| Maryland Family Care, Inc. | |
|
301 Saint Paul Pl 12th Floor Mcauley Tower Baltimore MD 21202-2102 | |
| (410) 500-5500 | |
| (410) 659-5691 |
| Full Name | Maryland Family Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Saint Paul Pl, Baltimore, Maryland |
| Authorized Official Name and Position | Wilma Rowe (DIRECTOR) |
| Authorized Official Contact | 4103329070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Family Care, Inc. Po Box 824173 Philadelphia PA 19182-4173 Ph: () - | Maryland Family Care, Inc. 301 Saint Paul Pl 12th Floor Mcauley Tower Baltimore MD 21202-2102 Ph: (410) 500-5500 |
| NPI Number | 1598718256 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 5092629394 |
|---|---|
| Medicare Enrollment ID | O20031119000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598718256 | NPI | - | NPPES |
| Provider Name | Kathryn Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962559211 PECOS PAC ID: 4385546415 Enrollment ID: I20040121000239 |
| Provider Name | Risa W Huber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104886167 PECOS PAC ID: 9335138379 Enrollment ID: I20040506001092 |
| Provider Name | Elizabeth Bower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871552265 PECOS PAC ID: 1658360318 Enrollment ID: I20040507001128 |
| Provider Name | Gary S Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023016680 PECOS PAC ID: 6305835752 Enrollment ID: I20040510001640 |
| Provider Name | Tricia Angulo-bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134160070 PECOS PAC ID: 8123001203 Enrollment ID: I20040610000126 |
| Provider Name | Michael Zang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184681660 PECOS PAC ID: 6608850078 Enrollment ID: I20040614001568 |
| Provider Name | Fredric S Sirkis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649356247 PECOS PAC ID: 9234114760 Enrollment ID: I20040621000321 |
| Provider Name | Seema Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508807827 PECOS PAC ID: 4880672799 Enrollment ID: I20040708000590 |
| Provider Name | Dawan V King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467481952 PECOS PAC ID: 0446230866 Enrollment ID: I20040724000210 |
| Provider Name | Marie-alberte Boursiquot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578571618 PECOS PAC ID: 3072578962 Enrollment ID: I20041119000468 |
| Provider Name | Catherine A Igo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720019805 PECOS PAC ID: 7719937200 Enrollment ID: I20050128000315 |
| Provider Name | Rosemary Olivo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932156262 PECOS PAC ID: 5799724803 Enrollment ID: I20050428000310 |
| Provider Name | Annamaria Bulatovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841226396 PECOS PAC ID: 1456396985 Enrollment ID: I20050624000161 |
| Provider Name | Majid E Cina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790767531 PECOS PAC ID: 7618913468 Enrollment ID: I20050630001156 |
| Provider Name | Thomas J Vento |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487619425 PECOS PAC ID: 7214964667 Enrollment ID: I20050718000916 |
| Provider Name | Chintan Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790728152 PECOS PAC ID: 0446287049 Enrollment ID: I20050726000480 |
| Provider Name | Jeanne Mccauley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164428579 PECOS PAC ID: 9335177013 Enrollment ID: I20050803000352 |
| Provider Name | Kerri An Mross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295780195 PECOS PAC ID: 8325079254 Enrollment ID: I20050830000677 |
| Provider Name | Jonathan D Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871590844 PECOS PAC ID: 8527054741 Enrollment ID: I20051029000189 |
| Provider Name | Geetha Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437167368 PECOS PAC ID: 1557389343 Enrollment ID: I20051110000218 |
| Provider Name | Albert J Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538141106 PECOS PAC ID: 4385658970 Enrollment ID: I20060202000918 |
| Provider Name | Susan L Besser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902968597 PECOS PAC ID: 8820022338 Enrollment ID: I20060217000430 |
| Provider Name | Cynthia Soriano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891828125 PECOS PAC ID: 2365458189 Enrollment ID: I20060302000306 |
| Provider Name | Snehal Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487778981 PECOS PAC ID: 1153402672 Enrollment ID: I20080122000594 |
| Provider Name | George A Durst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265470876 PECOS PAC ID: 0749362978 Enrollment ID: I20080128000344 |
| Provider Name | Robin O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407939283 PECOS PAC ID: 8426135922 Enrollment ID: I20080408000783 |
| Provider Name | Susan J Dulkerian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942240759 PECOS PAC ID: 8426128026 Enrollment ID: I20080609000766 |
| Provider Name | Emmanuel Osei Boamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639282460 PECOS PAC ID: 6901802495 Enrollment ID: I20080609000894 |
| Provider Name | Robert J Habicht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982735908 PECOS PAC ID: 2062585565 Enrollment ID: I20080716000607 |
| Provider Name | Ruth N Brocato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104990977 PECOS PAC ID: 5799859419 Enrollment ID: I20080729000719 |
| Provider Name | Karen L Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306879531 PECOS PAC ID: 8123193760 Enrollment ID: I20080818000197 |
| Provider Name | Mary E Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730153636 PECOS PAC ID: 8426125386 Enrollment ID: I20080919000010 |
| Provider Name | Sheila K Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245495902 PECOS PAC ID: 9830267418 Enrollment ID: I20081009000231 |
| Provider Name | Manish D. Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619186202 PECOS PAC ID: 4082772298 Enrollment ID: I20081016000329 |
| Provider Name | Hina Ghafoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750563284 PECOS PAC ID: 4789742156 Enrollment ID: I20081029000436 |
| Provider Name | Navara Malayaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700061934 PECOS PAC ID: 2264597004 Enrollment ID: I20090211000657 |
| Provider Name | Camille Tawil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144225053 PECOS PAC ID: 1759350614 Enrollment ID: I20090515000481 |
| Provider Name | Theresa Lorch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104888122 PECOS PAC ID: 3476604711 Enrollment ID: I20090629000017 |
| Provider Name | Robert Boughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770608721 PECOS PAC ID: 5799831137 Enrollment ID: I20090925000459 |
| Provider Name | Daniel B Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467470047 PECOS PAC ID: 8729126214 Enrollment ID: I20091103000353 |
| Provider Name | Christine Bell Lafferman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992771653 PECOS PAC ID: 2163505249 Enrollment ID: I20091104000253 |
| Provider Name | Jeffrey S Landsman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982636601 PECOS PAC ID: 2163560640 Enrollment ID: I20091104000285 |
| Provider Name | Kay T Nwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902843394 PECOS PAC ID: 4082756051 Enrollment ID: I20100129000014 |
| Provider Name | Sheila Alongi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437147618 PECOS PAC ID: 7618019845 Enrollment ID: I20100129000065 |
| Provider Name | Ayman Akkad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639126113 PECOS PAC ID: 2961545470 Enrollment ID: I20100205000505 |
| Provider Name | Michael D. Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376500850 PECOS PAC ID: 0446385215 Enrollment ID: I20100318000262 |
| Provider Name | Marion Kowalewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538126461 PECOS PAC ID: 9234264821 Enrollment ID: I20100322000428 |
| Provider Name | Robert T Liberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639193980 PECOS PAC ID: 8921133315 Enrollment ID: I20100324000724 |
| Provider Name | Elena D Ghiaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942227871 PECOS PAC ID: 3577568161 Enrollment ID: I20100326000119 |
| Provider Name | Robert Leslie Moss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659304871 PECOS PAC ID: 9830226893 Enrollment ID: I20100422000709 |
| Provider Name | George E Lowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861459810 PECOS PAC ID: 3870620545 Enrollment ID: I20100429000123 |
| Provider Name | Thaw Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912944349 PECOS PAC ID: 8325176951 Enrollment ID: I20100503000257 |
| Provider Name | Lisa C Radebaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588688345 PECOS PAC ID: 8628066420 Enrollment ID: I20100504000433 |
| Provider Name | Fausto Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265543375 PECOS PAC ID: 8820126865 Enrollment ID: I20100512000318 |
| Provider Name | Rani Karipineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083648174 PECOS PAC ID: 4880725449 Enrollment ID: I20100625000044 |
| Provider Name | Mitchell Gutshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780887307 PECOS PAC ID: 0547392367 Enrollment ID: I20100714000665 |
| Provider Name | Veronica Epstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962465195 PECOS PAC ID: 1658404033 Enrollment ID: I20100817000263 |
| Provider Name | Jon E Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285730762 PECOS PAC ID: 6103018148 Enrollment ID: I20101008000104 |
| Provider Name | Mark M Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578597282 PECOS PAC ID: 0143414441 Enrollment ID: I20101101000527 |
| Provider Name | Michael H Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780600551 PECOS PAC ID: 0749474807 Enrollment ID: I20101102001143 |
| Provider Name | Yeong Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215953914 PECOS PAC ID: 0042404865 Enrollment ID: I20101104001531 |
| Provider Name | Albert Digerolamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427069871 PECOS PAC ID: 9032267729 Enrollment ID: I20101109001094 |
| Provider Name | Janet O Mahony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538107073 PECOS PAC ID: 4587859764 Enrollment ID: I20101112001094 |
| Provider Name | John W Bowie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568439750 PECOS PAC ID: 0244426013 Enrollment ID: I20101119000432 |
| Provider Name | Mark R Stromberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164423190 PECOS PAC ID: 8123214897 Enrollment ID: I20101119000611 |
| Provider Name | Roland P Sabundayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760429187 PECOS PAC ID: 9830385293 Enrollment ID: I20101124000329 |
| Provider Name | Jonathan Kushner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235146390 PECOS PAC ID: 4486840865 Enrollment ID: I20101124000482 |
| Provider Name | Francis X. Strain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588607907 PECOS PAC ID: 1153517453 Enrollment ID: I20101129001002 |
| Provider Name | Malika F Waseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376651273 PECOS PAC ID: 9133315302 Enrollment ID: I20101130000830 |
| Provider Name | Ernestine A. Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306896006 PECOS PAC ID: 1850587932 Enrollment ID: I20101201000772 |
| Provider Name | Ralph J Lebron-afanador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952504573 PECOS PAC ID: 6507053212 Enrollment ID: I20101207001130 |
| Provider Name | Chackumkal V Cyriac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033128574 PECOS PAC ID: 9032306303 Enrollment ID: I20101213000559 |
| Provider Name | Surya Prakash Mundra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295744712 PECOS PAC ID: 6305033663 Enrollment ID: I20101213000651 |
| Provider Name | Anca-magdalena Frujinoiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265745772 PECOS PAC ID: 2567650617 Enrollment ID: I20101216000414 |
| Provider Name | Daniel H Collector |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255341475 PECOS PAC ID: 0042368730 Enrollment ID: I20101217000401 |
| Provider Name | Margaret M Walsh Donnini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871806661 PECOS PAC ID: 0840488649 Enrollment ID: I20101221000359 |
| Provider Name | Fernando Ferro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245297258 PECOS PAC ID: 8820286008 Enrollment ID: I20110104000077 |
| Provider Name | Thomas Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659312791 PECOS PAC ID: 5890983084 Enrollment ID: I20110104000149 |
| Provider Name | Shawn Peffall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457318933 PECOS PAC ID: 0143419812 Enrollment ID: I20110111000697 |
| Provider Name | Michael Sambat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245285873 PECOS PAC ID: 3779772041 Enrollment ID: I20110118001146 |
| Provider Name | Janice L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750494480 PECOS PAC ID: 2769661768 Enrollment ID: I20110124000360 |
| Provider Name | Inna Gendelsman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912930108 PECOS PAC ID: 0446439871 Enrollment ID: I20110131001002 |
| Provider Name | David J. Hartig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093797995 PECOS PAC ID: 4385635234 Enrollment ID: I20110201000301 |
| Provider Name | Stephanie L Linder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063467611 PECOS PAC ID: 2264613512 Enrollment ID: I20110221000546 |
| Provider Name | Jenepher K. Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174599963 PECOS PAC ID: 9739360884 Enrollment ID: I20110222000866 |
| Provider Name | Arnel M Tagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881632354 PECOS PAC ID: 7517148182 Enrollment ID: I20110302000539 |
| Provider Name | Wilma Rowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093753857 PECOS PAC ID: 0840472080 Enrollment ID: I20110310000040 |
| Provider Name | Sebastian K. John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760590400 PECOS PAC ID: 9537343777 Enrollment ID: I20110412000658 |
| Provider Name | Samyra C Sealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407084726 PECOS PAC ID: 1658556659 Enrollment ID: I20110505000678 |
| Provider Name | Teresa Anne Hanyok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821099730 PECOS PAC ID: 0345426177 Enrollment ID: I20110512000370 |
| Provider Name | Ashanti W Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801098439 PECOS PAC ID: 3476730334 Enrollment ID: I20110602000476 |
| Provider Name | Tracey Reinecke Kashima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386739803 PECOS PAC ID: 2466620505 Enrollment ID: I20110718000010 |
| Provider Name | Colleen Ann Hughes Driscoll |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538297841 PECOS PAC ID: 6800065905 Enrollment ID: I20110805000661 |
| Provider Name | Sara J Mola |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548467913 PECOS PAC ID: 8628249893 Enrollment ID: I20110920000050 |
| Provider Name | Megan A K Shepter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235418591 PECOS PAC ID: 0749452340 Enrollment ID: I20111004000072 |
| Provider Name | Mary L. Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760579288 PECOS PAC ID: 5294767745 Enrollment ID: I20120503000238 |
| Provider Name | Suma Bhat Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174780860 PECOS PAC ID: 3577728070 Enrollment ID: I20120709000273 |
| Provider Name | Shannarose Guma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336450253 PECOS PAC ID: 4789840448 Enrollment ID: I20120724000750 |
| Provider Name | Uchechi I Asiegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598018715 PECOS PAC ID: 9638321938 Enrollment ID: I20121213000300 |
| Provider Name | Yun Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558614859 PECOS PAC ID: 9931353059 Enrollment ID: I20130125000144 |
| Provider Name | Danielle Y Baek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508091596 PECOS PAC ID: 0749435394 Enrollment ID: I20130305000160 |
| Provider Name | Tamara J Setola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003167420 PECOS PAC ID: 9032355581 Enrollment ID: I20130429000416 |
| Provider Name | Matthew S Baron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255513644 PECOS PAC ID: 3375792187 Enrollment ID: I20130503000031 |
| Provider Name | Sang An |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033437017 PECOS PAC ID: 3678717535 Enrollment ID: I20130913000590 |
| Provider Name | Alina Adriana Sanda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982887683 PECOS PAC ID: 9638341589 Enrollment ID: I20130918000415 |
| Provider Name | Natalie L. Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285842518 PECOS PAC ID: 4587738604 Enrollment ID: I20130920000759 |
| Provider Name | Catherine Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972828424 PECOS PAC ID: 3476797879 Enrollment ID: I20130925000824 |
| Provider Name | Carol S Thelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316371552 PECOS PAC ID: 5597990564 Enrollment ID: I20131029000130 |
| Provider Name | Lisa M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952660144 PECOS PAC ID: 5395970313 Enrollment ID: I20131029001648 |
| Provider Name | Nita V Shanbhag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871651869 PECOS PAC ID: 3072520584 Enrollment ID: I20131231001298 |
| Provider Name | Patricia F Drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629263173 PECOS PAC ID: 2860622644 Enrollment ID: I20140221000995 |
| Provider Name | Armel Simo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376708321 PECOS PAC ID: 9335319656 Enrollment ID: I20140325000124 |
| Provider Name | Judith A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992138648 PECOS PAC ID: 7810120243 Enrollment ID: I20140508001838 |
| Provider Name | Tara P Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710279260 PECOS PAC ID: 2062679061 Enrollment ID: I20140602001522 |
| Provider Name | Peter Phillip Olivieri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568761732 PECOS PAC ID: 3678798345 Enrollment ID: I20140714001366 |
| Provider Name | Emily A Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184956773 PECOS PAC ID: 9335365246 Enrollment ID: I20140730001388 |
| Provider Name | Kathryn Boling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033323050 PECOS PAC ID: 2567680044 Enrollment ID: I20140825002022 |
| Provider Name | Sharmilarani Harikrishnan Nanda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881718492 PECOS PAC ID: 2961461199 Enrollment ID: I20140909000873 |
| Provider Name | Mahwish Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831358936 PECOS PAC ID: 7315195146 Enrollment ID: I20141007000343 |
| Provider Name | Melissa Anne Rieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720485162 PECOS PAC ID: 7315262854 Enrollment ID: I20150204001707 |
| Provider Name | Temitope O Akinmboni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063733020 PECOS PAC ID: 7911227012 Enrollment ID: I20150513000510 |
| Provider Name | Anastasia Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790182079 PECOS PAC ID: 7214257229 Enrollment ID: I20150514001865 |
| Provider Name | Caitlin M Averill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003200791 PECOS PAC ID: 6406176783 Enrollment ID: I20150528000829 |
| Provider Name | Lana Eun Cho Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376952184 PECOS PAC ID: 7012238041 Enrollment ID: I20150603000521 |
| Provider Name | Helene Hedian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689931453 PECOS PAC ID: 0840501870 Enrollment ID: I20150617002772 |
| Provider Name | Laura M Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485964 PECOS PAC ID: 6709191588 Enrollment ID: I20150824001232 |
| Provider Name | Jehan Riar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790049906 PECOS PAC ID: 6204144793 Enrollment ID: I20151002002430 |
| Provider Name | Allen Missoi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467682229 PECOS PAC ID: 6204051006 Enrollment ID: I20151030000334 |
| Provider Name | Kathleen M Cullum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295106722 PECOS PAC ID: 4284935321 Enrollment ID: I20151215002361 |
| Provider Name | Francis Oduah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790180727 PECOS PAC ID: 8325340631 Enrollment ID: I20160104001779 |
| Provider Name | Andrea Limpuangthip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528300977 PECOS PAC ID: 6507164837 Enrollment ID: I20160629001115 |
| Provider Name | Alexander Stuart Whitaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689917361 PECOS PAC ID: 3971802141 Enrollment ID: I20160705001652 |
| Provider Name | Ji Yon Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992145460 PECOS PAC ID: 6901103530 Enrollment ID: I20160809002278 |
| Provider Name | Michelle M Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679657340 PECOS PAC ID: 4587950415 Enrollment ID: I20160901000926 |
| Provider Name | Michael A Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437492238 PECOS PAC ID: 0749579563 Enrollment ID: I20160909001702 |
| Provider Name | Elizabeth J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346795309 PECOS PAC ID: 2365739968 Enrollment ID: I20160926001601 |
| Provider Name | Erin Elizabeth Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679024558 PECOS PAC ID: 8921381146 Enrollment ID: I20170214002529 |
| Provider Name | Adina Noff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740684208 PECOS PAC ID: 1557647872 Enrollment ID: I20170420001600 |
| Provider Name | Sara Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376961128 PECOS PAC ID: 2567760317 Enrollment ID: I20170526001749 |
| Provider Name | Susan A Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538476643 PECOS PAC ID: 7315218583 Enrollment ID: I20170807000839 |
| Provider Name | Elisa N Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679007462 PECOS PAC ID: 0143592097 Enrollment ID: I20170830003049 |
| Provider Name | Anna Jc Telewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285154336 PECOS PAC ID: 8921372822 Enrollment ID: I20170915001390 |
| Provider Name | Sheri Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245770189 PECOS PAC ID: 8426197930 Enrollment ID: I20170925002041 |
| Provider Name | Bosede Adedire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477925030 PECOS PAC ID: 9335407774 Enrollment ID: I20171213001355 |
| Provider Name | Joshlyn M Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639619596 PECOS PAC ID: 5597023952 Enrollment ID: I20171213001820 |
| Provider Name | Eunsung Cho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588822647 PECOS PAC ID: 7517013022 Enrollment ID: I20180110003571 |
| Provider Name | Alice A Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618343 PECOS PAC ID: 1658632799 Enrollment ID: I20180306000793 |
| Provider Name | Babak Saboury Sichani |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1386083418 PECOS PAC ID: 0941599591 Enrollment ID: I20180501000086 |
| Provider Name | Kate Lynn Cho Iwamoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508251067 PECOS PAC ID: 8426357633 Enrollment ID: I20180620001348 |
| Provider Name | Ayesha Faisal Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184953341 PECOS PAC ID: 5294903282 Enrollment ID: I20180626003041 |
| Provider Name | Jessica L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588159594 PECOS PAC ID: 3173879616 Enrollment ID: I20180713000055 |
| Provider Name | Justin Franklin Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841604501 PECOS PAC ID: 1052668340 Enrollment ID: I20180718000354 |
| Provider Name | Jessalynn Adam |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679911580 PECOS PAC ID: 0749570240 Enrollment ID: I20181012000195 |
| Provider Name | Nicole J Parrau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033687363 PECOS PAC ID: 3678819745 Enrollment ID: I20190110000578 |
| Provider Name | Keith R Dibenedetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699259580 PECOS PAC ID: 4385981935 Enrollment ID: I20190122000148 |
| Provider Name | Lauren S Appiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689148256 PECOS PAC ID: 2365782992 Enrollment ID: I20190319001200 |
| Provider Name | Proshat Nikou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609030329 PECOS PAC ID: 6901064823 Enrollment ID: I20190325001658 |
| Provider Name | Katherine L Serio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427614353 PECOS PAC ID: 3072848324 Enrollment ID: I20190710000551 |
| Provider Name | Samiha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669826202 PECOS PAC ID: 5799075404 Enrollment ID: I20190722000916 |
| Provider Name | Christina Gasbarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316327018 PECOS PAC ID: 5294026548 Enrollment ID: I20190912001567 |
| Provider Name | Shahad Kareem Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508228784 PECOS PAC ID: 2466747258 Enrollment ID: I20190919003174 |
| Provider Name | Laura Keppley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725064 PECOS PAC ID: 7810229119 Enrollment ID: I20191105002048 |
| Provider Name | Eric B Goldschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043852478 PECOS PAC ID: 6608200506 Enrollment ID: I20191231002400 |
| Provider Name | Stacey Lyn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699234393 PECOS PAC ID: 4587099726 Enrollment ID: I20200116002627 |
| Provider Name | Pomi Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235781691 PECOS PAC ID: 6709211733 Enrollment ID: I20200121000200 |
| Provider Name | Judy Aivette Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508424128 PECOS PAC ID: 2466889100 Enrollment ID: I20200219001008 |
| Provider Name | Catherine Griswold Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902437148 PECOS PAC ID: 8325476146 Enrollment ID: I20200310000811 |
| Provider Name | Tasneem Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639156946 PECOS PAC ID: 8426154915 Enrollment ID: I20200323002069 |
| Provider Name | Vida Robb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276303 PECOS PAC ID: 0749619625 Enrollment ID: I20200327000906 |
| Provider Name | Emily Wisniewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720519291 PECOS PAC ID: 2062787823 Enrollment ID: I20200428000515 |
| Provider Name | Courtney Steinbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619511326 PECOS PAC ID: 5193156370 Enrollment ID: I20200505000193 |
| Provider Name | Kelsey Lynn Peifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912553595 PECOS PAC ID: 5193156511 Enrollment ID: I20200519000133 |
| Provider Name | Nasreen Mohammed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780062851 PECOS PAC ID: 9739418385 Enrollment ID: I20200520003222 |
| Provider Name | Ellegant S Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437418274 PECOS PAC ID: 0648588137 Enrollment ID: I20200709000417 |
| Provider Name | Nuzhat Jabeen Sayyida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831629435 PECOS PAC ID: 1456776145 Enrollment ID: I20200728003314 |
| Provider Name | Yvette Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699148759 PECOS PAC ID: 8628493889 Enrollment ID: I20200805000025 |
| Provider Name | Andrew Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477085041 PECOS PAC ID: 0143595827 Enrollment ID: I20200813001744 |
| Provider Name | Itta Meira Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447877493 PECOS PAC ID: 1759708621 Enrollment ID: I20200825000306 |
| Provider Name | Meghan O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033739412 PECOS PAC ID: 0446677850 Enrollment ID: I20200831003124 |
| Provider Name | Laura Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225646870 PECOS PAC ID: 2365860657 Enrollment ID: I20200918000971 |
| Provider Name | Lashawn S Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457996688 PECOS PAC ID: 0941629059 Enrollment ID: I20200923000792 |
| Provider Name | Sara Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558990796 PECOS PAC ID: 4880013424 Enrollment ID: I20200930002155 |
| Provider Name | Tyesha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497356307 PECOS PAC ID: 9234543000 Enrollment ID: I20210208000504 |
| Provider Name | Karli Pivonski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295349983 PECOS PAC ID: 2668881848 Enrollment ID: I20210430000175 |
| Provider Name | Rebka Tekeste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922504356 PECOS PAC ID: 5294074027 Enrollment ID: I20210624000839 |
| Provider Name | Joshua Wade Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699347146 PECOS PAC ID: 9638572688 Enrollment ID: I20210728001391 |
| Provider Name | Tiffanie France |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174199285 PECOS PAC ID: 4880082700 Enrollment ID: I20211026003477 |
| Provider Name | Victoria Vykol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316610876 PECOS PAC ID: 3072901883 Enrollment ID: I20211028000509 |
| Provider Name | Carolyn Stolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285241653 PECOS PAC ID: 6002204740 Enrollment ID: I20211028002217 |
| Provider Name | Chelsea Goodier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861925455 PECOS PAC ID: 2163797010 Enrollment ID: I20211101002958 |
| Provider Name | Sae-yoon Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265927321 PECOS PAC ID: 8628327954 Enrollment ID: I20211215001096 |
| Provider Name | Zulqarnain Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215434147 PECOS PAC ID: 1153667035 Enrollment ID: I20220125000510 |
| Provider Name | Margot De Deyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992468219 PECOS PAC ID: 2163816737 Enrollment ID: I20220224000435 |
| Provider Name | Claire Brigette Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942953088 PECOS PAC ID: 6204221195 Enrollment ID: I20220310002353 |
| Provider Name | Tracy Elizabeth Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033875414 PECOS PAC ID: 0941695423 Enrollment ID: I20220319000163 |
| Provider Name | Chun A Piao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982351250 PECOS PAC ID: 3072909878 Enrollment ID: I20220404002183 |
| Provider Name | Mark Harding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386011666 PECOS PAC ID: 8628332137 Enrollment ID: I20220428000757 |
| Provider Name | Sabrina Carvalho Barata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255892923 PECOS PAC ID: 7012398027 Enrollment ID: I20220722000801 |
| Provider Name | Sara Encisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962908434 PECOS PAC ID: 3476899881 Enrollment ID: I20220728000905 |
| Provider Name | Hannah Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245771443 PECOS PAC ID: 5799050597 Enrollment ID: I20220804000015 |
| Provider Name | Andrew Constantine Kithas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841752870 PECOS PAC ID: 0143552489 Enrollment ID: I20220912003205 |
| Provider Name | Allison Ajluni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912404047 PECOS PAC ID: 6608125224 Enrollment ID: I20220922002893 |
| Provider Name | Rachel Figiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639898331 PECOS PAC ID: 7416333729 Enrollment ID: I20221010001596 |
| Provider Name | Sarma Klimanis Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356076913 PECOS PAC ID: 5092182220 Enrollment ID: I20221101001929 |
| Provider Name | Rebecca Jane Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679292007 PECOS PAC ID: 5294103420 Enrollment ID: I20221121000008 |
| Provider Name | Tina Marie Dominey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962123505 PECOS PAC ID: 5991174591 Enrollment ID: I20221202001382 |
| Provider Name | Nora Sullivan Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588854 PECOS PAC ID: 4587036348 Enrollment ID: I20230206000455 |
| Provider Name | Alison Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639894561 PECOS PAC ID: 0345613147 Enrollment ID: I20230225000480 |
| Provider Name | Morgan Leigh Mcqueen-bey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435831 PECOS PAC ID: 7315310968 Enrollment ID: I20230301000508 |
| Provider Name | Lacey Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346952090 PECOS PAC ID: 3870966062 Enrollment ID: I20230309001191 |
| Provider Name | Grace Hyeyoon Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477014850 PECOS PAC ID: 2264764505 Enrollment ID: I20230327002657 |
| Provider Name | Ava Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841693405 PECOS PAC ID: 4183099534 Enrollment ID: I20230419000198 |
| Provider Name | Thomas Wood Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194425652 PECOS PAC ID: 0941667182 Enrollment ID: I20230605000387 |
| Provider Name | Doreen Bannerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528763729 PECOS PAC ID: 3971960022 Enrollment ID: I20230605001136 |
| Provider Name | Mackenzie A Heywood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194352559 PECOS PAC ID: 4789003104 Enrollment ID: I20230727004095 |
| Provider Name | Marc Philip Kai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962039487 PECOS PAC ID: 3476963935 Enrollment ID: I20230808004277 |
| Provider Name | Wendi Seltzer-florio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467829036 PECOS PAC ID: 9133488695 Enrollment ID: I20230817000696 |
| Provider Name | Naisha Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649779851 PECOS PAC ID: 7012258593 Enrollment ID: I20230911004131 |
| Provider Name | Cydney Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710515671 PECOS PAC ID: 8921418401 Enrollment ID: I20231003002573 |
| Provider Name | Hodan Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114611068 PECOS PAC ID: 0446606925 Enrollment ID: I20231020000797 |
| Provider Name | Theresa Christine Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053677575 PECOS PAC ID: 8426404856 Enrollment ID: I20231021000094 |
| Provider Name | Rose Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235811308 PECOS PAC ID: 6608222807 Enrollment ID: I20231024003508 |
| Provider Name | Joanna Musumeci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770262347 PECOS PAC ID: 0547616641 Enrollment ID: I20231025003920 |
| Provider Name | Solange Nju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295475945 PECOS PAC ID: 7618323577 Enrollment ID: I20231028000213 |
| Provider Name | Helen (katey) Kathleen Bloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205534716 PECOS PAC ID: 4082060967 Enrollment ID: I20231030000386 |
| Provider Name | Francesca Dipino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316725765 PECOS PAC ID: 8022465160 Enrollment ID: I20231109003899 |
| Provider Name | Kathryn Gossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851179246 PECOS PAC ID: 6608224613 Enrollment ID: I20231201001583 |
| Provider Name | Dana Carbonetti Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639945546 PECOS PAC ID: 8628428612 Enrollment ID: I20240103003241 |
| Provider Name | Nichole Pacifico Tune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467048363 PECOS PAC ID: 0840630810 Enrollment ID: I20240425000155 |
| Provider Name | April Oatts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679197321 PECOS PAC ID: 2062956972 Enrollment ID: I20240702004491 |
| Provider Name | Christina Bluestein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720829625 PECOS PAC ID: 4486199080 Enrollment ID: I20240708002549 |
| Provider Name | Oluyinka Akinbobola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649984436 PECOS PAC ID: 6002351525 Enrollment ID: I20240709002582 |
| Provider Name | Ashley Alghali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780317990 PECOS PAC ID: 4688013956 Enrollment ID: I20240716001045 |
| Provider Name | Mohammad Bourmaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477174266 PECOS PAC ID: 1052719192 Enrollment ID: I20240723004867 |
| Provider Name | Garrick Beauliere |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518681220 PECOS PAC ID: 2961949474 Enrollment ID: I20240801003411 |
| Provider Name | Tanya Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548897952 PECOS PAC ID: 2062843683 Enrollment ID: I20241003001981 |
| Provider Name | Colbie Larieia Oden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790358208 PECOS PAC ID: 5193256584 Enrollment ID: I20241009003955 |
| Provider Name | Neyma Cassandra Mendes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740013747 PECOS PAC ID: 7810429974 Enrollment ID: I20241014003027 |
| Provider Name | Haley Freilino Gutowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396583159 PECOS PAC ID: 0345773453 Enrollment ID: I20241029000457 |
| Provider Name | Kira Nickols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063239366 PECOS PAC ID: 1759818974 Enrollment ID: I20241228000020 |
| Provider Name | Natalie Dumer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376360529 PECOS PAC ID: 6406383637 Enrollment ID: I20241230000132 |
| Provider Name | Conner Rhoten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730907361 PECOS PAC ID: 6204365067 Enrollment ID: I20250123000480 |
| Provider Name | Jordan Knight Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427620103 PECOS PAC ID: 2264952431 Enrollment ID: I20250219001615 |
| Provider Name | Kathryn Vansickle Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184453789 PECOS PAC ID: 2264954007 Enrollment ID: I20250320003034 |
| Provider Name | Adrianna Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588291173 PECOS PAC ID: 7113358672 Enrollment ID: I20250321001952 |
Gbmc Health Partners At Helping Up Mission, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Solutions Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W University Pkwy Apt 425, Baltimore, MD 21210 Phone: 786-451-5184 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 | |
Maryland Medical First P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8901 Clement Ave, Baltimore, MD 21234 Phone: 410-661-4670 Fax: 410-661-4671 | |
Vijayalakshmi Reddy Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 N Eutaw St, Ste 312, Baltimore, MD 21201 Phone: 410-225-4455 Fax: 410-462-5079 |