| Marshfield Medical Center Professional Services | |
|
1000 N Oak Ave Marshfield WI 54449-5703 | |
| (715) 387-5511 | |
| Not Available |
| Full Name | Marshfield Medical Center Professional Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 N Oak Ave, Marshfield, Wisconsin |
| Authorized Official Name and Position | Kathleen Bressler (COO, AO) |
| Authorized Official Contact | 7159756018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshfield Medical Center Professional Services 1000 N Oak Ave Provider Enrollment Shp Fl2 Marshfield WI 54449-5703 Ph: (715) 389-0660 | Marshfield Medical Center Professional Services 1000 N Oak Ave Marshfield WI 54449-5703 Ph: (715) 387-5511 |
| NPI Number | 1952347981 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 2264345206 |
|---|---|
| Medicare Enrollment ID | O20031106000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952347981 | NPI | - | NPPES |
| Provider Name | Christopher J Cangelosi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992814008 PECOS PAC ID: 8224932017 Enrollment ID: I20031124000135 |
| Provider Name | Bruce Mcclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386731883 PECOS PAC ID: 1658275383 Enrollment ID: I20031124000392 |
| Provider Name | Lin Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841394921 PECOS PAC ID: 2062316730 Enrollment ID: I20031124000568 |
| Provider Name | Renee A Hoynacke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821106832 PECOS PAC ID: 5294630471 Enrollment ID: I20031201000738 |
| Provider Name | John V Kryger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992760508 PECOS PAC ID: 0840195400 Enrollment ID: I20031205000359 |
| Provider Name | Jonathon A Forncrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780784629 PECOS PAC ID: 2769387349 Enrollment ID: I20031205000476 |
| Provider Name | Mary A Hytry Karl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659489912 PECOS PAC ID: 2769389022 Enrollment ID: I20031215000862 |
| Provider Name | Joan M Kazda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578667655 PECOS PAC ID: 5294632436 Enrollment ID: I20031216000829 |
| Provider Name | Rupinder Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740369453 PECOS PAC ID: 0042118382 Enrollment ID: I20031223000802 |
| Provider Name | Kathryn A Krohn Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336243526 PECOS PAC ID: 5092613067 Enrollment ID: I20031229000699 |
| Provider Name | Joseph O Mennen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467567925 PECOS PAC ID: 8123927779 Enrollment ID: I20040102000756 |
| Provider Name | Michael J Mc Manus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760594030 PECOS PAC ID: 1557260080 Enrollment ID: I20040105000350 |
| Provider Name | Kori K Krueger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760582134 PECOS PAC ID: 0941109243 Enrollment ID: I20040106000423 |
| Provider Name | James M Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477663524 PECOS PAC ID: 9739089509 Enrollment ID: I20040109000582 |
| Provider Name | Thomas C Gabert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184652224 PECOS PAC ID: 7012817786 Enrollment ID: I20040109000644 |
| Provider Name | Gregg W Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386742120 PECOS PAC ID: 0749180040 Enrollment ID: I20040112000394 |
| Provider Name | Ryan T Mihalus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538232749 PECOS PAC ID: 4789584095 Enrollment ID: I20040112000440 |
| Provider Name | Verica Neskovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457451833 PECOS PAC ID: 9133029457 Enrollment ID: I20040112000496 |
| Provider Name | Kelly L Schultz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497858021 PECOS PAC ID: 2062312283 Enrollment ID: I20040112000534 |
| Provider Name | Jeffrey H Lamont |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548378425 PECOS PAC ID: 8022918242 Enrollment ID: I20040112000548 |
| Provider Name | Virginia V Harrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487635850 PECOS PAC ID: 6406754381 Enrollment ID: I20040114000294 |
| Provider Name | Laurie A Demro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336151190 PECOS PAC ID: 4082515424 Enrollment ID: I20040119000021 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20040123000027 |
| Provider Name | Mary Lynn Zupanc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861444366 PECOS PAC ID: 6800798372 Enrollment ID: I20040123001067 |
| Provider Name | Mark E Rassier |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063514164 PECOS PAC ID: 2365344843 Enrollment ID: I20040124000020 |
| Provider Name | Niels C Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699883975 PECOS PAC ID: 0244132728 Enrollment ID: I20040124000033 |
| Provider Name | Joy G Ngobi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568521037 PECOS PAC ID: 6800798232 Enrollment ID: I20040124000335 |
| Provider Name | Guruprasad D Naik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508966813 PECOS PAC ID: 8325941230 Enrollment ID: I20040129000020 |
| Provider Name | Jeannette Gasal Spilde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182169 PECOS PAC ID: 4486557949 Enrollment ID: I20040130000890 |
| Provider Name | Jon M Brandt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336168137 PECOS PAC ID: 7719880012 Enrollment ID: I20040202000367 |
| Provider Name | Nyle C Neta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578575239 PECOS PAC ID: 8820981640 Enrollment ID: I20040205000576 |
| Provider Name | Edward P Hayes |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922194976 PECOS PAC ID: 4183517568 Enrollment ID: I20040209000149 |
| Provider Name | David J Schifeling |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932211281 PECOS PAC ID: 9133013311 Enrollment ID: I20040210000038 |
| Provider Name | Dorene Binder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659331643 PECOS PAC ID: 5698669661 Enrollment ID: I20040211000019 |
| Provider Name | Jayne L Rieper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063517464 PECOS PAC ID: 3971498353 Enrollment ID: I20040216000704 |
| Provider Name | Kevin L Perlinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184674954 PECOS PAC ID: 8729974316 Enrollment ID: I20040223000125 |
| Provider Name | Bashar A Omari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265592372 PECOS PAC ID: 7416844022 Enrollment ID: I20040228000529 |
| Provider Name | Sean R Amoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295752251 PECOS PAC ID: 0446147912 Enrollment ID: I20040301000288 |
| Provider Name | Robert K Breger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003837816 PECOS PAC ID: 6507753118 Enrollment ID: I20040301000655 |
| Provider Name | Robert C Hardie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366552531 PECOS PAC ID: 1951298314 Enrollment ID: I20040301000864 |
| Provider Name | Gregory E Salton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861502023 PECOS PAC ID: 4688561087 Enrollment ID: I20040301001108 |
| Provider Name | Shekhar S Sane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740207711 PECOS PAC ID: 9830086248 Enrollment ID: I20040301001145 |
| Provider Name | Uma Suriyanarayanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841217809 PECOS PAC ID: 9638066053 Enrollment ID: I20040301001222 |
| Provider Name | Mark S Wenzel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033130836 PECOS PAC ID: 4981591591 Enrollment ID: I20040301001233 |
| Provider Name | Daniel C Bloomgarden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821019639 PECOS PAC ID: 7517854961 Enrollment ID: I20040302000091 |
| Provider Name | Randolph B Waskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497780134 PECOS PAC ID: 2961390364 Enrollment ID: I20040308000878 |
| Provider Name | Lea K Lua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538144282 PECOS PAC ID: 2466341136 Enrollment ID: I20040311000770 |
| Provider Name | Stephanie F Kohlhepp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154416428 PECOS PAC ID: 5991695777 Enrollment ID: I20040316001227 |
| Provider Name | Joseph R. Lacy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598740599 PECOS PAC ID: 9335039130 Enrollment ID: I20040316001356 |
| Provider Name | Andrew T Pankratz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366538530 PECOS PAC ID: 5395635023 Enrollment ID: I20040317000703 |
| Provider Name | Ronald C Knuth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386737765 PECOS PAC ID: 5991695629 Enrollment ID: I20040317000734 |
| Provider Name | Pieter John Vanderlijn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437188091 PECOS PAC ID: 5698666717 Enrollment ID: I20040320000078 |
| Provider Name | Mary B Ames |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215989751 PECOS PAC ID: 1557252681 Enrollment ID: I20040320000139 |
| Provider Name | Charles P Strachan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295828671 PECOS PAC ID: 7315838984 Enrollment ID: I20040323000797 |
| Provider Name | Jill M Viergutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922195676 PECOS PAC ID: 0446142236 Enrollment ID: I20040326000589 |
| Provider Name | Robert M Haws |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205936457 PECOS PAC ID: 5294627006 Enrollment ID: I20040326000722 |
| Provider Name | Charles R Bohon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487760179 PECOS PAC ID: 6709878739 Enrollment ID: I20040331000918 |
| Provider Name | Mark A Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134103146 PECOS PAC ID: 2860383700 Enrollment ID: I20040331001097 |
| Provider Name | Marie A Tomasi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831206424 PECOS PAC ID: 4587656368 Enrollment ID: I20040401000294 |
| Provider Name | Karen M Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427032127 PECOS PAC ID: 3870585581 Enrollment ID: I20040401001165 |
| Provider Name | Yeping Sun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225130909 PECOS PAC ID: 9133111651 Enrollment ID: I20040402000206 |
| Provider Name | Michael D Caldwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184724858 PECOS PAC ID: 8123010584 Enrollment ID: I20040402001111 |
| Provider Name | Robert J Gould |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669422713 PECOS PAC ID: 7012820145 Enrollment ID: I20040403000269 |
| Provider Name | James A Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700998069 PECOS PAC ID: 2961496161 Enrollment ID: I20040412000700 |
| Provider Name | Heather A Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629180989 PECOS PAC ID: 6608860838 Enrollment ID: I20040412000922 |
| Provider Name | John L Ziemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366547077 PECOS PAC ID: 4183618986 Enrollment ID: I20040414000103 |
| Provider Name | Zenoun O Abouzelam |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699769695 PECOS PAC ID: 2668466327 Enrollment ID: I20040414000562 |
| Provider Name | Denise L Frahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952419236 PECOS PAC ID: 1153316732 Enrollment ID: I20040415000183 |
| Provider Name | Lee B Cody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255431193 PECOS PAC ID: 8123014834 Enrollment ID: I20040420001441 |
| Provider Name | Jack I Ramage |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841263944 PECOS PAC ID: 3971599820 Enrollment ID: I20040424000107 |
| Provider Name | Mohamed Helmi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003883620 PECOS PAC ID: 9739176652 Enrollment ID: I20040430000379 |
| Provider Name | Jeffrey R Shepich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306931670 PECOS PAC ID: 9436147915 Enrollment ID: I20040504000331 |
| Provider Name | Stephen D Hayden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891716239 PECOS PAC ID: 1355339573 Enrollment ID: I20040505000471 |
| Provider Name | Albert J Alter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386604346 PECOS PAC ID: 5698764652 Enrollment ID: I20040506001182 |
| Provider Name | Arun Jain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588691489 PECOS PAC ID: 4587653027 Enrollment ID: I20040510000733 |
| Provider Name | Colette J Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558378018 PECOS PAC ID: 5698678506 Enrollment ID: I20040510001424 |
| Provider Name | Steven J Gerndt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487667549 PECOS PAC ID: 0840102034 Enrollment ID: I20040512000994 |
| Provider Name | Tara S Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154431229 PECOS PAC ID: 9133119738 Enrollment ID: I20040515000119 |
| Provider Name | Thomas J Katz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982702262 PECOS PAC ID: 4183614605 Enrollment ID: I20040517000555 |
| Provider Name | Susan J Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184606469 PECOS PAC ID: 9032106232 Enrollment ID: I20040518000864 |
| Provider Name | Christopher L Younker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528001716 PECOS PAC ID: 5092706168 Enrollment ID: I20040519000620 |
| Provider Name | Scott T Buskerud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629161310 PECOS PAC ID: 4587655444 Enrollment ID: I20040519001393 |
| Provider Name | Syed M Sajjad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316047509 PECOS PAC ID: 0042201808 Enrollment ID: I20040520000526 |
| Provider Name | Jeffrey M Resnick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134221815 PECOS PAC ID: 7012908882 Enrollment ID: I20040520000650 |
| Provider Name | Jeffrey C Craig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588619704 PECOS PAC ID: 3476534934 Enrollment ID: I20040528001129 |
| Provider Name | Lynn M Von Ruden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740596238 PECOS PAC ID: 3274515614 Enrollment ID: I20040601001113 |
| Provider Name | Alice Briolat Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750303137 PECOS PAC ID: 1052394160 Enrollment ID: I20040610000355 |
| Provider Name | Jonathan K Glazer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750384830 PECOS PAC ID: 1658355276 Enrollment ID: I20040614000261 |
| Provider Name | Michael Paul Byrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881622801 PECOS PAC ID: 6507840956 Enrollment ID: I20040615000401 |
| Provider Name | Gary J Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063527539 PECOS PAC ID: 7113902289 Enrollment ID: I20040622001341 |
| Provider Name | Shelley R Danielson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265418909 PECOS PAC ID: 8123003209 Enrollment ID: I20040622001403 |
| Provider Name | Pradeep Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093823353 PECOS PAC ID: 0547245532 Enrollment ID: I20040623000572 |
| Provider Name | Robert B Wiedbusch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447345723 PECOS PAC ID: 3971581935 Enrollment ID: I20040708000142 |
| Provider Name | Somsak Tanawattanacharoen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851487888 PECOS PAC ID: 3476532250 Enrollment ID: I20040715000747 |
| Provider Name | Nathaniel S Jalil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417043449 PECOS PAC ID: 3678552460 Enrollment ID: I20040715000794 |
| Provider Name | Stephanie D Stevenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174696942 PECOS PAC ID: 3678552213 Enrollment ID: I20040716000435 |
| Provider Name | Kristin E Verville |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326058470 PECOS PAC ID: 9739168394 Enrollment ID: I20040716000566 |
| Provider Name | Sanjay Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1487606166 PECOS PAC ID: 8921087487 Enrollment ID: I20040717000233 |
| Provider Name | Kenneth A Klein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736963 PECOS PAC ID: 9335040237 Enrollment ID: I20040719000247 |
| Provider Name | Stephen P Fernau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851343123 PECOS PAC ID: 5496725186 Enrollment ID: I20040729000801 |
| Provider Name | Adriane Gianlupi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326121773 PECOS PAC ID: 8820069669 Enrollment ID: I20040804000932 |
| Provider Name | Jeffrey J Anderegg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982608352 PECOS PAC ID: 7719967264 Enrollment ID: I20040805001029 |
| Provider Name | Kirsten L January |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689603359 PECOS PAC ID: 5890766356 Enrollment ID: I20040805001485 |
| Provider Name | James L January |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265462667 PECOS PAC ID: 6608847173 Enrollment ID: I20040805001565 |
| Provider Name | Kimberly J Kurtz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770568222 PECOS PAC ID: 7315934080 Enrollment ID: I20040810000028 |
| Provider Name | Christine A Block |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932209111 PECOS PAC ID: 7113999111 Enrollment ID: I20040810001124 |
| Provider Name | Joanna K Gudel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427150192 PECOS PAC ID: 4880666882 Enrollment ID: I20040810001167 |
| Provider Name | Jeffrey M Marquardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295840775 PECOS PAC ID: 9739090457 Enrollment ID: I20040816000067 |
| Provider Name | Lisa A Mink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275645624 PECOS PAC ID: 7315910320 Enrollment ID: I20040818000037 |
| Provider Name | Susan A Tauzell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578555082 PECOS PAC ID: 8022097955 Enrollment ID: I20040819000012 |
| Provider Name | Deepa Bassi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134220965 PECOS PAC ID: 5395635585 Enrollment ID: I20040819001343 |
| Provider Name | Tarun Bassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538277587 PECOS PAC ID: 9638143217 Enrollment ID: I20040820000105 |
| Provider Name | Paul J Ruh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578670832 PECOS PAC ID: 1759355290 Enrollment ID: I20040821000117 |
| Provider Name | Robin K Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710982723 PECOS PAC ID: 8325012784 Enrollment ID: I20040823000019 |
| Provider Name | Frank Leon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881702116 PECOS PAC ID: 1850365156 Enrollment ID: I20040823001036 |
| Provider Name | Tomislav T Lakic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629057872 PECOS PAC ID: 6901705532 Enrollment ID: I20040823001152 |
| Provider Name | Stephen T Holthaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386756732 PECOS PAC ID: 3173599842 Enrollment ID: I20040903000196 |
| Provider Name | Lei Hao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457453136 PECOS PAC ID: 8224004999 Enrollment ID: I20040903000230 |
| Provider Name | Gaojun Gui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568570828 PECOS PAC ID: 7618943838 Enrollment ID: I20040908001123 |
| Provider Name | Eric N Carlsen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689789166 PECOS PAC ID: 7214903392 Enrollment ID: I20040909000632 |
| Provider Name | Thomas L Kintzinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588779441 PECOS PAC ID: 1951377902 Enrollment ID: I20040909001265 |
| Provider Name | Balasubramanyan Napa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932211406 PECOS PAC ID: 8527047059 Enrollment ID: I20040914000717 |
| Provider Name | Cary G Tauchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891800389 PECOS PAC ID: 7719954197 Enrollment ID: I20040915000028 |
| Provider Name | Cornelia M Riedl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407830623 PECOS PAC ID: 0446227037 Enrollment ID: I20040915000391 |
| Provider Name | Randal C Kumm |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144275058 PECOS PAC ID: 0941278006 Enrollment ID: I20040917000323 |
| Provider Name | Nicholas P Wyskoarko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205945177 PECOS PAC ID: 5193794766 Enrollment ID: I20040930000024 |
| Provider Name | Nizar Ottoman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366546475 PECOS PAC ID: 2769451293 Enrollment ID: I20040930000615 |
| Provider Name | Muhammad S Haleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275544546 PECOS PAC ID: 4880653278 Enrollment ID: I20041011000376 |
| Provider Name | Jill Sternitzky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265542419 PECOS PAC ID: 1951361849 Enrollment ID: I20041014001053 |
| Provider Name | Cynthia R Verfuerth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508971060 PECOS PAC ID: 5890755664 Enrollment ID: I20041015000376 |
| Provider Name | Mary T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518935717 PECOS PAC ID: 1951361567 Enrollment ID: I20041018000386 |
| Provider Name | Vera Bocoun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235233560 PECOS PAC ID: 4789644295 Enrollment ID: I20041018001152 |
| Provider Name | Dharmesh Babaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053421206 PECOS PAC ID: 8224099718 Enrollment ID: I20041019000566 |
| Provider Name | Adedayo A Onitilo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275631566 PECOS PAC ID: 5991766404 Enrollment ID: I20041019000695 |
| Provider Name | George Prackup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740209998 PECOS PAC ID: 1052304987 Enrollment ID: I20041022001157 |
| Provider Name | Mary S Alvarado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962404194 PECOS PAC ID: 8325000672 Enrollment ID: I20041029000580 |
| Provider Name | Marian L Greenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720198872 PECOS PAC ID: 0042272239 Enrollment ID: I20041030000094 |
| Provider Name | Stephen J Handrich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265454003 PECOS PAC ID: 5496717621 Enrollment ID: I20041101000128 |
| Provider Name | Matthew C Hall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023126174 PECOS PAC ID: 0446212534 Enrollment ID: I20041101000706 |
| Provider Name | Bilal H Naqvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598865818 PECOS PAC ID: 3577525369 Enrollment ID: I20041103000625 |
| Provider Name | Michael J Schaars |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528097888 PECOS PAC ID: 5890758486 Enrollment ID: I20041104000931 |
| Provider Name | Brian D Hoerneman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740385384 PECOS PAC ID: 1355254343 Enrollment ID: I20041105000596 |
| Provider Name | Tanya K Hoerneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104936251 PECOS PAC ID: 0941104236 Enrollment ID: I20041105000621 |
| Provider Name | Khadijah B Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386756534 PECOS PAC ID: 3375506785 Enrollment ID: I20041108000060 |
| Provider Name | Hariprasad Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574834 PECOS PAC ID: 7719941491 Enrollment ID: I20041112000528 |
| Provider Name | Stacy L Getten |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801995212 PECOS PAC ID: 7113981804 Enrollment ID: I20041112000666 |
| Provider Name | Gregory W Petermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932199940 PECOS PAC ID: 1951365014 Enrollment ID: I20041117001207 |
| Provider Name | Ronald Vesely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548209604 PECOS PAC ID: 4789648767 Enrollment ID: I20041118000816 |
| Provider Name | Douglas M Grube |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760420558 PECOS PAC ID: 7113983966 Enrollment ID: I20041203000586 |
| Provider Name | Craig A Wolfe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396845012 PECOS PAC ID: 6103883194 Enrollment ID: I20041210000759 |
| Provider Name | Victoria L Viegut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639281991 PECOS PAC ID: 6800853839 Enrollment ID: I20041211000074 |
| Provider Name | Mohammad D Alaoua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487667481 PECOS PAC ID: 5092705558 Enrollment ID: I20050103000749 |
| Provider Name | Joseph J Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457463606 PECOS PAC ID: 5799733002 Enrollment ID: I20050104000245 |
| Provider Name | Irina Selezneva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881791077 PECOS PAC ID: 5991753212 Enrollment ID: I20050104000326 |
| Provider Name | Craig J Santolin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669577250 PECOS PAC ID: 1254389539 Enrollment ID: I20050104000741 |
| Provider Name | Ann E Ruesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801996574 PECOS PAC ID: 5991753725 Enrollment ID: I20050110000042 |
| Provider Name | Brian H Ewert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306946256 PECOS PAC ID: 9537117361 Enrollment ID: I20050110000044 |
| Provider Name | Kevin H Ruggles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194965129 PECOS PAC ID: 3678521127 Enrollment ID: I20050111000644 |
| Provider Name | Nancy J Huebler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003924317 PECOS PAC ID: 4183672561 Enrollment ID: I20050112000537 |
| Provider Name | Dean M Brix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760592356 PECOS PAC ID: 1951350081 Enrollment ID: I20050115000105 |
| Provider Name | Stephanie L Kohlbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447356787 PECOS PAC ID: 8820047954 Enrollment ID: I20050115000132 |
| Provider Name | David T Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750491338 PECOS PAC ID: 3971552969 Enrollment ID: I20050117000535 |
| Provider Name | Mary T Lenz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144335670 PECOS PAC ID: 6406805498 Enrollment ID: I20050117000558 |
| Provider Name | William J Barkley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669582185 PECOS PAC ID: 8921057746 Enrollment ID: I20050119000840 |
| Provider Name | Thu Thao T Trinh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518069129 PECOS PAC ID: 7517917024 Enrollment ID: I20050124000056 |
| Provider Name | Michael J Vendrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528044393 PECOS PAC ID: 1557268513 Enrollment ID: I20050128000631 |
| Provider Name | Elizabeth A Landretti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114039393 PECOS PAC ID: 1355391137 Enrollment ID: I20050128000844 |
| Provider Name | Andrew C Urquhart |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902918253 PECOS PAC ID: 3577513282 Enrollment ID: I20050129000205 |
| Provider Name | Steven A Hadlock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497842157 PECOS PAC ID: 8325098056 Enrollment ID: I20050131000092 |
| Provider Name | Jill M Nisbit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518973395 PECOS PAC ID: 4981686870 Enrollment ID: I20050201000318 |
| Provider Name | Julene A Diedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912009911 PECOS PAC ID: 2365493855 Enrollment ID: I20050202000095 |
| Provider Name | Richard J Mercier |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548360803 PECOS PAC ID: 3072564566 Enrollment ID: I20050202000105 |
| Provider Name | Devin B Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154365625 PECOS PAC ID: 7719938075 Enrollment ID: I20050203000293 |
| Provider Name | Jay J Rusek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285761601 PECOS PAC ID: 6608827894 Enrollment ID: I20050204000388 |
| Provider Name | David A Polomis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073649703 PECOS PAC ID: 6901857101 Enrollment ID: I20050204000441 |
| Provider Name | Thomas Joseph Mcintee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346395449 PECOS PAC ID: 2264483486 Enrollment ID: I20050204000627 |
| Provider Name | Christina M Kurkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467460816 PECOS PAC ID: 3476504341 Enrollment ID: I20050208000748 |
| Provider Name | Stephanie W White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548398878 PECOS PAC ID: 8022060755 Enrollment ID: I20050210000643 |
| Provider Name | Thomas K Eilen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326135088 PECOS PAC ID: 5092767608 Enrollment ID: I20050211000266 |
| Provider Name | William Scott Carpenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275638900 PECOS PAC ID: 8022060417 Enrollment ID: I20050214000766 |
| Provider Name | Robert A Nogler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306947395 PECOS PAC ID: 4880646769 Enrollment ID: I20050218000662 |
| Provider Name | Julie A Kundinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750399002 PECOS PAC ID: 2961455431 Enrollment ID: I20050224000239 |
| Provider Name | Steven R Evelhoch |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1972667160 PECOS PAC ID: 0143273201 Enrollment ID: I20050301000429 |
| Provider Name | David J Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902833700 PECOS PAC ID: 9931154515 Enrollment ID: I20050316000709 |
| Provider Name | Camilla C Larson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710966940 PECOS PAC ID: 5991750119 Enrollment ID: I20050321000371 |
| Provider Name | Aditya A Sukhwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881259 PECOS PAC ID: 8527014570 Enrollment ID: I20050323000822 |
| Provider Name | George D Beiser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487604880 PECOS PAC ID: 3779539960 Enrollment ID: I20050330001143 |
| Provider Name | Laurie L Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851401434 PECOS PAC ID: 5597712158 Enrollment ID: I20050405001381 |
| Provider Name | Traci D Swink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164740973 PECOS PAC ID: 4880631548 Enrollment ID: I20050413001219 |
| Provider Name | Laurel A Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336236280 PECOS PAC ID: 8921047895 Enrollment ID: I20050429000307 |
| Provider Name | Elmer G Lehman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1922114651 PECOS PAC ID: 0446290944 Enrollment ID: I20050504000388 |
| Provider Name | Thomas R Silbernagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922097351 PECOS PAC ID: 8426098997 Enrollment ID: I20050504000992 |
| Provider Name | Amy J Jaeger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710970538 PECOS PAC ID: 8527008291 Enrollment ID: I20050512000219 |
| Provider Name | Karen A Shulman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043325566 PECOS PAC ID: 9234170499 Enrollment ID: I20050518000253 |
| Provider Name | Harry C Cole |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891720769 PECOS PAC ID: 9830168574 Enrollment ID: I20050519000598 |
| Provider Name | Celestino P Balinghasay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104926310 PECOS PAC ID: 3779540364 Enrollment ID: I20050609000227 |
| Provider Name | Daryl L Fish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619077955 PECOS PAC ID: 0244274249 Enrollment ID: I20050610000317 |
| Provider Name | Kerry S Dernbach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306944152 PECOS PAC ID: 0244274868 Enrollment ID: I20050615000132 |
| Provider Name | Louay O Danial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316041676 PECOS PAC ID: 2163466699 Enrollment ID: I20050615000986 |
| Provider Name | Julie K Prasher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588740328 PECOS PAC ID: 5193769578 Enrollment ID: I20050616000316 |
| Provider Name | Timothy S Phillips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215954896 PECOS PAC ID: 8820032212 Enrollment ID: I20050616000418 |
| Provider Name | Julie C Dietz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912007162 PECOS PAC ID: 8628004298 Enrollment ID: I20050714000702 |
| Provider Name | Timothy L Swan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346340668 PECOS PAC ID: 7214974146 Enrollment ID: I20050718000885 |
| Provider Name | Patricia L Gump |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588640239 PECOS PAC ID: 9032146865 Enrollment ID: I20050722000456 |
| Provider Name | Thomas L Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609820620 PECOS PAC ID: 9133193089 Enrollment ID: I20050722000571 |
| Provider Name | Jody R Gross |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114028941 PECOS PAC ID: 0446287239 Enrollment ID: I20050723000043 |
| Provider Name | John J Olson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457350944 PECOS PAC ID: 4486626025 Enrollment ID: I20050802000652 |
| Provider Name | Feng Lu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720039571 PECOS PAC ID: 3779511308 Enrollment ID: I20050803000803 |
| Provider Name | Steven A Muhle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174561195 PECOS PAC ID: 6204886377 Enrollment ID: I20050804001093 |
| Provider Name | Dane J Harder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215974977 PECOS PAC ID: 9739118605 Enrollment ID: I20050810001134 |
| Provider Name | Bethany R Kubnick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982790465 PECOS PAC ID: 8729018007 Enrollment ID: I20050816000996 |
| Provider Name | Sharon Stake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942271846 PECOS PAC ID: 5496785461 Enrollment ID: I20050818000913 |
| Provider Name | Matthew A Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578674636 PECOS PAC ID: 4183654908 Enrollment ID: I20050822000047 |
| Provider Name | Patcharin Tanawattanacharoen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942300272 PECOS PAC ID: 9436180957 Enrollment ID: I20050824001041 |
| Provider Name | Jessica M Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114037793 PECOS PAC ID: 6204868086 Enrollment ID: I20050831000858 |
| Provider Name | Michael Todd Tennier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922084615 PECOS PAC ID: 5799717393 Enrollment ID: I20050902000704 |
| Provider Name | Gillian Marie Battino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073522892 PECOS PAC ID: 0941232250 Enrollment ID: I20050908000038 |
| Provider Name | David J Simenstad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033217864 PECOS PAC ID: 7315850633 Enrollment ID: I20050919000050 |
| Provider Name | Lori A Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124058912 PECOS PAC ID: 8022042126 Enrollment ID: I20050919000626 |
| Provider Name | Karen Joy Lapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821108002 PECOS PAC ID: 2860426319 Enrollment ID: I20050923000244 |
| Provider Name | Mary C Repking |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811009186 PECOS PAC ID: 2860426434 Enrollment ID: I20050923000420 |
| Provider Name | Mark M Hinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326122201 PECOS PAC ID: 0143211136 Enrollment ID: I20050929000548 |
| Provider Name | Todd A Risa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982708061 PECOS PAC ID: 8820023765 Enrollment ID: I20050929000646 |
| Provider Name | Thomas W Lundquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508976754 PECOS PAC ID: 4880629732 Enrollment ID: I20050929000691 |
| Provider Name | John J Warner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831291871 PECOS PAC ID: 4789619636 Enrollment ID: I20050929000700 |
| Provider Name | Margo B Cousins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477655157 PECOS PAC ID: 8820023690 Enrollment ID: I20050929000917 |
| Provider Name | Kristin M Gerndt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013017391 PECOS PAC ID: 3173558954 Enrollment ID: I20050929001010 |
| Provider Name | Andrew H Rikkers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558455386 PECOS PAC ID: 9739125766 Enrollment ID: I20051001000018 |
| Provider Name | Isam Hasan Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588636435 PECOS PAC ID: 9234164963 Enrollment ID: I20051001000022 |
| Provider Name | Teri C Ogiba |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982671178 PECOS PAC ID: 4183659584 Enrollment ID: I20051005000207 |
| Provider Name | Jamie L Kolka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376511162 PECOS PAC ID: 4587699897 Enrollment ID: I20051005000371 |
| Provider Name | James E Mullen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891735569 PECOS PAC ID: 4880611169 Enrollment ID: I20051026000443 |
| Provider Name | Cynthia J Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144260712 PECOS PAC ID: 8426075714 Enrollment ID: I20051026000565 |
| Provider Name | Warren W Olds |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326146606 PECOS PAC ID: 1355369950 Enrollment ID: I20051102000636 |
| Provider Name | Melissa L Emmerich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093814519 PECOS PAC ID: 2860410198 Enrollment ID: I20051104000738 |
| Provider Name | Judith M Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992778419 PECOS PAC ID: 8325066137 Enrollment ID: I20051109000856 |
| Provider Name | Michelle P Canney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356450480 PECOS PAC ID: 3072595933 Enrollment ID: I20051110000624 |
| Provider Name | Chris T Waldo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720066814 PECOS PAC ID: 2264451640 Enrollment ID: I20051115000465 |
| Provider Name | Michael J Michalske |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225253040 PECOS PAC ID: 6507894623 Enrollment ID: I20051129000945 |
| Provider Name | Patrick A Wolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326148081 PECOS PAC ID: 1254351356 Enrollment ID: I20051205000531 |
| Provider Name | Thomas C Hupy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144255274 PECOS PAC ID: 4981505930 Enrollment ID: I20051205000692 |
| Provider Name | Michael D Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982646006 PECOS PAC ID: 1759301732 Enrollment ID: I20051206000368 |
| Provider Name | Gregory T Gilles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376500082 PECOS PAC ID: 0547282543 Enrollment ID: I20051219000591 |
| Provider Name | Jerzy B Sikora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356398473 PECOS PAC ID: 4981626991 Enrollment ID: I20051219000676 |
| Provider Name | Kiran K Padala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194805200 PECOS PAC ID: 2163441718 Enrollment ID: I20051220000884 |
| Provider Name | Jennifer L Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699885764 PECOS PAC ID: 3072535814 Enrollment ID: I20051221000513 |
| Provider Name | Stephen Thomas Bernard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306896246 PECOS PAC ID: 0345261053 Enrollment ID: I20051230000327 |
| Provider Name | Foluke A Otitoju |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144298167 PECOS PAC ID: 3375565468 Enrollment ID: I20060104000191 |
| Provider Name | Michael P Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255443529 PECOS PAC ID: 8325061070 Enrollment ID: I20060109000310 |
| Provider Name | Jeffrey P Blise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821051657 PECOS PAC ID: 3779507918 Enrollment ID: I20060116000091 |
| Provider Name | Edward J Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265409965 PECOS PAC ID: 4385668565 Enrollment ID: I20060116000409 |
| Provider Name | Lopa S Kabir-islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881794030 PECOS PAC ID: 4789608878 Enrollment ID: I20060117000093 |
| Provider Name | Purushotham Veluvolu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1043310766 PECOS PAC ID: 4688698772 Enrollment ID: I20060117000112 |
| Provider Name | Michelle L Henrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205882990 PECOS PAC ID: 3577587690 Enrollment ID: I20060117000325 |
| Provider Name | Ann E Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073559639 PECOS PAC ID: 2668496787 Enrollment ID: I20060117000335 |
| Provider Name | Bronwyn Dilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407809072 PECOS PAC ID: 2860416369 Enrollment ID: I20060124000330 |
| Provider Name | Thomas P Peller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497715726 PECOS PAC ID: 9830103746 Enrollment ID: I20060131000282 |
| Provider Name | Donald S Hart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609854900 PECOS PAC ID: 2961417191 Enrollment ID: I20060209000364 |
| Provider Name | Nicolaus A Schermer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730175480 PECOS PAC ID: 9436114428 Enrollment ID: I20060213000103 |
| Provider Name | Michael T Sheehan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730294240 PECOS PAC ID: 7012922016 Enrollment ID: I20060213000420 |
| Provider Name | Lance Lagerstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184616625 PECOS PAC ID: 3274515192 Enrollment ID: I20060214000735 |
| Provider Name | Dean A Delmastro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699875922 PECOS PAC ID: 5597771055 Enrollment ID: I20060221000906 |
| Provider Name | Laeekha A Ali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245200427 PECOS PAC ID: 4688680911 Enrollment ID: I20060223000717 |
| Provider Name | Wendy M Chryst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316040942 PECOS PAC ID: 5395751473 Enrollment ID: I20060227000564 |
| Provider Name | Debra L Kearns |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124105853 PECOS PAC ID: 7810903440 Enrollment ID: I20060306000509 |
| Provider Name | Christopher Previn Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912959313 PECOS PAC ID: 2668438482 Enrollment ID: I20060308000803 |
| Provider Name | Carlos X Condado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205028768 PECOS PAC ID: 2860478690 Enrollment ID: I20060313000396 |
| Provider Name | Dana Habash Bseiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174631436 PECOS PAC ID: 2062429954 Enrollment ID: I20060317000426 |
| Provider Name | Jonathan S Lowrey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013912997 PECOS PAC ID: 5991753477 Enrollment ID: I20060320000384 |
| Provider Name | Patricia Ann Hautamaki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528168267 PECOS PAC ID: 8022025899 Enrollment ID: I20060320000500 |
| Provider Name | Efrain Sueldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750389995 PECOS PAC ID: 5991796732 Enrollment ID: I20060323000716 |
| Provider Name | Martha A Hidalgo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508864547 PECOS PAC ID: 7416965918 Enrollment ID: I20060324000353 |
| Provider Name | Muhammad A Muslim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861571218 PECOS PAC ID: 4880602150 Enrollment ID: I20060328000484 |
| Provider Name | Allen E Faber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407963085 PECOS PAC ID: 5395753560 Enrollment ID: I20060329000635 |
| Provider Name | Britt E Bilgrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356458608 PECOS PAC ID: 6709894835 Enrollment ID: I20060330000356 |
| Provider Name | Wayne E Thorne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467562546 PECOS PAC ID: 0446268502 Enrollment ID: I20060330000645 |
| Provider Name | Gayle Ann L Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366489486 PECOS PAC ID: 8729096748 Enrollment ID: I20060331000531 |
| Provider Name | Edward G Fernandez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386744605 PECOS PAC ID: 4789692518 Enrollment ID: I20060405000152 |
| Provider Name | Kristin J Whitaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134231376 PECOS PAC ID: 2466461447 Enrollment ID: I20060419000684 |
| Provider Name | Lori M Stress |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053406322 PECOS PAC ID: 6406866037 Enrollment ID: I20060427000100 |
| Provider Name | Tamara S Daniels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164488169 PECOS PAC ID: 8123091519 Enrollment ID: I20060502000322 |
| Provider Name | Robert R Kohl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689628901 PECOS PAC ID: 7214948561 Enrollment ID: I20060526000087 |
| Provider Name | Michael W Minehart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982641163 PECOS PAC ID: 0042208407 Enrollment ID: I20060601000257 |
| Provider Name | Sharon M Scherwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043250517 PECOS PAC ID: 2163434051 Enrollment ID: I20060614000084 |
| Provider Name | Timothy D Bevers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700837168 PECOS PAC ID: 5294747960 Enrollment ID: I20060620000256 |
| Provider Name | James E Tomic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134174873 PECOS PAC ID: 4183636731 Enrollment ID: I20060622000149 |
| Provider Name | John R Westberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255302337 PECOS PAC ID: 9032108378 Enrollment ID: I20060710000061 |
| Provider Name | Lisa M Bratvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477584266 PECOS PAC ID: 8123098852 Enrollment ID: I20060719000298 |
| Provider Name | Donald A Hansen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285669937 PECOS PAC ID: 2860405503 Enrollment ID: I20060724000175 |
| Provider Name | Nancy Lynn Ontl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922043868 PECOS PAC ID: 3173536737 Enrollment ID: I20060726000314 |
| Provider Name | Michael Husak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386679959 PECOS PAC ID: 1557371408 Enrollment ID: I20060807000205 |
| Provider Name | William C Leach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558399279 PECOS PAC ID: 7719980911 Enrollment ID: I20060808000330 |
| Provider Name | Marietta S Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023032075 PECOS PAC ID: 5890798797 Enrollment ID: I20060815000207 |
| Provider Name | Brenda J Banaszynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730104613 PECOS PAC ID: 4486657046 Enrollment ID: I20060821000321 |
| Provider Name | Eric B Callaghan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528056488 PECOS PAC ID: 5496790248 Enrollment ID: I20060822000243 |
| Provider Name | Amy L Roff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003840323 PECOS PAC ID: 0840293452 Enrollment ID: I20060822000270 |
| Provider Name | Hema Murali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245200708 PECOS PAC ID: 1557364924 Enrollment ID: I20060825000039 |
| Provider Name | Shana M Gliniecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730112814 PECOS PAC ID: 0042214470 Enrollment ID: I20060828000072 |
| Provider Name | Moshe Schein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497758999 PECOS PAC ID: 7517935299 Enrollment ID: I20060829000083 |
| Provider Name | Joel A Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528070455 PECOS PAC ID: 8123062692 Enrollment ID: I20060829000269 |
| Provider Name | Ram D Pathak |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053324020 PECOS PAC ID: 7012911340 Enrollment ID: I20060829000299 |
| Provider Name | Oghomwen K Sule |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043221385 PECOS PAC ID: 7517961642 Enrollment ID: I20060905000106 |
| Provider Name | Gregory T Richburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376596684 PECOS PAC ID: 4082618095 Enrollment ID: I20060906000285 |
| Provider Name | Jason E Kanz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518970524 PECOS PAC ID: 0042214066 Enrollment ID: I20060906000324 |
| Provider Name | Kelli R Wehman-tubbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851302624 PECOS PAC ID: 0345244232 Enrollment ID: I20060907000374 |
| Provider Name | Jessica A Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801902580 PECOS PAC ID: 0042214827 Enrollment ID: I20060911000064 |
| Provider Name | Charles V Kenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528172491 PECOS PAC ID: 0244283547 Enrollment ID: I20060911000387 |
| Provider Name | Sarah S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134137995 PECOS PAC ID: 6608871033 Enrollment ID: I20060919000121 |
| Provider Name | Marilyn Pontone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417068701 PECOS PAC ID: 5395740591 Enrollment ID: I20060921000410 |
| Provider Name | Michael J Trad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144286253 PECOS PAC ID: 8426950304 Enrollment ID: I20060922000076 |
| Provider Name | Jean E Roers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215030192 PECOS PAC ID: 3779588918 Enrollment ID: I20060922000088 |
| Provider Name | John S To |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346214715 PECOS PAC ID: 0345134854 Enrollment ID: I20060922000441 |
| Provider Name | Melissa R Stoffel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912009796 PECOS PAC ID: 8022013150 Enrollment ID: I20060925000299 |
| Provider Name | Vallie M Kaprelian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629043302 PECOS PAC ID: 7416846811 Enrollment ID: I20061003000714 |
| Provider Name | Briana M Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316919681 PECOS PAC ID: 7517944523 Enrollment ID: I20061010000074 |
| Provider Name | Narayana Murali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942274352 PECOS PAC ID: 6709882962 Enrollment ID: I20061011000132 |
| Provider Name | Nadeem Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770577785 PECOS PAC ID: 6507862315 Enrollment ID: I20061018000040 |
| Provider Name | Gerald J Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700844529 PECOS PAC ID: 8729085402 Enrollment ID: I20061024000080 |
| Provider Name | Robin Jean Kalk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093810103 PECOS PAC ID: 0648277236 Enrollment ID: I20061024000281 |
| Provider Name | Michelle M Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538261367 PECOS PAC ID: 3072510460 Enrollment ID: I20061027000050 |
| Provider Name | David L Mathias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295714723 PECOS PAC ID: 1759388143 Enrollment ID: I20061027000095 |
| Provider Name | Jennifer S Pantely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871699132 PECOS PAC ID: 3476550690 Enrollment ID: I20061101000366 |
| Provider Name | Kevin D Roberts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336147446 PECOS PAC ID: 3678570694 Enrollment ID: I20061103000181 |
| Provider Name | Aaron R Dagit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376531228 PECOS PAC ID: 1355387549 Enrollment ID: I20061103000435 |
| Provider Name | Peter E Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841385226 PECOS PAC ID: 3971501545 Enrollment ID: I20061114000288 |
| Provider Name | Jane M Ziemanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790873867 PECOS PAC ID: 3870591449 Enrollment ID: I20061114000303 |
| Provider Name | Steven D Taylor |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1528163862 PECOS PAC ID: 1355349945 Enrollment ID: I20061114000478 |
| Provider Name | Thomas H Garver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710085543 PECOS PAC ID: 1850399445 Enrollment ID: I20061114000533 |
| Provider Name | Kelly J Noreen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912094913 PECOS PAC ID: 6507864741 Enrollment ID: I20061122000005 |
| Provider Name | James A Halminiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083709448 PECOS PAC ID: 6406855329 Enrollment ID: I20061204000211 |
| Provider Name | Abdou A Elhendy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104874304 PECOS PAC ID: 6204835184 Enrollment ID: I20061205000015 |
| Provider Name | Gary S Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437232154 PECOS PAC ID: 6800895426 Enrollment ID: I20061208000481 |
| Provider Name | Edward Ebert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285604850 PECOS PAC ID: 5395653661 Enrollment ID: I20061218000170 |
| Provider Name | Linda R Frahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104881317 PECOS PAC ID: 3779582986 Enrollment ID: I20061218000243 |
| Provider Name | Sarah R Kortenkamp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063523686 PECOS PAC ID: 5799784781 Enrollment ID: I20061221000133 |
| Provider Name | Mark T Labor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699741124 PECOS PAC ID: 1951301928 Enrollment ID: I20061226000008 |
| Provider Name | Jill R Meilahn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073573887 PECOS PAC ID: 9335149079 Enrollment ID: I20070103000419 |
| Provider Name | Erik J Dovre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295784478 PECOS PAC ID: 6002816345 Enrollment ID: I20070110000210 |
| Provider Name | Karissa S Paulsrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316008709 PECOS PAC ID: 5092716100 Enrollment ID: I20070116000233 |
| Provider Name | Ralph W Fitz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043274723 PECOS PAC ID: 4284621020 Enrollment ID: I20070122000503 |
| Provider Name | Brian L Frank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770648115 PECOS PAC ID: 2769483296 Enrollment ID: I20070125000174 |
| Provider Name | Adrian K Thur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457417859 PECOS PAC ID: 9234131251 Enrollment ID: I20070205000336 |
| Provider Name | Stacey J Sperlingas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295790822 PECOS PAC ID: 1052313343 Enrollment ID: I20070215000736 |
| Provider Name | Daniel J Buss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922046770 PECOS PAC ID: 7810099173 Enrollment ID: I20070216000672 |
| Provider Name | Heidi L Korb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265581011 PECOS PAC ID: 6507968583 Enrollment ID: I20070221000546 |
| Provider Name | Margaret A Zander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619087293 PECOS PAC ID: 1759484934 Enrollment ID: I20070308000140 |
| Provider Name | Keith William Pulvermacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811037500 PECOS PAC ID: 0648373845 Enrollment ID: I20070308000251 |
| Provider Name | Benjamin E Lawler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629188800 PECOS PAC ID: 0345343356 Enrollment ID: I20070313000187 |
| Provider Name | Jaime A Boero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902822133 PECOS PAC ID: 6103806138 Enrollment ID: I20070315000361 |
| Provider Name | Lori L Shepherd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346358165 PECOS PAC ID: 0941303515 Enrollment ID: I20070320000332 |
| Provider Name | Amit Biswas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487730925 PECOS PAC ID: 0042314304 Enrollment ID: I20070327000510 |
| Provider Name | Andrzej P Stryczek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952411100 PECOS PAC ID: 9638273824 Enrollment ID: I20070328000085 |
| Provider Name | Heather R Vogel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619083151 PECOS PAC ID: 5890891337 Enrollment ID: I20070501000015 |
| Provider Name | Kelley P Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700996238 PECOS PAC ID: 3375649486 Enrollment ID: I20070507000521 |
| Provider Name | Virginia Trzebiatowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003938143 PECOS PAC ID: 2365549110 Enrollment ID: I20070514000217 |
| Provider Name | Michael P Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518909647 PECOS PAC ID: 2365440914 Enrollment ID: I20070516000163 |
| Provider Name | Kevin R Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003928912 PECOS PAC ID: 1759488786 Enrollment ID: I20070525000230 |
| Provider Name | Janet C Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760592919 PECOS PAC ID: 3173620044 Enrollment ID: I20070530000155 |
| Provider Name | Kimberly M Lunaas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063589869 PECOS PAC ID: 7810095593 Enrollment ID: I20070604000297 |
| Provider Name | Christopher W Felton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669423398 PECOS PAC ID: 0941308332 Enrollment ID: I20070608000073 |
| Provider Name | Mayro R Kubista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861601247 PECOS PAC ID: 6103924162 Enrollment ID: I20070614000483 |
| Provider Name | Nathan M Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992887848 PECOS PAC ID: 4082713060 Enrollment ID: I20070618000165 |
| Provider Name | Ruwan R Dissanayake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225177454 PECOS PAC ID: 7517066855 Enrollment ID: I20070627000140 |
| Provider Name | Philip J Mofle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184829947 PECOS PAC ID: 8921107269 Enrollment ID: I20070627000175 |
| Provider Name | Dalia Kradowsky Clausen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235188632 PECOS PAC ID: 3971603929 Enrollment ID: I20070705000489 |
| Provider Name | Gregory M Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285699363 PECOS PAC ID: 6608976394 Enrollment ID: I20070710000933 |
| Provider Name | Victor A Diaz-cotrina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235195744 PECOS PAC ID: 1052411741 Enrollment ID: I20070710000947 |
| Provider Name | Pamela K Graper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790981074 PECOS PAC ID: 2163522475 Enrollment ID: I20070714000211 |
| Provider Name | Gregory C Tyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871695452 PECOS PAC ID: 3971603176 Enrollment ID: I20070717000010 |
| Provider Name | Ateeq U Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265639884 PECOS PAC ID: 8628179132 Enrollment ID: I20070727000808 |
| Provider Name | Donald H Ruth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609847748 PECOS PAC ID: 8426159831 Enrollment ID: I20070728000025 |
| Provider Name | Erin E Verkerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477612794 PECOS PAC ID: 4789785114 Enrollment ID: I20070728000238 |
| Provider Name | Rebecca A Haefner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538109467 PECOS PAC ID: 1153422597 Enrollment ID: I20070730000034 |
| Provider Name | Jessica A Wernberg |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720069743 PECOS PAC ID: 2567407372 Enrollment ID: I20070801000770 |
| Provider Name | Barry J Seidel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659483808 PECOS PAC ID: 7810088457 Enrollment ID: I20070810000251 |
| Provider Name | Peter Stamas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982705752 PECOS PAC ID: 8022109578 Enrollment ID: I20070813000308 |
| Provider Name | Martina Ziegenbein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629114277 PECOS PAC ID: 5092806406 Enrollment ID: I20070814000170 |
| Provider Name | Christopher K Tornehl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548482177 PECOS PAC ID: 4981796364 Enrollment ID: I20070815000838 |
| Provider Name | Kathryn K Schaus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245340785 PECOS PAC ID: 8325130511 Enrollment ID: I20070817000079 |
| Provider Name | Audra A Winder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598970808 PECOS PAC ID: 8022100148 Enrollment ID: I20070822000144 |
| Provider Name | David J Heegeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265537997 PECOS PAC ID: 0345332326 Enrollment ID: I20070822000795 |
| Provider Name | Tejas N Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336239904 PECOS PAC ID: 6406948371 Enrollment ID: I20070823000109 |
| Provider Name | Jason A Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275631012 PECOS PAC ID: 3870686223 Enrollment ID: I20070830000707 |
| Provider Name | Randy A Musack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811043037 PECOS PAC ID: 8820181175 Enrollment ID: I20070904000144 |
| Provider Name | Suzanne Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245342500 PECOS PAC ID: 5294829594 Enrollment ID: I20070918000103 |
| Provider Name | Evan K Sandok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750491957 PECOS PAC ID: 6507950458 Enrollment ID: I20070921000820 |
| Provider Name | Kirsten L Aexel Handley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952523078 PECOS PAC ID: 6002900784 Enrollment ID: I20070926000356 |
| Provider Name | Sanjoy Saha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508809195 PECOS PAC ID: 0143293159 Enrollment ID: I20070926000540 |
| Provider Name | Julio Hochberg |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801806609 PECOS PAC ID: 3375649221 Enrollment ID: I20070926000626 |
| Provider Name | David W Jolin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558473728 PECOS PAC ID: 8426143330 Enrollment ID: I20071005000594 |
| Provider Name | Deborah C Grall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124042676 PECOS PAC ID: 3274629019 Enrollment ID: I20071010000120 |
| Provider Name | Anegundi Nagendra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174688683 PECOS PAC ID: 1658467816 Enrollment ID: I20071018000612 |
| Provider Name | Darren Patric Corteen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649297482 PECOS PAC ID: 9931140977 Enrollment ID: I20071020000149 |
| Provider Name | Richard A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295930394 PECOS PAC ID: 3375639289 Enrollment ID: I20071023000356 |
| Provider Name | Odette A Morgan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942300819 PECOS PAC ID: 0941397632 Enrollment ID: I20071026000663 |
| Provider Name | Sharlene P Kreitlow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699883900 PECOS PAC ID: 6608963228 Enrollment ID: I20071030000186 |
| Provider Name | Moshood A Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457559296 PECOS PAC ID: 7416044664 Enrollment ID: I20071105000141 |
| Provider Name | Nicole L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801082979 PECOS PAC ID: 7911094107 Enrollment ID: I20071105000466 |
| Provider Name | Linda R Seale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295836989 PECOS PAC ID: 5991892069 Enrollment ID: I20071106000666 |
| Provider Name | Eugene C Bommersbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013000496 PECOS PAC ID: 2668560582 Enrollment ID: I20071109000588 |
| Provider Name | Diane L Reetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942497185 PECOS PAC ID: 4688762511 Enrollment ID: I20071110000133 |
| Provider Name | Taura C Maraia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649319542 PECOS PAC ID: 6507954450 Enrollment ID: I20071112000052 |
| Provider Name | Andrea T Dangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154514925 PECOS PAC ID: 2668560525 Enrollment ID: I20071112000192 |
| Provider Name | Rachel M Gilbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639389034 PECOS PAC ID: 2961590492 Enrollment ID: I20071117000040 |
| Provider Name | Sarah Mutschlecner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831121680 PECOS PAC ID: 7911096375 Enrollment ID: I20071207000650 |
| Provider Name | James H Whitehurst |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093878787 PECOS PAC ID: 4082638184 Enrollment ID: I20071231000362 |
| Provider Name | Jaime L Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952593410 PECOS PAC ID: 8022198936 Enrollment ID: I20080104000353 |
| Provider Name | Katie Ann Musolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982801981 PECOS PAC ID: 5597845156 Enrollment ID: I20080108000847 |
| Provider Name | Sharat Ahluwalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629179221 PECOS PAC ID: 1254411846 Enrollment ID: I20080109000075 |
| Provider Name | Lynne T Oswald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649255381 PECOS PAC ID: 8224087176 Enrollment ID: I20080114000843 |
| Provider Name | Ann M Clabots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851487540 PECOS PAC ID: 7416038286 Enrollment ID: I20080117000641 |
| Provider Name | John L Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194835249 PECOS PAC ID: 0042391724 Enrollment ID: I20080118000663 |
| Provider Name | Jon W Potter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093785180 PECOS PAC ID: 9931167269 Enrollment ID: I20080124000034 |
| Provider Name | Maria Peters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871790238 PECOS PAC ID: 0749363919 Enrollment ID: I20080211000737 |
| Provider Name | Candace M Pernsteiner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043496474 PECOS PAC ID: 7810070026 Enrollment ID: I20080212000136 |
| Provider Name | Stephen L Blonsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497855126 PECOS PAC ID: 9830272970 Enrollment ID: I20080212000506 |
| Provider Name | Pablo H Abrego |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689774317 PECOS PAC ID: 5294819884 Enrollment ID: I20080220000581 |
| Provider Name | Subramanian Natarajan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457446767 PECOS PAC ID: 4082662911 Enrollment ID: I20080220000605 |
| Provider Name | Annette P Elwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558397125 PECOS PAC ID: 9335182401 Enrollment ID: I20080222000338 |
| Provider Name | Catherine A Pecak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932309523 PECOS PAC ID: 3173607454 Enrollment ID: I20080226000090 |
| Provider Name | Vijaya Lakshmi Nirujogi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427068212 PECOS PAC ID: 3678571320 Enrollment ID: I20080228000566 |
| Provider Name | Abolghasem D Javaherian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639116023 PECOS PAC ID: 4082798079 Enrollment ID: I20080229000176 |
| Provider Name | Gloria K Josephson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750587192 PECOS PAC ID: 4284718297 Enrollment ID: I20080229000345 |
| Provider Name | John M Twelmeyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184726119 PECOS PAC ID: 5799869616 Enrollment ID: I20080229000491 |
| Provider Name | Christopher A Justice |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124029111 PECOS PAC ID: 9739120841 Enrollment ID: I20080312000666 |
| Provider Name | Christine M Hein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235135401 PECOS PAC ID: 0840229431 Enrollment ID: I20080314000480 |
| Provider Name | William K Cray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316084163 PECOS PAC ID: 5395822563 Enrollment ID: I20080411000551 |
| Provider Name | Mary C Nofftz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104820638 PECOS PAC ID: 2365529559 Enrollment ID: I20080412000051 |
| Provider Name | George G Metropulos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649442641 PECOS PAC ID: 6002994514 Enrollment ID: I20080424000331 |
| Provider Name | Paul B Jakopin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548365281 PECOS PAC ID: 7113006271 Enrollment ID: I20080501000140 |
| Provider Name | Mary Kay Scheider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659311785 PECOS PAC ID: 3274525050 Enrollment ID: I20080501000370 |
| Provider Name | Mary A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851582357 PECOS PAC ID: 1759460009 Enrollment ID: I20080512000387 |
| Provider Name | Rodney W Sorensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255441432 PECOS PAC ID: 7012087844 Enrollment ID: I20080604000744 |
| Provider Name | Bradley J Boettcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295906675 PECOS PAC ID: 9830269588 Enrollment ID: I20080606000187 |
| Provider Name | Robert J Bohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982714168 PECOS PAC ID: 2961572599 Enrollment ID: I20080609000219 |
| Provider Name | William S Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326151580 PECOS PAC ID: 7911915467 Enrollment ID: I20080613000129 |
| Provider Name | Naomi E Arenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033102546 PECOS PAC ID: 4284662545 Enrollment ID: I20080619000612 |
| Provider Name | Romel J Garcia-montilla |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275715310 PECOS PAC ID: 5496826380 Enrollment ID: I20080620000081 |
| Provider Name | Josephine M Ng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750497541 PECOS PAC ID: 7911079439 Enrollment ID: I20080627000442 |
| Provider Name | Brennan R Harding |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225018724 PECOS PAC ID: 8224100466 Enrollment ID: I20080703000564 |
| Provider Name | Pneuma Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912167834 PECOS PAC ID: 4587736657 Enrollment ID: I20080707000365 |
| Provider Name | Wadad F Ailabouni |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811196355 PECOS PAC ID: 7911093414 Enrollment ID: I20080707000402 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20080707000662 |
| Provider Name | Asegid H Kebede |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598716201 PECOS PAC ID: 7810991833 Enrollment ID: I20080709000181 |
| Provider Name | Matthew J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700985645 PECOS PAC ID: 5395817175 Enrollment ID: I20080710000748 |
| Provider Name | Jayanth G Vedre |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124225982 PECOS PAC ID: 5496827156 Enrollment ID: I20080712000025 |
| Provider Name | Stephanie M Bixler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952395139 PECOS PAC ID: 2062449325 Enrollment ID: I20080716000709 |
| Provider Name | Rahaman Mujibur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053510735 PECOS PAC ID: 5193898237 Enrollment ID: I20080722000639 |
| Provider Name | Sabo Tanimu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417063793 PECOS PAC ID: 1254404304 Enrollment ID: I20080722000672 |
| Provider Name | Shana L Vifian Ray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033327184 PECOS PAC ID: 5294808358 Enrollment ID: I20080722000725 |
| Provider Name | Rajnish Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790985810 PECOS PAC ID: 4385717446 Enrollment ID: I20080722000727 |
| Provider Name | Mohammad Abdrabbo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104828201 PECOS PAC ID: 9032145644 Enrollment ID: I20080724000386 |
| Provider Name | Brian J Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841405495 PECOS PAC ID: 3476626250 Enrollment ID: I20080728000197 |
| Provider Name | Dana K Bessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215102686 PECOS PAC ID: 1557435377 Enrollment ID: I20080728000632 |
| Provider Name | Monte Keith Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972772044 PECOS PAC ID: 9537233853 Enrollment ID: I20080805000644 |
| Provider Name | Kent E Ray |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598754350 PECOS PAC ID: 4082696091 Enrollment ID: I20080806000490 |
| Provider Name | Daniel R Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316059769 PECOS PAC ID: 7214821396 Enrollment ID: I20080806000563 |
| Provider Name | Kathryn M Swartz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386609675 PECOS PAC ID: 5294826418 Enrollment ID: I20080808000628 |
| Provider Name | Steven John Gasper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043238405 PECOS PAC ID: 3870667785 Enrollment ID: I20080811000108 |
| Provider Name | Brett Bahler Carmichael |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871587584 PECOS PAC ID: 5092767483 Enrollment ID: I20080820000153 |
| Provider Name | Leon Mcnealy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447294673 PECOS PAC ID: 8628960812 Enrollment ID: I20080821000475 |
| Provider Name | Mohammad K Khedr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427051705 PECOS PAC ID: 5496731341 Enrollment ID: I20080826000562 |
| Provider Name | Paul C Samundsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841307113 PECOS PAC ID: 7517033483 Enrollment ID: I20080829000499 |
| Provider Name | Stephen F Carlson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033229612 PECOS PAC ID: 5395811855 Enrollment ID: I20080906000109 |
| Provider Name | Freddy J Conde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982866588 PECOS PAC ID: 5496821746 Enrollment ID: I20080910000298 |
| Provider Name | Pero G Komozec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306839006 PECOS PAC ID: 2062325756 Enrollment ID: I20080913000155 |
| Provider Name | Laure A Kline |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194793620 PECOS PAC ID: 3870669930 Enrollment ID: I20080915000195 |
| Provider Name | Maria A Keenan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235222613 PECOS PAC ID: 1850468687 Enrollment ID: I20080922000035 |
| Provider Name | Dan Gavrila |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992818678 PECOS PAC ID: 5193752269 Enrollment ID: I20080922000600 |
| Provider Name | April L Micke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851551402 PECOS PAC ID: 1456428911 Enrollment ID: I20080924000746 |
| Provider Name | Susanne J Schaars |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942381488 PECOS PAC ID: 5294802476 Enrollment ID: I20080930000648 |
| Provider Name | Alison R Sampson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003038381 PECOS PAC ID: 6608944608 Enrollment ID: I20081003000487 |
| Provider Name | Justin W Schoen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114977287 PECOS PAC ID: 5799853248 Enrollment ID: I20081010000105 |
| Provider Name | Amy E Nikolai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477716462 PECOS PAC ID: 7810055084 Enrollment ID: I20081017000254 |
| Provider Name | Paulette G Holley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598892531 PECOS PAC ID: 2668370503 Enrollment ID: I20081017000397 |
| Provider Name | Samarjit S Jaglan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003916586 PECOS PAC ID: 2668553272 Enrollment ID: I20081021000658 |
| Provider Name | Scott A Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396835625 PECOS PAC ID: 4688733074 Enrollment ID: I20081029000773 |
| Provider Name | Karla O Arrigoni |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740305374 PECOS PAC ID: 5597824102 Enrollment ID: I20081111000258 |
| Provider Name | Robyn L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447400635 PECOS PAC ID: 9335209774 Enrollment ID: I20081115000024 |
| Provider Name | Shahjahan Nisar Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285736850 PECOS PAC ID: 9234237439 Enrollment ID: I20081120000523 |
| Provider Name | Jolene S Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699926212 PECOS PAC ID: 3577624139 Enrollment ID: I20081202000277 |
| Provider Name | Bonnie M Samuelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962432658 PECOS PAC ID: 8426029786 Enrollment ID: I20081204000391 |
| Provider Name | Ruta M Pakalns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730332800 PECOS PAC ID: 3274695705 Enrollment ID: I20081217000620 |
| Provider Name | Maureen B Hartzheim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164528576 PECOS PAC ID: 0840352035 Enrollment ID: I20081223000040 |
| Provider Name | Ramandeep Sachdeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619150166 PECOS PAC ID: 5092881565 Enrollment ID: I20090107000464 |
| Provider Name | Gerald W Grim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881709301 PECOS PAC ID: 9931262144 Enrollment ID: I20090114000695 |
| Provider Name | Saleem A Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629061346 PECOS PAC ID: 1658357140 Enrollment ID: I20090116000167 |
| Provider Name | Patrick J Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770551392 PECOS PAC ID: 0244393213 Enrollment ID: I20090116000592 |
| Provider Name | William F Melms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750493904 PECOS PAC ID: 2264595255 Enrollment ID: I20090119000049 |
| Provider Name | Patricia A Dalbec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861664716 PECOS PAC ID: 8022172576 Enrollment ID: I20090127000672 |
| Provider Name | Joshua J Sampson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861616013 PECOS PAC ID: 1153485669 Enrollment ID: I20090128000463 |
| Provider Name | Roslyn D Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659367688 PECOS PAC ID: 2062590508 Enrollment ID: I20090204000670 |
| Provider Name | Duane J Myklejord |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578656955 PECOS PAC ID: 2062577935 Enrollment ID: I20090210000670 |
| Provider Name | Sara L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043456353 PECOS PAC ID: 1850456468 Enrollment ID: I20090216000137 |
| Provider Name | Neerajana Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962660480 PECOS PAC ID: 9436214749 Enrollment ID: I20090220000410 |
| Provider Name | Jeff J Tavassoli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588631162 PECOS PAC ID: 3971670373 Enrollment ID: I20090224000232 |
| Provider Name | Keith R Anclam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487662037 PECOS PAC ID: 9931199643 Enrollment ID: I20090224000289 |
| Provider Name | Angelene K Timmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265475966 PECOS PAC ID: 9032275151 Enrollment ID: I20090225000489 |
| Provider Name | John H Neal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932216298 PECOS PAC ID: 3577629336 Enrollment ID: I20090303000053 |
| Provider Name | Robert K Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437119781 PECOS PAC ID: 8022192178 Enrollment ID: I20090306000344 |
| Provider Name | Farrah A Becker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265618128 PECOS PAC ID: 7517041304 Enrollment ID: I20090309000447 |
| Provider Name | Vinaya Susan Vinodu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588861694 PECOS PAC ID: 8628135415 Enrollment ID: I20090323000331 |
| Provider Name | Kathleen E Puca |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942303250 PECOS PAC ID: 5395802854 Enrollment ID: I20090327000100 |
| Provider Name | Tasha L Ramis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609049105 PECOS PAC ID: 7214084532 Enrollment ID: I20090402000325 |
| Provider Name | Jason A Schave |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902813512 PECOS PAC ID: 4587650072 Enrollment ID: I20090403000468 |
| Provider Name | Lei Yao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477646859 PECOS PAC ID: 9234286261 Enrollment ID: I20090409000084 |
| Provider Name | Weiguang Ma |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1083714737 PECOS PAC ID: 5698822419 Enrollment ID: I20090414000555 |
| Provider Name | Humberto J Vidaillet |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417057167 PECOS PAC ID: 7911054457 Enrollment ID: I20090420000532 |
| Provider Name | David C Beringer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740280858 PECOS PAC ID: 1759351794 Enrollment ID: I20090421000464 |
| Provider Name | Adrienne M Cruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952413221 PECOS PAC ID: 1052468410 Enrollment ID: I20090422000315 |
| Provider Name | Winston N Hollister |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487631396 PECOS PAC ID: 2668364506 Enrollment ID: I20090514000341 |
| Provider Name | Theresa A Adamski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699875864 PECOS PAC ID: 0749339968 Enrollment ID: I20090519000223 |
| Provider Name | Christopher J Bizjak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710099981 PECOS PAC ID: 2668521568 Enrollment ID: I20090526000346 |
| Provider Name | Yolanta T Soroko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386756559 PECOS PAC ID: 0446309231 Enrollment ID: I20090528000034 |
| Provider Name | Abdelghaffar M Elobeid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922267582 PECOS PAC ID: 5991854580 Enrollment ID: I20090602000156 |
| Provider Name | Bret D Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609080258 PECOS PAC ID: 7315097938 Enrollment ID: I20090602000526 |
| Provider Name | Tiffany Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528202256 PECOS PAC ID: 0345390621 Enrollment ID: I20090608000353 |
| Provider Name | Myung Sun S Jung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477791895 PECOS PAC ID: 3779633946 Enrollment ID: I20090609000545 |
| Provider Name | Katie Mt Spangler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417038084 PECOS PAC ID: 4385794163 Enrollment ID: I20090617000204 |
| Provider Name | Gregory L Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922109784 PECOS PAC ID: 1052461845 Enrollment ID: I20090617000286 |
| Provider Name | Vicky A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811009061 PECOS PAC ID: 6608926324 Enrollment ID: I20090617000733 |
| Provider Name | Donald L Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841396256 PECOS PAC ID: 0547311045 Enrollment ID: I20090623000558 |
| Provider Name | Seung Lae Kim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871616391 PECOS PAC ID: 2163573627 Enrollment ID: I20090624000310 |
| Provider Name | Paul A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558467704 PECOS PAC ID: 6406884527 Enrollment ID: I20090626000400 |
| Provider Name | Allan Royal Mottram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437371150 PECOS PAC ID: 4880785260 Enrollment ID: I20090630000554 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | Zhibin Jiang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245480086 PECOS PAC ID: 6901958461 Enrollment ID: I20090714000328 |
| Provider Name | Rudolph D Bescherer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447281175 PECOS PAC ID: 5395846943 Enrollment ID: I20090714000467 |
| Provider Name | Philip M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952351876 PECOS PAC ID: 2567475890 Enrollment ID: I20090716000450 |
| Provider Name | Kajal V Sitwala |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063639201 PECOS PAC ID: 5496821225 Enrollment ID: I20090717000238 |
| Provider Name | Maura Quinn Padron |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225143779 PECOS PAC ID: 1951453273 Enrollment ID: I20090717000331 |
| Provider Name | Lloyd H Anseth |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1720169824 PECOS PAC ID: 7214089549 Enrollment ID: I20090717000433 |
| Provider Name | Morgan C Ebner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649414830 PECOS PAC ID: 6608928809 Enrollment ID: I20090720000279 |
| Provider Name | Thucanh T Multerer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053303362 PECOS PAC ID: 2466483284 Enrollment ID: I20090720000299 |
| Provider Name | Curt J Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295960862 PECOS PAC ID: 8224180369 Enrollment ID: I20090721000112 |
| Provider Name | Sushma Thappeta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720253370 PECOS PAC ID: 1355493255 Enrollment ID: I20090722000797 |
| Provider Name | Vickie M Cloutier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568467850 PECOS PAC ID: 5395710065 Enrollment ID: I20090723000632 |
| Provider Name | Sumedha R Pathak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548468416 PECOS PAC ID: 6406909241 Enrollment ID: I20090727000743 |
| Provider Name | Heather L Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255568895 PECOS PAC ID: 6204989866 Enrollment ID: I20090729000346 |
| Provider Name | Lisa A Bast |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336254804 PECOS PAC ID: 7618020041 Enrollment ID: I20090803000629 |
| Provider Name | Jackie Lynn Yaeger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144205618 PECOS PAC ID: 1951453265 Enrollment ID: I20090805000063 |
| Provider Name | Abby C Von Heimburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801895545 PECOS PAC ID: 2365347887 Enrollment ID: I20090805000385 |
| Provider Name | Josiah D Nelson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376595074 PECOS PAC ID: 0244383354 Enrollment ID: I20090806000151 |
| Provider Name | Beth A Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447489083 PECOS PAC ID: 8022161165 Enrollment ID: I20090806000491 |
| Provider Name | Jonathan Schiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700044799 PECOS PAC ID: 1254492713 Enrollment ID: I20090807000449 |
| Provider Name | Jodi J Puent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457316408 PECOS PAC ID: 0941353924 Enrollment ID: I20090810000199 |
| Provider Name | Paul D Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972613123 PECOS PAC ID: 0042364937 Enrollment ID: I20090811000698 |
| Provider Name | Bessant A Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023242641 PECOS PAC ID: 8224182134 Enrollment ID: I20090812000180 |
| Provider Name | Douglas L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245290543 PECOS PAC ID: 3375697147 Enrollment ID: I20090812000822 |
| Provider Name | Ryan A Gossett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710924329 PECOS PAC ID: 0042364879 Enrollment ID: I20090813000385 |
| Provider Name | Todd A Fairchild |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568672525 PECOS PAC ID: 4082772066 Enrollment ID: I20090813000470 |
| Provider Name | Om P Ahuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861563058 PECOS PAC ID: 9931253788 Enrollment ID: I20090813000619 |
| Provider Name | Randal F Wojciehoski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457489650 PECOS PAC ID: 9032263439 Enrollment ID: I20090819000853 |
| Provider Name | Kip Alan Kircher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013983022 PECOS PAC ID: 5698829968 Enrollment ID: I20090820000699 |
| Provider Name | Vivekananda A Gonugunta |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336319623 PECOS PAC ID: 8527113513 Enrollment ID: I20090826000769 |
| Provider Name | Jackie R Pfeifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528298197 PECOS PAC ID: 1456406388 Enrollment ID: I20090828000410 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20090914000503 |
| Provider Name | Sohrab Rahimi Naini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831352095 PECOS PAC ID: 4082760095 Enrollment ID: I20090916000430 |
| Provider Name | Nestor E Machare Delgado |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689868796 PECOS PAC ID: 9133275944 Enrollment ID: I20090921000223 |
| Provider Name | Jaye J Stricker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750474136 PECOS PAC ID: 4981750726 Enrollment ID: I20090921000523 |
| Provider Name | Kathleen M Finta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124128475 PECOS PAC ID: 9335285576 Enrollment ID: I20091001000549 |
| Provider Name | Cullen T Kehoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013166925 PECOS PAC ID: 5496808289 Enrollment ID: I20091005000667 |
| Provider Name | Michael T Claessens |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962514133 PECOS PAC ID: 6103962030 Enrollment ID: I20091007000503 |
| Provider Name | John T Orth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457580326 PECOS PAC ID: 4385780097 Enrollment ID: I20091012000103 |
| Provider Name | Barbara B Crapster- Pregont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912001025 PECOS PAC ID: 8426194937 Enrollment ID: I20091013000635 |
| Provider Name | Cynthia L Eckes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124251566 PECOS PAC ID: 8426195611 Enrollment ID: I20091020000633 |
| Provider Name | Tomasz R Okon |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1497867667 PECOS PAC ID: 8224046479 Enrollment ID: I20091022000241 |
| Provider Name | Burt J Steffes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548449614 PECOS PAC ID: 4880730290 Enrollment ID: I20091028000680 |
| Provider Name | Deepa Jose Varghese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265627822 PECOS PAC ID: 0345388765 Enrollment ID: I20091105000082 |
| Provider Name | Daniel R Hanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043392525 PECOS PAC ID: 1153401641 Enrollment ID: I20091111000703 |
| Provider Name | Cynthia M Koehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568798593 PECOS PAC ID: 7618015553 Enrollment ID: I20091112000478 |
| Provider Name | John G Nemcek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114024304 PECOS PAC ID: 0749328359 Enrollment ID: I20091118000525 |
| Provider Name | Neelakantan Namboodiri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437259173 PECOS PAC ID: 7012055676 Enrollment ID: I20091119000185 |
| Provider Name | Mary A Ocwieja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598875742 PECOS PAC ID: 8426197708 Enrollment ID: I20091125000569 |
| Provider Name | Carolyn H Ostrander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346450061 PECOS PAC ID: 8820137086 Enrollment ID: I20091201000180 |
| Provider Name | Mhd Safwan Murad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467690719 PECOS PAC ID: 3678612447 Enrollment ID: I20091208000398 |
| Provider Name | Rebecca M Bartow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720194285 PECOS PAC ID: 1557401213 Enrollment ID: I20091211000018 |
| Provider Name | Kelly S Aue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962739144 PECOS PAC ID: 0749320232 Enrollment ID: I20091214000585 |
| Provider Name | Joshua M Brettingen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568439420 PECOS PAC ID: 0840330007 Enrollment ID: I20091218000310 |
| Provider Name | Jenalin D Uy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619200045 PECOS PAC ID: 3476694647 Enrollment ID: I20100109000417 |
| Provider Name | Harinder S Gill |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437123049 PECOS PAC ID: 2466357850 Enrollment ID: I20100115000512 |
| Provider Name | Efrain M Cancel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972619419 PECOS PAC ID: 7315089190 Enrollment ID: I20100115000653 |
| Provider Name | Bradley W Jourdan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477728467 PECOS PAC ID: 7113069923 Enrollment ID: I20100116000090 |
| Provider Name | David L Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740223718 PECOS PAC ID: 5991709875 Enrollment ID: I20100116000192 |
| Provider Name | Christine A Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225261985 PECOS PAC ID: 0143362517 Enrollment ID: I20100122000535 |
| Provider Name | Donn David Dexter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093788515 PECOS PAC ID: 9133261233 Enrollment ID: I20100128000184 |
| Provider Name | Dennis R Anderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902912439 PECOS PAC ID: 5092858803 Enrollment ID: I20100202000532 |
| Provider Name | Omar Atassi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154380046 PECOS PAC ID: 7517862642 Enrollment ID: I20100219000055 |
| Provider Name | Hugh P Bogumill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376655548 PECOS PAC ID: 1052455664 Enrollment ID: I20100220000175 |
| Provider Name | J F Herbert R Macalalad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043304926 PECOS PAC ID: 6406991124 Enrollment ID: I20100305000642 |
| Provider Name | John J Hayes |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972613420 PECOS PAC ID: 7012052541 Enrollment ID: I20100308000726 |
| Provider Name | Steven R Gilbert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598865222 PECOS PAC ID: 7416092952 Enrollment ID: I20100308000807 |
| Provider Name | Jennifer L Michels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659473353 PECOS PAC ID: 6709921216 Enrollment ID: I20100309000400 |
| Provider Name | Kenneth D Stone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215035068 PECOS PAC ID: 5698810109 Enrollment ID: I20100309000419 |
| Provider Name | James E Pepperl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063507341 PECOS PAC ID: 8527103936 Enrollment ID: I20100309000510 |
| Provider Name | Steven S Santos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700975232 PECOS PAC ID: 0244378420 Enrollment ID: I20100310000849 |
| Provider Name | Michele C Byron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033224514 PECOS PAC ID: 1254466568 Enrollment ID: I20100311000745 |
| Provider Name | Mahmoud Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659473312 PECOS PAC ID: 9032244397 Enrollment ID: I20100312000165 |
| Provider Name | Shereif H Rezkalla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396853669 PECOS PAC ID: 0244365518 Enrollment ID: I20100312000198 |
| Provider Name | Laurel A Rudolph |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1285735993 PECOS PAC ID: 5496880775 Enrollment ID: I20100312000313 |
| Provider Name | Matthew M Drewry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578645727 PECOS PAC ID: 1153456348 Enrollment ID: I20100312000490 |
| Provider Name | Thomas D Sandager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306947908 PECOS PAC ID: 5496880684 Enrollment ID: I20100312000513 |
| Provider Name | Steven W Gessert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548369960 PECOS PAC ID: 3971638172 Enrollment ID: I20100312000581 |
| Provider Name | Christine A Albertus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962513507 PECOS PAC ID: 4183759152 Enrollment ID: I20100316000315 |
| Provider Name | Zahir A Rashid |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407956865 PECOS PAC ID: 6709942030 Enrollment ID: I20100319000274 |
| Provider Name | Terrence J Frick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851345367 PECOS PAC ID: 7719012418 Enrollment ID: I20100319000700 |
| Provider Name | Lee A Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104913854 PECOS PAC ID: 0749315372 Enrollment ID: I20100320000244 |
| Provider Name | Linda K Kollross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689776585 PECOS PAC ID: 3173658648 Enrollment ID: I20100323000415 |
| Provider Name | Roger H Jagow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467560268 PECOS PAC ID: 1052446523 Enrollment ID: I20100323000452 |
| Provider Name | Humayun A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982705505 PECOS PAC ID: 3476610593 Enrollment ID: I20100323000488 |
| Provider Name | Thomas G Gerber |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013022508 PECOS PAC ID: 6002942323 Enrollment ID: I20100325000877 |
| Provider Name | Roland R More |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437250065 PECOS PAC ID: 2860528056 Enrollment ID: I20100326000568 |
| Provider Name | Chirasakdi Ratanawong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760583462 PECOS PAC ID: 8820124050 Enrollment ID: I20100326000950 |
| Provider Name | Melissa S Eskridge Schaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255653770 PECOS PAC ID: 8426184664 Enrollment ID: I20100327000099 |
| Provider Name | Efstathios Beltaos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861594541 PECOS PAC ID: 5294861449 Enrollment ID: I20100327000170 |
| Provider Name | Camille F Torbey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871601773 PECOS PAC ID: 3375679525 Enrollment ID: I20100327000175 |
| Provider Name | Michael S Field |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104928886 PECOS PAC ID: 3779619838 Enrollment ID: I20100327000362 |
| Provider Name | Douglas P Duffy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366542227 PECOS PAC ID: 5294861365 Enrollment ID: I20100327000536 |
| Provider Name | Susan M Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306946686 PECOS PAC ID: 6002942182 Enrollment ID: I20100327000562 |
| Provider Name | Janis M Ray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629177142 PECOS PAC ID: 0840326773 Enrollment ID: I20100331000015 |
| Provider Name | William A Bowler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508966235 PECOS PAC ID: 0345376075 Enrollment ID: I20100331001136 |
| Provider Name | Elizabeth A Hilbelink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952413205 PECOS PAC ID: 5496881955 Enrollment ID: I20100413000116 |
| Provider Name | Carolyn R Nash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467560649 PECOS PAC ID: 3678600194 Enrollment ID: I20100414000866 |
| Provider Name | Philip E Jacoby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629163902 PECOS PAC ID: 7214064633 Enrollment ID: I20100416000178 |
| Provider Name | Tae J Gardner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952565194 PECOS PAC ID: 1355478447 Enrollment ID: I20100421000684 |
| Provider Name | Thomas P Doering |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689772410 PECOS PAC ID: 6406983519 Enrollment ID: I20100421000828 |
| Provider Name | Scott S Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770683427 PECOS PAC ID: 8628105731 Enrollment ID: I20100421000881 |
| Provider Name | Juan E Mesa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508974874 PECOS PAC ID: 9133256126 Enrollment ID: I20100422001079 |
| Provider Name | Joseph C Yeung |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750485835 PECOS PAC ID: 3577691096 Enrollment ID: I20100504000488 |
| Provider Name | Elizabeth A Friske |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003940727 PECOS PAC ID: 2769510122 Enrollment ID: I20100506000208 |
| Provider Name | Linda L Rashel Daubner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164748083 PECOS PAC ID: 0941338271 Enrollment ID: I20100507000078 |
| Provider Name | Sharon M Barkley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780784405 PECOS PAC ID: 4880722636 Enrollment ID: I20100514000576 |
| Provider Name | Gene R Shaw |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073615753 PECOS PAC ID: 2264561679 Enrollment ID: I20100524000510 |
| Provider Name | Steven D Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619957891 PECOS PAC ID: 2365571684 Enrollment ID: I20100525000980 |
| Provider Name | Arlene Gayle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831206101 PECOS PAC ID: 5991890121 Enrollment ID: I20100527000245 |
| Provider Name | Rama Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669580684 PECOS PAC ID: 9335278357 Enrollment ID: I20100528000449 |
| Provider Name | Bradley P Bekkum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316054687 PECOS PAC ID: 8224117015 Enrollment ID: I20100601000785 |
| Provider Name | Amy L Herbst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578675831 PECOS PAC ID: 6800925728 Enrollment ID: I20100602000160 |
| Provider Name | Timothy R Boyle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063523207 PECOS PAC ID: 4385701408 Enrollment ID: I20100602000484 |
| Provider Name | David M Bihrle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538274006 PECOS PAC ID: 4880723733 Enrollment ID: I20100602000518 |
| Provider Name | Frank P North |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730272113 PECOS PAC ID: 9234268137 Enrollment ID: I20100602001063 |
| Provider Name | Ali W. Bseiso |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962575902 PECOS PAC ID: 2668502485 Enrollment ID: I20100604000722 |
| Provider Name | Rebecca J Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215038203 PECOS PAC ID: 3577693399 Enrollment ID: I20100604000724 |
| Provider Name | Kou K Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417067661 PECOS PAC ID: 0941330773 Enrollment ID: I20100604000849 |
| Provider Name | Timothy J Pitchford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679531271 PECOS PAC ID: 2466582200 Enrollment ID: I20100604000904 |
| Provider Name | Praveen R Deshmukh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740257468 PECOS PAC ID: 7517097363 Enrollment ID: I20100604001095 |
| Provider Name | Swati S Biswas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033209911 PECOS PAC ID: 0143350991 Enrollment ID: I20100604001110 |
| Provider Name | Christine K Bakke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205941788 PECOS PAC ID: 7416087275 Enrollment ID: I20100604001119 |
| Provider Name | Barbara J Boyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679685820 PECOS PAC ID: 5698805463 Enrollment ID: I20100605000101 |
| Provider Name | Gregory A Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134234610 PECOS PAC ID: 6002946795 Enrollment ID: I20100607000296 |
| Provider Name | Sandra J Frohling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164532313 PECOS PAC ID: 0042340408 Enrollment ID: I20100610000757 |
| Provider Name | Jill M Dillon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346357613 PECOS PAC ID: 0648300012 Enrollment ID: I20100610000831 |
| Provider Name | Stella F Patten |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891800322 PECOS PAC ID: 3274663646 Enrollment ID: I20100610000844 |
| Provider Name | William A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128170 PECOS PAC ID: 3274663604 Enrollment ID: I20100611000339 |
| Provider Name | Leon P Veldhuizen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124130372 PECOS PAC ID: 2163552506 Enrollment ID: I20100611000364 |
| Provider Name | Mark A Richetto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689769960 PECOS PAC ID: 1658401922 Enrollment ID: I20100611000874 |
| Provider Name | Brandon L Parkhurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104927706 PECOS PAC ID: 4385774652 Enrollment ID: I20100611000879 |
| Provider Name | Monica A Koehn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992811012 PECOS PAC ID: 9739219007 Enrollment ID: I20100611000884 |
| Provider Name | Grace C Devadas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023128279 PECOS PAC ID: 6204966575 Enrollment ID: I20100612000094 |
| Provider Name | Ramon A Espada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376653824 PECOS PAC ID: 9830229111 Enrollment ID: I20100612000115 |
| Provider Name | James A Holzberger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417062936 PECOS PAC ID: 5092845370 Enrollment ID: I20100612000146 |
| Provider Name | Thomas H Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457451734 PECOS PAC ID: 6709916083 Enrollment ID: I20100612000166 |
| Provider Name | Owen B Keenan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649378407 PECOS PAC ID: 5890825186 Enrollment ID: I20100614000086 |
| Provider Name | Richard B Patchett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477668994 PECOS PAC ID: 3971633264 Enrollment ID: I20100614000095 |
| Provider Name | Christine M Murphy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205918471 PECOS PAC ID: 3870623168 Enrollment ID: I20100614000107 |
| Provider Name | Linda M Daly Oneill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366550386 PECOS PAC ID: 4789714072 Enrollment ID: I20100614000108 |
| Provider Name | Lawrence H Clouse |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265541387 PECOS PAC ID: 7214067511 Enrollment ID: I20100614000134 |
| Provider Name | Dominic S Chu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821106857 PECOS PAC ID: 5395875694 Enrollment ID: I20100614000150 |
| Provider Name | Ewa Kubica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942318951 PECOS PAC ID: 9133259450 Enrollment ID: I20100614000358 |
| Provider Name | Andy J Ruder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700971082 PECOS PAC ID: 6002946332 Enrollment ID: I20100614000550 |
| Provider Name | David A Cleveland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689779316 PECOS PAC ID: 1658401880 Enrollment ID: I20100614000665 |
| Provider Name | Lori J Remeika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528176559 PECOS PAC ID: 7618007857 Enrollment ID: I20100614000723 |
| Provider Name | Andrea T Peterson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801904776 PECOS PAC ID: 7810027067 Enrollment ID: I20100614000825 |
| Provider Name | Jeffrey S Oswald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497867642 PECOS PAC ID: 9638153729 Enrollment ID: I20100614000843 |
| Provider Name | Charles T Ablett |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417044397 PECOS PAC ID: 2062542210 Enrollment ID: I20100614000864 |
| Provider Name | Gregory J Poole |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679674378 PECOS PAC ID: 7012047277 Enrollment ID: I20100615000003 |
| Provider Name | Suzanne E Bilse |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619075728 PECOS PAC ID: 1658401815 Enrollment ID: I20100615000006 |
| Provider Name | Alpa C Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447350665 PECOS PAC ID: 9234269499 Enrollment ID: I20100615000078 |
| Provider Name | Farhat N Kokan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932200557 PECOS PAC ID: 2769512920 Enrollment ID: I20100615000106 |
| Provider Name | William E Yanke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992805659 PECOS PAC ID: 3577693753 Enrollment ID: I20100615000219 |
| Provider Name | Mark J Schuler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194832451 PECOS PAC ID: 6002946282 Enrollment ID: I20100615000240 |
| Provider Name | Deborah A Zdor-north |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588779094 PECOS PAC ID: 5597895771 Enrollment ID: I20100615000306 |
| Provider Name | Nancy H Shebuski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215034046 PECOS PAC ID: 4284764473 Enrollment ID: I20100615000361 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Charles A Lonsdorf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235231978 PECOS PAC ID: 5294865408 Enrollment ID: I20100615000619 |
| Provider Name | Christopher Jn Rall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801904784 PECOS PAC ID: 4981734001 Enrollment ID: I20100615000803 |
| Provider Name | Rana M Nasser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194825406 PECOS PAC ID: 6507996659 Enrollment ID: I20100616000303 |
| Provider Name | Matthew J Jansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255441408 PECOS PAC ID: 2961532023 Enrollment ID: I20100616000426 |
| Provider Name | Lisa J Walder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538267372 PECOS PAC ID: 1355471376 Enrollment ID: I20100617000171 |
| Provider Name | Cynthia A Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902918154 PECOS PAC ID: 4688704661 Enrollment ID: I20100618000013 |
| Provider Name | Michael J Monson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649382896 PECOS PAC ID: 3971642182 Enrollment ID: I20100618000718 |
| Provider Name | Joseph T Chojnacki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033211719 PECOS PAC ID: 8426188350 Enrollment ID: I20100618000725 |
| Provider Name | Gary L Gasser |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760579767 PECOS PAC ID: 2062542996 Enrollment ID: I20100618000729 |
| Provider Name | Jeanette M Le Noir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407964729 PECOS PAC ID: 9234269168 Enrollment ID: I20100618000736 |
| Provider Name | Ivan B Schaller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306967849 PECOS PAC ID: 5890820500 Enrollment ID: I20100618000754 |
| Provider Name | Paula M Hensel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093825242 PECOS PAC ID: 3173556263 Enrollment ID: I20100618000757 |
| Provider Name | Jolanta B Mroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942301726 PECOS PAC ID: 9032249966 Enrollment ID: I20100618000762 |
| Provider Name | Jeffrey R Pitzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669576740 PECOS PAC ID: 4486784311 Enrollment ID: I20100618000779 |
| Provider Name | Celeste M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720180409 PECOS PAC ID: 8022148964 Enrollment ID: I20100618000785 |
| Provider Name | Young B Min |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790886570 PECOS PAC ID: 9931239878 Enrollment ID: I20100618000786 |
| Provider Name | Grace V Laynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689786857 PECOS PAC ID: 2567592405 Enrollment ID: I20100618000803 |
| Provider Name | Ronald K Waits |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528167079 PECOS PAC ID: 4385774223 Enrollment ID: I20100618000805 |
| Provider Name | Michael E M Larson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063514057 PECOS PAC ID: 9638209570 Enrollment ID: I20100618000825 |
| Provider Name | Jiangming Luo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902914195 PECOS PAC ID: 3274663117 Enrollment ID: I20100618000830 |
| Provider Name | Lisa M Kuester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013002385 PECOS PAC ID: 2264562107 Enrollment ID: I20100618000844 |
| Provider Name | Urszula J Moldysz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538279682 PECOS PAC ID: 6709916646 Enrollment ID: I20100618000860 |
| Provider Name | Lawrence C Scherrer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790867968 PECOS PAC ID: 3173654084 Enrollment ID: I20100621000716 |
| Provider Name | Lonna L Grosskopf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003856618 PECOS PAC ID: 4284765116 Enrollment ID: I20100621000934 |
| Provider Name | Milind S Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225148760 PECOS PAC ID: 0143351007 Enrollment ID: I20100622000309 |
| Provider Name | David J Henningsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124138375 PECOS PAC ID: 8729119680 Enrollment ID: I20100622000394 |
| Provider Name | Morgan E Warffuel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417042789 PECOS PAC ID: 8820179104 Enrollment ID: I20100622000410 |
| Provider Name | Claire E Sanchez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659486124 PECOS PAC ID: 7517098486 Enrollment ID: I20100622000425 |
| Provider Name | John A Cragg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154436624 PECOS PAC ID: 1052442928 Enrollment ID: I20100622000437 |
| Provider Name | Rebecca A Bredl |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063595403 PECOS PAC ID: 4789715590 Enrollment ID: I20100623000172 |
| Provider Name | Maria A Mascola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043310709 PECOS PAC ID: 1456482272 Enrollment ID: I20100623000240 |
| Provider Name | Alfonso L Velasco |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144321993 PECOS PAC ID: 8325179088 Enrollment ID: I20100624000894 |
| Provider Name | Mark D Earll |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114024940 PECOS PAC ID: 2769513373 Enrollment ID: I20100625000615 |
| Provider Name | Marlon J Navarro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295822948 PECOS PAC ID: 3173654787 Enrollment ID: I20100625000674 |
| Provider Name | Joseph D Welter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881704948 PECOS PAC ID: 7315078938 Enrollment ID: I20100625000737 |
| Provider Name | Erik J Stratman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780799213 PECOS PAC ID: 9032240650 Enrollment ID: I20100625000755 |
| Provider Name | Marion M Summers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063508224 PECOS PAC ID: 3971634593 Enrollment ID: I20100625000842 |
| Provider Name | Qasim Raza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235247511 PECOS PAC ID: 3072648781 Enrollment ID: I20100628000098 |
| Provider Name | Raj V Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790895944 PECOS PAC ID: 7113058686 Enrollment ID: I20100628000130 |
| Provider Name | Eram Rahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568570539 PECOS PAC ID: 5092846576 Enrollment ID: I20100628000194 |
| Provider Name | John I Waters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124120803 PECOS PAC ID: 9436280914 Enrollment ID: I20100628000213 |
| Provider Name | Thomas F Hitchcock |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1063513760 PECOS PAC ID: 9335270701 Enrollment ID: I20100629000223 |
| Provider Name | Jacey T Graser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699874016 PECOS PAC ID: 4688706575 Enrollment ID: I20100712000523 |
| Provider Name | Paul F Kramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912005760 PECOS PAC ID: 4486786290 Enrollment ID: I20100714000522 |
| Provider Name | Michelle H Pedersen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912990425 PECOS PAC ID: 9931231602 Enrollment ID: I20100715000307 |
| Provider Name | Brad W Christopherson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639332992 PECOS PAC ID: 3072675388 Enrollment ID: I20100717000159 |
| Provider Name | Daniel M Wolner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750481123 PECOS PAC ID: 5496887010 Enrollment ID: I20100717000250 |
| Provider Name | Param P Sharma |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376653816 PECOS PAC ID: 2567594187 Enrollment ID: I20100717000265 |
| Provider Name | Bart J Isaacson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689786824 PECOS PAC ID: 5193618163 Enrollment ID: I20100721000659 |
| Provider Name | Cheryl C Deets |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780794842 PECOS PAC ID: 5496887754 Enrollment ID: I20100722000101 |
| Provider Name | Gary P Vanoudenhoven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356451504 PECOS PAC ID: 6709918956 Enrollment ID: I20100723000164 |
| Provider Name | Charles T Durkee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588618805 PECOS PAC ID: 3779616495 Enrollment ID: I20100802000832 |
| Provider Name | Nathan M Zelinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730112459 PECOS PAC ID: 7911030259 Enrollment ID: I20100806000164 |
| Provider Name | Seema Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871694406 PECOS PAC ID: 5193858397 Enrollment ID: I20100809000112 |
| Provider Name | Susan J Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538498019 PECOS PAC ID: 0446384465 Enrollment ID: I20100812000862 |
| Provider Name | Elvis A Peter |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689779266 PECOS PAC ID: 0840357968 Enrollment ID: I20100812001086 |
| Provider Name | Edna O Devries |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821100181 PECOS PAC ID: 1557495504 Enrollment ID: I20100813000039 |
| Provider Name | Thomas B Prebble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225123508 PECOS PAC ID: 9335273150 Enrollment ID: I20100816001017 |
| Provider Name | Seth O Fagbemi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205922374 PECOS PAC ID: 8820122583 Enrollment ID: I20100817000366 |
| Provider Name | Kenneth V Ostermann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851386213 PECOS PAC ID: 9830153618 Enrollment ID: I20100819000548 |
| Provider Name | David M Junker |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1245203025 PECOS PAC ID: 7810061850 Enrollment ID: I20100819000958 |
| Provider Name | Roderick D Koehler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962502617 PECOS PAC ID: 4789718172 Enrollment ID: I20100820000628 |
| Provider Name | Jonathan E Cutlan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013030758 PECOS PAC ID: 3577687250 Enrollment ID: I20100901000879 |
| Provider Name | Jennifer L Esker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558473819 PECOS PAC ID: 6800910316 Enrollment ID: I20100903000505 |
| Provider Name | Ember L Ewings |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205038957 PECOS PAC ID: 8921123241 Enrollment ID: I20100909001149 |
| Provider Name | Adetunji A Adejumo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942532528 PECOS PAC ID: 9638294986 Enrollment ID: I20100910000295 |
| Provider Name | Robert M Mcgucken |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205857844 PECOS PAC ID: 9234031741 Enrollment ID: I20100910000849 |
| Provider Name | Jacob W Lonsdale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053505958 PECOS PAC ID: 9739204520 Enrollment ID: I20100916001064 |
| Provider Name | Scott J Paulman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396851820 PECOS PAC ID: 2163547696 Enrollment ID: I20100921000333 |
| Provider Name | Gwen E Stone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689786949 PECOS PAC ID: 0244355774 Enrollment ID: I20100921000340 |
| Provider Name | Diane M Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164749636 PECOS PAC ID: 6103942263 Enrollment ID: I20100927000042 |
| Provider Name | Clayton B Green |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194942151 PECOS PAC ID: 3476679333 Enrollment ID: I20100928001241 |
| Provider Name | Janice M Mcclelland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124130570 PECOS PAC ID: 5890987291 Enrollment ID: I20101004000907 |
| Provider Name | Brian E Radtke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841226800 PECOS PAC ID: 4486667193 Enrollment ID: I20101007000889 |
| Provider Name | Nicholas J Brahm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245414861 PECOS PAC ID: 5698967735 Enrollment ID: I20101007001317 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Mark J Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326156654 PECOS PAC ID: 6406048016 Enrollment ID: I20101013001226 |
| Provider Name | Jaren G Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164645164 PECOS PAC ID: 2567654106 Enrollment ID: I20101014000263 |
| Provider Name | Paula A Aston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144286675 PECOS PAC ID: 0547315632 Enrollment ID: I20101015001204 |
| Provider Name | Cory Alan Springstroh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639481534 PECOS PAC ID: 8224221403 Enrollment ID: I20101020000618 |
| Provider Name | Roger Vawter Branham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437243151 PECOS PAC ID: 8426199282 Enrollment ID: I20101021000741 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | Josephine M Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881797462 PECOS PAC ID: 5193751519 Enrollment ID: I20101022001231 |
| Provider Name | Maria G Cruz-apolinario |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215926795 PECOS PAC ID: 3173716057 Enrollment ID: I20101023000278 |
| Provider Name | Ruth Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659518199 PECOS PAC ID: 9234322900 Enrollment ID: I20101026000991 |
| Provider Name | Duwayne L Shelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760798151 PECOS PAC ID: 2062605744 Enrollment ID: I20101026001134 |
| Provider Name | Heather M Konieczny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639347123 PECOS PAC ID: 6800080375 Enrollment ID: I20101028000571 |
| Provider Name | Erik G Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306166186 PECOS PAC ID: 2769676923 Enrollment ID: I20101101001449 |
| Provider Name | Karen A Winch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578872230 PECOS PAC ID: 3476747668 Enrollment ID: I20101102000131 |
| Provider Name | Dermot A Oneill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750460424 PECOS PAC ID: 0446445167 Enrollment ID: I20101108001076 |
| Provider Name | Rajender R Polireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497998173 PECOS PAC ID: 5597951871 Enrollment ID: I20101129000769 |
| Provider Name | Mirela E Sandru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730356213 PECOS PAC ID: 9032256243 Enrollment ID: I20101130000165 |
| Provider Name | Peter C Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881819183 PECOS PAC ID: 2860545894 Enrollment ID: I20101201001213 |
| Provider Name | Kelly Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023328226 PECOS PAC ID: 4789871666 Enrollment ID: I20101203000771 |
| Provider Name | Joy A Hessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134439888 PECOS PAC ID: 3072700996 Enrollment ID: I20101203001239 |
| Provider Name | Kevin Gelshenen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225204662 PECOS PAC ID: 7315090701 Enrollment ID: I20101207001187 |
| Provider Name | Teresa A Sizer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275558033 PECOS PAC ID: 6406043132 Enrollment ID: I20101207001296 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20101208000240 |
| Provider Name | Albert Cecchini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588639256 PECOS PAC ID: 4385685874 Enrollment ID: I20101217000498 |
| Provider Name | Caryl Ann Dellinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588833925 PECOS PAC ID: 5395802078 Enrollment ID: I20101217000564 |
| Provider Name | Jackilyn M Andrew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588980403 PECOS PAC ID: 3072701028 Enrollment ID: I20101217000603 |
| Provider Name | Tatsiana Halkova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821113242 PECOS PAC ID: 6901094754 Enrollment ID: I20101221000992 |
| Provider Name | Amanda J Hodel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043522964 PECOS PAC ID: 5193913598 Enrollment ID: I20101229001000 |
| Provider Name | Tina M Schulist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689994196 PECOS PAC ID: 1355539578 Enrollment ID: I20110103000417 |
| Provider Name | Thomas K Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013003060 PECOS PAC ID: 8729009436 Enrollment ID: I20110104000426 |
| Provider Name | Seth C Hamre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407169956 PECOS PAC ID: 6709075872 Enrollment ID: I20110105001196 |
| Provider Name | Kathleen A Kaczmarowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457660169 PECOS PAC ID: 6901085075 Enrollment ID: I20110120001097 |
| Provider Name | Mark J Knauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760792774 PECOS PAC ID: 0648459792 Enrollment ID: I20110121000709 |
| Provider Name | Thomas J Bartow |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598865909 PECOS PAC ID: 5395924245 Enrollment ID: I20110124001074 |
| Provider Name | Corrie L Boon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962681767 PECOS PAC ID: 0547449498 Enrollment ID: I20110124001107 |
| Provider Name | Thomas J Schuerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841283694 PECOS PAC ID: 0244419034 Enrollment ID: I20110126000208 |
| Provider Name | Muhammad T Nawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265687685 PECOS PAC ID: 2466631270 Enrollment ID: I20110126000420 |
| Provider Name | Hajira Yasmin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336312404 PECOS PAC ID: 5496934192 Enrollment ID: I20110127000313 |
| Provider Name | Edward J Coleman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801889845 PECOS PAC ID: 9638147259 Enrollment ID: I20110205000042 |
| Provider Name | Yakub A Ellias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285749770 PECOS PAC ID: 5193779213 Enrollment ID: I20110209000504 |
| Provider Name | Cindy L Woldt-schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194032995 PECOS PAC ID: 1850571613 Enrollment ID: I20110210000893 |
| Provider Name | Brandi L Sparks-luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487954657 PECOS PAC ID: 7517147259 Enrollment ID: I20110211000665 |
| Provider Name | Tammy L Hietpas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396055307 PECOS PAC ID: 4082894738 Enrollment ID: I20110211000779 |
| Provider Name | Alice D Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194837468 PECOS PAC ID: 1951431394 Enrollment ID: I20110215000622 |
| Provider Name | Kimberly D Hilbelink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033428651 PECOS PAC ID: 2365623733 Enrollment ID: I20110218000568 |
| Provider Name | Adam D Atkins |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396057899 PECOS PAC ID: 6709067085 Enrollment ID: I20110218000711 |
| Provider Name | Kara A Fedie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700843984 PECOS PAC ID: 9739142431 Enrollment ID: I20110222000668 |
| Provider Name | Stacy L Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598078867 PECOS PAC ID: 2264613314 Enrollment ID: I20110222000778 |
| Provider Name | Russell W Creel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134265739 PECOS PAC ID: 5890833230 Enrollment ID: I20110223000810 |
| Provider Name | Michelle R Corbin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831337708 PECOS PAC ID: 9032390018 Enrollment ID: I20110223001192 |
| Provider Name | Steven F Krah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164581138 PECOS PAC ID: 7517934847 Enrollment ID: I20110224000525 |
| Provider Name | Daniel J Resop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417938358 PECOS PAC ID: 0244292019 Enrollment ID: I20110225000872 |
| Provider Name | James S Iwakiri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972689057 PECOS PAC ID: 8729170196 Enrollment ID: I20110302000753 |
| Provider Name | Michael S Hirsh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346326428 PECOS PAC ID: 7810089281 Enrollment ID: I20110302000910 |
| Provider Name | Mark A Huftel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982712204 PECOS PAC ID: 5890832190 Enrollment ID: I20110311000719 |
| Provider Name | Matthew Deluhery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477725547 PECOS PAC ID: 6901088681 Enrollment ID: I20110317000156 |
| Provider Name | Jennifer A Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043275696 PECOS PAC ID: 8325004666 Enrollment ID: I20110318000248 |
| Provider Name | Allyson B Mayeux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871899716 PECOS PAC ID: 5092998369 Enrollment ID: I20110323000799 |
| Provider Name | Staci J Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558662254 PECOS PAC ID: 9234312257 Enrollment ID: I20110328000823 |
| Provider Name | Pamela M Banerjee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457546681 PECOS PAC ID: 7012090202 Enrollment ID: I20110329000545 |
| Provider Name | Crystal Lynn Farrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295967412 PECOS PAC ID: 2163563354 Enrollment ID: I20110401000811 |
| Provider Name | Chrisanne M Urban |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205943560 PECOS PAC ID: 6002090768 Enrollment ID: I20110405000763 |
| Provider Name | Tammi L Timmler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053428318 PECOS PAC ID: 5991989659 Enrollment ID: I20110405000787 |
| Provider Name | Robie Jo Linn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518173590 PECOS PAC ID: 4789868191 Enrollment ID: I20110408000734 |
| Provider Name | Dominick G Martorano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487747861 PECOS PAC ID: 2860676046 Enrollment ID: I20110413000183 |
| Provider Name | Kristin M Cutlan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821112442 PECOS PAC ID: 6709944192 Enrollment ID: I20110421000616 |
| Provider Name | Steven S Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912094665 PECOS PAC ID: 5597940130 Enrollment ID: I20110426000530 |
| Provider Name | Dennis A Auth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013997352 PECOS PAC ID: 3577637438 Enrollment ID: I20110505000456 |
| Provider Name | Teresa M Murphy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447391206 PECOS PAC ID: 8224213244 Enrollment ID: I20110505000860 |
| Provider Name | Brian J Knabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437192408 PECOS PAC ID: 1456433184 Enrollment ID: I20110526000164 |
| Provider Name | Kevin J Laurence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649353046 PECOS PAC ID: 6305855909 Enrollment ID: I20110609000684 |
| Provider Name | Kristine L Gilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215221429 PECOS PAC ID: 2668659053 Enrollment ID: I20110613000396 |
| Provider Name | Alyssa J Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891016739 PECOS PAC ID: 5395930986 Enrollment ID: I20110621000591 |
| Provider Name | Babatunde T Sobowale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740441948 PECOS PAC ID: 8729266796 Enrollment ID: I20110621000613 |
| Provider Name | Janaki Rami Reddy Manne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750526109 PECOS PAC ID: 3476731423 Enrollment ID: I20110622000685 |
| Provider Name | Shankar S Bettadahalli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740449099 PECOS PAC ID: 6709064751 Enrollment ID: I20110622000724 |
| Provider Name | Yusuf Kasirye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114162666 PECOS PAC ID: 3971781659 Enrollment ID: I20110628000610 |
| Provider Name | Ajit O Abraham |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487899936 PECOS PAC ID: 1951589597 Enrollment ID: I20110629000523 |
| Provider Name | Jin Ha Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215174859 PECOS PAC ID: 5395923908 Enrollment ID: I20110630000453 |
| Provider Name | Stephanie J Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821230590 PECOS PAC ID: 6305024621 Enrollment ID: I20110708000460 |
| Provider Name | Claudia M Santosa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093799066 PECOS PAC ID: 9638347966 Enrollment ID: I20110712000594 |
| Provider Name | Kelly T Badger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558523258 PECOS PAC ID: 8527236850 Enrollment ID: I20110712000620 |
| Provider Name | Ivan L Maldonado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518963347 PECOS PAC ID: 8628094620 Enrollment ID: I20110714000854 |
| Provider Name | Alexis Norelle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699709774 PECOS PAC ID: 6709778483 Enrollment ID: I20110720000577 |
| Provider Name | Dominee M Manzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568610376 PECOS PAC ID: 5395913974 Enrollment ID: I20110726000669 |
| Provider Name | Brian P Resop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790075299 PECOS PAC ID: 7810165222 Enrollment ID: I20110728000593 |
| Provider Name | Sara L Brost |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477623031 PECOS PAC ID: 4183893571 Enrollment ID: I20110801000352 |
| Provider Name | Hector Rey A Manzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205082237 PECOS PAC ID: 8224207386 Enrollment ID: I20110805000156 |
| Provider Name | Julia F Murphy-antczak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083775605 PECOS PAC ID: 0749459899 Enrollment ID: I20110808000420 |
| Provider Name | Kathy L Obermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003100033 PECOS PAC ID: 0941479885 Enrollment ID: I20110809000780 |
| Provider Name | Butch Terence D Geroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861790388 PECOS PAC ID: 1557530417 Enrollment ID: I20110810000032 |
| Provider Name | Kryselle C Geroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245538768 PECOS PAC ID: 0648449504 Enrollment ID: I20110810000055 |
| Provider Name | Charles S Marting |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609832138 PECOS PAC ID: 2062472913 Enrollment ID: I20110812000646 |
| Provider Name | James J Kinsella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821295635 PECOS PAC ID: 9638348154 Enrollment ID: I20110817000554 |
| Provider Name | Rafael Medina-flores |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891898235 PECOS PAC ID: 4981795028 Enrollment ID: I20110824000540 |
| Provider Name | Michael R Slaminski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154583375 PECOS PAC ID: 4082789755 Enrollment ID: I20110824000757 |
| Provider Name | David J Polga |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770599490 PECOS PAC ID: 2769486562 Enrollment ID: I20110824000770 |
| Provider Name | Mateen Fatima Abidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730333980 PECOS PAC ID: 9830369073 Enrollment ID: I20110826000242 |
| Provider Name | Eric M Jakubowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326266867 PECOS PAC ID: 5890965032 Enrollment ID: I20110826000300 |
| Provider Name | Cheryl L Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770862260 PECOS PAC ID: 8325218472 Enrollment ID: I20110826000477 |
| Provider Name | Anthony M Savo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053471250 PECOS PAC ID: 3476455577 Enrollment ID: I20110830000747 |
| Provider Name | Dora A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306125562 PECOS PAC ID: 8820268600 Enrollment ID: I20110906000152 |
| Provider Name | Cora J Weisshahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710265095 PECOS PAC ID: 9234309014 Enrollment ID: I20110906000208 |
| Provider Name | Michael P Mcgill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629045638 PECOS PAC ID: 1153223649 Enrollment ID: I20110907001518 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Lisa E Berres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700167848 PECOS PAC ID: 8022289487 Enrollment ID: I20110915000820 |
| Provider Name | Bobby P Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982983532 PECOS PAC ID: 9234300559 Enrollment ID: I20110919000266 |
| Provider Name | Nicole Wittlinger Quarne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386750826 PECOS PAC ID: 1153592340 Enrollment ID: I20110920000328 |
| Provider Name | Mary M Hennessy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104980119 PECOS PAC ID: 7911048160 Enrollment ID: I20110921000056 |
| Provider Name | Kelly B Zopfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922389386 PECOS PAC ID: 4688845456 Enrollment ID: I20110927000883 |
| Provider Name | Nikki A Bonitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396026266 PECOS PAC ID: 2567634199 Enrollment ID: I20111004000353 |
| Provider Name | Brett G Masayesva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437358702 PECOS PAC ID: 6406929629 Enrollment ID: I20111005000618 |
| Provider Name | Timothy R Vayder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942230123 PECOS PAC ID: 6406864610 Enrollment ID: I20111005000864 |
| Provider Name | Nicholas J Abram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437374303 PECOS PAC ID: 4486721875 Enrollment ID: I20111010000168 |
| Provider Name | Jian P Khamo-soskos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184814378 PECOS PAC ID: 2264604305 Enrollment ID: I20111013000248 |
| Provider Name | Kelly J Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104100718 PECOS PAC ID: 3375715428 Enrollment ID: I20111013000355 |
| Provider Name | Robert W Beauvais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235426792 PECOS PAC ID: 3173795051 Enrollment ID: I20111019000469 |
| Provider Name | Justin L Willuweit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033492566 PECOS PAC ID: 2567635311 Enrollment ID: I20111024000402 |
| Provider Name | Aaron A Juliar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770866915 PECOS PAC ID: 8628241965 Enrollment ID: I20111101000351 |
| Provider Name | Kimberly M Ferkey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922312610 PECOS PAC ID: 2264605336 Enrollment ID: I20111105000079 |
| Provider Name | Samantha E Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003191297 PECOS PAC ID: 7719150614 Enrollment ID: I20111108000784 |
| Provider Name | Misti S Lavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801172549 PECOS PAC ID: 6002080991 Enrollment ID: I20111110000263 |
| Provider Name | Deidre M Rippl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598949026 PECOS PAC ID: 0345412011 Enrollment ID: I20111117000117 |
| Provider Name | Robert F Treptow |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669570420 PECOS PAC ID: 1951575315 Enrollment ID: I20111121000470 |
| Provider Name | Jaime M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205112877 PECOS PAC ID: 3779757141 Enrollment ID: I20111121000602 |
| Provider Name | Amy E Schneider De Cortez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619143229 PECOS PAC ID: 9234260571 Enrollment ID: I20111205000645 |
| Provider Name | Paula K Mcintyre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568566776 PECOS PAC ID: 4688849342 Enrollment ID: I20111207000447 |
| Provider Name | Juliet J Will |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669582177 PECOS PAC ID: 0042485484 Enrollment ID: I20111213000458 |
| Provider Name | Valerie J Hay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841292638 PECOS PAC ID: 8325054745 Enrollment ID: I20111229000372 |
| Provider Name | Lance M Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689959777 PECOS PAC ID: 0446426993 Enrollment ID: I20120104000476 |
| Provider Name | Kristen C Iniguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922104280 PECOS PAC ID: 4981734100 Enrollment ID: I20120109000184 |
| Provider Name | Dawn M Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639448095 PECOS PAC ID: 1456528967 Enrollment ID: I20120125000153 |
| Provider Name | Corey P Massey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447245816 PECOS PAC ID: 5496718124 Enrollment ID: I20120207000786 |
| Provider Name | Stephen B Mccann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609981133 PECOS PAC ID: 1456518141 Enrollment ID: I20120208000442 |
| Provider Name | Vivian R Gamble |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073623583 PECOS PAC ID: 8921265620 Enrollment ID: I20120208000536 |
| Provider Name | Steve M Hoffmeister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376649780 PECOS PAC ID: 9234396698 Enrollment ID: I20120214000113 |
| Provider Name | Erika K Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235213117 PECOS PAC ID: 0446417810 Enrollment ID: I20120214000207 |
| Provider Name | Kristen M Polga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811907694 PECOS PAC ID: 8921002833 Enrollment ID: I20120218000004 |
| Provider Name | Sara M Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942395223 PECOS PAC ID: 9638338601 Enrollment ID: I20120310000004 |
| Provider Name | Jennifer J Rees |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639270242 PECOS PAC ID: 2365601333 Enrollment ID: I20120310000007 |
| Provider Name | Donna M Fetting |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700991221 PECOS PAC ID: 9537328505 Enrollment ID: I20120310000015 |
| Provider Name | Monte L Willkom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952411530 PECOS PAC ID: 8426217258 Enrollment ID: I20120313000964 |
| Provider Name | Karna M Sandok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790895381 PECOS PAC ID: 3971762709 Enrollment ID: I20120313000968 |
| Provider Name | Daniel C Cullinane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124005806 PECOS PAC ID: 7113057985 Enrollment ID: I20120314000462 |
| Provider Name | Timothy W Lichtenwald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457626467 PECOS PAC ID: 9931369915 Enrollment ID: I20120328000948 |
| Provider Name | Bao Bui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477767523 PECOS PAC ID: 8022140938 Enrollment ID: I20120620000692 |
| Provider Name | Melissa J Aebly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811152739 PECOS PAC ID: 0244494367 Enrollment ID: I20120620000758 |
| Provider Name | Sumithra D Tirunagaram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932412855 PECOS PAC ID: 2769647817 Enrollment ID: I20120622000522 |
| Provider Name | Rosemary E Reriani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336355825 PECOS PAC ID: 9931246063 Enrollment ID: I20120622000549 |
| Provider Name | Asha Y Okorie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043478399 PECOS PAC ID: 3779607080 Enrollment ID: I20120629000416 |
| Provider Name | Patricia K Lillis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619960507 PECOS PAC ID: 9739345893 Enrollment ID: I20120718000579 |
| Provider Name | Satyanarayana Rao Varre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750511903 PECOS PAC ID: 6507022134 Enrollment ID: I20120725000570 |
| Provider Name | Uzoma C Okorie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467619080 PECOS PAC ID: 7810153285 Enrollment ID: I20120730000692 |
| Provider Name | Christine M Trautman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396900338 PECOS PAC ID: 1850547175 Enrollment ID: I20120801000914 |
| Provider Name | Martin K Reriani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689838252 PECOS PAC ID: 1658445143 Enrollment ID: I20120803000621 |
| Provider Name | Aaron M Homolka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669587192 PECOS PAC ID: 1456507466 Enrollment ID: I20120807000715 |
| Provider Name | James J Macneal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366692287 PECOS PAC ID: 8921136458 Enrollment ID: I20120808000362 |
| Provider Name | Kazumasa Hashimoto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457586596 PECOS PAC ID: 6305092800 Enrollment ID: I20120816000629 |
| Provider Name | Sally C Schmidt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134475247 PECOS PAC ID: 6800042227 Enrollment ID: I20120816000974 |
| Provider Name | Meghan C Pesko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518126028 PECOS PAC ID: 9537315981 Enrollment ID: I20120820000022 |
| Provider Name | Joshua Hight Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154520179 PECOS PAC ID: 9830368893 Enrollment ID: I20120822000684 |
| Provider Name | Edward Anafi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841429461 PECOS PAC ID: 8729235866 Enrollment ID: I20120824000723 |
| Provider Name | Jaime D Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386978427 PECOS PAC ID: 2062694730 Enrollment ID: I20120829000812 |
| Provider Name | Robert J Bullwinkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205162112 PECOS PAC ID: 6103073655 Enrollment ID: I20120906000038 |
| Provider Name | Donna J Shimoda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760745996 PECOS PAC ID: 6406002906 Enrollment ID: I20120913000706 |
| Provider Name | Briana L Kirt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750617379 PECOS PAC ID: 5597913483 Enrollment ID: I20120918000907 |
| Provider Name | Alissa C Murch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356570527 PECOS PAC ID: 0941353049 Enrollment ID: I20120919000580 |
| Provider Name | Kareem H Abdelhadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841494432 PECOS PAC ID: 1355599192 Enrollment ID: I20120919000613 |
| Provider Name | Sarah N Goetz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902069917 PECOS PAC ID: 3375792740 Enrollment ID: I20120927000860 |
| Provider Name | Michelle L Brost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518978519 PECOS PAC ID: 4789833013 Enrollment ID: I20121002000517 |
| Provider Name | Brenda J Lueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831240 PECOS PAC ID: 1254580434 Enrollment ID: I20121003000387 |
| Provider Name | Andrea J Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134479819 PECOS PAC ID: 0143479196 Enrollment ID: I20121005000650 |
| Provider Name | Alicia M Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013264571 PECOS PAC ID: 7416106208 Enrollment ID: I20121011000656 |
| Provider Name | Kelly R Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033407010 PECOS PAC ID: 3375793854 Enrollment ID: I20121018000036 |
| Provider Name | Joel A Mccauley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730366774 PECOS PAC ID: 7911079520 Enrollment ID: I20121023000128 |
| Provider Name | Lori H Sharrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710232137 PECOS PAC ID: 1850541905 Enrollment ID: I20121025000486 |
| Provider Name | Mazen Pierre Kreidy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972741635 PECOS PAC ID: 7618165242 Enrollment ID: I20121025000768 |
| Provider Name | Ashely J Short |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629321070 PECOS PAC ID: 2163673880 Enrollment ID: I20121106000366 |
| Provider Name | Alecia K Sadowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801146923 PECOS PAC ID: 2860643970 Enrollment ID: I20121120000388 |
| Provider Name | Dawn M Ashenbrenner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558554972 PECOS PAC ID: 5496906398 Enrollment ID: I20121126000496 |
| Provider Name | Julio Bird |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992962377 PECOS PAC ID: 0941452585 Enrollment ID: I20121206000308 |
| Provider Name | Eric D Zellner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588913396 PECOS PAC ID: 2668624040 Enrollment ID: I20121211000211 |
| Provider Name | Kari A Paulson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679704134 PECOS PAC ID: 3072765452 Enrollment ID: I20121211000257 |
| Provider Name | Kristine W Schulte |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124129366 PECOS PAC ID: 7810140704 Enrollment ID: I20121228000159 |
| Provider Name | Tina K Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662320 PECOS PAC ID: 5890948491 Enrollment ID: I20130110000124 |
| Provider Name | Anna Seydel |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1386665974 PECOS PAC ID: 0345392122 Enrollment ID: I20130114000170 |
| Provider Name | Maria Charlotte Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932291986 PECOS PAC ID: 1052359940 Enrollment ID: I20130116000382 |
| Provider Name | Lisa L Tennyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871562603 PECOS PAC ID: 3971756149 Enrollment ID: I20130122000237 |
| Provider Name | Laura A Mccauley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578699609 PECOS PAC ID: 6002061140 Enrollment ID: I20130221000353 |
| Provider Name | Michael J Rider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376859454 PECOS PAC ID: 9537352745 Enrollment ID: I20130228000322 |
| Provider Name | Denise Z Toperzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598842312 PECOS PAC ID: 2365528064 Enrollment ID: I20130312000013 |
| Provider Name | Steven B Sanford |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1669565156 PECOS PAC ID: 0042279614 Enrollment ID: I20130314000174 |
| Provider Name | Joseph F Ponik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619214152 PECOS PAC ID: 5597900613 Enrollment ID: I20130320000618 |
| Provider Name | Carl M Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003971490 PECOS PAC ID: 6002700820 Enrollment ID: I20130322000205 |
| Provider Name | Jason John Potocki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619998317 PECOS PAC ID: 3072619816 Enrollment ID: I20130429000332 |
| Provider Name | Kallen L Krause |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376716746 PECOS PAC ID: 1557508637 Enrollment ID: I20130508000639 |
| Provider Name | Randall D Roseen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073957452 PECOS PAC ID: 3870732399 Enrollment ID: I20130613000388 |
| Provider Name | Donald J Daley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457682973 PECOS PAC ID: 6901045210 Enrollment ID: I20130618000373 |
| Provider Name | Ann M Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326484981 PECOS PAC ID: 2567602055 Enrollment ID: I20130703000644 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20130716000336 |
| Provider Name | Tyson T Droessler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043658552 PECOS PAC ID: 5496995342 Enrollment ID: I20130717000411 |
| Provider Name | Vidya Sagar Reddy Cirra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124339593 PECOS PAC ID: 6002057866 Enrollment ID: I20130722000292 |
| Provider Name | Barbara A Bistram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790884575 PECOS PAC ID: 8628036001 Enrollment ID: I20130723000188 |
| Provider Name | Sharath Kommu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366753931 PECOS PAC ID: 7012158694 Enrollment ID: I20130724000344 |
| Provider Name | Karen S Wirtanen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477769180 PECOS PAC ID: 2062653587 Enrollment ID: I20130726000024 |
| Provider Name | Sumeet K Goel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073824470 PECOS PAC ID: 2163663691 Enrollment ID: I20130726000147 |
| Provider Name | Rajasekhar Bodicharla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760656227 PECOS PAC ID: 0143461590 Enrollment ID: I20130726000417 |
| Provider Name | Mikhail A Barchugov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952614521 PECOS PAC ID: 0749421923 Enrollment ID: I20130731000191 |
| Provider Name | Suhas Channappa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851604383 PECOS PAC ID: 3274783840 Enrollment ID: I20130731000305 |
| Provider Name | Melissa J Petronovich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467727743 PECOS PAC ID: 8820239023 Enrollment ID: I20130731000459 |
| Provider Name | Lisa Corbett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245299809 PECOS PAC ID: 7911966544 Enrollment ID: I20130806000384 |
| Provider Name | Melissa A Goetter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174751580 PECOS PAC ID: 0143468702 Enrollment ID: I20130807000455 |
| Provider Name | Melissa M Tomesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609218932 PECOS PAC ID: 8123260361 Enrollment ID: I20130816000802 |
| Provider Name | Matthew Mccurdy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003068347 PECOS PAC ID: 5193967263 Enrollment ID: I20130820000721 |
| Provider Name | Vismay R Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285945634 PECOS PAC ID: 3678716669 Enrollment ID: I20130823000093 |
| Provider Name | Athanasios A Soskos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508094202 PECOS PAC ID: 9739322751 Enrollment ID: I20130823000386 |
| Provider Name | Viachaslau Kazelka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518279330 PECOS PAC ID: 5698918639 Enrollment ID: I20130823000727 |
| Provider Name | Sarah D Savu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427361476 PECOS PAC ID: 2769625656 Enrollment ID: I20130824000106 |
| Provider Name | Brennan J Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194983528 PECOS PAC ID: 9234373408 Enrollment ID: I20130910000721 |
| Provider Name | Kathryn J Smrz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972938314 PECOS PAC ID: 5991949000 Enrollment ID: I20130911000342 |
| Provider Name | Stephanie K Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148512 PECOS PAC ID: 3971747585 Enrollment ID: I20130923000199 |
| Provider Name | Nathan T N Schreiber |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558515924 PECOS PAC ID: 1456585710 Enrollment ID: I20130930000281 |
| Provider Name | David M Hirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568605293 PECOS PAC ID: 7911131115 Enrollment ID: I20131001000198 |
| Provider Name | Lori K Steiner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578882130 PECOS PAC ID: 5890929053 Enrollment ID: I20131002000347 |
| Provider Name | Amelia L Zellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724520 PECOS PAC ID: 1658505722 Enrollment ID: I20131002000566 |
| Provider Name | Patrick L Andreae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215361670 PECOS PAC ID: 7911131701 Enrollment ID: I20131010000476 |
| Provider Name | Andrew B Oebser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497187785 PECOS PAC ID: 5991939472 Enrollment ID: I20131016001824 |
| Provider Name | Rebecca R Downs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467686766 PECOS PAC ID: 0143454546 Enrollment ID: I20131017000568 |
| Provider Name | Stefani A Lokemoen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568896660 PECOS PAC ID: 0547495939 Enrollment ID: I20131018001677 |
| Provider Name | John F Cordova |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073510731 PECOS PAC ID: 5991768749 Enrollment ID: I20131018001807 |
| Provider Name | Jordan L Ashton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932412392 PECOS PAC ID: 0244465649 Enrollment ID: I20131018001838 |
| Provider Name | Khine T Swe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568787653 PECOS PAC ID: 3274768304 Enrollment ID: I20131028000577 |
| Provider Name | Anne M Zenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619303864 PECOS PAC ID: 5991930844 Enrollment ID: I20131030000796 |
| Provider Name | Robert D Steiner |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1982612420 PECOS PAC ID: 4183696727 Enrollment ID: I20131122001280 |
| Provider Name | Nicole L Pederson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659498475 PECOS PAC ID: 1254505142 Enrollment ID: I20131127001198 |
| Provider Name | Kevin P Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558345934 PECOS PAC ID: 5294813937 Enrollment ID: I20131206000635 |
| Provider Name | Caprica Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730518051 PECOS PAC ID: 5698902070 Enrollment ID: I20131210000568 |
| Provider Name | Sowjanya Bapani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235443540 PECOS PAC ID: 5890922207 Enrollment ID: I20131210001536 |
| Provider Name | Lacey Jo Raiche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679834857 PECOS PAC ID: 4183875966 Enrollment ID: I20131211001119 |
| Provider Name | Kevin P Kooiker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134174949 PECOS PAC ID: 8921092842 Enrollment ID: I20131212000321 |
| Provider Name | Anna M Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053741207 PECOS PAC ID: 5294962346 Enrollment ID: I20131216001800 |
| Provider Name | Swetha Gudibanda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437388535 PECOS PAC ID: 3375770035 Enrollment ID: I20131230001290 |
| Provider Name | Sher Vang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427480516 PECOS PAC ID: 2163650557 Enrollment ID: I20140109001477 |
| Provider Name | Mark L Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346554185 PECOS PAC ID: 6608004007 Enrollment ID: I20140110000036 |
| Provider Name | Alice K Schmutzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588095806 PECOS PAC ID: 4284862384 Enrollment ID: I20140117001153 |
| Provider Name | Andrew J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790108793 PECOS PAC ID: 7810127644 Enrollment ID: I20140224000353 |
| Provider Name | Julie A Turchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740604180 PECOS PAC ID: 8820228299 Enrollment ID: I20140304000912 |
| Provider Name | Michael S Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558525055 PECOS PAC ID: 0042366825 Enrollment ID: I20140326001672 |
| Provider Name | Charles M Halderman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750318804 PECOS PAC ID: 9335295450 Enrollment ID: I20140328000582 |
| Provider Name | Reyaad A Hayek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710992276 PECOS PAC ID: 1557392263 Enrollment ID: I20140402002321 |
| Provider Name | Candy M Strey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629492061 PECOS PAC ID: 6204068869 Enrollment ID: I20140414000548 |
| Provider Name | Laleh Karimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518195395 PECOS PAC ID: 9335371533 Enrollment ID: I20140422000097 |
| Provider Name | Michael G Aldrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215031414 PECOS PAC ID: 1254564396 Enrollment ID: I20140425001265 |
| Provider Name | Jenell S Bushong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235569237 PECOS PAC ID: 5597998518 Enrollment ID: I20140429000091 |
| Provider Name | Jessica A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447494778 PECOS PAC ID: 6507099116 Enrollment ID: I20140506002182 |
| Provider Name | Jamie Hosmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841452927 PECOS PAC ID: 8527209386 Enrollment ID: I20140507001005 |
| Provider Name | Jaimee M Gregor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962828764 PECOS PAC ID: 5799724191 Enrollment ID: I20140513000494 |
| Provider Name | Kristie M Guite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730315607 PECOS PAC ID: 1759504483 Enrollment ID: I20140528001299 |
| Provider Name | Balaji Kalyanaraman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053573659 PECOS PAC ID: 2163662644 Enrollment ID: I20140604000713 |
| Provider Name | Hammad Nazeer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255628814 PECOS PAC ID: 9234353426 Enrollment ID: I20140609001696 |
| Provider Name | Pablo Andres Bravo Valenzuela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639330897 PECOS PAC ID: 8527282599 Enrollment ID: I20140612001693 |
| Provider Name | James G Berbee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720376015 PECOS PAC ID: 2961635347 Enrollment ID: I20140617001245 |
| Provider Name | Matthew J Koeberl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396975165 PECOS PAC ID: 1254555774 Enrollment ID: I20140624000090 |
| Provider Name | Chinar Omprakash Lath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366716250 PECOS PAC ID: 2668631284 Enrollment ID: I20140701001114 |
| Provider Name | Thuyanh T Culver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932497658 PECOS PAC ID: 7214152479 Enrollment ID: I20140701001196 |
| Provider Name | Nicholas P. Morley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821317009 PECOS PAC ID: 4688899651 Enrollment ID: I20140707001783 |
| Provider Name | Dustin A Pagoria |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427291236 PECOS PAC ID: 1052536729 Enrollment ID: I20140714001669 |
| Provider Name | Michael Katsnelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013170067 PECOS PAC ID: 6406989177 Enrollment ID: I20140716002706 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Antoinette G Hayek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255390209 PECOS PAC ID: 4789615915 Enrollment ID: I20140717001867 |
| Provider Name | Thomas J Bramwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619103215 PECOS PAC ID: 5991942245 Enrollment ID: I20140717002085 |
| Provider Name | Jendra A Gosai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679861165 PECOS PAC ID: 0547491144 Enrollment ID: I20140722000650 |
| Provider Name | James Leonard Merrick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285937151 PECOS PAC ID: 9931325065 Enrollment ID: I20140728000363 |
| Provider Name | Maria V Bravo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942572060 PECOS PAC ID: 4587880430 Enrollment ID: I20140729002508 |
| Provider Name | Nathaniel L Stepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942491030 PECOS PAC ID: 0244492262 Enrollment ID: I20140729002887 |
| Provider Name | Clint L Mckee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326336496 PECOS PAC ID: 7113156779 Enrollment ID: I20140730000362 |
| Provider Name | Luke T Fraundorf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447492590 PECOS PAC ID: 6305079922 Enrollment ID: I20140730000628 |
| Provider Name | Henny Liwan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376855007 PECOS PAC ID: 9335365113 Enrollment ID: I20140731001345 |
| Provider Name | Bradley J Demarais |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477768364 PECOS PAC ID: 9537213319 Enrollment ID: I20140811002330 |
| Provider Name | Arun Kumar Durgam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619225422 PECOS PAC ID: 9032336151 Enrollment ID: I20140814000380 |
| Provider Name | Nicole M O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568876506 PECOS PAC ID: 7618195926 Enrollment ID: I20140828001629 |
| Provider Name | Chady Abboud Leon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770737744 PECOS PAC ID: 1658599840 Enrollment ID: I20140829001991 |
| Provider Name | Jennifer S Verna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528497146 PECOS PAC ID: 4880813708 Enrollment ID: I20140908002126 |
| Provider Name | Jennifer C Roberts |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770658890 PECOS PAC ID: 7113146937 Enrollment ID: I20140909002834 |
| Provider Name | Mary C Phung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265841589 PECOS PAC ID: 8224257993 Enrollment ID: I20140910002123 |
| Provider Name | Patrick J Noonan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972892958 PECOS PAC ID: 7719106459 Enrollment ID: I20140911002037 |
| Provider Name | Lindsay Anne Schmidt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922121433 PECOS PAC ID: 3173675279 Enrollment ID: I20140915000576 |
| Provider Name | Muhammad Ali Syed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053607689 PECOS PAC ID: 0143460741 Enrollment ID: I20140925000714 |
| Provider Name | Rebecca A Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104225242 PECOS PAC ID: 7113147703 Enrollment ID: I20141002000743 |
| Provider Name | Cassie K Littlejohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760881882 PECOS PAC ID: 2769602275 Enrollment ID: I20141006000931 |
| Provider Name | Keshani Bhushan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124250790 PECOS PAC ID: 1052508942 Enrollment ID: I20141006002322 |
| Provider Name | Sarah L Holets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124380803 PECOS PAC ID: 3779704242 Enrollment ID: I20141027000814 |
| Provider Name | Lisa M Gowey-fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083014492 PECOS PAC ID: 8022239516 Enrollment ID: I20141027001376 |
| Provider Name | Elisabeth E Hooper |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356507032 PECOS PAC ID: 7416178777 Enrollment ID: I20141030000582 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063528867 PECOS PAC ID: 1153329255 Enrollment ID: I20141106000212 |
| Provider Name | Jason S Duelge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326032509 PECOS PAC ID: 2769676667 Enrollment ID: I20141108000172 |
| Provider Name | Jose Andres Moreno Lopez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043545833 PECOS PAC ID: 7618108291 Enrollment ID: I20141108000282 |
| Provider Name | Kirsten Vetterkind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659705507 PECOS PAC ID: 3779706767 Enrollment ID: I20141114000380 |
| Provider Name | Patricia J Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346414059 PECOS PAC ID: 5799008009 Enrollment ID: I20141217001901 |
| Provider Name | Heather Clarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443144 PECOS PAC ID: 0840513875 Enrollment ID: I20141226000297 |
| Provider Name | Julie M Kaprelian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316372295 PECOS PAC ID: 9032432646 Enrollment ID: I20150106000457 |
| Provider Name | Mary K Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255685913 PECOS PAC ID: 7719202688 Enrollment ID: I20150217001965 |
| Provider Name | John E Dahlin |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1427194828 PECOS PAC ID: 7517053010 Enrollment ID: I20150220002215 |
| Provider Name | Shannon Marie Mccrory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699179531 PECOS PAC ID: 0143546911 Enrollment ID: I20150313001599 |
| Provider Name | Jennifer Jean Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992733166 PECOS PAC ID: 2365493061 Enrollment ID: I20150320001396 |
| Provider Name | David F Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174916720 PECOS PAC ID: 9830416197 Enrollment ID: I20150325001317 |
| Provider Name | Shawn P Pritchard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245676683 PECOS PAC ID: 2567690985 Enrollment ID: I20150402000664 |
| Provider Name | Timothy C Kakuschke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043221526 PECOS PAC ID: 8123346038 Enrollment ID: I20150406000140 |
| Provider Name | Neil B Geisler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215113915 PECOS PAC ID: 6608953179 Enrollment ID: I20150407001974 |
| Provider Name | Dana A Prusinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129518 PECOS PAC ID: 1153640917 Enrollment ID: I20150429002564 |
| Provider Name | Nicole K Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831582436 PECOS PAC ID: 3476872896 Enrollment ID: I20150507000572 |
| Provider Name | Vicki L Maguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215328794 PECOS PAC ID: 7315266467 Enrollment ID: I20150512001577 |
| Provider Name | James E Currier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487657979 PECOS PAC ID: 6709780745 Enrollment ID: I20150521002168 |
| Provider Name | Janice M Drinsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669866273 PECOS PAC ID: 9032155338 Enrollment ID: I20150601002861 |
| Provider Name | Nicholas A Bodmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588820542 PECOS PAC ID: 3173748696 Enrollment ID: I20150602001306 |
| Provider Name | Pamela A Kohlhaas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235185927 PECOS PAC ID: 8426240987 Enrollment ID: I20150604000011 |
| Provider Name | Muhammad Saeed Akhtar Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699025312 PECOS PAC ID: 1951622596 Enrollment ID: I20150608001072 |
| Provider Name | Demet Gokalp Yasar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437381191 PECOS PAC ID: 8123339041 Enrollment ID: I20150618002721 |
| Provider Name | Jonathon A Kirsch |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1619903846 PECOS PAC ID: 7719916238 Enrollment ID: I20150702000413 |
| Provider Name | David R Holz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184983165 PECOS PAC ID: 9436382900 Enrollment ID: I20150710002665 |
| Provider Name | Sueyi Lai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275765174 PECOS PAC ID: 7113230657 Enrollment ID: I20150713002736 |
| Provider Name | Vildana Omerovic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629239181 PECOS PAC ID: 3971816430 Enrollment ID: I20150714000319 |
| Provider Name | Stephanie J Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790176675 PECOS PAC ID: 5294048765 Enrollment ID: I20150714000531 |
| Provider Name | Kari L Mizgalski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275915597 PECOS PAC ID: 6305159625 Enrollment ID: I20150715002399 |
| Provider Name | Diane M Woehlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184006066 PECOS PAC ID: 2668785924 Enrollment ID: I20150716001173 |
| Provider Name | Jamie M Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922488238 PECOS PAC ID: 3971816844 Enrollment ID: I20150721002084 |
| Provider Name | Isaac K Yeboah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164775102 PECOS PAC ID: 0749593341 Enrollment ID: I20150724010558 |
| Provider Name | Christina M Spofford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639380314 PECOS PAC ID: 5193810539 Enrollment ID: I20150724011575 |
| Provider Name | Nicholas Nuccio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568851194 PECOS PAC ID: 0446564025 Enrollment ID: I20150728004221 |
| Provider Name | Marita D Fisher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275827792 PECOS PAC ID: 9234450743 Enrollment ID: I20150730011114 |
| Provider Name | Sergey I Zhadanov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356583728 PECOS PAC ID: 4981918273 Enrollment ID: I20150730012421 |
| Provider Name | Brock T Urie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184985517 PECOS PAC ID: 4880810597 Enrollment ID: I20150803001977 |
| Provider Name | John Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093759417 PECOS PAC ID: 5294747549 Enrollment ID: I20150804005415 |
| Provider Name | Christina R Wiedenhoeft |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760771661 PECOS PAC ID: 7416261425 Enrollment ID: I20150805006406 |
| Provider Name | Patrick W Volk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437325925 PECOS PAC ID: 0840504866 Enrollment ID: I20150805006805 |
| Provider Name | Matthew J Steinmetz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568727428 PECOS PAC ID: 9739318239 Enrollment ID: I20150805007690 |
| Provider Name | Britney R Brunner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760862379 PECOS PAC ID: 3173837960 Enrollment ID: I20150807013826 |
| Provider Name | Thomas R Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477520658 PECOS PAC ID: 6608906425 Enrollment ID: I20150810001607 |
| Provider Name | Kishore K Gandla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699935890 PECOS PAC ID: 1456509231 Enrollment ID: I20150814014238 |
| Provider Name | Villy I Yankova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578967584 PECOS PAC ID: 8325353451 Enrollment ID: I20150818004750 |
| Provider Name | Lucas J Wenninger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346507381 PECOS PAC ID: 9234363235 Enrollment ID: I20150819007574 |
| Provider Name | Bevan H Ly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730405143 PECOS PAC ID: 1759697337 Enrollment ID: I20150827000388 |
| Provider Name | Caitlin Ms Yenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488834 PECOS PAC ID: 3173839735 Enrollment ID: I20150828000059 |
| Provider Name | Jason C Tompkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336177864 PECOS PAC ID: 0547231375 Enrollment ID: I20150828000073 |
| Provider Name | Michaela H Tong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528044401 PECOS PAC ID: 2163423476 Enrollment ID: I20150831002188 |
| Provider Name | Brady P Didion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609141779 PECOS PAC ID: 2668788894 Enrollment ID: I20150902000597 |
| Provider Name | Dezeray C Matott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649655952 PECOS PAC ID: 6608182860 Enrollment ID: I20150902001567 |
| Provider Name | Jena K Moertel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255707824 PECOS PAC ID: 4486960515 Enrollment ID: I20150903000901 |
| Provider Name | Aliya Bayanagari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821343625 PECOS PAC ID: 1254574759 Enrollment ID: I20150908003056 |
| Provider Name | Rachel L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275900904 PECOS PAC ID: 0648587568 Enrollment ID: I20150909002563 |
| Provider Name | Kathryn K Vandreese |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073993648 PECOS PAC ID: 6901114867 Enrollment ID: I20150928000553 |
| Provider Name | Carly D Feltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902272487 PECOS PAC ID: 7911215215 Enrollment ID: I20151007000605 |
| Provider Name | Jeremiah V Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669505384 PECOS PAC ID: 9931124146 Enrollment ID: I20151103001534 |
| Provider Name | Rebecca Ca Jorgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043687023 PECOS PAC ID: 0042510463 Enrollment ID: I20151207002660 |
| Provider Name | Sandra K Matzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417320698 PECOS PAC ID: 2769783760 Enrollment ID: I20151216001917 |
| Provider Name | Emily B Rude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528432556 PECOS PAC ID: 4587965587 Enrollment ID: I20151216001920 |
| Provider Name | Maura L Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831202803 PECOS PAC ID: 9638062565 Enrollment ID: I20151223001797 |
| Provider Name | Joseph H Bodet |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588611669 PECOS PAC ID: 6901865799 Enrollment ID: I20151228002228 |
| Provider Name | Carol M Grabowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669582532 PECOS PAC ID: 8325093909 Enrollment ID: I20160120001936 |
| Provider Name | Jolie M Dirrigle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891151809 PECOS PAC ID: 5698078673 Enrollment ID: I20160126000511 |
| Provider Name | Marcio A Shiokawa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629388475 PECOS PAC ID: 7416105895 Enrollment ID: I20160127002393 |
| Provider Name | Cathleen Brazile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679680474 PECOS PAC ID: 3779653886 Enrollment ID: I20160201000275 |
| Provider Name | Autumn N Schlichting |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184007403 PECOS PAC ID: 7911201470 Enrollment ID: I20160204000602 |
| Provider Name | Kirsten E Spoerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124492368 PECOS PAC ID: 9436453636 Enrollment ID: I20160209001527 |
| Provider Name | Jason D Randall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235550955 PECOS PAC ID: 2466760095 Enrollment ID: I20160211000035 |
| Provider Name | Susan J Estrada-brodmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568403335 PECOS PAC ID: 1153302583 Enrollment ID: I20160229000882 |
| Provider Name | Todd G Kroll |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295887974 PECOS PAC ID: 3971592072 Enrollment ID: I20160311000004 |
| Provider Name | Dennis A Silver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780726273 PECOS PAC ID: 9234295528 Enrollment ID: I20160415001168 |
| Provider Name | Harjot Sidhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902885924 PECOS PAC ID: 9931177995 Enrollment ID: I20160428001714 |
| Provider Name | Laura L Ramseier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235501107 PECOS PAC ID: 0042519555 Enrollment ID: I20160505000730 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20160511001220 |
| Provider Name | Eric M Blaschke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386957678 PECOS PAC ID: 0941515365 Enrollment ID: I20160513000825 |
| Provider Name | Natasha I Pyles Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861425977 PECOS PAC ID: 8628367570 Enrollment ID: I20160516001286 |
| Provider Name | Kari R King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295168490 PECOS PAC ID: 6305072653 Enrollment ID: I20160517001847 |
| Provider Name | Bridget A Mrozla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851663330 PECOS PAC ID: 7416117569 Enrollment ID: I20160526000066 |
| Provider Name | Brittany M Nikolay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962850966 PECOS PAC ID: 9335439991 Enrollment ID: I20160609002226 |
| Provider Name | Linda K Reid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831377118 PECOS PAC ID: 7315023934 Enrollment ID: I20160615000917 |
| Provider Name | Andrea White Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477538296 PECOS PAC ID: 5890609168 Enrollment ID: I20160615001027 |
| Provider Name | Muhammad Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841619632 PECOS PAC ID: 1951692235 Enrollment ID: I20160616000481 |
| Provider Name | David M You |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962457788 PECOS PAC ID: 1557686102 Enrollment ID: I20160616000535 |
| Provider Name | Alexander Flower |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023094406 PECOS PAC ID: 0143230037 Enrollment ID: I20160616001157 |
| Provider Name | Moyosore A Adeyekun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710240080 PECOS PAC ID: 6800187006 Enrollment ID: I20160620000006 |
| Provider Name | Ryan C. Arnold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598089278 PECOS PAC ID: 4789809633 Enrollment ID: I20160623002106 |
| Provider Name | Rajni Ahlawat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083933147 PECOS PAC ID: 3779874540 Enrollment ID: I20160627000181 |
| Provider Name | Amy B. Schnitzler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841318391 PECOS PAC ID: 1254623317 Enrollment ID: I20160711000480 |
| Provider Name | Shameem S Kunhammed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306077284 PECOS PAC ID: 6406158963 Enrollment ID: I20160712000327 |
| Provider Name | Mark E Schmidt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700172020 PECOS PAC ID: 4486954377 Enrollment ID: I20160712002168 |
| Provider Name | Wajdi N Bader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740622513 PECOS PAC ID: 1355647348 Enrollment ID: I20160715001351 |
| Provider Name | Ryan H Holzhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508272139 PECOS PAC ID: 9234422353 Enrollment ID: I20160727001944 |
| Provider Name | Peter T Keenan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699136085 PECOS PAC ID: 4385938117 Enrollment ID: I20160802001839 |
| Provider Name | Kathryn Wesenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447606306 PECOS PAC ID: 2466746243 Enrollment ID: I20160803000167 |
| Provider Name | Katherine E Reimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114367166 PECOS PAC ID: 5799907929 Enrollment ID: I20160803003134 |
| Provider Name | Anthony C Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386901791 PECOS PAC ID: 0547409658 Enrollment ID: I20160804000674 |
| Provider Name | Atif N Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326303793 PECOS PAC ID: 6709102650 Enrollment ID: I20160804001180 |
| Provider Name | Jacquelyn R Draxler Rauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671660 PECOS PAC ID: 8921392549 Enrollment ID: I20160804001436 |
| Provider Name | Stephanie Y Sublett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841555380 PECOS PAC ID: 5698069235 Enrollment ID: I20160804001954 |
| Provider Name | Hee W Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346686441 PECOS PAC ID: 6507165453 Enrollment ID: I20160808001260 |
| Provider Name | Judith Stucki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881653582 PECOS PAC ID: 9638338064 Enrollment ID: I20160808002017 |
| Provider Name | Andrew J Manspeaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851730378 PECOS PAC ID: 2365670619 Enrollment ID: I20160808002603 |
| Provider Name | Saurabh Khurana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851656292 PECOS PAC ID: 3072807155 Enrollment ID: I20160812000243 |
| Provider Name | Deryck A Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679515159 PECOS PAC ID: 9830213651 Enrollment ID: I20160816000217 |
| Provider Name | Richard W Rapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508121583 PECOS PAC ID: 3870888662 Enrollment ID: I20160817003111 |
| Provider Name | Amy C Blake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871737668 PECOS PAC ID: 9335434174 Enrollment ID: I20160818001459 |
| Provider Name | Nicole J Sederholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942663877 PECOS PAC ID: 2264723535 Enrollment ID: I20160818001464 |
| Provider Name | James Shaotsung Peng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780871780 PECOS PAC ID: 8224196605 Enrollment ID: I20160818002438 |
| Provider Name | Mei Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124386016 PECOS PAC ID: 5092000620 Enrollment ID: I20160822002529 |
| Provider Name | Mohamed Abdulcadir Abdullahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437475431 PECOS PAC ID: 8921227208 Enrollment ID: I20160826001178 |
| Provider Name | Stephanie A Decker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740631316 PECOS PAC ID: 6608161617 Enrollment ID: I20160829002882 |
| Provider Name | Melissa J Linden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497108518 PECOS PAC ID: 2769778778 Enrollment ID: I20160830003229 |
| Provider Name | Eseoghene Bosede Abokede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780027938 PECOS PAC ID: 6901105840 Enrollment ID: I20160915001107 |
| Provider Name | Barbara J Theisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740733617 PECOS PAC ID: 6103112248 Enrollment ID: I20160915001501 |
| Provider Name | David M Haley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609220680 PECOS PAC ID: 6709172851 Enrollment ID: I20160915002053 |
| Provider Name | Brianna L Czaikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750835062 PECOS PAC ID: 4284921388 Enrollment ID: I20160916001417 |
| Provider Name | Tamira J Miranowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558682393 PECOS PAC ID: 8729375563 Enrollment ID: I20160922001607 |
| Provider Name | Nadine M Klesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376928457 PECOS PAC ID: 7012204514 Enrollment ID: I20160927002834 |
| Provider Name | Sonja Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003073636 PECOS PAC ID: 8224212006 Enrollment ID: I20161004001444 |
| Provider Name | Andrea Martinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417390824 PECOS PAC ID: 4981847399 Enrollment ID: I20161005000146 |
| Provider Name | Peter K Meyers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437162716 PECOS PAC ID: 1658368725 Enrollment ID: I20161102000901 |
| Provider Name | Mary Katherine Youngblood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376734731 PECOS PAC ID: 5193718773 Enrollment ID: I20161103001154 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20161108001423 |
| Provider Name | Hymavathi Padma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902060940 PECOS PAC ID: 2466517198 Enrollment ID: I20161108001429 |
| Provider Name | Lisa A Grams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841691607 PECOS PAC ID: 8325359011 Enrollment ID: I20161123001915 |
| Provider Name | Patience A Lamers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376624817 PECOS PAC ID: 5698055143 Enrollment ID: I20161129002672 |
| Provider Name | Robert V Filippone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477512002 PECOS PAC ID: 2668469438 Enrollment ID: I20161130001171 |
| Provider Name | Jacob Stephen Feldman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104137710 PECOS PAC ID: 5799918876 Enrollment ID: I20161202002020 |
| Provider Name | Jill Orzehoskie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154790558 PECOS PAC ID: 3971883794 Enrollment ID: I20161213000187 |
| Provider Name | Raymond Silva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184665747 PECOS PAC ID: 7719051994 Enrollment ID: I20170103001543 |
| Provider Name | Dee Cha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396287447 PECOS PAC ID: 3274814223 Enrollment ID: I20170105000621 |
| Provider Name | Zjia A Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164967568 PECOS PAC ID: 5799066775 Enrollment ID: I20170105001944 |
| Provider Name | Isaac B Annan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336112234 PECOS PAC ID: 1456311307 Enrollment ID: I20170112002025 |
| Provider Name | Erik M Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316481781 PECOS PAC ID: 1557643277 Enrollment ID: I20170112002162 |
| Provider Name | Trixie M Lipke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356608988 PECOS PAC ID: 9537462981 Enrollment ID: I20170118000346 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20170120002742 |
| Provider Name | Kevin R Keller |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1790720795 PECOS PAC ID: 6709855000 Enrollment ID: I20170206002473 |
| Provider Name | Vonn E Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861468001 PECOS PAC ID: 1052301397 Enrollment ID: I20170221000565 |
| Provider Name | Maya Battikha |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487906830 PECOS PAC ID: 6103058268 Enrollment ID: I20170303000731 |
| Provider Name | Rebecca K Wohlk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649713090 PECOS PAC ID: 0941584064 Enrollment ID: I20170308001823 |
| Provider Name | Nicole M Dilger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114377132 PECOS PAC ID: 3072897107 Enrollment ID: I20170308002155 |
| Provider Name | Jacquelyne A Bodden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841299948 PECOS PAC ID: 4789969361 Enrollment ID: I20170322000751 |
| Provider Name | Skyler C Lynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740573955 PECOS PAC ID: 8123303765 Enrollment ID: I20170323000337 |
| Provider Name | Sabrina R Spets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376832451 PECOS PAC ID: 4183909559 Enrollment ID: I20170327001782 |
| Provider Name | Elson T Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144510389 PECOS PAC ID: 5799958278 Enrollment ID: I20170328002103 |
| Provider Name | Kayla C Gardner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558801183 PECOS PAC ID: 5092091157 Enrollment ID: I20170404002591 |
| Provider Name | Laurie Minarich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104950708 PECOS PAC ID: 0941450928 Enrollment ID: I20170410001279 |
| Provider Name | Anne Elizabeth Newbold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566428 PECOS PAC ID: 1456591122 Enrollment ID: I20170413002217 |
| Provider Name | Myra D West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225224827 PECOS PAC ID: 4385921196 Enrollment ID: I20170504000755 |
| Provider Name | Julie M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417488081 PECOS PAC ID: 0143507954 Enrollment ID: I20170504000984 |
| Provider Name | Faran S Polani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801202361 PECOS PAC ID: 8022328160 Enrollment ID: I20170531000255 |
| Provider Name | Rafael F Unda Rivera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700037892 PECOS PAC ID: 4385880608 Enrollment ID: I20170607002603 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Sheree D Emmert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467814962 PECOS PAC ID: 9335448851 Enrollment ID: I20170615000088 |
| Provider Name | Liesl Amon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548613722 PECOS PAC ID: 7810265519 Enrollment ID: I20170621003149 |
| Provider Name | Tara J M Maki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508214891 PECOS PAC ID: 1658649363 Enrollment ID: I20170622000216 |
| Provider Name | Stacy Jk Wogernese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912433848 PECOS PAC ID: 7719255322 Enrollment ID: I20170622000327 |
| Provider Name | Jessica M Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124469986 PECOS PAC ID: 6901028422 Enrollment ID: I20170622000956 |
| Provider Name | Tahir Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013328095 PECOS PAC ID: 0042588683 Enrollment ID: I20170622001701 |
| Provider Name | Arinzechukwu I Uzoechina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467860262 PECOS PAC ID: 2567766769 Enrollment ID: I20170622002965 |
| Provider Name | Allison M Dryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699204362 PECOS PAC ID: 8325316839 Enrollment ID: I20170623001609 |
| Provider Name | Osama Alsaied |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861635153 PECOS PAC ID: 7416251277 Enrollment ID: I20170703000274 |
| Provider Name | Rana Raheel Hafeez Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336555390 PECOS PAC ID: 2365711587 Enrollment ID: I20170703000827 |
| Provider Name | Adetoun Adebule |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881035715 PECOS PAC ID: 2961771183 Enrollment ID: I20170703001000 |
| Provider Name | Erics Samuel Espinoza Moscoso |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528375276 PECOS PAC ID: 7214160456 Enrollment ID: I20170705000604 |
| Provider Name | Elizabeth Ostoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003006099 PECOS PAC ID: 2163791153 Enrollment ID: I20170707000037 |
| Provider Name | Jacqueline Velasco |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023390176 PECOS PAC ID: 2668741554 Enrollment ID: I20170710000421 |
| Provider Name | Ajay Parsaik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740523844 PECOS PAC ID: 6103195094 Enrollment ID: I20170710000500 |
| Provider Name | Jonathan T Laack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487090072 PECOS PAC ID: 7911209879 Enrollment ID: I20170711001590 |
| Provider Name | Gina C Warczytowa |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568990588 PECOS PAC ID: 0244509982 Enrollment ID: I20170712000042 |
| Provider Name | Christopher Tl Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043637903 PECOS PAC ID: 9830319359 Enrollment ID: I20170718003459 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Nicholas M Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689916793 PECOS PAC ID: 7618277658 Enrollment ID: I20170726003739 |
| Provider Name | Christopher J Keto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134446339 PECOS PAC ID: 4981844743 Enrollment ID: I20170731001875 |
| Provider Name | Jared Re Hylton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245559509 PECOS PAC ID: 8022300169 Enrollment ID: I20170801001873 |
| Provider Name | Gregor M Wenig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154842086 PECOS PAC ID: 9234400672 Enrollment ID: I20170803002422 |
| Provider Name | Erin M Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942733845 PECOS PAC ID: 9234400284 Enrollment ID: I20170809001751 |
| Provider Name | Ekaterina Keifer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881949154 PECOS PAC ID: 5496909574 Enrollment ID: I20170809003203 |
| Provider Name | Kristen Selleck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508305533 PECOS PAC ID: 4688945439 Enrollment ID: I20170812000173 |
| Provider Name | Jessica L Lemke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518384411 PECOS PAC ID: 9032407614 Enrollment ID: I20170816000051 |
| Provider Name | James Q Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013323187 PECOS PAC ID: 6901022011 Enrollment ID: I20170818000165 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20170818001936 |
| Provider Name | Michelle A Manalang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043227184 PECOS PAC ID: 9335148337 Enrollment ID: I20170818002365 |
| Provider Name | Shalini Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861832990 PECOS PAC ID: 2668795915 Enrollment ID: I20170824002015 |
| Provider Name | Akanksha Joshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821370487 PECOS PAC ID: 7214168061 Enrollment ID: I20170824002989 |
| Provider Name | Sean M Sarazen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790217503 PECOS PAC ID: 0345512257 Enrollment ID: I20170826000165 |
| Provider Name | Erica L Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316207046 PECOS PAC ID: 3870865769 Enrollment ID: I20170828003212 |
| Provider Name | Benjamin P Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639606775 PECOS PAC ID: 2163795055 Enrollment ID: I20170828004160 |
| Provider Name | Melissa Matzumura Kuan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477818375 PECOS PAC ID: 8820220544 Enrollment ID: I20170829002860 |
| Provider Name | Paul D Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629509740 PECOS PAC ID: 1759654445 Enrollment ID: I20170831000490 |
| Provider Name | Anne Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235651530 PECOS PAC ID: 2769755263 Enrollment ID: I20170905002679 |
| Provider Name | Angela Sue St Onge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982152393 PECOS PAC ID: 4688947096 Enrollment ID: I20170907000347 |
| Provider Name | Tahlia Leigh Weis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982967840 PECOS PAC ID: 2860613361 Enrollment ID: I20170911002298 |
| Provider Name | Michelle Ellis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194926600 PECOS PAC ID: 0446475545 Enrollment ID: I20170912003329 |
| Provider Name | Susan Ann Wodrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700856499 PECOS PAC ID: 3476546797 Enrollment ID: I20170914001702 |
| Provider Name | Rachel M Avelallemant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659896231 PECOS PAC ID: 3375817356 Enrollment ID: I20170915000097 |
| Provider Name | Adam H Kibola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366861445 PECOS PAC ID: 0244504108 Enrollment ID: I20170916000196 |
| Provider Name | Bridget Freeman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1649346032 PECOS PAC ID: 4486729159 Enrollment ID: I20170918002739 |
| Provider Name | Tyler B Krings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629592431 PECOS PAC ID: 3375817836 Enrollment ID: I20170921001691 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20170922000654 |
| Provider Name | Karen J Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033462395 PECOS PAC ID: 4486899564 Enrollment ID: I20170926000193 |
| Provider Name | Jesse Medina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356869325 PECOS PAC ID: 7911271119 Enrollment ID: I20170927002353 |
| Provider Name | Amanda Leigh Eilers |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427349075 PECOS PAC ID: 0749574333 Enrollment ID: I20170928003301 |
| Provider Name | Corrie L Staff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902321169 PECOS PAC ID: 1052686060 Enrollment ID: I20171002000582 |
| Provider Name | Michelle D Alikpala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235679887 PECOS PAC ID: 5799061040 Enrollment ID: I20171002001445 |
| Provider Name | Rabeea Zaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821439431 PECOS PAC ID: 0648545392 Enrollment ID: I20171005000359 |
| Provider Name | John R Simmons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689760944 PECOS PAC ID: 6002911484 Enrollment ID: I20171009000165 |
| Provider Name | James E Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124544184 PECOS PAC ID: 4385919679 Enrollment ID: I20171012002790 |
| Provider Name | Leah R Meidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861914459 PECOS PAC ID: 8426323692 Enrollment ID: I20171014000313 |
| Provider Name | Clinton Medbery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609873421 PECOS PAC ID: 2860480019 Enrollment ID: I20171023000599 |
| Provider Name | Haleigh N Storkel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144748765 PECOS PAC ID: 8628344298 Enrollment ID: I20171026000528 |
| Provider Name | Christopher M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225554108 PECOS PAC ID: 0244506517 Enrollment ID: I20171101001648 |
| Provider Name | Rohit Sharma |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720271570 PECOS PAC ID: 3779609912 Enrollment ID: I20171107002466 |
| Provider Name | Nestor F Mercado |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558454173 PECOS PAC ID: 8224035217 Enrollment ID: I20171108002333 |
| Provider Name | Kaela E Rueden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225439235 PECOS PAC ID: 1355607250 Enrollment ID: I20171109000807 |
| Provider Name | Elizabeth B Hathaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073600110 PECOS PAC ID: 3476457284 Enrollment ID: I20171115000570 |
| Provider Name | Simon Maltais |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1457665911 PECOS PAC ID: 0840486510 Enrollment ID: I20171117000009 |
| Provider Name | Lisa Pagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194816116 PECOS PAC ID: 7113917402 Enrollment ID: I20171120000002 |
| Provider Name | Celene R Cannon-tinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619162484 PECOS PAC ID: 1658460639 Enrollment ID: I20171128000701 |
| Provider Name | Mostafa Farache |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366646879 PECOS PAC ID: 7618041740 Enrollment ID: I20171130001890 |
| Provider Name | Steven W Kubisiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225480478 PECOS PAC ID: 4587921440 Enrollment ID: I20171130002107 |
| Provider Name | Michael J Harl |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396830030 PECOS PAC ID: 8123061470 Enrollment ID: I20171205003476 |
| Provider Name | Erika H Poehm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669448551 PECOS PAC ID: 6305881939 Enrollment ID: I20171212000140 |
| Provider Name | Nyoka A Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591019 PECOS PAC ID: 4688932726 Enrollment ID: I20171220000103 |
| Provider Name | Heather B Breen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740547702 PECOS PAC ID: 1759681372 Enrollment ID: I20171226001246 |
| Provider Name | Chris A Metzger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184647679 PECOS PAC ID: 9638120579 Enrollment ID: I20180102000340 |
| Provider Name | Philip Bruce Meadow |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902911878 PECOS PAC ID: 9931157419 Enrollment ID: I20180111000317 |
| Provider Name | Alboury Sow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063790400 PECOS PAC ID: 4082834551 Enrollment ID: I20180112000415 |
| Provider Name | Mohamed Chebaclo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386708931 PECOS PAC ID: 0648280172 Enrollment ID: I20180117000700 |
| Provider Name | John J Wilkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013111590 PECOS PAC ID: 9436474111 Enrollment ID: I20180117002181 |
| Provider Name | Kara T Bos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942596408 PECOS PAC ID: 2466767199 Enrollment ID: I20180118000819 |
| Provider Name | Mario J Potvin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003869637 PECOS PAC ID: 4688587355 Enrollment ID: I20180131003164 |
| Provider Name | Peter Santogade |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336220623 PECOS PAC ID: 7719956507 Enrollment ID: I20180202002097 |
| Provider Name | Krishna Rama Mudimbi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477728475 PECOS PAC ID: 0042343618 Enrollment ID: I20180207001103 |
| Provider Name | Kathy A Knetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811405822 PECOS PAC ID: 0648530469 Enrollment ID: I20180215001565 |
| Provider Name | Lee C Yang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548203615 PECOS PAC ID: 8527950203 Enrollment ID: I20180216001268 |
| Provider Name | Andreas J Jeffers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407361322 PECOS PAC ID: 0042571846 Enrollment ID: I20180219000148 |
| Provider Name | Erin M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645193 PECOS PAC ID: 2163783416 Enrollment ID: I20180228002387 |
| Provider Name | Becky J Komro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063929321 PECOS PAC ID: 6002177201 Enrollment ID: I20180305001188 |
| Provider Name | Eric Michael Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497261333 PECOS PAC ID: 4880955004 Enrollment ID: I20180305001950 |
| Provider Name | Karolina Mikos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023424843 PECOS PAC ID: 8527324649 Enrollment ID: I20180308002386 |
| Provider Name | Glenn Webster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063518660 PECOS PAC ID: 3173582582 Enrollment ID: I20180314000612 |
| Provider Name | Padla Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821597733 PECOS PAC ID: 0648532275 Enrollment ID: I20180320001347 |
| Provider Name | Alexander Korittnig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972503845 PECOS PAC ID: 7315209608 Enrollment ID: I20180327000003 |
| Provider Name | Claudia G Istrate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184135949 PECOS PAC ID: 9638431885 Enrollment ID: I20180327003191 |
| Provider Name | Kimberly L Bruesewitz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346758067 PECOS PAC ID: 4082976238 Enrollment ID: I20180328000027 |
| Provider Name | Scott Chambers Olson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083814685 PECOS PAC ID: 8224267810 Enrollment ID: I20180403001265 |
| Provider Name | Chase Hurtig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740782242 PECOS PAC ID: 3971866815 Enrollment ID: I20180406001034 |
| Provider Name | Aaron D Buck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891201547 PECOS PAC ID: 8325301120 Enrollment ID: I20180409001652 |
| Provider Name | Daniel Eggeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20180411000255 |
| Provider Name | Timothy L Weiland |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235225590 PECOS PAC ID: 7810013125 Enrollment ID: I20180411001304 |
| Provider Name | Joseph S Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396251625 PECOS PAC ID: 2567725989 Enrollment ID: I20180418001358 |
| Provider Name | Miles E Ellsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841703402 PECOS PAC ID: 0547524415 Enrollment ID: I20180430001759 |
| Provider Name | Michael J Castro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558324905 PECOS PAC ID: 3375721632 Enrollment ID: I20180430002206 |
| Provider Name | Robert J Bochenski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558587717 PECOS PAC ID: 1557455441 Enrollment ID: I20180509001494 |
| Provider Name | Kristen A Klabacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790117992 PECOS PAC ID: 4082858725 Enrollment ID: I20180509002257 |
| Provider Name | Lindsey R Theis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437534765 PECOS PAC ID: 3476860420 Enrollment ID: I20180514000730 |
| Provider Name | Kwasi K Dakwa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861788382 PECOS PAC ID: 2264733930 Enrollment ID: I20180517000226 |
| Provider Name | Elizabeth J Marcoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679079859 PECOS PAC ID: 7810279965 Enrollment ID: I20180517001102 |
| Provider Name | Kira L Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043708845 PECOS PAC ID: 9638434129 Enrollment ID: I20180605000095 |
| Provider Name | Danielle M Dahlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841795010 PECOS PAC ID: 6709141203 Enrollment ID: I20180605000773 |
| Provider Name | Colleen A Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003313230 PECOS PAC ID: 9436414802 Enrollment ID: I20180606000838 |
| Provider Name | Gina M Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487150504 PECOS PAC ID: 9830454164 Enrollment ID: I20180607000665 |
| Provider Name | Jamal Ahmed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265877666 PECOS PAC ID: 5395090351 Enrollment ID: I20180614001532 |
| Provider Name | Benjamin J Graboyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720424807 PECOS PAC ID: 2264723519 Enrollment ID: I20180615000361 |
| Provider Name | Jennifer L Baldini |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164515367 PECOS PAC ID: 5890040455 Enrollment ID: I20180622000336 |
| Provider Name | Katie M Beck |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790274900 PECOS PAC ID: 5799030367 Enrollment ID: I20180622000765 |
| Provider Name | Nicole M Giles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821435462 PECOS PAC ID: 2860621653 Enrollment ID: I20180628002912 |
| Provider Name | Kristin Hinkle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528146479 PECOS PAC ID: 0749233724 Enrollment ID: I20180629000746 |
| Provider Name | Jonathan R Gilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265921217 PECOS PAC ID: 7315293115 Enrollment ID: I20180710000828 |
| Provider Name | Bradley T Kook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881037836 PECOS PAC ID: 5294038147 Enrollment ID: I20180711000944 |
| Provider Name | Chad Joseph Giles |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972949501 PECOS PAC ID: 1153550942 Enrollment ID: I20180713001633 |
| Provider Name | Joseph S Brantman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090676 PECOS PAC ID: 0749594018 Enrollment ID: I20180716001299 |
| Provider Name | Lidiya A. Golub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720461494 PECOS PAC ID: 1052668456 Enrollment ID: I20180717000680 |
| Provider Name | Kevin P Quirke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417306911 PECOS PAC ID: 3870888738 Enrollment ID: I20180717003218 |
| Provider Name | Gregory T Hammons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790725711 PECOS PAC ID: 9032191846 Enrollment ID: I20180718001493 |
| Provider Name | Mohammed W Kaashmiri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184614992 PECOS PAC ID: 7012053242 Enrollment ID: I20180718001769 |
| Provider Name | Eric W Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447541271 PECOS PAC ID: 2668699893 Enrollment ID: I20180725001786 |
| Provider Name | Sultan Mahmood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801151907 PECOS PAC ID: 1355564022 Enrollment ID: I20180725002454 |
| Provider Name | Ahmed Zahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740663046 PECOS PAC ID: 1355651365 Enrollment ID: I20180725003872 |
| Provider Name | Peter E Humphrey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972642916 PECOS PAC ID: 2961535083 Enrollment ID: I20180725003954 |
| Provider Name | Joanna Pluta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235511411 PECOS PAC ID: 1951681469 Enrollment ID: I20180725004036 |
| Provider Name | William D Mccormick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548502354 PECOS PAC ID: 9436397338 Enrollment ID: I20180726000971 |
| Provider Name | Aleice Jane Ellerkamp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154812337 PECOS PAC ID: 5395092902 Enrollment ID: I20180726003321 |
| Provider Name | Jessica Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003924978 PECOS PAC ID: 6002826062 Enrollment ID: I20180727001106 |
| Provider Name | Nageshwar Chauhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144585282 PECOS PAC ID: 5799033049 Enrollment ID: I20180802003768 |
| Provider Name | Emily A Ciula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528474087 PECOS PAC ID: 8123320082 Enrollment ID: I20180806003055 |
| Provider Name | Anoop Mohamed Iqbal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265788574 PECOS PAC ID: 8820309560 Enrollment ID: I20180807001018 |
| Provider Name | Abuzaid A Medani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528474079 PECOS PAC ID: 5395055271 Enrollment ID: I20180807001704 |
| Provider Name | Brett E Sorge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235558271 PECOS PAC ID: 3375844947 Enrollment ID: I20180808002276 |
| Provider Name | Suhas Ganguli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669862462 PECOS PAC ID: 2466700323 Enrollment ID: I20180808003718 |
| Provider Name | Kalil I Al-nassir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639303829 PECOS PAC ID: 8123173424 Enrollment ID: I20180809001100 |
| Provider Name | Klaus P Kutschke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598746349 PECOS PAC ID: 1658356001 Enrollment ID: I20180811000005 |
| Provider Name | Shayna K Shackford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281567 PECOS PAC ID: 0547486367 Enrollment ID: I20180813000003 |
| Provider Name | Sowmya C Puvvada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013323237 PECOS PAC ID: 6608170592 Enrollment ID: I20180813001693 |
| Provider Name | Khalid Em Khalid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780937466 PECOS PAC ID: 0840561320 Enrollment ID: I20180813001708 |
| Provider Name | Rebecca M Blonsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669812764 PECOS PAC ID: 3678795259 Enrollment ID: I20180813001873 |
| Provider Name | Raj Purshotam Hiranandani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689089112 PECOS PAC ID: 8123392297 Enrollment ID: I20180813003074 |
| Provider Name | David Ray Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174682843 PECOS PAC ID: 7517146806 Enrollment ID: I20180814000027 |
| Provider Name | Siddhartha Kattamanchi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316388382 PECOS PAC ID: 1355665258 Enrollment ID: I20180816001974 |
| Provider Name | Andrew Scott Jensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245610633 PECOS PAC ID: 9537448675 Enrollment ID: I20180816002294 |
| Provider Name | Alaeddin A Tarhuni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639589948 PECOS PAC ID: 8325336324 Enrollment ID: I20180816003242 |
| Provider Name | Nathan A Blankenheim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871989657 PECOS PAC ID: 9931405537 Enrollment ID: I20180817001233 |
| Provider Name | Syed H Alam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396179677 PECOS PAC ID: 0042516403 Enrollment ID: I20180820002162 |
| Provider Name | Benjamin O Kamin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629483581 PECOS PAC ID: 0547486441 Enrollment ID: I20180821001127 |
| Provider Name | James M Baron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821581117 PECOS PAC ID: 6800145822 Enrollment ID: I20180823001435 |
| Provider Name | Paige R Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487144432 PECOS PAC ID: 3971852922 Enrollment ID: I20180823002918 |
| Provider Name | John J Petronovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548600190 PECOS PAC ID: 3577785658 Enrollment ID: I20180827001889 |
| Provider Name | Jeffrey T Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174942353 PECOS PAC ID: 5294958914 Enrollment ID: I20180828001178 |
| Provider Name | Crystal S Cordell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861712143 PECOS PAC ID: 7416195664 Enrollment ID: I20180828002515 |
| Provider Name | Tyler J Dahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235496787 PECOS PAC ID: 6204130024 Enrollment ID: I20180828002543 |
| Provider Name | Matthew H Brookes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114366424 PECOS PAC ID: 2567711351 Enrollment ID: I20180828002892 |
| Provider Name | Julie Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164913406 PECOS PAC ID: 4082964879 Enrollment ID: I20180828003124 |
| Provider Name | Teresa A Gonzaga |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073776928 PECOS PAC ID: 1456522812 Enrollment ID: I20180828003391 |
| Provider Name | Matthew Muthuswamy Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720068018 PECOS PAC ID: 5799757530 Enrollment ID: I20180830000010 |
| Provider Name | Ashley Nicole Millard-garcia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851704126 PECOS PAC ID: 8820386782 Enrollment ID: I20180830000026 |
| Provider Name | Carolyn Cheryl Mccarty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376760306 PECOS PAC ID: 9234285297 Enrollment ID: I20180830001517 |
| Provider Name | Krzysztof A Rus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154748200 PECOS PAC ID: 0345510897 Enrollment ID: I20180906001908 |
| Provider Name | Stephanie Ann Olson-mcraith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760791412 PECOS PAC ID: 9638442007 Enrollment ID: I20180907001594 |
| Provider Name | Lauren E Treml |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508351099 PECOS PAC ID: 5597015701 Enrollment ID: I20180910002512 |
| Provider Name | Kessa A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700171857 PECOS PAC ID: 5991055956 Enrollment ID: I20180912002511 |
| Provider Name | Brad T Morrow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659691228 PECOS PAC ID: 0941550917 Enrollment ID: I20180912002732 |
| Provider Name | Marissa J Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104164417 PECOS PAC ID: 7012152838 Enrollment ID: I20180915000000 |
| Provider Name | Veera Venkata Satyanaraya Kommisetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831504877 PECOS PAC ID: 4880900810 Enrollment ID: I20180922000079 |
| Provider Name | Kylie A Bickford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205372653 PECOS PAC ID: 2860743150 Enrollment ID: I20180926000515 |
| Provider Name | Lucy C Martinek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700141785 PECOS PAC ID: 3678849247 Enrollment ID: I20180927000042 |
| Provider Name | Brenda K Kibola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821415795 PECOS PAC ID: 1052662236 Enrollment ID: I20180927001118 |
| Provider Name | Joshua D Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043584485 PECOS PAC ID: 3173768645 Enrollment ID: I20180927002741 |
| Provider Name | Alison L Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447676879 PECOS PAC ID: 9931407202 Enrollment ID: I20180927003257 |
| Provider Name | Judy Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649250192 PECOS PAC ID: 0042314544 Enrollment ID: I20181001000412 |
| Provider Name | Navneet Kaur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932467339 PECOS PAC ID: 8022314020 Enrollment ID: I20181002000041 |
| Provider Name | Jacob W Diestelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376064709 PECOS PAC ID: 6305198060 Enrollment ID: I20181008000610 |
| Provider Name | Todd N Wolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033501937 PECOS PAC ID: 7214256932 Enrollment ID: I20181015000084 |
| Provider Name | Jill Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669707824 PECOS PAC ID: 4486783065 Enrollment ID: I20181015000740 |
| Provider Name | Prabeer Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720420839 PECOS PAC ID: 1951689017 Enrollment ID: I20181015003510 |
| Provider Name | Amanda M Seubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114411535 PECOS PAC ID: 8527310820 Enrollment ID: I20181016000470 |
| Provider Name | Brook L Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427531912 PECOS PAC ID: 5991057150 Enrollment ID: I20181016003608 |
| Provider Name | Jennifer Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760976096 PECOS PAC ID: 3678826625 Enrollment ID: I20181022002340 |
| Provider Name | Robin L Olsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497029813 PECOS PAC ID: 5395907158 Enrollment ID: I20181023002378 |
| Provider Name | Richard J Willes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821384264 PECOS PAC ID: 6305086570 Enrollment ID: I20181025000238 |
| Provider Name | Rudolph N Francis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609894476 PECOS PAC ID: 5597774760 Enrollment ID: I20181025000445 |
| Provider Name | Nicola S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477963833 PECOS PAC ID: 8224253919 Enrollment ID: I20181025000945 |
| Provider Name | Jamie Ott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649751108 PECOS PAC ID: 7911250766 Enrollment ID: I20181025001267 |
| Provider Name | Yaser Fathi Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811289911 PECOS PAC ID: 0749412591 Enrollment ID: I20181029001135 |
| Provider Name | Kunle Onade |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790094704 PECOS PAC ID: 6800014788 Enrollment ID: I20181029001597 |
| Provider Name | Kaitlin M Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614213 PECOS PAC ID: 8729331350 Enrollment ID: I20181030000835 |
| Provider Name | David C Gaylord |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144288655 PECOS PAC ID: 6709847759 Enrollment ID: I20181106003255 |
| Provider Name | Crispus N Ombui |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578084281 PECOS PAC ID: 4486908654 Enrollment ID: I20181107001982 |
| Provider Name | Stephanie K Slagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548458656 PECOS PAC ID: 4981890076 Enrollment ID: I20181116000150 |
| Provider Name | Kathryn A Wingate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265915250 PECOS PAC ID: 6204180540 Enrollment ID: I20181126001796 |
| Provider Name | Becky K Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730669763 PECOS PAC ID: 3779837059 Enrollment ID: I20181127000466 |
| Provider Name | Daniel C Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124503677 PECOS PAC ID: 5991059289 Enrollment ID: I20181127001145 |
| Provider Name | Zachary N Gordon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790075851 PECOS PAC ID: 4587805841 Enrollment ID: I20181127001161 |
| Provider Name | Jawad Ahmad Bajwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689849960 PECOS PAC ID: 3375611742 Enrollment ID: I20181127001328 |
| Provider Name | George Mychaskiw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609967017 PECOS PAC ID: 0749379733 Enrollment ID: I20181205001638 |
| Provider Name | Shanna R Badje |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174099634 PECOS PAC ID: 5799029427 Enrollment ID: I20181206000030 |
| Provider Name | Bhavna Kapurji Thakor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245572817 PECOS PAC ID: 4789977729 Enrollment ID: I20181218000106 |
| Provider Name | William R Lundberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144231960 PECOS PAC ID: 9931291150 Enrollment ID: I20181218001687 |
| Provider Name | Tracy L Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801364245 PECOS PAC ID: 1254676398 Enrollment ID: I20181218004033 |
| Provider Name | Shakil Karim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720039019 PECOS PAC ID: 0446201974 Enrollment ID: I20181219000909 |
| Provider Name | Brittany D Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285119214 PECOS PAC ID: 6800131665 Enrollment ID: I20181224000034 |
| Provider Name | Jeffrey T Darling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598005290 PECOS PAC ID: 3779828538 Enrollment ID: I20181224000173 |
| Provider Name | Surjeet S Pohar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114094430 PECOS PAC ID: 7012939507 Enrollment ID: I20181224000293 |
| Provider Name | Michelle R Puleo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619221652 PECOS PAC ID: 4183865967 Enrollment ID: I20181226000014 |
| Provider Name | Sudhakar V Girotra |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710184163 PECOS PAC ID: 5092936385 Enrollment ID: I20181226001801 |
| Provider Name | Anne R Bouele Mboule |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700084555 PECOS PAC ID: 4587909205 Enrollment ID: I20181227000032 |
| Provider Name | Tammy G Buchanan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487627022 PECOS PAC ID: 9335108463 Enrollment ID: I20190104000721 |
| Provider Name | Stephanie L Edwards |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891263430 PECOS PAC ID: 4284970591 Enrollment ID: I20190108001132 |
| Provider Name | Amir S Gholami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447425806 PECOS PAC ID: 4981890159 Enrollment ID: I20190109000725 |
| Provider Name | Stephanie J Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649740564 PECOS PAC ID: 9537405576 Enrollment ID: I20190111000084 |
| Provider Name | Lauren M Reilly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639583586 PECOS PAC ID: 3870888480 Enrollment ID: I20190123000071 |
| Provider Name | Larry C Munch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205836889 PECOS PAC ID: 4082757869 Enrollment ID: I20190131001363 |
| Provider Name | Justin A Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093138141 PECOS PAC ID: 2062642309 Enrollment ID: I20190207002777 |
| Provider Name | Shannon J Meddaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316417637 PECOS PAC ID: 8426396730 Enrollment ID: I20190212002451 |
| Provider Name | Lenore E Rick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841341112 PECOS PAC ID: 8921994575 Enrollment ID: I20190213000409 |
| Provider Name | Katherine S Winiarczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841670726 PECOS PAC ID: 7911286216 Enrollment ID: I20190214002252 |
| Provider Name | Debra Puerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285886648 PECOS PAC ID: 5890861165 Enrollment ID: I20190215001446 |
| Provider Name | Diana L Newby-boyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891871778 PECOS PAC ID: 6507926961 Enrollment ID: I20190219000988 |
| Provider Name | Matthew D Hoeft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811462880 PECOS PAC ID: 7214275163 Enrollment ID: I20190219001541 |
| Provider Name | Priscilla Santiago-maldonado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982173308 PECOS PAC ID: 6002154960 Enrollment ID: I20190219001791 |
| Provider Name | Danny Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811474935 PECOS PAC ID: 8325386295 Enrollment ID: I20190219002432 |
| Provider Name | Bryan P Mathieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205022555 PECOS PAC ID: 3476620238 Enrollment ID: I20190220001116 |
| Provider Name | Laura M Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891266060 PECOS PAC ID: 1951649763 Enrollment ID: I20190220001239 |
| Provider Name | William S Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861964934 PECOS PAC ID: 2062750896 Enrollment ID: I20190220002067 |
| Provider Name | Joseph F Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558723130 PECOS PAC ID: 2365739620 Enrollment ID: I20190221002587 |
| Provider Name | Susan M Ksiazek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548326796 PECOS PAC ID: 9537357199 Enrollment ID: I20190222000122 |
| Provider Name | Ramon L Rodriguez Cruz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255377099 PECOS PAC ID: 9931138039 Enrollment ID: I20190302000021 |
| Provider Name | Joy A Ryskoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679045801 PECOS PAC ID: 9335488626 Enrollment ID: I20190304002790 |
| Provider Name | Cathryn A Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346240975 PECOS PAC ID: 9739178880 Enrollment ID: I20190305000713 |
| Provider Name | Prabha Nanjundamurthy Dakshayini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265842199 PECOS PAC ID: 9931425428 Enrollment ID: I20190307000196 |
| Provider Name | Nima Mottaghi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356758148 PECOS PAC ID: 8921347089 Enrollment ID: I20190307000399 |
| Provider Name | Kay F Johnson-keys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043247190 PECOS PAC ID: 4587621271 Enrollment ID: I20190312000165 |
| Provider Name | Robert N Wittmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871835132 PECOS PAC ID: 3274873823 Enrollment ID: I20190319002220 |
| Provider Name | Melissa A Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821562679 PECOS PAC ID: 0941540314 Enrollment ID: I20190321000955 |
| Provider Name | Anna J Rinholen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609030212 PECOS PAC ID: 0143560532 Enrollment ID: I20190321001790 |
| Provider Name | Robert M Kuzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568474849 PECOS PAC ID: 1658377536 Enrollment ID: I20190327002571 |
| Provider Name | Todd Edward Koerner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588662878 PECOS PAC ID: 6709785298 Enrollment ID: I20190408001918 |
| Provider Name | Christine M Boylan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568413557 PECOS PAC ID: 1254320013 Enrollment ID: I20190409001306 |
| Provider Name | Stefanie N Rinehardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649691361 PECOS PAC ID: 9436373776 Enrollment ID: I20190412000416 |
| Provider Name | Samuel B Curtis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316416100 PECOS PAC ID: 4880935287 Enrollment ID: I20190412000683 |
| Provider Name | Tiana K Kristensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417437351 PECOS PAC ID: 6305187683 Enrollment ID: I20190415001795 |
| Provider Name | Kristine F Linville |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790205581 PECOS PAC ID: 4981974870 Enrollment ID: I20190416000022 |
| Provider Name | Corey M Cronrath |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1770878878 PECOS PAC ID: 8729238191 Enrollment ID: I20190416000064 |
| Provider Name | James Lee Heyrend |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770521437 PECOS PAC ID: 1153387725 Enrollment ID: I20190416001319 |
| Provider Name | Annette M Trudeau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841398443 PECOS PAC ID: 0648376327 Enrollment ID: I20190419000705 |
| Provider Name | Andrew John Miller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1699822403 PECOS PAC ID: 4587807631 Enrollment ID: I20190423001176 |
| Provider Name | Adam P Wadzinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669899530 PECOS PAC ID: 2668714551 Enrollment ID: I20190424002274 |
| Provider Name | Sarah Renee Gritzner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346712684 PECOS PAC ID: 7810239712 Enrollment ID: I20190424002457 |
| Provider Name | Siamak Karimian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225091812 PECOS PAC ID: 7719933258 Enrollment ID: I20190424003065 |
| Provider Name | Keith Gingerich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114972742 PECOS PAC ID: 8224004726 Enrollment ID: I20190425001465 |
| Provider Name | Milan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558756460 PECOS PAC ID: 7315256161 Enrollment ID: I20190429002612 |
| Provider Name | Michael J Darr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639638174 PECOS PAC ID: 1254673791 Enrollment ID: I20190502000005 |
| Provider Name | Rebecca L Guensburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205395647 PECOS PAC ID: 2961744404 Enrollment ID: I20190502000083 |
| Provider Name | Emily C Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558617506 PECOS PAC ID: 1456577543 Enrollment ID: I20190502000877 |
| Provider Name | Jason Patzwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508150731 PECOS PAC ID: 2961744388 Enrollment ID: I20190503000651 |
| Provider Name | Susan M Trocciola |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1831365345 PECOS PAC ID: 2769631183 Enrollment ID: I20190504000031 |
| Provider Name | Eric R Fischer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346724192 PECOS PAC ID: 6608129879 Enrollment ID: I20190508000125 |
| Provider Name | Rebecca A Haug |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346728060 PECOS PAC ID: 2365780335 Enrollment ID: I20190509001362 |
| Provider Name | Robert A Nordal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467486746 PECOS PAC ID: 0840268520 Enrollment ID: I20190509002409 |
| Provider Name | Yasmeen A Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356359384 PECOS PAC ID: 5698779684 Enrollment ID: I20190510001084 |
| Provider Name | Donald G Nordstrom |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225039365 PECOS PAC ID: 7719979715 Enrollment ID: I20190515000270 |
| Provider Name | Brett W Janssen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700364429 PECOS PAC ID: 4587901707 Enrollment ID: I20190515000375 |
| Provider Name | Matthew Katz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952643595 PECOS PAC ID: 7517200553 Enrollment ID: I20190515001766 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Christopher Michael Myczkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659783652 PECOS PAC ID: 9133443930 Enrollment ID: I20190523001793 |
| Provider Name | Stephen C Nicholls |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437187598 PECOS PAC ID: 2769585330 Enrollment ID: I20190605002604 |
| Provider Name | Akhter Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699783340 PECOS PAC ID: 8921236449 Enrollment ID: I20190606002446 |
| Provider Name | Heather L Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194288381 PECOS PAC ID: 4486987195 Enrollment ID: I20190612002179 |
| Provider Name | Angela P Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396029187 PECOS PAC ID: 3678731395 Enrollment ID: I20190613001385 |
| Provider Name | Sreerag Alumparambil Surendran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235683699 PECOS PAC ID: 4082900667 Enrollment ID: I20190617003174 |
| Provider Name | Kristin J Baxter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841854536 PECOS PAC ID: 0446583892 Enrollment ID: I20190618000324 |
| Provider Name | Lindita Coku |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134394745 PECOS PAC ID: 9830356963 Enrollment ID: I20190618000566 |
| Provider Name | Molly Elizabeth Boyle-engedal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730676537 PECOS PAC ID: 2163778267 Enrollment ID: I20190618003686 |
| Provider Name | Jasmine Jonghui Han |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801865373 PECOS PAC ID: 1557588365 Enrollment ID: I20190620001393 |
| Provider Name | Paul Yeung Lai Wah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316398712 PECOS PAC ID: 9537428115 Enrollment ID: I20190620001962 |
| Provider Name | Katlyn A Rohr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225692858 PECOS PAC ID: 7911231121 Enrollment ID: I20190621001436 |
| Provider Name | Kendra G Bowman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811029507 PECOS PAC ID: 4082852116 Enrollment ID: I20190625000502 |
| Provider Name | Abhishek Seth |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578903795 PECOS PAC ID: 0941431449 Enrollment ID: I20190625000618 |
| Provider Name | Charlene M Sealy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609229327 PECOS PAC ID: 3577897503 Enrollment ID: I20190626000071 |
| Provider Name | Robert J Massop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437546470 PECOS PAC ID: 9234447970 Enrollment ID: I20190626001365 |
| Provider Name | Theresa A Larson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881606739 PECOS PAC ID: 1658375522 Enrollment ID: I20190628000138 |
| Provider Name | Eric C Statz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790262426 PECOS PAC ID: 9931433752 Enrollment ID: I20190628000403 |
| Provider Name | Patrick Mccann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447701461 PECOS PAC ID: 9234476102 Enrollment ID: I20190628001503 |
| Provider Name | Yuanli Lei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902258841 PECOS PAC ID: 2567796204 Enrollment ID: I20190628001706 |
| Provider Name | Aaron Matthew Vandreel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164798286 PECOS PAC ID: 5193010635 Enrollment ID: I20190628001868 |
| Provider Name | Lyle J Stefanich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497765143 PECOS PAC ID: 6002810959 Enrollment ID: I20190701001881 |
| Provider Name | Christopher I Ordonez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396192076 PECOS PAC ID: 7315271954 Enrollment ID: I20190702000089 |
| Provider Name | Aditya Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538501655 PECOS PAC ID: 4183944085 Enrollment ID: I20190702000896 |
| Provider Name | James J Neitzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861843344 PECOS PAC ID: 4587957196 Enrollment ID: I20190702001572 |
| Provider Name | Gokul Thimmarayan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992119937 PECOS PAC ID: 6901127539 Enrollment ID: I20190702002107 |
| Provider Name | Paul J Lineberry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740264944 PECOS PAC ID: 6305746082 Enrollment ID: I20190703000398 |
| Provider Name | Gita Zamani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902284847 PECOS PAC ID: 9032444039 Enrollment ID: I20190712002254 |
| Provider Name | Kevin D Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164885406 PECOS PAC ID: 1355635640 Enrollment ID: I20190715000666 |
| Provider Name | Rashid A Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417308743 PECOS PAC ID: 4082989298 Enrollment ID: I20190715000929 |
| Provider Name | William Rengifo-cam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154551653 PECOS PAC ID: 5294043378 Enrollment ID: I20190718001629 |
| Provider Name | Nath Chongsuwat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225416829 PECOS PAC ID: 9638479603 Enrollment ID: I20190719000970 |
| Provider Name | Jeremiah Josh Libby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184045213 PECOS PAC ID: 3173872041 Enrollment ID: I20190723002893 |
| Provider Name | Aiman Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053763516 PECOS PAC ID: 5193063881 Enrollment ID: I20190723003145 |
| Provider Name | Jayme L Corry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750940540 PECOS PAC ID: 7214263565 Enrollment ID: I20190725000148 |
| Provider Name | Michael K Donnelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477789105 PECOS PAC ID: 2062659980 Enrollment ID: I20190725002629 |
| Provider Name | Suraj Chandrasekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720321367 PECOS PAC ID: 6901100130 Enrollment ID: I20190729000206 |
| Provider Name | Kodwo Kuntu Orleans Lindsay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932216439 PECOS PAC ID: 0345273561 Enrollment ID: I20190729000935 |
| Provider Name | Samantha A Barg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073170791 PECOS PAC ID: 9032445093 Enrollment ID: I20190729002453 |
| Provider Name | Analise J Hanneman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386027910 PECOS PAC ID: 8123308749 Enrollment ID: I20190729002879 |
| Provider Name | Hilde Suad Jerius |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255437240 PECOS PAC ID: 1355320268 Enrollment ID: I20190730004483 |
| Provider Name | Kimberly M Finlan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831741180 PECOS PAC ID: 3971839648 Enrollment ID: I20190802000092 |
| Provider Name | Aby D Pynadath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356756373 PECOS PAC ID: 1052600798 Enrollment ID: I20190803000060 |
| Provider Name | Gorgonia V Ferrer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912025651 PECOS PAC ID: 0840367231 Enrollment ID: I20190805001173 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20190805001836 |
| Provider Name | Siva Prasad Reddy Pesala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891100368 PECOS PAC ID: 3173845310 Enrollment ID: I20190806000737 |
| Provider Name | Jereoha C Nwobodo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316358518 PECOS PAC ID: 7012264237 Enrollment ID: I20190806003220 |
| Provider Name | Barbara Ann Coulter-smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497738033 PECOS PAC ID: 7315982295 Enrollment ID: I20190814000523 |
| Provider Name | Amy M Fellenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619534690 PECOS PAC ID: 1658608633 Enrollment ID: I20190814000866 |
| Provider Name | Jason Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841850542 PECOS PAC ID: 2961739941 Enrollment ID: I20190814001110 |
| Provider Name | Stanton S Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861669400 PECOS PAC ID: 5991978108 Enrollment ID: I20190814001151 |
| Provider Name | Katya Alcaraz Voelker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295198570 PECOS PAC ID: 1153613096 Enrollment ID: I20190820000459 |
| Provider Name | Anthony D Mosley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457303760 PECOS PAC ID: 7012973019 Enrollment ID: I20190821000028 |
| Provider Name | Utchariya Anantamongkol |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114346558 PECOS PAC ID: 0446559405 Enrollment ID: I20190822002795 |
| Provider Name | Gavin Mark Ambrosi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700299203 PECOS PAC ID: 2567753759 Enrollment ID: I20190823003477 |
| Provider Name | Jennifer E Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043870835 PECOS PAC ID: 8820326895 Enrollment ID: I20190829000348 |
| Provider Name | Chuong Huu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968202 PECOS PAC ID: 7810270956 Enrollment ID: I20190829002526 |
| Provider Name | Jason R Haus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194043091 PECOS PAC ID: 2769798313 Enrollment ID: I20190829002606 |
| Provider Name | Anna M Priebe |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1386765501 PECOS PAC ID: 0345317012 Enrollment ID: I20190829002830 |
| Provider Name | Trisha R Summerlin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871659565 PECOS PAC ID: 1759429103 Enrollment ID: I20190829003015 |
| Provider Name | Benjamin Mark Faustich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699092916 PECOS PAC ID: 8123246451 Enrollment ID: I20190829003556 |
| Provider Name | Siwadon Pitukweerakul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487063087 PECOS PAC ID: 2860764784 Enrollment ID: I20190829003667 |
| Provider Name | Kristina L Mcgivern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306406723 PECOS PAC ID: 6406184399 Enrollment ID: I20190830001390 |
| Provider Name | Muhammad Ubaidulhaq |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265735807 PECOS PAC ID: 5294036901 Enrollment ID: I20190906000007 |
| Provider Name | Kelly M Jonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982296 PECOS PAC ID: 8921337676 Enrollment ID: I20190906000064 |
| Provider Name | Youa Thao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861953960 PECOS PAC ID: 7810226404 Enrollment ID: I20190906001807 |
| Provider Name | Shakera A Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285081471 PECOS PAC ID: 2062759855 Enrollment ID: I20190909000011 |
| Provider Name | Rachel M Randall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457694309 PECOS PAC ID: 9830491968 Enrollment ID: I20190911001853 |
| Provider Name | Ning Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902149859 PECOS PAC ID: 4284921651 Enrollment ID: I20190911002147 |
| Provider Name | Jennifer R Boon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982866 PECOS PAC ID: 9537498696 Enrollment ID: I20190916000860 |
| Provider Name | John E Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962442913 PECOS PAC ID: 0345382354 Enrollment ID: I20190918001801 |
| Provider Name | Brandon S Fraleigh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407400138 PECOS PAC ID: 7214267178 Enrollment ID: I20190919002534 |
| Provider Name | Samantha E Tyler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689166944 PECOS PAC ID: 5799037230 Enrollment ID: I20190923001882 |
| Provider Name | Yashoda G Naik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962865261 PECOS PAC ID: 0840571311 Enrollment ID: I20190923002262 |
| Provider Name | Nadeem A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770861197 PECOS PAC ID: 1052537974 Enrollment ID: I20190926000102 |
| Provider Name | Carolyn F Haus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710272984 PECOS PAC ID: 1951619790 Enrollment ID: I20190926000849 |
| Provider Name | Tracy A Nims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639183155 PECOS PAC ID: 6800866427 Enrollment ID: I20190926001082 |
| Provider Name | Jamie L Mealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780827667 PECOS PAC ID: 9830429984 Enrollment ID: I20191002003171 |
| Provider Name | Yousuf Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609286590 PECOS PAC ID: 1254633605 Enrollment ID: I20191002003210 |
| Provider Name | Elizabeth J Helmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366606980 PECOS PAC ID: 3678797578 Enrollment ID: I20191002003523 |
| Provider Name | Supreet K Sahai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538587159 PECOS PAC ID: 6103156260 Enrollment ID: I20191002003671 |
| Provider Name | Joon Chang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720087257 PECOS PAC ID: 2264496330 Enrollment ID: I20191008000471 |
| Provider Name | Chirag A Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689959116 PECOS PAC ID: 4486998366 Enrollment ID: I20191009000766 |
| Provider Name | Carmen A Alcala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583560 PECOS PAC ID: 8325343460 Enrollment ID: I20191011001212 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20191011002437 |
| Provider Name | Holly A Worzalla |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467420497 PECOS PAC ID: 5092046391 Enrollment ID: I20191018000259 |
| Provider Name | Lynn E Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750369096 PECOS PAC ID: 4284702333 Enrollment ID: I20191021001916 |
| Provider Name | Michael Matela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881795490 PECOS PAC ID: 2264515568 Enrollment ID: I20191025000354 |
| Provider Name | Donna M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816453 PECOS PAC ID: 6901702034 Enrollment ID: I20191028000152 |
| Provider Name | Saeed Akhter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982818753 PECOS PAC ID: 9032218383 Enrollment ID: I20191104001671 |
| Provider Name | Nagy Elsayyad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851592687 PECOS PAC ID: 9931095072 Enrollment ID: I20191106002624 |
| Provider Name | Jose Luis Estrada |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427227875 PECOS PAC ID: 7416016167 Enrollment ID: I20191107000179 |
| Provider Name | Bette Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386612927 PECOS PAC ID: 1052362316 Enrollment ID: I20191108000246 |
| Provider Name | Kayla L Jenness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114578457 PECOS PAC ID: 3870925076 Enrollment ID: I20191108001167 |
| Provider Name | Rachael L Haupt-harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758398 PECOS PAC ID: 9436581469 Enrollment ID: I20191113002400 |
| Provider Name | Lisa Francis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891958435 PECOS PAC ID: 6002931615 Enrollment ID: I20191114001169 |
| Provider Name | Boban Mathew |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548423080 PECOS PAC ID: 0143344168 Enrollment ID: I20191119000589 |
| Provider Name | Fidelis M Kiungua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285037101 PECOS PAC ID: 4385962885 Enrollment ID: I20191125001963 |
| Provider Name | Sashi Inkollu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235368606 PECOS PAC ID: 8628207123 Enrollment ID: I20191202000094 |
| Provider Name | Heather M Bone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679546881 PECOS PAC ID: 7810320033 Enrollment ID: I20191202002116 |
| Provider Name | Edward Pienkos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356324669 PECOS PAC ID: 4385687060 Enrollment ID: I20191204000016 |
| Provider Name | Abbey A Rose |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265074736 PECOS PAC ID: 7214360262 Enrollment ID: I20191204002266 |
| Provider Name | Alyssa A Hovda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548804511 PECOS PAC ID: 0941633994 Enrollment ID: I20191204002282 |
| Provider Name | Daniel Seth Shapiro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578663829 PECOS PAC ID: 0143203414 Enrollment ID: I20191209001078 |
| Provider Name | Jeffrey C Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699725416 PECOS PAC ID: 3072576677 Enrollment ID: I20191212000155 |
| Provider Name | Gustavo A Villalona |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740447200 PECOS PAC ID: 3476860248 Enrollment ID: I20191224000010 |
| Provider Name | Laura E Janak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144865866 PECOS PAC ID: 2769816776 Enrollment ID: I20191230000410 |
| Provider Name | Karla Lynn Stumpp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336621713 PECOS PAC ID: 9739432352 Enrollment ID: I20200103000528 |
| Provider Name | Kathryn G Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420130 PECOS PAC ID: 7618301250 Enrollment ID: I20200107001795 |
| Provider Name | Alexander Stoffan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558578823 PECOS PAC ID: 3375761745 Enrollment ID: I20200113002078 |
| Provider Name | Betty Kemper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033155205 PECOS PAC ID: 3779478706 Enrollment ID: I20200114002010 |
| Provider Name | Breanna L Zimmermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851936306 PECOS PAC ID: 6406281724 Enrollment ID: I20200115000376 |
| Provider Name | Karen A Blaschke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003837428 PECOS PAC ID: 6103251970 Enrollment ID: I20200124001447 |
| Provider Name | Nancy M Gerum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174875090 PECOS PAC ID: 6204088149 Enrollment ID: I20200124001731 |
| Provider Name | Peter Umukoro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679924013 PECOS PAC ID: 3971879081 Enrollment ID: I20200127002420 |
| Provider Name | Christina Cloke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306254289 PECOS PAC ID: 8820334378 Enrollment ID: I20200128001597 |
| Provider Name | Yana Puckett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154682169 PECOS PAC ID: 2466754924 Enrollment ID: I20200129000669 |
| Provider Name | Amanda J Welke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184075525 PECOS PAC ID: 3971881582 Enrollment ID: I20200131001950 |
| Provider Name | Sarah Minasyan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669646451 PECOS PAC ID: 9335104694 Enrollment ID: I20200206000966 |
| Provider Name | Amanda C Malyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972142925 PECOS PAC ID: 7517393531 Enrollment ID: I20200210002359 |
| Provider Name | Martin J Cristanelli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952474983 PECOS PAC ID: 9032142872 Enrollment ID: I20200213000257 |
| Provider Name | Jacob W Pollard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134505662 PECOS PAC ID: 6608202494 Enrollment ID: I20200215000051 |
| Provider Name | Hilary K Eggen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790291300 PECOS PAC ID: 1153680863 Enrollment ID: I20200218001016 |
| Provider Name | Tilak Baba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093058307 PECOS PAC ID: 9638466758 Enrollment ID: I20200219000857 |
| Provider Name | Kayiguvwe O Kragha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972551315 PECOS PAC ID: 1759306970 Enrollment ID: I20200220001043 |
| Provider Name | Ramanathapura N Narasimhamurthy Haricharan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396950598 PECOS PAC ID: 5890912323 Enrollment ID: I20200225000420 |
| Provider Name | Anup Sud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316972631 PECOS PAC ID: 4486752649 Enrollment ID: I20200227001903 |
| Provider Name | Emily M Fontaine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144531096 PECOS PAC ID: 9436380029 Enrollment ID: I20200313000011 |
| Provider Name | Scott B Bennion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720287394 PECOS PAC ID: 9537346069 Enrollment ID: I20200319001025 |
| Provider Name | Anupama Inaganti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538350897 PECOS PAC ID: 4385710102 Enrollment ID: I20200324000753 |
| Provider Name | Jennifer Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154864981 PECOS PAC ID: 5799061255 Enrollment ID: I20200327002655 |
| Provider Name | Samantha J Ross |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710522578 PECOS PAC ID: 3173952967 Enrollment ID: I20200330002457 |
| Provider Name | Dean T Munnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275614943 PECOS PAC ID: 5890792188 Enrollment ID: I20200407002520 |
| Provider Name | Noimy T Bolz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942518196 PECOS PAC ID: 3375723638 Enrollment ID: I20200413000122 |
| Provider Name | Ann L Lapacinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750850871 PECOS PAC ID: 1850631979 Enrollment ID: I20200413003704 |
| Provider Name | Matthew J Hastreiter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407415334 PECOS PAC ID: 4587998919 Enrollment ID: I20200413004090 |
| Provider Name | Jean R Newby Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790988913 PECOS PAC ID: 4183667298 Enrollment ID: I20200420001780 |
| Provider Name | Kristine P Pultorak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306814298 PECOS PAC ID: 7517159973 Enrollment ID: I20200420002236 |
| Provider Name | Jade Jehn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003448564 PECOS PAC ID: 0244660876 Enrollment ID: I20200423000551 |
| Provider Name | James H Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720162365 PECOS PAC ID: 4486620960 Enrollment ID: I20200427001716 |
| Provider Name | Denise D Mcmahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825926 PECOS PAC ID: 3173953569 Enrollment ID: I20200427001957 |
| Provider Name | Anne Liebling |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184600371 PECOS PAC ID: 0345290342 Enrollment ID: I20200427001986 |
| Provider Name | Gonzalo E Ruiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407167356 PECOS PAC ID: 9436388840 Enrollment ID: I20200427002344 |
| Provider Name | Vassili Bazalitski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104081207 PECOS PAC ID: 3274775549 Enrollment ID: I20200427002657 |
| Provider Name | Brian P Cone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578859328 PECOS PAC ID: 7113153354 Enrollment ID: I20200501000839 |
| Provider Name | Janis M Cekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831737048 PECOS PAC ID: 9335570449 Enrollment ID: I20200505001791 |
| Provider Name | Richard H Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811023625 PECOS PAC ID: 9335307172 Enrollment ID: I20200509000238 |
| Provider Name | Thomas G Boyce |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720059132 PECOS PAC ID: 8426059429 Enrollment ID: I20200514000251 |
| Provider Name | Ryan M Bemke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295182350 PECOS PAC ID: 3173944469 Enrollment ID: I20200521001389 |
| Provider Name | Alejandro Jimenez Restrepo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609058890 PECOS PAC ID: 7911273800 Enrollment ID: I20200526001520 |
| Provider Name | Sabri Ea Elkhidir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255854576 PECOS PAC ID: 7012258254 Enrollment ID: I20200530000028 |
| Provider Name | Rakesh K Garg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962476184 PECOS PAC ID: 9436118502 Enrollment ID: I20200530000054 |
| Provider Name | Roni Devlin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013998509 PECOS PAC ID: 5991796310 Enrollment ID: I20200611001043 |
| Provider Name | Erin D Zigler-miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851926034 PECOS PAC ID: 2365864790 Enrollment ID: I20200612000186 |
| Provider Name | Thomas N Berscheid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962479873 PECOS PAC ID: 4183754039 Enrollment ID: I20200619002090 |
| Provider Name | Kazim Baser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609287341 PECOS PAC ID: 7517266539 Enrollment ID: I20200625000931 |
| Provider Name | Arthur Lau |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821473331 PECOS PAC ID: 0345538476 Enrollment ID: I20200625001042 |
| Provider Name | Ammar Rasul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619400462 PECOS PAC ID: 4688096365 Enrollment ID: I20200625002008 |
| Provider Name | Abdullah A Al Twal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780090225 PECOS PAC ID: 9739501446 Enrollment ID: I20200626000101 |
| Provider Name | Hatice D Baser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184035818 PECOS PAC ID: 2769781640 Enrollment ID: I20200626002114 |
| Provider Name | Evlyn I Eickhoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710417308 PECOS PAC ID: 0143594051 Enrollment ID: I20200629000392 |
| Provider Name | Lynda K Vielbig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063040244 PECOS PAC ID: 9436571908 Enrollment ID: I20200630000977 |
| Provider Name | Jeffrey Jj Addison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295268571 PECOS PAC ID: 4486925898 Enrollment ID: I20200701001331 |
| Provider Name | Maxim A Polansky |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1275913006 PECOS PAC ID: 6406161215 Enrollment ID: I20200708003386 |
| Provider Name | Kimberly C Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083247746 PECOS PAC ID: 0749603769 Enrollment ID: I20200709002481 |
| Provider Name | Ferry Gunawan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104355387 PECOS PAC ID: 8123396900 Enrollment ID: I20200709002785 |
| Provider Name | Ashwin Praful Pimpalwar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255499646 PECOS PAC ID: 3173626322 Enrollment ID: I20200717001842 |
| Provider Name | Erin C Ott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609496389 PECOS PAC ID: 1951725654 Enrollment ID: I20200727003314 |
| Provider Name | Ghassan Kanj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649359944 PECOS PAC ID: 7113914730 Enrollment ID: I20200728001377 |
| Provider Name | Arshad Aliabd Al-mashhadani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245771476 PECOS PAC ID: 7719250901 Enrollment ID: I20200730003821 |
| Provider Name | Tanmayee Benjamin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376068262 PECOS PAC ID: 6709122914 Enrollment ID: I20200731000460 |
| Provider Name | Alain Rizkallah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861802563 PECOS PAC ID: 1850693441 Enrollment ID: I20200803000677 |
| Provider Name | Gina M Claussen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528290533 PECOS PAC ID: 2264579358 Enrollment ID: I20200805000657 |
| Provider Name | Kemal Kucuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053844142 PECOS PAC ID: 7214205764 Enrollment ID: I20200805002483 |
| Provider Name | Derli Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790255818 PECOS PAC ID: 8820336274 Enrollment ID: I20200806003816 |
| Provider Name | Ann Katherine Speiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710949763 PECOS PAC ID: 0345208377 Enrollment ID: I20200807001063 |
| Provider Name | Allyson Darga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649633157 PECOS PAC ID: 8820389307 Enrollment ID: I20200812003165 |
| Provider Name | Geeta Santoshi Tadepalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396191698 PECOS PAC ID: 7012333685 Enrollment ID: I20200812003882 |
| Provider Name | Lan Le Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750405601 PECOS PAC ID: 1052458221 Enrollment ID: I20200814001663 |
| Provider Name | Luke Bertram O'neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962855478 PECOS PAC ID: 4587998372 Enrollment ID: I20200817001513 |
| Provider Name | Jemstone W Bathe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063945483 PECOS PAC ID: 6709153398 Enrollment ID: I20200817003731 |
| Provider Name | Melissa S Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154959518 PECOS PAC ID: 3779909049 Enrollment ID: I20200817003825 |
| Provider Name | Denis Maltz Grutcki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922488568 PECOS PAC ID: 5395050413 Enrollment ID: I20200818000642 |
| Provider Name | Prabhdeep S Grewal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1497712186 PECOS PAC ID: 2365716263 Enrollment ID: I20200818000921 |
| Provider Name | James Cody Van Hoven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699232520 PECOS PAC ID: 3072841766 Enrollment ID: I20200818002579 |
| Provider Name | Lukman Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669824074 PECOS PAC ID: 7810225414 Enrollment ID: I20200818003433 |
| Provider Name | Abraham Walusimbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063939007 PECOS PAC ID: 3577823210 Enrollment ID: I20200824000905 |
| Provider Name | Mohamed Hashem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588026926 PECOS PAC ID: 5799078481 Enrollment ID: I20200824001042 |
| Provider Name | Holly M Zanchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992325021 PECOS PAC ID: 6800213729 Enrollment ID: I20200824002207 |
| Provider Name | Nicole I Francis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255845368 PECOS PAC ID: 5698012904 Enrollment ID: I20200824003316 |
| Provider Name | Melissa L Henneman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548880156 PECOS PAC ID: 9931526704 Enrollment ID: I20200826000430 |
| Provider Name | Brittany B Myczkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376958538 PECOS PAC ID: 1951529544 Enrollment ID: I20200831001881 |
| Provider Name | Samantha A Wegener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649888918 PECOS PAC ID: 6800213190 Enrollment ID: I20200901002509 |
| Provider Name | David Gearhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386655140 PECOS PAC ID: 5496912503 Enrollment ID: I20200903003504 |
| Provider Name | Boyd C Marts |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295823425 PECOS PAC ID: 3476501966 Enrollment ID: I20200904000043 |
| Provider Name | Christopher J Adler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891217741 PECOS PAC ID: 0244574135 Enrollment ID: I20200904000753 |
| Provider Name | Jan A Goral |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487018339 PECOS PAC ID: 9638596679 Enrollment ID: I20200904000845 |
| Provider Name | Hend Al-saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811475072 PECOS PAC ID: 3274950217 Enrollment ID: I20200904000863 |
| Provider Name | Felix Ofori-gyebi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366675480 PECOS PAC ID: 1052567641 Enrollment ID: I20200909000704 |
| Provider Name | Inimfon Udoh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720438187 PECOS PAC ID: 4082955232 Enrollment ID: I20200909001364 |
| Provider Name | Karalyn M Adam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780933051 PECOS PAC ID: 8820416688 Enrollment ID: I20200911000541 |
| Provider Name | Saumitra Biswas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699861740 PECOS PAC ID: 7810999133 Enrollment ID: I20200925000870 |
| Provider Name | William R Krause |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982081576 PECOS PAC ID: 4284913328 Enrollment ID: I20200925001406 |
| Provider Name | Aanuoluwa O Abiola |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598117574 PECOS PAC ID: 6406186014 Enrollment ID: I20200929003038 |
| Provider Name | Roxanne E Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629697719 PECOS PAC ID: 2365861630 Enrollment ID: I20201006002117 |
| Provider Name | John A. Arce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962856013 PECOS PAC ID: 2365708872 Enrollment ID: I20201007001935 |
| Provider Name | Emma Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134563869 PECOS PAC ID: 1153548748 Enrollment ID: I20201008000318 |
| Provider Name | Hillary R Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871102335 PECOS PAC ID: 5496175697 Enrollment ID: I20201008002028 |
| Provider Name | Stacy A Donnelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629204284 PECOS PAC ID: 7911145578 Enrollment ID: I20201012001899 |
| Provider Name | Holly R Hieb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831483973 PECOS PAC ID: 1759504327 Enrollment ID: I20201013001441 |
| Provider Name | Timothy R Golemgeski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497141352 PECOS PAC ID: 6608176797 Enrollment ID: I20201014000188 |
| Provider Name | Lucas J Kreuser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851770143 PECOS PAC ID: 4688094642 Enrollment ID: I20201014000562 |
| Provider Name | Sara D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093332108 PECOS PAC ID: 2163842089 Enrollment ID: I20201015000209 |
| Provider Name | Michelle E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265041917 PECOS PAC ID: 3779903208 Enrollment ID: I20201021002041 |
| Provider Name | Jonathan E Matson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750491940 PECOS PAC ID: 4486622750 Enrollment ID: I20201022000265 |
| Provider Name | Shelly R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598382061 PECOS PAC ID: 1355761826 Enrollment ID: I20201022000358 |
| Provider Name | Daniel J Pastorius |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487008363 PECOS PAC ID: 7810223534 Enrollment ID: I20201022001072 |
| Provider Name | Delnessaw M Hirpa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447781828 PECOS PAC ID: 3779903273 Enrollment ID: I20201022001991 |
| Provider Name | Sami A Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205355351 PECOS PAC ID: 2668892175 Enrollment ID: I20201022002566 |
| Provider Name | Rachel L Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699392886 PECOS PAC ID: 4486074838 Enrollment ID: I20201023000884 |
| Provider Name | Kimberly C Carolfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639782782 PECOS PAC ID: 8123448420 Enrollment ID: I20201026000308 |
| Provider Name | Brandon Ryan Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790039816 PECOS PAC ID: 4486899044 Enrollment ID: I20201026000897 |
| Provider Name | John P Mitchell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851310254 PECOS PAC ID: 5395730998 Enrollment ID: I20201026001625 |
| Provider Name | Lorrel Y Benoit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982070777 PECOS PAC ID: 7911215561 Enrollment ID: I20201026002096 |
| Provider Name | Heather Cork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225649890 PECOS PAC ID: 2961822218 Enrollment ID: I20201026002878 |
| Provider Name | James M Crane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992865257 PECOS PAC ID: 9133133176 Enrollment ID: I20201027000656 |
| Provider Name | Brita L Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164033387 PECOS PAC ID: 9931529229 Enrollment ID: I20201027001218 |
| Provider Name | Jennifer L Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702976 PECOS PAC ID: 5193135051 Enrollment ID: I20201104000328 |
| Provider Name | Gary Gross |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760434252 PECOS PAC ID: 2860594330 Enrollment ID: I20201111000020 |
| Provider Name | Jeffrey A Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043436132 PECOS PAC ID: 8921108366 Enrollment ID: I20201111001127 |
| Provider Name | Stacey Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356956015 PECOS PAC ID: 9234549718 Enrollment ID: I20201112000983 |
| Provider Name | Angela E Colby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174139869 PECOS PAC ID: 1759791247 Enrollment ID: I20201112001581 |
| Provider Name | Alison M Bauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184061491 PECOS PAC ID: 6709185598 Enrollment ID: I20201112001856 |
| Provider Name | Aarathi R Rao |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1215388061 PECOS PAC ID: 4587089560 Enrollment ID: I20201117002871 |
| Provider Name | Kaushik Haridutt Sharma |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1467864637 PECOS PAC ID: 7315259215 Enrollment ID: I20201125002097 |
| Provider Name | Chad M Craig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174767867 PECOS PAC ID: 1355480955 Enrollment ID: I20201125002548 |
| Provider Name | Taylor M Tischauser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235746959 PECOS PAC ID: 6800207580 Enrollment ID: I20201202000196 |
| Provider Name | Lisa M Dickas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962737114 PECOS PAC ID: 4981016425 Enrollment ID: I20201207003128 |
| Provider Name | Dylan E Loertscher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760080535 PECOS PAC ID: 0547672966 Enrollment ID: I20201209000442 |
| Provider Name | Waleed Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20201210002640 |
| Provider Name | Claire M Roehl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558978544 PECOS PAC ID: 5597177725 Enrollment ID: I20201212000185 |
| Provider Name | Tony Yang |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1700044237 PECOS PAC ID: 4789987249 Enrollment ID: I20201214001435 |
| Provider Name | Michelle K Meidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700225323 PECOS PAC ID: 0840602983 Enrollment ID: I20201215001917 |
| Provider Name | John W Verbsky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760693873 PECOS PAC ID: 9830402015 Enrollment ID: I20201229000416 |
| Provider Name | Hartmuth Bittner |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104182245 PECOS PAC ID: 8820245053 Enrollment ID: I20210106001715 |
| Provider Name | Emilio F Lastarria |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760587125 PECOS PAC ID: 6002718137 Enrollment ID: I20210108000830 |
| Provider Name | Mark Leslie Gunn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629059357 PECOS PAC ID: 7113119710 Enrollment ID: I20210109000034 |
| Provider Name | Joshua N Freedman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144433806 PECOS PAC ID: 3072763705 Enrollment ID: I20210120000740 |
| Provider Name | Sohail Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235330382 PECOS PAC ID: 1254496938 Enrollment ID: I20210121000431 |
| Provider Name | Craig M O'brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023621927 PECOS PAC ID: 3577977248 Enrollment ID: I20210121001068 |
| Provider Name | Renee D Doherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336408103 PECOS PAC ID: 1052622727 Enrollment ID: I20210121001271 |
| Provider Name | Jamison M Gould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326131137 PECOS PAC ID: 3375566953 Enrollment ID: I20210121002758 |
| Provider Name | Rex Yung |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750327128 PECOS PAC ID: 0446380992 Enrollment ID: I20210122000350 |
| Provider Name | Kirsten Carly Krohn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316365737 PECOS PAC ID: 0143527788 Enrollment ID: I20210122000680 |
| Provider Name | Jason Paul Cruff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316205578 PECOS PAC ID: 5597087296 Enrollment ID: I20210122002006 |
| Provider Name | Bradley Richard Brossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968687 PECOS PAC ID: 3577977057 Enrollment ID: I20210125000293 |
| Provider Name | Saed Awadallah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487092128 PECOS PAC ID: 1456641695 Enrollment ID: I20210125001354 |
| Provider Name | Avital Perry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750722484 PECOS PAC ID: 9638311996 Enrollment ID: I20210202000292 |
| Provider Name | Carl H Zondlo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215549852 PECOS PAC ID: 1052725066 Enrollment ID: I20210203001663 |
| Provider Name | Steven J Finstad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144617283 PECOS PAC ID: 7214221993 Enrollment ID: I20210204001474 |
| Provider Name | Ragini Chari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649289273 PECOS PAC ID: 5092804187 Enrollment ID: I20210205001334 |
| Provider Name | Octavio Pajaro |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629065677 PECOS PAC ID: 3274532239 Enrollment ID: I20210209001222 |
| Provider Name | Janey Wong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649673773 PECOS PAC ID: 7113224882 Enrollment ID: I20210212000949 |
| Provider Name | James H Barge |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922294230 PECOS PAC ID: 4688089113 Enrollment ID: I20210216001291 |
| Provider Name | Trescha S Kay |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114274321 PECOS PAC ID: 4880009323 Enrollment ID: I20210216001636 |
| Provider Name | Scott A Deppe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437131422 PECOS PAC ID: 0244143329 Enrollment ID: I20210217002085 |
| Provider Name | Amanda M Pagel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639569213 PECOS PAC ID: 3971918301 Enrollment ID: I20210217002467 |
| Provider Name | Judith Cook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891714606 PECOS PAC ID: 4981639770 Enrollment ID: I20210219001916 |
| Provider Name | Richard Rezko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134489693 PECOS PAC ID: 0941446835 Enrollment ID: I20210222000323 |
| Provider Name | Kellsey M Provos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811584147 PECOS PAC ID: 0840605036 Enrollment ID: I20210222000956 |
| Provider Name | Peter G Topis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225480064 PECOS PAC ID: 6002159902 Enrollment ID: I20210222001305 |
| Provider Name | Sari A Meska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235727066 PECOS PAC ID: 7517373111 Enrollment ID: I20210305001138 |
| Provider Name | Saliha Ishaq |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497755524 PECOS PAC ID: 0042108664 Enrollment ID: I20210308002149 |
| Provider Name | Mark Keaton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477530533 PECOS PAC ID: 4486685864 Enrollment ID: I20210309002824 |
| Provider Name | James Anthony Spoto |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457563959 PECOS PAC ID: 6305938168 Enrollment ID: I20210310000066 |
| Provider Name | Young Soo Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295703494 PECOS PAC ID: 0648261974 Enrollment ID: I20210311001056 |
| Provider Name | Terry P Olivas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154404598 PECOS PAC ID: 4789684408 Enrollment ID: I20210312000039 |
| Provider Name | Denay Lynn Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505131 PECOS PAC ID: 7113998774 Enrollment ID: I20210312000827 |
| Provider Name | Melinda K Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699368027 PECOS PAC ID: 4284040205 Enrollment ID: I20210316002717 |
| Provider Name | Timothy J Rolle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205071065 PECOS PAC ID: 4385874171 Enrollment ID: I20210323000298 |
| Provider Name | Julie White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639138530 PECOS PAC ID: 2769442359 Enrollment ID: I20210324001256 |
| Provider Name | Meagan A Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629697214 PECOS PAC ID: 6406287424 Enrollment ID: I20210325000596 |
| Provider Name | Al-marie Grace T Logrono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750679080 PECOS PAC ID: 5294954012 Enrollment ID: I20210326000332 |
| Provider Name | Anderson A Bauer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043422207 PECOS PAC ID: 2769638261 Enrollment ID: I20210326000855 |
| Provider Name | Robert A Frankenthaler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487663944 PECOS PAC ID: 0244275303 Enrollment ID: I20210326001079 |
| Provider Name | David R White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841259751 PECOS PAC ID: 1153381744 Enrollment ID: I20210329002053 |
| Provider Name | Jack E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780274191 PECOS PAC ID: 4981011103 Enrollment ID: I20210405001789 |
| Provider Name | Wendy J Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821690124 PECOS PAC ID: 5294143277 Enrollment ID: I20210412000875 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20210413001303 |
| Provider Name | James F Gallant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295712974 PECOS PAC ID: 2860680766 Enrollment ID: I20210414001743 |
| Provider Name | Peter K Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750462198 PECOS PAC ID: 6507939113 Enrollment ID: I20210416002016 |
| Provider Name | Banke Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134137011 PECOS PAC ID: 4284779539 Enrollment ID: I20210428001977 |
| Provider Name | Lamar Edward Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700013356 PECOS PAC ID: 5092931279 Enrollment ID: I20210428002410 |
| Provider Name | Elizabeth Tacheny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811095409 PECOS PAC ID: 6305030453 Enrollment ID: I20210505003085 |
| Provider Name | Timothy D Hovde |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982193157 PECOS PAC ID: 5698021343 Enrollment ID: I20210520000829 |
| Provider Name | Jose Luis Pino-y-torres |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053310672 PECOS PAC ID: 5294625752 Enrollment ID: I20210520002992 |
| Provider Name | Kristine M Grow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093392565 PECOS PAC ID: 1850790734 Enrollment ID: I20210526000369 |
| Provider Name | Srinivas Kolla |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235100397 PECOS PAC ID: 1153220074 Enrollment ID: I20210601000212 |
| Provider Name | Frances Mariel T Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902485972 PECOS PAC ID: 8123427523 Enrollment ID: I20210603002924 |
| Provider Name | Linda L Mcintire |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063481919 PECOS PAC ID: 6608807896 Enrollment ID: I20210607002326 |
| Provider Name | Giancarlo A Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265969984 PECOS PAC ID: 0749680056 Enrollment ID: I20210608001869 |
| Provider Name | Jawaid Ahsan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578618815 PECOS PAC ID: 9739265497 Enrollment ID: I20210614001102 |
| Provider Name | Taylor R Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831773894 PECOS PAC ID: 1759781461 Enrollment ID: I20210617001879 |
| Provider Name | Steven J Narbut |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790261238 PECOS PAC ID: 9739416256 Enrollment ID: I20210618000327 |
| Provider Name | Christine Rukamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811436793 PECOS PAC ID: 2062783400 Enrollment ID: I20210618000625 |
| Provider Name | Hillary A Monsour |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003156738 PECOS PAC ID: 0941501779 Enrollment ID: I20210621001776 |
| Provider Name | Scott A Sordahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285127837 PECOS PAC ID: 7517399066 Enrollment ID: I20210624001721 |
| Provider Name | Michael A Roegner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1487000436 PECOS PAC ID: 6901216621 Enrollment ID: I20210624001902 |
| Provider Name | Samantha L Klebe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649538844 PECOS PAC ID: 5698089639 Enrollment ID: I20210628001567 |
| Provider Name | Makenze E Dix |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477133171 PECOS PAC ID: 2062813090 Enrollment ID: I20210629001206 |
| Provider Name | Carmen Verwoerd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790152130 PECOS PAC ID: 7214212844 Enrollment ID: I20210630000090 |
| Provider Name | Deepa Soodi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508352857 PECOS PAC ID: 6800221201 Enrollment ID: I20210630000206 |
| Provider Name | Mark P Ridder |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821542739 PECOS PAC ID: 2163779869 Enrollment ID: I20210701000242 |
| Provider Name | Neeka M Koepl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851973283 PECOS PAC ID: 8325440985 Enrollment ID: I20210706002011 |
| Provider Name | Mayur Chalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184009888 PECOS PAC ID: 8426357963 Enrollment ID: I20210708002383 |
| Provider Name | Muhammad Usama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306370077 PECOS PAC ID: 6709156797 Enrollment ID: I20210709000605 |
| Provider Name | Vanessa G Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116128 PECOS PAC ID: 0941214142 Enrollment ID: I20210709002948 |
| Provider Name | Jacob J Baus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427631027 PECOS PAC ID: 6608278767 Enrollment ID: I20210712002918 |
| Provider Name | Tricia E Fredrickson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215591813 PECOS PAC ID: 7810399904 Enrollment ID: I20210712004133 |
| Provider Name | Kayley A Eslinger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538741673 PECOS PAC ID: 3870995517 Enrollment ID: I20210716002244 |
| Provider Name | Mignon Rademan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114424264 PECOS PAC ID: 5991042269 Enrollment ID: I20210716002583 |
| Provider Name | Sarah A Wirtz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588231294 PECOS PAC ID: 6709289416 Enrollment ID: I20210719002142 |
| Provider Name | Callie E Plafkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548623986 PECOS PAC ID: 0345533584 Enrollment ID: I20210720001627 |
| Provider Name | Omesh G Toolsie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972911865 PECOS PAC ID: 0345643995 Enrollment ID: I20210720004068 |
| Provider Name | Pramod Theetha Kariyanna |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881005809 PECOS PAC ID: 5193062040 Enrollment ID: I20210721001665 |
| Provider Name | Mai Abdelnabi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013394980 PECOS PAC ID: 8628385499 Enrollment ID: I20210726002252 |
| Provider Name | Shawn P Catmull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821597600 PECOS PAC ID: 0749606622 Enrollment ID: I20210726002408 |
| Provider Name | Thinesh Sivapatham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942401013 PECOS PAC ID: 9931387297 Enrollment ID: I20210726003173 |
| Provider Name | Mudassar R Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093155483 PECOS PAC ID: 0749574234 Enrollment ID: I20210727001842 |
| Provider Name | Megan M Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417539263 PECOS PAC ID: 1153724232 Enrollment ID: I20210727002752 |
| Provider Name | Jaswinder Chalia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548657091 PECOS PAC ID: 7517274749 Enrollment ID: I20210728000074 |
| Provider Name | Akshun Kalia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932692456 PECOS PAC ID: 7618302456 Enrollment ID: I20210730002895 |
| Provider Name | Neil D Fernandes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366825200 PECOS PAC ID: 1355641713 Enrollment ID: I20210802001725 |
| Provider Name | Aleesa Fedt-abdo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952897134 PECOS PAC ID: 3779815402 Enrollment ID: I20210803000169 |
| Provider Name | Zachary W Kendrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114452927 PECOS PAC ID: 5890064281 Enrollment ID: I20210803000328 |
| Provider Name | Elizabeth G Ethington |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184152894 PECOS PAC ID: 4183994759 Enrollment ID: I20210803000624 |
| Provider Name | Jordan E Bowe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992385306 PECOS PAC ID: 9830593540 Enrollment ID: I20210803001092 |
| Provider Name | Matthew J Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396241766 PECOS PAC ID: 0648518225 Enrollment ID: I20210803001519 |
| Provider Name | Delyse Garg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811340813 PECOS PAC ID: 1456755115 Enrollment ID: I20210803003202 |
| Provider Name | Megan G Bisson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184297632 PECOS PAC ID: 6709280951 Enrollment ID: I20210810001661 |
| Provider Name | Amy L Peterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770600702 PECOS PAC ID: 7012312812 Enrollment ID: I20210817002120 |
| Provider Name | Braeden D Oneill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164955209 PECOS PAC ID: 9133493877 Enrollment ID: I20210819000440 |
| Provider Name | Nasvin Imamudeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225521412 PECOS PAC ID: 4981032000 Enrollment ID: I20210820002252 |
| Provider Name | Tracy A Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346818291 PECOS PAC ID: 4486059821 Enrollment ID: I20210823001758 |
| Provider Name | Kerry Storms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023467826 PECOS PAC ID: 6103221551 Enrollment ID: I20210823002348 |
| Provider Name | Joshua P Holewinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457728719 PECOS PAC ID: 2567768948 Enrollment ID: I20210824001701 |
| Provider Name | James Lee Nielsen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295735710 PECOS PAC ID: 1355422767 Enrollment ID: I20210831002073 |
| Provider Name | Eyob Kassaye Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609372929 PECOS PAC ID: 2062818818 Enrollment ID: I20210902002367 |
| Provider Name | Rebekah L Van Erp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356916654 PECOS PAC ID: 4880090364 Enrollment ID: I20210908003502 |
| Provider Name | Justin M Pilger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336678309 PECOS PAC ID: 7911303375 Enrollment ID: I20210909002638 |
| Provider Name | Laiken Warrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548753015 PECOS PAC ID: 2365879657 Enrollment ID: I20210910001793 |
| Provider Name | Elizabeth Ender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376065813 PECOS PAC ID: 1456695006 Enrollment ID: I20210915002967 |
| Provider Name | Jeffrey J Kroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134129521 PECOS PAC ID: 8820192024 Enrollment ID: I20210915003670 |
| Provider Name | Brett N Scoles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649943226 PECOS PAC ID: 2365849494 Enrollment ID: I20210916000858 |
| Provider Name | Alice Le Huu |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790274272 PECOS PAC ID: 5294132346 Enrollment ID: I20210916001764 |
| Provider Name | Laura B Selig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396274361 PECOS PAC ID: 6901203983 Enrollment ID: I20210917000238 |
| Provider Name | Amy M Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820626 PECOS PAC ID: 9638576697 Enrollment ID: I20210920000419 |
| Provider Name | Ann M Novak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356845762 PECOS PAC ID: 1153686381 Enrollment ID: I20210920000474 |
| Provider Name | Nikhil Shelke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396131405 PECOS PAC ID: 6709178734 Enrollment ID: I20210920000788 |
| Provider Name | Richard S Vander Heide |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639116148 PECOS PAC ID: 5890707012 Enrollment ID: I20210920001629 |
| Provider Name | Olatilewa Awe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891080503 PECOS PAC ID: 3375785025 Enrollment ID: I20210920002150 |
| Provider Name | Maggie C Moses |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073908398 PECOS PAC ID: 9436556354 Enrollment ID: I20210920003301 |
| Provider Name | Amie J Steger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659946549 PECOS PAC ID: 0446657191 Enrollment ID: I20210922001280 |
| Provider Name | Katie Jopp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588974695 PECOS PAC ID: 8325445026 Enrollment ID: I20210923000082 |
| Provider Name | Garett G Krug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689248247 PECOS PAC ID: 2860899572 Enrollment ID: I20210923000166 |
| Provider Name | Kayla A Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972178960 PECOS PAC ID: 1658778220 Enrollment ID: I20210923002918 |
| Provider Name | Syed M Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689089674 PECOS PAC ID: 9931327475 Enrollment ID: I20210923003771 |
| Provider Name | Anthony Scott Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285250787 PECOS PAC ID: 9830596436 Enrollment ID: I20210924000272 |
| Provider Name | Prompan Mingbunjerdsuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386030609 PECOS PAC ID: 5597062562 Enrollment ID: I20210924000713 |
| Provider Name | Philip A Kramer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821471681 PECOS PAC ID: 3870830839 Enrollment ID: I20210924001115 |
| Provider Name | Rachel B Marx |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770159469 PECOS PAC ID: 8527465970 Enrollment ID: I20210928000427 |
| Provider Name | Alexander R Wiedbusch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326711680 PECOS PAC ID: 3173920535 Enrollment ID: I20210928000769 |
| Provider Name | Laura S Wargowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396322947 PECOS PAC ID: 1052718426 Enrollment ID: I20210928001353 |
| Provider Name | Elsa J Spitzmueller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396419628 PECOS PAC ID: 9931506326 Enrollment ID: I20210928001916 |
| Provider Name | Hany M Mahfouz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699890525 PECOS PAC ID: 2567563372 Enrollment ID: I20210928002524 |
| Provider Name | Steven Schwartz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275574832 PECOS PAC ID: 8628142809 Enrollment ID: I20210929002568 |
| Provider Name | Mindy A Hoffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134673452 PECOS PAC ID: 2567860687 Enrollment ID: I20211004002628 |
| Provider Name | Martin Craig Dun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457886277 PECOS PAC ID: 3577817592 Enrollment ID: I20211006001969 |
| Provider Name | Sarah C Deyoung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780252759 PECOS PAC ID: 3173921137 Enrollment ID: I20211006002011 |
| Provider Name | Mario A San Martin Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598096679 PECOS PAC ID: 7618147919 Enrollment ID: I20211008001051 |
| Provider Name | Kristal Ragbir-toolsie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457767634 PECOS PAC ID: 1850655069 Enrollment ID: I20211008002141 |
| Provider Name | Bridget L Flaten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801469143 PECOS PAC ID: 1254739089 Enrollment ID: I20211008002420 |
| Provider Name | Katie A Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114370210 PECOS PAC ID: 2163702358 Enrollment ID: I20211012001228 |
| Provider Name | Valerie J Both |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417436569 PECOS PAC ID: 5395143721 Enrollment ID: I20211014002695 |
| Provider Name | Amanda L Underwood |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831866318 PECOS PAC ID: 9931597119 Enrollment ID: I20211020001026 |
| Provider Name | Bailey A Thorgerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295305076 PECOS PAC ID: 6002204294 Enrollment ID: I20211020001550 |
| Provider Name | Nicole M Holm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265001622 PECOS PAC ID: 3072901156 Enrollment ID: I20211021002074 |
| Provider Name | Thomas M Leschke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457730988 PECOS PAC ID: 7113205683 Enrollment ID: I20211022001737 |
| Provider Name | Barbara Robinson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851489041 PECOS PAC ID: 5799713145 Enrollment ID: I20211025001416 |
| Provider Name | Natia M Stadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720651631 PECOS PAC ID: 6507254547 Enrollment ID: I20211025002771 |
| Provider Name | Daniel Galban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215432661 PECOS PAC ID: 4284036153 Enrollment ID: I20211026000099 |
| Provider Name | Kshamata Shalini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023099306 PECOS PAC ID: 0840196036 Enrollment ID: I20211026000912 |
| Provider Name | Rohit Thomas-kuruvilla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841635497 PECOS PAC ID: 7911209424 Enrollment ID: I20211027001543 |
| Provider Name | Hailey C Stuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669049706 PECOS PAC ID: 6507254372 Enrollment ID: I20211027002282 |
| Provider Name | Kristin M Ebert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275959199 PECOS PAC ID: 6406146984 Enrollment ID: I20211028001176 |
| Provider Name | Rayna N Lenzner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841965514 PECOS PAC ID: 1850789496 Enrollment ID: I20211101000877 |
| Provider Name | Ashley M Klinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159172 PECOS PAC ID: 3577951136 Enrollment ID: I20211101001371 |
| Provider Name | Matthew C Britton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629456769 PECOS PAC ID: 2365747284 Enrollment ID: I20211101002165 |
| Provider Name | Nicole M Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598437469 PECOS PAC ID: 6406244920 Enrollment ID: I20211102001183 |
| Provider Name | Rachel E Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508353178 PECOS PAC ID: 4789939372 Enrollment ID: I20211105002274 |
| Provider Name | Julla A Szmanda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457887341 PECOS PAC ID: 9436423043 Enrollment ID: I20211109002903 |
| Provider Name | Awad A El-magbri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740281153 PECOS PAC ID: 7911976741 Enrollment ID: I20211111001042 |
| Provider Name | Soniya S Mascarenhas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093480675 PECOS PAC ID: 9638568769 Enrollment ID: I20211111001340 |
| Provider Name | Suzanne Sherman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417103359 PECOS PAC ID: 6901295039 Enrollment ID: I20211111001359 |
| Provider Name | Daniel B Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477810349 PECOS PAC ID: 6305235219 Enrollment ID: I20211116000212 |
| Provider Name | Sarah E Steinhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043982234 PECOS PAC ID: 3476942392 Enrollment ID: I20211116000642 |
| Provider Name | Arun Kalyanasundaram |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1972562346 PECOS PAC ID: 7911921416 Enrollment ID: I20211116002541 |
| Provider Name | Aaron A Gustum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710659909 PECOS PAC ID: 7719377282 Enrollment ID: I20211124001990 |
| Provider Name | Mariah E Rayburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518923 PECOS PAC ID: 0143610568 Enrollment ID: I20211129001838 |
| Provider Name | Cheryl R Petrus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184630618 PECOS PAC ID: 3476943812 Enrollment ID: I20211129002412 |
| Provider Name | Earl E Kessel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174563100 PECOS PAC ID: 0547283434 Enrollment ID: I20211202002148 |
| Provider Name | Dylan Gregory Kieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548872 PECOS PAC ID: 7315337284 Enrollment ID: I20211208001556 |
| Provider Name | Judith A Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484412 PECOS PAC ID: 8224428065 Enrollment ID: I20211209001089 |
| Provider Name | Matheau A Julien |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20211216001980 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639433659 PECOS PAC ID: 8820354715 Enrollment ID: I20211217001434 |
| Provider Name | Erin Ann Nolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227625 PECOS PAC ID: 9436540770 Enrollment ID: I20211222000629 |
| Provider Name | Tiffany Lee Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861169716 PECOS PAC ID: 4880085034 Enrollment ID: I20211222001153 |
| Provider Name | Jamie L Spatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972274181 PECOS PAC ID: 0749671980 Enrollment ID: I20211227000601 |
| Provider Name | Nathan Charapata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578982864 PECOS PAC ID: 7517265705 Enrollment ID: I20211230001185 |
| Provider Name | Paula A Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750830105 PECOS PAC ID: 8123410826 Enrollment ID: I20220107002153 |
| Provider Name | Sherrie L Bencik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952539462 PECOS PAC ID: 6901058429 Enrollment ID: I20220114001035 |
| Provider Name | Ayman E Ahmed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275811200 PECOS PAC ID: 5193959666 Enrollment ID: I20220119001403 |
| Provider Name | Kyle J Stellpflug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336819481 PECOS PAC ID: 6507258613 Enrollment ID: I20220124001076 |
| Provider Name | Julie Rose Roark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770155608 PECOS PAC ID: 8527450451 Enrollment ID: I20220126001113 |
| Provider Name | Chinemerem Ugorji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316261910 PECOS PAC ID: 1759693013 Enrollment ID: I20220126001300 |
| Provider Name | Kasra Badiozamani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194833780 PECOS PAC ID: 6709871247 Enrollment ID: I20220202000026 |
| Provider Name | Margaret Gallagher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205120334 PECOS PAC ID: 8325472541 Enrollment ID: I20220204001509 |
| Provider Name | Lynn Seto |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1164486049 PECOS PAC ID: 3779551957 Enrollment ID: I20220215001539 |
| Provider Name | Guy D Gober |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982602660 PECOS PAC ID: 0547299380 Enrollment ID: I20220216001245 |
| Provider Name | Shannon Marie Jahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346818390 PECOS PAC ID: 3779977343 Enrollment ID: I20220224000540 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20220228002737 |
| Provider Name | Ann Margaret Deckers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679224463 PECOS PAC ID: 6204220551 Enrollment ID: I20220302001215 |
| Provider Name | Mohammed A Shaikh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992747869 PECOS PAC ID: 1456327923 Enrollment ID: I20220307001507 |
| Provider Name | Emily T Cullen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336809342 PECOS PAC ID: 7214322189 Enrollment ID: I20220312000360 |
| Provider Name | David E Eisenhauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720281330 PECOS PAC ID: 2668652371 Enrollment ID: I20220316001016 |
| Provider Name | Lashonda Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255541561 PECOS PAC ID: 6103999198 Enrollment ID: I20220323001444 |
| Provider Name | Krista Mae Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962163618 PECOS PAC ID: 7911393046 Enrollment ID: I20220329002596 |
| Provider Name | Timothy P Kranz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013403435 PECOS PAC ID: 0345593943 Enrollment ID: I20220401001270 |
| Provider Name | Sonia Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487965364 PECOS PAC ID: 8224271168 Enrollment ID: I20220414000270 |
| Provider Name | John Chima Nwankwo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104116169 PECOS PAC ID: 9335455005 Enrollment ID: I20220415001159 |
| Provider Name | Erin Egan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902992381 PECOS PAC ID: 2466425947 Enrollment ID: I20220419002660 |
| Provider Name | Christopher W Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114212040 PECOS PAC ID: 9931409265 Enrollment ID: I20220426003023 |
| Provider Name | Leah Shevaun Matuszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750040960 PECOS PAC ID: 7214324862 Enrollment ID: I20220428001785 |
| Provider Name | Ivica Vucic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779371 PECOS PAC ID: 5395872857 Enrollment ID: I20220428002090 |
| Provider Name | Tracie Anne Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003571936 PECOS PAC ID: 9032506613 Enrollment ID: I20220428002691 |
| Provider Name | Paul D Roesler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346263118 PECOS PAC ID: 1052580339 Enrollment ID: I20220429001586 |
| Provider Name | Wayne Michael Kellander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215688213 PECOS PAC ID: 9739566928 Enrollment ID: I20220509001550 |
| Provider Name | Riley M Niebuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093466245 PECOS PAC ID: 2062899131 Enrollment ID: I20220510002133 |
| Provider Name | Stuart Babcock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366463689 PECOS PAC ID: 4880756790 Enrollment ID: I20220519002656 |
| Provider Name | Subba Alapati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487642039 PECOS PAC ID: 7012974686 Enrollment ID: I20220526000244 |
| Provider Name | Pamela Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306988589 PECOS PAC ID: 6608886478 Enrollment ID: I20220526001755 |
| Provider Name | Aldis P Siltumens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235660465 PECOS PAC ID: 9436400959 Enrollment ID: I20220526002733 |
| Provider Name | Marcus R Sepnafski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356906754 PECOS PAC ID: 0648505552 Enrollment ID: I20220601000645 |
| Provider Name | Melissa M Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689319394 PECOS PAC ID: 8123406170 Enrollment ID: I20220602001595 |
| Provider Name | Steven Bullard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235502030 PECOS PAC ID: 1052616521 Enrollment ID: I20220607001171 |
| Provider Name | Andrey Mironenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174185292 PECOS PAC ID: 1658608229 Enrollment ID: I20220614001889 |
| Provider Name | Samantha Rose Eastberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023518651 PECOS PAC ID: 4789063033 Enrollment ID: I20220616002934 |
| Provider Name | Roman Krasnov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194211722 PECOS PAC ID: 1759630429 Enrollment ID: I20220620000867 |
| Provider Name | Brian S Rougeux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285167858 PECOS PAC ID: 4688946544 Enrollment ID: I20220622001085 |
| Provider Name | Sinduja Lakkunarajah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801246921 PECOS PAC ID: 1557690120 Enrollment ID: I20220708000857 |
| Provider Name | Laura Arkoush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518698620 PECOS PAC ID: 4183004047 Enrollment ID: I20220708003012 |
| Provider Name | Whitney Louise Mcmullin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346983616 PECOS PAC ID: 5698155463 Enrollment ID: I20220711002347 |
| Provider Name | Maleeha Ajmal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548822612 PECOS PAC ID: 2769801976 Enrollment ID: I20220711002588 |
| Provider Name | Kimberly L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053549873 PECOS PAC ID: 5294889853 Enrollment ID: I20220711003221 |
| Provider Name | Pavel Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922391796 PECOS PAC ID: 9537450549 Enrollment ID: I20220711003232 |
| Provider Name | Danielle Ranee Soltis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114672136 PECOS PAC ID: 2668852336 Enrollment ID: I20220712002123 |
| Provider Name | Michael Christian Mccarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528327012 PECOS PAC ID: 7517277791 Enrollment ID: I20220712003316 |
| Provider Name | Frederick Gehrmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861480055 PECOS PAC ID: 9931180353 Enrollment ID: I20220713002217 |
| Provider Name | Haibin Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689236754 PECOS PAC ID: 5991119117 Enrollment ID: I20220713002367 |
| Provider Name | Tiyonnoh Cash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114053550 PECOS PAC ID: 6608091723 Enrollment ID: I20220714002050 |
| Provider Name | Muhammad B Gilani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750943833 PECOS PAC ID: 9830504158 Enrollment ID: I20220721000828 |
| Provider Name | Philip J Kostka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720646409 PECOS PAC ID: 9830570761 Enrollment ID: I20220722002077 |
| Provider Name | Ahmed Elsayed Ali Hanafy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629537741 PECOS PAC ID: 9133500911 Enrollment ID: I20220726000905 |
| Provider Name | Isaac Chris Boyack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942663414 PECOS PAC ID: 6800278698 Enrollment ID: I20220726001709 |
| Provider Name | Andrea Gosalvez Tejada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558810192 PECOS PAC ID: 2264780162 Enrollment ID: I20220726002045 |
| Provider Name | Emily E Hulke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962815019 PECOS PAC ID: 9830462712 Enrollment ID: I20220726002251 |
| Provider Name | Carl Liebe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285294348 PECOS PAC ID: 8426383431 Enrollment ID: I20220727000542 |
| Provider Name | Heather M Conn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790155182 PECOS PAC ID: 8325357783 Enrollment ID: I20220727001355 |
| Provider Name | Michelle L Hulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131344 PECOS PAC ID: 5496137044 Enrollment ID: I20220729001176 |
| Provider Name | Joshua Andrew Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427511476 PECOS PAC ID: 0244612703 Enrollment ID: I20220729001953 |
| Provider Name | Preeti V Adeshara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447506779 PECOS PAC ID: 2860783420 Enrollment ID: I20220801000046 |
| Provider Name | Casey Terrence Waldvogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578202867 PECOS PAC ID: 8123400470 Enrollment ID: I20220802003910 |
| Provider Name | Brittany D Samson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194276568 PECOS PAC ID: 2567717911 Enrollment ID: I20220803000185 |
| Provider Name | Mohammed M Khadir |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679862296 PECOS PAC ID: 7113218173 Enrollment ID: I20220803003437 |
| Provider Name | Drew T Rupp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851931570 PECOS PAC ID: 5092141150 Enrollment ID: I20220805001100 |
| Provider Name | Michael G Lubahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477127116 PECOS PAC ID: 0143625483 Enrollment ID: I20220809001266 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20220810003698 |
| Provider Name | Jose M Barrera Bermejo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356665012 PECOS PAC ID: 9032341722 Enrollment ID: I20220812000606 |
| Provider Name | Meghan D Asleson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306587035 PECOS PAC ID: 1850774589 Enrollment ID: I20220812002848 |
| Provider Name | Anthony H Devries |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053762088 PECOS PAC ID: 5991076036 Enrollment ID: I20220815001666 |
| Provider Name | Jennifer A Rosicky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629313085 PECOS PAC ID: 1557744190 Enrollment ID: I20220816000164 |
| Provider Name | James Brand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104571140 PECOS PAC ID: 7012390578 Enrollment ID: I20220816001315 |
| Provider Name | Daniel Alan Jurczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043716434 PECOS PAC ID: 5991054694 Enrollment ID: I20220816002307 |
| Provider Name | Kelly M. Spanier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588270557 PECOS PAC ID: 7012390404 Enrollment ID: I20220817003284 |
| Provider Name | Nicole A Krolak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407342561 PECOS PAC ID: 4486084878 Enrollment ID: I20220818003642 |
| Provider Name | Kathleen M Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972102937 PECOS PAC ID: 8325421613 Enrollment ID: I20220819000326 |
| Provider Name | Chidozie C Agu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982952156 PECOS PAC ID: 5395036610 Enrollment ID: I20220823000145 |
| Provider Name | Andrei R Bandarchuk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013323831 PECOS PAC ID: 2365764107 Enrollment ID: I20220823000809 |
| Provider Name | Christopher J Osterbauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427543578 PECOS PAC ID: 6709133796 Enrollment ID: I20220824000510 |
| Provider Name | Rebecca Rose Kemnitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108122 PECOS PAC ID: 8224382189 Enrollment ID: I20220825001412 |
| Provider Name | Jocelyn K Hewitt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427788785 PECOS PAC ID: 5294119277 Enrollment ID: I20220825002827 |
| Provider Name | Jason D Servi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811554850 PECOS PAC ID: 2163806951 Enrollment ID: I20220827000671 |
| Provider Name | Haytham Yousef Hasan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982050290 PECOS PAC ID: 7618213349 Enrollment ID: I20220829000252 |
| Provider Name | Jessica Lynn Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528797255 PECOS PAC ID: 5698159358 Enrollment ID: I20220829003265 |
| Provider Name | Desirae Alyssa Schuh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831822501 PECOS PAC ID: 9234513920 Enrollment ID: I20220830000664 |
| Provider Name | Abhijit Deshmukh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043276231 PECOS PAC ID: 9537110176 Enrollment ID: I20220831000295 |
| Provider Name | Charles J Bettag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881199750 PECOS PAC ID: 2961759287 Enrollment ID: I20220831001201 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20220831001371 |
| Provider Name | Somto T Nwaedozie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487216560 PECOS PAC ID: 0244642718 Enrollment ID: I20220901001042 |
| Provider Name | Angelica Christine Lorenzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356834170 PECOS PAC ID: 3870848468 Enrollment ID: I20220907000053 |
| Provider Name | George Robert Dulabon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649264680 PECOS PAC ID: 4789789322 Enrollment ID: I20220907002911 |
| Provider Name | Kyle M Dennison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467009233 PECOS PAC ID: 1951785146 Enrollment ID: I20220907003440 |
| Provider Name | Rachel P Chenoweth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840308 PECOS PAC ID: 6608250808 Enrollment ID: I20220907003866 |
| Provider Name | Muhammad Haseeb Zubair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922480235 PECOS PAC ID: 3072997105 Enrollment ID: I20220908001611 |
| Provider Name | Anna Leigh Mathy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497420582 PECOS PAC ID: 5294110391 Enrollment ID: I20220909001292 |
| Provider Name | Cameron Fredrick Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689300618 PECOS PAC ID: 4183009202 Enrollment ID: I20220909001966 |
| Provider Name | Chimkama Ibe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366606337 PECOS PAC ID: 1456525914 Enrollment ID: I20220909002742 |
| Provider Name | Caitlin E Timmers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669963799 PECOS PAC ID: 2567727936 Enrollment ID: I20220909003006 |
| Provider Name | Igor V Bulatov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912091646 PECOS PAC ID: 9436376209 Enrollment ID: I20220914001052 |
| Provider Name | Kelsey J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770211302 PECOS PAC ID: 5890170450 Enrollment ID: I20220916003117 |
| Provider Name | Stephanie C Carr |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992159800 PECOS PAC ID: 2961777065 Enrollment ID: I20220920003406 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20220921002031 |
| Provider Name | Alyssa M Harp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194395756 PECOS PAC ID: 8123429743 Enrollment ID: I20220921003136 |
| Provider Name | Samuel J Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669920930 PECOS PAC ID: 7618211616 Enrollment ID: I20220922000502 |
| Provider Name | Kyle Micheal Gamoke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144958968 PECOS PAC ID: 6608251905 Enrollment ID: I20220922003492 |
| Provider Name | K V R Mohan Rao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477596799 PECOS PAC ID: 7113938655 Enrollment ID: I20220926000526 |
| Provider Name | Trista J Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760126460 PECOS PAC ID: 5092191148 Enrollment ID: I20220927004107 |
| Provider Name | Sophie S Arbefeville |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093986960 PECOS PAC ID: 1153592605 Enrollment ID: I20220928000155 |
| Provider Name | Ashley Marie Stepanovs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942936257 PECOS PAC ID: 5496131484 Enrollment ID: I20220928001935 |
| Provider Name | Anna Jane Smugala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528790276 PECOS PAC ID: 2860878865 Enrollment ID: I20220928002383 |
| Provider Name | Paul A Saconn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255518734 PECOS PAC ID: 2264600196 Enrollment ID: I20220929001093 |
| Provider Name | Britney Papp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972954857 PECOS PAC ID: 1951670744 Enrollment ID: I20220929001182 |
| Provider Name | Ellen A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568193910 PECOS PAC ID: 2062898950 Enrollment ID: I20220929002436 |
| Provider Name | Jeffrey K Rossow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366890402 PECOS PAC ID: 7517204126 Enrollment ID: I20220929003724 |
| Provider Name | Cesar A Sanchez Padron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215467485 PECOS PAC ID: 8729352950 Enrollment ID: I20220930000039 |
| Provider Name | Rula T Al-baghdadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154819761 PECOS PAC ID: 5193101913 Enrollment ID: I20221003001071 |
| Provider Name | Charles Kotulski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902398407 PECOS PAC ID: 0547517617 Enrollment ID: I20221003002336 |
| Provider Name | Duffy M Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346478161 PECOS PAC ID: 0345473187 Enrollment ID: I20221004001025 |
| Provider Name | Taylor L Effertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962136580 PECOS PAC ID: 2668858382 Enrollment ID: I20221004002454 |
| Provider Name | Daniel Hyatt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548622996 PECOS PAC ID: 5698066264 Enrollment ID: I20221004003443 |
| Provider Name | Matthew William Oley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376273474 PECOS PAC ID: 4486030020 Enrollment ID: I20221004003993 |
| Provider Name | Erika Jane Stauss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508516832 PECOS PAC ID: 1052797669 Enrollment ID: I20221005002629 |
| Provider Name | Eric L Lo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497782023 PECOS PAC ID: 8123193208 Enrollment ID: I20221006001018 |
| Provider Name | Samer X Kanaan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689864522 PECOS PAC ID: 0143318071 Enrollment ID: I20221007001898 |
| Provider Name | George N Batty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003020413 PECOS PAC ID: 2163675810 Enrollment ID: I20221008000048 |
| Provider Name | Priyanka Timothy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669824843 PECOS PAC ID: 4587929757 Enrollment ID: I20221011002599 |
| Provider Name | Nicole K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124501283 PECOS PAC ID: 8224404249 Enrollment ID: I20221017001599 |
| Provider Name | Sergejs Stepanovs |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073964615 PECOS PAC ID: 1456619477 Enrollment ID: I20221020002856 |
| Provider Name | Chad J Rosen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164865960 PECOS PAC ID: 1557635133 Enrollment ID: I20221025002273 |
| Provider Name | Margo Lynn Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962122705 PECOS PAC ID: 5496121899 Enrollment ID: I20221025003344 |
| Provider Name | George A Cortas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194802074 PECOS PAC ID: 3476553108 Enrollment ID: I20221027000424 |
| Provider Name | Kelly Theresia Dassow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359499 PECOS PAC ID: 7416324777 Enrollment ID: I20221031001290 |
| Provider Name | Chhama Sarawagi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023498797 PECOS PAC ID: 9234506478 Enrollment ID: I20221101002131 |
| Provider Name | Mckenna R Rickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114409406 PECOS PAC ID: 5395112551 Enrollment ID: I20221101003161 |
| Provider Name | Barbara T Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245417401 PECOS PAC ID: 3173698701 Enrollment ID: I20221104001357 |
| Provider Name | Santosh Gowda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639259823 PECOS PAC ID: 8921151200 Enrollment ID: I20221110000744 |
| Provider Name | Hannah Nicole Everson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801523121 PECOS PAC ID: 0749657377 Enrollment ID: I20221110001139 |
| Provider Name | Amanda V Olsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407227507 PECOS PAC ID: 0446539910 Enrollment ID: I20221115002101 |
| Provider Name | Emilia Krol |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952531386 PECOS PAC ID: 0143527689 Enrollment ID: I20221117001265 |
| Provider Name | Seth E Bollinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013652932 PECOS PAC ID: 0244608248 Enrollment ID: I20221123000709 |
| Provider Name | Kiara Iris Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336864719 PECOS PAC ID: 5698144244 Enrollment ID: I20221205000355 |
| Provider Name | Gary B. Sinensky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376585067 PECOS PAC ID: 8921284449 Enrollment ID: I20221205001799 |
| Provider Name | Michael P Siegenthaler |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1093863532 PECOS PAC ID: 7012918782 Enrollment ID: I20221219000799 |
| Provider Name | Rebecca Ann Cronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447974647 PECOS PAC ID: 6002285731 Enrollment ID: I20221219002659 |
| Provider Name | Jennifer L Sperl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750019691 PECOS PAC ID: 9537539226 Enrollment ID: I20221220002558 |
| Provider Name | Devesh B. Vyas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154446664 PECOS PAC ID: 8426066523 Enrollment ID: I20221222002000 |
| Provider Name | Megan Kristine Cannon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710484878 PECOS PAC ID: 2163892738 Enrollment ID: I20221226000126 |
| Provider Name | Krishna S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225533615 PECOS PAC ID: 2264857580 Enrollment ID: I20230104002064 |
| Provider Name | Ezra Jay Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517251 PECOS PAC ID: 0446620553 Enrollment ID: I20230106001271 |
| Provider Name | Gregory W Cotter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659363067 PECOS PAC ID: 8325039209 Enrollment ID: I20230111002420 |
| Provider Name | Lyndsey Vogler Strang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639807035 PECOS PAC ID: 6103297916 Enrollment ID: I20230113000927 |
| Provider Name | Brian Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487118840 PECOS PAC ID: 5496096984 Enrollment ID: I20230113000966 |
| Provider Name | Faiza Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337568 PECOS PAC ID: 1456722750 Enrollment ID: I20230125000102 |
| Provider Name | Molly F Mcneely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316654825 PECOS PAC ID: 1052782265 Enrollment ID: I20230126001976 |
| Provider Name | Lia Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356068662 PECOS PAC ID: 8527439736 Enrollment ID: I20230126002269 |
| Provider Name | Tia K Mathwich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043798341 PECOS PAC ID: 6507237724 Enrollment ID: I20230126002455 |
| Provider Name | Natalie A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113189 PECOS PAC ID: 4587996285 Enrollment ID: I20230127000374 |
| Provider Name | Melissa Lynn Leopold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782185 PECOS PAC ID: 2961873047 Enrollment ID: I20230127002374 |
| Provider Name | Jeremy J Logan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053383729 PECOS PAC ID: 9638101827 Enrollment ID: I20230131001803 |
| Provider Name | Naeem A Chaudhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174727457 PECOS PAC ID: 3678659828 Enrollment ID: I20230206002089 |
| Provider Name | Kevin S Wippermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962852673 PECOS PAC ID: 1052783784 Enrollment ID: I20230207000956 |
| Provider Name | Jessica L Hardesty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083842884 PECOS PAC ID: 4587884788 Enrollment ID: I20230223002834 |
| Provider Name | Nicholas M Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245681725 PECOS PAC ID: 6204129885 Enrollment ID: I20230224001014 |
| Provider Name | Jessica Jean Wincentsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164157129 PECOS PAC ID: 9436522018 Enrollment ID: I20230301001738 |
| Provider Name | Timothy Stephens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265922983 PECOS PAC ID: 8527453471 Enrollment ID: I20230308001671 |
| Provider Name | James E Boatman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285615724 PECOS PAC ID: 1153313275 Enrollment ID: I20230308002200 |
| Provider Name | Wilson D Heredia Nunez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255776589 PECOS PAC ID: 9133450067 Enrollment ID: I20230310002147 |
| Provider Name | Amaris A Vesely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437861606 PECOS PAC ID: 6103290200 Enrollment ID: I20230313000470 |
| Provider Name | Lara Charity Stauner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063124642 PECOS PAC ID: 3971977869 Enrollment ID: I20230315002596 |
| Provider Name | Howard J Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033108139 PECOS PAC ID: 5698712115 Enrollment ID: I20230323001482 |
| Provider Name | Patricia A Rindfleisch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427324904 PECOS PAC ID: 4284008756 Enrollment ID: I20230323002104 |
| Provider Name | Anna Marie Byrne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003387382 PECOS PAC ID: 9537533948 Enrollment ID: I20230327002607 |
| Provider Name | Kolapo O Dasilva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366766040 PECOS PAC ID: 1355582230 Enrollment ID: I20230329002948 |
| Provider Name | Mackenzie Suzanne Wockenfus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508361460 PECOS PAC ID: 5698149888 Enrollment ID: I20230330001651 |
| Provider Name | Jennifer R Nimerick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073622759 PECOS PAC ID: 7214039320 Enrollment ID: I20230404000431 |
| Provider Name | Branden L Enright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619422060 PECOS PAC ID: 4385019140 Enrollment ID: I20230407001930 |
| Provider Name | Abby Sue Millard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841997483 PECOS PAC ID: 1759756539 Enrollment ID: I20230410000482 |
| Provider Name | Sumina Goel |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1639332893 PECOS PAC ID: 0941489538 Enrollment ID: I20230412002617 |
| Provider Name | Michael J Fallon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184623381 PECOS PAC ID: 8426016635 Enrollment ID: I20230414000646 |
| Provider Name | Amanda M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750091179 PECOS PAC ID: 8729453139 Enrollment ID: I20230417000585 |
| Provider Name | Mohamad Salah El Bash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235343922 PECOS PAC ID: 3870667538 Enrollment ID: I20230417002085 |
| Provider Name | Ashley W Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025730 PECOS PAC ID: 4486913944 Enrollment ID: I20230417002557 |
| Provider Name | Carley A Vento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689289258 PECOS PAC ID: 5294153482 Enrollment ID: I20230419000088 |
| Provider Name | Ethan M Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811163199 PECOS PAC ID: 9133398365 Enrollment ID: I20230419001554 |
| Provider Name | James M Perkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205005113 PECOS PAC ID: 8426127432 Enrollment ID: I20230421000286 |
| Provider Name | Belinda A Murphy Denmark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689600785 PECOS PAC ID: 0547200552 Enrollment ID: I20230424001879 |
| Provider Name | Ellie P Skelton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629763743 PECOS PAC ID: 6103281845 Enrollment ID: I20230502000898 |
| Provider Name | Sierra Rae Kind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679272454 PECOS PAC ID: 6406211978 Enrollment ID: I20230505001177 |
| Provider Name | Catherine Anne Hopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093238263 PECOS PAC ID: 1456717818 Enrollment ID: I20230510001798 |
| Provider Name | Christie L Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679287916 PECOS PAC ID: 0749646040 Enrollment ID: I20230511000996 |
| Provider Name | Leslie M Sharpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740228568 PECOS PAC ID: 5395768212 Enrollment ID: I20230515001321 |
| Provider Name | Howard A. Peth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639265283 PECOS PAC ID: 3577694975 Enrollment ID: I20230516003359 |
| Provider Name | Mackenzie Johanna Derrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588362743 PECOS PAC ID: 3476919481 Enrollment ID: I20230517002600 |
| Provider Name | Elsaid Rabie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336427525 PECOS PAC ID: 4183867039 Enrollment ID: I20230519002088 |
| Provider Name | Sergio A Castillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114906468 PECOS PAC ID: 9032194782 Enrollment ID: I20230522001182 |
| Provider Name | Jessica R Pandolfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326681370 PECOS PAC ID: 9830509595 Enrollment ID: I20230523001651 |
| Provider Name | Spencer L Franchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154771798 PECOS PAC ID: 0941623938 Enrollment ID: I20230523002008 |
| Provider Name | Kristin M Kemp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881653251 PECOS PAC ID: 5193992212 Enrollment ID: I20230523002718 |
| Provider Name | Dustin J Wasylik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083027346 PECOS PAC ID: 3173833753 Enrollment ID: I20230526001385 |
| Provider Name | Jason B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669987335 PECOS PAC ID: 8123421815 Enrollment ID: I20230531003035 |
| Provider Name | Oleysa Sypchenko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588103139 PECOS PAC ID: 0446536742 Enrollment ID: I20230601002841 |
| Provider Name | Tian Xia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437357423 PECOS PAC ID: 2961681713 Enrollment ID: I20230602002603 |
| Provider Name | Jason Bauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326029950 PECOS PAC ID: 4587690821 Enrollment ID: I20230608001901 |
| Provider Name | Dana Marie Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396717013 PECOS PAC ID: 6305813528 Enrollment ID: I20230613001089 |
| Provider Name | Timothy J Mathwich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194311761 PECOS PAC ID: 2668830035 Enrollment ID: I20230615003446 |
| Provider Name | Benjamin Lee Alt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649973892 PECOS PAC ID: 5496113771 Enrollment ID: I20230619000655 |
| Provider Name | Morgan A Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356012561 PECOS PAC ID: 3870983943 Enrollment ID: I20230621000343 |
| Provider Name | Manjot K Jassal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487016424 PECOS PAC ID: 0446558928 Enrollment ID: I20230621000719 |
| Provider Name | Kali R Hackmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548939135 PECOS PAC ID: 2961860952 Enrollment ID: I20230623000951 |
| Provider Name | Oscar F Mandes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386184679 PECOS PAC ID: 1951729672 Enrollment ID: I20230628000523 |
| Provider Name | Kristen M. French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568179 PECOS PAC ID: 7113140518 Enrollment ID: I20230628000590 |
| Provider Name | Mark O Probasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356709190 PECOS PAC ID: 0244698926 Enrollment ID: I20230628001746 |
| Provider Name | Daniel Okobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194257741 PECOS PAC ID: 7012247471 Enrollment ID: I20230628002079 |
| Provider Name | Marissa Lorena Walczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871291906 PECOS PAC ID: 5193184802 Enrollment ID: I20230628003265 |
| Provider Name | Latasha Lynn Newbury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770133316 PECOS PAC ID: 9739548314 Enrollment ID: I20230629001455 |
| Provider Name | Lauren Elizabeth Grandpre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982393 PECOS PAC ID: 5890056162 Enrollment ID: I20230630002547 |
| Provider Name | Jeffrey M Quednow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780236562 PECOS PAC ID: 3678932134 Enrollment ID: I20230701000222 |
| Provider Name | Mike Jay Charlier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013571645 PECOS PAC ID: 2365801560 Enrollment ID: I20230706002290 |
| Provider Name | Mark Edward Reinhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033382825 PECOS PAC ID: 2466640693 Enrollment ID: I20230712001174 |
| Provider Name | Tekabe Nigussie Birhane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376170605 PECOS PAC ID: 0840650537 Enrollment ID: I20230712004500 |
| Provider Name | Kelsey J Kemnitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285346965 PECOS PAC ID: 9436519048 Enrollment ID: I20230714000298 |
| Provider Name | Luis Manon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154854610 PECOS PAC ID: 8426320227 Enrollment ID: I20230714002872 |
| Provider Name | Artem Sharko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952924987 PECOS PAC ID: 1052771532 Enrollment ID: I20230714003466 |
| Provider Name | Marjan Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770194185 PECOS PAC ID: 7416340666 Enrollment ID: I20230717000345 |
| Provider Name | Joseph Edmund |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821518457 PECOS PAC ID: 8426418872 Enrollment ID: I20230717001403 |
| Provider Name | Hafiz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275986390 PECOS PAC ID: 2365735461 Enrollment ID: I20230717002220 |
| Provider Name | Babar Shahzad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174131395 PECOS PAC ID: 1254707144 Enrollment ID: I20230717002772 |
| Provider Name | Abdallah Qasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205314036 PECOS PAC ID: 0345592747 Enrollment ID: I20230721001248 |
| Provider Name | Mabelle H Cohen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770661167 PECOS PAC ID: 6406033380 Enrollment ID: I20230721001955 |
| Provider Name | Kayla E Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023442084 PECOS PAC ID: 1254791247 Enrollment ID: I20230724000188 |
| Provider Name | Sheri Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598939142 PECOS PAC ID: 9638539547 Enrollment ID: I20230724001066 |
| Provider Name | Adrien M Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366860983 PECOS PAC ID: 6103043195 Enrollment ID: I20230724003590 |
| Provider Name | Clare N Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245920875 PECOS PAC ID: 7315308251 Enrollment ID: I20230725003285 |
| Provider Name | Rebecca Renee Gust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619531225 PECOS PAC ID: 1759624521 Enrollment ID: I20230725003569 |
| Provider Name | Sarah E Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164042479 PECOS PAC ID: 8628409109 Enrollment ID: I20230725003582 |
| Provider Name | Kaitlyn Robin Streachek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104542521 PECOS PAC ID: 2365803061 Enrollment ID: I20230727002256 |
| Provider Name | Phu Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376078360 PECOS PAC ID: 9739457763 Enrollment ID: I20230728001973 |
| Provider Name | Bruce L Mcham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578004974 PECOS PAC ID: 3577833177 Enrollment ID: I20230728002575 |
| Provider Name | Kaitlyn J Hogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811683295 PECOS PAC ID: 2961863451 Enrollment ID: I20230731004044 |
| Provider Name | Javariah I Asghar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467688804 PECOS PAC ID: 5193911014 Enrollment ID: I20230801001288 |
| Provider Name | Rayan S Suliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063030492 PECOS PAC ID: 5799158879 Enrollment ID: I20230803001033 |
| Provider Name | Gul Nawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457964389 PECOS PAC ID: 1254720121 Enrollment ID: I20230804003443 |
| Provider Name | Matthew C Stoflet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063039659 PECOS PAC ID: 3678970910 Enrollment ID: I20230806000021 |
| Provider Name | Weijia Wang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790124360 PECOS PAC ID: 4486943081 Enrollment ID: I20230807001737 |
| Provider Name | Dusan P Markovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922620970 PECOS PAC ID: 3274925425 Enrollment ID: I20230807002466 |
| Provider Name | Hailee Jane Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134824345 PECOS PAC ID: 4688035678 Enrollment ID: I20230808000508 |
| Provider Name | Holly E Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275038739 PECOS PAC ID: 2860740990 Enrollment ID: I20230808002218 |
| Provider Name | Temesgen T Shibre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407465677 PECOS PAC ID: 6406218395 Enrollment ID: I20230809001254 |
| Provider Name | Christian Horazeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629496369 PECOS PAC ID: 7911256888 Enrollment ID: I20230810001542 |
| Provider Name | Rose Philomena Zignego |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649958117 PECOS PAC ID: 2264894062 Enrollment ID: I20230810002171 |
| Provider Name | Claire F Fabian |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851089775 PECOS PAC ID: 8325400096 Enrollment ID: I20230811001138 |
| Provider Name | Jonah Matthew Schuch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154014777 PECOS PAC ID: 1052773629 Enrollment ID: I20230814002358 |
| Provider Name | Sheetal Aatrai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417568965 PECOS PAC ID: 5890167597 Enrollment ID: I20230814002636 |
| Provider Name | Jan A Herholdt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558449538 PECOS PAC ID: 0446341226 Enrollment ID: I20230816003448 |
| Provider Name | Mohammad R Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477965739 PECOS PAC ID: 7214303585 Enrollment ID: I20230818001224 |
| Provider Name | Derek R Corporon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417416595 PECOS PAC ID: 4486989449 Enrollment ID: I20230821003092 |
| Provider Name | Munir H Idriss |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1750887444 PECOS PAC ID: 4284969759 Enrollment ID: I20230822003384 |
| Provider Name | Heather D Ebert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336590850 PECOS PAC ID: 8426411406 Enrollment ID: I20230823002524 |
| Provider Name | Felipe M Echeverria Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235740838 PECOS PAC ID: 3678961299 Enrollment ID: I20230823003822 |
| Provider Name | Omar Nihad Al-masri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770212433 PECOS PAC ID: 1052774064 Enrollment ID: I20230823004023 |
| Provider Name | David A Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821214735 PECOS PAC ID: 3779527239 Enrollment ID: I20230823004355 |
| Provider Name | Sierra Lynn Litwaitis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396439014 PECOS PAC ID: 4789047739 Enrollment ID: I20230824000858 |
| Provider Name | Kasie Lynn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053017434 PECOS PAC ID: 9234592296 Enrollment ID: I20230824001243 |
| Provider Name | Sandra C Roland |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659321545 PECOS PAC ID: 0446149868 Enrollment ID: I20230827000128 |
| Provider Name | Don Custodio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316152598 PECOS PAC ID: 2062585359 Enrollment ID: I20230828002128 |
| Provider Name | Carli R Gurholt |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1255059333 PECOS PAC ID: 4688037302 Enrollment ID: I20230829001961 |
| Provider Name | Alisa M Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619017043 PECOS PAC ID: 8426133141 Enrollment ID: I20230902000020 |
| Provider Name | Vishal Ravella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417574435 PECOS PAC ID: 8527421866 Enrollment ID: I20230903000011 |
| Provider Name | Pooja Srivastava |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891271599 PECOS PAC ID: 3870956113 Enrollment ID: I20230904000150 |
| Provider Name | Amanda A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952001893 PECOS PAC ID: 4587027719 Enrollment ID: I20230905003950 |
| Provider Name | Lisa N Albanese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245285923 PECOS PAC ID: 2860516341 Enrollment ID: I20230906000249 |
| Provider Name | Megan M Messerschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558056606 PECOS PAC ID: 4486018686 Enrollment ID: I20230906002819 |
| Provider Name | Magen Lynn Reigel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285319392 PECOS PAC ID: 7911361183 Enrollment ID: I20230907001152 |
| Provider Name | Cynthia A De Meester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476168 PECOS PAC ID: 4486656501 Enrollment ID: I20230908001217 |
| Provider Name | Alissa Lee Small |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275192668 PECOS PAC ID: 2062876030 Enrollment ID: I20230908001536 |
| Provider Name | Abdul-ghaffaar Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053949305 PECOS PAC ID: 9830514967 Enrollment ID: I20230913003384 |
| Provider Name | Hoai Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407030737 PECOS PAC ID: 1658559208 Enrollment ID: I20230913003501 |
| Provider Name | Alison Bennett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144977083 PECOS PAC ID: 6406227735 Enrollment ID: I20230920000727 |
| Provider Name | Omar Abdelmegid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760943633 PECOS PAC ID: 4688094931 Enrollment ID: I20230920002057 |
| Provider Name | Jenny May E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720789811 PECOS PAC ID: 8820442155 Enrollment ID: I20230920002974 |
| Provider Name | Harsh W Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20230922001566 |
| Provider Name | Violet Lynne Ellington Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770947756 PECOS PAC ID: 4688960743 Enrollment ID: I20230922003351 |
| Provider Name | Florence Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716648 PECOS PAC ID: 3870841695 Enrollment ID: I20230926000725 |
| Provider Name | Megan M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851999114 PECOS PAC ID: 7810341518 Enrollment ID: I20230929000111 |
| Provider Name | Frederick B Hernaez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205498227 PECOS PAC ID: 9830507516 Enrollment ID: I20231002000793 |
| Provider Name | Kaitlyn Taylor Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770367666 PECOS PAC ID: 8729432331 Enrollment ID: I20231002001147 |
| Provider Name | Krista Marie Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902538804 PECOS PAC ID: 8325492804 Enrollment ID: I20231003000263 |
| Provider Name | Katie Marie Jelinek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063102911 PECOS PAC ID: 3577917053 Enrollment ID: I20231003000464 |
| Provider Name | Fernando Norona |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164488128 PECOS PAC ID: 3577747708 Enrollment ID: I20231004002528 |
| Provider Name | Taylor N Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093304735 PECOS PAC ID: 8820443773 Enrollment ID: I20231012000757 |
| Provider Name | Benjamin J Usey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730249533 PECOS PAC ID: 5496798746 Enrollment ID: I20231012001601 |
| Provider Name | Robert E Love |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952676157 PECOS PAC ID: 7113229543 Enrollment ID: I20231013001379 |
| Provider Name | Elizabeth M Chacko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912529983 PECOS PAC ID: 6103291232 Enrollment ID: I20231017001125 |
| Provider Name | Lukresse Tatiana Njiojob |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164888004 PECOS PAC ID: 6901251503 Enrollment ID: I20231018000184 |
| Provider Name | Ngassa A Mssika |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932410461 PECOS PAC ID: 5991984189 Enrollment ID: I20231018002782 |
| Provider Name | Brianna R Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801577242 PECOS PAC ID: 5496100950 Enrollment ID: I20231018002806 |
| Provider Name | Susan E Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912266768 PECOS PAC ID: 5193022408 Enrollment ID: I20231018003080 |
| Provider Name | Ariana J Frisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629758578 PECOS PAC ID: 1951756428 Enrollment ID: I20231018003314 |
| Provider Name | Jeffrey W Rickard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124229521 PECOS PAC ID: 9032285077 Enrollment ID: I20231019001226 |
| Provider Name | Mariam M Ibdaiwi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417452087 PECOS PAC ID: 2365790367 Enrollment ID: I20231020001545 |
| Provider Name | Amy C Roy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629274493 PECOS PAC ID: 4880744465 Enrollment ID: I20231025001801 |
| Provider Name | Paula Marie Gella |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598950362 PECOS PAC ID: 3072969138 Enrollment ID: I20231025002015 |
| Provider Name | Leah Jean Bloechl-gruna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669155198 PECOS PAC ID: 4688020407 Enrollment ID: I20231030002565 |
| Provider Name | Morgan Lynn Kamholz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275044414 PECOS PAC ID: 7719333442 Enrollment ID: I20231031003567 |
| Provider Name | Kellie S Jones Monahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467568345 PECOS PAC ID: 5991833691 Enrollment ID: I20231031003753 |
| Provider Name | Andrew Kenneth Wolfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710609474 PECOS PAC ID: 5991152563 Enrollment ID: I20231103003190 |
| Provider Name | Roshini Jagdish Ramwani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801258348 PECOS PAC ID: 2567752876 Enrollment ID: I20231107001905 |
| Provider Name | Nicole M Kraft |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598449936 PECOS PAC ID: 9638526981 Enrollment ID: I20231108003455 |
| Provider Name | Irene Nicole Presnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915298 PECOS PAC ID: 5193955151 Enrollment ID: I20231111000598 |
| Provider Name | Ernest L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245015171 PECOS PAC ID: 3274981477 Enrollment ID: I20231129000713 |
| Provider Name | Christine A Daub |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528253614 PECOS PAC ID: 4880042092 Enrollment ID: I20231129001266 |
| Provider Name | Robert H Hubers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861413064 PECOS PAC ID: 4284733155 Enrollment ID: I20231206000767 |
| Provider Name | Sharon A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912151044 PECOS PAC ID: 0244374783 Enrollment ID: I20231206001725 |
| Provider Name | Treve Henwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548233497 PECOS PAC ID: 2860423597 Enrollment ID: I20231206002134 |
| Provider Name | Fahd M Shaukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649883794 PECOS PAC ID: 7618326315 Enrollment ID: I20231206002745 |
| Provider Name | Ashesh H Sanghvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336185685 PECOS PAC ID: 5193743102 Enrollment ID: I20231212000102 |
| Provider Name | Mark J Mogul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336113752 PECOS PAC ID: 0042244972 Enrollment ID: I20231213002267 |
| Provider Name | Lanette Rickborn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174985444 PECOS PAC ID: 0941590830 Enrollment ID: I20231213002419 |
| Provider Name | Junhong Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597063 PECOS PAC ID: 1951750900 Enrollment ID: I20231215001329 |
| Provider Name | David C Okonkwo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457796062 PECOS PAC ID: 2567821598 Enrollment ID: I20231221000307 |
| Provider Name | Carey R Martens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598880833 PECOS PAC ID: 2062503782 Enrollment ID: I20231221001765 |
| Provider Name | Alahna Jo Keil |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104692730 PECOS PAC ID: 2961852611 Enrollment ID: I20231221001892 |
| Provider Name | Kristopher C Wampole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548856156 PECOS PAC ID: 3274983606 Enrollment ID: I20231228000718 |
| Provider Name | Anne T Cahill |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326066036 PECOS PAC ID: 5092711465 Enrollment ID: I20240104003050 |
| Provider Name | Maria T Decastro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558326470 PECOS PAC ID: 6305732587 Enrollment ID: I20240105002773 |
| Provider Name | Halie Marie Ciokiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104603380 PECOS PAC ID: 4082065305 Enrollment ID: I20240110003681 |
| Provider Name | Harbinder Singh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124061288 PECOS PAC ID: 2668482613 Enrollment ID: I20240110005027 |
| Provider Name | Patricia Sue Benoit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538340492 PECOS PAC ID: 3476904582 Enrollment ID: I20240112001276 |
| Provider Name | Sharon L Besterfeldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083949028 PECOS PAC ID: 1254783392 Enrollment ID: I20240115000381 |
| Provider Name | Rebecca L Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548741259 PECOS PAC ID: 7416309315 Enrollment ID: I20240116003776 |
| Provider Name | Rebeca J Argiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467946871 PECOS PAC ID: 5698127371 Enrollment ID: I20240118000900 |
| Provider Name | Vidallah Mulley Nordquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851175699 PECOS PAC ID: 6901258631 Enrollment ID: I20240118002561 |
| Provider Name | Kevin Charles Tolzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861104911 PECOS PAC ID: 9133571748 Enrollment ID: I20240119000537 |
| Provider Name | Brianne N Snider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881361780 PECOS PAC ID: 6002291556 Enrollment ID: I20240122001041 |
| Provider Name | Adeloye Omoyemi Soyege |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912774365 PECOS PAC ID: 9537511852 Enrollment ID: I20240122004130 |
| Provider Name | James A Raczek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114945433 PECOS PAC ID: 1658329289 Enrollment ID: I20240123002805 |
| Provider Name | Lisa S Dorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144604216 PECOS PAC ID: 9335591528 Enrollment ID: I20240124000437 |
| Provider Name | Sierra L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902673528 PECOS PAC ID: 9537512587 Enrollment ID: I20240126000708 |
| Provider Name | Paul A Reder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871521567 PECOS PAC ID: 5496728958 Enrollment ID: I20240126003025 |
| Provider Name | Maria Fuertes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972778389 PECOS PAC ID: 8426112376 Enrollment ID: I20240130000043 |
| Provider Name | Heidi Lorraine Topping |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437847225 PECOS PAC ID: 7719330299 Enrollment ID: I20240131003962 |
| Provider Name | Peter R Bream |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255428355 PECOS PAC ID: 8426187196 Enrollment ID: I20240205000743 |
| Provider Name | Heather Hilda Roen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457610750 PECOS PAC ID: 2860835006 Enrollment ID: I20240205003360 |
| Provider Name | Christina B Schreiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285874982 PECOS PAC ID: 9032552880 Enrollment ID: I20240208001381 |
| Provider Name | Jamie Christine Hanrahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336606359 PECOS PAC ID: 6507209392 Enrollment ID: I20240208002724 |
| Provider Name | John W Wyllie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831171180 PECOS PAC ID: 3274592118 Enrollment ID: I20240214000668 |
| Provider Name | Rebecca L Janssen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184887861 PECOS PAC ID: 9830533298 Enrollment ID: I20240214001146 |
| Provider Name | Seth F Tatel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144433467 PECOS PAC ID: 8426214875 Enrollment ID: I20240214001511 |
| Provider Name | Daniel G. Derezinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174629927 PECOS PAC ID: 2769826056 Enrollment ID: I20240214002602 |
| Provider Name | Deborah Jean Furgason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255677217 PECOS PAC ID: 6406290675 Enrollment ID: I20240215001168 |
| Provider Name | Robyne D Camana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477874238 PECOS PAC ID: 0446498281 Enrollment ID: I20240215003738 |
| Provider Name | Bethany F Peri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114137015 PECOS PAC ID: 6800074147 Enrollment ID: I20240216001763 |
| Provider Name | Amanda Rae Butterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558149922 PECOS PAC ID: 2264876283 Enrollment ID: I20240219000835 |
| Provider Name | Linda B Kedrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710356548 PECOS PAC ID: 4082058862 Enrollment ID: I20240220003455 |
| Provider Name | Vanessa M Larose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730561333 PECOS PAC ID: 3779927413 Enrollment ID: I20240221001089 |
| Provider Name | Luis Dibos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20240221002614 |
| Provider Name | Tierney D Woodward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326803982 PECOS PAC ID: 3173968799 Enrollment ID: I20240305001267 |
Marshfield Clinic Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 S Central Ave, Suite 106, Marshfield, WI 54449 Phone: 715-389-5900 | |
Marshfield Medical Center Clinic/prof Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Aspirus Marshfield Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 N Central Ave, Marshfield, WI 54449 Phone: 715-898-1238 Fax: 715-898-1239 | |
Mchs Freestanding Clinic Physician Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5211 | |
Marshfield Clinic Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N. Oak Ave., Marshfield, WI 54449 Phone: 715-221-8842 | |
Schlinsog Family Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 343a S Central Ave, Marshfield, WI 54449 Phone: 715-212-9038 Fax: 715-207-6367 | |
Mchs Hospitals Inc Outreach Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 |