAC ID: 5799900296 Enrollment ID: I20140625000787 |
| Provider Name | Mary Barsanti-sekhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528285566 PECOS PAC ID: 9032334263 Enrollment ID: I20140702001025 |
| Provider Name | Jonah Nathaniel Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295025245 PECOS PAC ID: 4082846167 Enrollment ID: I20140718001390 |
| Provider Name | Margaret Z Tsien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124349550 PECOS PAC ID: 3577789031 Enrollment ID: I20140718002208 |
| Provider Name | Adam P Schiff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457515033 PECOS PAC ID: 0143446575 Enrollment ID: I20140721002407 |
| Provider Name | Melissa Briones |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841453008 PECOS PAC ID: 3971729286 Enrollment ID: I20140723000368 |
| Provider Name | Amy Yang Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235450891 PECOS PAC ID: 5496971723 Enrollment ID: I20140723000819 |
| Provider Name | Rishi Garg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356574313 PECOS PAC ID: 1052537990 Enrollment ID: I20140729002037 |
| Provider Name | Andrea Renata Dean |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083863310 PECOS PAC ID: 2163586017 Enrollment ID: I20140828002296 |
| Provider Name | Eric J Thorpe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558527945 PECOS PAC ID: 7416186291 Enrollment ID: I20140829000559 |
| Provider Name | Susanna C Byram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891921029 PECOS PAC ID: 9335367598 Enrollment ID: I20140829000899 |
| Provider Name | Anthi Katsouli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114174562 PECOS PAC ID: 7113146929 Enrollment ID: I20140909002790 |
| Provider Name | Rajeev Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558688127 PECOS PAC ID: 4789804931 Enrollment ID: I20141010000166 |
| Provider Name | Diane K Vent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902215130 PECOS PAC ID: 6406076587 Enrollment ID: I20141014000114 |
| Provider Name | Richard Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730136060 PECOS PAC ID: 8022153329 Enrollment ID: I20141031001224 |
| Provider Name | Angela M Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962811448 PECOS PAC ID: 9537381421 Enrollment ID: I20141108000239 |
| Provider Name | Sacharitha Bowers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306067533 PECOS PAC ID: 2567509227 Enrollment ID: I20141113000912 |
| Provider Name | Jessica L Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760793707 PECOS PAC ID: 4688896095 Enrollment ID: I20141119000038 |
| Provider Name | Meghan Cox-pedota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144541657 PECOS PAC ID: 2668694969 Enrollment ID: I20141120001083 |
| Provider Name | Amar Naik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457433955 PECOS PAC ID: 1456426923 Enrollment ID: I20141215001736 |
| Provider Name | Todd A Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437573706 PECOS PAC ID: 8527381912 Enrollment ID: I20141215002062 |
| Provider Name | Ban Husni Al Sayyed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811940497 PECOS PAC ID: 4981640224 Enrollment ID: I20141215002568 |
| Provider Name | Sana Quddus |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275744724 PECOS PAC ID: 6204024979 Enrollment ID: I20150120001765 |
| Provider Name | Joao Tannus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518178235 PECOS PAC ID: 5395846703 Enrollment ID: I20150121001517 |
| Provider Name | Jacqueline Rincon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387618 PECOS PAC ID: 2365767571 Enrollment ID: I20150211000334 |
| Provider Name | Sharon A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427456318 PECOS PAC ID: 9335464288 Enrollment ID: I20150217001252 |
| Provider Name | Nancy E Budorick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275577033 PECOS PAC ID: 2961496252 Enrollment ID: I20150220000523 |
| Provider Name | Sima Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609265461 PECOS PAC ID: 4587981279 Enrollment ID: I20150317001736 |
| Provider Name | Nikhil Shastri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871671271 PECOS PAC ID: 3476613167 Enrollment ID: I20150317002409 |
| Provider Name | Eilis Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487993911 PECOS PAC ID: 7416274089 Enrollment ID: I20150318002035 |
| Provider Name | Anand Germanwala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811056369 PECOS PAC ID: 5395746838 Enrollment ID: I20150319000662 |
| Provider Name | Nancy Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073902755 PECOS PAC ID: 2860712890 Enrollment ID: I20150514002478 |
| Provider Name | Christy L Bridgford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578743472 PECOS PAC ID: 3870662034 Enrollment ID: I20150604000074 |
| Provider Name | Esteban Golombievski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023339033 PECOS PAC ID: 7719299171 Enrollment ID: I20150629000989 |
| Provider Name | Fritzie Saavedra Albarillo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083918486 PECOS PAC ID: 2163734823 Enrollment ID: I20150709000115 |
| Provider Name | Neelam P Patadia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609135383 PECOS PAC ID: 3678713617 Enrollment ID: I20150728005212 |
| Provider Name | Prerak Navinchandra Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992060230 PECOS PAC ID: 8123254422 Enrollment ID: I20150803001399 |
| Provider Name | Laura C Munich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780069989 PECOS PAC ID: 6103130984 Enrollment ID: I20150807013034 |
| Provider Name | Maureen Wuest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245611706 PECOS PAC ID: 5496060071 Enrollment ID: I20150811004662 |
| Provider Name | Theresa Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205003860 PECOS PAC ID: 7012195381 Enrollment ID: I20150811005103 |
| Provider Name | Jasmin P Ulit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316321359 PECOS PAC ID: 8628383247 Enrollment ID: I20150811005846 |
| Provider Name | Deepa Md Sheth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174753263 PECOS PAC ID: 8921313131 Enrollment ID: I20150818003846 |
| Provider Name | Paolo Nucifora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003965799 PECOS PAC ID: 8820180938 Enrollment ID: I20150819007087 |
| Provider Name | Melissa Kroupa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710374947 PECOS PAC ID: 0547575581 Enrollment ID: I20150819008370 |
| Provider Name | Michael Majewski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659682698 PECOS PAC ID: 6901120476 Enrollment ID: I20150820009848 |
| Provider Name | Michael Anstadt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124255856 PECOS PAC ID: 9335454321 Enrollment ID: I20150820010061 |
| Provider Name | Jason Palmatier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467748624 PECOS PAC ID: 5294040135 Enrollment ID: I20150820011517 |
| Provider Name | Natalie L Kamberos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689769531 PECOS PAC ID: 9032367412 Enrollment ID: I20150901000022 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215171590 PECOS PAC ID: 7012132772 Enrollment ID: I20150902000082 |
| Provider Name | Mariusz Wrzosek |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144274853 PECOS PAC ID: 1153574264 Enrollment ID: I20150910002360 |
| Provider Name | Tushar S Dabade |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942432109 PECOS PAC ID: 3274840038 Enrollment ID: I20150911001211 |
| Provider Name | Amtul Hajira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730462243 PECOS PAC ID: 9830415371 Enrollment ID: I20150921001941 |
| Provider Name | Veena R Raiji |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477735595 PECOS PAC ID: 8224208517 Enrollment ID: I20150925002519 |
| Provider Name | Shireen Hashmat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801027057 PECOS PAC ID: 6406011154 Enrollment ID: I20151001002668 |
| Provider Name | Jordan R Ledger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417248261 PECOS PAC ID: 8527377670 Enrollment ID: I20151013000068 |
| Provider Name | Hannah Chow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033183082 PECOS PAC ID: 9931418936 Enrollment ID: I20151014000226 |
| Provider Name | Kimberly Charo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710374988 PECOS PAC ID: 5698084515 Enrollment ID: I20151015002046 |
| Provider Name | Lori Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275906828 PECOS PAC ID: 8921318569 Enrollment ID: I20151110002410 |
| Provider Name | Milena I Ivanova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174724264 PECOS PAC ID: 5395993620 Enrollment ID: I20151111001343 |
| Provider Name | John C Heyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750310363 PECOS PAC ID: 0941262265 Enrollment ID: I20151202002437 |
| Provider Name | Grace Delos Santos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255569323 PECOS PAC ID: 9830499342 Enrollment ID: I20151204000773 |
| Provider Name | Maria S Cortez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134598758 PECOS PAC ID: 6002117355 Enrollment ID: I20151210002714 |
| Provider Name | Kamran Muhammad Mirza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316258643 PECOS PAC ID: 0042511222 Enrollment ID: I20151211001368 |
| Provider Name | Elizabeth Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457722506 PECOS PAC ID: 3779884978 Enrollment ID: I20151211002365 |
| Provider Name | Rod Marianne Arceo-mendoza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154641876 PECOS PAC ID: 1456652619 Enrollment ID: I20151214001616 |
| Provider Name | Leslie M Waddell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386963528 PECOS PAC ID: 3678874732 Enrollment ID: I20151214001844 |
| Provider Name | Mark W Byram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013391093 PECOS PAC ID: 0941501811 Enrollment ID: I20151217002369 |
| Provider Name | Meenakshi Chaku |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578774303 PECOS PAC ID: 7911023999 Enrollment ID: I20151217002760 |
| Provider Name | Jennifer Verploegh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801286745 PECOS PAC ID: 6901107689 Enrollment ID: I20151222002436 |
| Provider Name | Charles Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952777088 PECOS PAC ID: 5294036992 Enrollment ID: I20151223000008 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265721575 PECOS PAC ID: 0042431405 Enrollment ID: I20151223000035 |
| Provider Name | Stephanie Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013144260 PECOS PAC ID: 5698077857 Enrollment ID: I20160105000840 |
| Provider Name | Sukit M Ringwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699940932 PECOS PAC ID: 1850542911 Enrollment ID: I20160111001822 |
| Provider Name | David De Marco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407064611 PECOS PAC ID: 2264607068 Enrollment ID: I20160125000758 |
| Provider Name | Amy M Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295104784 PECOS PAC ID: 1557664281 Enrollment ID: I20160129000572 |
| Provider Name | Megan Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487893236 PECOS PAC ID: 1052615101 Enrollment ID: I20160210000489 |
| Provider Name | Katherine Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942400924 PECOS PAC ID: 3678887452 Enrollment ID: I20160226001760 |
| Provider Name | Chris Lathitham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497114508 PECOS PAC ID: 0345545398 Enrollment ID: I20160229002222 |
| Provider Name | Brenda Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639468416 PECOS PAC ID: 4688971674 Enrollment ID: I20160317001761 |
| Provider Name | Jolu S John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922469568 PECOS PAC ID: 5890093801 Enrollment ID: I20160407000673 |
| Provider Name | Dane H Salazar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801079652 PECOS PAC ID: 9931343282 Enrollment ID: I20160427000371 |
| Provider Name | Laura Matthews Glaser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083974885 PECOS PAC ID: 0547564536 Enrollment ID: I20160505002362 |
| Provider Name | Gregory Aubert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346506839 PECOS PAC ID: 8224335542 Enrollment ID: I20160513000195 |
| Provider Name | Zineb Aouhab |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962790022 PECOS PAC ID: 4486943537 Enrollment ID: I20160513000336 |
| Provider Name | Lindsay Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174978282 PECOS PAC ID: 2466741194 Enrollment ID: I20160518002355 |
| Provider Name | John G Annes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275794158 PECOS PAC ID: 6507167152 Enrollment ID: I20160601000478 |
| Provider Name | Mariah Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568604726 PECOS PAC ID: 0042483505 Enrollment ID: I20160601000530 |
| Provider Name | Amy L Dusek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837001 PECOS PAC ID: 8426348517 Enrollment ID: I20160601002426 |
| Provider Name | Neel B Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700102332 PECOS PAC ID: 1557675741 Enrollment ID: I20160608000147 |
| Provider Name | Kaushik Gururajan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144541871 PECOS PAC ID: 3678876703 Enrollment ID: I20160608000481 |
| Provider Name | Lyudmyla Ilyash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669836896 PECOS PAC ID: 9335431956 Enrollment ID: I20160630000083 |
| Provider Name | Sanjay K Bansal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528394624 PECOS PAC ID: 8921143330 Enrollment ID: I20160705001905 |
| Provider Name | Renea P Jablonski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548591712 PECOS PAC ID: 8628228079 Enrollment ID: I20160708000797 |
| Provider Name | Brenda Swartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962569954 PECOS PAC ID: 7214229426 Enrollment ID: I20160708000970 |
| Provider Name | Subir Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194042242 PECOS PAC ID: 2365751534 Enrollment ID: I20160714000991 |
| Provider Name | Michael Stokas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770882177 PECOS PAC ID: 1153631452 Enrollment ID: I20160720001863 |
| Provider Name | Kristin Baldea |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265660393 PECOS PAC ID: 2466754932 Enrollment ID: I20160720002244 |
| Provider Name | Joana R Lopes Perdigao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992067094 PECOS PAC ID: 9133422611 Enrollment ID: I20160728002330 |
| Provider Name | Rishi R. Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609175066 PECOS PAC ID: 4688975493 Enrollment ID: I20160803000295 |
| Provider Name | Lucy Gomez Timana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992148704 PECOS PAC ID: 5799079372 Enrollment ID: I20160804000362 |
| Provider Name | Jamie Walter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730470444 PECOS PAC ID: 1153615786 Enrollment ID: I20160804002301 |
| Provider Name | Elizabeth Tetteh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457588196 PECOS PAC ID: 2961796461 Enrollment ID: I20160805001525 |
| Provider Name | Pulsar Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134415805 PECOS PAC ID: 4082908280 Enrollment ID: I20160811000409 |
| Provider Name | Astha Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386962736 PECOS PAC ID: 1951695063 Enrollment ID: I20160812001013 |
| Provider Name | Tiffany White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952660649 PECOS PAC ID: 4587804661 Enrollment ID: I20160815000717 |
| Provider Name | Pedram Rezai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265727051 PECOS PAC ID: 3577857564 Enrollment ID: I20160815001411 |
| Provider Name | Kamran Hamid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770717670 PECOS PAC ID: 0547554354 Enrollment ID: I20160816000353 |
| Provider Name | Abigail Winder |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1740423623 PECOS PAC ID: 8921250507 Enrollment ID: I20160816001800 |
| Provider Name | Agith Antony |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194040915 PECOS PAC ID: 8820231889 Enrollment ID: I20160817000835 |
| Provider Name | Anne-marie Bertino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457794182 PECOS PAC ID: 8729389531 Enrollment ID: I20160818002288 |
| Provider Name | Jessica D Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093071680 PECOS PAC ID: 1850695537 Enrollment ID: I20160825002754 |
| Provider Name | Erin Fruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477903276 PECOS PAC ID: 8921395906 Enrollment ID: I20160919001450 |
| Provider Name | Tamer Refaat Abdelrhman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023429636 PECOS PAC ID: 0042507246 Enrollment ID: I20160930001266 |
| Provider Name | Kathleen Therese Laude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437603180 PECOS PAC ID: 8022306554 Enrollment ID: I20161014002170 |
| Provider Name | Lindsay Warriner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548698236 PECOS PAC ID: 1557649142 Enrollment ID: I20161102001804 |
| Provider Name | Theresa M Wojciak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033666789 PECOS PAC ID: 6204116734 Enrollment ID: I20161129001598 |
| Provider Name | Angela Kurien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457800435 PECOS PAC ID: 6507146958 Enrollment ID: I20161201000768 |
| Provider Name | Danielle Scarola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730621160 PECOS PAC ID: 0547541799 Enrollment ID: I20161229001356 |
| Provider Name | Tushar Murli Advani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881918415 PECOS PAC ID: 9739461484 Enrollment ID: I20170113000145 |
| Provider Name | Samer Totonchi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467689281 PECOS PAC ID: 5092948570 Enrollment ID: I20170119002247 |
| Provider Name | Jennifer Marie Walsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265978449 PECOS PAC ID: 6305128513 Enrollment ID: I20170124001470 |
| Provider Name | Katrina Cudal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053772178 PECOS PAC ID: 1658667886 Enrollment ID: I20170124003179 |
| Provider Name | Dennis A Peacock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023223021 PECOS PAC ID: 6901973932 Enrollment ID: I20170206001786 |
| Provider Name | Tiffany Libby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538604988 PECOS PAC ID: 6103109145 Enrollment ID: I20170216002031 |
| Provider Name | Amber L Szydelko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606488 PECOS PAC ID: 0648554337 Enrollment ID: I20170223002304 |
| Provider Name | Michelle Adichithara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174069512 PECOS PAC ID: 4587948542 Enrollment ID: I20170313000143 |
| Provider Name | Timothy Bernard Lautz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114183415 PECOS PAC ID: 1557646262 Enrollment ID: I20170321000334 |
| Provider Name | Joseph Serrone |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316136674 PECOS PAC ID: 6608199161 Enrollment ID: I20170321001331 |
| Provider Name | Rabeeya Sabzwari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407050610 PECOS PAC ID: 3173796182 Enrollment ID: I20170509001882 |
| Provider Name | Sylvester Barnes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487882791 PECOS PAC ID: 9335451178 Enrollment ID: I20170523002063 |
| Provider Name | Julia Elaine Grabowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811150345 PECOS PAC ID: 1759539984 Enrollment ID: I20170614001931 |
| Provider Name | Christopher Ochoa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952690182 PECOS PAC ID: 5193028314 Enrollment ID: I20170619000444 |
| Provider Name | Alec Block |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124375274 PECOS PAC ID: 5597066308 Enrollment ID: I20170622000071 |
| Provider Name | Sheila Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487108312 PECOS PAC ID: 8820366479 Enrollment ID: I20170622001922 |
| Provider Name | Patrick Hagen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265725592 PECOS PAC ID: 7719111269 Enrollment ID: I20170622002642 |
| Provider Name | Ellen Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295001907 PECOS PAC ID: 5890096911 Enrollment ID: I20170623001614 |
| Provider Name | Felicity Fishman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1932376092 PECOS PAC ID: 4486895836 Enrollment ID: I20170627000464 |
| Provider Name | Ayokunle Abegunde |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194031435 PECOS PAC ID: 7618104886 Enrollment ID: I20170628001615 |
| Provider Name | Carlos Bechara |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639357585 PECOS PAC ID: 4880819473 Enrollment ID: I20170705002267 |
| Provider Name | Sarah Lagedrost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023421807 PECOS PAC ID: 0941579866 Enrollment ID: I20170710001625 |
| Provider Name | Nicole Schram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578095147 PECOS PAC ID: 9234408857 Enrollment ID: I20170712003660 |
| Provider Name | Neal Mugve |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043553571 PECOS PAC ID: 6406158955 Enrollment ID: I20170714001685 |
| Provider Name | David Slade |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669739371 PECOS PAC ID: 5092017186 Enrollment ID: I20170719000545 |
| Provider Name | Ping Tang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780695585 PECOS PAC ID: 6002911088 Enrollment ID: I20170802000798 |
| Provider Name | Cynthia Gunsteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881127991 PECOS PAC ID: 3173894631 Enrollment ID: I20170802002814 |
| Provider Name | Anup Jacob Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912265430 PECOS PAC ID: 0749583110 Enrollment ID: I20170804003202 |
| Provider Name | Nicholas Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972899748 PECOS PAC ID: 9537452180 Enrollment ID: I20170808000326 |
| Provider Name | Monica Maalouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124431895 PECOS PAC ID: 2163793183 Enrollment ID: I20170809000308 |
| Provider Name | British Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053834259 PECOS PAC ID: 3072884063 Enrollment ID: I20170809003593 |
| Provider Name | Joseph Cohen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861873226 PECOS PAC ID: 5496058356 Enrollment ID: I20170810002709 |
| Provider Name | Eugene Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770841678 PECOS PAC ID: 2961713953 Enrollment ID: I20170818002595 |
| Provider Name | Beena James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437682713 PECOS PAC ID: 5890068498 Enrollment ID: I20170901001702 |
| Provider Name | Charles Palin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609259084 PECOS PAC ID: 1850664814 Enrollment ID: I20170913002538 |
| Provider Name | Faith Flaherty |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740717909 PECOS PAC ID: 6002180999 Enrollment ID: I20170915001006 |
| Provider Name | Alex Cichomska Herskovic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093069528 PECOS PAC ID: 4587935507 Enrollment ID: I20171009000042 |
| Provider Name | Purvi Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790006468 PECOS PAC ID: 3072809052 Enrollment ID: I20171018001737 |
| Provider Name | John Robert Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528367836 PECOS PAC ID: 3072814946 Enrollment ID: I20171026003277 |
| Provider Name | Lenah Radwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366896193 PECOS PAC ID: 1557627668 Enrollment ID: I20171106002387 |
| Provider Name | Nael M Khayyat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528092582 PECOS PAC ID: 7113932724 Enrollment ID: I20171107002132 |
| Provider Name | Joshua Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063939361 PECOS PAC ID: 5395001176 Enrollment ID: I20171110001061 |
| Provider Name | Antonio Hernando Iglesias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003142704 PECOS PAC ID: 8921228834 Enrollment ID: I20171113001999 |
| Provider Name | Menhel Kinno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477862001 PECOS PAC ID: 2365684305 Enrollment ID: I20171117002142 |
| Provider Name | Matthew Joseph Zielinski |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760831465 PECOS PAC ID: 4688931215 Enrollment ID: I20171206001851 |
| Provider Name | Dulcie Jo Schippa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093233561 PECOS PAC ID: 0941568810 Enrollment ID: I20171223000002 |
| Provider Name | Elizabeth Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235411695 PECOS PAC ID: 0840559464 Enrollment ID: I20180105000066 |
| Provider Name | Manpreet Samra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215128400 PECOS PAC ID: 1658427653 Enrollment ID: I20180105001464 |
| Provider Name | Julia Padiyara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704093 PECOS PAC ID: 1355600610 Enrollment ID: I20180111001110 |
| Provider Name | Laura Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013426725 PECOS PAC ID: 1557620630 Enrollment ID: I20180117002822 |
| Provider Name | Jolanta E Saluja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356855878 PECOS PAC ID: 7113286121 Enrollment ID: I20180122000433 |
| Provider Name | Kristina M Drayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780196766 PECOS PAC ID: 6406116920 Enrollment ID: I20180201001136 |
| Provider Name | Cynthia Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043728892 PECOS PAC ID: 9830459783 Enrollment ID: I20180214000939 |
| Provider Name | Ravi Garg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275976268 PECOS PAC ID: 7214231653 Enrollment ID: I20180216000649 |
| Provider Name | Ted Erick Clevy-schneller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558869958 PECOS PAC ID: 2466713854 Enrollment ID: I20180227002347 |
| Provider Name | Katelyn Ladd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891200176 PECOS PAC ID: 1355603176 Enrollment ID: I20180314002277 |
| Provider Name | Elizabeth Marie Zuelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245756113 PECOS PAC ID: 5991067605 Enrollment ID: I20180316001055 |
| Provider Name | Sarah Thilges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528466869 PECOS PAC ID: 3577827674 Enrollment ID: I20180425001730 |
| Provider Name | Arshi Basit |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720343908 PECOS PAC ID: 6002110376 Enrollment ID: I20180614001522 |
| Provider Name | Elio Beta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689940561 PECOS PAC ID: 9436405339 Enrollment ID: I20180709000182 |
| Provider Name | Raina A George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497266126 PECOS PAC ID: 8820344740 Enrollment ID: I20180709000940 |
| Provider Name | Christina Marie Staskiewicz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457746240 PECOS PAC ID: 3375844160 Enrollment ID: I20180710000000 |
| Provider Name | Jaimin P Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588955066 PECOS PAC ID: 8820212723 Enrollment ID: I20180719002230 |
| Provider Name | Ellen Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831686054 PECOS PAC ID: 1456608231 Enrollment ID: I20180725001414 |
| Provider Name | Ritu Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356786255 PECOS PAC ID: 1951696988 Enrollment ID: I20180727001275 |
| Provider Name | Krzysztof Malewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609383496 PECOS PAC ID: 1052669652 Enrollment ID: I20180730001138 |
| Provider Name | Joseph Ogrodnik |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831417732 PECOS PAC ID: 6103057948 Enrollment ID: I20180806003260 |
| Provider Name | Juliana N Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184097859 PECOS PAC ID: 7517268683 Enrollment ID: I20180807001955 |
| Provider Name | Yue-yung Hu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912147349 PECOS PAC ID: 0941512743 Enrollment ID: I20180808001953 |
| Provider Name | Michael Clarkston Soult |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700014289 PECOS PAC ID: 9537479217 Enrollment ID: I20180810000233 |
| Provider Name | Atul K Mallik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306137153 PECOS PAC ID: 7113146135 Enrollment ID: I20180815002291 |
| Provider Name | Rick Rajvir Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326302258 PECOS PAC ID: 7416253125 Enrollment ID: I20180816001949 |
| Provider Name | Stacey Anne Bennis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265870695 PECOS PAC ID: 3577869353 Enrollment ID: I20180820003736 |
| Provider Name | Rebecca Anne Casini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952667982 PECOS PAC ID: 5799034526 Enrollment ID: I20180828000051 |
| Provider Name | Monica Langer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538447529 PECOS PAC ID: 5294905055 Enrollment ID: I20180905000625 |
| Provider Name | Lilian Huggins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215428065 PECOS PAC ID: 7517217961 Enrollment ID: I20180905001427 |
| Provider Name | Qi Charles Zhang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538586086 PECOS PAC ID: 9133349608 Enrollment ID: I20180907002251 |
| Provider Name | Faizah Perwez Siddique |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760618789 PECOS PAC ID: 7012158710 Enrollment ID: I20180914002571 |
| Provider Name | Lawrence Mark Knab |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1467786988 PECOS PAC ID: 4587962824 Enrollment ID: I20180918000990 |
| Provider Name | Marian Giselle Acevedo Alvarez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710271341 PECOS PAC ID: 1456649045 Enrollment ID: I20180919001916 |
| Provider Name | Virginia Dunsmore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396996518 PECOS PAC ID: 0840541306 Enrollment ID: I20180921001250 |
| Provider Name | Erin Fruth |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477903276 PECOS PAC ID: 8921395906 Enrollment ID: I20180925000123 |
| Provider Name | Zuie Wakade |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013273150 PECOS PAC ID: 4486877925 Enrollment ID: I20181016001954 |
| Provider Name | Paul M Arnold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851486559 PECOS PAC ID: 7618903055 Enrollment ID: I20181029000386 |
| Provider Name | Therese Degroot |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093232787 PECOS PAC ID: 4789937939 Enrollment ID: I20181105003302 |
| Provider Name | Lara Alkhawaldeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982081543 PECOS PAC ID: 8820388176 Enrollment ID: I20181106000790 |
| Provider Name | Fizan Abdullah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689637472 PECOS PAC ID: 9830116482 Enrollment ID: I20181109001220 |
| Provider Name | Mark D Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20181113000752 |
| Provider Name | Seth Daniel Goldstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700043494 PECOS PAC ID: 5395908552 Enrollment ID: I20181204002214 |
| Provider Name | Luca A Vricella |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316987423 PECOS PAC ID: 7214941202 Enrollment ID: I20181205002338 |
| Provider Name | Heidi Ochab |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386127595 PECOS PAC ID: 3476898453 Enrollment ID: I20181219001486 |
| Provider Name | Lisa Black |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316471873 PECOS PAC ID: 8921379488 Enrollment ID: I20190104001248 |
| Provider Name | Victoria Linares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316350705 PECOS PAC ID: 0648497164 Enrollment ID: I20190111002937 |
| Provider Name | Jessica A Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215404710 PECOS PAC ID: 6901142835 Enrollment ID: I20190114001222 |
| Provider Name | Nikisha N Jodhan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184816530 PECOS PAC ID: 7315165552 Enrollment ID: I20190122002147 |
| Provider Name | Aimen F Shaaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184688756 PECOS PAC ID: 2163327701 Enrollment ID: I20190124000576 |
| Provider Name | Joyce Despe |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851864839 PECOS PAC ID: 3476890104 Enrollment ID: I20190202000212 |
| Provider Name | Hadi Farouk Shaaban |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659529196 PECOS PAC ID: 4385879378 Enrollment ID: I20190221000196 |
| Provider Name | Michelle Kethcart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104392497 PECOS PAC ID: 1153660535 Enrollment ID: I20190301000344 |
| Provider Name | Nicole M Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801389515 PECOS PAC ID: 1759621923 Enrollment ID: I20190326000974 |
| Provider Name | Emmanuel A Omoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346342342 PECOS PAC ID: 7517868938 Enrollment ID: I20190328000255 |
| Provider Name | Sania S Raza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396974457 PECOS PAC ID: 3971795105 Enrollment ID: I20190408002388 |
| Provider Name | Robin Szajna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275091548 PECOS PAC ID: 0941541049 Enrollment ID: I20190417001497 |
| Provider Name | Christine June Tvedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831400324 PECOS PAC ID: 9335481886 Enrollment ID: I20190502000523 |
| Provider Name | Huma Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467614750 PECOS PAC ID: 2062722077 Enrollment ID: I20190503001707 |
| Provider Name | Eleni Ioanna Kritikos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013574904 PECOS PAC ID: 2567795065 Enrollment ID: I20190617001275 |
| Provider Name | Ashraf Abdeljaber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023472636 PECOS PAC ID: 2860784709 Enrollment ID: I20190618000807 |
| Provider Name | Michael Louis Radzienda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457342610 PECOS PAC ID: 6103852967 Enrollment ID: I20190625003521 |
| Provider Name | Kevin Boblick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356737076 PECOS PAC ID: 7719289180 Enrollment ID: I20190626002451 |
| Provider Name | Syed W Madani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699121061 PECOS PAC ID: 2062747470 Enrollment ID: I20190708001723 |
| Provider Name | May Reem Bakir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679862767 PECOS PAC ID: 3971867524 Enrollment ID: I20190718000013 |
| Provider Name | Caroline A Ball |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912343732 PECOS PAC ID: 2466691977 Enrollment ID: I20190722000125 |
| Provider Name | Kirk E Cahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780032664 PECOS PAC ID: 3870885437 Enrollment ID: I20190729000517 |
| Provider Name | Emad Allam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649566480 PECOS PAC ID: 4082916432 Enrollment ID: I20190807003271 |
| Provider Name | Bati A Myles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548421233 PECOS PAC ID: 5698085926 Enrollment ID: I20190809000660 |
| Provider Name | Catherine Moya Seager |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215252978 PECOS PAC ID: 1850694175 Enrollment ID: I20190813001340 |
| Provider Name | Gifty Susan Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881039279 PECOS PAC ID: 3072746031 Enrollment ID: I20190816003023 |
| Provider Name | Jigisha Paresh Thakkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750795696 PECOS PAC ID: 4183938079 Enrollment ID: I20190823002632 |
| Provider Name | Bryn J Laubacher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548622012 PECOS PAC ID: 7911290630 Enrollment ID: I20190829004201 |
| Provider Name | Ami Umesh Badami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073959565 PECOS PAC ID: 3577863711 Enrollment ID: I20190831000211 |
| Provider Name | John Wilgucki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932587656 PECOS PAC ID: 9830428846 Enrollment ID: I20190916003397 |
| Provider Name | Samara Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467808956 PECOS PAC ID: 7012207046 Enrollment ID: I20190917002078 |
| Provider Name | Ijeoma Achebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013498294 PECOS PAC ID: 7911245188 Enrollment ID: I20190919002694 |
| Provider Name | Charles D Ghee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851659643 PECOS PAC ID: 3870865603 Enrollment ID: I20190927000524 |
| Provider Name | Sana Sultana Haseeb |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679899942 PECOS PAC ID: 1951541192 Enrollment ID: I20191001001250 |
| Provider Name | Michelle Anne Guild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780231886 PECOS PAC ID: 3779814553 Enrollment ID: I20191009000365 |
| Provider Name | Steven Hendler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013250695 PECOS PAC ID: 9830420496 Enrollment ID: I20191011001864 |
| Provider Name | Reynold Ivan Lopez-soler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871769398 PECOS PAC ID: 4082881008 Enrollment ID: I20191014001450 |
| Provider Name | Christopher Robert-james Schilf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740608447 PECOS PAC ID: 2668755802 Enrollment ID: I20191018000896 |
| Provider Name | Eleanor Ingrid Bucholz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588925515 PECOS PAC ID: 3577866474 Enrollment ID: I20191021002029 |
| Provider Name | Xixi Luo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821485053 PECOS PAC ID: 2769792944 Enrollment ID: I20191105001759 |
| Provider Name | Richard K Freeman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174542773 PECOS PAC ID: 2567425598 Enrollment ID: I20191120000069 |
| Provider Name | Lisa Marie Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700429362 PECOS PAC ID: 9335571991 Enrollment ID: I20191120000525 |
| Provider Name | Kaizan Jereer Kalyaniwalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932465044 PECOS PAC ID: 9335447119 Enrollment ID: I20191125000107 |
| Provider Name | Thomas Boyce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982247425 PECOS PAC ID: 0941632327 Enrollment ID: I20191125000532 |
| Provider Name | Vivian Gahtan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518911619 PECOS PAC ID: 4183616956 Enrollment ID: I20191126000913 |
| Provider Name | Sadia K Gazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366738221 PECOS PAC ID: 8628293792 Enrollment ID: I20200115003217 |
| Provider Name | Mohammad Salama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770010233 PECOS PAC ID: 1850726878 Enrollment ID: I20200122001666 |
| Provider Name | Rupinder Sodhi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518195049 PECOS PAC ID: 6608937180 Enrollment ID: I20200123000323 |
| Provider Name | Amber Marie Bouton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861030215 PECOS PAC ID: 2961839725 Enrollment ID: I20200218000263 |
| Provider Name | Keely Marie Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750920385 PECOS PAC ID: 2961839550 Enrollment ID: I20200220000557 |
| Provider Name | Caitlin Darden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962041582 PECOS PAC ID: 5890122253 Enrollment ID: I20200224002327 |
| Provider Name | Lindsey Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043859473 PECOS PAC ID: 1557798931 Enrollment ID: I20200225000116 |
| Provider Name | Laura Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790323301 PECOS PAC ID: 7315374477 Enrollment ID: I20200302001402 |
| Provider Name | Neeraj Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902249683 PECOS PAC ID: 9436374394 Enrollment ID: I20200326001144 |
| Provider Name | Tedi Vlahu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326335928 PECOS PAC ID: 2769610070 Enrollment ID: I20200407003558 |
| Provider Name | Annie Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275172355 PECOS PAC ID: 4082043237 Enrollment ID: I20200409000515 |
| Provider Name | Sandra Mazzeffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740844232 PECOS PAC ID: 1456781228 Enrollment ID: I20200417001943 |
| Provider Name | Tyler Cohn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881958098 PECOS PAC ID: 0840572202 Enrollment ID: I20200521000369 |
| Provider Name | Amanda B Siegel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780075069 PECOS PAC ID: 1254614084 Enrollment ID: I20200528001262 |
| Provider Name | Matthew Baluzy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588019293 PECOS PAC ID: 4587911961 Enrollment ID: I20200603000352 |
| Provider Name | Steven Bartels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265827117 PECOS PAC ID: 0648503474 Enrollment ID: I20200604001252 |
| Provider Name | Eric Pedone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144615436 PECOS PAC ID: 8820394554 Enrollment ID: I20200618002064 |
| Provider Name | Rebecca Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154748226 PECOS PAC ID: 2668776980 Enrollment ID: I20200624001187 |
| Provider Name | Mujahida Baram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407018336 PECOS PAC ID: 9234308123 Enrollment ID: I20200624002273 |
| Provider Name | Abby Klaus Siebert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740836253 PECOS PAC ID: 3476985136 Enrollment ID: I20200701000551 |
| Provider Name | Zaid Abdelsattar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760793293 PECOS PAC ID: 3375790033 Enrollment ID: I20200728000026 |
| Provider Name | Ashley Levack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851633994 PECOS PAC ID: 5597057950 Enrollment ID: I20200730001882 |
| Provider Name | Luis Soliz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124433230 PECOS PAC ID: 3971800145 Enrollment ID: I20200731002926 |
| Provider Name | Perry Formanek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871835546 PECOS PAC ID: 4880996495 Enrollment ID: I20200824001561 |
| Provider Name | Aashesh Verma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962815043 PECOS PAC ID: 3971803545 Enrollment ID: I20200825002635 |
| Provider Name | Elizabeth Collins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740609015 PECOS PAC ID: 7517269707 Enrollment ID: I20200827000047 |
| Provider Name | Lindsey Korepta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194088120 PECOS PAC ID: 2163651654 Enrollment ID: I20200831002178 |
| Provider Name | James Lau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487632261 PECOS PAC ID: 9234117425 Enrollment ID: I20200901001297 |
| Provider Name | Nicholas Bertucci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134658263 PECOS PAC ID: 6709156136 Enrollment ID: I20200902000470 |
| Provider Name | Jacqueline Ann Kalmoe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528486032 PECOS PAC ID: 7214233923 Enrollment ID: I20200904000074 |
| Provider Name | Matthew Seena Hamedani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538592654 PECOS PAC ID: 5890113344 Enrollment ID: I20200915001819 |
| Provider Name | Layan Alrahmani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912294455 PECOS PAC ID: 5294046264 Enrollment ID: I20200917001177 |
| Provider Name | Xiuxu Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922492297 PECOS PAC ID: 2860798634 Enrollment ID: I20200922000441 |
| Provider Name | Brian Luu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770965394 PECOS PAC ID: 9133419849 Enrollment ID: I20200922001671 |
| Provider Name | Shehla Sheikh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891974879 PECOS PAC ID: 5193861730 Enrollment ID: I20200923000037 |
| Provider Name | Wissam Raad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104063213 PECOS PAC ID: 8921317785 Enrollment ID: I20200930000318 |
| Provider Name | Adriana Russ |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295208890 PECOS PAC ID: 3577982966 Enrollment ID: I20201005001378 |
| Provider Name | Otanthia S Williams-brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134731375 PECOS PAC ID: 4789003948 Enrollment ID: I20201007003148 |
| Provider Name | Rebecca Rajasekhar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376090878 PECOS PAC ID: 7214357433 Enrollment ID: I20201008003066 |
| Provider Name | Mohsin Haseeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235496936 PECOS PAC ID: 6204154446 Enrollment ID: I20201015000564 |
| Provider Name | Wendy June Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164943726 PECOS PAC ID: 2668892951 Enrollment ID: I20201027001223 |
| Provider Name | Lindsay Zehra Ozgunay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679107908 PECOS PAC ID: 5294155867 Enrollment ID: I20201028001246 |
| Provider Name | Lauren Renee Zuro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275157133 PECOS PAC ID: 4385054592 Enrollment ID: I20201029000219 |
| Provider Name | Rebecca Grace Maddrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811344567 PECOS PAC ID: 7618261264 Enrollment ID: I20201110001530 |
| Provider Name | Ladan Khazai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518318716 PECOS PAC ID: 1951696301 Enrollment ID: I20201210001657 |
| Provider Name | Maria G Martinez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174938591 PECOS PAC ID: 5799197356 Enrollment ID: I20201224000180 |
| Provider Name | Muhammad Rafique |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073562724 PECOS PAC ID: 6002887452 Enrollment ID: I20210106000201 |
| Provider Name | Luis A Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497711196 PECOS PAC ID: 1951431493 Enrollment ID: I20210112003232 |
| Provider Name | Elisabeth Janette Miwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043813165 PECOS PAC ID: 3072926740 Enrollment ID: I20210120000268 |
| Provider Name | John Kubasiak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346533353 PECOS PAC ID: 1850698325 Enrollment ID: I20210120001610 |
| Provider Name | Lauren Gesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083210678 PECOS PAC ID: 4082028675 Enrollment ID: I20210121002114 |
| Provider Name | Jamie L Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210208001928 |
| Provider Name | Jessica Lynn Giannelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164964227 PECOS PAC ID: 8224443973 Enrollment ID: I20210210003209 |
| Provider Name | Victoria Shink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699370130 PECOS PAC ID: 0143635813 Enrollment ID: I20210211001028 |
| Provider Name | Felicha Farr Beckwith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144816596 PECOS PAC ID: 0749695948 Enrollment ID: I20210222001500 |
| Provider Name | Yucel Yankol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295330868 PECOS PAC ID: 5597170662 Enrollment ID: I20210223002140 |
| Provider Name | Amir Alhajjat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841578457 PECOS PAC ID: 3971745423 Enrollment ID: I20210302003234 |
| Provider Name | Lisa Meraz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790323657 PECOS PAC ID: 3476969916 Enrollment ID: I20210309001488 |
| Provider Name | Erica R Jacobs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639761570 PECOS PAC ID: 9931515244 Enrollment ID: I20210311001834 |
| Provider Name | Sean P Jastillano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497385082 PECOS PAC ID: 3779911243 Enrollment ID: I20210316002893 |
| Provider Name | David B White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407310717 PECOS PAC ID: 1557601887 Enrollment ID: I20210319001421 |
| Provider Name | Emily Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053997395 PECOS PAC ID: 6800204413 Enrollment ID: I20210421000117 |
| Provider Name | Olufemi Kassim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174961999 PECOS PAC ID: 8820391758 Enrollment ID: I20210428002904 |
| Provider Name | Taysir Walid Awad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225415102 PECOS PAC ID: 2163831702 Enrollment ID: I20210511001475 |
| Provider Name | Abdullah Chahin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972736890 PECOS PAC ID: 1557515400 Enrollment ID: I20210528000436 |
| Provider Name | Behzad Elahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932549698 PECOS PAC ID: 5991073678 Enrollment ID: I20210616002559 |
| Provider Name | Kristen Krum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730543422 PECOS PAC ID: 1052711694 Enrollment ID: I20210617003137 |
| Provider Name | Krishnan Warrior |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255712162 PECOS PAC ID: 8820396179 Enrollment ID: I20210618001002 |
| Provider Name | Adeline Schnitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831552926 PECOS PAC ID: 3779877659 Enrollment ID: I20210628002961 |
| Provider Name | Ahmad El-arabi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740636398 PECOS PAC ID: 5294021739 Enrollment ID: I20210701001601 |
| Provider Name | Natalia Alwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457979643 PECOS PAC ID: 9133521172 Enrollment ID: I20210713001980 |
| Provider Name | Demetrios Doukas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801161906 PECOS PAC ID: 6608177548 Enrollment ID: I20210720001588 |
| Provider Name | Molly Conroy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942705553 PECOS PAC ID: 1850649666 Enrollment ID: I20210720004094 |
| Provider Name | Erica L Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760860829 PECOS PAC ID: 9032409198 Enrollment ID: I20210727000120 |
| Provider Name | Elizabeth Jensen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912940164 PECOS PAC ID: 3072803162 Enrollment ID: I20210727000311 |
| Provider Name | Marriam Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700296191 PECOS PAC ID: 1052682051 Enrollment ID: I20210727002114 |
| Provider Name | Andrea Ziegler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821482274 PECOS PAC ID: 5193026482 Enrollment ID: I20210727002540 |
| Provider Name | Adam Hintz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427444884 PECOS PAC ID: 3678866712 Enrollment ID: I20210727003935 |
| Provider Name | Gordon Shott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568967891 PECOS PAC ID: 9133475155 Enrollment ID: I20210728003738 |
| Provider Name | Daniel Schmitt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407240062 PECOS PAC ID: 3476853367 Enrollment ID: I20210728004015 |
| Provider Name | Hao Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346637485 PECOS PAC ID: 0042614653 Enrollment ID: I20210804001574 |
| Provider Name | Brandi Ithal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669060042 PECOS PAC ID: 6608270053 Enrollment ID: I20210806000189 |
| Provider Name | Adewale Adeyooye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154842169 PECOS PAC ID: 7517231145 Enrollment ID: I20210806000471 |
| Provider Name | Alexandria Qs Holliday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285028886 PECOS PAC ID: 8224333539 Enrollment ID: I20210806001475 |
| Provider Name | Mingxi Yu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629497557 PECOS PAC ID: 3971727363 Enrollment ID: I20210806002977 |
| Provider Name | Madhavi Singhal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639584899 PECOS PAC ID: 2668742149 Enrollment ID: I20210824002988 |
| Provider Name | Naomi F Martin-liu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538743224 PECOS PAC ID: 9133524366 Enrollment ID: I20210825002972 |
| Provider Name | Denise Asafu-adjei |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376969436 PECOS PAC ID: 7416293089 Enrollment ID: I20210830001940 |
| Provider Name | Kelli Heinrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144754573 PECOS PAC ID: 2769754969 Enrollment ID: I20210830003365 |
| Provider Name | Emily R Fleming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780111427 PECOS PAC ID: 4486924651 Enrollment ID: I20210901003222 |
| Provider Name | Amit Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245423573 PECOS PAC ID: 0941385710 Enrollment ID: I20210902001350 |
| Provider Name | Abigail Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539180 PECOS PAC ID: 5496151128 Enrollment ID: I20210904000013 |
| Provider Name | Alexander Kuzma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760864995 PECOS PAC ID: 7810282241 Enrollment ID: I20210907002870 |
| Provider Name | Bernadette O'neil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245658004 PECOS PAC ID: 9133424898 Enrollment ID: I20210909000526 |
| Provider Name | Manuel Portalatin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710392246 PECOS PAC ID: 3870826209 Enrollment ID: I20210914000972 |
| Provider Name | Moira Kathleen Gilroy Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720516941 PECOS PAC ID: 3375949464 Enrollment ID: I20210915002786 |
| Provider Name | Kathleen Mckinney Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689348922 PECOS PAC ID: 0345647103 Enrollment ID: I20210921001436 |
| Provider Name | Richard Lawley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063825925 PECOS PAC ID: 3678877651 Enrollment ID: I20211012000139 |
| Provider Name | Joshua Carson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326298936 PECOS PAC ID: 3779870662 Enrollment ID: I20211015001906 |
| Provider Name | Anthony Kam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740376383 PECOS PAC ID: 4880767797 Enrollment ID: I20211025000887 |
| Provider Name | Katarzyna Rojek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831688316 PECOS PAC ID: 3577818335 Enrollment ID: I20211025002606 |
| Provider Name | Yaroslav Bodnar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801326095 PECOS PAC ID: 0143587113 Enrollment ID: I20211025002707 |
| Provider Name | Jake Alan Kimlicka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508529942 PECOS PAC ID: 4385032101 Enrollment ID: I20211028000780 |
| Provider Name | Byron Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902296080 PECOS PAC ID: 3971829441 Enrollment ID: I20211112001243 |
| Provider Name | Ryan J Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245905249 PECOS PAC ID: 4789073610 Enrollment ID: I20211116000932 |
| Provider Name | Tony Tu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326579756 PECOS PAC ID: 5597036228 Enrollment ID: I20211118000631 |
| Provider Name | Alec Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295499325 PECOS PAC ID: 6608266184 Enrollment ID: I20211124002158 |
| Provider Name | Heather E Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083108955 PECOS PAC ID: 9638414840 Enrollment ID: I20211208002592 |
| Provider Name | Nicole M Cihocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345985 PECOS PAC ID: 7719377589 Enrollment ID: I20211209002327 |
| Provider Name | Elyse Fairand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376214262 PECOS PAC ID: 6103217682 Enrollment ID: I20211216001103 |
| Provider Name | Compton Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063179141 PECOS PAC ID: 7517358989 Enrollment ID: I20211217001636 |
| Provider Name | Bridget Enright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174286876 PECOS PAC ID: 7911398375 Enrollment ID: I20211220002462 |
| Provider Name | Melanie Pattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124785241 PECOS PAC ID: 1456742501 Enrollment ID: I20211227001151 |
| Provider Name | Sandra Elizabeth Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043071 PECOS PAC ID: 5193116267 Enrollment ID: I20211228000461 |
| Provider Name | Ronald Mack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295491447 PECOS PAC ID: 3678964558 Enrollment ID: I20220104000634 |
| Provider Name | Nicholas Kling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427715903 PECOS PAC ID: 1355732231 Enrollment ID: I20220104000905 |
| Provider Name | Luis Enrique Negron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154087328 PECOS PAC ID: 0244621142 Enrollment ID: I20220104001480 |
| Provider Name | Deep Aggarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275980856 PECOS PAC ID: 4082906169 Enrollment ID: I20220107000783 |
| Provider Name | Syed J Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407807746 PECOS PAC ID: 8224035480 Enrollment ID: I20220114001441 |
| Provider Name | Jamie Rose Mabrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568129799 PECOS PAC ID: 2860885977 Enrollment ID: I20220214002280 |
| Provider Name | Chirantan Mangukia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770068041 PECOS PAC ID: 1456604842 Enrollment ID: I20220301000836 |
| Provider Name | Twana Renee Rundle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417602517 PECOS PAC ID: 0143614206 Enrollment ID: I20220307001178 |
| Provider Name | Julianne Deschler Bertalmio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518231505 PECOS PAC ID: 9739574773 Enrollment ID: I20220309003069 |
| Provider Name | Joseph Divincenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740201425 PECOS PAC ID: 3577475649 Enrollment ID: I20220310001108 |
| Provider Name | Rebecca Blinstrub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518626050 PECOS PAC ID: 3870988652 Enrollment ID: I20220314000718 |
| Provider Name | Taj Gubatanga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629747282 PECOS PAC ID: 0941697171 Enrollment ID: I20220418002320 |
| Provider Name | Jawan Lasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871256669 PECOS PAC ID: 0547657686 Enrollment ID: I20220420001289 |
| Provider Name | Timothy Paterick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609863869 PECOS PAC ID: 3072648237 Enrollment ID: I20220425001175 |
| Provider Name | Wajed H Haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336371137 PECOS PAC ID: 6800283433 Enrollment ID: I20220428000816 |
| Provider Name | Ammar Taha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992032577 PECOS PAC ID: 1850538968 Enrollment ID: I20220512002483 |
| Provider Name | Anne Peiffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013411206 PECOS PAC ID: 9335496165 Enrollment ID: I20220524001132 |
| Provider Name | Mithil Pandhi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912355967 PECOS PAC ID: 8224320866 Enrollment ID: I20220616000510 |
| Provider Name | Jeffrey Lee Ellis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538698543 PECOS PAC ID: 5395124200 Enrollment ID: I20220623002551 |
| Provider Name | Andrea Anchen Yun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972064855 PECOS PAC ID: 3577898220 Enrollment ID: I20220707001810 |
| Provider Name | Amber Marie Baskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639816911 PECOS PAC ID: 8022498732 Enrollment ID: I20220712000168 |
| Provider Name | Andrea Morley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972247161 PECOS PAC ID: 1557741279 Enrollment ID: I20220712000238 |
| Provider Name | Joshua David Newman |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1619394699 PECOS PAC ID: 9739480351 Enrollment ID: I20220712000291 |
| Provider Name | Tashia Rivera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861121527 PECOS PAC ID: 6608256342 Enrollment ID: I20220712001094 |
| Provider Name | Anupama Chundury |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407199250 PECOS PAC ID: 4688894363 Enrollment ID: I20220712002718 |
| Provider Name | Jeffrey Heiferman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437617966 PECOS PAC ID: 8022343847 Enrollment ID: I20220712003222 |
| Provider Name | Carolyn Doyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235440058 PECOS PAC ID: 8325285323 Enrollment ID: I20220714000882 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20220720000119 |
| Provider Name | Marilyn Glassberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033146782 PECOS PAC ID: 1153518527 Enrollment ID: I20220721001019 |
| Provider Name | Malgorzata Hasek |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1508181173 PECOS PAC ID: 7810131935 Enrollment ID: I20220721001987 |
| Provider Name | Lauren A Wiatr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695826 PECOS PAC ID: 3971984865 Enrollment ID: I20220725000529 |
| Provider Name | Yanping Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962937797 PECOS PAC ID: 8426328634 Enrollment ID: I20220725003235 |
| Provider Name | Lindsey Tengerstrom |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972846152 PECOS PAC ID: 6608177142 Enrollment ID: I20220726003894 |
| Provider Name | Wesam Elramahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255674263 PECOS PAC ID: 4284852773 Enrollment ID: I20220802001047 |
| Provider Name | Andrzej Belzowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497100739 PECOS PAC ID: 9335432483 Enrollment ID: I20220802001408 |
| Provider Name | Gabriel Diaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467946335 PECOS PAC ID: 6002167582 Enrollment ID: I20220802001640 |
| Provider Name | Nikolas Baksh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306232467 PECOS PAC ID: 7618286261 Enrollment ID: I20220802003173 |
| Provider Name | Daphne Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457778599 PECOS PAC ID: 0345541843 Enrollment ID: I20220805002940 |
| Provider Name | Melissa Hornor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437592284 PECOS PAC ID: 6507097599 Enrollment ID: I20220808000364 |
| Provider Name | Matthew Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306293915 PECOS PAC ID: 8426346792 Enrollment ID: I20220808001929 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992159537 PECOS PAC ID: 3274821277 Enrollment ID: I20220809000372 |
| Provider Name | Marissa Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649878919 PECOS PAC ID: 2264843200 Enrollment ID: I20220810002310 |
| Provider Name | Audrey Hiltunen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679004824 PECOS PAC ID: 7214207554 Enrollment ID: I20220812001819 |
| Provider Name | Musaddiq Tariq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326465436 PECOS PAC ID: 7012338924 Enrollment ID: I20220812002664 |
| Provider Name | Mark Flaubert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215498563 PECOS PAC ID: 7810380367 Enrollment ID: I20220812003202 |
| Provider Name | Nan Sethakorn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366838526 PECOS PAC ID: 3971810433 Enrollment ID: I20220815002465 |
| Provider Name | Rachel Gordezky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942543020 PECOS PAC ID: 3971812132 Enrollment ID: I20220816000907 |
| Provider Name | Ashley Datinguinoo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578293833 PECOS PAC ID: 5597148940 Enrollment ID: I20220817001723 |
| Provider Name | Raymond Verm |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558723197 PECOS PAC ID: 5294082202 Enrollment ID: I20220826001913 |
| Provider Name | Munira Charania |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609000124 PECOS PAC ID: 5799810800 Enrollment ID: I20220829001648 |
| Provider Name | Andrew Reese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265877062 PECOS PAC ID: 7214244797 Enrollment ID: I20220831001098 |
| Provider Name | John Richgels |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053760132 PECOS PAC ID: 5799077186 Enrollment ID: I20220831001843 |
| Provider Name | Jane Suh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235510447 PECOS PAC ID: 9133439367 Enrollment ID: I20220902001203 |
| Provider Name | Oswaldo Aguirre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467895458 PECOS PAC ID: 9830574706 Enrollment ID: I20220913001285 |
| Provider Name | Monica Rebielak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679013072 PECOS PAC ID: 1254600455 Enrollment ID: I20220913001310 |
| Provider Name | Nathaniel Sherrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588195713 PECOS PAC ID: 4385915727 Enrollment ID: I20220913001480 |
| Provider Name | Elizabeth Anne Paganessi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548754518 PECOS PAC ID: 5597140475 Enrollment ID: I20220913001618 |
| Provider Name | Isabel Anne Pennings |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467073668 PECOS PAC ID: 9739564659 Enrollment ID: I20220913003408 |
| Provider Name | Temiwumi Ojo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942760012 PECOS PAC ID: 8820322340 Enrollment ID: I20220913003457 |
| Provider Name | Umar Kamal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518491463 PECOS PAC ID: 6305114430 Enrollment ID: I20220914001454 |
| Provider Name | Richard Hubbell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295197242 PECOS PAC ID: 2668767815 Enrollment ID: I20220914003267 |
| Provider Name | James T Rague |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740675248 PECOS PAC ID: 7214244482 Enrollment ID: I20220920001389 |
| Provider Name | Lucia De Gregorio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497103659 PECOS PAC ID: 9032404322 Enrollment ID: I20220921003230 |
| Provider Name | Lori Costigan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760118426 PECOS PAC ID: 7618352865 Enrollment ID: I20220923002070 |
| Provider Name | Sahitya Denduluri |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1114381373 PECOS PAC ID: 5991101727 Enrollment ID: I20221003001479 |
| Provider Name | Matthew M Nobari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619140902 PECOS PAC ID: 0042476079 Enrollment ID: I20221005000092 |
| Provider Name | Blanca Katarzyna Gutierrez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326543984 PECOS PAC ID: 5193191054 Enrollment ID: I20221018000536 |
| Provider Name | Claire Schnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306296173 PECOS PAC ID: 9032448493 Enrollment ID: I20221018003388 |
| Provider Name | Guillermo Javier Ares |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942542105 PECOS PAC ID: 0143521591 Enrollment ID: I20221024001443 |
| Provider Name | Ebonee Monique Blake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083356745 PECOS PAC ID: 9537535042 Enrollment ID: I20221024001923 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20221028000330 |
| Provider Name | Karen J Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20221028000829 |
| Provider Name | Dhruv Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639639263 PECOS PAC ID: 7911235361 Enrollment ID: I20221104000827 |
| Provider Name | Samuel Wai Kam Leung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568801645 PECOS PAC ID: 5193019487 Enrollment ID: I20221110000088 |
| Provider Name | Mehul Raval |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972777126 PECOS PAC ID: 1557650652 Enrollment ID: I20221117000509 |
| Provider Name | Thomas Inge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619946407 PECOS PAC ID: 9133011984 Enrollment ID: I20221130001342 |
| Provider Name | Katherine Perch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306563697 PECOS PAC ID: 4284003872 Enrollment ID: I20221202001208 |
| Provider Name | Bryan Kunysz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407572167 PECOS PAC ID: 1456720028 Enrollment ID: I20221205001036 |
| Provider Name | Emma Montague |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356063804 PECOS PAC ID: 1052780558 Enrollment ID: I20221205002632 |
| Provider Name | Elizabeth Ann Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669108460 PECOS PAC ID: 4486023652 Enrollment ID: I20221209001318 |
| Provider Name | Danielle J Daoud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669198776 PECOS PAC ID: 5294104295 Enrollment ID: I20221214001730 |
| Provider Name | Ellen Milad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336873132 PECOS PAC ID: 0840669719 Enrollment ID: I20221215001902 |
| Provider Name | Nicholas Iden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780301028 PECOS PAC ID: 2668841404 Enrollment ID: I20221216002343 |
| Provider Name | Kaitlin Overstreet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184250466 PECOS PAC ID: 8022447176 Enrollment ID: I20221219000028 |
| Provider Name | Lauren Prest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881012235 PECOS PAC ID: 3971804147 Enrollment ID: I20221220000225 |
| Provider Name | Pantila Bateman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699940361 PECOS PAC ID: 1456573013 Enrollment ID: I20221220002181 |
| Provider Name | Marina Ivanovic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780674390 PECOS PAC ID: 1658396726 Enrollment ID: I20221221002273 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20221221002344 |
| Provider Name | Stewart S Worrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275594293 PECOS PAC ID: 9931225018 Enrollment ID: I20230104001459 |
| Provider Name | Elizabeth Hughes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891251203 PECOS PAC ID: 2062752454 Enrollment ID: I20230123001835 |
| Provider Name | Megan Lobner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003537002 PECOS PAC ID: 0446621676 Enrollment ID: I20230125001745 |
| Provider Name | Susan Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881010320 PECOS PAC ID: 6204208044 Enrollment ID: I20230204000131 |
| Provider Name | Rashmi Kabre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346411980 PECOS PAC ID: 4587036959 Enrollment ID: I20230213000297 |
| Provider Name | Dana Yousef Darwish |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841750015 PECOS PAC ID: 3375915705 Enrollment ID: I20230214000776 |
| Provider Name | Farukh Mian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194714816 PECOS PAC ID: 9335177427 Enrollment ID: I20230215001412 |
| Provider Name | Chantal Reyna |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1902067697 PECOS PAC ID: 2365662087 Enrollment ID: I20230331002421 |
| Provider Name | Anne Forzley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376249052 PECOS PAC ID: 2264807361 Enrollment ID: I20230403001223 |
| Provider Name | Alexis Altagracia Cavanaugh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437457876 PECOS PAC ID: 5193190759 Enrollment ID: I20230412002288 |
| Provider Name | Julieta Barroeta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194890764 PECOS PAC ID: 6305949405 Enrollment ID: I20230413001652 |
| Provider Name | Mary Mulcahey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548487424 PECOS PAC ID: 4789862178 Enrollment ID: I20230413001670 |
| Provider Name | Rafal Sosnowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699941039 PECOS PAC ID: 5294889275 Enrollment ID: I20230413001938 |
| Provider Name | Kala Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891401501 PECOS PAC ID: 7517332067 Enrollment ID: I20230414000276 |
| Provider Name | Jia Hou |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386342962 PECOS PAC ID: 9931564598 Enrollment ID: I20230503002850 |
| Provider Name | Phillip Mcmullen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215384698 PECOS PAC ID: 3274825807 Enrollment ID: I20230508000495 |
| Provider Name | Zahi Merjaneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346674256 PECOS PAC ID: 2567761026 Enrollment ID: I20230601001264 |
| Provider Name | Kathleen Kennedy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821522871 PECOS PAC ID: 5890030902 Enrollment ID: I20230615002091 |
| Provider Name | Christine Van Horn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457856734 PECOS PAC ID: 8224385075 Enrollment ID: I20230616000106 |
| Provider Name | Alexandra Lucille Marcus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750084588 PECOS PAC ID: 8527426964 Enrollment ID: I20230616002669 |
| Provider Name | Pouyan Kheirkhah Rahimabad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144780727 PECOS PAC ID: 0749510584 Enrollment ID: I20230622001773 |
| Provider Name | Christopher Andrew Biag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851088405 PECOS PAC ID: 1052779048 Enrollment ID: I20230623000945 |
| Provider Name | Katelyn Margaret Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043849482 PECOS PAC ID: 4385002252 Enrollment ID: I20230626000363 |
| Provider Name | Nora Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20230627001574 |
| Provider Name | Alicia Skoog |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386368454 PECOS PAC ID: 4183092539 Enrollment ID: I20230629003826 |
| Provider Name | Praveen Sampath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023348299 PECOS PAC ID: 9335327576 Enrollment ID: I20230630002034 |
| Provider Name | Crystal Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447888490 PECOS PAC ID: 9537579404 Enrollment ID: I20230711004064 |
| Provider Name | Shawn Paschal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821542283 PECOS PAC ID: 7810276615 Enrollment ID: I20230712002279 |
| Provider Name | Michael Meade |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033616099 PECOS PAC ID: 7214286863 Enrollment ID: I20230714001647 |
| Provider Name | Thidar Khine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467079418 PECOS PAC ID: 1557771292 Enrollment ID: I20230714002278 |
| Provider Name | Alessa Aragao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639601867 PECOS PAC ID: 7810397460 Enrollment ID: I20230717002552 |
| Provider Name | Katherine Grunzweig |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902268279 PECOS PAC ID: 3577853498 Enrollment ID: I20230719002815 |
| Provider Name | Panagiotis Panagiotakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043241292 PECOS PAC ID: 6002829306 Enrollment ID: I20230725002839 |
| Provider Name | Jorge Romo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689179301 PECOS PAC ID: 6507113354 Enrollment ID: I20230727001285 |
| Provider Name | Tanya Mukherji-stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306474044 PECOS PAC ID: 2860853462 Enrollment ID: I20230730000024 |
| Provider Name | Chukwuyem Obia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598224479 PECOS PAC ID: 4082075601 Enrollment ID: I20230731000432 |
| Provider Name | Manuel Rojo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588012041 PECOS PAC ID: 9931560208 Enrollment ID: I20230802003269 |
| Provider Name | Amee K Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1598144321 PECOS PAC ID: 0749582229 Enrollment ID: I20230803003576 |
| Provider Name | Tallib Karaze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508494618 PECOS PAC ID: 4486065349 Enrollment ID: I20230807000685 |
| Provider Name | Shivy Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083224497 PECOS PAC ID: 9537559216 Enrollment ID: I20230807003660 |
| Provider Name | Jenna Janiga Lullo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376999821 PECOS PAC ID: 6608169255 Enrollment ID: I20230808002229 |
| Provider Name | Sherif Metwally |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356769020 PECOS PAC ID: 3779804604 Enrollment ID: I20230808002312 |
| Provider Name | Sarah Finucane |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235633629 PECOS PAC ID: 5799034385 Enrollment ID: I20230808003959 |
| Provider Name | Elaine Cheng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992122915 PECOS PAC ID: 7113229816 Enrollment ID: I20230809002349 |
| Provider Name | Jorgena Kosti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649719808 PECOS PAC ID: 5092082164 Enrollment ID: I20230809003733 |
| Provider Name | Sandeep Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780939967 PECOS PAC ID: 8022257583 Enrollment ID: I20230810000283 |
| Provider Name | Ashly Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801571310 PECOS PAC ID: 3375905110 Enrollment ID: I20230810004236 |
| Provider Name | Angela Kaza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629336474 PECOS PAC ID: 2961636758 Enrollment ID: I20230815000130 |
| Provider Name | Priya Bhakta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801328042 PECOS PAC ID: 3375926439 Enrollment ID: I20230816000367 |
| Provider Name | Alexander Crider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124548078 PECOS PAC ID: 9638531973 Enrollment ID: I20230817002225 |
| Provider Name | Mckenzie Mosenthal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972007631 PECOS PAC ID: 7517293376 Enrollment ID: I20230818001715 |
| Provider Name | Abby Fredrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376063370 PECOS PAC ID: 0547685125 Enrollment ID: I20230825002712 |
| Provider Name | Peter Andruszkiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043839681 PECOS PAC ID: 4284097007 Enrollment ID: I20230828001111 |
| Provider Name | Jeremy Weiss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447451570 PECOS PAC ID: 0042381402 Enrollment ID: I20230828003432 |
| Provider Name | Muhaimeen Shagir Hossain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205463981 PECOS PAC ID: 2769845486 Enrollment ID: I20230829002001 |
| Provider Name | Maria Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013546753 PECOS PAC ID: 2365859394 Enrollment ID: I20230829002315 |
| Provider Name | Christina Mamalis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063876530 PECOS PAC ID: 7214293752 Enrollment ID: I20230829002459 |
| Provider Name | Ayesha Badar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619462330 PECOS PAC ID: 5193076800 Enrollment ID: I20230901000243 |
| Provider Name | Kevin Goodwin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124448832 PECOS PAC ID: 1355645128 Enrollment ID: I20230901001622 |
| Provider Name | Jennifer Weiss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346771698 PECOS PAC ID: 3375814288 Enrollment ID: I20230907001739 |
| Provider Name | Kevin Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528413325 PECOS PAC ID: 8426340241 Enrollment ID: I20230911001505 |
| Provider Name | Brittany Idusuyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639730302 PECOS PAC ID: 9133456569 Enrollment ID: I20230911003604 |
| Provider Name | Mohammed Hussain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891256590 PECOS PAC ID: 1456772342 Enrollment ID: I20230919001567 |
| Provider Name | Patrycja Mozdzierz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316653470 PECOS PAC ID: 5092169201 Enrollment ID: I20230921002410 |
| Provider Name | Haziq Zahir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215432554 PECOS PAC ID: 2264764174 Enrollment ID: I20230928002842 |
| Provider Name | George Gianakakos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306340880 PECOS PAC ID: 2062866452 Enrollment ID: I20231004001476 |
| Provider Name | Simon L Parzen-johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710410345 PECOS PAC ID: 8921453572 Enrollment ID: I20231017001738 |
| Provider Name | Cassandra Nichole Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356978316 PECOS PAC ID: 5597111047 Enrollment ID: I20231019002906 |
| Provider Name | Tarun Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912285255 PECOS PAC ID: 9739307968 Enrollment ID: I20231019003369 |
| Provider Name | Brandon Bond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033552088 PECOS PAC ID: 5193011062 Enrollment ID: I20231024000263 |
| Provider Name | Lorraine Marie Pelayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417641044 PECOS PAC ID: 9032565189 Enrollment ID: I20231025001719 |
| Provider Name | Laura Rios-coste |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801679626 PECOS PAC ID: 5395191134 Enrollment ID: I20231030003734 |
| Provider Name | Lilly H Cheng-immergluck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114915055 PECOS PAC ID: 5395770531 Enrollment ID: I20231103001440 |
| Provider Name | Jason Brauninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235725276 PECOS PAC ID: 4587053749 Enrollment ID: I20231108001607 |
| Provider Name | Sabrina Kelly Edlbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902681844 PECOS PAC ID: 8426405747 Enrollment ID: I20231108002119 |
| Provider Name | Imran M Puthawala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952780637 PECOS PAC ID: 0941519813 Enrollment ID: I20231121001362 |
| Provider Name | Nikhath Irfana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578793949 PECOS PAC ID: 0042498115 Enrollment ID: I20231128000809 |
| Provider Name | Emilia Knowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962288027 PECOS PAC ID: 5597113506 Enrollment ID: I20231201001669 |
| Provider Name | Reenu James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679215412 PECOS PAC ID: 2961851027 Enrollment ID: I20231214001371 |
| Provider Name | Kevin W. Luan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750890877 PECOS PAC ID: 5395195820 Enrollment ID: I20231227000135 |
| Provider Name | Christina Valdivia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114705670 PECOS PAC ID: 1759731029 Enrollment ID: I20231228002279 |
| Provider Name | Monika I Strama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790559615 PECOS PAC ID: 3173973393 Enrollment ID: I20231229000373 |
| Provider Name | Julie Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851173082 PECOS PAC ID: 0749631703 Enrollment ID: I20240104000823 |
| Provider Name | Fayge Basya Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891568788 PECOS PAC ID: 7911358502 Enrollment ID: I20240108005405 |
| Provider Name | Nilma Malik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417340704 PECOS PAC ID: 7315267259 Enrollment ID: I20240110003913 |
| Provider Name | Amanda Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861278111 PECOS PAC ID: 6204288004 Enrollment ID: I20240117002560 |
| Provider Name | Justin Kapelinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952175994 PECOS PAC ID: 8224480900 Enrollment ID: I20240118000920 |
| Provider Name | Erin Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023637667 PECOS PAC ID: 2860845591 Enrollment ID: I20240130001733 |
| Provider Name | Jaclyn Leibforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356117253 PECOS PAC ID: 1850734211 Enrollment ID: I20240213002201 |
| Provider Name | Sophia Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902584279 PECOS PAC ID: 9537503347 Enrollment ID: I20240220004686 |
| Provider Name | Russ Raj Arjal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821144403 PECOS PAC ID: 5294807301 Enrollment ID: I20240223001834 |
| Provider Name | Shishira Bharadwaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457587172 PECOS PAC ID: 7315102530 Enrollment ID: I20240228003277 |
| Provider Name | Ivana Dzeletovic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881894475 PECOS PAC ID: 8729110218 Enrollment ID: I20240313000866 |
Spine And Joint Rehabilitation Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 S 5th Ave, Maywood, IL 60153 Phone: 708-345-6630 Fax: 708-345-9950 | |
Loyola University Physician Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 800-424-6307 | |
Maywood Family Dental Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 S 5th Ave, Maywood, IL 60153 Phone: 708-865-2225 | |
Saritha Vankana Mdsc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1516 Madison St, Maywood, IL 60153 Phone: 708-343-6450 | |
Access Community Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 Madison St, Maywood, IL 60153 Phone: 708-344-5300 | |
Alma Comprehensive Medical Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 S 5th Ave, Maywood, IL 60153 Phone: 708-338-4700 Fax: 708-338-1931 |