| Mayo Clinic Health System - Mankato | |
|
1025 Marsh St Mankato MN 56001-4752 | |
| (507) 625-4031 | |
| (507) 389-4885 |
| Full Name | Mayo Clinic Health System - Mankato |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 Marsh St, Mankato, Minnesota |
| Authorized Official Name and Position | Morris Richard Miller (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5075942646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic Health System - Mankato 1025 Marsh St Mankato MN 56001-4752 Ph: (507) 625-4031 | Mayo Clinic Health System - Mankato 1025 Marsh St Mankato MN 56001-4752 Ph: (507) 625-4031 |
| NPI Number | 1578545422 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 4688585771 |
|---|---|
| Medicare Enrollment ID | O20031110000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578545422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Hussam Jenad |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1174597322 PECOS PAC ID: 7214841972 Enrollment ID: I20031117000671 |
| Provider Name | Dawit T Haile |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821077843 PECOS PAC ID: 8921912692 Enrollment ID: I20031117000680 |
| Provider Name | Mir Rauf Subla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871577379 PECOS PAC ID: 7618881251 Enrollment ID: I20031118000084 |
| Provider Name | Michael J Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649255209 PECOS PAC ID: 4880598861 Enrollment ID: I20031121000220 |
| Provider Name | Ripudamanjit Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013993930 PECOS PAC ID: 3476457409 Enrollment ID: I20031121000408 |
| Provider Name | Philippe Bauer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871566166 PECOS PAC ID: 6901700707 Enrollment ID: I20031124000162 |
| Provider Name | Anil N Kurup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023098332 PECOS PAC ID: 5092619502 Enrollment ID: I20031125000514 |
| Provider Name | David J Bradley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215901707 PECOS PAC ID: 9537063078 Enrollment ID: I20031125000662 |
| 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 | Kingsley C Iheasirim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083697684 PECOS PAC ID: 4183520679 Enrollment ID: I20031208000231 |
| 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 | Charles Cagin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720061096 PECOS PAC ID: 6800793290 Enrollment ID: I20031215000461 |
| Provider Name | Mark J Enzler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285608273 PECOS PAC ID: 0648177972 Enrollment ID: I20031216000143 |
| 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 | Timothy J Kaufmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417935131 PECOS PAC ID: 2062310766 Enrollment ID: I20031219000269 |
| Provider Name | Frank Cetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306822549 PECOS PAC ID: 9931008570 Enrollment ID: I20040102000696 |
| Provider Name | Martin J Herrmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821036054 PECOS PAC ID: 5395644694 Enrollment ID: I20040106000428 |
| 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 | Keith L Stelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154304871 PECOS PAC ID: 5193637478 Enrollment ID: I20040128000028 |
| Provider Name | Jason K Banks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922034230 PECOS PAC ID: 0042113052 Enrollment ID: I20040128000711 |
| Provider Name | Brent Ronald Bullis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831140441 PECOS PAC ID: 8123921715 Enrollment ID: I20040130000405 |
| 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 | Jacqueline A Heying |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932186756 PECOS PAC ID: 7517851827 Enrollment ID: I20040209000955 |
| Provider Name | William J Litchy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841270980 PECOS PAC ID: 0749173938 Enrollment ID: I20040217000012 |
| Provider Name | Joseph A Dearani |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407834344 PECOS PAC ID: 8527953165 Enrollment ID: I20040220000900 |
| 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 | Craig Edward Daniels |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629054069 PECOS PAC ID: 5395730410 Enrollment ID: I20040419000298 |
| Provider Name | Jason Homme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497727374 PECOS PAC ID: 6709871700 Enrollment ID: I20040419000999 |
| 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 | Gregory Cascino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144200437 PECOS PAC ID: 9931198207 Enrollment ID: I20040511000889 |
| Provider Name | Eric E Williamson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881666022 PECOS PAC ID: 9739179912 Enrollment ID: I20040518000796 |
| Provider Name | Kathleen S Linnemann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689607673 PECOS PAC ID: 5395727457 Enrollment ID: I20040602001320 |
| Provider Name | Julie M Boman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427022110 PECOS PAC ID: 2365424827 Enrollment ID: I20040607001139 |
| Provider Name | Kianoush Banaei Kashani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518917277 PECOS PAC ID: 9638152614 Enrollment ID: I20040610000936 |
| Provider Name | Eric G Heegaard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407852197 PECOS PAC ID: 7113900135 Enrollment ID: I20040610001219 |
| Provider Name | Waclaw Wedzina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699758177 PECOS PAC ID: 5496730988 Enrollment ID: I20040621000024 |
| Provider Name | Katherine C Nickels |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679545354 PECOS PAC ID: 3072598424 Enrollment ID: I20040621001299 |
| 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 | John Mullon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841277134 PECOS PAC ID: 0446239420 Enrollment ID: I20040714000783 |
| Provider Name | Amy L Conners |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780657346 PECOS PAC ID: 3072592419 Enrollment ID: I20040719000457 |
| Provider Name | Spencer A Bershow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801850946 PECOS PAC ID: 8426038423 Enrollment ID: I20040721000817 |
| Provider Name | Jun H Liang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780641209 PECOS PAC ID: 5193705937 Enrollment ID: I20040722000856 |
| Provider Name | Kerriann E Mahon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144204819 PECOS PAC ID: 2365412798 Enrollment ID: I20040730001052 |
| Provider Name | Ositadimma C Ugwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013989417 PECOS PAC ID: 0042281628 Enrollment ID: I20040805000792 |
| Provider Name | Robert E Kraichely |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699747030 PECOS PAC ID: 5890768709 Enrollment ID: I20040818000858 |
| Provider Name | Jeffrey Jensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700850294 PECOS PAC ID: 6709859424 Enrollment ID: I20040819000380 |
| Provider Name | Pritish Tosh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801860978 PECOS PAC ID: 8527031251 Enrollment ID: I20040819000461 |
| Provider Name | Eric A Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932185295 PECOS PAC ID: 0749272466 Enrollment ID: I20040928000280 |
| 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 | Kathryn M Schak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114997061 PECOS PAC ID: 0244291581 Enrollment ID: I20041020001148 |
| Provider Name | Jennifer L Tunnell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104809821 PECOS PAC ID: 8527029388 Enrollment ID: I20041025000635 |
| Provider Name | Chad L Buhs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598757411 PECOS PAC ID: 0244200285 Enrollment ID: I20041028000292 |
| 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 | Durga P Komaragiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730163460 PECOS PAC ID: 2466416177 Enrollment ID: I20041112000740 |
| Provider Name | Paul Wennberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407820921 PECOS PAC ID: 2264496876 Enrollment ID: I20041115000121 |
| Provider Name | Nathan P Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356314876 PECOS PAC ID: 8325003585 Enrollment ID: I20041130000187 |
| Provider Name | Kelly R Shantz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477540995 PECOS PAC ID: 2567428204 Enrollment ID: I20041206000084 |
| Provider Name | Kevin J Whitford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972581338 PECOS PAC ID: 5395731491 Enrollment ID: I20041209000222 |
| Provider Name | Dawn E Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932213147 PECOS PAC ID: 0042277832 Enrollment ID: I20041214000092 |
| 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 | Melanie A Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992760813 PECOS PAC ID: 1658327069 Enrollment ID: I20050329001042 |
| 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 | Laura J Orvidas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073592986 PECOS PAC ID: 4789625229 Enrollment ID: I20050516000409 |
| Provider Name | Daniel Richard Dockham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932270758 PECOS PAC ID: 5395632830 Enrollment ID: I20050523000446 |
| Provider Name | Ognjen Gajic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194703967 PECOS PAC ID: 0244272060 Enrollment ID: I20050523000686 |
| Provider Name | Syed A Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093799595 PECOS PAC ID: 8022050475 Enrollment ID: I20050525000785 |
| Provider Name | Molly A Feely |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992755151 PECOS PAC ID: 9638139959 Enrollment ID: I20050602000103 |
| 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 | Carl H Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780662114 PECOS PAC ID: 8628014156 Enrollment ID: I20050706000384 |
| 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 | Fawad Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306829882 PECOS PAC ID: 6103853387 Enrollment ID: I20050719001114 |
| Provider Name | Robert C Albright |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417934738 PECOS PAC ID: 0749217768 Enrollment ID: I20050721000436 |
| Provider Name | John W Hildebrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255305884 PECOS PAC ID: 6608803549 Enrollment ID: I20050721000657 |
| Provider Name | Chaun C Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780668822 PECOS PAC ID: 1951338797 Enrollment ID: I20050722000537 |
| Provider Name | Matthew A Frick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245203777 PECOS PAC ID: 8921036682 Enrollment ID: I20050803000131 |
| 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 | Lily C Wong-kisiel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336111855 PECOS PAC ID: 7113956137 Enrollment ID: I20050810000712 |
| Provider Name | Nathaniel W Taggart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073593877 PECOS PAC ID: 9133158058 Enrollment ID: I20050810000788 |
| Provider Name | John M Stulak |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154392587 PECOS PAC ID: 1052341559 Enrollment ID: I20050815000739 |
| 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 | Natalie A Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295718807 PECOS PAC ID: 4688699846 Enrollment ID: I20051007000130 |
| Provider Name | Miguel A Park |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619940483 PECOS PAC ID: 7416941687 Enrollment ID: I20051010000824 |
| 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 | Cynthia L Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255301990 PECOS PAC ID: 1355366980 Enrollment ID: I20051012000485 |
| Provider Name | Roger Shepherd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801875075 PECOS PAC ID: 5193740603 Enrollment ID: I20051013000085 |
| 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 | Jeremy L Fogelson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871565606 PECOS PAC ID: 2163444076 Enrollment ID: I20051220000521 |
| Provider Name | Joerg Herrmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295713253 PECOS PAC ID: 0042232282 Enrollment ID: I20051230000546 |
| Provider Name | Bonnie M Steel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144200635 PECOS PAC ID: 1951324250 Enrollment ID: I20060112000850 |
| Provider Name | Benjamin W Eidem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306869433 PECOS PAC ID: 5496641052 Enrollment ID: I20060118000983 |
| Provider Name | Jason M Becker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841238078 PECOS PAC ID: 1658386974 Enrollment ID: I20060208000157 |
| 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 | Vandana Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376613497 PECOS PAC ID: 8224046891 Enrollment ID: I20060323000818 |
| Provider Name | Bonnie Sue Betts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306821129 PECOS PAC ID: 5395633101 Enrollment ID: I20060413000031 |
| Provider Name | Susan T Seykora |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912982653 PECOS PAC ID: 2567471907 Enrollment ID: I20060413000252 |
| 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 | Sandra K Birchem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902888241 PECOS PAC ID: 3779530720 Enrollment ID: I20060426000352 |
| Provider Name | James A Boles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093752412 PECOS PAC ID: 9335151547 Enrollment ID: I20060706000199 |
| Provider Name | Gay M Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609802735 PECOS PAC ID: 2466444781 Enrollment ID: I20060724000219 |
| Provider Name | Kristi L Wempen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922034651 PECOS PAC ID: 0941203236 Enrollment ID: I20060804000172 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20060814000078 |
| Provider Name | Aleksandra Kinga Kukla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114982337 PECOS PAC ID: 1254372923 Enrollment ID: I20060817000071 |
| Provider Name | Kara E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962441477 PECOS PAC ID: 0648273052 Enrollment ID: I20060824000097 |
| 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 | Michelle L Mauermann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447277348 PECOS PAC ID: 1557365699 Enrollment ID: I20060905000175 |
| Provider Name | Mhd Louai Manini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982617528 PECOS PAC ID: 2365446333 Enrollment ID: I20060905000484 |
| 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 | Naseema Gangat |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1356350623 PECOS PAC ID: 5799789707 Enrollment ID: I20060906000301 |
| Provider Name | Karthik Ravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093725483 PECOS PAC ID: 1254335110 Enrollment ID: I20060907000087 |
| Provider Name | Erica L Berven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215900477 PECOS PAC ID: 8729082375 Enrollment ID: I20060913000111 |
| 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 | Gina M Risty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679594469 PECOS PAC ID: 0941205629 Enrollment ID: I20061002000597 |
| Provider Name | Mark A Frye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609892603 PECOS PAC ID: 0547266041 Enrollment ID: I20061005000420 |
| Provider Name | Ziad El Zoghby |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508963562 PECOS PAC ID: 1153327515 Enrollment ID: I20061009000301 |
| Provider Name | Michael R Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265443048 PECOS PAC ID: 6406852714 Enrollment ID: I20061010000498 |
| Provider Name | Candace F Granberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679594774 PECOS PAC ID: 1355347550 Enrollment ID: I20061011000461 |
| Provider Name | Matthew T Drake |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790871713 PECOS PAC ID: 2365448594 Enrollment ID: I20061011000732 |
| Provider Name | Gregg A Horras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811903842 PECOS PAC ID: 8628046661 Enrollment ID: I20061012000219 |
| Provider Name | Teresa Giya Albert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598776478 PECOS PAC ID: 7214931799 Enrollment ID: I20061025000174 |
| Provider Name | Kimberly H Schmalzriedt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598858581 PECOS PAC ID: 8820096654 Enrollment ID: I20061110000030 |
| Provider Name | Vivek N Iyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295812808 PECOS PAC ID: 6103824420 Enrollment ID: I20061121000505 |
| Provider Name | W Charles Huskins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083694574 PECOS PAC ID: 2062411887 Enrollment ID: I20061205000399 |
| Provider Name | Lisa R Hardesty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154305126 PECOS PAC ID: 6901807601 Enrollment ID: I20070124000017 |
| 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 | Ruple Laughlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952373334 PECOS PAC ID: 5890890206 Enrollment ID: I20070413000139 |
| Provider Name | Robin R Ballina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023089745 PECOS PAC ID: 3678460185 Enrollment ID: I20070424000454 |
| Provider Name | Martin G Rodriguez-porcel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750356440 PECOS PAC ID: 5294832283 Enrollment ID: I20070529000118 |
| Provider Name | Deann L Klinkner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467594135 PECOS PAC ID: 2860591872 Enrollment ID: I20070615000273 |
| Provider Name | Matthew James Schaefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649324690 PECOS PAC ID: 5294835963 Enrollment ID: I20070710000804 |
| Provider Name | Marc Clayton Patterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932193786 PECOS PAC ID: 4284657065 Enrollment ID: I20070711000433 |
| 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 | Susan M Rabenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922118967 PECOS PAC ID: 2961502182 Enrollment ID: I20070717000217 |
| Provider Name | Steven J Kivi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649218876 PECOS PAC ID: 3476504663 Enrollment ID: I20070717000251 |
| Provider Name | Stephanie A Kivi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992750806 PECOS PAC ID: 1355441585 Enrollment ID: I20070717000276 |
| 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 | Nicole R Krueger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427161330 PECOS PAC ID: 1759482326 Enrollment ID: I20070726000271 |
| Provider Name | Robert T Fazzio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811192172 PECOS PAC ID: 4082715487 Enrollment ID: I20070730000638 |
| Provider Name | Albert R Harris |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952506214 PECOS PAC ID: 8628179934 Enrollment ID: I20070730000751 |
| Provider Name | Larry A Binkovitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801834775 PECOS PAC ID: 4284725326 Enrollment ID: I20070803000497 |
| Provider Name | Sunanda V Kane |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801957634 PECOS PAC ID: 1951311042 Enrollment ID: I20070803000515 |
| 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 | Vance T Lehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639371669 PECOS PAC ID: 8921190232 Enrollment ID: I20070816000266 |
| Provider Name | Christopher John Mcleod |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871612010 PECOS PAC ID: 0042302309 Enrollment ID: I20070816000693 |
| 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 | Heidi B Vee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992855043 PECOS PAC ID: 6901999226 Enrollment ID: I20070831000613 |
| Provider Name | Hind Jawdat Fadel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407998107 PECOS PAC ID: 1456445741 Enrollment ID: I20070918000041 |
| 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 | Elaine C Wirrell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255526430 PECOS PAC ID: 6800981887 Enrollment ID: I20071005000306 |
| Provider Name | Rekha Mankad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306846290 PECOS PAC ID: 5193618478 Enrollment ID: I20071005000399 |
| Provider Name | Jennifer S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952504177 PECOS PAC ID: 4789770462 Enrollment ID: I20071010000548 |
| 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 | Erika L Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679768956 PECOS PAC ID: 4082701289 Enrollment ID: I20071106000042 |
| Provider Name | Gordon F Harms |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982679577 PECOS PAC ID: 9133217011 Enrollment ID: I20071109000261 |
| Provider Name | Lindy Cyrus Eatwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124132956 PECOS PAC ID: 8426042573 Enrollment ID: I20071110000109 |
| Provider Name | Jeffrey Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306822028 PECOS PAC ID: 8426146234 Enrollment ID: I20071113000036 |
| 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 | Nancy K Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194725838 PECOS PAC ID: 1759462179 Enrollment ID: I20080111000176 |
| Provider Name | Erin C Westfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134312291 PECOS PAC ID: 0042391906 Enrollment ID: I20080116000682 |
| Provider Name | Timothy Morgenthaler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043282585 PECOS PAC ID: 3779664420 Enrollment ID: I20080118000490 |
| Provider Name | Kristen B Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063492759 PECOS PAC ID: 9335220946 Enrollment ID: I20080121000105 |
| Provider Name | Christopher T Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174593925 PECOS PAC ID: 2860573466 Enrollment ID: I20080122000366 |
| Provider Name | John A Skinner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437123809 PECOS PAC ID: 0941382741 Enrollment ID: I20080201000306 |
| Provider Name | Giuseppe Lanzino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437104551 PECOS PAC ID: 5698720100 Enrollment ID: I20080205000099 |
| Provider Name | Abdul M Oseini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063617611 PECOS PAC ID: 7012090160 Enrollment ID: I20080212000578 |
| Provider Name | Patricio Escalante |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730115239 PECOS PAC ID: 0042394629 Enrollment ID: I20080220000496 |
| Provider Name | Jennifer M Langbehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184608671 PECOS PAC ID: 3375627276 Enrollment ID: I20080303000295 |
| Provider Name | Andrew Stockland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336130426 PECOS PAC ID: 4587749205 Enrollment ID: I20080305000481 |
| Provider Name | Ralph Thomas Tilbury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104804848 PECOS PAC ID: 0749385920 Enrollment ID: I20080306000649 |
| Provider Name | John G Park |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386618312 PECOS PAC ID: 8325124951 Enrollment ID: I20080324000603 |
| Provider Name | Julie A Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588649180 PECOS PAC ID: 4385721042 Enrollment ID: I20080404000293 |
| Provider Name | Amy L Kotsenas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720079809 PECOS PAC ID: 6800973280 Enrollment ID: I20080409000527 |
| Provider Name | Kevin Greason |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366477580 PECOS PAC ID: 8426089673 Enrollment ID: I20080409000528 |
| Provider Name | Retu Saxena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437252012 PECOS PAC ID: 7618973892 Enrollment ID: I20080411000149 |
| Provider Name | Ronald S Kuzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275524357 PECOS PAC ID: 0244318236 Enrollment ID: I20080416000143 |
| Provider Name | Stephanie Hansel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831173178 PECOS PAC ID: 4587743620 Enrollment ID: I20080430000878 |
| 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 | Kimberly J Beecher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881679843 PECOS PAC ID: 7315017183 Enrollment ID: I20080605000302 |
| Provider Name | Mohammed Solaiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174507149 PECOS PAC ID: 7810068012 Enrollment ID: I20080616000521 |
| Provider Name | Adria N Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649458738 PECOS PAC ID: 5991877516 Enrollment ID: I20080626000306 |
| Provider Name | Jonathan Michael Hard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407906688 PECOS PAC ID: 3274631692 Enrollment ID: I20080702000436 |
| Provider Name | Shawn C Oxentenko |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457353716 PECOS PAC ID: 6800968975 Enrollment ID: I20080707000318 |
| Provider Name | Dale Ekbom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497871966 PECOS PAC ID: 9830285576 Enrollment ID: I20080708000214 |
| Provider Name | William Mauck |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1881667657 PECOS PAC ID: 7517039340 Enrollment ID: I20080710000393 |
| Provider Name | Krishnaswamy Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730169806 PECOS PAC ID: 5193822070 Enrollment ID: I20080722000099 |
| Provider Name | Scott D Rassbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144417684 PECOS PAC ID: 1951475680 Enrollment ID: I20080730000045 |
| Provider Name | Carrie M Carr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316125461 PECOS PAC ID: 2668546946 Enrollment ID: I20080805000178 |
| Provider Name | Amy L Brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578743266 PECOS PAC ID: 4880768001 Enrollment ID: I20080806000687 |
| Provider Name | Randall K Pearson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467432096 PECOS PAC ID: 6103990049 Enrollment ID: I20080811000381 |
| Provider Name | John E Tieben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902093768 PECOS PAC ID: 2163597857 Enrollment ID: I20080814000355 |
| Provider Name | Arthur Beyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679770556 PECOS PAC ID: 2264507912 Enrollment ID: I20080815000151 |
| 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 | Hans P Sviggum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548420979 PECOS PAC ID: 0345315412 Enrollment ID: I20080825000392 |
| Provider Name | John J Schmitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043470776 PECOS PAC ID: 6608941778 Enrollment ID: I20080825000399 |
| Provider Name | Mark E Morrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750585501 PECOS PAC ID: 1153497029 Enrollment ID: I20080829000502 |
| Provider Name | Heather R Hamernick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518124239 PECOS PAC ID: 2769559632 Enrollment ID: I20080917000879 |
| Provider Name | Orrin Mann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1295719607 PECOS PAC ID: 1850380015 Enrollment ID: I20080926000549 |
| 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 | Shelagh A Cofer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417031519 PECOS PAC ID: 2163590571 Enrollment ID: I20081010000660 |
| Provider Name | Amy B Kolbe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295938009 PECOS PAC ID: 4880752187 Enrollment ID: I20081014000810 |
| Provider Name | Jennifer L Derrick |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700083680 PECOS PAC ID: 7113085044 Enrollment ID: I20081022000303 |
| Provider Name | Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275794562 PECOS PAC ID: 2062471659 Enrollment ID: I20081023000860 |
| Provider Name | Kodjo M Bossou |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982823951 PECOS PAC ID: 9032277579 Enrollment ID: I20081028000065 |
| Provider Name | Kristin E Tiegs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447424924 PECOS PAC ID: 3173682515 Enrollment ID: I20081030000317 |
| 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 | 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 | Omar F Abouezzeddine |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1740480391 PECOS PAC ID: 8123189545 Enrollment ID: I20081204000023 |
| Provider Name | Donna M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593966 PECOS PAC ID: 8527129956 Enrollment ID: I20081204000177 |
| Provider Name | Yvonne M Gratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881845683 PECOS PAC ID: 2961563978 Enrollment ID: I20081209000828 |
| Provider Name | Jill M Hunchis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639352198 PECOS PAC ID: 6406932623 Enrollment ID: I20090106000740 |
| Provider Name | Kimberly A Haala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063675858 PECOS PAC ID: 2062575970 Enrollment ID: I20090120000139 |
| Provider Name | Marlea Judd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265412977 PECOS PAC ID: 7113081837 Enrollment ID: I20090126000061 |
| Provider Name | Robert Wesley Bosse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114974995 PECOS PAC ID: 8921042201 Enrollment ID: I20090211000477 |
| Provider Name | Robert E Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477523231 PECOS PAC ID: 9638234495 Enrollment ID: I20090211000810 |
| Provider Name | Barbara J Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669445284 PECOS PAC ID: 0345305959 Enrollment ID: I20090216000177 |
| 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 | Elice K Tiegs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629213616 PECOS PAC ID: 7214093871 Enrollment ID: I20090305000471 |
| 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 | Diana J Stoermann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881680932 PECOS PAC ID: 1456344365 Enrollment ID: I20090408000309 |
| 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 | Peter B Ryan Reichert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104069988 PECOS PAC ID: 7315096740 Enrollment ID: I20090514000260 |
| Provider Name | Becky J Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548403363 PECOS PAC ID: 9436201779 Enrollment ID: I20090716000442 |
| Provider Name | Lyell K Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235117474 PECOS PAC ID: 0345393062 Enrollment ID: I20090728000832 |
| Provider Name | Donald Dean Potter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205808490 PECOS PAC ID: 0345393708 Enrollment ID: I20090803000039 |
| Provider Name | Christopher R Schimming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245341742 PECOS PAC ID: 0244326445 Enrollment ID: I20090824000471 |
| Provider Name | Jason J Dewitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629119771 PECOS PAC ID: 0345395430 Enrollment ID: I20090825000419 |
| 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 | April E Poolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744934 PECOS PAC ID: 0749336865 Enrollment ID: I20090915000344 |
| Provider Name | Charles M Halderman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750318804 PECOS PAC ID: 9335295450 Enrollment ID: I20090915000385 |
| Provider Name | Eric O Gomez-urena |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477758399 PECOS PAC ID: 5092861484 Enrollment ID: I20090928000225 |
| Provider Name | Imad Absah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245494152 PECOS PAC ID: 8820134430 Enrollment ID: I20091013000585 |
| Provider Name | Prasad Krishnan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1093945925 PECOS PAC ID: 3971649377 Enrollment ID: I20091014000661 |
| 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 | Katherine Y Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740445220 PECOS PAC ID: 8325185101 Enrollment ID: I20091027000852 |
| Provider Name | Bhanuprakesh Kolla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417156597 PECOS PAC ID: 6901943539 Enrollment ID: I20091029000698 |
| Provider Name | Shawn M Overgaard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972735033 PECOS PAC ID: 5597803007 Enrollment ID: I20091103000445 |
| 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 | 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 | 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 | Amindra S Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194705392 PECOS PAC ID: 4880734466 Enrollment ID: I20091211000258 |
| 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 | Matthew E Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163732 PECOS PAC ID: 4284775172 Enrollment ID: I20100114000491 |
| Provider Name | Ladan Zand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174789796 PECOS PAC ID: 5597807495 Enrollment ID: I20100114000666 |
| Provider Name | Jeffrey W Britton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710963921 PECOS PAC ID: 4183766983 Enrollment ID: I20100115000823 |
| Provider Name | Brian A Kawecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497088967 PECOS PAC ID: 6608918479 Enrollment ID: I20100118000168 |
| Provider Name | Jamie A Johannes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407021637 PECOS PAC ID: 2365584026 Enrollment ID: I20100119000801 |
| Provider Name | Hartzell V Schaff |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699752337 PECOS PAC ID: 1850433491 Enrollment ID: I20100120000853 |
| 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 | Panithaya Chareonthaitawee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730165770 PECOS PAC ID: 6103968474 Enrollment ID: I20100125000504 |
| Provider Name | John Huston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295711257 PECOS PAC ID: 2769524875 Enrollment ID: I20100127000391 |
| Provider Name | Jon O Ebbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388423 PECOS PAC ID: 6406998467 Enrollment ID: I20100128000817 |
| 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 | David R Holmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154308237 PECOS PAC ID: 4183627607 Enrollment ID: I20100203000167 |
| 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 | James R Hebl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811977689 PECOS PAC ID: 7618010315 Enrollment ID: I20100203000428 |
| Provider Name | Donald J Hagler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942206016 PECOS PAC ID: 4587617386 Enrollment ID: I20100203000633 |
| Provider Name | Edward P Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285606285 PECOS PAC ID: 1254474984 Enrollment ID: I20100203000770 |
| Provider Name | Thomas W. Rooke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003893306 PECOS PAC ID: 2668575416 Enrollment ID: I20100203000825 |
| 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 | Abinash Virk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588644777 PECOS PAC ID: 0941343487 Enrollment ID: I20100204000920 |
| Provider Name | Timothy R Aksamit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184694770 PECOS PAC ID: 8527101963 Enrollment ID: I20100206000153 |
| Provider Name | Christopher J Boes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851378962 PECOS PAC ID: 9234272675 Enrollment ID: I20100206000177 |
| Provider Name | Mark C Adkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659359321 PECOS PAC ID: 3678616851 Enrollment ID: I20100210000514 |
| Provider Name | Richard C Daly |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1568448900 PECOS PAC ID: 7810087418 Enrollment ID: I20100210000740 |
| Provider Name | David W Ivance |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942261169 PECOS PAC ID: 7214070333 Enrollment ID: I20100211000205 |
| 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 | Navtej S Buttar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568449247 PECOS PAC ID: 2062556061 Enrollment ID: I20100215000136 |
| Provider Name | Darcy L Adamczyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679559264 PECOS PAC ID: 0143364141 Enrollment ID: I20100215000147 |
| Provider Name | Eric J Sorenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710957030 PECOS PAC ID: 7012901044 Enrollment ID: I20100216000367 |
| 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 | Joseph A Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538149018 PECOS PAC ID: 9133263098 Enrollment ID: I20100216000986 |
| Provider Name | Paul M Huddleston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548249493 PECOS PAC ID: 6800930512 Enrollment ID: I20100218000756 |
| 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 | Mark R Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376529156 PECOS PAC ID: 9931243292 Enrollment ID: I20100224000591 |
| Provider Name | Sandra J Taler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447222682 PECOS PAC ID: 0345384640 Enrollment ID: I20100224000967 |
| Provider Name | Gregory A Worrell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396725297 PECOS PAC ID: 0042354342 Enrollment ID: I20100224000994 |
| Provider Name | Gurinder Vasdev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033198684 PECOS PAC ID: 4880653401 Enrollment ID: I20100224001004 |
| Provider Name | Paola Sandroni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841279494 PECOS PAC ID: 2062556251 Enrollment ID: I20100225000959 |
| Provider Name | Jarrett W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104806744 PECOS PAC ID: 1557368792 Enrollment ID: I20100225000974 |
| Provider Name | Allen T Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083674733 PECOS PAC ID: 1052456126 Enrollment ID: I20100302000110 |
| 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 | Wendy S Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437123890 PECOS PAC ID: 5496890147 Enrollment ID: I20100304001089 |
| Provider Name | Sean Caples |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417929449 PECOS PAC ID: 2668517319 Enrollment ID: I20100304001101 |
| Provider Name | Alejandro A Rabinstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396715827 PECOS PAC ID: 4385789031 Enrollment ID: I20100304001103 |
| Provider Name | Doris Wenger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033198163 PECOS PAC ID: 5294870945 Enrollment ID: I20100304001104 |
| Provider Name | Ron S Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841264645 PECOS PAC ID: 2567507213 Enrollment ID: I20100304001113 |
| Provider Name | John T Wald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346210218 PECOS PAC ID: 3375688021 Enrollment ID: I20100304001114 |
| 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 | Sanjay Kalra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407836422 PECOS PAC ID: 6204971757 Enrollment ID: I20100308000937 |
| Provider Name | James C Andrews |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699745653 PECOS PAC ID: 5698810059 Enrollment ID: I20100310000202 |
| Provider Name | Cindy L Felty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699749945 PECOS PAC ID: 3577608819 Enrollment ID: I20100310001011 |
| Provider Name | Yongmei Cha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811973027 PECOS PAC ID: 5597655738 Enrollment ID: I20100311000090 |
| Provider Name | Daniel A Diedrich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831179530 PECOS PAC ID: 9830189448 Enrollment ID: I20100311000104 |
| Provider Name | Bradley J Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411748 PECOS PAC ID: 1153456496 Enrollment ID: I20100311001058 |
| Provider Name | Matthew R Callstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316925621 PECOS PAC ID: 3870628837 Enrollment ID: I20100316000242 |
| Provider Name | Patricia J Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811969967 PECOS PAC ID: 8729113790 Enrollment ID: I20100316000320 |
| Provider Name | Sharon R Brandt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013989169 PECOS PAC ID: 7416082482 Enrollment ID: I20100316000343 |
| 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 | Gabrielle J Melin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730153180 PECOS PAC ID: 6204961048 Enrollment ID: I20100317001121 |
| 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 | David R Delone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144207325 PECOS PAC ID: 4385779016 Enrollment ID: I20100318000962 |
| Provider Name | Eric Moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689653842 PECOS PAC ID: 6901931633 Enrollment ID: I20100318000980 |
| 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 | Grant D Heslep |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174583827 PECOS PAC ID: 2769517242 Enrollment ID: I20100323000481 |
| 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 | Eelco Wijdicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831177765 PECOS PAC ID: 3779619416 Enrollment ID: I20100331001265 |
| Provider Name | Terrence Lagerlund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336126267 PECOS PAC ID: 0941336424 Enrollment ID: I20100414000213 |
| Provider Name | Darla R Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043293657 PECOS PAC ID: 4587791967 Enrollment ID: I20100415000645 |
| Provider Name | Rebecca M Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992778344 PECOS PAC ID: 8527195932 Enrollment ID: I20100415000965 |
| Provider Name | Pierre A Rioux |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164406807 PECOS PAC ID: 5395872592 Enrollment ID: I20100420000578 |
| Provider Name | Gary L Schwartz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790758399 PECOS PAC ID: 5294862421 Enrollment ID: I20100420000964 |
| 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 | Christopher P Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366421752 PECOS PAC ID: 7012045917 Enrollment ID: I20100513001029 |
| Provider Name | Gerald W Volcheck |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326028812 PECOS PAC ID: 9234268962 Enrollment ID: I20100518000867 |
| 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 | Tara L Henrichsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245216464 PECOS PAC ID: 5799814315 Enrollment ID: I20100520000094 |
| Provider Name | Richard H Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497739536 PECOS PAC ID: 0840329413 Enrollment ID: I20100520000666 |
| Provider Name | Raymund R Razonable |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750351805 PECOS PAC ID: 5799814141 Enrollment ID: I20100524000930 |
| Provider Name | Susan K Haugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609097567 PECOS PAC ID: 5496884710 Enrollment ID: I20100525000947 |
| Provider Name | Sarah M Beckmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023036985 PECOS PAC ID: 9133276645 Enrollment ID: I20100527000797 |
| Provider Name | Thomas G Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912925223 PECOS PAC ID: 7315094828 Enrollment ID: I20100602000950 |
| Provider Name | Elson L So |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417937814 PECOS PAC ID: 4183519747 Enrollment ID: I20100603000975 |
| Provider Name | Daniel Borgeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033183520 PECOS PAC ID: 7719940477 Enrollment ID: I20100605000186 |
| Provider Name | Norman E Torres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356321541 PECOS PAC ID: 1254461031 Enrollment ID: I20100605000203 |
| Provider Name | Kevin G Hardesty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790768497 PECOS PAC ID: 4789714841 Enrollment ID: I20100616000427 |
| Provider Name | Maja Tippman-peikert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497727622 PECOS PAC ID: 4385775212 Enrollment ID: I20100621000924 |
| Provider Name | Mark S Akland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992780548 PECOS PAC ID: 2466583687 Enrollment ID: I20100701000294 |
| Provider Name | Elizabeth J Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134103815 PECOS PAC ID: 5092846212 Enrollment ID: I20100701000309 |
| Provider Name | Meng F Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598815144 PECOS PAC ID: 9335271253 Enrollment ID: I20100713000150 |
| Provider Name | Julie Demirsar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801869649 PECOS PAC ID: 5294867040 Enrollment ID: I20100714001059 |
| Provider Name | Sheila E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265417810 PECOS PAC ID: 5193857225 Enrollment ID: I20100724000164 |
| Provider Name | Foram A Mankodi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073833810 PECOS PAC ID: 6901938034 Enrollment ID: I20100724000178 |
| Provider Name | Brendan P Mcmenomy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326230798 PECOS PAC ID: 6103959754 Enrollment ID: I20100803000335 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20100804000287 |
| Provider Name | Raj Palraj |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225203201 PECOS PAC ID: 7517090079 Enrollment ID: I20100804000404 |
| 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 | Janielle R Nordell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255523932 PECOS PAC ID: 5193859767 Enrollment ID: I20100818000287 |
| 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 | Sahil Khanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699939314 PECOS PAC ID: 3577687847 Enrollment ID: I20100824000853 |
| Provider Name | David Morgan Penn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982822540 PECOS PAC ID: 6901985753 Enrollment ID: I20100826000242 |
| Provider Name | Sarah L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083932487 PECOS PAC ID: 3173648599 Enrollment ID: I20100908001037 |
| Provider Name | Adam C Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467683987 PECOS PAC ID: 6305961624 Enrollment ID: I20100909001260 |
| Provider Name | Todd Kor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437140001 PECOS PAC ID: 8921998667 Enrollment ID: I20100915000276 |
| Provider Name | Timothy F Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871602763 PECOS PAC ID: 8426012014 Enrollment ID: I20100925000329 |
| Provider Name | Kristen Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487619250 PECOS PAC ID: 6002877156 Enrollment ID: I20101005001327 |
| Provider Name | Paul E Youssef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871725705 PECOS PAC ID: 8628260668 Enrollment ID: I20101007001419 |
| Provider Name | William R Copeland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245468255 PECOS PAC ID: 0446442164 Enrollment ID: I20101012001350 |
| 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 | Dante Schiavo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962632810 PECOS PAC ID: 6103018718 Enrollment ID: I20101013001260 |
| Provider Name | Gavin A Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922234624 PECOS PAC ID: 7113110594 Enrollment ID: I20101018000921 |
| Provider Name | Katie E Dease |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417276155 PECOS PAC ID: 6305039280 Enrollment ID: I20101023000222 |
| Provider Name | Rosean M Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083945356 PECOS PAC ID: 7113110842 Enrollment ID: I20101026000595 |
| Provider Name | Stephanie R Welle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700107307 PECOS PAC ID: 0143414680 Enrollment ID: I20101028001418 |
| Provider Name | James Patrick Klaas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861622375 PECOS PAC ID: 0143414698 Enrollment ID: I20101028001558 |
| Provider Name | Ala S Dababneh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205032562 PECOS PAC ID: 2961696075 Enrollment ID: I20101103000168 |
| Provider Name | Candice Ann Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740595552 PECOS PAC ID: 3173717287 Enrollment ID: I20101103000255 |
| Provider Name | Stephen Broski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326282112 PECOS PAC ID: 1658566112 Enrollment ID: I20101109001584 |
| Provider Name | Adam W Amundson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588807911 PECOS PAC ID: 9436344322 Enrollment ID: I20101117001164 |
| Provider Name | Joseph H Hamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568419638 PECOS PAC ID: 5092901660 Enrollment ID: I20101122000407 |
| Provider Name | Cadman L Leggett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366674657 PECOS PAC ID: 2567658594 Enrollment ID: I20101201001393 |
| Provider Name | Kristina J Rauenhorst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508992629 PECOS PAC ID: 5698962397 Enrollment ID: I20101207000989 |
| Provider Name | Chad H Weaver |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235367202 PECOS PAC ID: 3375731433 Enrollment ID: I20101216000554 |
| Provider Name | Steven D Ydstie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326157231 PECOS PAC ID: 3274722335 Enrollment ID: I20110105001146 |
| Provider Name | Thomas C Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538156799 PECOS PAC ID: 5698803500 Enrollment ID: I20110114000171 |
| Provider Name | Patricia J Murry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720188949 PECOS PAC ID: 9931388709 Enrollment ID: I20110125001289 |
| Provider Name | Robert A Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942480868 PECOS PAC ID: 5597944249 Enrollment ID: I20110126001007 |
| Provider Name | Donald Derauf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265521041 PECOS PAC ID: 3072794528 Enrollment ID: I20110216001218 |
| Provider Name | Grace A Fjeldberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891096491 PECOS PAC ID: 5193908788 Enrollment ID: I20110318000623 |
| Provider Name | Stephanie A Beer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437450301 PECOS PAC ID: 4486837663 Enrollment ID: I20110325000026 |
| Provider Name | Laurence T O'connor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023019734 PECOS PAC ID: 3678526787 Enrollment ID: I20110328000903 |
| Provider Name | Vinay S Naik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255396503 PECOS PAC ID: 5395747992 Enrollment ID: I20110413000184 |
| Provider Name | Autumn M Brogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578729976 PECOS PAC ID: 8527242676 Enrollment ID: I20110413001041 |
| Provider Name | Tara C Krosch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891920880 PECOS PAC ID: 4789868704 Enrollment ID: I20110414000884 |
| 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 | Lindsey A Janzig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538451398 PECOS PAC ID: 8729264098 Enrollment ID: I20110520000675 |
| Provider Name | Okechukwu N Osuebi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710146287 PECOS PAC ID: 1759568033 Enrollment ID: I20110614000640 |
| Provider Name | Andrea G Kattah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487815528 PECOS PAC ID: 3173700358 Enrollment ID: I20110616000205 |
| Provider Name | Artika Misra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053560300 PECOS PAC ID: 4981882602 Enrollment ID: I20110629000216 |
| 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 | Nathan J Smischney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407979040 PECOS PAC ID: 9537347109 Enrollment ID: I20110629000863 |
| Provider Name | Christopher A Kasal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407034663 PECOS PAC ID: 4082892534 Enrollment ID: I20110701000347 |
| Provider Name | Fadi Yahya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285813329 PECOS PAC ID: 9638357908 Enrollment ID: I20110711000409 |
| Provider Name | Jeremy Thaden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295996296 PECOS PAC ID: 3971771577 Enrollment ID: I20110726000864 |
| Provider Name | Jonny Salim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982866505 PECOS PAC ID: 3678742814 Enrollment ID: I20110804000591 |
| Provider Name | Jamil Taji |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912161084 PECOS PAC ID: 9537338389 Enrollment ID: I20110811000468 |
| Provider Name | Jesse T Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558688077 PECOS PAC ID: 1850561101 Enrollment ID: I20110824000762 |
| Provider Name | Mark Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730490426 PECOS PAC ID: 0547430738 Enrollment ID: I20110825000415 |
| 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 | Jason P Dauffenbach |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1821315623 PECOS PAC ID: 2365613932 Enrollment ID: I20110913000239 |
| 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 | 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 | Elena N Beam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689995151 PECOS PAC ID: 5991978587 Enrollment ID: I20111026000576 |
| Provider Name | Jordan J Moen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083991558 PECOS PAC ID: 6608041264 Enrollment ID: I20111208000794 |
| Provider Name | Asha M J Madhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902052632 PECOS PAC ID: 8527234129 Enrollment ID: I20120103000682 |
| Provider Name | Salvador Cardenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255496568 PECOS PAC ID: 1355384710 Enrollment ID: I20120116000172 |
| Provider Name | Amrit Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306173679 PECOS PAC ID: 0547452534 Enrollment ID: I20120127000478 |
| Provider Name | Melanie N Glynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306113717 PECOS PAC ID: 3577720739 Enrollment ID: I20120131000721 |
| Provider Name | Clinton James Masterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407067168 PECOS PAC ID: 5294824595 Enrollment ID: I20120216000165 |
| Provider Name | Stephan D Thome |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023098480 PECOS PAC ID: 4082683545 Enrollment ID: I20120307000255 |
| Provider Name | Roxanna L Padilla |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265704001 PECOS PAC ID: 0345409306 Enrollment ID: I20120309000632 |
| Provider Name | Sudhakar Venkatesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679869390 PECOS PAC ID: 0446411771 Enrollment ID: I20120413000424 |
| 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 | Pamela M Tietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619032158 PECOS PAC ID: 9638331036 Enrollment ID: I20120501000570 |
| 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 | Paul D Jarett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881967198 PECOS PAC ID: 6800051202 Enrollment ID: I20120710000752 |
| Provider Name | Amanda R Bassett-swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083974596 PECOS PAC ID: 3678739216 Enrollment ID: I20120725000736 |
| 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 | Manish S Sharma |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134421282 PECOS PAC ID: 1658527734 Enrollment ID: I20120806000166 |
| Provider Name | Nathan Charles Hull |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689936171 PECOS PAC ID: 8022264878 Enrollment ID: I20120809000515 |
| Provider Name | Sami Safadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255664421 PECOS PAC ID: 7315193174 Enrollment ID: I20120809000632 |
| Provider Name | Jason H Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336435270 PECOS PAC ID: 3274789052 Enrollment ID: I20120809000821 |
| Provider Name | David A Olsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679868343 PECOS PAC ID: 6002062759 Enrollment ID: I20120810000744 |
| Provider Name | Tucker Fulton Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467744706 PECOS PAC ID: 4688820343 Enrollment ID: I20120813000080 |
| Provider Name | Phillip G Rowse |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790096204 PECOS PAC ID: 8921254640 Enrollment ID: I20120813000741 |
| Provider Name | Alex A Nagelschneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033400031 PECOS PAC ID: 7517114705 Enrollment ID: I20120822000726 |
| Provider Name | Puneet D Narang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609021930 PECOS PAC ID: 3476700543 Enrollment ID: I20120823000971 |
| Provider Name | John Ohoro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659513364 PECOS PAC ID: 0840447785 Enrollment ID: I20120828000276 |
| 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 | Arman Arghami |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1144541723 PECOS PAC ID: 5991952517 Enrollment ID: I20120904000144 |
| Provider Name | Benjamin D Knutson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114248192 PECOS PAC ID: 3375790827 Enrollment ID: I20120906000047 |
| Provider Name | Stephanie F Polites |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356639652 PECOS PAC ID: 5698922144 Enrollment ID: I20120906000105 |
| 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 | Michel Toledano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649581166 PECOS PAC ID: 9739337155 Enrollment ID: I20120910000491 |
| Provider Name | Anna B Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467712638 PECOS PAC ID: 4688822877 Enrollment ID: I20120912000903 |
| Provider Name | Hayan Jouni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417278987 PECOS PAC ID: 7911155130 Enrollment ID: I20120913000266 |
| Provider Name | Robert D Jeske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093040735 PECOS PAC ID: 0941499479 Enrollment ID: I20120913000366 |
| Provider Name | Christopher Joseph Reisenauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811285588 PECOS PAC ID: 7214185230 Enrollment ID: I20120918000082 |
| Provider Name | Megan M Gilmore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619143005 PECOS PAC ID: 1052589793 Enrollment ID: I20120918000349 |
| Provider Name | Meghan E. Murphy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992090385 PECOS PAC ID: 1951559806 Enrollment ID: I20120918000531 |
| 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 | Darin B White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558617779 PECOS PAC ID: 4284883596 Enrollment ID: I20121002000329 |
| Provider Name | Hemang Yadav |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891016549 PECOS PAC ID: 3971752197 Enrollment ID: I20121003000910 |
| Provider Name | Ammar Killu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790006658 PECOS PAC ID: 1355590068 Enrollment ID: I20121012000054 |
| Provider Name | Jonathan E Rohde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063768232 PECOS PAC ID: 1355591868 Enrollment ID: I20121018000329 |
| Provider Name | Steven W Jerred |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811976335 PECOS PAC ID: 6002834074 Enrollment ID: I20121018000334 |
| Provider Name | Tracy E Kardoes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386995025 PECOS PAC ID: 4486805074 Enrollment ID: I20121107000542 |
| Provider Name | Megan A Misgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295094001 PECOS PAC ID: 8224289632 Enrollment ID: I20121113000085 |
| Provider Name | Nealey C Mccall-cray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588911002 PECOS PAC ID: 3971754383 Enrollment ID: I20121113000185 |
| Provider Name | Danielle L Blazejak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871848366 PECOS PAC ID: 6406007483 Enrollment ID: I20121126000125 |
| 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 | Lavanya Bhoopathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891027884 PECOS PAC ID: 4082878012 Enrollment ID: I20121129000449 |
| Provider Name | Katie M Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184970477 PECOS PAC ID: 1052563319 Enrollment ID: I20121212000549 |
| Provider Name | Renee J Gleitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467706267 PECOS PAC ID: 5496908063 Enrollment ID: I20130109000685 |
| Provider Name | Akochi O Agunwamba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033404439 PECOS PAC ID: 2365695616 Enrollment ID: I20130116000585 |
| Provider Name | Angela L Vidden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679818454 PECOS PAC ID: 1355595711 Enrollment ID: I20130212000246 |
| Provider Name | Janell K Melhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871658625 PECOS PAC ID: 4183879091 Enrollment ID: I20130226000463 |
| Provider Name | Heidi Bednarchuk |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427394360 PECOS PAC ID: 1355586512 Enrollment ID: I20130319000116 |
| Provider Name | Amelia M Mcquery |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407027576 PECOS PAC ID: 0042399511 Enrollment ID: I20130401000115 |
| Provider Name | Nadiya Beliveau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366694341 PECOS PAC ID: 8022283373 Enrollment ID: I20130418000329 |
| Provider Name | Adam Scott Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467569962 PECOS PAC ID: 7911986179 Enrollment ID: I20130515000201 |
| Provider Name | Nicholas G Rhodes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548466899 PECOS PAC ID: 5496919755 Enrollment ID: I20130604000532 |
| Provider Name | Wisit Cheungpasitporn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114248424 PECOS PAC ID: 9032359393 Enrollment ID: I20130709000818 |
| Provider Name | Rohit D Divekar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1417123498 PECOS PAC ID: 2769622026 Enrollment ID: I20130709000821 |
| Provider Name | Prabhjot G Dosanjh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477866697 PECOS PAC ID: 3971743287 Enrollment ID: I20130710000584 |
| Provider Name | James H Boyum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083877187 PECOS PAC ID: 1153584503 Enrollment ID: I20130711000346 |
| Provider Name | Tami E Mullenbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841530193 PECOS PAC ID: 8729228622 Enrollment ID: I20130716000862 |
| Provider Name | Kenneth Charles Weimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174624761 PECOS PAC ID: 1557435484 Enrollment ID: I20130719000155 |
| Provider Name | Mari Charisse B Trinidad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336386093 PECOS PAC ID: 3476717729 Enrollment ID: I20130723000205 |
| 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 | Scott G Perkinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922263847 PECOS PAC ID: 4981845492 Enrollment ID: I20130725000868 |
| 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 | Tamara J Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619213527 PECOS PAC ID: 8224279260 Enrollment ID: I20130802000341 |
| Provider Name | Luke R Madsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073810479 PECOS PAC ID: 1951542935 Enrollment ID: I20130802000662 |
| Provider Name | Eugene L Scharf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932463981 PECOS PAC ID: 2264678028 Enrollment ID: I20130805000136 |
| Provider Name | Theodore Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417211483 PECOS PAC ID: 1254577240 Enrollment ID: I20130806000839 |
| Provider Name | Anthony L Fine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780946756 PECOS PAC ID: 5294971313 Enrollment ID: I20130806000842 |
| 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 | Fouad Chebib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235450602 PECOS PAC ID: 6507008745 Enrollment ID: I20130816000788 |
| Provider Name | Umashankar Subramaniam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487768032 PECOS PAC ID: 6608872627 Enrollment ID: I20130821000491 |
| Provider Name | Krista D Kranz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578904413 PECOS PAC ID: 1658514526 Enrollment ID: I20130823001172 |
| Provider Name | Christopher L Welle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154677375 PECOS PAC ID: 0749423531 Enrollment ID: I20130826001089 |
| Provider Name | Anne M Meehan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780024919 PECOS PAC ID: 5698918407 Enrollment ID: I20130827000315 |
| Provider Name | Jennifer M Martinez Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518221415 PECOS PAC ID: 9436395548 Enrollment ID: I20130827000687 |
| Provider Name | Heather Ann Heaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255658399 PECOS PAC ID: 9436307675 Enrollment ID: I20131003000397 |
| Provider Name | Matthew J. Thoendel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205190139 PECOS PAC ID: 5890931844 Enrollment ID: I20131004000019 |
| Provider Name | Michael D. Olson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477567576 PECOS PAC ID: 3476518739 Enrollment ID: I20131009000656 |
| Provider Name | Jodi Lynn Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336588094 PECOS PAC ID: 4385878826 Enrollment ID: I20131016000510 |
| Provider Name | Erik Scharrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245525484 PECOS PAC ID: 5395983175 Enrollment ID: I20131028000275 |
| Provider Name | Nicole L Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457795320 PECOS PAC ID: 9335374487 Enrollment ID: I20131028001112 |
| Provider Name | Katie N Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306278668 PECOS PAC ID: 5597990325 Enrollment ID: I20131101000107 |
| Provider Name | Tara L Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053752220 PECOS PAC ID: 4486889052 Enrollment ID: I20131107000413 |
| Provider Name | Mohammad Sarraf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851447528 PECOS PAC ID: 5496817983 Enrollment ID: I20131122000075 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20131126000188 |
| Provider Name | Larae J Ferrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427486349 PECOS PAC ID: 9537395223 Enrollment ID: I20131203000582 |
| Provider Name | Todd M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924092 PECOS PAC ID: 3577709666 Enrollment ID: I20131224000275 |
| Provider Name | Elizabeth Claire Fogelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568726099 PECOS PAC ID: 6901042977 Enrollment ID: I20140225001071 |
| Provider Name | Saurin G Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336182880 PECOS PAC ID: 6901801208 Enrollment ID: I20140303000393 |
| Provider Name | Jessie Diana Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528489424 PECOS PAC ID: 1759512841 Enrollment ID: I20140403000719 |
| Provider Name | Jennifer E Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811257553 PECOS PAC ID: 6305078379 Enrollment ID: I20140407001756 |
| Provider Name | Sara J Seward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730503376 PECOS PAC ID: 7416180286 Enrollment ID: I20140501000400 |
| 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 | Lana A Bramstedt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588081426 PECOS PAC ID: 4587887856 Enrollment ID: I20140514001852 |
| Provider Name | Marie L Steffl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427484781 PECOS PAC ID: 3779706494 Enrollment ID: I20140528001085 |
| Provider Name | Elizabeth A Cumberland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359108 PECOS PAC ID: 0345484713 Enrollment ID: I20140530000016 |
| Provider Name | Troy N Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194010041 PECOS PAC ID: 9739328485 Enrollment ID: I20140604001555 |
| 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 | Heidi Jo Skophammer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568882710 PECOS PAC ID: 3476777434 Enrollment ID: I20140612001510 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20140617000960 |
| Provider Name | Troy Seelhammer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447480694 PECOS PAC ID: 1355579376 Enrollment ID: I20140625000734 |
| Provider Name | Kerry M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487066304 PECOS PAC ID: 5890910087 Enrollment ID: I20140701002294 |
| Provider Name | Larry Deppe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982802815 PECOS PAC ID: 5496822322 Enrollment ID: I20140702001417 |
| Provider Name | Jason K Panchamia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740505031 PECOS PAC ID: 4486879632 Enrollment ID: I20140702001946 |
| 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 | Jeffry A Degenhardt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205826716 PECOS PAC ID: 3274434899 Enrollment ID: I20140714002469 |
| Provider Name | Tahir Mehmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740571413 PECOS PAC ID: 9830314459 Enrollment ID: I20140715001286 |
| Provider Name | Lynn Marie Gevik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457794943 PECOS PAC ID: 9638224181 Enrollment ID: I20140721001125 |
| Provider Name | Sandeep S Khosa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639358013 PECOS PAC ID: 6608003991 Enrollment ID: I20140729000859 |
| Provider Name | Katherine J Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508277500 PECOS PAC ID: 9739306465 Enrollment ID: I20140804001482 |
| Provider Name | Todd A Milbrandt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760589568 PECOS PAC ID: 0446239917 Enrollment ID: I20140806000760 |
| 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 | Marissa L Kauss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417393935 PECOS PAC ID: 8729216940 Enrollment ID: I20140904000332 |
| Provider Name | Jared G Bird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467898155 PECOS PAC ID: 9931341534 Enrollment ID: I20140904002002 |
| Provider Name | Omar Mahmoud Mohammad Abu Saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134400534 PECOS PAC ID: 3274768965 Enrollment ID: I20140904002832 |
| 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 | Taylor R Beahrs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255690996 PECOS PAC ID: 5991947582 Enrollment ID: I20140905001251 |
| Provider Name | Michael S Bold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003259854 PECOS PAC ID: 2961621875 Enrollment ID: I20140908001855 |
| Provider Name | Andrew N Rosenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336580935 PECOS PAC ID: 4880836147 Enrollment ID: I20140909001392 |
| Provider Name | Greta Beth Liebo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417184326 PECOS PAC ID: 1254550072 Enrollment ID: I20140910000085 |
| Provider Name | Maria Gonzalez Suarez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770878688 PECOS PAC ID: 1355560020 Enrollment ID: I20140910001985 |
| Provider Name | Diana M Shewmaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245672401 PECOS PAC ID: 9739322744 Enrollment ID: I20140912001912 |
| Provider Name | Konstantinos Siontis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457615999 PECOS PAC ID: 7911143771 Enrollment ID: I20140924002247 |
| Provider Name | Syed B Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952568578 PECOS PAC ID: 3779768494 Enrollment ID: I20140930000813 |
| Provider Name | Brianna M Molin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831505064 PECOS PAC ID: 4688894108 Enrollment ID: I20141006001219 |
| 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 | Gokhan Anil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902928153 PECOS PAC ID: 6305931395 Enrollment ID: I20141027002505 |
| Provider Name | Padraig P Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659355659 PECOS PAC ID: 0749341378 Enrollment ID: I20141028002527 |
| Provider Name | Jessica E Alm |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982996393 PECOS PAC ID: 5092942425 Enrollment ID: I20141103000217 |
| Provider Name | Anila D Adhami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861781163 PECOS PAC ID: 8628290244 Enrollment ID: I20141117000003 |
| 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 | Edwin Akira Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346683364 PECOS PAC ID: 7517105216 Enrollment ID: I20141224000896 |
| Provider Name | Allyn M Wergin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831599240 PECOS PAC ID: 0648593400 Enrollment ID: I20141231000211 |
| Provider Name | Sara M Farias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821495789 PECOS PAC ID: 6608191838 Enrollment ID: I20150211000797 |
| Provider Name | Amy M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174938880 PECOS PAC ID: 4880910413 Enrollment ID: I20150226000316 |
| Provider Name | Denise Klinkner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568559235 PECOS PAC ID: 4688843154 Enrollment ID: I20150311000729 |
| Provider Name | Ann C Comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952480311 PECOS PAC ID: 7719988849 Enrollment ID: I20150415000139 |
| Provider Name | Jacob Jentzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538334628 PECOS PAC ID: 2567782261 Enrollment ID: I20150520001985 |
| Provider Name | Mohamad Bydon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871766022 PECOS PAC ID: 5395994313 Enrollment ID: I20150615001839 |
| Provider Name | Jacqueline Corona |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497066369 PECOS PAC ID: 1658519376 Enrollment ID: I20150617002041 |
| Provider Name | Maryam Mahmood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770843989 PECOS PAC ID: 0446561310 Enrollment ID: I20150618001168 |
| Provider Name | Mohamad Adnan Alkhouli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720220536 PECOS PAC ID: 9335331966 Enrollment ID: I20150622001536 |
| Provider Name | Magnus Halland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912349176 PECOS PAC ID: 0547402638 Enrollment ID: I20150623001172 |
| Provider Name | Heidi Jo Gaston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649564204 PECOS PAC ID: 1557682911 Enrollment ID: I20150625001997 |
| Provider Name | Brian Nils Lundstrom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255630182 PECOS PAC ID: 4981916202 Enrollment ID: I20150630000067 |
| Provider Name | Denzil Hill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649559147 PECOS PAC ID: 9638307473 Enrollment ID: I20150630000796 |
| 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 | Mehdi Dastrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967139 PECOS PAC ID: 4880906734 Enrollment ID: I20150706002597 |
| Provider Name | Michelle Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578849642 PECOS PAC ID: 9032421946 Enrollment ID: I20150707001606 |
| Provider Name | Krista Hemmesch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134535446 PECOS PAC ID: 8921225822 Enrollment ID: I20150723007918 |
| Provider Name | Benjamin Nordhues |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336555135 PECOS PAC ID: 4082830666 Enrollment ID: I20150727001377 |
| Provider Name | Sultan Mirza |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790196699 PECOS PAC ID: 2062726581 Enrollment ID: I20150728005841 |
| Provider Name | Kevin R Kapoor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437490760 PECOS PAC ID: 9335362821 Enrollment ID: I20150730012086 |
| Provider Name | Farwa Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538591953 PECOS PAC ID: 2264675214 Enrollment ID: I20150730013609 |
| Provider Name | David J Gresback |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154689370 PECOS PAC ID: 3870807068 Enrollment ID: I20150731016313 |
| Provider Name | Derek Gearman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629485214 PECOS PAC ID: 7719104850 Enrollment ID: I20150803002519 |
| Provider Name | Subhraleena Das Kapoor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912232125 PECOS PAC ID: 5991949935 Enrollment ID: I20150804004668 |
| Provider Name | Barrett Howell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487073243 PECOS PAC ID: 6709105091 Enrollment ID: I20150804005424 |
| Provider Name | Michael Charles Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730595364 PECOS PAC ID: 5799902482 Enrollment ID: I20150805009118 |
| Provider Name | Sushil Luis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447691175 PECOS PAC ID: 4789825480 Enrollment ID: I20150807013911 |
| Provider Name | Kelly L Dulohery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861877490 PECOS PAC ID: 6608181953 Enrollment ID: I20150814013442 |
| Provider Name | Jennifer L Grean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740664309 PECOS PAC ID: 8325353568 Enrollment ID: I20150817001476 |
| Provider Name | Wen-yu V Haines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316174410 PECOS PAC ID: 3173838091 Enrollment ID: I20150820010916 |
| Provider Name | Eric David Hyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20150825004478 |
| Provider Name | Diego Zaquera Carvalho |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366882706 PECOS PAC ID: 9739305954 Enrollment ID: I20150826001325 |
| Provider Name | Robert J Freed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649408543 PECOS PAC ID: 2860641362 Enrollment ID: I20150827000450 |
| 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 | Natasha Kohli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790074136 PECOS PAC ID: 7719294586 Enrollment ID: I20150911001599 |
| Provider Name | Moeed Asghar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215171285 PECOS PAC ID: 9537476197 Enrollment ID: I20150914002559 |
| Provider Name | Theodora Potretzke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154551646 PECOS PAC ID: 4183857139 Enrollment ID: I20150916001181 |
| Provider Name | Ryan P Foley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508051079 PECOS PAC ID: 5193032274 Enrollment ID: I20150922002750 |
| Provider Name | Colleen M Ireland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477921500 PECOS PAC ID: 8123335197 Enrollment ID: I20150923002924 |
| Provider Name | Joanne E Genewick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336430180 PECOS PAC ID: 8820236607 Enrollment ID: I20150929002653 |
| Provider Name | Cecilia Ann Puig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114308657 PECOS PAC ID: 3971811373 Enrollment ID: I20151005002897 |
| Provider Name | Jill E Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364649 PECOS PAC ID: 1153630033 Enrollment ID: I20151015000325 |
| Provider Name | Richard E Crockett |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1508993536 PECOS PAC ID: 0840187290 Enrollment ID: I20151015002247 |
| Provider Name | Laci Lea Sevenson Lynch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477941961 PECOS PAC ID: 1456663210 Enrollment ID: I20151104002257 |
| Provider Name | Mohamed Samir Toumeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598920969 PECOS PAC ID: 1052485125 Enrollment ID: I20151111000103 |
| Provider Name | Sunghwan Choi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447620190 PECOS PAC ID: 9133439540 Enrollment ID: I20151113000901 |
| Provider Name | Heather M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619348398 PECOS PAC ID: 7719287044 Enrollment ID: I20151118001538 |
| Provider Name | Rachel K Worley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164892881 PECOS PAC ID: 7618277732 Enrollment ID: I20151123000067 |
| Provider Name | Joseph P Kann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942671664 PECOS PAC ID: 0042510174 Enrollment ID: I20151123000186 |
| Provider Name | Joy M Macheel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265728182 PECOS PAC ID: 3274833306 Enrollment ID: I20151123000322 |
| Provider Name | Rhea M Atherton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033589841 PECOS PAC ID: 4981904034 Enrollment ID: I20151123001188 |
| Provider Name | Edith D Leasman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497124085 PECOS PAC ID: 9931409091 Enrollment ID: I20151123001372 |
| Provider Name | Rhonda K Omtvedt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699146241 PECOS PAC ID: 4587964556 Enrollment ID: I20151123002083 |
| Provider Name | William Thomas Madland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487742151 PECOS PAC ID: 6507876893 Enrollment ID: I20151123002930 |
| Provider Name | Elizabeth J Wargelin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982908521 PECOS PAC ID: 9931409935 Enrollment ID: I20151124000012 |
| Provider Name | Desiree Z Essler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851762371 PECOS PAC ID: 0749580744 Enrollment ID: I20151124000045 |
| Provider Name | Kelly A Feddema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710358205 PECOS PAC ID: 8022318963 Enrollment ID: I20151130000496 |
| Provider Name | James Layne Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730264037 PECOS PAC ID: 5496772352 Enrollment ID: I20151201002180 |
| Provider Name | Hilary A Rowings Kent |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619112067 PECOS PAC ID: 5890095590 Enrollment ID: I20151202002048 |
| Provider Name | Patricia D Fandrich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184094963 PECOS PAC ID: 3870893456 Enrollment ID: I20151203002908 |
| Provider Name | Kimberly R Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578934840 PECOS PAC ID: 0547561763 Enrollment ID: I20151214000380 |
| Provider Name | Andrew Christian Homb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699806265 PECOS PAC ID: 5991821118 Enrollment ID: I20151224000138 |
| Provider Name | James Milavetz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154316206 PECOS PAC ID: 2961391644 Enrollment ID: I20160121001583 |
| Provider Name | Rebekah A Elledge |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558683672 PECOS PAC ID: 5597069138 Enrollment ID: I20160202002001 |
| Provider Name | Kimberly L Edel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366813024 PECOS PAC ID: 8325343551 Enrollment ID: I20160225000501 |
| Provider Name | Peter J Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841659182 PECOS PAC ID: 7012213176 Enrollment ID: I20160316000081 |
| Provider Name | Ashley A Bruns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962860486 PECOS PAC ID: 7719285808 Enrollment ID: I20160405001842 |
| Provider Name | Patricio Cuevas Gargollo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982661781 PECOS PAC ID: 6305854357 Enrollment ID: I20160427001165 |
| Provider Name | Kendra Elaine Kamlitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518279223 PECOS PAC ID: 3678722493 Enrollment ID: I20160509001593 |
| Provider Name | Eric Christopher Ehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497045173 PECOS PAC ID: 5698906220 Enrollment ID: I20160601000040 |
| Provider Name | Nathan Peffley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770876252 PECOS PAC ID: 8426358581 Enrollment ID: I20160603000246 |
| Provider Name | Ashish Khandelwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043565765 PECOS PAC ID: 6406094739 Enrollment ID: I20160603001487 |
| Provider Name | Melanie Imker Wong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093173064 PECOS PAC ID: 8224328133 Enrollment ID: I20160606001655 |
| Provider Name | Jason Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285926410 PECOS PAC ID: 0941590764 Enrollment ID: I20160608000113 |
| Provider Name | Rosalyn O Adigun |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1649616913 PECOS PAC ID: 9830480748 Enrollment ID: I20160624000085 |
| Provider Name | Valery Joseph Andre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952634776 PECOS PAC ID: 8426292913 Enrollment ID: I20160630001914 |
| 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 | Christopher Marcellino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356720510 PECOS PAC ID: 5698086429 Enrollment ID: I20160720002199 |
| Provider Name | Nathan Eickstaedt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992191894 PECOS PAC ID: 7214220748 Enrollment ID: I20160721000964 |
| Provider Name | Adam R Miller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124407010 PECOS PAC ID: 7618289828 Enrollment ID: I20160721001341 |
| Provider Name | Scott Jacob Austin Speelziek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962887208 PECOS PAC ID: 0345557674 Enrollment ID: I20160722000857 |
| 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 | Ross Avant |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801275128 PECOS PAC ID: 7719292275 Enrollment ID: I20160725002147 |
| 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 | Aaron A Juliar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770866915 PECOS PAC ID: 8628241965 Enrollment ID: I20160726002099 |
| Provider Name | Douglas Challener |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396123709 PECOS PAC ID: 4880915339 Enrollment ID: I20160726002215 |
| Provider Name | David Yang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417337866 PECOS PAC ID: 8426360454 Enrollment ID: I20160727001199 |
| Provider Name | Micah D. Yost |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407235393 PECOS PAC ID: 8921310954 Enrollment ID: I20160729000431 |
| Provider Name | Virginia Dines |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346628765 PECOS PAC ID: 9931420320 Enrollment ID: I20160802000316 |
| 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 | Graham A King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699112318 PECOS PAC ID: 9234454471 Enrollment ID: I20160802001438 |
| Provider Name | Corrie R Bach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023403672 PECOS PAC ID: 7719292093 Enrollment ID: I20160802002472 |
| Provider Name | Said Haider Al Tawil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114290442 PECOS PAC ID: 5496049108 Enrollment ID: I20160803001441 |
| Provider Name | Sherry Ge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666282 PECOS PAC ID: 5890017958 Enrollment ID: I20160805000115 |
| Provider Name | Christina L Kloepping |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619320694 PECOS PAC ID: 0547554107 Enrollment ID: I20160805000132 |
| Provider Name | Brett D Tanning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144669755 PECOS PAC ID: 9133445323 Enrollment ID: I20160810001749 |
| Provider Name | Bridget P Pulos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003101049 PECOS PAC ID: 4385959766 Enrollment ID: I20160811001450 |
| 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 | Kristen M Bowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421284 PECOS PAC ID: 1759676752 Enrollment ID: I20160829002628 |
| Provider Name | Andrea N Moldstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487005229 PECOS PAC ID: 5799071551 Enrollment ID: I20160906000897 |
| 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 | David Keith Stinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609814938 PECOS PAC ID: 5193613214 Enrollment ID: I20160916000016 |
| Provider Name | Nadar A Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469923 PECOS PAC ID: 8426354911 Enrollment ID: I20160919000164 |
| Provider Name | Megan H Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366680720 PECOS PAC ID: 2769619758 Enrollment ID: I20160922001418 |
| Provider Name | Abdulqadir A Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366707556 PECOS PAC ID: 4880984475 Enrollment ID: I20161007001522 |
| Provider Name | Kay W Ribbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943365 PECOS PAC ID: 7315235900 Enrollment ID: I20161014000281 |
| Provider Name | William J Remington |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730183104 PECOS PAC ID: 5698673929 Enrollment ID: I20161025000437 |
| Provider Name | Tarek Z Khalife |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437388584 PECOS PAC ID: 0143464719 Enrollment ID: I20161102001622 |
| Provider Name | Sarah N Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326212085 PECOS PAC ID: 7416135397 Enrollment ID: I20161114001892 |
| Provider Name | Gretchen L Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810705 PECOS PAC ID: 6002196532 Enrollment ID: I20161129001674 |
| Provider Name | Samrat V Bhat |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053503607 PECOS PAC ID: 1254595903 Enrollment ID: I20161201000720 |
| 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 | Sumit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452572 PECOS PAC ID: 2264627553 Enrollment ID: I20161208002529 |
| Provider Name | Vipul A Trivedi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457338428 PECOS PAC ID: 0648163824 Enrollment ID: I20161209000020 |
| Provider Name | Clifford Kebaya Ongubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781871 PECOS PAC ID: 8022390400 Enrollment ID: I20170119001205 |
| Provider Name | Mario Alejandro Tapia Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851563787 PECOS PAC ID: 2668542374 Enrollment ID: I20170123000937 |
| Provider Name | Mackenzie M Renneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700320967 PECOS PAC ID: 1557643723 Enrollment ID: I20170123003011 |
| Provider Name | Kristen A Steidl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942616115 PECOS PAC ID: 7911123609 Enrollment ID: I20170222000967 |
| Provider Name | Kyle Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023478146 PECOS PAC ID: 1951685395 Enrollment ID: I20170301002718 |
| Provider Name | Laura O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734748 PECOS PAC ID: 5496039596 Enrollment ID: I20170309002531 |
| Provider Name | Bongi A Rudder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255531430 PECOS PAC ID: 8820230089 Enrollment ID: I20170315001063 |
| Provider Name | Miriam Mowfaq Rassam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527088 PECOS PAC ID: 2365727245 Enrollment ID: I20170315001423 |
| Provider Name | Ann W Vaubel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235330788 PECOS PAC ID: 5193000511 Enrollment ID: I20170328001207 |
| Provider Name | Ashley L Jaspers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295276079 PECOS PAC ID: 5395020424 Enrollment ID: I20170331001930 |
| Provider Name | Ellen M Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780120592 PECOS PAC ID: 7719262872 Enrollment ID: I20170403000602 |
| Provider Name | Ratnasari Padang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548642077 PECOS PAC ID: 2668784398 Enrollment ID: I20170420000535 |
| Provider Name | Jenna L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033650239 PECOS PAC ID: 9830476076 Enrollment ID: I20170426000520 |
| Provider Name | Ram Jagannathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235573775 PECOS PAC ID: 9032409131 Enrollment ID: I20170509002318 |
| Provider Name | Paras H Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548528185 PECOS PAC ID: 2163709643 Enrollment ID: I20170510002432 |
| Provider Name | Sarah A Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437694593 PECOS PAC ID: 7012284359 Enrollment ID: I20170517001003 |
| Provider Name | Madiha Fida |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205241676 PECOS PAC ID: 4183920697 Enrollment ID: I20170519000861 |
| Provider Name | Paul D Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316365281 PECOS PAC ID: 8123320926 Enrollment ID: I20170522002897 |
| Provider Name | Kari A Felten Mylenbusch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003132465 PECOS PAC ID: 3870786007 Enrollment ID: I20170524002025 |
| Provider Name | Alisha Morgan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053546937 PECOS PAC ID: 2466698048 Enrollment ID: I20170601000981 |
| Provider Name | Andrew C Storm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427357839 PECOS PAC ID: 2860641180 Enrollment ID: I20170601002431 |
| Provider Name | Dong Kun Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265789457 PECOS PAC ID: 7719254390 Enrollment ID: I20170602000633 |
| 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 | Curt W Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689084584 PECOS PAC ID: 9931404407 Enrollment ID: I20170608002430 |
| Provider Name | Don Stott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275821449 PECOS PAC ID: 2769787829 Enrollment ID: I20170612002973 |
| Provider Name | Rachel M Ziegler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083906150 PECOS PAC ID: 5597066720 Enrollment ID: I20170628001188 |
| Provider Name | Melanie Gentry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700868999 PECOS PAC ID: 7315973633 Enrollment ID: I20170629002804 |
| Provider Name | Robert Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902330129 PECOS PAC ID: 7315216157 Enrollment ID: I20170710002916 |
| Provider Name | Lydia Ng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174879076 PECOS PAC ID: 9537439393 Enrollment ID: I20170727000133 |
| 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 | Katie Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578927190 PECOS PAC ID: 8820380140 Enrollment ID: I20170807003667 |
| Provider Name | Jinette G Lais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083143259 PECOS PAC ID: 9133490980 Enrollment ID: I20170812000158 |
| Provider Name | Alicia Grace Floyd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033408505 PECOS PAC ID: 2567680713 Enrollment ID: I20170814001669 |
| 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 | Barrett Richard Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770993800 PECOS PAC ID: 3072733625 Enrollment ID: I20170815002814 |
| Provider Name | Kelsey Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427412089 PECOS PAC ID: 9133411069 Enrollment ID: I20170816000339 |
| Provider Name | Mackenzie Glee Kalis Quale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346696077 PECOS PAC ID: 8729371083 Enrollment ID: I20170816002927 |
| Provider Name | Caitlin Borelli-martin Conboy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053775643 PECOS PAC ID: 0941592364 Enrollment ID: I20170816003962 |
| Provider Name | Joel S Jurantee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548560659 PECOS PAC ID: 3678709839 Enrollment ID: I20170825002385 |
| Provider Name | Peter Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770005415 PECOS PAC ID: 0547533432 Enrollment ID: I20170828003918 |
| Provider Name | Brian Burkett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811344740 PECOS PAC ID: 7517230857 Enrollment ID: I20170907001933 |
| Provider Name | Jacob D Ziegler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760772099 PECOS PAC ID: 7416251236 Enrollment ID: I20170913001201 |
| Provider Name | Ivana Ho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952765620 PECOS PAC ID: 7618269184 Enrollment ID: I20170914003238 |
| Provider Name | Laura R Struck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912427303 PECOS PAC ID: 0648544106 Enrollment ID: I20170921001681 |
| Provider Name | Sharon J Dexheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407372865 PECOS PAC ID: 4486928538 Enrollment ID: I20170928000112 |
| Provider Name | Opeyemi Agboola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558775429 PECOS PAC ID: 0648544726 Enrollment ID: I20170928001695 |
| Provider Name | Vinay Chandrasekhara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265641187 PECOS PAC ID: 4082744958 Enrollment ID: I20171003004940 |
| 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 | Gabor Bagameri |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356556310 PECOS PAC ID: 1658520465 Enrollment ID: I20171018000071 |
| 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 | David R. Dare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659710291 PECOS PAC ID: 8022375443 Enrollment ID: I20171120002061 |
| Provider Name | Andrew K Brevik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513903 PECOS PAC ID: 7911035738 Enrollment ID: I20171129001601 |
| Provider Name | Leslie Je Grommersch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962865600 PECOS PAC ID: 8628335569 Enrollment ID: I20171130000860 |
| Provider Name | Ellen K Klabunde |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326558537 PECOS PAC ID: 7214294198 Enrollment ID: I20171130003086 |
| Provider Name | Elisabeth C Wech |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912417064 PECOS PAC ID: 7618234535 Enrollment ID: I20171201001331 |
| Provider Name | Juan Crestanello |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477505048 PECOS PAC ID: 0244210490 Enrollment ID: I20171201001944 |
| Provider Name | Joshua M Baruth |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1588028161 PECOS PAC ID: 1951693183 Enrollment ID: I20171211000652 |
| Provider Name | Shayna T Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447761960 PECOS PAC ID: 9830457126 Enrollment ID: I20171214000655 |
| Provider Name | Dharmesh R Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992918023 PECOS PAC ID: 0840328167 Enrollment ID: I20171219000701 |
| Provider Name | Sarah Rachel Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588175343 PECOS PAC ID: 4486912219 Enrollment ID: I20171227001193 |
| Provider Name | David J Rea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245218692 PECOS PAC ID: 8921150665 Enrollment ID: I20171229002076 |
| Provider Name | Susan E Morsching |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477985588 PECOS PAC ID: 7012168370 Enrollment ID: I20180102001442 |
| 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 | Aditya S Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740697598 PECOS PAC ID: 2567772643 Enrollment ID: I20180118000962 |
| Provider Name | Justin M. Jaspers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619480092 PECOS PAC ID: 9032478011 Enrollment ID: I20180119001517 |
| Provider Name | Susan Lea Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689188351 PECOS PAC ID: 0345509253 Enrollment ID: I20180123001995 |
| Provider Name | Alexandra L Malkuch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689186207 PECOS PAC ID: 3476813668 Enrollment ID: I20180208000622 |
| 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 | Abigail A Bartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962919365 PECOS PAC ID: 0446575336 Enrollment ID: I20180320000412 |
| Provider Name | Jolene Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972995009 PECOS PAC ID: 5294097259 Enrollment ID: I20180403000886 |
| Provider Name | Frank D Rossi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801828769 PECOS PAC ID: 6901879279 Enrollment ID: I20180426001581 |
| Provider Name | David M Valencia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841482866 PECOS PAC ID: 1153571351 Enrollment ID: I20180507001258 |
| 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 | Veronica E Radigan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740643105 PECOS PAC ID: 2264724715 Enrollment ID: I20180611001459 |
| 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 | Megan A Brandeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720466188 PECOS PAC ID: 2264738889 Enrollment ID: I20180616000025 |
| Provider Name | Steven A Messina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477642536 PECOS PAC ID: 5597920132 Enrollment ID: I20180619002550 |
| Provider Name | Charat Thongprayoon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659765188 PECOS PAC ID: 0345540159 Enrollment ID: I20180628001346 |
| Provider Name | Haixia Qin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952697286 PECOS PAC ID: 7719108265 Enrollment ID: I20180702000021 |
| Provider Name | Hanyin Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174905939 PECOS PAC ID: 9739478322 Enrollment ID: I20180709003077 |
| Provider Name | Luke K Espelund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558599936 PECOS PAC ID: 1254581382 Enrollment ID: I20180724000275 |
| Provider Name | Vivek Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760692032 PECOS PAC ID: 2769675701 Enrollment ID: I20180726002381 |
| Provider Name | Sadik Abdikadir Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811377229 PECOS PAC ID: 6305193996 Enrollment ID: I20180730000213 |
| Provider Name | Omar Yousef Sulaiman Mousa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942555909 PECOS PAC ID: 1658686167 Enrollment ID: I20180731002662 |
| Provider Name | Nam Ju Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659688679 PECOS PAC ID: 2567697345 Enrollment ID: I20180731002844 |
| Provider Name | Linh Hue Vu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396286647 PECOS PAC ID: 2062784333 Enrollment ID: I20180731003701 |
| Provider Name | Zhenmei Zhang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811428121 PECOS PAC ID: 0042582645 Enrollment ID: I20180801001785 |
| Provider Name | Adam Sharp Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285999557 PECOS PAC ID: 3971735226 Enrollment ID: I20180802000478 |
| Provider Name | Brandon Robert Bukowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770012882 PECOS PAC ID: 4688946304 Enrollment ID: I20180802000689 |
| Provider Name | Benjamin Satterfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083147128 PECOS PAC ID: 0941572515 Enrollment ID: I20180802001633 |
| Provider Name | Wade Johnson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235530890 PECOS PAC ID: 0941558258 Enrollment ID: I20180802002147 |
| Provider Name | Ruth S Mule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104319839 PECOS PAC ID: 2365790672 Enrollment ID: I20180802002334 |
| Provider Name | Eric Ryan Pease |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922539634 PECOS PAC ID: 3779855291 Enrollment ID: I20180806002731 |
| Provider Name | Donnie Keith Starnes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376987826 PECOS PAC ID: 8921226416 Enrollment ID: I20180807002583 |
| Provider Name | Amy Petersen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346682267 PECOS PAC ID: 0345568051 Enrollment ID: I20180809000227 |
| Provider Name | Sara Nicole Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255588505 PECOS PAC ID: 8123209459 Enrollment ID: I20180809000532 |
| Provider Name | Mohamad Adada |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528590734 PECOS PAC ID: 3678843620 Enrollment ID: I20180809005876 |
| Provider Name | Nikhil Kolluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114458627 PECOS PAC ID: 2062784820 Enrollment ID: I20180811000104 |
| Provider Name | Anousheh Shafa |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225563836 PECOS PAC ID: 9739453697 Enrollment ID: I20180814001612 |
| Provider Name | Sara Suleman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609215607 PECOS PAC ID: 7719236207 Enrollment ID: I20180816000713 |
| Provider Name | Gabriela Jana Prutsky Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548603509 PECOS PAC ID: 5991086415 Enrollment ID: I20180820000373 |
| Provider Name | Fareeda Taher Nazer Hussain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396181483 PECOS PAC ID: 1951604818 Enrollment ID: I20180823000195 |
| Provider Name | Connor G Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285168369 PECOS PAC ID: 6204106016 Enrollment ID: I20180824001158 |
| Provider Name | Bindhu Sankar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700363637 PECOS PAC ID: 9830448638 Enrollment ID: I20180827002695 |
| Provider Name | Nicholas C Canzanello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356879654 PECOS PAC ID: 8729351549 Enrollment ID: I20180828001441 |
| Provider Name | Allison Marie Holzwarth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881185353 PECOS PAC ID: 5193075745 Enrollment ID: I20180904000285 |
| Provider Name | Melissa Georgette Mauro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235577206 PECOS PAC ID: 0840585733 Enrollment ID: I20180906000010 |
| 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 | Stacy Marie Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295213650 PECOS PAC ID: 8527318609 Enrollment ID: I20180911002881 |
| 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 | Sarah Baumgarten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255861035 PECOS PAC ID: 1456624709 Enrollment ID: I20180925001292 |
| Provider Name | Mark E. Deyo-svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124077839 PECOS PAC ID: 3870538242 Enrollment ID: I20180926000694 |
| Provider Name | Juan Pablo Domecq Garces |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497097695 PECOS PAC ID: 0244462760 Enrollment ID: I20180926000919 |
| Provider Name | Justin C Boeke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073933321 PECOS PAC ID: 7012212384 Enrollment ID: I20180927001976 |
| 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 | Ronstan Lobo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063862381 PECOS PAC ID: 9335430065 Enrollment ID: I20181002003369 |
| Provider Name | Kathryn Ann Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780600254 PECOS PAC ID: 9537163274 Enrollment ID: I20181009003533 |
| Provider Name | Sara Lorraine Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972087849 PECOS PAC ID: 3870845282 Enrollment ID: I20181012002349 |
| Provider Name | Lisa Marie Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609353655 PECOS PAC ID: 6800149659 Enrollment ID: I20181025001373 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386600625 PECOS PAC ID: 2961452578 Enrollment ID: I20181025001417 |
| Provider Name | Rebecca Ann Thorston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457835043 PECOS PAC ID: 2264785666 Enrollment ID: I20181101002195 |
| 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 | Nour Mohammed Sabha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912349143 PECOS PAC ID: 6305190075 Enrollment ID: I20181115001313 |
| Provider Name | Ming-hsi Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649436668 PECOS PAC ID: 9931417516 Enrollment ID: I20181205001099 |
| Provider Name | Andrea Lynn Engdahl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427531326 PECOS PAC ID: 6204170673 Enrollment ID: I20181212001175 |
| Provider Name | Gina Ann Suh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609075977 PECOS PAC ID: 4789778507 Enrollment ID: I20181228000016 |
| Provider Name | Victoria M Silvera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467539908 PECOS PAC ID: 7911966916 Enrollment ID: I20190201001908 |
| Provider Name | Jodi Marie Ndemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265998140 PECOS PAC ID: 2769722263 Enrollment ID: I20190320000888 |
| Provider Name | Kari Jeane Mongeon Wahlen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457819591 PECOS PAC ID: 1951641976 Enrollment ID: I20190328002049 |
| Provider Name | Alex Jordan O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437616786 PECOS PAC ID: 1052652294 Enrollment ID: I20190416001735 |
| Provider Name | Mohamed Abdulcadir Abdullahi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437475431 PECOS PAC ID: 8921227208 Enrollment ID: I20190514000521 |
| Provider Name | James Michael Bisanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063850980 PECOS PAC ID: 4688818297 Enrollment ID: I20190523000371 |
| Provider Name | Amanda J Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225591357 PECOS PAC ID: 1052654589 Enrollment ID: I20190523001812 |
| Provider Name | Emily B Weimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538519400 PECOS PAC ID: 9436442514 Enrollment ID: I20190528000777 |
| Provider Name | Darya P Shlapak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760892624 PECOS PAC ID: 9335420496 Enrollment ID: I20190604002997 |
| Provider Name | Jing Miao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063860559 PECOS PAC ID: 6608115696 Enrollment ID: I20190605002133 |
| 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 | Cristina Gabriela Corsini Campioli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912359159 PECOS PAC ID: 7911230545 Enrollment ID: I20190613000000 |
| Provider Name | Leann R. Steffensmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982015814 PECOS PAC ID: 6305068362 Enrollment ID: I20190613001779 |
| 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 | Xavier Alberto Andrade-gonzalez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033562327 PECOS PAC ID: 5799079414 Enrollment ID: I20190625003964 |
| Provider Name | Han Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396164380 PECOS PAC ID: 0042544918 Enrollment ID: I20190626002256 |
| Provider Name | Muhammad Shafay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629524715 PECOS PAC ID: 7416282546 Enrollment ID: I20190711002937 |
| Provider Name | Stephanie P Kvas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861855637 PECOS PAC ID: 3870886989 Enrollment ID: I20190712001907 |
| Provider Name | Manasa Karumuri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053774406 PECOS PAC ID: 8224322722 Enrollment ID: I20190715003464 |
| Provider Name | Matthew Patrick Thorpe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215372081 PECOS PAC ID: 2567797384 Enrollment ID: I20190716000802 |
| Provider Name | Michael Brennan Stuart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093210213 PECOS PAC ID: 8628325537 Enrollment ID: I20190718002061 |
| Provider Name | Caleb J Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891284030 PECOS PAC ID: 9133477961 Enrollment ID: I20190730001404 |
| Provider Name | Alexander Kellington Bratt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265876445 PECOS PAC ID: 2961767181 Enrollment ID: I20190730002779 |
| Provider Name | Nathan Konrad Silva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063927473 PECOS PAC ID: 6305105677 Enrollment ID: I20190731000647 |
| Provider Name | Sarah Lund |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700381456 PECOS PAC ID: 0749537751 Enrollment ID: I20190801000229 |
| 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 | Harrison John Gerdes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518462209 PECOS PAC ID: 9335496256 Enrollment ID: I20190801000595 |
| Provider Name | Bradley Michael Kruckeberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689164493 PECOS PAC ID: 8628326451 Enrollment ID: I20190801000947 |
| Provider Name | Tomas Carvajal Carvajal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104260025 PECOS PAC ID: 7315170354 Enrollment ID: I20190802000817 |
| Provider Name | Won S Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144201930 PECOS PAC ID: 4183796204 Enrollment ID: I20190805000698 |
| Provider Name | Derek Opp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366947012 PECOS PAC ID: 1456608090 Enrollment ID: I20190806002043 |
| Provider Name | Omar G Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013576594 PECOS PAC ID: 9335201599 Enrollment ID: I20190806003206 |
| Provider Name | Daniel Montville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952806093 PECOS PAC ID: 9830446756 Enrollment ID: I20190807000464 |
| Provider Name | Diana Lucia Franco Corso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033468699 PECOS PAC ID: 1355588328 Enrollment ID: I20190807001964 |
| Provider Name | Jaime Lynn Reigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275005548 PECOS PAC ID: 6800123985 Enrollment ID: I20190813000190 |
| Provider Name | Patrick Navin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427570852 PECOS PAC ID: 8426320797 Enrollment ID: I20190813001501 |
| Provider Name | Brady Pennig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720466055 PECOS PAC ID: 0244575207 Enrollment ID: I20190820002612 |
| Provider Name | Robert Boisseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356996227 PECOS PAC ID: 1557699220 Enrollment ID: I20190820002724 |
| Provider Name | Bradley Phillip Deleu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053756221 PECOS PAC ID: 7012237076 Enrollment ID: I20190820003283 |
| Provider Name | Sandy Kay Clayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578827465 PECOS PAC ID: 4082852751 Enrollment ID: I20190827000167 |
| Provider Name | Nitesh Kumar Jain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881876647 PECOS PAC ID: 5799926093 Enrollment ID: I20190831000014 |
| Provider Name | Affan Irfan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942588066 PECOS PAC ID: 4789958893 Enrollment ID: I20190909003725 |
| Provider Name | Amy Lynn Heins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659925246 PECOS PAC ID: 0547599862 Enrollment ID: I20190912000965 |
| Provider Name | Prabhakar Rajiah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033230701 PECOS PAC ID: 2961509427 Enrollment ID: I20190912003030 |
| Provider Name | Maria Angela Doran-threat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220733 PECOS PAC ID: 9537499611 Enrollment ID: I20191003000494 |
| Provider Name | Logan Willhite |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093176547 PECOS PAC ID: 6507197662 Enrollment ID: I20191004000249 |
| Provider Name | Elizabeth Xiques Bolint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801831813 PECOS PAC ID: 2769499037 Enrollment ID: I20191010002953 |
| Provider Name | Yasmeen Tandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992021067 PECOS PAC ID: 3476796327 Enrollment ID: I20191014003281 |
| Provider Name | David M Phelan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679646715 PECOS PAC ID: 3274585013 Enrollment ID: I20191015001825 |
| Provider Name | Breanna L. Weisbrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235517673 PECOS PAC ID: 0143552885 Enrollment ID: I20191029002308 |
| Provider Name | Linda Sara Russo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174939904 PECOS PAC ID: 2668704370 Enrollment ID: I20191030001511 |
| Provider Name | Jasmine Kamboj |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144557638 PECOS PAC ID: 8820380272 Enrollment ID: I20191105001066 |
| Provider Name | James M Glogowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619528734 PECOS PAC ID: 4789016841 Enrollment ID: I20191112002031 |
| Provider Name | Sadia Munawar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447649017 PECOS PAC ID: 9335452713 Enrollment ID: I20191120001364 |
| Provider Name | Kay S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134765233 PECOS PAC ID: 3274967757 Enrollment ID: I20191217001880 |
| Provider Name | Matthew Joseph Perri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345369 PECOS PAC ID: 9537593892 Enrollment ID: I20191220000405 |
| Provider Name | Sherief Shawki |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1861714222 PECOS PAC ID: 0244538585 Enrollment ID: I20191226001353 |
| Provider Name | Linda D Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629553300 PECOS PAC ID: 0648523324 Enrollment ID: I20191227001010 |
| Provider Name | Alicia Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875111 PECOS PAC ID: 8325473838 Enrollment ID: I20200110000316 |
| 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 | Regan Marie Kriechbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023520269 PECOS PAC ID: 3072940402 Enrollment ID: I20200225002188 |
| Provider Name | Elizabeth Marie Bertrand |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295355022 PECOS PAC ID: 7719318906 Enrollment ID: I20200501001548 |
| Provider Name | Mark T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245625003 PECOS PAC ID: 9739484874 Enrollment ID: I20200502000009 |
| Provider Name | Luann T. Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639455892 PECOS PAC ID: 6901067404 Enrollment ID: I20200511000597 |
| Provider Name | Charles Lewis Kieffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053842831 PECOS PAC ID: 1658629738 Enrollment ID: I20200519001886 |
| Provider Name | Kristina T Flicek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568872364 PECOS PAC ID: 1456678986 Enrollment ID: I20200523000033 |
| Provider Name | Adjoa Denyo Zakhia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093096471 PECOS PAC ID: 4880826346 Enrollment ID: I20200526001847 |
| Provider Name | Abhinav Khanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154734127 PECOS PAC ID: 2860794286 Enrollment ID: I20200526002216 |
| Provider Name | Miriam E Levi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538432323 PECOS PAC ID: 3476797838 Enrollment ID: I20200527002446 |
| Provider Name | Joshua Wiedermann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720345044 PECOS PAC ID: 0345531323 Enrollment ID: I20200601000060 |
| Provider Name | Michael A Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606924 PECOS PAC ID: 9032417712 Enrollment ID: I20200601001670 |
| Provider Name | Jidi Gao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710364906 PECOS PAC ID: 1759677529 Enrollment ID: I20200602000571 |
| Provider Name | George Stephen Zakhia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346690906 PECOS PAC ID: 0749602746 Enrollment ID: I20200620000007 |
| 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 | Hussam Tabaja |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295269827 PECOS PAC ID: 9133474844 Enrollment ID: I20200629000394 |
| Provider Name | Wigdan Hassan Eltayeb Farah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043741655 PECOS PAC ID: 7517230311 Enrollment ID: I20200629001106 |
| Provider Name | Satyajit Mohite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619322419 PECOS PAC ID: 0042632630 Enrollment ID: I20200629001232 |
| Provider Name | Tuoyo Mene-afejuku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184076853 PECOS PAC ID: 3072848209 Enrollment ID: I20200630002627 |
| Provider Name | Alla Byakova |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538515663 PECOS PAC ID: 8325379431 Enrollment ID: I20200715000021 |
| Provider Name | Emily Behrend |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174147110 PECOS PAC ID: 4284058728 Enrollment ID: I20200716003718 |
| Provider Name | Christopher Anh-thao Dinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285294389 PECOS PAC ID: 4082949581 Enrollment ID: I20200723001055 |
| Provider Name | Justin Schappell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750842464 PECOS PAC ID: 9234554858 Enrollment ID: I20200730000076 |
| Provider Name | Mark W Kaczor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497319065 PECOS PAC ID: 1759616006 Enrollment ID: I20200803001868 |
| Provider Name | Mackenzie Leigh Haller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578977450 PECOS PAC ID: 4587080338 Enrollment ID: I20200811003397 |
| Provider Name | Patrick J Bigaouette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962851394 PECOS PAC ID: 8224375605 Enrollment ID: I20200812003450 |
| 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 | Saam Dilmaghani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477014306 PECOS PAC ID: 4486988037 Enrollment ID: I20200820002979 |
| Provider Name | Ezzaddin Al Wahsh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033525456 PECOS PAC ID: 6507156981 Enrollment ID: I20200821000056 |
| Provider Name | Mohamed A Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578091690 PECOS PAC ID: 9335413749 Enrollment ID: I20200904000068 |
| Provider Name | Brian Jacob Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689134710 PECOS PAC ID: 4183959547 Enrollment ID: I20200912000070 |
| Provider Name | Michael Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518300870 PECOS PAC ID: 1052638608 Enrollment ID: I20200914000766 |
| Provider Name | Kaitlin Nicole Leopold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205397981 PECOS PAC ID: 5496089906 Enrollment ID: I20200914001559 |
| Provider Name | Lisa M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851702112 PECOS PAC ID: 8022326164 Enrollment ID: I20200917001892 |
| Provider Name | Mason James Webb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306306600 PECOS PAC ID: 6709111065 Enrollment ID: I20200922000604 |
| Provider Name | Mark David Rollins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750330064 PECOS PAC ID: 3779569637 Enrollment ID: I20200922001407 |
| Provider Name | Felix Lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548783269 PECOS PAC ID: 7911279740 Enrollment ID: I20200929000779 |
| Provider Name | Alexander Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730422429 PECOS PAC ID: 8820335896 Enrollment ID: I20201001000071 |
| Provider Name | Ibrahim A Elemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831478627 PECOS PAC ID: 0345465894 Enrollment ID: I20201001000532 |
| Provider Name | Mauro Schenone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750588596 PECOS PAC ID: 5092854000 Enrollment ID: I20201001000871 |
| Provider Name | Rajiv Dhingra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558365502 PECOS PAC ID: 5799705844 Enrollment ID: I20201005001220 |
| Provider Name | Alexandro Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619313103 PECOS PAC ID: 9133352115 Enrollment ID: I20201005001221 |
| Provider Name | Kelly Horst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134383748 PECOS PAC ID: 9537318068 Enrollment ID: I20201008001888 |
| Provider Name | Arvind Garg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154551968 PECOS PAC ID: 2062640014 Enrollment ID: I20201020000965 |
| Provider Name | Scott Michael Canepa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184185704 PECOS PAC ID: 9638403181 Enrollment ID: I20201027001392 |
| Provider Name | Guleid Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669993739 PECOS PAC ID: 7214207869 Enrollment ID: I20201104000997 |
| Provider Name | Jennifer Myaeng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467890798 PECOS PAC ID: 1951711852 Enrollment ID: I20201104001955 |
| Provider Name | Erin Elizabeth Krenik |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174121925 PECOS PAC ID: 3274944624 Enrollment ID: I20201116002978 |
| Provider Name | Ralph Thomas Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225659246 PECOS PAC ID: 6901218247 Enrollment ID: I20201210001986 |
| Provider Name | Peter Andrew Lowry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316108731 PECOS PAC ID: 3971746520 Enrollment ID: I20210219002471 |
| Provider Name | Desiree Lynn Demcak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639767718 PECOS PAC ID: 1850706995 Enrollment ID: I20210223000895 |
| Provider Name | Amy Kristine Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609464759 PECOS PAC ID: 8426463498 Enrollment ID: I20210225001063 |
| Provider Name | Erin Janda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336738749 PECOS PAC ID: 8527474105 Enrollment ID: I20210305000268 |
| Provider Name | Jacob C. Raimann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740872118 PECOS PAC ID: 5496161416 Enrollment ID: I20210316002993 |
| Provider Name | Monica Arlene Tincopa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356511729 PECOS PAC ID: 2961702097 Enrollment ID: I20210322002751 |
| Provider Name | Stephanie Marie Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538773551 PECOS PAC ID: 7315355419 Enrollment ID: I20210408002036 |
| Provider Name | Matthew Gunars Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174040364 PECOS PAC ID: 0244585206 Enrollment ID: I20210413000901 |
| Provider Name | Abigail T. La Nou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437338845 PECOS PAC ID: 0345435004 Enrollment ID: I20210413001887 |
| Provider Name | Rachel Marie Salaba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699356451 PECOS PAC ID: 2567870884 Enrollment ID: I20210426001244 |
| Provider Name | John V Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790871796 PECOS PAC ID: 8921155045 Enrollment ID: I20210427001322 |
| Provider Name | Vinayak Nagaraja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174185607 PECOS PAC ID: 0446588149 Enrollment ID: I20210430001464 |
| Provider Name | Kirsty J Nomch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376129767 PECOS PAC ID: 6901215698 Enrollment ID: I20210510002104 |
| 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 | Broc Schindler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255825535 PECOS PAC ID: 0547517195 Enrollment ID: I20210519001126 |
| Provider Name | Abdelrahman Aly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295001196 PECOS PAC ID: 6709188048 Enrollment ID: I20210519002987 |
| Provider Name | Caleb Mawulikofi Tsetse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285013813 PECOS PAC ID: 7315284924 Enrollment ID: I20210526001126 |
| Provider Name | Katie Marie Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215516141 PECOS PAC ID: 1254730799 Enrollment ID: I20210603000302 |
| Provider Name | Xia Zhou |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871099515 PECOS PAC ID: 3375891872 Enrollment ID: I20210604000101 |
| Provider Name | Sumeet K Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508358656 PECOS PAC ID: 6103166707 Enrollment ID: I20210607001075 |
| Provider Name | Dana Brenhaug |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386233971 PECOS PAC ID: 0345640751 Enrollment ID: I20210607001080 |
| 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 | Parul Tangri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609250265 PECOS PAC ID: 7012224256 Enrollment ID: I20210628002514 |
| Provider Name | Shelby Marie Helget |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720659162 PECOS PAC ID: 8123421807 Enrollment ID: I20210720000802 |
| Provider Name | Claire Anne Zabransky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780115303 PECOS PAC ID: 7517360191 Enrollment ID: I20210720001150 |
| Provider Name | Andrew S Alexander |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548825524 PECOS PAC ID: 7911321443 Enrollment ID: I20210722000882 |
| Provider Name | John Patrick Welby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831728195 PECOS PAC ID: 5991121725 Enrollment ID: I20210722002222 |
| Provider Name | Eric Twohey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063041556 PECOS PAC ID: 9234556556 Enrollment ID: I20210722002350 |
| Provider Name | Wade H Nedderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649807181 PECOS PAC ID: 4688005366 Enrollment ID: I20210723000819 |
| Provider Name | Clifford Michael Csizmar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346878840 PECOS PAC ID: 8022432491 Enrollment ID: I20210724000001 |
| Provider Name | Ashley Maree Stantz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780212241 PECOS PAC ID: 2264856632 Enrollment ID: I20210727001470 |
| Provider Name | Thomas Edward Trischman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275161259 PECOS PAC ID: 6608290176 Enrollment ID: I20210728003682 |
| Provider Name | Joseph Albert Gottwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992332985 PECOS PAC ID: 2860816147 Enrollment ID: I20210804001356 |
| Provider Name | Dennis K Kobiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083240956 PECOS PAC ID: 0345664710 Enrollment ID: I20210804003101 |
| Provider Name | Ajay Pal Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629451026 PECOS PAC ID: 0345644803 Enrollment ID: I20210804003853 |
| Provider Name | Timothy Cogswell Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669000568 PECOS PAC ID: 6800210345 Enrollment ID: I20210805000017 |
| Provider Name | Matthew Brian Amdahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245868819 PECOS PAC ID: 3577986439 Enrollment ID: I20210805002072 |
| Provider Name | Ikram-ul Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568074920 PECOS PAC ID: 1759708126 Enrollment ID: I20210809000041 |
| Provider Name | Richard Ogunti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992236046 PECOS PAC ID: 8820374663 Enrollment ID: I20210811000019 |
| Provider Name | Lakhvir Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275041717 PECOS PAC ID: 9032539374 Enrollment ID: I20210812001409 |
| Provider Name | Gabriel Andres Martinez Alvarez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750849402 PECOS PAC ID: 7517388762 Enrollment ID: I20210819001748 |
| Provider Name | Jenna Margaret Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689243792 PECOS PAC ID: 7214332527 Enrollment ID: I20210825001803 |
| Provider Name | Kaci L Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740814250 PECOS PAC ID: 1052716214 Enrollment ID: I20210826000174 |
| Provider Name | Sean Huls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831718287 PECOS PAC ID: 3779988894 Enrollment ID: I20210826002797 |
| Provider Name | Paige Lynne Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396312609 PECOS PAC ID: 5294138814 Enrollment ID: I20210827000576 |
| Provider Name | Carmen Rae Holmes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114553013 PECOS PAC ID: 2769809904 Enrollment ID: I20210827002053 |
| Provider Name | Kaylie Pierce Dean |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376171678 PECOS PAC ID: 2769806967 Enrollment ID: I20210831000517 |
| Provider Name | Udit Singhal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649663493 PECOS PAC ID: 9537459771 Enrollment ID: I20210901002398 |
| Provider Name | Caroline Louise Matchett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821626839 PECOS PAC ID: 2163846387 Enrollment ID: I20210902000221 |
| Provider Name | Omar Sami Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326676966 PECOS PAC ID: 3678991643 Enrollment ID: I20210902001077 |
| Provider Name | Nasro Abdinur Isaq |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033748884 PECOS PAC ID: 8224453246 Enrollment ID: I20210902001893 |
| Provider Name | Dontre' M Douse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396372694 PECOS PAC ID: 4880018274 Enrollment ID: I20210904000008 |
| Provider Name | Kambiz Kalantari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619019189 PECOS PAC ID: 4183638927 Enrollment ID: I20210921001242 |
| Provider Name | Hanxiang A Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245736982 PECOS PAC ID: 8022366194 Enrollment ID: I20210921003781 |
| Provider Name | Tim Leiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477121705 PECOS PAC ID: 5698172195 Enrollment ID: I20210927001446 |
| Provider Name | Leah Ursula Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588111058 PECOS PAC ID: 6406253889 Enrollment ID: I20210928001439 |
| Provider Name | Sarah Ashley Lawrence |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730708256 PECOS PAC ID: 2163847047 Enrollment ID: I20210929003154 |
| Provider Name | Rami Sadek Awad Abdel Aziz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497252365 PECOS PAC ID: 8022355957 Enrollment ID: I20210930002642 |
| Provider Name | Tucker John Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083110738 PECOS PAC ID: 9234537192 Enrollment ID: I20211006002138 |
| Provider Name | Greta Lynn Zoesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588335707 PECOS PAC ID: 4385042910 Enrollment ID: I20211012000745 |
| Provider Name | Kasey C Suckow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275102568 PECOS PAC ID: 5890193486 Enrollment ID: I20211012003275 |
| Provider Name | Erin N Koehnen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518634179 PECOS PAC ID: 3678971942 Enrollment ID: I20211018002153 |
| Provider Name | Adam James Cooling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902570245 PECOS PAC ID: 8325436611 Enrollment ID: I20211019000268 |
| 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 | Alexis May Pavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225634389 PECOS PAC ID: 0143618124 Enrollment ID: I20211025000526 |
| Provider Name | Darian L Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962079822 PECOS PAC ID: 6103214036 Enrollment ID: I20211027000016 |
| Provider Name | Kelsey Ann Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105496 PECOS PAC ID: 9436548054 Enrollment ID: I20211119000123 |
| Provider Name | Luke A. Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891145983 PECOS PAC ID: 8527484203 Enrollment ID: I20211130001790 |
| Provider Name | Philip Spencer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1780979476 PECOS PAC ID: 5890958375 Enrollment ID: I20211210001761 |
| Provider Name | Clinton John Prasnicki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831697069 PECOS PAC ID: 6002177870 Enrollment ID: I20211213000242 |
| Provider Name | Ashley Meredith Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508399304 PECOS PAC ID: 1153691787 Enrollment ID: I20211213001027 |
| Provider Name | Hannah Moriah Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285394072 PECOS PAC ID: 6406249085 Enrollment ID: I20220202002389 |
| Provider Name | David W Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538658497 PECOS PAC ID: 3678828159 Enrollment ID: I20220204001694 |
| Provider Name | Mckenzie Ann Sohre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811657117 PECOS PAC ID: 9830582055 Enrollment ID: I20220211001074 |
| Provider Name | Kayla Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154073567 PECOS PAC ID: 8729472246 Enrollment ID: I20220228000917 |
| Provider Name | Karissa Schwecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144976846 PECOS PAC ID: 1557756574 Enrollment ID: I20220309002067 |
| Provider Name | Siaka Sanneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009981 PECOS PAC ID: 2769732825 Enrollment ID: I20220321002144 |
| Provider Name | Madison N. Green |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306591060 PECOS PAC ID: 6608261045 Enrollment ID: I20220321002353 |
| Provider Name | Lorenza Saldivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912666579 PECOS PAC ID: 9931594348 Enrollment ID: I20220322002300 |
| Provider Name | Stephanie Renae Ledvina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316699150 PECOS PAC ID: 9638565559 Enrollment ID: I20220401000849 |
| Provider Name | Kortnie S Avedisian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205589447 PECOS PAC ID: 3375939788 Enrollment ID: I20220412002843 |
| Provider Name | Bradley M Burger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821389172 PECOS PAC ID: 1557674199 Enrollment ID: I20220412002894 |
| Provider Name | James Partridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952382905 PECOS PAC ID: 9739170234 Enrollment ID: I20220414001787 |
| Provider Name | Arthur Schueler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114991833 PECOS PAC ID: 4183656937 Enrollment ID: I20220416000127 |
| Provider Name | Ashwini Poola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811230204 PECOS PAC ID: 6608002381 Enrollment ID: I20220418001813 |
| Provider Name | Julia M Trnka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023752862 PECOS PAC ID: 5991182867 Enrollment ID: I20220513002258 |
| Provider Name | Andrew Paul Kitzberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215681432 PECOS PAC ID: 1153708078 Enrollment ID: I20220516001700 |
| Provider Name | Denise Busse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326709601 PECOS PAC ID: 3779960570 Enrollment ID: I20220517001724 |
| Provider Name | Ammar Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487175071 PECOS PAC ID: 2264831320 Enrollment ID: I20220517002773 |
| Provider Name | Devika Kir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023466414 PECOS PAC ID: 2163716911 Enrollment ID: I20220518002949 |
| Provider Name | Angela N Phillips |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245791508 PECOS PAC ID: 7416282439 Enrollment ID: I20220518002967 |
| Provider Name | Bayan Moustafa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720441967 PECOS PAC ID: 1153617352 Enrollment ID: I20220519000461 |
| Provider Name | Michelle Moran Mcdonough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285254557 PECOS PAC ID: 2466873021 Enrollment ID: I20220523001155 |
| Provider Name | Prasanth Lingamaneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265927149 PECOS PAC ID: 2567707706 Enrollment ID: I20220531000256 |
| Provider Name | Dawn Marie Stavish |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528063955 PECOS PAC ID: 0648658278 Enrollment ID: I20220609001409 |
| Provider Name | Rodrigo Rodrigues Pessoa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528421641 PECOS PAC ID: 0345515029 Enrollment ID: I20220613000101 |
| Provider Name | Mohammad S Sheikh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518329960 PECOS PAC ID: 7113258708 Enrollment ID: I20220614003359 |
| Provider Name | Andrea Boni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760707624 PECOS PAC ID: 9931420007 Enrollment ID: I20220624001203 |
| Provider Name | Manik Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659932796 PECOS PAC ID: 7113255530 Enrollment ID: I20220627001974 |
| Provider Name | Annette Sullivan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316328719 PECOS PAC ID: 6800199985 Enrollment ID: I20220628002303 |
| Provider Name | Amir Yosef |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801258553 PECOS PAC ID: 0143515320 Enrollment ID: I20220707002219 |
| Provider Name | Reza Nabavizadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982134391 PECOS PAC ID: 7315328002 Enrollment ID: I20220712003314 |
| Provider Name | Jennifer Dens Higano |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407435803 PECOS PAC ID: 6901209014 Enrollment ID: I20220714002299 |
| Provider Name | Edwin E Kwakugah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184033250 PECOS PAC ID: 5597035600 Enrollment ID: I20220719001313 |
| Provider Name | Karan Seegobin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225482888 PECOS PAC ID: 9335434133 Enrollment ID: I20220719003616 |
| 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 | Saad Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487206488 PECOS PAC ID: 4789018177 Enrollment ID: I20220721000609 |
| Provider Name | Tyler J Koonst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114580149 PECOS PAC ID: 5294116075 Enrollment ID: I20220726001092 |
| Provider Name | Volha Ivanovna Mazziotto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922686757 PECOS PAC ID: 2668874397 Enrollment ID: I20220726001120 |
| Provider Name | Neil R Olmscheid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508390931 PECOS PAC ID: 3476934266 Enrollment ID: I20220726001534 |
| Provider Name | Patrick Taylor Davis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306410642 PECOS PAC ID: 9638578487 Enrollment ID: I20220726001566 |
| Provider Name | Jacob Bradley Perera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568031268 PECOS PAC ID: 9830592690 Enrollment ID: I20220726001758 |
| Provider Name | Megan Rudenick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902545643 PECOS PAC ID: 0547642274 Enrollment ID: I20220727004162 |
| Provider Name | Joseph T Malicki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295391753 PECOS PAC ID: 3971833393 Enrollment ID: I20220729001104 |
| 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 | Micheal Rajni Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962089631 PECOS PAC ID: 4688075898 Enrollment ID: I20220803002261 |
| Provider Name | Eliza Ruth Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871167593 PECOS PAC ID: 0648671875 Enrollment ID: I20220804000225 |
| 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 | Kevin L Denton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518304930 PECOS PAC ID: 0840597829 Enrollment ID: I20220805003031 |
| Provider Name | Halden D Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598343741 PECOS PAC ID: 4284035254 Enrollment ID: I20220805003040 |
| Provider Name | Daniel Ritz Witt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710513510 PECOS PAC ID: 4385045509 Enrollment ID: I20220808001980 |
| 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 | Jessica Daley White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891373270 PECOS PAC ID: 5890196083 Enrollment ID: I20220809003521 |
| Provider Name | Aditya Khurana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942836473 PECOS PAC ID: 0547643462 Enrollment ID: I20220810001001 |
| Provider Name | Kaitlyn Lindsay Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952030330 PECOS PAC ID: 2264815133 Enrollment ID: I20220810003357 |
| Provider Name | Karson Mostert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548847080 PECOS PAC ID: 2466854609 Enrollment ID: I20220812000739 |
| Provider Name | Meganne Bartsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477291391 PECOS PAC ID: 6103209804 Enrollment ID: I20220812001515 |
| Provider Name | Shire Jama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033773007 PECOS PAC ID: 3274916887 Enrollment ID: I20220815002407 |
| Provider Name | Yakira Nneka David |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477967321 PECOS PAC ID: 3577817915 Enrollment ID: I20220817003406 |
| 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 | Alexander Lee Buchholz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588242671 PECOS PAC ID: 2567863848 Enrollment ID: I20220823000366 |
| Provider Name | Mikayla Gratz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962148387 PECOS PAC ID: 5294118295 Enrollment ID: I20220823003036 |
| Provider Name | Daniel Sykora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992382709 PECOS PAC ID: 2668873886 Enrollment ID: I20220824000394 |
| Provider Name | Sara Sutherland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730797366 PECOS PAC ID: 3577964550 Enrollment ID: I20220824002847 |
| Provider Name | Manfred Martin Kubler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871174193 PECOS PAC ID: 4587065792 Enrollment ID: I20220825000486 |
| Provider Name | Brittanee Joyce Samuelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891323499 PECOS PAC ID: 2365843588 Enrollment ID: I20220825000557 |
| Provider Name | David Li Farrier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093397754 PECOS PAC ID: 0648671859 Enrollment ID: I20220825000798 |
| Provider Name | Michael Harrison Storandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518545086 PECOS PAC ID: 4880095926 Enrollment ID: I20220825001296 |
| Provider Name | James Foster Howick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043893373 PECOS PAC ID: 4880095009 Enrollment ID: I20220825001715 |
| Provider Name | Katie Ann Casper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750888947 PECOS PAC ID: 5395129118 Enrollment ID: I20220829000985 |
| Provider Name | Mohamad El Labban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821608159 PECOS PAC ID: 4183040736 Enrollment ID: I20220829001583 |
| Provider Name | Taylor Laine Cammack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992383160 PECOS PAC ID: 1850792052 Enrollment ID: I20220830000713 |
| Provider Name | Badro Abdi Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629656764 PECOS PAC ID: 6800297144 Enrollment ID: I20220830000846 |
| Provider Name | Yuan Provider Yao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306515895 PECOS PAC ID: 7012314693 Enrollment ID: I20220831000501 |
| Provider Name | Cole Cheney |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922539568 PECOS PAC ID: 3779836267 Enrollment ID: I20220912000652 |
| Provider Name | Christopher J Sigakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629364310 PECOS PAC ID: 2466751979 Enrollment ID: I20220912002808 |
| 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 | Katherine G Roselius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306401351 PECOS PAC ID: 4789918962 Enrollment ID: I20220929003134 |
| Provider Name | Tri Quoc Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205283710 PECOS PAC ID: 6608163787 Enrollment ID: I20221004000265 |
| Provider Name | Tiffany M Gullord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881313526 PECOS PAC ID: 9931585387 Enrollment ID: I20221007001990 |
| Provider Name | Billie Jean Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841814753 PECOS PAC ID: 0244641645 Enrollment ID: I20221007002774 |
| Provider Name | Gbemisola Tolulope Olorode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629311220 PECOS PAC ID: 1658663877 Enrollment ID: I20221013001884 |
| Provider Name | Alyson L. Jasper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023600335 PECOS PAC ID: 1557769247 Enrollment ID: I20221018001295 |
| 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 | Kermit Brion Brunelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477529006 PECOS PAC ID: 3476872763 Enrollment ID: I20221031002212 |
| Provider Name | Tabita Amoatemaa Darkwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164156535 PECOS PAC ID: 8628444395 Enrollment ID: I20221101001313 |
| Provider Name | Kimberly M Staebell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083284277 PECOS PAC ID: 5092182139 Enrollment ID: I20221103000146 |
| Provider Name | Laura Jorgenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962081307 PECOS PAC ID: 7810392230 Enrollment ID: I20221107000713 |
| Provider Name | Malakh Lal Shrestha |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518684885 PECOS PAC ID: 1658749155 Enrollment ID: I20221114002868 |
| Provider Name | Chatura Nagaradona Alur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619466158 PECOS PAC ID: 2466841564 Enrollment ID: I20221115002048 |
| Provider Name | Harnek Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811917917 PECOS PAC ID: 1951296961 Enrollment ID: I20221116000446 |
| Provider Name | Michael Shane Stephens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427638774 PECOS PAC ID: 8820499957 Enrollment ID: I20221118002229 |
| Provider Name | Valerie P Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114649340 PECOS PAC ID: 7719355866 Enrollment ID: I20221121000932 |
| Provider Name | Peter Nicholas Brehmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063904407 PECOS PAC ID: 4587032610 Enrollment ID: I20221122000908 |
| Provider Name | Nolan Tyler Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033739297 PECOS PAC ID: 1052732633 Enrollment ID: I20221123000063 |
| Provider Name | Alan Howard Stolpen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760470629 PECOS PAC ID: 2062554702 Enrollment ID: I20221206000869 |
| Provider Name | Kara Elizabeth Kubista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952022428 PECOS PAC ID: 4284004987 Enrollment ID: I20221221000391 |
| Provider Name | Anne Beschorner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801210471 PECOS PAC ID: 9335363688 Enrollment ID: I20221228000813 |
| Provider Name | Nelia Silva-kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528685880 PECOS PAC ID: 0941670293 Enrollment ID: I20221230001278 |
| Provider Name | Emily Jean Rothstein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083322606 PECOS PAC ID: 2567832637 Enrollment ID: I20230105002656 |
| 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 | Jenna Marie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942917265 PECOS PAC ID: 8628441474 Enrollment ID: I20230227002147 |
| Provider Name | Madeline Bonifacio |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831815083 PECOS PAC ID: 8325411739 Enrollment ID: I20230306002759 |
| Provider Name | Kylie Marie Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043509730 PECOS PAC ID: 9133435688 Enrollment ID: I20230307002379 |
| Provider Name | Joanna Kusmirek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538336706 PECOS PAC ID: 7810205911 Enrollment ID: I20230308002937 |
| Provider Name | James Robert West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639556574 PECOS PAC ID: 9537469937 Enrollment ID: I20230322001600 |
| Provider Name | Erin Elaine Wenzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336521335 PECOS PAC ID: 6608177027 Enrollment ID: I20230322002409 |
| 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 | Larissa K Halvorson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861193930 PECOS PAC ID: 7810353018 Enrollment ID: I20230512002037 |
| Provider Name | Alexandr M. Pinkhasov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871098806 PECOS PAC ID: 3274879093 Enrollment ID: I20230518001647 |
| Provider Name | Robert Bo Qi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235663527 PECOS PAC ID: 0941666804 Enrollment ID: I20230518001680 |
| Provider Name | Valerie Jaroenpuntaruk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033774104 PECOS PAC ID: 2769885193 Enrollment ID: I20230518002462 |
| Provider Name | Daniel Todd Lybbert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790279941 PECOS PAC ID: 1052668027 Enrollment ID: I20230521000120 |
| Provider Name | Eugene Chiemeka Nwankwo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285253328 PECOS PAC ID: 3072938547 Enrollment ID: I20230525000108 |
| Provider Name | Stephen Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487281911 PECOS PAC ID: 8628490703 Enrollment ID: I20230530001354 |
| Provider Name | Melanie Marie Haak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629737317 PECOS PAC ID: 3779940119 Enrollment ID: I20230531000559 |
| Provider Name | Amvrine Ganguly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447736426 PECOS PAC ID: 9931446051 Enrollment ID: I20230605002115 |
| Provider Name | Sandeep Teja |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851368765 PECOS PAC ID: 8123093895 Enrollment ID: I20230607000757 |
| 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 | Ploypin Lertjitbanjong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487175394 PECOS PAC ID: 3870952161 Enrollment ID: I20230705001594 |
| Provider Name | David Ernesto Castillo Saavedra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326601303 PECOS PAC ID: 7315306198 Enrollment ID: I20230711004287 |
| Provider Name | Stevan Oluic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326657651 PECOS PAC ID: 3072974989 Enrollment ID: I20230725001739 |
| Provider Name | Nicole Christine Sztuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932631504 PECOS PAC ID: 7618240144 Enrollment ID: I20230725003096 |
| Provider Name | Mackenzie Dale Maberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871233718 PECOS PAC ID: 5092195495 Enrollment ID: I20230727003749 |
| Provider Name | Rachel J. Mccain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215594858 PECOS PAC ID: 3971834128 Enrollment ID: I20230803002287 |
| Provider Name | Taryn L Wicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598459638 PECOS PAC ID: 9032571914 Enrollment ID: I20230809000863 |
| Provider Name | Marjan Jahani Kondori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750901021 PECOS PAC ID: 1850713603 Enrollment ID: I20230810002326 |
| Provider Name | Samuel Nowicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982278198 PECOS PAC ID: 4082076724 Enrollment ID: I20230814000778 |
| Provider Name | Shelby Augusta Swartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770229841 PECOS PAC ID: 0749642338 Enrollment ID: I20230814003004 |
| Provider Name | Robert Joseph Haemmerle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104568146 PECOS PAC ID: 5294115010 Enrollment ID: I20230815002397 |
| Provider Name | Sara Kathleen Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720608029 PECOS PAC ID: 1456773373 Enrollment ID: I20230830002269 |
| Provider Name | Madalyn A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336829662 PECOS PAC ID: 1456714070 Enrollment ID: I20230830002273 |
| Provider Name | Joseph J. Lesnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861470262 PECOS PAC ID: 5092759456 Enrollment ID: I20230831003906 |
| Provider Name | Thomas Everett Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629776380 PECOS PAC ID: 4183087349 Enrollment ID: I20230906000664 |
| Provider Name | Mark Alan Rustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265112312 PECOS PAC ID: 8820452345 Enrollment ID: I20230915001891 |
| Provider Name | Laura E Grigereit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952821530 PECOS PAC ID: 6002188323 Enrollment ID: I20230919003106 |
| 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 | Jeffrey J Lunn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578527347 PECOS PAC ID: 7315900941 Enrollment ID: I20231005001745 |
| Provider Name | Kristin Marie Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003508318 PECOS PAC ID: 5092160325 Enrollment ID: I20231006000684 |
| Provider Name | Mohammed A Osman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124403456 PECOS PAC ID: 5092004713 Enrollment ID: I20231011001290 |
| 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 | Cara Marie Baxter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255731212 PECOS PAC ID: 1355797499 Enrollment ID: I20231026001880 |
| Provider Name | Luke Jon Tietz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235707092 PECOS PAC ID: 6406203736 Enrollment ID: I20231108002317 |
| Provider Name | Stuart Alan Ostby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043743487 PECOS PAC ID: 6204112428 Enrollment ID: I20231110002256 |
| Provider Name | Jordyn M Shanks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316727753 PECOS PAC ID: 5496102279 Enrollment ID: I20231116000453 |
| Provider Name | Kholoud Abdulaziz A Arab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841921384 PECOS PAC ID: 3375994254 Enrollment ID: I20240104002128 |
| Provider Name | Ebtihal Ahmed Mohamed Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235653452 PECOS PAC ID: 0648601393 Enrollment ID: I20240122001886 |
| Provider Name | Lea Tiare Minton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669724324 PECOS PAC ID: 8921252818 Enrollment ID: I20240126004046 |
| Provider Name | Kaleigh Katherine Longcrier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376284869 PECOS PAC ID: 7214315415 Enrollment ID: I20240129003735 |
| Provider Name | Marijo Laurene Botten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962145995 PECOS PAC ID: 4789065889 Enrollment ID: I20240130000169 |
| Provider Name | Megan Lynn Kindom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013657097 PECOS PAC ID: 6901285774 Enrollment ID: I20240212003784 |
| Provider Name | Shay Le Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346921780 PECOS PAC ID: 6800231481 Enrollment ID: I20240305003714 |
| Provider Name | Mohammad Qasim Raza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336501204 PECOS PAC ID: 6709160567 Enrollment ID: I20240313001909 |
Blue Earth County Human Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 S 5th St, Mankato, MN 56001 Phone: 507-304-4319 Fax: 507-304-4387 | |
Functional Chiropractic Rehab, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 Madison Ave Ste 120, Mankato, MN 56001 Phone: 605-380-4364 | |
Gillette Children's Specialty Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Premier Dr, Suite 100, Mankato, MN 56001 Phone: 507-207-2700 | |
Msu Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Maywood Ave, 21 Carkoski Commons, Mankato, MN 56001 Phone: 507-389-6276 | |
Saggau Chiropractic Clinic, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 Navaho Ave, #26, Mankato, MN 56001 Phone: 507-625-9060 Fax: 507-625-2350 | |
Open Door Health Center - Mobile Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Holly Ln, Mankato, MN 56001 Phone: 507-388-2120 Fax: 507-388-3924 |