| Mayo Clinic Health System-lake City | |
|
500 W Grant St Lake City MN 55041-1143 | |
| (651) 345-3321 | |
| Not Available |
| Full Name | Mayo Clinic Health System-lake City |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 W Grant St, Lake City, Minnesota |
| Authorized Official Name and Position | Praveen Mekala (CFO) |
| Authorized Official Contact | 5075946449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic Health System-lake City 500 W Grant St Lake City MN 55041-1143 Ph: (651) 345-3321 | Mayo Clinic Health System-lake City 500 W Grant St Lake City MN 55041-1143 Ph: (651) 345-3321 |
| NPI Number | 1164463659 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 1951213487 |
|---|---|
| Medicare Enrollment ID | O20031104000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164463659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (Minnesota) | Secondary |
| Provider Name | Michael J Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649255209 PECOS PAC ID: 4880598861 Enrollment ID: I20031121000220 |
| Provider Name | Philippe Bauer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871566166 PECOS PAC ID: 6901700707 Enrollment ID: I20031124000162 |
| Provider Name | Scott Joseph Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063474518 PECOS PAC ID: 6608770433 Enrollment ID: I20031124000294 |
| Provider Name | Anil N Kurup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023098332 PECOS PAC ID: 5092619502 Enrollment ID: I20031125000514 |
| Provider Name | Benjamin W Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053385419 PECOS PAC ID: 6709781008 Enrollment ID: I20031201000249 |
| Provider Name | Laurel A Littrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932171808 PECOS PAC ID: 8224934435 Enrollment ID: I20031209000736 |
| Provider Name | Shannon P Sheedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497720189 PECOS PAC ID: 7113823337 Enrollment ID: I20031209000762 |
| Provider Name | Maurice L Enriquez-sarano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386621142 PECOS PAC ID: 4981501202 Enrollment ID: I20031216000096 |
| Provider Name | Sorin V Pislaru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447238803 PECOS PAC ID: 0547167884 Enrollment ID: I20031216000204 |
| Provider Name | Peter C Gay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891765228 PECOS PAC ID: 4486551660 Enrollment ID: I20031216000526 |
| Provider Name | Patrick W Eiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245205830 PECOS PAC ID: 2668379751 Enrollment ID: I20031217000184 |
| Provider Name | John V Politsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346215720 PECOS PAC ID: 2264330950 Enrollment ID: I20031219000208 |
| Provider Name | Timothy J Kaufmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417935131 PECOS PAC ID: 2062310766 Enrollment ID: I20031219000269 |
| Provider Name | Janel N Glantz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154307395 PECOS PAC ID: 7012816713 Enrollment ID: I20031231000683 |
| Provider Name | Frank Cetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306822549 PECOS PAC ID: 9931008570 Enrollment ID: I20040102000696 |
| Provider Name | Christopher W Lindsay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104899822 PECOS PAC ID: 4284535113 Enrollment ID: I20040115000113 |
| Provider Name | David W Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730164070 PECOS PAC ID: 8820999626 Enrollment ID: I20040115000521 |
| Provider Name | Kathryn M Gruenwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871561985 PECOS PAC ID: 0648173591 Enrollment ID: I20040129000180 |
| Provider Name | Brent Ronald Bullis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831140441 PECOS PAC ID: 8123921715 Enrollment ID: I20040130000405 |
| Provider Name | Richard L Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447255500 PECOS PAC ID: 6305749706 Enrollment ID: I20040202000338 |
| Provider Name | Roger Click |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447237029 PECOS PAC ID: 9234032541 Enrollment ID: I20040202000444 |
| Provider Name | Naveen S Murthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972538064 PECOS PAC ID: 5597668814 Enrollment ID: I20040202000540 |
| Provider Name | Rohini Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518037324 PECOS PAC ID: 0648163071 Enrollment ID: I20040207000267 |
| Provider Name | Santhi Subramaniam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073588315 PECOS PAC ID: 6204720428 Enrollment ID: I20040210000244 |
| Provider Name | James L Homme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699749507 PECOS PAC ID: 0749174803 Enrollment ID: I20040210000582 |
| Provider Name | Paul M Robelia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790762029 PECOS PAC ID: 5991694556 Enrollment ID: I20040311001308 |
| Provider Name | Jennifer C Granquist-meacham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932175338 PECOS PAC ID: 6204726359 Enrollment ID: I20040323000826 |
| Provider Name | John C Mccabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205812864 PECOS PAC ID: 2365333986 Enrollment ID: I20040323001134 |
| Provider Name | David A Woodrum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750353298 PECOS PAC ID: 0547255051 Enrollment ID: I20040415000485 |
| Provider Name | Abraham Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912981200 PECOS PAC ID: 3274520036 Enrollment ID: I20040426001347 |
| Provider Name | Robert A Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437139714 PECOS PAC ID: 5496743262 Enrollment ID: I20040503000483 |
| Provider Name | Eric E Williamson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881666022 PECOS PAC ID: 9739179912 Enrollment ID: I20040518000796 |
| Provider Name | Bettina Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497726582 PECOS PAC ID: 0749265049 Enrollment ID: I20040621001808 |
| Provider Name | Darlene R Bannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033183702 PECOS PAC ID: 4082699111 Enrollment ID: I20040622001039 |
| Provider Name | Alexander Lekah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891768750 PECOS PAC ID: 9133107113 Enrollment ID: I20040708000265 |
| Provider Name | Laurence J Eckel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740275296 PECOS PAC ID: 8527046101 Enrollment ID: I20040709001203 |
| Provider Name | Felix E Diehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184604142 PECOS PAC ID: 3274512371 Enrollment ID: I20040714000112 |
| Provider Name | Amy L Conners |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780657346 PECOS PAC ID: 3072592419 Enrollment ID: I20040719000457 |
| Provider Name | Jana J Brand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689633042 PECOS PAC ID: 7012983166 Enrollment ID: I20040909000426 |
| Provider Name | Robert E Nesse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477543999 PECOS PAC ID: 1951213453 Enrollment ID: I20040909000572 |
| Provider Name | Eric A Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932185295 PECOS PAC ID: 0749272466 Enrollment ID: I20040928000280 |
| Provider Name | Dennis D Gremel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730165499 PECOS PAC ID: 9335131002 Enrollment ID: I20040928000299 |
| Provider Name | Monique Freund |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053390526 PECOS PAC ID: 2860461779 Enrollment ID: I20040928000702 |
| Provider Name | Rufus R Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649257270 PECOS PAC ID: 8729990924 Enrollment ID: I20041001000720 |
| Provider Name | Guy S Reeder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467430678 PECOS PAC ID: 9032179577 Enrollment ID: I20041019000169 |
| Provider Name | Michael S Meyers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962485854 PECOS PAC ID: 2163483884 Enrollment ID: I20041025001078 |
| Provider Name | Kevin T Cragun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831175751 PECOS PAC ID: 7618939034 Enrollment ID: I20041028000648 |
| Provider Name | Paul Wennberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407820921 PECOS PAC ID: 2264496876 Enrollment ID: I20041115000121 |
| Provider Name | Michael J Giorgi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699740654 PECOS PAC ID: 7719899988 Enrollment ID: I20041116000359 |
| Provider Name | Nathan P Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356314876 PECOS PAC ID: 8325003585 Enrollment ID: I20041130000187 |
| Provider Name | Kevin J Whitford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972581338 PECOS PAC ID: 5395731491 Enrollment ID: I20041209000222 |
| Provider Name | Grace Lin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285608547 PECOS PAC ID: 8426008061 Enrollment ID: I20050131001027 |
| Provider Name | Kara M Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194799254 PECOS PAC ID: 1951352517 Enrollment ID: I20050201000868 |
| Provider Name | Darci J Wall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104898303 PECOS PAC ID: 9830140490 Enrollment ID: I20050201000895 |
| Provider Name | Naoki Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891774261 PECOS PAC ID: 8325091507 Enrollment ID: I20050228000852 |
| Provider Name | Jolanta M Durski |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1407820780 PECOS PAC ID: 5698720472 Enrollment ID: I20050315000151 |
| Provider Name | Chad J Fleming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841276854 PECOS PAC ID: 9032164587 Enrollment ID: I20050317000154 |
| Provider Name | Jon M Bylander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578540555 PECOS PAC ID: 2163469966 Enrollment ID: I20050413000672 |
| Provider Name | David A Foley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699751610 PECOS PAC ID: 3577502988 Enrollment ID: I20050426000678 |
| Provider Name | Seema Maddali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467498972 PECOS PAC ID: 7810944246 Enrollment ID: I20050502001014 |
| Provider Name | Daniel Richard Dockham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932270758 PECOS PAC ID: 5395632830 Enrollment ID: I20050523000446 |
| Provider Name | Brian L Whited |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457312662 PECOS PAC ID: 3274434139 Enrollment ID: I20050524000540 |
| Provider Name | Eric R Niendorf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780685404 PECOS PAC ID: 2567414121 Enrollment ID: I20050603000500 |
| Provider Name | Minerva Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962473058 PECOS PAC ID: 6406899111 Enrollment ID: I20050603000532 |
| Provider Name | Thomas W Nordahl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376500959 PECOS PAC ID: 0749226496 Enrollment ID: I20050701000915 |
| Provider Name | Rowlens M Melduni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285614362 PECOS PAC ID: 8325074073 Enrollment ID: I20050713000910 |
| Provider Name | John W Hildebrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255305884 PECOS PAC ID: 6608803549 Enrollment ID: I20050721000657 |
| Provider Name | Matthew A Frick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245203777 PECOS PAC ID: 8921036682 Enrollment ID: I20050803000131 |
| Provider Name | Jason A Post |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144208364 PECOS PAC ID: 2466480132 Enrollment ID: I20050803000220 |
| Provider Name | Adam J Weisbrod |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992785182 PECOS PAC ID: 8527097724 Enrollment ID: I20050808001195 |
| Provider Name | Nandan S Anavekar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760456453 PECOS PAC ID: 8224067434 Enrollment ID: I20050808001240 |
| Provider Name | Christopher H Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073545117 PECOS PAC ID: 7517997968 Enrollment ID: I20050816000737 |
| Provider Name | Thomas A Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447220835 PECOS PAC ID: 3072543370 Enrollment ID: I20050816001163 |
| Provider Name | Richard A Oeckler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497733521 PECOS PAC ID: 7719919620 Enrollment ID: I20050831000296 |
| Provider Name | John W Askew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568436632 PECOS PAC ID: 2567494073 Enrollment ID: I20050906000839 |
| Provider Name | Mithri R Junna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265405922 PECOS PAC ID: 1951335967 Enrollment ID: I20050920000523 |
| Provider Name | Crystal R Bonnichsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730151259 PECOS PAC ID: 5294750063 Enrollment ID: I20051011000367 |
| Provider Name | Peggy V Dunton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578597407 PECOS PAC ID: 0547287666 Enrollment ID: I20051028000105 |
| Provider Name | Amy S Ettore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376521609 PECOS PAC ID: 4082631841 Enrollment ID: I20051031000893 |
| Provider Name | Shellie Lynette Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316034903 PECOS PAC ID: 0547288516 Enrollment ID: I20051108000688 |
| Provider Name | Richard L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104805340 PECOS PAC ID: 7517986755 Enrollment ID: I20051116000660 |
| Provider Name | Joerg Herrmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295713253 PECOS PAC ID: 0042232282 Enrollment ID: I20051230000546 |
| Provider Name | Benjamin W Eidem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306869433 PECOS PAC ID: 5496641052 Enrollment ID: I20060118000983 |
| Provider Name | Robert C Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962482737 PECOS PAC ID: 1850306762 Enrollment ID: I20060214000574 |
| Provider Name | Hector Michelena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861469744 PECOS PAC ID: 4688689300 Enrollment ID: I20060215000828 |
| Provider Name | Adelaide M Arruda-olson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053388934 PECOS PAC ID: 2961417597 Enrollment ID: I20060217000324 |
| Provider Name | Christopher J Ball |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467408625 PECOS PAC ID: 3173539012 Enrollment ID: I20060301000379 |
| Provider Name | David L Streyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376517649 PECOS PAC ID: 7113935404 Enrollment ID: I20060328000641 |
| Provider Name | Marc E Bettich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851367213 PECOS PAC ID: 3678582319 Enrollment ID: I20060407000440 |
| Provider Name | Brian P Coyle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598732836 PECOS PAC ID: 2365451002 Enrollment ID: I20060407000469 |
| Provider Name | Everett M Hughes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710952718 PECOS PAC ID: 8527077106 Enrollment ID: I20060410000265 |
| Provider Name | Gregory A Kays |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093780439 PECOS PAC ID: 9537178132 Enrollment ID: I20060410000453 |
| Provider Name | Thomas M Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064700 PECOS PAC ID: 2264441815 Enrollment ID: I20060411000234 |
| Provider Name | Jennifer M Radtke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316912793 PECOS PAC ID: 9537178025 Enrollment ID: I20060411000539 |
| Provider Name | Robert P Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598742785 PECOS PAC ID: 6406865351 Enrollment ID: I20060420000444 |
| Provider Name | Hector Ricardo Villarraga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376562546 PECOS PAC ID: 1658260567 Enrollment ID: I20060421000216 |
| Provider Name | William D Farrar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942263108 PECOS PAC ID: 2668483991 Enrollment ID: I20060525000149 |
| Provider Name | James A Boles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093752412 PECOS PAC ID: 9335151547 Enrollment ID: I20060706000199 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20060814000078 |
| Provider Name | Geoffrey B Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346263407 PECOS PAC ID: 8224032669 Enrollment ID: I20060828000148 |
| Provider Name | Katie N Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225051311 PECOS PAC ID: 0547264772 Enrollment ID: I20060831000120 |
| Provider Name | Bo E Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740293380 PECOS PAC ID: 0547264517 Enrollment ID: I20060905000482 |
| Provider Name | Sunil V Mankad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912908401 PECOS PAC ID: 5294739298 Enrollment ID: I20060906000152 |
| Provider Name | Benjamin M Howe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578675138 PECOS PAC ID: 0547265944 Enrollment ID: I20060918000367 |
| Provider Name | David Lewis Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487663761 PECOS PAC ID: 1456356724 Enrollment ID: I20060919000528 |
| Provider Name | Mohammed Yousufuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053408500 PECOS PAC ID: 7911904743 Enrollment ID: I20061108000453 |
| Provider Name | Vivek N Iyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295812808 PECOS PAC ID: 6103824420 Enrollment ID: I20061121000505 |
| Provider Name | Ann L Leland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447338884 PECOS PAC ID: 5092713289 Enrollment ID: I20061122000461 |
| Provider Name | Matthew Jon Guse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326197716 PECOS PAC ID: 3779685847 Enrollment ID: I20070220000232 |
| Provider Name | Evie L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578623831 PECOS PAC ID: 2668574476 Enrollment ID: I20070226000452 |
| Provider Name | Allison K Cabalka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720065220 PECOS PAC ID: 6800999079 Enrollment ID: I20070307000631 |
| Provider Name | Vuyisile T Nkomo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205808607 PECOS PAC ID: 9133223670 Enrollment ID: I20070322000540 |
| Provider Name | Bohyun Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235258591 PECOS PAC ID: 3971607599 Enrollment ID: I20070409000236 |
| Provider Name | Matthew James Schaefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649324690 PECOS PAC ID: 5294835963 Enrollment ID: I20070710000804 |
| Provider Name | John H Haley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912983834 PECOS PAC ID: 6901906445 Enrollment ID: I20070712000285 |
| Provider Name | Farris K Timimi |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1063483436 PECOS PAC ID: 5698717643 Enrollment ID: I20070717000575 |
| Provider Name | David F Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369526 PECOS PAC ID: 0749381747 Enrollment ID: I20070720000317 |
| Provider Name | Paul G Thacker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982815817 PECOS PAC ID: 8426159260 Enrollment ID: I20070724000603 |
| Provider Name | Robert T Fazzio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811192172 PECOS PAC ID: 4082715487 Enrollment ID: I20070730000638 |
| Provider Name | Larry A Binkovitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801834775 PECOS PAC ID: 4284725326 Enrollment ID: I20070803000497 |
| Provider Name | Michael W Cullen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568589174 PECOS PAC ID: 2264523075 Enrollment ID: I20070808000755 |
| Provider Name | Christopher Mccoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033230792 PECOS PAC ID: 9234220682 Enrollment ID: I20070814000569 |
| Provider Name | Vance T Lehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639371669 PECOS PAC ID: 8921190232 Enrollment ID: I20070816000266 |
| Provider Name | Paul Mckie |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1104945336 PECOS PAC ID: 8820181217 Enrollment ID: I20070830000267 |
| Provider Name | Suraj Kapa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811100118 PECOS PAC ID: 7618060252 Enrollment ID: I20070912000498 |
| Provider Name | Robert J Hyde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528187911 PECOS PAC ID: 1850485848 Enrollment ID: I20070921000172 |
| Provider Name | Patrick W O'leary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881672632 PECOS PAC ID: 1254425010 Enrollment ID: I20070924000690 |
| Provider Name | Steven J Engman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194944785 PECOS PAC ID: 7113012881 Enrollment ID: I20070926001209 |
| Provider Name | Rekha Mankad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306846290 PECOS PAC ID: 5193618478 Enrollment ID: I20071005000399 |
| Provider Name | Tina C Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255537981 PECOS PAC ID: 8921194697 Enrollment ID: I20071011000485 |
| Provider Name | Shannon N Zingula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154522423 PECOS PAC ID: 0244326643 Enrollment ID: I20071017000226 |
| Provider Name | Susan J Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942289897 PECOS PAC ID: 2860306891 Enrollment ID: I20071018000154 |
| Provider Name | Karen A Truitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396867347 PECOS PAC ID: 0840386033 Enrollment ID: I20071018000845 |
| Provider Name | Adam T Froemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588869846 PECOS PAC ID: 4587751441 Enrollment ID: I20071025000036 |
| Provider Name | John M Knudsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780664268 PECOS PAC ID: 2567559297 Enrollment ID: I20071029000120 |
| Provider Name | Gordon F Harms |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982679577 PECOS PAC ID: 9133217011 Enrollment ID: I20071109000261 |
| Provider Name | Thomas D Atwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205801891 PECOS PAC ID: 2961591615 Enrollment ID: I20071203000356 |
| Provider Name | Peter Kalina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588644553 PECOS PAC ID: 9032209929 Enrollment ID: I20071215000059 |
| Provider Name | R Scott Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558333922 PECOS PAC ID: 8325141948 Enrollment ID: I20080109000494 |
| Provider Name | Grant D Schmit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043282064 PECOS PAC ID: 9335229889 Enrollment ID: I20080109000545 |
| Provider Name | Timothy Morgenthaler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043282585 PECOS PAC ID: 3779664420 Enrollment ID: I20080118000490 |
| Provider Name | Robert M Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790759728 PECOS PAC ID: 4385725092 Enrollment ID: I20080121000050 |
| Provider Name | Kristen B Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063492759 PECOS PAC ID: 9335220946 Enrollment ID: I20080121000105 |
| Provider Name | John A Skinner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437123809 PECOS PAC ID: 0941382741 Enrollment ID: I20080201000306 |
| Provider Name | Patricio Escalante |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730115239 PECOS PAC ID: 0042394629 Enrollment ID: I20080220000496 |
| Provider Name | Andrew Stockland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336130426 PECOS PAC ID: 4587749205 Enrollment ID: I20080305000481 |
| Provider Name | John G Park |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386618312 PECOS PAC ID: 8325124951 Enrollment ID: I20080324000603 |
| Provider Name | Daniel Seth Paley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326041674 PECOS PAC ID: 4082517255 Enrollment ID: I20080408000816 |
| Provider Name | Amy L Kotsenas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720079809 PECOS PAC ID: 6800973280 Enrollment ID: I20080409000527 |
| Provider Name | Ronald S Kuzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275524357 PECOS PAC ID: 0244318236 Enrollment ID: I20080416000143 |
| Provider Name | Martha Grogan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932188935 PECOS PAC ID: 8729167630 Enrollment ID: I20080505000083 |
| Provider Name | Theodore J Passe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881673218 PECOS PAC ID: 2769396464 Enrollment ID: I20080530000744 |
| Provider Name | Lawrence R Keenan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225015472 PECOS PAC ID: 1355411331 Enrollment ID: I20080603000172 |
| Provider Name | Jonathan Michael Hard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407906688 PECOS PAC ID: 3274631692 Enrollment ID: I20080702000436 |
| Provider Name | Krishnaswamy Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730169806 PECOS PAC ID: 5193822070 Enrollment ID: I20080722000099 |
| Provider Name | Carrie M Carr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316125461 PECOS PAC ID: 2668546946 Enrollment ID: I20080805000178 |
| Provider Name | Freddy Del-carpio Munoz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699938365 PECOS PAC ID: 9133294655 Enrollment ID: I20080819000213 |
| Provider Name | Malini Madhavan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538280680 PECOS PAC ID: 4587739958 Enrollment ID: I20080819000855 |
| Provider Name | Melissa C Lipford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760680615 PECOS PAC ID: 3971678038 Enrollment ID: I20080825000316 |
| Provider Name | John J Schmitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043470776 PECOS PAC ID: 6608941778 Enrollment ID: I20080825000399 |
| Provider Name | Jeremy F Mcbride |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093905861 PECOS PAC ID: 7618044298 Enrollment ID: I20080923000816 |
| Provider Name | Paul S Floy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225004831 PECOS PAC ID: 2860577962 Enrollment ID: I20080925000103 |
| Provider Name | Erik K St Louis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922090851 PECOS PAC ID: 2264509439 Enrollment ID: I20080930000580 |
| Provider Name | Mark J Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225017098 PECOS PAC ID: 7810899549 Enrollment ID: I20081001000564 |
| Provider Name | Amy B Kolbe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295938009 PECOS PAC ID: 4880752187 Enrollment ID: I20081014000810 |
| Provider Name | Jeffrey B Geske |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689878746 PECOS PAC ID: 4789743154 Enrollment ID: I20081030000579 |
| Provider Name | David A Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487816872 PECOS PAC ID: 3678632767 Enrollment ID: I20081104000524 |
| Provider Name | Niti Rai Aggarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598962474 PECOS PAC ID: 3375602006 Enrollment ID: I20081110000378 |
| Provider Name | Brian N Bartlett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790973782 PECOS PAC ID: 7113087438 Enrollment ID: I20081117000526 |
| Provider Name | Ayse Karagulle Kendi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235358615 PECOS PAC ID: 3779644166 Enrollment ID: I20081203000718 |
| Provider Name | Mark S Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922070846 PECOS PAC ID: 9234290644 Enrollment ID: I20081203000921 |
| Provider Name | Darcy L Reber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023098886 PECOS PAC ID: 3072677160 Enrollment ID: I20090204000685 |
| Provider Name | Robert E Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477523231 PECOS PAC ID: 9638234495 Enrollment ID: I20090211000810 |
| Provider Name | Joel M Cassingham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245275460 PECOS PAC ID: 6002971611 Enrollment ID: I20090216000165 |
| Provider Name | Anne-marie G Sykes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366422263 PECOS PAC ID: 2163588914 Enrollment ID: I20090304000148 |
| Provider Name | Youssef F Maalouf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689649279 PECOS PAC ID: 9032133822 Enrollment ID: I20090317000241 |
| Provider Name | Amy K Widell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790790129 PECOS PAC ID: 0345307344 Enrollment ID: I20090318000487 |
| Provider Name | Robert J Houlihan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922086800 PECOS PAC ID: 5496802092 Enrollment ID: I20090420000131 |
| Provider Name | Tia M Stringer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114167608 PECOS PAC ID: 5294883674 Enrollment ID: I20090423000746 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20090514000141 |
| Provider Name | Peter B Ryan Reichert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104069988 PECOS PAC ID: 7315096740 Enrollment ID: I20090514000260 |
| Provider Name | Hugh Scott Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275617607 PECOS PAC ID: 9931168234 Enrollment ID: I20090625000045 |
| Provider Name | Derek R Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750508453 PECOS PAC ID: 2567514557 Enrollment ID: I20090722000668 |
| Provider Name | Edward L Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306889712 PECOS PAC ID: 8224076989 Enrollment ID: I20090806000354 |
| Provider Name | Meghna P Mansukhani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1558561506 PECOS PAC ID: 7517012016 Enrollment ID: I20090908000052 |
| Provider Name | Robert F Rea |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689651689 PECOS PAC ID: 5597869800 Enrollment ID: I20090911000160 |
| Provider Name | Jacob Brent Ekins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528212420 PECOS PAC ID: 5698812089 Enrollment ID: I20091015000686 |
| Provider Name | Charlotte S Van Dorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912153040 PECOS PAC ID: 5991842171 Enrollment ID: I20091020000555 |
| Provider Name | Timothy J Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360731 PECOS PAC ID: 5395882492 Enrollment ID: I20091022000039 |
| Provider Name | Michael D Ringler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285751776 PECOS PAC ID: 0345387122 Enrollment ID: I20091027000834 |
| Provider Name | Bhanuprakesh Kolla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417156597 PECOS PAC ID: 6901943539 Enrollment ID: I20091029000698 |
| Provider Name | Marysia S Tweet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821254939 PECOS PAC ID: 4082751615 Enrollment ID: I20091029000703 |
| Provider Name | Robert J Mc Donald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184870156 PECOS PAC ID: 7113065517 Enrollment ID: I20091104000667 |
| Provider Name | Keith Acton Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649470204 PECOS PAC ID: 5698813962 Enrollment ID: I20091105000543 |
| Provider Name | Phillip M Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801879192 PECOS PAC ID: 1456368646 Enrollment ID: I20091105000638 |
| Provider Name | Sara Eckloff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104907286 PECOS PAC ID: 6507938792 Enrollment ID: I20091109000115 |
| Provider Name | Shailly Dham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134367352 PECOS PAC ID: 0143368209 Enrollment ID: I20091110000333 |
| Provider Name | Gregory J Hanson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598742306 PECOS PAC ID: 4587702477 Enrollment ID: I20091113000247 |
| Provider Name | Eimad Ma Ahmmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386896660 PECOS PAC ID: 9436219821 Enrollment ID: I20091116000509 |
| Provider Name | Carl B Burkland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740470129 PECOS PAC ID: 4789723461 Enrollment ID: I20091209000660 |
| Provider Name | Robert A Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871572818 PECOS PAC ID: 8820138522 Enrollment ID: I20091210000300 |
| Provider Name | Warren Manyara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639330822 PECOS PAC ID: 2466593074 Enrollment ID: I20100105000228 |
| Provider Name | Eric J Storvick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279833 PECOS PAC ID: 3971415373 Enrollment ID: I20100106000412 |
| Provider Name | Bradley D Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720067499 PECOS PAC ID: 7214078609 Enrollment ID: I20100107000356 |
| Provider Name | Michael H Silber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194705525 PECOS PAC ID: 0446391460 Enrollment ID: I20100112000589 |
| Provider Name | Darcy Ann Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104898444 PECOS PAC ID: 3173435252 Enrollment ID: I20100112000632 |
| Provider Name | Matthew E Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163732 PECOS PAC ID: 4284775172 Enrollment ID: I20100114000491 |
| Provider Name | David W Claypool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013982172 PECOS PAC ID: 5193867083 Enrollment ID: I20100114000588 |
| Provider Name | Katherine L Lofberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134105703 PECOS PAC ID: 5698817500 Enrollment ID: I20100114000761 |
| Provider Name | Heidi M Connolly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689653891 PECOS PAC ID: 7113069683 Enrollment ID: I20100121000377 |
| Provider Name | Norbert G Campeau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811975121 PECOS PAC ID: 6103968680 Enrollment ID: I20100121000392 |
| Provider Name | Claire E Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992777528 PECOS PAC ID: 1254243744 Enrollment ID: I20100121000678 |
| Provider Name | Robert J Witte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720067770 PECOS PAC ID: 1456493972 Enrollment ID: I20100121000828 |
| Provider Name | Horng H Chen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1073599320 PECOS PAC ID: 0941342331 Enrollment ID: I20100122000663 |
| Provider Name | Robert B Mccully |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811969827 PECOS PAC ID: 3577666189 Enrollment ID: I20100125000303 |
| Provider Name | Douglas A Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083689483 PECOS PAC ID: 0244257178 Enrollment ID: I20100125000396 |
| Provider Name | Jennifer Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215900436 PECOS PAC ID: 6608918719 Enrollment ID: I20100127000357 |
| Provider Name | John Huston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295711257 PECOS PAC ID: 2769524875 Enrollment ID: I20100127000391 |
| Provider Name | Kaiser G Lim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457338725 PECOS PAC ID: 5799828752 Enrollment ID: I20100130000203 |
| Provider Name | John D Port |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902877657 PECOS PAC ID: 3072656040 Enrollment ID: I20100130000314 |
| Provider Name | Julie R Gilbertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497733273 PECOS PAC ID: 6103969068 Enrollment ID: I20100201000807 |
| Provider Name | Thomas E Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801873658 PECOS PAC ID: 2264575133 Enrollment ID: I20100202000127 |
| Provider Name | Hon-chi Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477526101 PECOS PAC ID: 8628088317 Enrollment ID: I20100202000806 |
| Provider Name | Val Lowe |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1730166885 PECOS PAC ID: 8921141763 Enrollment ID: I20100202000819 |
| Provider Name | Kika M Dudiak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740269240 PECOS PAC ID: 0345383006 Enrollment ID: I20100203000090 |
| Provider Name | Bonnie J Huppert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538132113 PECOS PAC ID: 8426191198 Enrollment ID: I20100203000205 |
| Provider Name | James F Glockner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861470817 PECOS PAC ID: 3375686041 Enrollment ID: I20100203000256 |
| Provider Name | Donald J Hagler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942206016 PECOS PAC ID: 4587617386 Enrollment ID: I20100203000633 |
| Provider Name | Steven K Wiese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396725156 PECOS PAC ID: 1355484080 Enrollment ID: I20100203000756 |
| Provider Name | Edward P Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285606285 PECOS PAC ID: 1254474984 Enrollment ID: I20100203000770 |
| Provider Name | Raymond R Auger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497725519 PECOS PAC ID: 0446265086 Enrollment ID: I20100203000899 |
| Provider Name | Haraldur Bjarnason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164493540 PECOS PAC ID: 9032252788 Enrollment ID: I20100203000910 |
| Provider Name | Harry J Cloft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770553992 PECOS PAC ID: 4284777939 Enrollment ID: I20100203000937 |
| Provider Name | Charles Bruce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811975980 PECOS PAC ID: 0244335537 Enrollment ID: I20100204000898 |
| Provider Name | Timothy R Aksamit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184694770 PECOS PAC ID: 8527101963 Enrollment ID: I20100206000153 |
| Provider Name | Mark C Adkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659359321 PECOS PAC ID: 3678616851 Enrollment ID: I20100210000514 |
| Provider Name | Steve Robert Ommen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639141559 PECOS PAC ID: 8325095383 Enrollment ID: I20100211000301 |
| Provider Name | Eric J Olson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225000722 PECOS PAC ID: 1355485400 Enrollment ID: I20100212000673 |
| Provider Name | Gregory A Wiseman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1205816329 PECOS PAC ID: 9537203534 Enrollment ID: I20100215000107 |
| Provider Name | Darcy L Adamczyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679559264 PECOS PAC ID: 0143364141 Enrollment ID: I20100215000147 |
| Provider Name | Patricia A Pellikka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316926546 PECOS PAC ID: 6204827199 Enrollment ID: I20100216000578 |
| Provider Name | Deepi G Goyal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609853902 PECOS PAC ID: 5890839500 Enrollment ID: I20100218000771 |
| Provider Name | Christine U C Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063484095 PECOS PAC ID: 8325182041 Enrollment ID: I20100218000809 |
| Provider Name | Titus C Evans |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437137213 PECOS PAC ID: 7214071935 Enrollment ID: I20100218000829 |
| Provider Name | John I Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730159955 PECOS PAC ID: 4486629151 Enrollment ID: I20100218000834 |
| Provider Name | Allan Jaffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538146626 PECOS PAC ID: 8426192147 Enrollment ID: I20100218000890 |
| Provider Name | Garvan C Kane |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346214509 PECOS PAC ID: 0244374965 Enrollment ID: I20100218000892 |
| Provider Name | David M Hough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982679049 PECOS PAC ID: 3971647603 Enrollment ID: I20100218000894 |
| Provider Name | Sandra Kopp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124090147 PECOS PAC ID: 5991849531 Enrollment ID: I20100219000202 |
| Provider Name | Gina K Hesley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598744153 PECOS PAC ID: 3173667722 Enrollment ID: I20100219000316 |
| Provider Name | Kirk R Dornfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467412114 PECOS PAC ID: 6507900024 Enrollment ID: I20100222000956 |
| Provider Name | Mark R Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376529156 PECOS PAC ID: 9931243292 Enrollment ID: I20100224000591 |
| Provider Name | Jill M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841520988 PECOS PAC ID: 7719021922 Enrollment ID: I20100225000197 |
| Provider Name | Jarrett W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104806744 PECOS PAC ID: 1557368792 Enrollment ID: I20100225000974 |
| Provider Name | Charlotte H Rydberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184604613 PECOS PAC ID: 3971648999 Enrollment ID: I20100302000694 |
| Provider Name | Joel G Fletcher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912975368 PECOS PAC ID: 6507901527 Enrollment ID: I20100302000714 |
| Provider Name | Michael J Osborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316927254 PECOS PAC ID: 0749325488 Enrollment ID: I20100304000993 |
| Provider Name | Sean Caples |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417929449 PECOS PAC ID: 2668517319 Enrollment ID: I20100304001101 |
| Provider Name | Doris Wenger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033198163 PECOS PAC ID: 5294870945 Enrollment ID: I20100304001104 |
| Provider Name | John T Wald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346210218 PECOS PAC ID: 3375688021 Enrollment ID: I20100304001114 |
| Provider Name | Reinhold Plate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639139389 PECOS PAC ID: 3274678966 Enrollment ID: I20100305000361 |
| Provider Name | Brian E Bunkers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558322768 PECOS PAC ID: 8022919992 Enrollment ID: I20100305000372 |
| Provider Name | Sanjay Misra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427035377 PECOS PAC ID: 3476698085 Enrollment ID: I20100308000431 |
| Provider Name | Lawrence J Sinak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346228715 PECOS PAC ID: 2163567603 Enrollment ID: I20100308000792 |
| Provider Name | Mark A Nathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992783369 PECOS PAC ID: 4688719131 Enrollment ID: I20100308000910 |
| Provider Name | Francisco Lopez-jimenez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467430371 PECOS PAC ID: 0042355596 Enrollment ID: I20100308000914 |
| Provider Name | Stephen Kopecky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225008329 PECOS PAC ID: 7517002074 Enrollment ID: I20100308001009 |
| Provider Name | Carol J Winter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871554089 PECOS PAC ID: 0941101810 Enrollment ID: I20100309000869 |
| Provider Name | Yongmei Cha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811973027 PECOS PAC ID: 5597655738 Enrollment ID: I20100311000090 |
| Provider Name | Bradley J Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411748 PECOS PAC ID: 1153456496 Enrollment ID: I20100311001058 |
| Provider Name | Jeanne M Huddleston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053384529 PECOS PAC ID: 5799810925 Enrollment ID: I20100312000902 |
| Provider Name | Matthew R Callstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316925621 PECOS PAC ID: 3870628837 Enrollment ID: I20100316000242 |
| Provider Name | Sheri L Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902870801 PECOS PAC ID: 5294860276 Enrollment ID: I20100316000479 |
| Provider Name | Jae K Oh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366429946 PECOS PAC ID: 7214957315 Enrollment ID: I20100316000956 |
| Provider Name | Kimberly K Amrami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508836511 PECOS PAC ID: 6002941044 Enrollment ID: I20100316001029 |
| Provider Name | Philip A Araoz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629042866 PECOS PAC ID: 8729113766 Enrollment ID: I20100316001035 |
| Provider Name | Jeff L Fidler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780661702 PECOS PAC ID: 1355476391 Enrollment ID: I20100316001046 |
| Provider Name | Katrina N Glazebrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437124872 PECOS PAC ID: 8527193481 Enrollment ID: I20100317000246 |
| Provider Name | Kent H Rehfeldt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679550776 PECOS PAC ID: 3476688219 Enrollment ID: I20100317001123 |
| Provider Name | John M Barlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811960115 PECOS PAC ID: 7618002478 Enrollment ID: I20100318000159 |
| Provider Name | Karina A Keogh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356315121 PECOS PAC ID: 7416082144 Enrollment ID: I20100318000930 |
| Provider Name | Torrey A Laack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114904224 PECOS PAC ID: 9032244769 Enrollment ID: I20100318000952 |
| Provider Name | David R Delone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144207325 PECOS PAC ID: 4385779016 Enrollment ID: I20100318000962 |
| Provider Name | Andrew G Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770560666 PECOS PAC ID: 1456486182 Enrollment ID: I20100318000984 |
| Provider Name | Lyle J Olson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477525871 PECOS PAC ID: 0244331429 Enrollment ID: I20100324001186 |
| Provider Name | Brian J Bartholmai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609856830 PECOS PAC ID: 2668508896 Enrollment ID: I20100326000929 |
| Provider Name | Kirk M Welker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734594 PECOS PAC ID: 6103864590 Enrollment ID: I20100327000163 |
| Provider Name | Peter A Smars |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851371421 PECOS PAC ID: 6406983923 Enrollment ID: I20100414000860 |
| Provider Name | Rebecca M Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992778344 PECOS PAC ID: 8527195932 Enrollment ID: I20100415000965 |
| Provider Name | Kyle W Klarich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497727945 PECOS PAC ID: 4385771385 Enrollment ID: I20100422001125 |
| Provider Name | Patrick Luetmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316923378 PECOS PAC ID: 4284762865 Enrollment ID: I20100503000861 |
| Provider Name | Warren R Stanchfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144204827 PECOS PAC ID: 9931237005 Enrollment ID: I20100511000446 |
| Provider Name | Douglas L Packer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194703942 PECOS PAC ID: 1052449949 Enrollment ID: I20100513000860 |
| Provider Name | Christopher P Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366421752 PECOS PAC ID: 7012045917 Enrollment ID: I20100513001029 |
| Provider Name | Rosalie Jb Ivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801861695 PECOS PAC ID: 7113056722 Enrollment ID: I20100519000971 |
| Provider Name | Karl N Krecke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376513416 PECOS PAC ID: 3072642693 Enrollment ID: I20100520000071 |
| Provider Name | Tara L Henrichsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245216464 PECOS PAC ID: 5799814315 Enrollment ID: I20100520000094 |
| Provider Name | Ann T Sadosty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649250168 PECOS PAC ID: 2961531033 Enrollment ID: I20100527000718 |
| Provider Name | Judy L Fruehbrodt-glenzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649204645 PECOS PAC ID: 2567591647 Enrollment ID: I20100527000774 |
| Provider Name | Daniel Borgeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033183520 PECOS PAC ID: 7719940477 Enrollment ID: I20100605000186 |
| Provider Name | Maja Tippman-peikert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497727622 PECOS PAC ID: 4385775212 Enrollment ID: I20100621000924 |
| Provider Name | Brendan P Mcmenomy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326230798 PECOS PAC ID: 6103959754 Enrollment ID: I20100803000335 |
| Provider Name | Jared T Verdoorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639309727 PECOS PAC ID: 8628101193 Enrollment ID: I20100804000527 |
| Provider Name | Michael L Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013147263 PECOS PAC ID: 4981737459 Enrollment ID: I20100804000545 |
| Provider Name | Emily C Bendel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144457730 PECOS PAC ID: 9931233012 Enrollment ID: I20100811000190 |
| Provider Name | Ivaylo L Krastev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205073848 PECOS PAC ID: 9335273465 Enrollment ID: I20100811000807 |
| Provider Name | Matthew G Pollema |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427131895 PECOS PAC ID: 0648320994 Enrollment ID: I20100811000938 |
| Provider Name | John P Bois |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295966430 PECOS PAC ID: 5597899823 Enrollment ID: I20100823000191 |
| Provider Name | Ashley E Sievers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699905489 PECOS PAC ID: 1759415086 Enrollment ID: I20100823000213 |
| Provider Name | Tyler J Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639328784 PECOS PAC ID: 7517081870 Enrollment ID: I20100824000773 |
| Provider Name | David Morgan Penn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982822540 PECOS PAC ID: 6901985753 Enrollment ID: I20100826000242 |
| Provider Name | Adam C Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467683987 PECOS PAC ID: 6305961624 Enrollment ID: I20100909001260 |
| Provider Name | Erik B Sviggum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114157369 PECOS PAC ID: 7810012622 Enrollment ID: I20100916001344 |
| Provider Name | Daniel John Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386776961 PECOS PAC ID: 8224154372 Enrollment ID: I20100925000251 |
| Provider Name | Angus Scott Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962483065 PECOS PAC ID: 6002877040 Enrollment ID: I20100929001527 |
| Provider Name | Melanie A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083925325 PECOS PAC ID: 8325230030 Enrollment ID: I20101012001249 |
| Provider Name | David B Burkholder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598995722 PECOS PAC ID: 6305038027 Enrollment ID: I20101012001415 |
| Provider Name | Bryan C Cannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942380373 PECOS PAC ID: 2163592619 Enrollment ID: I20101013001232 |
| Provider Name | Joseph E Rybar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457515553 PECOS PAC ID: 3375735988 Enrollment ID: I20101013001267 |
| Provider Name | Gavin A Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922234624 PECOS PAC ID: 7113110594 Enrollment ID: I20101018000921 |
| Provider Name | Michael R Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972784056 PECOS PAC ID: 2062606148 Enrollment ID: I20101102001449 |
| Provider Name | Mark Stanley Mellstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346302106 PECOS PAC ID: 3577467844 Enrollment ID: I20101105001262 |
| Provider Name | Stephen Broski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326282112 PECOS PAC ID: 1658566112 Enrollment ID: I20101109001584 |
| Provider Name | John K Bohman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689804684 PECOS PAC ID: 7315132693 Enrollment ID: I20101111001476 |
| Provider Name | Brandon P. Verdoorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154550200 PECOS PAC ID: 3476740788 Enrollment ID: I20101213001104 |
| Provider Name | Katie M Halder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396971461 PECOS PAC ID: 8820286677 Enrollment ID: I20101221000973 |
| Provider Name | Thomas C Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538156799 PECOS PAC ID: 5698803500 Enrollment ID: I20110114000171 |
| Provider Name | Allison B Berg-heinemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689984569 PECOS PAC ID: 1355522301 Enrollment ID: I20110223000742 |
| Provider Name | Alexander W Stricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205023686 PECOS PAC ID: 7214110667 Enrollment ID: I20110323000488 |
| Provider Name | Michael D Sawyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568774156 PECOS PAC ID: 5092998328 Enrollment ID: I20110324000463 |
| Provider Name | Eduardo Antpack Filho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740439876 PECOS PAC ID: 6800070335 Enrollment ID: I20110407000720 |
| Provider Name | Autumn M Brogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578729976 PECOS PAC ID: 8527242676 Enrollment ID: I20110413001041 |
| Provider Name | Jonathan Alleckson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346547445 PECOS PAC ID: 8123203106 Enrollment ID: I20110506000696 |
| Provider Name | Maichel S Abou El Markarim Gharabway |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871735936 PECOS PAC ID: 6103004734 Enrollment ID: I20110629000421 |
| Provider Name | Christopher A Kasal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407034663 PECOS PAC ID: 4082892534 Enrollment ID: I20110701000347 |
| Provider Name | Jeremy Thaden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295996296 PECOS PAC ID: 3971771577 Enrollment ID: I20110726000864 |
| Provider Name | Jonathan P Erickson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134325475 PECOS PAC ID: 0446445886 Enrollment ID: I20110810000651 |
| Provider Name | Angela R Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053501866 PECOS PAC ID: 5193817369 Enrollment ID: I20110816000564 |
| Provider Name | Jesse T Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558688077 PECOS PAC ID: 1850561101 Enrollment ID: I20110824000762 |
| Provider Name | Lyndsay D Viers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225349764 PECOS PAC ID: 5092985283 Enrollment ID: I20110825000421 |
| Provider Name | Christin A Tiegs Heiden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164734000 PECOS PAC ID: 1759551955 Enrollment ID: I20110825000512 |
| Provider Name | Newton B Neidert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912226440 PECOS PAC ID: 2062683634 Enrollment ID: I20110913000155 |
| Provider Name | Tara L Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871805044 PECOS PAC ID: 0143491688 Enrollment ID: I20110914000281 |
| Provider Name | Daniel Desimone |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619298205 PECOS PAC ID: 5294906384 Enrollment ID: I20110921000555 |
| Provider Name | Christopher Desimone |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326369935 PECOS PAC ID: 7012189608 Enrollment ID: I20111003000723 |
| Provider Name | Laura A Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699088039 PECOS PAC ID: 1456523059 Enrollment ID: I20111003000760 |
| Provider Name | Bernardo Selim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174501423 PECOS PAC ID: 9739151291 Enrollment ID: I20111004000419 |
| Provider Name | Nila J Akhtar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366611345 PECOS PAC ID: 2961575253 Enrollment ID: I20111004000862 |
| Provider Name | Chi Wan Koo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285898361 PECOS PAC ID: 9234282989 Enrollment ID: I20111012000796 |
| Provider Name | Ashley K Kimeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053690289 PECOS PAC ID: 8527230606 Enrollment ID: I20111014000113 |
| Provider Name | Kitty R Mosher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497035257 PECOS PAC ID: 7517130495 Enrollment ID: I20111109000817 |
| Provider Name | Megan Johnston Flanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033317730 PECOS PAC ID: 6103983911 Enrollment ID: I20111110000154 |
| Provider Name | Asha M J Madhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902052632 PECOS PAC ID: 8527234129 Enrollment ID: I20120103000682 |
| Provider Name | Dustin G Leigh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104140714 PECOS PAC ID: 7214104355 Enrollment ID: I20120112000790 |
| Provider Name | Jonathan J Uy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467434985 PECOS PAC ID: 0143223834 Enrollment ID: I20120314000279 |
| Provider Name | Sudhakar Venkatesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679869390 PECOS PAC ID: 0446411771 Enrollment ID: I20120413000424 |
| Provider Name | David Moses |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902171358 PECOS PAC ID: 2365603461 Enrollment ID: I20120417000727 |
| Provider Name | Katherine M Jacobsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730452046 PECOS PAC ID: 5698937456 Enrollment ID: I20120424000632 |
| Provider Name | Katie A Lindahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679846869 PECOS PAC ID: 3375707839 Enrollment ID: I20120613000083 |
| Provider Name | Laura E Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770750390 PECOS PAC ID: 1254596703 Enrollment ID: I20120706000364 |
| Provider Name | Muhammad Yasir Qureshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407065014 PECOS PAC ID: 3577719749 Enrollment ID: I20120804000048 |
| Provider Name | Joshua P Froman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326201583 PECOS PAC ID: 0749436913 Enrollment ID: I20120804000058 |
| Provider Name | Siva K Mulpuru |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770740417 PECOS PAC ID: 4284880352 Enrollment ID: I20120806000050 |
| Provider Name | Nathan Charles Hull |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689936171 PECOS PAC ID: 8022264878 Enrollment ID: I20120809000515 |
| Provider Name | Jason H Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336435270 PECOS PAC ID: 3274789052 Enrollment ID: I20120809000821 |
| Provider Name | Stacey B Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316207822 PECOS PAC ID: 9830345628 Enrollment ID: I20120809000941 |
| Provider Name | Tucker Fulton Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467744706 PECOS PAC ID: 4688820343 Enrollment ID: I20120813000080 |
| Provider Name | Rebekkah W Frunzac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033497169 PECOS PAC ID: 0547416265 Enrollment ID: I20120813000758 |
| Provider Name | Alex A Nagelschneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033400031 PECOS PAC ID: 7517114705 Enrollment ID: I20120822000726 |
| Provider Name | Brian T Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740572080 PECOS PAC ID: 0749437531 Enrollment ID: I20120830000109 |
| Provider Name | Waleed Brinjikji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770879892 PECOS PAC ID: 9931356656 Enrollment ID: I20120830000521 |
| Provider Name | Jessica Christine Schoen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417243783 PECOS PAC ID: 0042467540 Enrollment ID: I20120905000326 |
| Provider Name | Benjamin D Knutson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114248192 PECOS PAC ID: 3375790827 Enrollment ID: I20120906000047 |
| Provider Name | Julie B.w. Guerin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710270384 PECOS PAC ID: 5991952459 Enrollment ID: I20120906000191 |
| Provider Name | Hayan Jouni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417278987 PECOS PAC ID: 7911155130 Enrollment ID: I20120913000266 |
| Provider Name | Christopher Joseph Reisenauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811285588 PECOS PAC ID: 7214185230 Enrollment ID: I20120918000082 |
| Provider Name | Kyle M Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942595012 PECOS PAC ID: 7416106034 Enrollment ID: I20120925000645 |
| Provider Name | Narayan R Kissoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194019307 PECOS PAC ID: 9931358579 Enrollment ID: I20120925000838 |
| Provider Name | Ann T. P. Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114214822 PECOS PAC ID: 7517116874 Enrollment ID: I20121001000293 |
| Provider Name | Deena M Nasr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245529676 PECOS PAC ID: 0042469330 Enrollment ID: I20121002000155 |
| Provider Name | Darin B White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558617779 PECOS PAC ID: 4284883596 Enrollment ID: I20121002000329 |
| Provider Name | Donald Thor Buisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770565533 PECOS PAC ID: 0749227494 Enrollment ID: I20121003000700 |
| Provider Name | Hemang Yadav |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891016549 PECOS PAC ID: 3971752197 Enrollment ID: I20121003000910 |
| Provider Name | Katelyn R Anderson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730475674 PECOS PAC ID: 6103075346 Enrollment ID: I20121004000160 |
| Provider Name | Ammar Killu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790006658 PECOS PAC ID: 1355590068 Enrollment ID: I20121012000054 |
| Provider Name | William R Miranda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255652970 PECOS PAC ID: 5092966960 Enrollment ID: I20121127000585 |
| Provider Name | Paula A Abramovith Feijo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386653384 PECOS PAC ID: 1658377346 Enrollment ID: I20130220000574 |
| Provider Name | Trent David Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366751927 PECOS PAC ID: 8628223484 Enrollment ID: I20130227000376 |
| Provider Name | Nicholas G Rhodes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548466899 PECOS PAC ID: 5496919755 Enrollment ID: I20130604000532 |
| Provider Name | Allison D Christopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306187141 PECOS PAC ID: 1557500832 Enrollment ID: I20130617000728 |
| Provider Name | Tobias Kummer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295950277 PECOS PAC ID: 3274657390 Enrollment ID: I20130705000405 |
| Provider Name | Megan B Meyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568696573 PECOS PAC ID: 7618117920 Enrollment ID: I20130710000561 |
| Provider Name | James H Boyum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083877187 PECOS PAC ID: 1153584503 Enrollment ID: I20130711000346 |
| Provider Name | Daniel B Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699926881 PECOS PAC ID: 5890972152 Enrollment ID: I20130716000351 |
| Provider Name | Peter Alexander Noseworthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295704245 PECOS PAC ID: 5294732616 Enrollment ID: I20130724000823 |
| Provider Name | Sean M Brennan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457559684 PECOS PAC ID: 3476608522 Enrollment ID: I20130726000463 |
| Provider Name | Chris Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134482581 PECOS PAC ID: 9739327479 Enrollment ID: I20130729001053 |
| Provider Name | Bhavini H Carns |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811180763 PECOS PAC ID: 6406097724 Enrollment ID: I20130730000431 |
| Provider Name | Theodore Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417211483 PECOS PAC ID: 1254577240 Enrollment ID: I20130806000839 |
| Provider Name | Sumedh S Hoskote |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063724425 PECOS PAC ID: 2769624154 Enrollment ID: I20130814000756 |
| Provider Name | Lara A Walkoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588922231 PECOS PAC ID: 2668614884 Enrollment ID: I20130816000550 |
| Provider Name | Sarah E Dodd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932462199 PECOS PAC ID: 0143466029 Enrollment ID: I20130819000255 |
| Provider Name | Amy M Oneil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508129198 PECOS PAC ID: 7315183860 Enrollment ID: I20130821000540 |
| Provider Name | Christopher L Welle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154677375 PECOS PAC ID: 0749423531 Enrollment ID: I20130826001089 |
| Provider Name | Abby L Levasseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700220068 PECOS PAC ID: 4284868399 Enrollment ID: I20131003000186 |
| Provider Name | Kim Ann Reinitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245662600 PECOS PAC ID: 2668606567 Enrollment ID: I20131008001781 |
| Provider Name | Erik Scharrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245525484 PECOS PAC ID: 5395983175 Enrollment ID: I20131028000275 |
| Provider Name | Joshua A Cochrane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962837849 PECOS PAC ID: 4688800949 Enrollment ID: I20131115001239 |
| Provider Name | Angela N Tripp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770911562 PECOS PAC ID: 5991931776 Enrollment ID: I20131127000451 |
| Provider Name | Megan E Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818009 PECOS PAC ID: 4284860917 Enrollment ID: I20131202000300 |
| Provider Name | Elizabeth Claire Fogelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568726099 PECOS PAC ID: 6901042977 Enrollment ID: I20140225001071 |
| Provider Name | Randy M Foss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083903033 PECOS PAC ID: 0547403446 Enrollment ID: I20140415001283 |
| Provider Name | Kissinger O Anusionwu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730510629 PECOS PAC ID: 0042443467 Enrollment ID: I20140508001623 |
| Provider Name | Lee H Eckstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619176187 PECOS PAC ID: 6002056801 Enrollment ID: I20140513001102 |
| Provider Name | Abhishek J Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538359906 PECOS PAC ID: 8325262454 Enrollment ID: I20140611002035 |
| Provider Name | Alexander Kogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902112337 PECOS PAC ID: 4688898273 Enrollment ID: I20140623001298 |
| Provider Name | Larry Deppe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982802815 PECOS PAC ID: 5496822322 Enrollment ID: I20140702001417 |
| Provider Name | Thoyaja Koritala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528354024 PECOS PAC ID: 4284887613 Enrollment ID: I20140708000935 |
| Provider Name | Michael R Moynagh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164779211 PECOS PAC ID: 0749437689 Enrollment ID: I20140709000236 |
| Provider Name | Philip L Wackel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982800645 PECOS PAC ID: 0345465183 Enrollment ID: I20140710001224 |
| Provider Name | Alisa S Eytcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427462993 PECOS PAC ID: 8022235514 Enrollment ID: I20140806002001 |
| Provider Name | Cameron Leitch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710327077 PECOS PAC ID: 5294952180 Enrollment ID: I20140818001105 |
| Provider Name | Michael C Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932549458 PECOS PAC ID: 8527286350 Enrollment ID: I20140820000952 |
| Provider Name | Ryan Youland |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396181731 PECOS PAC ID: 3870721202 Enrollment ID: I20140820001833 |
| Provider Name | Mustafa M Haddad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104269943 PECOS PAC ID: 1456591858 Enrollment ID: I20140826001690 |
| Provider Name | Daniel A Adamo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184967416 PECOS PAC ID: 0648498642 Enrollment ID: I20140905000059 |
| Provider Name | Jason T Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366773087 PECOS PAC ID: 6103044029 Enrollment ID: I20140905001193 |
| Provider Name | Daniel J Scholz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386085926 PECOS PAC ID: 9537300033 Enrollment ID: I20140908001295 |
| Provider Name | Michael S Bold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003259854 PECOS PAC ID: 2961621875 Enrollment ID: I20140908001855 |
| Provider Name | Greta Beth Liebo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417184326 PECOS PAC ID: 1254550072 Enrollment ID: I20140910000085 |
| Provider Name | Diana M Shewmaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245672401 PECOS PAC ID: 9739322744 Enrollment ID: I20140912001912 |
| Provider Name | Faye A Otis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174922777 PECOS PAC ID: 7416177555 Enrollment ID: I20141013001289 |
| Provider Name | Francis I Baffour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720427156 PECOS PAC ID: 0042431066 Enrollment ID: I20141016000898 |
| Provider Name | Trinh N Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609154848 PECOS PAC ID: 6709049257 Enrollment ID: I20141017000486 |
| Provider Name | Padraig P Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659355659 PECOS PAC ID: 0749341378 Enrollment ID: I20141028002527 |
| Provider Name | Alexander C Egbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104072685 PECOS PAC ID: 3375865405 Enrollment ID: I20141201000876 |
| Provider Name | Seth W Gregory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891930509 PECOS PAC ID: 1052552817 Enrollment ID: I20141212001332 |
| Provider Name | Edwin Akira Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346683364 PECOS PAC ID: 7517105216 Enrollment ID: I20141224000896 |
| Provider Name | Jacqueline M Sellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003213430 PECOS PAC ID: 6507183654 Enrollment ID: I20150330000545 |
| Provider Name | Natalie F Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750782363 PECOS PAC ID: 8628397783 Enrollment ID: I20150512001808 |
| Provider Name | Jacob Jentzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538334628 PECOS PAC ID: 2567782261 Enrollment ID: I20150520001985 |
| Provider Name | Luke E Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245491588 PECOS PAC ID: 2163609272 Enrollment ID: I20150608002124 |
| Provider Name | Heidi Jo Gaston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649564204 PECOS PAC ID: 1557682911 Enrollment ID: I20150625001997 |
| Provider Name | Chad L Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023216256 PECOS PAC ID: 9133431323 Enrollment ID: I20150630002619 |
| Provider Name | Ajit Goenka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578844379 PECOS PAC ID: 4688891989 Enrollment ID: I20150702001839 |
| Provider Name | Candice A Bookwalter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376786798 PECOS PAC ID: 9931322617 Enrollment ID: I20150706001772 |
| Provider Name | Awani A Deshmukh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104181304 PECOS PAC ID: 7315259991 Enrollment ID: I20150710000519 |
| Provider Name | Benjamin Nordhues |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336555135 PECOS PAC ID: 4082830666 Enrollment ID: I20150727001377 |
| Provider Name | David C Geier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649273913 PECOS PAC ID: 1557255841 Enrollment ID: I20150727001387 |
| Provider Name | Ashley E Thorson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457647612 PECOS PAC ID: 9436373453 Enrollment ID: I20150727002542 |
| Provider Name | Erik Steckler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871812065 PECOS PAC ID: 9234443805 Enrollment ID: I20150728003613 |
| Provider Name | Barrett Howell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487073243 PECOS PAC ID: 6709105091 Enrollment ID: I20150804005424 |
| Provider Name | Sushil Luis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447691175 PECOS PAC ID: 4789825480 Enrollment ID: I20150807013911 |
| Provider Name | Ahmad Parvinian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992122824 PECOS PAC ID: 6305151440 Enrollment ID: I20150818005251 |
| Provider Name | Diego Zaquera Carvalho |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366882706 PECOS PAC ID: 9739305954 Enrollment ID: I20150826001325 |
| Provider Name | Wendaline M Vanburen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710306683 PECOS PAC ID: 2567687171 Enrollment ID: I20150901002768 |
| Provider Name | Gabriel G Pokhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922359173 PECOS PAC ID: 9830406685 Enrollment ID: I20150911000741 |
| Provider Name | Theodora Potretzke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154551646 PECOS PAC ID: 4183857139 Enrollment ID: I20150916001181 |
| Provider Name | Michelle M Copley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043695380 PECOS PAC ID: 3779890827 Enrollment ID: I20150922001894 |
| Provider Name | Jessica Stanich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033526751 PECOS PAC ID: 1355568056 Enrollment ID: I20151001001667 |
| Provider Name | Ann Braus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033401609 PECOS PAC ID: 8628391471 Enrollment ID: I20151022001763 |
| Provider Name | James Layne Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730264037 PECOS PAC ID: 5496772352 Enrollment ID: I20151201002180 |
| Provider Name | Anthony J Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861866337 PECOS PAC ID: 0547561300 Enrollment ID: I20151221000888 |
| Provider Name | Andrew Christian Homb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699806265 PECOS PAC ID: 5991821118 Enrollment ID: I20151224000138 |
| Provider Name | Anne E Liwonjo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306151675 PECOS PAC ID: 3870724537 Enrollment ID: I20160405002234 |
| Provider Name | Eric Christopher Ehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497045173 PECOS PAC ID: 5698906220 Enrollment ID: I20160601000040 |
| Provider Name | Ashish Khandelwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043565765 PECOS PAC ID: 6406094739 Enrollment ID: I20160603001487 |
| Provider Name | Jason Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285926410 PECOS PAC ID: 0941590764 Enrollment ID: I20160608000113 |
| Provider Name | Maria De Los Angeles Mendoza De La Garza |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447699400 PECOS PAC ID: 1254622798 Enrollment ID: I20160614001026 |
| Provider Name | Gustavo Cortes Puentes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447694641 PECOS PAC ID: 3779875141 Enrollment ID: I20160705000815 |
| Provider Name | Milan Khealani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952708505 PECOS PAC ID: 8729370051 Enrollment ID: I20160707001015 |
| Provider Name | Nathan Eickstaedt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992191894 PECOS PAC ID: 7214220748 Enrollment ID: I20160721000964 |
| Provider Name | Zachary Kelm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568841443 PECOS PAC ID: 1254642812 Enrollment ID: I20160725001075 |
| Provider Name | Ian Taylor Mark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760860084 PECOS PAC ID: 8628381290 Enrollment ID: I20160725001325 |
| Provider Name | Brendan W Lunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083092266 PECOS PAC ID: 4880987189 Enrollment ID: I20160725001536 |
| Provider Name | Kathleen A Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184003089 PECOS PAC ID: 0042521700 Enrollment ID: I20160726000406 |
| Provider Name | Benjamin J Dewey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326425174 PECOS PAC ID: 6204149529 Enrollment ID: I20160726000648 |
| Provider Name | Garret M Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962897298 PECOS PAC ID: 5294028478 Enrollment ID: I20160726001069 |
| Provider Name | Nicholas Tan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770962029 PECOS PAC ID: 0143531806 Enrollment ID: I20160726001701 |
| Provider Name | Derick Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730568759 PECOS PAC ID: 3375854920 Enrollment ID: I20160727002868 |
| Provider Name | Michael P Oien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356736482 PECOS PAC ID: 1951694744 Enrollment ID: I20160802000384 |
| Provider Name | Alan Michael Sugrue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154737690 PECOS PAC ID: 2062638281 Enrollment ID: I20160802000611 |
| Provider Name | Corrie R Bach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023403672 PECOS PAC ID: 7719292093 Enrollment ID: I20160802002472 |
| Provider Name | Linda Boylan-starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447238548 PECOS PAC ID: 9234151804 Enrollment ID: I20160809001554 |
| Provider Name | Brett D Tanning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144669755 PECOS PAC ID: 9133445323 Enrollment ID: I20160810001749 |
| Provider Name | Brendan M Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902285331 PECOS PAC ID: 1759698400 Enrollment ID: I20160811001622 |
| Provider Name | Stephen Nogel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548643315 PECOS PAC ID: 4587959309 Enrollment ID: I20160818000790 |
| Provider Name | Alexander Niven |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578543716 PECOS PAC ID: 2769661826 Enrollment ID: I20160826001684 |
| Provider Name | Heidi A Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945469 PECOS PAC ID: 4981999042 Enrollment ID: I20160829001173 |
| Provider Name | Megan Griffith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962793182 PECOS PAC ID: 9436453404 Enrollment ID: I20160913000077 |
| Provider Name | Usman Anwer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316266562 PECOS PAC ID: 7618280066 Enrollment ID: I20160914002774 |
| Provider Name | Chad Dowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790166155 PECOS PAC ID: 8123330107 Enrollment ID: I20160922000416 |
| Provider Name | Megan H Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366680720 PECOS PAC ID: 2769619758 Enrollment ID: I20160922001418 |
| Provider Name | Kelsey S Dowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619358074 PECOS PAC ID: 5092027946 Enrollment ID: I20160923000556 |
| Provider Name | Amy S Biondich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226432 PECOS PAC ID: 1254577117 Enrollment ID: I20161018001418 |
| Provider Name | Lilia C Ponton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659699031 PECOS PAC ID: 5294966255 Enrollment ID: I20161102000002 |
| Provider Name | Breno S Pessanha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902812746 PECOS PAC ID: 7416983986 Enrollment ID: I20161208002017 |
| Provider Name | Vipul A Trivedi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457338428 PECOS PAC ID: 0648163824 Enrollment ID: I20161209000020 |
| Provider Name | Amy L Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316399330 PECOS PAC ID: 2466733878 Enrollment ID: I20161223000101 |
| Provider Name | Rong N. Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285071480 PECOS PAC ID: 4486889201 Enrollment ID: I20170309000652 |
| Provider Name | Laura O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734748 PECOS PAC ID: 5496039596 Enrollment ID: I20170309002531 |
| Provider Name | Miriam Mowfaq Rassam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527088 PECOS PAC ID: 2365727245 Enrollment ID: I20170315001423 |
| Provider Name | Kimberly De Paulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417308701 PECOS PAC ID: 6103107990 Enrollment ID: I20170329001973 |
| Provider Name | Ratnasari Padang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548642077 PECOS PAC ID: 2668784398 Enrollment ID: I20170420000535 |
| Provider Name | Betzalel Reich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336460344 PECOS PAC ID: 1254571078 Enrollment ID: I20170508002028 |
| Provider Name | Kara Dupuy-mccauley |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932514031 PECOS PAC ID: 6800173402 Enrollment ID: I20170509001804 |
| Provider Name | Paul D Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316365281 PECOS PAC ID: 8123320926 Enrollment ID: I20170522002897 |
| Provider Name | Dong Kun Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265789457 PECOS PAC ID: 7719254390 Enrollment ID: I20170602000633 |
| Provider Name | Meagan C Uzee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124386404 PECOS PAC ID: 0749575835 Enrollment ID: I20170606001502 |
| Provider Name | Allan M Bates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285041640 PECOS PAC ID: 0840411278 Enrollment ID: I20170607001770 |
| Provider Name | Jason H Planas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497175772 PECOS PAC ID: 6608174289 Enrollment ID: I20170608001303 |
| Provider Name | Don Stott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275821449 PECOS PAC ID: 2769787829 Enrollment ID: I20170612002973 |
| Provider Name | Daniel E Sanchez Pellecer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386042885 PECOS PAC ID: 3971871922 Enrollment ID: I20170614002716 |
| Provider Name | Kanika Khandelwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457768889 PECOS PAC ID: 9133499775 Enrollment ID: I20170714001159 |
| Provider Name | Aaron Bradley Klassen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750745428 PECOS PAC ID: 9638461163 Enrollment ID: I20170801000571 |
| Provider Name | David Bartlett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508216409 PECOS PAC ID: 2961794730 Enrollment ID: I20170801002010 |
| Provider Name | Talha Niaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235513284 PECOS PAC ID: 4587971627 Enrollment ID: I20170801002116 |
| Provider Name | Daniel Jordan Stephens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144464223 PECOS PAC ID: 2961706726 Enrollment ID: I20170802000954 |
| Provider Name | Craig F Tschautscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316301096 PECOS PAC ID: 6507158227 Enrollment ID: I20170814000764 |
| Provider Name | Rajasekhar R Madathala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932477536 PECOS PAC ID: 6901021583 Enrollment ID: I20170814002031 |
| Provider Name | Vamshi Mugu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215391842 PECOS PAC ID: 8527350693 Enrollment ID: I20170814003330 |
| Provider Name | Alexander Finch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326402900 PECOS PAC ID: 7810289121 Enrollment ID: I20170815002600 |
| Provider Name | Sebastian Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902326994 PECOS PAC ID: 2466725221 Enrollment ID: I20170830002664 |
| Provider Name | Katie E Hinderaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548615255 PECOS PAC ID: 8426340183 Enrollment ID: I20170907002794 |
| Provider Name | Hossam M Alzu'bi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821403783 PECOS PAC ID: 7012136534 Enrollment ID: I20170913000298 |
| Provider Name | Timothy Jaykel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265895551 PECOS PAC ID: 1254623499 Enrollment ID: I20170913002645 |
| Provider Name | Saba Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043465586 PECOS PAC ID: 4688822273 Enrollment ID: I20170915002609 |
| Provider Name | Patti A Paris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336100494 PECOS PAC ID: 2769373430 Enrollment ID: I20170927000167 |
| Provider Name | Brian L Wariboko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457779563 PECOS PAC ID: 8325267420 Enrollment ID: I20171006000257 |
| Provider Name | Douglas Sommers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699204917 PECOS PAC ID: 9234404708 Enrollment ID: I20171010000085 |
| Provider Name | Alexander Neal Kurjatko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811277890 PECOS PAC ID: 2264708866 Enrollment ID: I20171026001894 |
| Provider Name | Tristan N Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124482765 PECOS PAC ID: 2466740774 Enrollment ID: I20171031000045 |
| Provider Name | Ryan Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497997050 PECOS PAC ID: 4587789326 Enrollment ID: I20171113001423 |
| Provider Name | Maria A Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427204577 PECOS PAC ID: 5597820845 Enrollment ID: I20171113001600 |
| Provider Name | Mark Christian Bildsoe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912978529 PECOS PAC ID: 2567458458 Enrollment ID: I20171113002070 |
| Provider Name | Gregory Brickner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720059330 PECOS PAC ID: 0941296834 Enrollment ID: I20171116000396 |
| Provider Name | Andrew K Brevik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513903 PECOS PAC ID: 7911035738 Enrollment ID: I20171129001601 |
| Provider Name | Susan Marie Cullinan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215995980 PECOS PAC ID: 7315040284 Enrollment ID: I20171129003514 |
| Provider Name | Scott Jeffrey Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124099551 PECOS PAC ID: 6608845177 Enrollment ID: I20171218000353 |
| Provider Name | David J Rea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245218692 PECOS PAC ID: 8921150665 Enrollment ID: I20171229002076 |
| Provider Name | Thomas Francis Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811973613 PECOS PAC ID: 7719943281 Enrollment ID: I20180104000851 |
| Provider Name | Tam Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760906010 PECOS PAC ID: 4587923800 Enrollment ID: I20180112001132 |
| Provider Name | Kathryn Louise Poppe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154835098 PECOS PAC ID: 7618237793 Enrollment ID: I20180209001829 |
| Provider Name | Jay P Heiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942392444 PECOS PAC ID: 8729127188 Enrollment ID: I20180215000537 |
| Provider Name | Ana Dahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639683691 PECOS PAC ID: 5496016545 Enrollment ID: I20180306001250 |
| Provider Name | Ashley A Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063707461 PECOS PAC ID: 7719106087 Enrollment ID: I20180314001930 |
| Provider Name | John C Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134462963 PECOS PAC ID: 8426353541 Enrollment ID: I20180531002876 |
| Provider Name | Petrice Mostardi Cogswell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487997557 PECOS PAC ID: 4385947894 Enrollment ID: I20180606001437 |
| Provider Name | Richard G Frimpong |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619310612 PECOS PAC ID: 0244458768 Enrollment ID: I20180614002492 |
| Provider Name | Andrew Zenhong Chow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700178159 PECOS PAC ID: 1456646314 Enrollment ID: I20180614002946 |
| Provider Name | Sophia Pillai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194910257 PECOS PAC ID: 7012157290 Enrollment ID: I20180615000997 |
| Provider Name | Steven A Messina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477642536 PECOS PAC ID: 5597920132 Enrollment ID: I20180619002550 |
| Provider Name | Hanyin Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174905939 PECOS PAC ID: 9739478322 Enrollment ID: I20180709003077 |
| Provider Name | Sadik Abdikadir Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811377229 PECOS PAC ID: 6305193996 Enrollment ID: I20180730000213 |
| Provider Name | Peter J. Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528599917 PECOS PAC ID: 8325310907 Enrollment ID: I20180731002504 |
| Provider Name | Nam Ju Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659688679 PECOS PAC ID: 2567697345 Enrollment ID: I20180731002844 |
| Provider Name | Adam Sharp Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285999557 PECOS PAC ID: 3971735226 Enrollment ID: I20180802000478 |
| Provider Name | Benjamin Satterfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083147128 PECOS PAC ID: 0941572515 Enrollment ID: I20180802001633 |
| Provider Name | Amanda Leisenheimer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801264742 PECOS PAC ID: 6800144072 Enrollment ID: I20180803000898 |
| Provider Name | Ryan Michael Finn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898684 PECOS PAC ID: 7810269008 Enrollment ID: I20180806003180 |
| Provider Name | Benjamin W Iliff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114317955 PECOS PAC ID: 1759653322 Enrollment ID: I20180814001714 |
| Provider Name | Mark Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043263247 PECOS PAC ID: 2264488477 Enrollment ID: I20180817001607 |
| Provider Name | Melissa Kay Hart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255570636 PECOS PAC ID: 8022250067 Enrollment ID: I20180906000106 |
| Provider Name | Scott A Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073590956 PECOS PAC ID: 3173528494 Enrollment ID: I20180911001564 |
| Provider Name | Kyle Mark Levi Unsdorfer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285165183 PECOS PAC ID: 1557633930 Enrollment ID: I20180914001110 |
| Provider Name | Jeremy Douglas Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922121243 PECOS PAC ID: 1850569104 Enrollment ID: I20181001000473 |
| Provider Name | Daniel Chiang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336676279 PECOS PAC ID: 6103198627 Enrollment ID: I20181002000517 |
| Provider Name | Kathryn Ann Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780600254 PECOS PAC ID: 9537163274 Enrollment ID: I20181009003533 |
| Provider Name | Mairead Bartley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255718482 PECOS PAC ID: 8224358692 Enrollment ID: I20181024001071 |
| Provider Name | Hari Prasad Reddy Korsapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639563265 PECOS PAC ID: 2264785435 Enrollment ID: I20181106000499 |
| Provider Name | Erica Lynn-eischen Bauhs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629544770 PECOS PAC ID: 8921352048 Enrollment ID: I20181108000546 |
| Provider Name | Victoria M Silvera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467539908 PECOS PAC ID: 7911966916 Enrollment ID: I20190201001908 |
| Provider Name | Ashraf Adel Samy Gerges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003874264 PECOS PAC ID: 1355326943 Enrollment ID: I20190208002232 |
| Provider Name | Megan Herbers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912470857 PECOS PAC ID: 9335488949 Enrollment ID: I20190226002155 |
| Provider Name | Heather Larson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306319512 PECOS PAC ID: 9335488667 Enrollment ID: I20190305001221 |
| Provider Name | Colin Bucks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962441741 PECOS PAC ID: 9335142165 Enrollment ID: I20190315001055 |
| Provider Name | Lisa Mccabe Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487118345 PECOS PAC ID: 9234470410 Enrollment ID: I20190417000022 |
| Provider Name | James Michael Bisanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063850980 PECOS PAC ID: 4688818297 Enrollment ID: I20190523000371 |
| Provider Name | Darya P Shlapak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760892624 PECOS PAC ID: 9335420496 Enrollment ID: I20190604002997 |
| Provider Name | Avinash Nehra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952780199 PECOS PAC ID: 8628389368 Enrollment ID: I20190612000983 |
| Provider Name | Mohamed Yousuf Warsame |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962865527 PECOS PAC ID: 3678865482 Enrollment ID: I20190612001489 |
| Provider Name | Narayan Gurukrip Kowlgi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891044400 PECOS PAC ID: 4880913102 Enrollment ID: I20190625000980 |
| Provider Name | Matthew Patrick Thorpe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215372081 PECOS PAC ID: 2567797384 Enrollment ID: I20190716000802 |
| Provider Name | Francis Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841771532 PECOS PAC ID: 1557697059 Enrollment ID: I20190722001365 |
| Provider Name | Philip Zorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447600556 PECOS PAC ID: 0345534178 Enrollment ID: I20190722001396 |
| Provider Name | Sara Ann Schroeder Hevesi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013368414 PECOS PAC ID: 6709173727 Enrollment ID: I20190723000714 |
| Provider Name | Syed Haris Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033598214 PECOS PAC ID: 7416283932 Enrollment ID: I20190729000144 |
| Provider Name | Stephanie Y Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336645126 PECOS PAC ID: 6406104363 Enrollment ID: I20190730000934 |
| Provider Name | Alexander Kellington Bratt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265876445 PECOS PAC ID: 2961767181 Enrollment ID: I20190730002779 |
| Provider Name | Livia Maria Frota Lima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215460415 PECOS PAC ID: 8224386057 Enrollment ID: I20190801000594 |
| Provider Name | Benjamin Krippendorf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487159521 PECOS PAC ID: 7618225624 Enrollment ID: I20190802000672 |
| Provider Name | Won S Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144201930 PECOS PAC ID: 4183796204 Enrollment ID: I20190805000698 |
| Provider Name | Alexander David Ritchie Ginsburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780180653 PECOS PAC ID: 2769739804 Enrollment ID: I20190805001367 |
| Provider Name | Patrick Navin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427570852 PECOS PAC ID: 8426320797 Enrollment ID: I20190813001501 |
| Provider Name | Sandy Kay Clayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578827465 PECOS PAC ID: 4082852751 Enrollment ID: I20190827000167 |
| Provider Name | Sarah Lynne Gerard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518513639 PECOS PAC ID: 1355670027 Enrollment ID: I20190905000129 |
| Provider Name | Affan Irfan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942588066 PECOS PAC ID: 4789958893 Enrollment ID: I20190909003725 |
| Provider Name | Prabhakar Rajiah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033230701 PECOS PAC ID: 2961509427 Enrollment ID: I20190912003030 |
| Provider Name | Aliza Faigel Weinman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578683165 PECOS PAC ID: 8820184286 Enrollment ID: I20191008000722 |
| Provider Name | Yasmeen Tandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992021067 PECOS PAC ID: 3476796327 Enrollment ID: I20191014003281 |
| Provider Name | Adedayo Temitope Dosumu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174019038 PECOS PAC ID: 3870824139 Enrollment ID: I20191017001572 |
| Provider Name | Kelly J Vold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962634428 PECOS PAC ID: 6305983008 Enrollment ID: I20191017002882 |
| Provider Name | Anna C Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063056935 PECOS PAC ID: 1254763279 Enrollment ID: I20191113001936 |
| Provider Name | Sadia Munawar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447649017 PECOS PAC ID: 9335452713 Enrollment ID: I20191120001364 |
| Provider Name | Moses Kubwimana Mhayamaguru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417397811 PECOS PAC ID: 3173818473 Enrollment ID: I20191126003122 |
| Provider Name | Mary E Verdun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417593922 PECOS PAC ID: 2163855495 Enrollment ID: I20191127001241 |
| Provider Name | Eukeria Tanyir Boila Epse Nsameluh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477191807 PECOS PAC ID: 5294160420 Enrollment ID: I20200116002308 |
| Provider Name | Adekunle Odubeko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588200968 PECOS PAC ID: 9032545538 Enrollment ID: I20200131001198 |
| Provider Name | Christopher W Saenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376174672 PECOS PAC ID: 1355777111 Enrollment ID: I20200214001381 |
| Provider Name | Mark T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245625003 PECOS PAC ID: 9739484874 Enrollment ID: I20200502000009 |
| Provider Name | Kristina T Flicek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568872364 PECOS PAC ID: 1456678986 Enrollment ID: I20200523000033 |
| Provider Name | Jidi Gao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710364906 PECOS PAC ID: 1759677529 Enrollment ID: I20200602000571 |
| Provider Name | Christopher Jean-pierre Francois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902938467 PECOS PAC ID: 7315048139 Enrollment ID: I20200622002710 |
| Provider Name | Tuoyo Mene-afejuku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184076853 PECOS PAC ID: 3072848209 Enrollment ID: I20200630002627 |
| Provider Name | Kyaw Zaw Hein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861913907 PECOS PAC ID: 5698045052 Enrollment ID: I20200721002914 |
| Provider Name | Sara T Medina-bielski |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1033679170 PECOS PAC ID: 1254665201 Enrollment ID: I20200730000067 |
| Provider Name | Samuel Isaias Garcia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265993000 PECOS PAC ID: 4587990288 Enrollment ID: I20200813001019 |
| Provider Name | Liyanage A M Perera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821441163 PECOS PAC ID: 1254669856 Enrollment ID: I20200813001958 |
| Provider Name | Jennifer Jane Gile |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336609288 PECOS PAC ID: 6608101191 Enrollment ID: I20200821002818 |
| Provider Name | Mohamed A Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578091690 PECOS PAC ID: 9335413749 Enrollment ID: I20200904000068 |
| Provider Name | Michael Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518300870 PECOS PAC ID: 1052638608 Enrollment ID: I20200914000766 |
| Provider Name | Alexander Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730422429 PECOS PAC ID: 8820335896 Enrollment ID: I20201001000071 |
| Provider Name | Guleid Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669993739 PECOS PAC ID: 7214207869 Enrollment ID: I20201104000997 |
| Provider Name | Julie Rossi Polonczyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831450527 PECOS PAC ID: 9931434032 Enrollment ID: I20201230001955 |
| Provider Name | Tammy Lynn Perttula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720689920 PECOS PAC ID: 0143634766 Enrollment ID: I20210122000319 |
| Provider Name | Lisa J Wimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134715477 PECOS PAC ID: 4486069903 Enrollment ID: I20210216000912 |
| Provider Name | Peter Andrew Lowry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316108731 PECOS PAC ID: 3971746520 Enrollment ID: I20210219002471 |
| Provider Name | David Chaffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992775530 PECOS PAC ID: 7810973559 Enrollment ID: I20210401000420 |
| Provider Name | Shannon M Dahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598342552 PECOS PAC ID: 3678981404 Enrollment ID: I20210416000084 |
| Provider Name | John V Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790871796 PECOS PAC ID: 8921155045 Enrollment ID: I20210427001322 |
| Provider Name | Maureen Patricia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831777333 PECOS PAC ID: 5698184992 Enrollment ID: I20210517000575 |
| Provider Name | Bolun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861988511 PECOS PAC ID: 0547514473 Enrollment ID: I20210518000328 |
| Provider Name | Qiping Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245726686 PECOS PAC ID: 5395095392 Enrollment ID: I20210518001430 |
| Provider Name | Caleb Mawulikofi Tsetse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285013813 PECOS PAC ID: 7315284924 Enrollment ID: I20210526001126 |
| Provider Name | Stacy L Stratmann Egan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760400733 PECOS PAC ID: 8426018573 Enrollment ID: I20210604000009 |
| Provider Name | Sumeet K Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508358656 PECOS PAC ID: 6103166707 Enrollment ID: I20210607001075 |
| Provider Name | Abdul Wahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649622242 PECOS PAC ID: 8426344730 Enrollment ID: I20210607002662 |
| Provider Name | Paul J Farnsworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407207236 PECOS PAC ID: 1153721311 Enrollment ID: I20210610000980 |
| Provider Name | Vikas Le-kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159000 PECOS PAC ID: 7315291606 Enrollment ID: I20210618000883 |
| Provider Name | Akriti Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669883062 PECOS PAC ID: 6305060021 Enrollment ID: I20210622000613 |
| Provider Name | Angel David Aponte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992202071 PECOS PAC ID: 6103227905 Enrollment ID: I20210630003776 |
| Provider Name | Kimberly Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477837326 PECOS PAC ID: 9638345648 Enrollment ID: I20210712003829 |
| Provider Name | Elizabeth Sherrill Bermudez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073000972 PECOS PAC ID: 7618227398 Enrollment ID: I20210722000969 |
| Provider Name | Andrea Leigh Hlady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831728997 PECOS PAC ID: 4183048556 Enrollment ID: I20210809000784 |
| Provider Name | Samuel Michel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831686781 PECOS PAC ID: 7517298318 Enrollment ID: I20210824001055 |
| Provider Name | Friederike D Froke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215403480 PECOS PAC ID: 1153741988 Enrollment ID: I20210830001231 |
| Provider Name | Alex Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942620968 PECOS PAC ID: 4082834254 Enrollment ID: I20210831003219 |
| Provider Name | Cole R Marschke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265775191 PECOS PAC ID: 4688978802 Enrollment ID: I20210908001657 |
| Provider Name | Thomas Giju Lim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073141396 PECOS PAC ID: 8628492832 Enrollment ID: I20211005002687 |
| Provider Name | Carrie Ann Balster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477222800 PECOS PAC ID: 1658779566 Enrollment ID: I20211007000571 |
| Provider Name | Donnell Philippe Octavio Lazaro-paulina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922627462 PECOS PAC ID: 5890111074 Enrollment ID: I20211020001066 |
| Provider Name | Hilary Bingol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730299983 PECOS PAC ID: 6507839792 Enrollment ID: I20220103000521 |
| Provider Name | Rhonda Heun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306840988 PECOS PAC ID: 4082893706 Enrollment ID: I20220103000782 |
| Provider Name | Dominika Jegen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023528155 PECOS PAC ID: 1355617945 Enrollment ID: I20220105000121 |
| Provider Name | David W Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538658497 PECOS PAC ID: 3678828159 Enrollment ID: I20220204001694 |
| Provider Name | Michael P Hafertepe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407388952 PECOS PAC ID: 0840541793 Enrollment ID: I20220302003015 |
| Provider Name | Siaka Sanneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009981 PECOS PAC ID: 2769732825 Enrollment ID: I20220321002144 |
| Provider Name | Lorenza Saldivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912666579 PECOS PAC ID: 9931594348 Enrollment ID: I20220322002300 |
| Provider Name | Shaundra Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295157634 PECOS PAC ID: 0143453225 Enrollment ID: I20220422001345 |
| Provider Name | Elizabeth April Vanblaricom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154079101 PECOS PAC ID: 6800283706 Enrollment ID: I20220423000055 |
| Provider Name | Alisha M Garel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023660883 PECOS PAC ID: 1254718679 Enrollment ID: I20220524001158 |
| Provider Name | Andrea Boni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760707624 PECOS PAC ID: 9931420007 Enrollment ID: I20220624001203 |
| Provider Name | Ahmed Salim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285286328 PECOS PAC ID: 7517348832 Enrollment ID: I20220719000183 |
| Provider Name | Girish Bathla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760737738 PECOS PAC ID: 2769621093 Enrollment ID: I20220720003101 |
| Provider Name | Kirsten Pierce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871938142 PECOS PAC ID: 8527365600 Enrollment ID: I20220720003145 |
| Provider Name | Viola C Maritim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518525880 PECOS PAC ID: 2860721032 Enrollment ID: I20220721000823 |
| Provider Name | Katherine Mia Choi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104320415 PECOS PAC ID: 5890177349 Enrollment ID: I20220801001932 |
| Provider Name | Jawaad Hassan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053763243 PECOS PAC ID: 9931494812 Enrollment ID: I20220802002424 |
| Provider Name | Dorissa Lahner Gursahaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467815381 PECOS PAC ID: 3870870934 Enrollment ID: I20220802004056 |
| Provider Name | David Samuel Franklin Kerner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447833702 PECOS PAC ID: 2860893088 Enrollment ID: I20220804001931 |
| Provider Name | Mitchell Robert Cleghorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730649427 PECOS PAC ID: 0244567204 Enrollment ID: I20220805000695 |
| Provider Name | Neelakanta Atkuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902213424 PECOS PAC ID: 6406102961 Enrollment ID: I20220805002715 |
| Provider Name | Kevin L Denton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518304930 PECOS PAC ID: 0840597829 Enrollment ID: I20220805003031 |
| Provider Name | Hussen Amir Ahmed Mansai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790335446 PECOS PAC ID: 9234511189 Enrollment ID: I20220809002201 |
| Provider Name | Shada Ahrar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871156224 PECOS PAC ID: 8921335126 Enrollment ID: I20220812001764 |
| Provider Name | Shire Jama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033773007 PECOS PAC ID: 3274916887 Enrollment ID: I20220815002407 |
| Provider Name | Thuy-hong Le-kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598260101 PECOS PAC ID: 4688928971 Enrollment ID: I20220818003739 |
| Provider Name | Jay J Pillai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972603439 PECOS PAC ID: 9234130493 Enrollment ID: I20220822001138 |
| Provider Name | Sabina Kadariya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982343067 PECOS PAC ID: 5496138695 Enrollment ID: I20220822001495 |
| Provider Name | Alexander Lee Buchholz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588242671 PECOS PAC ID: 2567863848 Enrollment ID: I20220823000366 |
| Provider Name | Sara Sutherland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730797366 PECOS PAC ID: 3577964550 Enrollment ID: I20220824002847 |
| Provider Name | Daria Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871172197 PECOS PAC ID: 6800298027 Enrollment ID: I20220825002120 |
| Provider Name | Mohamad El Labban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821608159 PECOS PAC ID: 4183040736 Enrollment ID: I20220829001583 |
| Provider Name | Nari Sohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982263034 PECOS PAC ID: 6800270968 Enrollment ID: I20220908002941 |
| Provider Name | Christopher J Sigakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629364310 PECOS PAC ID: 2466751979 Enrollment ID: I20220912002808 |
| Provider Name | Rachel Marie Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063131688 PECOS PAC ID: 1052796919 Enrollment ID: I20220914001036 |
| Provider Name | Matthew Paul Hamilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346814951 PECOS PAC ID: 2668873712 Enrollment ID: I20220928000177 |
| Provider Name | Adiba Matin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447825385 PECOS PAC ID: 9436550621 Enrollment ID: I20220928001297 |
| Provider Name | Heather Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689301921 PECOS PAC ID: 7315323623 Enrollment ID: I20221010001635 |
| Provider Name | Gbemisola Tolulope Olorode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629311220 PECOS PAC ID: 1658663877 Enrollment ID: I20221013001884 |
| Provider Name | Kelsey L Western |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255894416 PECOS PAC ID: 7113252230 Enrollment ID: I20221014000728 |
| Provider Name | Harish Aroor Kinni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023379179 PECOS PAC ID: 5193957967 Enrollment ID: I20221018001275 |
| Provider Name | Kaneisha Monique Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972168870 PECOS PAC ID: 2062743008 Enrollment ID: I20221019000337 |
| Provider Name | Ajay Singh Sekhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306125109 PECOS PAC ID: 2264808013 Enrollment ID: I20221019000397 |
| Provider Name | Brian Hesler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699949370 PECOS PAC ID: 6709178932 Enrollment ID: I20221019002444 |
| Provider Name | Krzysztof Laudanski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760579643 PECOS PAC ID: 0143414938 Enrollment ID: I20221027000521 |
| Provider Name | Tabita Amoatemaa Darkwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164156535 PECOS PAC ID: 8628444395 Enrollment ID: I20221101001313 |
| Provider Name | Michael Shane Stephens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427638774 PECOS PAC ID: 8820499957 Enrollment ID: I20221118002229 |
| Provider Name | Jennifer Helen Clement |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992268452 PECOS PAC ID: 0143698340 Enrollment ID: I20221118002287 |
| Provider Name | Ryan Michael Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427643337 PECOS PAC ID: 6800284142 Enrollment ID: I20221121001447 |
| Provider Name | Alan Howard Stolpen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760470629 PECOS PAC ID: 2062554702 Enrollment ID: I20221206000869 |
| Provider Name | Bradley L Houston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275529240 PECOS PAC ID: 4587612064 Enrollment ID: I20230105002027 |
| Provider Name | Gagandeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083993687 PECOS PAC ID: 4284866021 Enrollment ID: I20230110002111 |
| Provider Name | Alix Hopp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154770774 PECOS PAC ID: 8729356829 Enrollment ID: I20230124000053 |
| Provider Name | Dean F Leslie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619926664 PECOS PAC ID: 6305857749 Enrollment ID: I20230203000396 |
| Provider Name | Sarah Joy Hummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447965256 PECOS PAC ID: 8729450770 Enrollment ID: I20230221000922 |
| Provider Name | Jenna Marie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942917265 PECOS PAC ID: 8628441474 Enrollment ID: I20230227002147 |
| Provider Name | Joanna Kusmirek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538336706 PECOS PAC ID: 7810205911 Enrollment ID: I20230308002937 |
| Provider Name | John Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891451365 PECOS PAC ID: 1254705460 Enrollment ID: I20230329001229 |
| Provider Name | Jesse M Reiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202709 PECOS PAC ID: 5799034021 Enrollment ID: I20230331001324 |
| Provider Name | David M Kushner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922009224 PECOS PAC ID: 7315931292 Enrollment ID: I20230411002286 |
| Provider Name | Christopher D Byers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891227252 PECOS PAC ID: 2961756051 Enrollment ID: I20230412000664 |
| Provider Name | David F Slat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528223807 PECOS PAC ID: 9436297447 Enrollment ID: I20230424000112 |
| Provider Name | Gabriella Avitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421366 PECOS PAC ID: 2769880624 Enrollment ID: I20230427000997 |
| Provider Name | Dominick A Siconolfi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255823415 PECOS PAC ID: 6709295314 Enrollment ID: I20230517002927 |
| Provider Name | Stephen Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487281911 PECOS PAC ID: 8628490703 Enrollment ID: I20230530001354 |
| Provider Name | Graciela Maldonado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831650852 PECOS PAC ID: 2466787650 Enrollment ID: I20230607000567 |
| Provider Name | Cameron M Koch |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134658743 PECOS PAC ID: 3971872003 Enrollment ID: I20230622003335 |
| Provider Name | Aswin Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629469382 PECOS PAC ID: 5799184628 Enrollment ID: I20230703000514 |
| Provider Name | Rachel P Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205463734 PECOS PAC ID: 9638591589 Enrollment ID: I20230711001556 |
| Provider Name | Annie M Kontos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255331401 PECOS PAC ID: 6305838004 Enrollment ID: I20230714000794 |
| Provider Name | Nicole Christine Sztuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932631504 PECOS PAC ID: 7618240144 Enrollment ID: I20230725003096 |
| Provider Name | Crina L. Manole Weddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215552096 PECOS PAC ID: 4880013010 Enrollment ID: I20230824002014 |
| Provider Name | Gayathri Chalikonda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346877982 PECOS PAC ID: 9830509447 Enrollment ID: I20230918000162 |
| Provider Name | Richard W Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700413655 PECOS PAC ID: 0648699876 Enrollment ID: I20231002000523 |
| Provider Name | Joyce D Schroeder |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1295834067 PECOS PAC ID: 0749287217 Enrollment ID: I20231003003268 |
| Provider Name | Pamela I Causa Andrieu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437702727 PECOS PAC ID: 9335551738 Enrollment ID: I20231005001200 |
| Provider Name | Krina Bhimjibhai Viroliya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396373676 PECOS PAC ID: 8224469515 Enrollment ID: I20231009000116 |
| Provider Name | Sabarish Narayanasamy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376039669 PECOS PAC ID: 6103173851 Enrollment ID: I20231018001430 |
| Provider Name | Kelly Sue Goszkowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346906823 PECOS PAC ID: 7113372657 Enrollment ID: I20231018001817 |
| Provider Name | Thanh Cong Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861061673 PECOS PAC ID: 9234509464 Enrollment ID: I20231026002407 |
| Provider Name | Nicole S Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255055950 PECOS PAC ID: 6103296868 Enrollment ID: I20231205002462 |
| Provider Name | Olaf Js Samuelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013535988 PECOS PAC ID: 4981056512 Enrollment ID: I20240119001217 |
| Provider Name | Jennifer J Johnson Krotzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992571970 PECOS PAC ID: 4688027915 Enrollment ID: I20240202000047 |
Valkos Chiropractic Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 S Washington St, Lake City, MN 55041 Phone: 651-345-2785 Fax: 651-345-5321 |