| Mayo Clinic | |
|
200 1st St Sw Rochester MN 55905-0001 | |
| (507) 284-2511 | |
| (507) 284-0574 |
| Full Name | Mayo Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Authorized Official Name and Position | Dennis Dahlen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5075383389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic 200 1st St Sw Rochester MN 55905-0001 Ph: (507) 284-2511 | Mayo Clinic 200 1st St Sw Rochester MN 55905-0001 Ph: (507) 284-2511 |
| NPI Number | 1922074434 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 08/07/2025 |
| Certification Date | 08/07/2025 |
| Medicare PECOS PAC ID | 6507778255 |
|---|---|
| Medicare Enrollment ID | O20031103000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922074434 | NPI | - | NPPES |
| Provider Name | Dawit T Haile |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821077843 PECOS PAC ID: 8921912692 Enrollment ID: I20031117000680 |
| Provider Name | William Sanchez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609840958 PECOS PAC ID: 7810801354 Enrollment ID: I20031118000610 |
| Provider Name | Russell Gelfman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295707727 PECOS PAC ID: 4284538489 Enrollment ID: I20031120000285 |
| 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 | Patricia Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538134630 PECOS PAC ID: 9638073661 Enrollment ID: I20031125000147 |
| Provider Name | Mark R Litzow |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1871579672 PECOS PAC ID: 0244134898 Enrollment ID: I20031125000352 |
| Provider Name | Anil N Kurup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023098332 PECOS PAC ID: 5092619502 Enrollment ID: I20031125000514 |
| Provider Name | Marcia W Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801876594 PECOS PAC ID: 8123922648 Enrollment ID: I20031125000557 |
| Provider Name | David B Gremmels |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508813452 PECOS PAC ID: 8820992357 Enrollment ID: I20031125000578 |
| 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 | Jennifer M Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417952805 PECOS PAC ID: 2860397981 Enrollment ID: I20031203000143 |
| Provider Name | Michael L Kendrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851365712 PECOS PAC ID: 2860397882 Enrollment ID: I20031203000536 |
| 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 | Elizabeth W Bunch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902888639 PECOS PAC ID: 3274439492 Enrollment ID: I20031209000784 |
| Provider Name | Robert R Cima |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154393999 PECOS PAC ID: 4587560636 Enrollment ID: I20031209001015 |
| Provider Name | Adam K Jacob |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548248362 PECOS PAC ID: 6305742321 Enrollment ID: I20031210000732 |
| Provider Name | Nathan a Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437137254 PECOS PAC ID: 9032015060 Enrollment ID: I20031210000804 |
| Provider Name | Charles Cagin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720061096 PECOS PAC ID: 6800793290 Enrollment ID: I20031215000461 |
| Provider Name | Michael a Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891772018 PECOS PAC ID: 6800791922 Enrollment ID: I20031215000890 |
| Provider Name | Henry J Schiller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124008057 PECOS PAC ID: 5991602286 Enrollment ID: I20031215000955 |
| 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 | Malcolm R Bell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952375859 PECOS PAC ID: 1658278817 Enrollment ID: I20031216000398 |
| Provider Name | Peter C Gay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891765228 PECOS PAC ID: 4486551660 Enrollment ID: I20031216000526 |
| Provider Name | Pankaj Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659476588 PECOS PAC ID: 4880591965 Enrollment ID: I20031217000151 |
| Provider Name | Patrick W Eiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245205830 PECOS PAC ID: 2668379751 Enrollment ID: I20031217000184 |
| Provider Name | Thorvardur R Halfdanarson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083684187 PECOS PAC ID: 7618874702 Enrollment ID: I20031217000216 |
| Provider Name | Timothy J Kaufmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417935131 PECOS PAC ID: 2062310766 Enrollment ID: I20031219000269 |
| Provider Name | Timothy Kozelsky |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790762128 PECOS PAC ID: 3173422821 Enrollment ID: I20040102000155 |
| Provider Name | Kara L Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730150053 PECOS PAC ID: 4789583360 Enrollment ID: I20040102000360 |
| Provider Name | Frank Cetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306822549 PECOS PAC ID: 9931008570 Enrollment ID: I20040102000696 |
| Provider Name | Adele Pattinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861467300 PECOS PAC ID: 8426957879 Enrollment ID: I20040105000494 |
| Provider Name | Scott a Eskuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831110915 PECOS PAC ID: 8628977097 Enrollment ID: I20040105000587 |
| Provider Name | Lori a Thicke |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1336112226 PECOS PAC ID: 9638078074 Enrollment ID: I20040106000127 |
| Provider Name | Jonathan M Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255311940 PECOS PAC ID: 3274432141 Enrollment ID: I20040108000831 |
| Provider Name | Julie L Probach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205807724 PECOS PAC ID: 9739089483 Enrollment ID: I20040109001040 |
| Provider Name | Tricia a Veglahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902885189 PECOS PAC ID: 2466352653 Enrollment ID: I20040113000266 |
| Provider Name | Thomas G Osborn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588634117 PECOS PAC ID: 3779483888 Enrollment ID: I20040113000419 |
| Provider Name | Amy Oxentenko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407820897 PECOS PAC ID: 0345141404 Enrollment ID: I20040120000910 |
| Provider Name | Gregory M Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023098456 PECOS PAC ID: 5496657223 Enrollment ID: I20040122000941 |
| Provider Name | Daryl J Kor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023098316 PECOS PAC ID: 6406758127 Enrollment ID: I20040123000128 |
| Provider Name | Jacqueline B Langas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578530556 PECOS PAC ID: 4688576952 Enrollment ID: I20040126000786 |
| 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 | 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 | Jane R Rosenman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376523860 PECOS PAC ID: 4486557774 Enrollment ID: I20040202000928 |
| Provider Name | Kristin S Vickers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497733117 PECOS PAC ID: 6901799204 Enrollment ID: I20040202000998 |
| Provider Name | Leal G Segura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164401378 PECOS PAC ID: 8224921523 Enrollment ID: I20040202001027 |
| Provider Name | Daniel T Chow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154398881 PECOS PAC ID: 8325931405 Enrollment ID: I20040203000842 |
| Provider Name | David a Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891772554 PECOS PAC ID: 9537052675 Enrollment ID: I20040204000033 |
| Provider Name | Patrick B Johnston |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1053399246 PECOS PAC ID: 3476446873 Enrollment ID: I20040207000080 |
| Provider Name | Matthew P Goetz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255310611 PECOS PAC ID: 0345133765 Enrollment ID: I20040207000208 |
| Provider Name | Joaquin Sanchez-sotelo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922085380 PECOS PAC ID: 9335032754 Enrollment ID: I20040207000214 |
| Provider Name | James L Homme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699749507 PECOS PAC ID: 0749174803 Enrollment ID: I20040210000582 |
| Provider Name | Brian Lynch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073598819 PECOS PAC ID: 5991699001 Enrollment ID: I20040210000879 |
| Provider Name | Frederick North |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982684072 PECOS PAC ID: 8426960824 Enrollment ID: I20040210001089 |
| Provider Name | William J Litchy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841270980 PECOS PAC ID: 0749173938 Enrollment ID: I20040217000012 |
| Provider Name | Mary C Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912975004 PECOS PAC ID: 5092600965 Enrollment ID: I20040219000045 |
| Provider Name | Joseph a Dearani |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407834344 PECOS PAC ID: 8527953165 Enrollment ID: I20040220000900 |
| Provider Name | Lisa M Vangetson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245205459 PECOS PAC ID: 0042105611 Enrollment ID: I20040220001056 |
| Provider Name | Onelis Quirindongo-cedeno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922078567 PECOS PAC ID: 0648167999 Enrollment ID: I20040302000188 |
| Provider Name | Laree L Etter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831162551 PECOS PAC ID: 4284521576 Enrollment ID: I20040302000357 |
| Provider Name | William M Hooten |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164495222 PECOS PAC ID: 1153218037 Enrollment ID: I20040304000114 |
| Provider Name | Andrea a Bobis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104855378 PECOS PAC ID: 8123916822 Enrollment ID: I20040305000115 |
| Provider Name | Deaglan F Ocochlain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982677274 PECOS PAC ID: 4385532803 Enrollment ID: I20040308000219 |
| Provider Name | Darcy R Erickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962472563 PECOS PAC ID: 6406745199 Enrollment ID: I20040311000873 |
| Provider Name | Paul M Robelia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790762029 PECOS PAC ID: 5991694556 Enrollment ID: I20040311001308 |
| Provider Name | Erin E Knoebel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821076712 PECOS PAC ID: 0446149793 Enrollment ID: I20040313000518 |
| Provider Name | David D Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437136652 PECOS PAC ID: 1254221286 Enrollment ID: I20040316000185 |
| Provider Name | Eric H Yang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891775318 PECOS PAC ID: 5597656686 Enrollment ID: I20040319001518 |
| Provider Name | Marcie L Billings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770569709 PECOS PAC ID: 6305738733 Enrollment ID: I20040329001154 |
| Provider Name | Brian J Davis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730150277 PECOS PAC ID: 9830182641 Enrollment ID: I20040407000377 |
| Provider Name | David a Woodrum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750353298 PECOS PAC ID: 0547255051 Enrollment ID: I20040415000485 |
| Provider Name | Margaret Duscio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609852599 PECOS PAC ID: 7810982246 Enrollment ID: I20040416000059 |
| 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 | Naser Ammash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750354411 PECOS PAC ID: 3173519253 Enrollment ID: I20040423000240 |
| Provider Name | Jori L Eidem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235101171 PECOS PAC ID: 9931198629 Enrollment ID: I20040507001328 |
| Provider Name | Nadia N Laack |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710966999 PECOS PAC ID: 4284623893 Enrollment ID: I20040510000408 |
| Provider Name | Hamid Rehman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144290305 PECOS PAC ID: 0446249833 Enrollment ID: I20040511000271 |
| Provider Name | Gregory Cascino |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1144200437 PECOS PAC ID: 9931198207 Enrollment ID: I20040511000889 |
| Provider Name | Eric Williamson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881666022 PECOS PAC ID: 9739179912 Enrollment ID: I20040518000796 |
| Provider Name | John L Atkinson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740250752 PECOS PAC ID: 4183615552 Enrollment ID: I20040524000557 |
| Provider Name | Orhun H Kantarci |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225015464 PECOS PAC ID: 0648261024 Enrollment ID: I20040524000626 |
| Provider Name | Amy Williams |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912978016 PECOS PAC ID: 9133101157 Enrollment ID: I20040603000755 |
| Provider Name | Elizabeth a Timmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366420911 PECOS PAC ID: 6709868649 Enrollment ID: I20040603000982 |
| Provider Name | James J Muggli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205807534 PECOS PAC ID: 8224010194 Enrollment ID: I20040603001199 |
| Provider Name | Rebecca L Ferber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649244641 PECOS PAC ID: 1850374182 Enrollment ID: I20040609000314 |
| Provider Name | Yuri a Saito Loftus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346212131 PECOS PAC ID: 5991788960 Enrollment ID: I20040610000860 |
| Provider Name | Emanuel C Trabuco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679550529 PECOS PAC ID: 3870576846 Enrollment ID: I20040610000885 |
| Provider Name | Kianoush Banaei Kashani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518917277 PECOS PAC ID: 9638152614 Enrollment ID: I20040610000936 |
| Provider Name | Prasad Iyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770563298 PECOS PAC ID: 2163407842 Enrollment ID: I20040618000958 |
| Provider Name | Harmeet Malhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275507600 PECOS PAC ID: 3274518618 Enrollment ID: I20040621001253 |
| Provider Name | Katherine C Nickels |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| 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 | Monique R Bowersox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093788291 PECOS PAC ID: 6901881044 Enrollment ID: I20040622001101 |
| Provider Name | Kristin S Groves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124092705 PECOS PAC ID: 8325023468 Enrollment ID: I20040622001130 |
| Provider Name | Sarah J Crane |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1770553083 PECOS PAC ID: 8426034489 Enrollment ID: I20040629000821 |
| 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 | Joseph D Yao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720050388 PECOS PAC ID: 4981599487 Enrollment ID: I20040714000086 |
| Provider Name | Felix E Diehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184604142 PECOS PAC ID: 3274512371 Enrollment ID: I20040714000112 |
| Provider Name | Jamie N Bakkum-gamez |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245204114 PECOS PAC ID: 5395724496 Enrollment ID: I20040714000165 |
| Provider Name | Julie E Hallanger-johnson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417921677 PECOS PAC ID: 1456330562 Enrollment ID: I20040714000200 |
| 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 | Jeffrey M Payne |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518946797 PECOS PAC ID: 8022097468 Enrollment ID: I20040719000501 |
| Provider Name | Virginia Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104904986 PECOS PAC ID: 1052390432 Enrollment ID: I20040719000780 |
| Provider Name | Carrie a Thompson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982678363 PECOS PAC ID: 0143200907 Enrollment ID: I20040722000379 |
| Provider Name | Marius N Stan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679547103 PECOS PAC ID: 6507758307 Enrollment ID: I20040727000634 |
| Provider Name | Arashk Motiei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225000748 PECOS PAC ID: 8123098373 Enrollment ID: I20040727000743 |
| Provider Name | Cassie C Kennedy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407820566 PECOS PAC ID: 6608846464 Enrollment ID: I20040728001586 |
| Provider Name | Stephen Sems |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861471260 PECOS PAC ID: 5496726143 Enrollment ID: I20040804001799 |
| Provider Name | David J Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083686489 PECOS PAC ID: 8022089713 Enrollment ID: I20040805000063 |
| Provider Name | Christopher M Wittich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740203876 PECOS PAC ID: 5193796886 Enrollment ID: I20040805000091 |
| Provider Name | Chunhee R Choo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114905353 PECOS PAC ID: 1850362468 Enrollment ID: I20040805000323 |
| Provider Name | Matthew K Tollefson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316927114 PECOS PAC ID: 1557332160 Enrollment ID: I20040805000346 |
| Provider Name | Michelle a Neben Wittich |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215914783 PECOS PAC ID: 8820069339 Enrollment ID: I20040805001128 |
| Provider Name | Katharine Andress Rowe Price |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093794075 PECOS PAC ID: 8527039056 Enrollment ID: I20040805001249 |
| Provider Name | Gina M Stalboerger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699745216 PECOS PAC ID: 8820061161 Enrollment ID: I20040816000907 |
| Provider Name | Mark G Costopoulos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770555633 PECOS PAC ID: 0143293498 Enrollment ID: I20040816000962 |
| Provider Name | Bjoerg Thorsteinsdottir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760454292 PECOS PAC ID: 1951374131 Enrollment ID: I20040816001293 |
| Provider Name | Kellie L Mathis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1770563975 PECOS PAC ID: 9830162023 Enrollment ID: I20040816001337 |
| Provider Name | Megha M Tollefson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689646093 PECOS PAC ID: 5294708368 Enrollment ID: I20040817000511 |
| Provider Name | Robert E Kraichely |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699747030 PECOS PAC ID: 5890768709 Enrollment ID: I20040818000858 |
| Provider Name | Iasmina Craici |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033197934 PECOS PAC ID: 8224001938 Enrollment ID: I20040819000317 |
| Provider Name | Jeffrey Jensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700850294 PECOS PAC ID: 6709859424 Enrollment ID: I20040819000380 |
| Provider Name | Brad S Karon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992782437 PECOS PAC ID: 2668445388 Enrollment ID: I20040819000422 |
| Provider Name | Pritish Tosh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801860978 PECOS PAC ID: 8527031251 Enrollment ID: I20040819000461 |
| Provider Name | Floranne C Ernste |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033180641 PECOS PAC ID: 9032182761 Enrollment ID: I20040819000486 |
| Provider Name | Rachel D Havyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447230057 PECOS PAC ID: 1557334299 Enrollment ID: I20040819000511 |
| Provider Name | Janalene L Jacobson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558332973 PECOS PAC ID: 8426024936 Enrollment ID: I20040907000807 |
| Provider Name | Jeffrey S Brault |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356328165 PECOS PAC ID: 5496722613 Enrollment ID: I20040915001141 |
| Provider Name | Robert L Friese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114901733 PECOS PAC ID: 6507833738 Enrollment ID: I20040915001180 |
| Provider Name | Curtis a Hanson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558340927 PECOS PAC ID: 6204803323 Enrollment ID: I20040916000641 |
| Provider Name | Thomas M Munger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942272380 PECOS PAC ID: 2668449711 Enrollment ID: I20040916000818 |
| Provider Name | Deborah B Mcwilliams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518939701 PECOS PAC ID: 3577531268 Enrollment ID: I20040921000285 |
| Provider Name | Monique Freund |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053390526 PECOS PAC ID: 2860461779 Enrollment ID: I20040928000702 |
| Provider Name | Tara Karan Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003889775 PECOS PAC ID: 0446219745 Enrollment ID: I20041004000281 |
| Provider Name | Hatem M Amer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417936634 PECOS PAC ID: 4183683303 Enrollment ID: I20041005000100 |
| Provider Name | Raul E Espinosa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366408106 PECOS PAC ID: 6002876414 Enrollment ID: I20041011000576 |
| 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 | Samuel Jayaprakash Asirvatham |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932189750 PECOS PAC ID: 7517928989 Enrollment ID: I20041020000445 |
| Provider Name | Kathryn M Schak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114997061 PECOS PAC ID: 0244291581 Enrollment ID: I20041020001148 |
| Provider Name | Michael S Meyers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962485854 PECOS PAC ID: 2163483884 Enrollment ID: I20041025001078 |
| Provider Name | Sarah a Reiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093786568 PECOS PAC ID: 9537120142 Enrollment ID: I20041026000534 |
| Provider Name | James a Onigkeit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881667970 PECOS PAC ID: 4385605997 Enrollment ID: I20041026000599 |
| 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 | Jessica L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982684346 PECOS PAC ID: 6305808502 Enrollment ID: I20041030000116 |
| Provider Name | Gary J Kadlec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215993407 PECOS PAC ID: 0042287534 Enrollment ID: I20041103000878 |
| Provider Name | Paul Wennberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407820921 PECOS PAC ID: 2264496876 Enrollment ID: I20041115000121 |
| Provider Name | Randal J Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912984071 PECOS PAC ID: 8123082013 Enrollment ID: I20041122001055 |
| Provider Name | Jyoti Bhagia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174500730 PECOS PAC ID: 2860305539 Enrollment ID: I20041123000459 |
| Provider Name | Shannon S Spies Ingersoll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093717662 PECOS PAC ID: 1951366202 Enrollment ID: I20041129000225 |
| Provider Name | Amy Koenigs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871565564 PECOS PAC ID: 4880659036 Enrollment ID: I20041130000089 |
| Provider Name | Nathan P Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356314876 PECOS PAC ID: 8325003585 Enrollment ID: I20041130000187 |
| Provider Name | James E Colletti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578538534 PECOS PAC ID: 6800851890 Enrollment ID: I20041201000822 |
| Provider Name | Alka Mehra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740344423 PECOS PAC ID: 4284690918 Enrollment ID: I20041204000297 |
| Provider Name | Alexandra S Biedermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497726939 PECOS PAC ID: 7618933805 Enrollment ID: I20041209000214 |
| Provider Name | Kevin J Whitford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972581338 PECOS PAC ID: 5395731491 Enrollment ID: I20041209000222 |
| Provider Name | Peter J Tebben |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922085414 PECOS PAC ID: 3971560079 Enrollment ID: I20041209001078 |
| Provider Name | Edgardo I Gimenez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629056452 PECOS PAC ID: 2163480120 Enrollment ID: I20041222000579 |
| Provider Name | Sharon Libi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295786879 PECOS PAC ID: 7113985011 Enrollment ID: I20041223000046 |
| Provider Name | Farha Ikramuddin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609977107 PECOS PAC ID: 4082663406 Enrollment ID: I20050112000919 |
| Provider Name | Sanjeev Sethi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083694855 PECOS PAC ID: 0143279463 Enrollment ID: I20050113000633 |
| Provider Name | Robert R Mcwilliams |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487633962 PECOS PAC ID: 2961452396 Enrollment ID: I20050124001040 |
| Provider Name | Stephen P Merry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962480202 PECOS PAC ID: 9133179377 Enrollment ID: I20050126000364 |
| Provider Name | Mark J Truty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639141872 PECOS PAC ID: 0345290235 Enrollment ID: I20050128000053 |
| Provider Name | Kathleen Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982677613 PECOS PAC ID: 1456301134 Enrollment ID: I20050131000454 |
| Provider Name | Eugene D Kwon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699754168 PECOS PAC ID: 7416907035 Enrollment ID: I20050131000829 |
| 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 | Diana L Stead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699747097 PECOS PAC ID: 9032160437 Enrollment ID: I20050202000999 |
| Provider Name | Andrew D Rule |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962476341 PECOS PAC ID: 5890747208 Enrollment ID: I20050214000900 |
| Provider Name | Robin M Lloyd |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932187077 PECOS PAC ID: 4789636531 Enrollment ID: I20050221000237 |
| Provider Name | Anthony a Stans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417929001 PECOS PAC ID: 7618929472 Enrollment ID: I20050221000298 |
| Provider Name | Leonardo Arteaga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407836026 PECOS PAC ID: 6406810084 Enrollment ID: I20050221000329 |
| Provider Name | Naoki Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891774261 PECOS PAC ID: 8325091507 Enrollment ID: I20050228000852 |
| Provider Name | Frank a Sinicrope |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144200353 PECOS PAC ID: 3971557042 Enrollment ID: I20050310001078 |
| Provider Name | Jolanta M Durski |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1407820780 PECOS PAC ID: 5698720472 Enrollment ID: I20050315000151 |
| Provider Name | Leslie a Sim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205815602 PECOS PAC ID: 3072568765 Enrollment ID: I20050315001009 |
| Provider Name | Megan L Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316918600 PECOS PAC ID: 8820043565 Enrollment ID: I20050316000240 |
| Provider Name | Chad J Fleming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841276854 PECOS PAC ID: 9032164587 Enrollment ID: I20050317000154 |
| Provider Name | David R Deyle |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1528187846 PECOS PAC ID: 7719933670 Enrollment ID: I20050324000259 |
| Provider Name | Pamela K Holte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306811526 PECOS PAC ID: 7810953163 Enrollment ID: I20050405000121 |
| Provider Name | Michael E Torchia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659343168 PECOS PAC ID: 2062469885 Enrollment ID: I20050405000128 |
| Provider Name | Sara E Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265530802 PECOS PAC ID: 4789631524 Enrollment ID: I20050405000228 |
| Provider Name | Jessica L Petersen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629041439 PECOS PAC ID: 2466409115 Enrollment ID: I20050405000443 |
| Provider Name | Daniel a Assad |
|---|---|
| Provider Type | Practitioner - Periodontics |
| Provider Identifiers | NPI Number: 1154391274 PECOS PAC ID: 5395782429 Enrollment ID: I20050411000928 |
| Provider Name | Erick D Bothun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134106339 PECOS PAC ID: 0648217448 Enrollment ID: I20050413000641 |
| Provider Name | Brian D Ogren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699748517 PECOS PAC ID: 0143267682 Enrollment ID: I20050415000186 |
| Provider Name | Daniel L Price |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316926587 PECOS PAC ID: 8820036015 Enrollment ID: I20050419000633 |
| Provider Name | Rebecca Wilker Lenser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467431148 PECOS PAC ID: 6305885716 Enrollment ID: I20050426000669 |
| 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 | Shannon R Monosmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790758217 PECOS PAC ID: 5698714541 Enrollment ID: I20050429000163 |
| Provider Name | Andrea L Armellino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669446241 PECOS PAC ID: 7214976950 Enrollment ID: I20050502000781 |
| Provider Name | Debra L Thomford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942271580 PECOS PAC ID: 2365482569 Enrollment ID: I20050506000481 |
| Provider Name | Sophie J Bakri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861464455 PECOS PAC ID: 2466492608 Enrollment ID: I20050506000763 |
| Provider Name | Myongsu Draper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841278009 PECOS PAC ID: 4385684430 Enrollment ID: I20050509000079 |
| Provider Name | James R Rosane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396724589 PECOS PAC ID: 2365482304 Enrollment ID: I20050509000848 |
| Provider Name | Mark J Ahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760456198 PECOS PAC ID: 0446290498 Enrollment ID: I20050509000955 |
| Provider Name | Joseph a Ricci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922072925 PECOS PAC ID: 6608816657 Enrollment ID: I20050509000970 |
| Provider Name | Laura J Orvidas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073592986 PECOS PAC ID: 4789625229 Enrollment ID: I20050516000409 |
| Provider Name | Sean J Pittock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154395358 PECOS PAC ID: 9436190972 Enrollment ID: I20050516000472 |
| Provider Name | Gregory P Couser |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366429433 PECOS PAC ID: 0840262820 Enrollment ID: I20050516000727 |
| Provider Name | Marian Y Kwansa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902876642 PECOS PAC ID: 7315988789 Enrollment ID: I20050516000750 |
| Provider Name | Karla M Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053382143 PECOS PAC ID: 8325089709 Enrollment ID: I20050516000817 |
| Provider Name | Lisa M Epp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700864535 PECOS PAC ID: 8921049842 Enrollment ID: I20050520000082 |
| Provider Name | Lori Kay Brundige |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013989359 PECOS PAC ID: 1759323546 Enrollment ID: I20050523000431 |
| Provider Name | Ognjen Gajic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194703967 PECOS PAC ID: 0244272060 Enrollment ID: I20050523000686 |
| Provider Name | Erin E Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205809134 PECOS PAC ID: 8628010402 Enrollment ID: I20050523001235 |
| Provider Name | Gretchen Y Heidler Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720034739 PECOS PAC ID: 8224070537 Enrollment ID: I20050526000547 |
| 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 | Elisha R Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760462972 PECOS PAC ID: 8426091133 Enrollment ID: I20050603000517 |
| 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 | Bernice M Casella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912985730 PECOS PAC ID: 3971546698 Enrollment ID: I20050603000610 |
| Provider Name | Steven M Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841263639 PECOS PAC ID: 4385687987 Enrollment ID: I20050606000125 |
| Provider Name | Dawn L Francis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295712511 PECOS PAC ID: 9830133685 Enrollment ID: I20050615000067 |
| Provider Name | Lisa a Kottschade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851379614 PECOS PAC ID: 4981649985 Enrollment ID: I20050621000489 |
| Provider Name | Arthur J Sit |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295713170 PECOS PAC ID: 9931173978 Enrollment ID: I20050706000354 |
| 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 Melduni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285614362 PECOS PAC ID: 8325074073 Enrollment ID: I20050713000910 |
| Provider Name | Brian a Neff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639156920 PECOS PAC ID: 0547220253 Enrollment ID: I20050715000195 |
| Provider Name | David H Bruining |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750361788 PECOS PAC ID: 5294701785 Enrollment ID: I20050718000844 |
| Provider Name | Charles H Clayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336129196 PECOS PAC ID: 0547297806 Enrollment ID: I20050719000878 |
| Provider Name | Fawad Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306829882 PECOS PAC ID: 6103853387 Enrollment ID: I20050719001114 |
| Provider Name | Amy S Beacom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538137732 PECOS PAC ID: 1456388578 Enrollment ID: I20050720000847 |
| Provider Name | Jerry D Brewer |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1558347526 PECOS PAC ID: 9133156110 Enrollment ID: I20050721000146 |
| Provider Name | John J Poterucha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083689475 PECOS PAC ID: 4486681483 Enrollment ID: I20050721000242 |
| Provider Name | Mark V Larson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316910300 PECOS PAC ID: 9335176338 Enrollment ID: I20050721000302 |
| Provider Name | Timothy F Ahern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114991908 PECOS PAC ID: 1759318777 Enrollment ID: I20050721000427 |
| Provider Name | Robert Albright |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417934738 PECOS PAC ID: 0749217768 Enrollment ID: I20050721000436 |
| Provider Name | Edward Vincent Loftus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003895590 PECOS PAC ID: 9739116765 Enrollment ID: I20050721000535 |
| Provider Name | John W Hildebrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255305884 PECOS PAC ID: 6608803549 Enrollment ID: I20050721000657 |
| Provider Name | Martha Hartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679550206 PECOS PAC ID: 2062449838 Enrollment ID: I20050722000792 |
| Provider Name | Michael Robbins Ebbert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174635833 PECOS PAC ID: 5395772891 Enrollment ID: I20050726000533 |
| Provider Name | Bryan T Klassen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184603144 PECOS PAC ID: 1850328303 Enrollment ID: I20050726000882 |
| Provider Name | Joline E Brandenburg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538149620 PECOS PAC ID: 1355379306 Enrollment ID: I20050801000149 |
| Provider Name | Matthew a Frick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245203777 PECOS PAC ID: 8921036682 Enrollment ID: I20050803000131 |
| Provider Name | Katherine a Gorman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629041538 PECOS PAC ID: 4688602345 Enrollment ID: I20050803000178 |
| Provider Name | Jason a Post |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144208364 PECOS PAC ID: 2466480132 Enrollment ID: I20050803000220 |
| Provider Name | Polly a Noll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891773487 PECOS PAC ID: 4284662859 Enrollment ID: I20050803001157 |
| Provider Name | Norman S Turner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679550537 PECOS PAC ID: 7911935580 Enrollment ID: I20050804001182 |
| Provider Name | Ryan H Yennie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760457493 PECOS PAC ID: 9638108178 Enrollment ID: I20050805000084 |
| Provider Name | Adam D Niesen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780664417 PECOS PAC ID: 9830128081 Enrollment ID: I20050808000740 |
| Provider Name | Kandelaria M Rumilla |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720066137 PECOS PAC ID: 9931138120 Enrollment ID: I20050808001044 |
| Provider Name | Maan Jokhadar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821074881 PECOS PAC ID: 5799714986 Enrollment ID: I20050808001094 |
| Provider Name | David J Schembri Wismayer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609849462 PECOS PAC ID: 9739118936 Enrollment ID: I20050808001162 |
| 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 | David a Wetter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487625877 PECOS PAC ID: 9931138948 Enrollment ID: I20050810000621 |
| Provider Name | Myra J Wick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720068562 PECOS PAC ID: 5698704617 Enrollment ID: I20050810000690 |
| Provider Name | Lily C Wong-kisiel |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1336111855 PECOS PAC ID: 7113956137 Enrollment ID: I20050810000712 |
| Provider Name | Nathaniel 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 | Gregory J Griepentrog |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114991890 PECOS PAC ID: 9931139284 Enrollment ID: I20050816000814 |
| Provider Name | Latonya J Hickson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932171899 PECOS PAC ID: 3173553435 Enrollment ID: I20050816000840 |
| Provider Name | Thomas a Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447220835 PECOS PAC ID: 3072543370 Enrollment ID: I20050816001163 |
| Provider Name | Jason S Eldrige |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1699749606 PECOS PAC ID: 4587694898 Enrollment ID: I20050816001201 |
| Provider Name | Kebede H Begna |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1962411231 PECOS PAC ID: 9739081647 Enrollment ID: I20050822000197 |
| Provider Name | Michael N Govrik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285604975 PECOS PAC ID: 9436180296 Enrollment ID: I20050822001347 |
| Provider Name | Jessica L Bleess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992783799 PECOS PAC ID: 3971534744 Enrollment ID: I20050822001359 |
| Provider Name | John B Kisiel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619948270 PECOS PAC ID: 5092746735 Enrollment ID: I20050823000549 |
| Provider Name | Dragan Jevremovic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003893686 PECOS PAC ID: 2163453804 Enrollment ID: I20050823000574 |
| Provider Name | Ivan Garza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114906583 PECOS PAC ID: 7719918010 Enrollment ID: I20050826000152 |
| Provider Name | Richard a Oeckler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497733521 PECOS PAC ID: 7719919620 Enrollment ID: I20050831000296 |
| Provider Name | Janell Grazzini Frantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841305240 PECOS PAC ID: 5193756021 Enrollment ID: I20050906000108 |
| 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 | Ronna L Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881661551 PECOS PAC ID: 5193758126 Enrollment ID: I20050912000366 |
| Provider Name | Rochelle Roslyn Torgerson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154395853 PECOS PAC ID: 3577551399 Enrollment ID: I20050914000141 |
| Provider Name | Nusheen Ameenuddin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497772487 PECOS PAC ID: 9638102254 Enrollment ID: I20050914001001 |
| Provider Name | Shawna L Ehlers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396722013 PECOS PAC ID: 0840223483 Enrollment ID: I20050914001147 |
| Provider Name | Andrew J Herber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417927708 PECOS PAC ID: 7113950486 Enrollment ID: I20050916000237 |
| Provider Name | John Horace Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609852698 PECOS PAC ID: 4385677434 Enrollment ID: I20050919000156 |
| Provider Name | Mithri R Junna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265405922 PECOS PAC ID: 1951335967 Enrollment ID: I20050920000523 |
| Provider Name | Nathan P Staff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730168915 PECOS PAC ID: 0244264273 Enrollment ID: I20050920000672 |
| Provider Name | Michael Taunton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992784854 PECOS PAC ID: 1254365299 Enrollment ID: I20050920000742 |
| Provider Name | Amy C Degnim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760468557 PECOS PAC ID: 0840224721 Enrollment ID: I20050920001168 |
| Provider Name | Lynne M Lillie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811938376 PECOS PAC ID: 4981638525 Enrollment ID: I20050922000602 |
| Provider Name | Annalise N Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134105117 PECOS PAC ID: 0143254466 Enrollment ID: I20050926000330 |
| Provider Name | Gurpreet S Sandhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184603318 PECOS PAC ID: 9335174754 Enrollment ID: I20051004000685 |
| Provider Name | Michael D Leise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891775508 PECOS PAC ID: 1557396959 Enrollment ID: I20051005000202 |
| Provider Name | Frank V Brozovich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164408191 PECOS PAC ID: 4183659493 Enrollment ID: I20051005000322 |
| Provider Name | Miguel a Park |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619940483 PECOS PAC ID: 7416941687 Enrollment ID: I20051010000824 |
| Provider Name | Lisa a Beck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093788283 PECOS PAC ID: 0042235897 Enrollment ID: I20051011000246 |
| Provider Name | Ronald K Reeves |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225017312 PECOS PAC ID: 5395760144 Enrollment ID: I20051011000283 |
| 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 | Yi Lin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1285608174 PECOS PAC ID: 9234154964 Enrollment ID: I20051011000931 |
| Provider Name | Christina a Dilaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194705954 PECOS PAC ID: 5698790350 Enrollment ID: I20051011001148 |
| Provider Name | Phillip D Vickers |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1720149529 PECOS PAC ID: 6800811449 Enrollment ID: I20051012000565 |
| Provider Name | Roger Shepherd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801875075 PECOS PAC ID: 5193740603 Enrollment ID: I20051013000085 |
| Provider Name | Alexander Meves |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023095213 PECOS PAC ID: 7315963659 Enrollment ID: I20051017000608 |
| Provider Name | Wolfgang Singer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720052632 PECOS PAC ID: 3577589811 Enrollment ID: I20051017000624 |
| Provider Name | William R Sukov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285612945 PECOS PAC ID: 4789600735 Enrollment ID: I20051019000094 |
| Provider Name | Jean C Mattson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225002884 PECOS PAC ID: 4183641350 Enrollment ID: I20051027000103 |
| Provider Name | Peggy V Dunton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578597407 PECOS PAC ID: 0547287666 Enrollment ID: I20051028000105 |
| Provider Name | Adrienne T Wyant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902876469 PECOS PAC ID: 6709803786 Enrollment ID: I20051028000545 |
| Provider Name | Ralitza H Gavrilova |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1558333005 PECOS PAC ID: 3971520701 Enrollment ID: I20051031000604 |
| Provider Name | Amy S Ettore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376521609 PECOS PAC ID: 4082631841 Enrollment ID: I20051031000893 |
| Provider Name | Michelle L Williamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295705226 PECOS PAC ID: 2567489263 Enrollment ID: I20051101001005 |
| Provider Name | Tracy Harrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922070705 PECOS PAC ID: 5092772004 Enrollment ID: I20051115001100 |
| Provider Name | Daniel H Lachance |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750369427 PECOS PAC ID: 8527087865 Enrollment ID: I20051116000561 |
| Provider Name | Richard L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104805340 PECOS PAC ID: 7517986755 Enrollment ID: I20051116000660 |
| Provider Name | Mary E Branstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417929605 PECOS PAC ID: 2365462595 Enrollment ID: I20051201000891 |
| Provider Name | Carol a Minzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659309342 PECOS PAC ID: 3375563497 Enrollment ID: I20051202000649 |
| Provider Name | Jennifer G Shanahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407829005 PECOS PAC ID: 3678594314 Enrollment ID: I20051209000423 |
| Provider Name | Sandra J Rackley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710967625 PECOS PAC ID: 8123049236 Enrollment ID: I20051215000744 |
| Provider Name | Jeremy L Fogelson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871565606 PECOS PAC ID: 2163444076 Enrollment ID: I20051220000521 |
| Provider Name | Michele L Yeadon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760462329 PECOS PAC ID: 2961424874 Enrollment ID: I20051220000538 |
| Provider Name | Joerg Herrmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295713253 PECOS PAC ID: 0042232282 Enrollment ID: I20051230000546 |
| Provider Name | Christen M Ditmar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093787467 PECOS PAC ID: 5890718837 Enrollment ID: I20060105000427 |
| Provider Name | Jane a Linderbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497725592 PECOS PAC ID: 5193748580 Enrollment ID: I20060111001179 |
| Provider Name | David S Viswanatha |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457372385 PECOS PAC ID: 5991728131 Enrollment ID: I20060113000177 |
| Provider Name | Danika M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437163128 PECOS PAC ID: 4688697824 Enrollment ID: I20060113000224 |
| Provider Name | Mioki R Myszkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508895442 PECOS PAC ID: 6305869546 Enrollment ID: I20060113000236 |
| Provider Name | Benjamin W Eidem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306869433 PECOS PAC ID: 5496641052 Enrollment ID: I20060118000983 |
| Provider Name | Ruth E Johnson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1245217686 PECOS PAC ID: 4981641479 Enrollment ID: I20060120000363 |
| Provider Name | Sara Y Wolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477567220 PECOS PAC ID: 4486678927 Enrollment ID: I20060123000954 |
| Provider Name | Deanne R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992775043 PECOS PAC ID: 8224052782 Enrollment ID: I20060124000031 |
| Provider Name | Charles L Loprinzi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194704676 PECOS PAC ID: 0042234502 Enrollment ID: I20060124000045 |
| Provider Name | Candi Lee Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013926336 PECOS PAC ID: 1355355629 Enrollment ID: I20060126000337 |
| Provider Name | James L Leenstra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174593982 PECOS PAC ID: 4284649120 Enrollment ID: I20060214000039 |
| 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 | Joy M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134139728 PECOS PAC ID: 1759396443 Enrollment ID: I20060216000423 |
| Provider Name | Eliot J Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366425399 PECOS PAC ID: 4587633573 Enrollment ID: I20060216000478 |
| Provider Name | Aneel a Ashrani |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1215971429 PECOS PAC ID: 5496760191 Enrollment ID: I20060216000481 |
| Provider Name | Thomas R Schwab |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962474478 PECOS PAC ID: 4789699398 Enrollment ID: I20060217000142 |
| Provider Name | Sara C Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437245214 PECOS PAC ID: 5991710519 Enrollment ID: I20060217000204 |
| Provider Name | Abimbola Famuyide |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457338774 PECOS PAC ID: 5890700413 Enrollment ID: I20060217000218 |
| Provider Name | David a Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790759116 PECOS PAC ID: 0840205464 Enrollment ID: I20060217000255 |
| Provider Name | Kristen Nanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245248004 PECOS PAC ID: 0244204857 Enrollment ID: I20060217000309 |
| Provider Name | Adelaide M Arruda-olson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053388934 PECOS PAC ID: 2961417597 Enrollment ID: I20060217000324 |
| Provider Name | Anupam Chandra |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306813282 PECOS PAC ID: 7810903358 Enrollment ID: I20060221000768 |
| Provider Name | Nneka Comfere |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386623551 PECOS PAC ID: 0547221772 Enrollment ID: I20060221000890 |
| Provider Name | Clayton T Cowl |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1689652489 PECOS PAC ID: 4688680838 Enrollment ID: I20060227000217 |
| Provider Name | Hari Chaliki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801870084 PECOS PAC ID: 0345136081 Enrollment ID: I20060228000700 |
| Provider Name | Salma Iftikhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386623577 PECOS PAC ID: 0143236091 Enrollment ID: I20060301000518 |
| Provider Name | Basem M Ratrout |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326450941 PECOS PAC ID: 1658388426 Enrollment ID: I20060320000514 |
| Provider Name | David L Streyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376517649 PECOS PAC ID: 7113935404 Enrollment ID: I20060328000641 |
| Provider Name | Jeffrey M Ketcham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326013772 PECOS PAC ID: 8426067026 Enrollment ID: I20060410000472 |
| Provider Name | Kristen L Hanzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619929882 PECOS PAC ID: 1951310572 Enrollment ID: I20060411000017 |
| Provider Name | Teresa R Lang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245254887 PECOS PAC ID: 0446269088 Enrollment ID: I20060411000141 |
| Provider Name | Kristin M Meincke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720051634 PECOS PAC ID: 3173532728 Enrollment ID: I20060411000227 |
| Provider Name | Jeremy Jason Solberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689644809 PECOS PAC ID: 2961418868 Enrollment ID: I20060413000266 |
| Provider Name | Steven J Comisky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962426163 PECOS PAC ID: 9436168408 Enrollment ID: I20060419000621 |
| 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 Villarraga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376562546 PECOS PAC ID: 1658260567 Enrollment ID: I20060421000216 |
| Provider Name | Kevin C Lindeen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538173224 PECOS PAC ID: 1052321700 Enrollment ID: I20060426000376 |
| Provider Name | Christina Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225050628 PECOS PAC ID: 8426068982 Enrollment ID: I20060427000453 |
| Provider Name | Jay D Bergner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205840386 PECOS PAC ID: 6507876786 Enrollment ID: I20060503000019 |
| Provider Name | Heather M Casey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528171873 PECOS PAC ID: 3476563495 Enrollment ID: I20060504000348 |
| Provider Name | Thomas M Pisansky |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235118415 PECOS PAC ID: 7719998574 Enrollment ID: I20060509000399 |
| Provider Name | Rajiv Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467438200 PECOS PAC ID: 9436160884 Enrollment ID: I20060522000076 |
| Provider Name | William D Farrar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942263108 PECOS PAC ID: 2668483991 Enrollment ID: I20060525000149 |
| Provider Name | Bogna B Mustwillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073564696 PECOS PAC ID: 5698786754 Enrollment ID: I20060606000216 |
| Provider Name | Jennifer L Pecina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730127606 PECOS PAC ID: 4385656388 Enrollment ID: I20060612000049 |
| Provider Name | Cory J Ingram |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1104887504 PECOS PAC ID: 2062427370 Enrollment ID: I20060801000216 |
| Provider Name | Jonathan E Baines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881627636 PECOS PAC ID: 5991718207 Enrollment ID: I20060802000410 |
| Provider Name | Laura a Waksdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730104324 PECOS PAC ID: 6507869609 Enrollment ID: I20060810000117 |
| Provider Name | Kathryn J Vagle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801833967 PECOS PAC ID: 8224031281 Enrollment ID: I20060811000006 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20060814000078 |
| Provider Name | William J Mauermann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942227848 PECOS PAC ID: 4082617865 Enrollment ID: I20060816000526 |
| Provider Name | Aleksandra Kinga Kukla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114982337 PECOS PAC ID: 1254372923 Enrollment ID: I20060817000071 |
| Provider Name | Carl H Cramer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659392652 PECOS PAC ID: 5597768010 Enrollment ID: I20060822000457 |
| Provider Name | Darcy R Wilde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376562140 PECOS PAC ID: 7315940830 Enrollment ID: I20060822000460 |
| Provider Name | Janelle Degrote |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053335612 PECOS PAC ID: 4082617519 Enrollment ID: I20060822000528 |
| Provider Name | Judy C Boughey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043230451 PECOS PAC ID: 2062446057 Enrollment ID: I20060822000534 |
| Provider Name | Tamara E Buechler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316960677 PECOS PAC ID: 1153324686 Enrollment ID: I20060822000552 |
| Provider Name | Linda N Dao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801802293 PECOS PAC ID: 9931102472 Enrollment ID: I20060823000044 |
| Provider Name | Erica a Loomis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962426676 PECOS PAC ID: 9537162094 Enrollment ID: I20060823000193 |
| Provider Name | Angela R Sandersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235171208 PECOS PAC ID: 6608879176 Enrollment ID: I20060823000287 |
| Provider Name | Mohammad H Murad |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1831114628 PECOS PAC ID: 2365340395 Enrollment ID: I20060824000222 |
| Provider Name | Wayne T Nicholson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205845245 PECOS PAC ID: 9335142769 Enrollment ID: I20060824000244 |
| Provider Name | Santhi Swaroop Vege |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013997865 PECOS PAC ID: 1052314481 Enrollment ID: I20060824000258 |
| Provider Name | Jason P Novak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598775249 PECOS PAC ID: 2668475021 Enrollment ID: I20060824000504 |
| Provider Name | Kannan Ramar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750393922 PECOS PAC ID: 6002819463 Enrollment ID: I20060824000521 |
| Provider Name | Kymberly D Watt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114939113 PECOS PAC ID: 2365445723 Enrollment ID: I20060824000538 |
| Provider Name | Bruce a Degrote |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063433993 PECOS PAC ID: 8729094255 Enrollment ID: I20060828000122 |
| Provider Name | Jana L Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144240029 PECOS PAC ID: 3678583374 Enrollment ID: I20060828000130 |
| Provider Name | Geoffrey B Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346263407 PECOS PAC ID: 8224032669 Enrollment ID: I20060828000148 |
| Provider Name | Carilyn N Wieland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407870710 PECOS PAC ID: 5294739579 Enrollment ID: I20060828000527 |
| Provider Name | Kenneth J Warrington |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184682916 PECOS PAC ID: 1850395153 Enrollment ID: I20060829000124 |
| Provider Name | Katie N Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225051311 PECOS PAC ID: 0547264772 Enrollment ID: I20060831000120 |
| Provider Name | Matthew S Block |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356359111 PECOS PAC ID: 9830193994 Enrollment ID: I20060831000477 |
| Provider Name | Deepti Behl |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538172143 PECOS PAC ID: 7911901079 Enrollment ID: I20060831000483 |
| Provider Name | Camille M Van Buskirk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184635351 PECOS PAC ID: 6800890971 Enrollment ID: I20060831000513 |
| Provider Name | Jamie J Vangompel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942213350 PECOS PAC ID: 8628072790 Enrollment ID: I20060831000515 |
| Provider Name | Aaron J Krych |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497779128 PECOS PAC ID: 5991709073 Enrollment ID: I20060901000061 |
| Provider Name | Jodi L Holschlag |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124038344 PECOS PAC ID: 8527062652 Enrollment ID: I20060905000099 |
| Provider Name | Marc Ronald Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538183249 PECOS PAC ID: 2668476706 Enrollment ID: I20060905000161 |
| Provider Name | Michelle L Mauermann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447277348 PECOS PAC ID: 1557365699 Enrollment ID: I20060905000175 |
| Provider Name | Rory L Smoot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275548901 PECOS PAC ID: 3173527215 Enrollment ID: I20060905000184 |
| Provider Name | Julie a Holst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265442479 PECOS PAC ID: 7719981851 Enrollment ID: I20060905000186 |
| Provider Name | Timothy J Mcguire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538183223 PECOS PAC ID: 2062416118 Enrollment ID: I20060905000215 |
| Provider Name | Andrea E Wahner Hendrickson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609883321 PECOS PAC ID: 7911901061 Enrollment ID: I20060905000241 |
| Provider Name | Bo E Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740293380 PECOS PAC ID: 0547264517 Enrollment ID: I20060905000482 |
| Provider Name | Mhd Louai Manini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982617528 PECOS PAC ID: 2365446333 Enrollment ID: I20060905000484 |
| Provider Name | Eunhee S Yi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255389268 PECOS PAC ID: 7113921180 Enrollment ID: I20060905000526 |
| Provider Name | Jennifer L Herrick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396754669 PECOS PAC ID: 9830193820 Enrollment ID: I20060906000044 |
| Provider Name | Andrew L Feldman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902815285 PECOS PAC ID: 3274537261 Enrollment ID: I20060906000059 |
| 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 | Anja C Roden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194735944 PECOS PAC ID: 9436153384 Enrollment ID: I20060907000017 |
| Provider Name | Dong Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033174370 PECOS PAC ID: 4587668439 Enrollment ID: I20060907000044 |
| Provider Name | Susan M Moeschler |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1578575346 PECOS PAC ID: 9931103884 Enrollment ID: I20060907000049 |
| Provider Name | Kristin J Somers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922011568 PECOS PAC ID: 7911901871 Enrollment ID: I20060907000060 |
| Provider Name | Carrie E Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609888270 PECOS PAC ID: 0446254304 Enrollment ID: I20060907000079 |
| Provider Name | Karthik Ravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093725483 PECOS PAC ID: 1254335110 Enrollment ID: I20060907000087 |
| Provider Name | Mark L Wieland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881602670 PECOS PAC ID: 6002810975 Enrollment ID: I20060907000143 |
| Provider Name | Lizhi Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184637704 PECOS PAC ID: 0547264418 Enrollment ID: I20060907000155 |
| Provider Name | Rahul Pannala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124034970 PECOS PAC ID: 9739183526 Enrollment ID: I20060911000123 |
| Provider Name | Seth R Sweetser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225046717 PECOS PAC ID: 5193732584 Enrollment ID: I20060911000217 |
| Provider Name | Mustaqeem Siddiqui |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1669480133 PECOS PAC ID: 6800890609 Enrollment ID: I20060911000228 |
| Provider Name | Bobbi S Pritt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578572301 PECOS PAC ID: 7012911654 Enrollment ID: I20060913000026 |
| Provider Name | Darlene R Nelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891702064 PECOS PAC ID: 5890799381 Enrollment ID: I20060914000624 |
| Provider Name | Dennis a Wigle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922117969 PECOS PAC ID: 5597760975 Enrollment ID: I20060918000201 |
| Provider Name | Carrie a Schinstock |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881703734 PECOS PAC ID: 7214932607 Enrollment ID: I20060918000325 |
| Provider Name | Benjamin M Howe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578675138 PECOS PAC ID: 0547265944 Enrollment ID: I20060918000367 |
| Provider Name | Kendall H Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275544066 PECOS PAC ID: 3971508250 Enrollment ID: I20060919000549 |
| Provider Name | Elizabeth G Maki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255300083 PECOS PAC ID: 2961407796 Enrollment ID: I20060928000452 |
| Provider Name | Michael R Henry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760433163 PECOS PAC ID: 2163425190 Enrollment ID: I20061002000396 |
| Provider Name | Melanie Lyden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780791707 PECOS PAC ID: 4789689449 Enrollment ID: I20061002000460 |
| Provider Name | Stephen a Boorjian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942313432 PECOS PAC ID: 7315942083 Enrollment ID: I20061002000485 |
| Provider Name | Mindy L Hartgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255341285 PECOS PAC ID: 9931104635 Enrollment ID: I20061003000108 |
| Provider Name | Christine Galardy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275643736 PECOS PAC ID: 6901877851 Enrollment ID: I20061003000113 |
| Provider Name | Andrew L Folpe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982706800 PECOS PAC ID: 9638105042 Enrollment ID: I20061005000380 |
| Provider Name | Mark a Frye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609892603 PECOS PAC ID: 0547266041 Enrollment ID: I20061005000420 |
| Provider Name | Thomas J Salinas |
|---|---|
| Provider Type | Practitioner - Prosthodontics |
| Provider Identifiers | NPI Number: 1336199314 PECOS PAC ID: 5890791396 Enrollment ID: I20061005000431 |
| Provider Name | Ziad El Zoghby |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508963562 PECOS PAC ID: 1153327515 Enrollment ID: I20061009000301 |
| Provider Name | Candace F Granberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679594774 PECOS PAC ID: 1355347550 Enrollment ID: I20061011000461 |
| Provider Name | Tsung-teh Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366546863 PECOS PAC ID: 2567468770 Enrollment ID: I20061011000533 |
| Provider Name | Travis J Mckenzie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194812834 PECOS PAC ID: 5193721322 Enrollment ID: I20061011000717 |
| Provider Name | Matthew Drake |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790871713 PECOS PAC ID: 2365448594 Enrollment ID: I20061011000732 |
| Provider Name | Samir Mardini |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982798161 PECOS PAC ID: 7214933399 Enrollment ID: I20061012000451 |
| Provider Name | Jason H Szostek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376636902 PECOS PAC ID: 9335146059 Enrollment ID: I20061023000099 |
| Provider Name | Carrie a Scheuer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174619761 PECOS PAC ID: 0244237972 Enrollment ID: I20061023000184 |
| Provider Name | Andrea N Leep Hunderfund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942396536 PECOS PAC ID: 0042217770 Enrollment ID: I20061023000199 |
| Provider Name | Michael J Laughlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437149937 PECOS PAC ID: 7810892676 Enrollment ID: I20061023000207 |
| Provider Name | Daniel B Ryssman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457452005 PECOS PAC ID: 5395742431 Enrollment ID: I20061102000050 |
| Provider Name | Andrea Lynne Cheville |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194772913 PECOS PAC ID: 8628064433 Enrollment ID: I20061108000459 |
| 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 | Jay D Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811957566 PECOS PAC ID: 1456359280 Enrollment ID: I20061110000050 |
| Provider Name | Barry Arthur Borlaug |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1518975374 PECOS PAC ID: 6002837606 Enrollment ID: I20061121000314 |
| Provider Name | Lan L Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407821697 PECOS PAC ID: 5294733507 Enrollment ID: I20061121000421 |
| Provider Name | Avni Y Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932286556 PECOS PAC ID: 9133127459 Enrollment ID: I20061121000482 |
| Provider Name | Vivek N Iyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295812808 PECOS PAC ID: 6103824420 Enrollment ID: I20061121000505 |
| Provider Name | Paul Galardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457447807 PECOS PAC ID: 4789655713 Enrollment ID: I20061121000562 |
| Provider Name | Yves Ouellette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912979972 PECOS PAC ID: 2466450614 Enrollment ID: I20061122000055 |
| Provider Name | Ann L Leland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447338884 PECOS PAC ID: 5092713289 Enrollment ID: I20061122000461 |
| Provider Name | Seema Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417929894 PECOS PAC ID: 0547268658 Enrollment ID: I20061129000007 |
| Provider Name | Siobhan T Pittock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043282296 PECOS PAC ID: 6709884778 Enrollment ID: I20061130000029 |
| Provider Name | W Charles Huskins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083694574 PECOS PAC ID: 2062411887 Enrollment ID: I20061205000399 |
| Provider Name | Jeahan H Colletti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467418061 PECOS PAC ID: 1355328055 Enrollment ID: I20061207000201 |
| Provider Name | Joy N Stevens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801878483 PECOS PAC ID: 7517995558 Enrollment ID: I20061207000329 |
| Provider Name | Elizabeth a Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588621999 PECOS PAC ID: 7113934142 Enrollment ID: I20061211000423 |
| Provider Name | Aida N Lteif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215901699 PECOS PAC ID: 4981602471 Enrollment ID: I20061215000076 |
| Provider Name | Robert Cuddihy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912977844 PECOS PAC ID: 1759387905 Enrollment ID: I20061219000218 |
| Provider Name | Elisa M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922173285 PECOS PAC ID: 3678573003 Enrollment ID: I20070108000446 |
| Provider Name | Rachelle L Holycross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811095193 PECOS PAC ID: 8022018480 Enrollment ID: I20070109000122 |
| Provider Name | Naveen S Pereira |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1386752244 PECOS PAC ID: 1557315058 Enrollment ID: I20070110000283 |
| Provider Name | Kevin C Halling |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700858990 PECOS PAC ID: 7214937523 Enrollment ID: I20070111000165 |
| Provider Name | Francis K Buadi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1770575185 PECOS PAC ID: 6800880949 Enrollment ID: I20070111000193 |
| Provider Name | Richard Patch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831257138 PECOS PAC ID: 0143220392 Enrollment ID: I20070111000416 |
| Provider Name | Robin R Klebig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083725014 PECOS PAC ID: 5193725364 Enrollment ID: I20070111000544 |
| Provider Name | Lynne a Wodrich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902870579 PECOS PAC ID: 4183625056 Enrollment ID: I20070119000018 |
| Provider Name | Grace M Arteaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760492490 PECOS PAC ID: 7214938794 Enrollment ID: I20070125000481 |
| Provider Name | Jodi L Peterman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952458978 PECOS PAC ID: 7416959655 Enrollment ID: I20070201000147 |
| Provider Name | Alexander Dobbertin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922052489 PECOS PAC ID: 8729080601 Enrollment ID: I20070206000149 |
| Provider Name | Tessa M Hessedal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144381666 PECOS PAC ID: 7315949237 Enrollment ID: I20070206000475 |
| Provider Name | Harold D Kossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255482428 PECOS PAC ID: 2567464001 Enrollment ID: I20070213000016 |
| Provider Name | Allison K Cabalka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720065220 PECOS PAC ID: 6800999079 Enrollment ID: I20070307000631 |
| Provider Name | Penny L Roskos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326019738 PECOS PAC ID: 3870696834 Enrollment ID: I20070312000341 |
| Provider Name | Robert P Wilfahrt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184634883 PECOS PAC ID: 2567565443 Enrollment ID: I20070314000111 |
| Provider Name | K Robert Shen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871662411 PECOS PAC ID: 7517865413 Enrollment ID: I20070314000297 |
| Provider Name | Katherine W Arendt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639159452 PECOS PAC ID: 2769585694 Enrollment ID: I20070314000517 |
| 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 | Rajiv Gulati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184748774 PECOS PAC ID: 7416051461 Enrollment ID: I20070330000247 |
| Provider Name | Aaron J Boyum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881672129 PECOS PAC ID: 9234233271 Enrollment ID: I20070402000436 |
| Provider Name | William Carey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194748616 PECOS PAC ID: 3779561857 Enrollment ID: I20070406000191 |
| 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 | Joy a Fladager Muth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649290529 PECOS PAC ID: 5991801607 Enrollment ID: I20070426000018 |
| Provider Name | Macaila C Eick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477532901 PECOS PAC ID: 9537265244 Enrollment ID: I20070426000024 |
| Provider Name | Jennifer Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356326318 PECOS PAC ID: 0446208920 Enrollment ID: I20070426000250 |
| Provider Name | Christopher L Sola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467548966 PECOS PAC ID: 3476588062 Enrollment ID: I20070426000392 |
| Provider Name | Jane M Mcclintock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568464352 PECOS PAC ID: 7416053186 Enrollment ID: I20070426000536 |
| Provider Name | Matthew J Pingree |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225149883 PECOS PAC ID: 4284616483 Enrollment ID: I20070427000009 |
| Provider Name | Cosima C Swintak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326179573 PECOS PAC ID: 4486750163 Enrollment ID: I20070427000016 |
| Provider Name | Dimitar Gavrilov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063469807 PECOS PAC ID: 1254366354 Enrollment ID: I20070503000586 |
| Provider Name | Frederick W Clare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275556300 PECOS PAC ID: 0648202978 Enrollment ID: I20070503000638 |
| Provider Name | Alfredo L Clavell |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1831177021 PECOS PAC ID: 7618071812 Enrollment ID: I20070509000293 |
| Provider Name | Karen M Eckerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861611139 PECOS PAC ID: 3678679446 Enrollment ID: I20070511000114 |
| Provider Name | Natalie J Ough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245459247 PECOS PAC ID: 5991801763 Enrollment ID: I20070511000160 |
| Provider Name | John E Volz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215077847 PECOS PAC ID: 7315044955 Enrollment ID: I20070516000395 |
| Provider Name | Glen J Kaiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285856237 PECOS PAC ID: 9537266192 Enrollment ID: I20070517000092 |
| Provider Name | Christy L Eischens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659597052 PECOS PAC ID: 7214034784 Enrollment ID: I20070517000215 |
| Provider Name | Paul T Dye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225253891 PECOS PAC ID: 0547367054 Enrollment ID: I20070517000522 |
| Provider Name | Amber Lynn Ackley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467670505 PECOS PAC ID: 9537266044 Enrollment ID: I20070517000528 |
| Provider Name | Travis D Werts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275746984 PECOS PAC ID: 9032216171 Enrollment ID: I20070524000056 |
| Provider Name | Beth a Ballinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306851761 PECOS PAC ID: 4183688641 Enrollment ID: I20070524000211 |
| Provider Name | Daniel R Laurila |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851519151 PECOS PAC ID: 5496852550 Enrollment ID: I20070524000246 |
| Provider Name | Kelly a Jacob |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023236726 PECOS PAC ID: 9032216106 Enrollment ID: I20070524000260 |
| Provider Name | Rebecca F King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013136977 PECOS PAC ID: 5193822260 Enrollment ID: I20070524000278 |
| Provider Name | Christopher Russi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902890973 PECOS PAC ID: 9830093129 Enrollment ID: I20070529000103 |
| 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 | Glenn M Medberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083687826 PECOS PAC ID: 8628175619 Enrollment ID: I20070529000138 |
| Provider Name | Subha Giri |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891712154 PECOS PAC ID: 0941308761 Enrollment ID: I20070601000415 |
| Provider Name | Kirsten R Walter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689895187 PECOS PAC ID: 4789782525 Enrollment ID: I20070601000551 |
| Provider Name | Manju Kalra |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710957931 PECOS PAC ID: 6507964046 Enrollment ID: I20070607000350 |
| Provider Name | Susan K Wigersma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568683043 PECOS PAC ID: 0143328500 Enrollment ID: I20070607000646 |
| Provider Name | Cory J Groves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851513766 PECOS PAC ID: 0042318149 Enrollment ID: I20070613000775 |
| Provider Name | Dana NH Hertzfeldt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225259708 PECOS PAC ID: 0840398947 Enrollment ID: I20070613000783 |
| Provider Name | Elise C Carey |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174588123 PECOS PAC ID: 7517066517 Enrollment ID: I20070615000140 |
| Provider Name | Joanna Rebecca Rea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487631974 PECOS PAC ID: 3779682372 Enrollment ID: I20070622000207 |
| Provider Name | John a Occhino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043421860 PECOS PAC ID: 6002915303 Enrollment ID: I20070627000640 |
| Provider Name | David M Nestler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396966263 PECOS PAC ID: 4880793090 Enrollment ID: I20070628000033 |
| Provider Name | Christine Matarese |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1316158116 PECOS PAC ID: 3678672888 Enrollment ID: I20070628000064 |
| Provider Name | Lisa M Shofner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952517922 PECOS PAC ID: 8426157686 Enrollment ID: I20070628000521 |
| Provider Name | David S Majdalany |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255534079 PECOS PAC ID: 7810097961 Enrollment ID: I20070703000279 |
| Provider Name | Melissa J Neisen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467533851 PECOS PAC ID: 2961502729 Enrollment ID: I20070709000272 |
| Provider Name | Shannon M Dunlay |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1467656652 PECOS PAC ID: 0042310898 Enrollment ID: I20070710000500 |
| Provider Name | Lynn D Cornell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215900634 PECOS PAC ID: 5092742825 Enrollment ID: I20070710000507 |
| Provider Name | Shayla a Schoenoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073596367 PECOS PAC ID: 5698791853 Enrollment ID: I20070711000148 |
| Provider Name | Marc Clayton Patterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932193786 PECOS PAC ID: 4284657065 Enrollment ID: I20070711000433 |
| Provider Name | Naim S Issa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164627840 PECOS PAC ID: 3072613629 Enrollment ID: I20070711000480 |
| Provider Name | John Haley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912983834 PECOS PAC ID: 6901906445 Enrollment ID: I20070712000285 |
| Provider Name | Michael J Derr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821167412 PECOS PAC ID: 3971603382 Enrollment ID: I20070714000114 |
| 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 | Eric L Bloomfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992792287 PECOS PAC ID: 8820037179 Enrollment ID: I20070718000198 |
| Provider Name | David F Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369526 PECOS PAC ID: 0749381747 Enrollment ID: I20070720000317 |
| Provider Name | Brian a Costello |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932179181 PECOS PAC ID: 0244331247 Enrollment ID: I20070720000353 |
| Provider Name | Paul G Thacker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982815817 PECOS PAC ID: 8426159260 Enrollment ID: I20070724000603 |
| Provider Name | Geoffrey R Smith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235355900 PECOS PAC ID: 0648371385 Enrollment ID: I20070724000730 |
| Provider Name | Tim Lamer |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1235126525 PECOS PAC ID: 8820033368 Enrollment ID: I20070728000009 |
| Provider Name | Robert T Fazzio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811192172 PECOS PAC ID: 4082715487 Enrollment ID: I20070730000638 |
| Provider Name | Thomas J Flotte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427031046 PECOS PAC ID: 2062497092 Enrollment ID: I20070731000115 |
| Provider Name | Larry 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 | Sarah J Melsness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942318381 PECOS PAC ID: 6901997964 Enrollment ID: I20070806000132 |
| Provider Name | Purna C Kashyap |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285845594 PECOS PAC ID: 4183715154 Enrollment ID: I20070806000138 |
| Provider Name | Ahmed D Abdalrhim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679671762 PECOS PAC ID: 9537166459 Enrollment ID: I20070808000155 |
| 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 | Brian T Carlsen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417154329 PECOS PAC ID: 2062503790 Enrollment ID: I20070809000120 |
| Provider Name | Jennifer M Boland Froemming |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972623296 PECOS PAC ID: 6901997642 Enrollment ID: I20070809000179 |
| Provider Name | Ahmad Nassr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871792028 PECOS PAC ID: 8022109693 Enrollment ID: I20070810000521 |
| Provider Name | Evelyn a Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265465140 PECOS PAC ID: 9931145109 Enrollment ID: I20070811000018 |
| Provider Name | Christopher Mccoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033230792 PECOS PAC ID: 9234220682 Enrollment ID: I20070814000569 |
| Provider Name | Nathan W Cummins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225108772 PECOS PAC ID: 2365534708 Enrollment ID: I20070815000520 |
| Provider Name | Melissa K Erdman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629057385 PECOS PAC ID: 0749372027 Enrollment ID: I20070816000083 |
| Provider Name | Julia S Lehman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730390485 PECOS PAC ID: 7012009319 Enrollment ID: I20070816000258 |
| 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 | Nayantara Coelho-prabhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831300128 PECOS PAC ID: 6901998913 Enrollment ID: I20070822001087 |
| Provider Name | Thais D Coutinho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740321397 PECOS PAC ID: 5597857516 Enrollment ID: I20070822001131 |
| Provider Name | Sarah K Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427274984 PECOS PAC ID: 0143312181 Enrollment ID: I20070822001344 |
| Provider Name | Thomas D Thacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962602078 PECOS PAC ID: 6002908779 Enrollment ID: I20070827000064 |
| Provider Name | Jay K Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932308418 PECOS PAC ID: 7416049184 Enrollment ID: I20070827000111 |
| Provider Name | Debra a Bell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124068978 PECOS PAC ID: 1355328642 Enrollment ID: I20070827000282 |
| 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 | Justin M Horner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326169061 PECOS PAC ID: 3971696618 Enrollment ID: I20070911000471 |
| Provider Name | Elizabeth a Gilman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093838310 PECOS PAC ID: 6507959244 Enrollment ID: I20070911000479 |
| Provider Name | Michelle M Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083811780 PECOS PAC ID: 6305939042 Enrollment ID: I20070911000499 |
| Provider Name | Daniel Cabrera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477694016 PECOS PAC ID: 9537252283 Enrollment ID: I20070911000564 |
| Provider Name | Suraj Kapa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811100118 PECOS PAC ID: 7618060252 Enrollment ID: I20070912000498 |
| Provider Name | Tanya M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548279201 PECOS PAC ID: 9830283233 Enrollment ID: I20070917000042 |
| Provider Name | Hind Jawdat Fadel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407998107 PECOS PAC ID: 1456445741 Enrollment ID: I20070918000041 |
| Provider Name | Halena M Enke |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1578683215 PECOS PAC ID: 5991899288 Enrollment ID: I20070918000044 |
| Provider Name | Daniela L Stan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538146865 PECOS PAC ID: 4284526005 Enrollment ID: I20070919000385 |
| Provider Name | Manish J Gandhi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669598769 PECOS PAC ID: 3678667888 Enrollment ID: I20070919000404 |
| Provider Name | Charissa L Koski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386837144 PECOS PAC ID: 7113011321 Enrollment ID: I20070919000412 |
| Provider Name | David L Murray |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083733513 PECOS PAC ID: 0547354763 Enrollment ID: I20070919000548 |
| Provider Name | Robert J Hyde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528187911 PECOS PAC ID: 1850485848 Enrollment ID: I20070921000172 |
| Provider Name | Anjali Bhagra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932221975 PECOS PAC ID: 0547354482 Enrollment ID: I20070921000671 |
| Provider Name | Patrick O'leary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881672632 PECOS PAC ID: 1254425010 Enrollment ID: I20070924000690 |
| Provider Name | Aaron S Mansfield |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437278959 PECOS PAC ID: 6204920986 Enrollment ID: I20070926000337 |
| Provider Name | Sawra a Maurer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851586689 PECOS PAC ID: 0345335006 Enrollment ID: I20070926001156 |
| Provider Name | Steven J Engman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194944785 PECOS PAC ID: 7113012881 Enrollment ID: I20070926001209 |
| Provider Name | Billie a Schultz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780705426 PECOS PAC ID: 6002901600 Enrollment ID: I20070927000308 |
| Provider Name | Frederick J Regennitter |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992776512 PECOS PAC ID: 2264527860 Enrollment ID: I20070927000335 |
| Provider Name | Timucin Taner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407997943 PECOS PAC ID: 9335234822 Enrollment ID: I20070928000063 |
| Provider Name | Heidi K Chua |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1619964665 PECOS PAC ID: 8820183320 Enrollment ID: I20070928000124 |
| Provider Name | Alesia R Fratzke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265626055 PECOS PAC ID: 5193810588 Enrollment ID: I20071001000049 |
| Provider Name | Elaine C Wirrell |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| 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 | Robert C Huebert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942321682 PECOS PAC ID: 9335234210 Enrollment ID: I20071008000275 |
| Provider Name | Nicole S Nipper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003016940 PECOS PAC ID: 0840386629 Enrollment ID: I20071010000482 |
| Provider Name | Susanne D Pfeffer Kleeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639361199 PECOS PAC ID: 4385730068 Enrollment ID: I20071010000581 |
| Provider Name | Kari L Rossow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922202902 PECOS PAC ID: 6406942119 Enrollment ID: I20071010000845 |
| Provider Name | Tina C Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255537981 PECOS PAC ID: 8921194697 Enrollment ID: I20071011000485 |
| Provider Name | Letitia Acquah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003851247 PECOS PAC ID: 1355377581 Enrollment ID: I20071012000089 |
| Provider Name | Greta S Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912977224 PECOS PAC ID: 2163518705 Enrollment ID: I20071012000442 |
| Provider Name | Ekta Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194919977 PECOS PAC ID: 7012003536 Enrollment ID: I20071015000341 |
| Provider Name | Cynthia a Hargenrader |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598986267 PECOS PAC ID: 0143316521 Enrollment ID: I20071017000025 |
| Provider Name | Lisa G Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770776114 PECOS PAC ID: 3072609460 Enrollment ID: I20071017000109 |
| Provider Name | Shannon N Zingula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154522423 PECOS PAC ID: 0244326643 Enrollment ID: I20071017000226 |
| Provider Name | Atta Behfar |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1326168634 PECOS PAC ID: 8729174099 Enrollment ID: I20071017000863 |
| Provider Name | Sheri S Crow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184814592 PECOS PAC ID: 4880780154 Enrollment ID: I20071017000875 |
| Provider Name | Steven I Robinson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316080120 PECOS PAC ID: 6002902392 Enrollment ID: I20071018000047 |
| Provider Name | Angela L Fink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235334756 PECOS PAC ID: 2163518457 Enrollment ID: I20071018000076 |
| Provider Name | Matthew J Iott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285830844 PECOS PAC ID: 5890881189 Enrollment ID: I20071018000082 |
| Provider Name | Beiyun Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831294289 PECOS PAC ID: 2961598255 Enrollment ID: I20071018000092 |
| Provider Name | Tufia C Haddad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215062989 PECOS PAC ID: 1052407376 Enrollment ID: I20071018000260 |
| Provider Name | Karen Truitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396867347 PECOS PAC ID: 0840386033 Enrollment ID: I20071018000845 |
| Provider Name | Stacey a Rizza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598731606 PECOS PAC ID: 0143316190 Enrollment ID: I20071022000662 |
| 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 | Robert J Stroebel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003896143 PECOS PAC ID: 1951498062 Enrollment ID: I20071106000190 |
| Provider Name | Kileen T Smyth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265575500 PECOS PAC ID: 6002903119 Enrollment ID: I20071106000216 |
| Provider Name | Maria N. P. Psomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043280746 PECOS PAC ID: 9931296910 Enrollment ID: I20071108000004 |
| Provider Name | Victoria R Clemens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619164316 PECOS PAC ID: 0840387825 Enrollment ID: I20071108000006 |
| Provider Name | Gordon F Harms |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982679577 PECOS PAC ID: 9133217011 Enrollment ID: I20071109000261 |
| Provider Name | Daniel E Schaffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649246141 PECOS PAC ID: 5890883607 Enrollment ID: I20071113000024 |
| Provider Name | Jeffrey Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306822028 PECOS PAC ID: 8426146234 Enrollment ID: I20071113000036 |
| Provider Name | Casey L Lawler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881882397 PECOS PAC ID: 4082702683 Enrollment ID: I20071115000253 |
| Provider Name | Thomas D Atwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205801891 PECOS PAC ID: 2961591615 Enrollment ID: I20071203000356 |
| Provider Name | Todd a Kellogg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578590881 PECOS PAC ID: 3971692419 Enrollment ID: I20071205000468 |
| Provider Name | Peter Kalina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588644553 PECOS PAC ID: 9032209929 Enrollment ID: I20071215000059 |
| Provider Name | Mary D Thoma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457338790 PECOS PAC ID: 1355431602 Enrollment ID: I20071226000421 |
| Provider Name | Henry C Pitot |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700865102 PECOS PAC ID: 5698865947 Enrollment ID: I20071226000441 |
| Provider Name | Debra a Groth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649451659 PECOS PAC ID: 2769562495 Enrollment ID: I20080107000695 |
| Provider Name | Stacey L Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851573000 PECOS PAC ID: 5991885535 Enrollment ID: I20080108000636 |
| Provider Name | Amy E Witter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063489391 PECOS PAC ID: 7719953686 Enrollment ID: I20080109000155 |
| 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 | Karthik Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972582815 PECOS PAC ID: 2961582416 Enrollment ID: I20080109000550 |
| Provider Name | Joon H Uhm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902883572 PECOS PAC ID: 2668552126 Enrollment ID: I20080109000572 |
| Provider Name | Timothy Morgenthaler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043282585 PECOS PAC ID: 3779664420 Enrollment ID: I20080118000490 |
| Provider Name | Becky M Ness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881673887 PECOS PAC ID: 0042391799 Enrollment ID: I20080118000497 |
| Provider Name | Robert M Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790759728 PECOS PAC ID: 4385725092 Enrollment ID: I20080121000050 |
| Provider Name | Kristen B Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063492759 PECOS PAC ID: 9335220946 Enrollment ID: I20080121000105 |
| Provider Name | Christel D Miles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679766158 PECOS PAC ID: 1557442159 Enrollment ID: I20080122000401 |
| Provider Name | Linda J Paltzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851371546 PECOS PAC ID: 8325120538 Enrollment ID: I20080128000226 |
| Provider Name | Erika L Beetcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851585335 PECOS PAC ID: 7315029386 Enrollment ID: I20080129000826 |
| Provider Name | Ayalew Tefferi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1518946987 PECOS PAC ID: 4183706955 Enrollment ID: I20080201000095 |
| Provider Name | Sarah C Sistek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144419391 PECOS PAC ID: 3375625163 Enrollment ID: I20080201000242 |
| 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 | Scott H Okuno |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750367561 PECOS PAC ID: 2466535927 Enrollment ID: I20080207000383 |
| Provider Name | Melissa O Halvorsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215158019 PECOS PAC ID: 6507949997 Enrollment ID: I20080207000643 |
| Provider Name | Patricio Escalante |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730115239 PECOS PAC ID: 0042394629 Enrollment ID: I20080220000496 |
| Provider Name | Troy a Churchill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295916369 PECOS PAC ID: 9032293527 Enrollment ID: I20080221000580 |
| Provider Name | Gina M Kesselring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437170511 PECOS PAC ID: 7911081435 Enrollment ID: I20080222000153 |
| Provider Name | Teresa a Jeardeau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164608741 PECOS PAC ID: 6800970328 Enrollment ID: I20080222000167 |
| Provider Name | Alexandra P Wolanskyj-spinner |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1417920166 PECOS PAC ID: 6800970195 Enrollment ID: I20080226000197 |
| Provider Name | Xun Zhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164642252 PECOS PAC ID: 5890879837 Enrollment ID: I20080228000500 |
| Provider Name | Martha Q Lacy |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1881668366 PECOS PAC ID: 5193809929 Enrollment ID: I20080303000536 |
| Provider Name | George B Bartley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184614000 PECOS PAC ID: 3779667506 Enrollment ID: I20080303000579 |
| Provider Name | Devon I Rubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538158993 PECOS PAC ID: 8628152469 Enrollment ID: I20080303000635 |
| Provider Name | Andrew Stockland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336130426 PECOS PAC ID: 4587749205 Enrollment ID: I20080305000481 |
| Provider Name | Mary C Burton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912008194 PECOS PAC ID: 9032294665 Enrollment ID: I20080306000642 |
| Provider Name | John G Park |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386618312 PECOS PAC ID: 8325124951 Enrollment ID: I20080324000603 |
| Provider Name | Maureen J Sahs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285612507 PECOS PAC ID: 0244316529 Enrollment ID: I20080326001029 |
| Provider Name | Andrea Mariani |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1124204946 PECOS PAC ID: 8022190131 Enrollment ID: I20080403000426 |
| Provider Name | Daniel S Paley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326041674 PECOS PAC ID: 4082517255 Enrollment ID: I20080408000816 |
| Provider Name | Amy L Kotsenas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720079809 PECOS PAC ID: 6800973280 Enrollment ID: I20080409000527 |
| Provider Name | Kevin Greason |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366477580 PECOS PAC ID: 8426089673 Enrollment ID: I20080409000528 |
| Provider Name | Nevenka Radakovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760650881 PECOS PAC ID: 9830276104 Enrollment ID: I20080410000533 |
| Provider Name | Julian R Molina |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013989037 PECOS PAC ID: 3476630682 Enrollment ID: I20080411000136 |
| Provider Name | Janelle M Hatlevig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952588444 PECOS PAC ID: 9133206840 Enrollment ID: I20080411000159 |
| Provider Name | Ronald S Kuzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275524357 PECOS PAC ID: 0244318236 Enrollment ID: I20080416000143 |
| Provider Name | Margaret R Mcdonah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891767265 PECOS PAC ID: 1850479742 Enrollment ID: I20080417000232 |
| Provider Name | Kari a Lucas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437328374 PECOS PAC ID: 8628157898 Enrollment ID: I20080430000279 |
| Provider Name | Kathleen R Brandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083692388 PECOS PAC ID: 6204915481 Enrollment ID: I20080430000323 |
| Provider Name | Francis X Moga |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154376176 PECOS PAC ID: 7315030038 Enrollment ID: I20080430000584 |
| Provider Name | David T Tygart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790959047 PECOS PAC ID: 7517046626 Enrollment ID: I20080430000705 |
| Provider Name | Jeffrey P Staab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316979693 PECOS PAC ID: 6901849603 Enrollment ID: I20080430000837 |
| Provider Name | Karen B Grothe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366502072 PECOS PAC ID: 4587666102 Enrollment ID: I20080430000874 |
| 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 | Kellie B Raabe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467628313 PECOS PAC ID: 7911086368 Enrollment ID: I20080509000348 |
| Provider Name | Jane M Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245405638 PECOS PAC ID: 4789763137 Enrollment ID: I20080509000385 |
| Provider Name | Christine H Duncan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083888564 PECOS PAC ID: 2062581234 Enrollment ID: I20080514000791 |
| Provider Name | Amy S Torbenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053585133 PECOS PAC ID: 1850460023 Enrollment ID: I20080514000820 |
| Provider Name | Jenivee L Muggli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831362250 PECOS PAC ID: 1254400328 Enrollment ID: I20080514000895 |
| Provider Name | Katherine a Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114100260 PECOS PAC ID: 2062581069 Enrollment ID: I20080516000358 |
| Provider Name | Jacqueline M Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881868917 PECOS PAC ID: 0547339558 Enrollment ID: I20080516000435 |
| Provider Name | Maria I Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598930380 PECOS PAC ID: 1254400260 Enrollment ID: I20080516000463 |
| Provider Name | Theresa K Truty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821264839 PECOS PAC ID: 1153490164 Enrollment ID: I20080516000475 |
| Provider Name | Grzegorz S Nowakowski |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1629040076 PECOS PAC ID: 6103995592 Enrollment ID: I20080527000828 |
| Provider Name | Beth a Hach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609062710 PECOS PAC ID: 4284703679 Enrollment ID: I20080527000835 |
| Provider Name | Amy L Krekelberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003093006 PECOS PAC ID: 1557430949 Enrollment ID: I20080527000841 |
| Provider Name | James Jakub |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447243431 PECOS PAC ID: 0345154803 Enrollment ID: I20080527000845 |
| Provider Name | Theodore J Passe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881673218 PECOS PAC ID: 2769396464 Enrollment ID: I20080530000744 |
| Provider Name | Lawrence R Keenan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225015472 PECOS PAC ID: 1355411331 Enrollment ID: I20080603000172 |
| Provider Name | Kevin J Vankoeverden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174799878 PECOS PAC ID: 7315018843 Enrollment ID: I20080611000355 |
| Provider Name | Shannon L Benson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477729978 PECOS PAC ID: 5597836064 Enrollment ID: I20080611000702 |
| Provider Name | Andrea M Pendl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841466794 PECOS PAC ID: 4587735857 Enrollment ID: I20080612000899 |
| Provider Name | Ian F Parney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083873442 PECOS PAC ID: 8224109210 Enrollment ID: I20080618000818 |
| Provider Name | Jessica W Halverson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730355744 PECOS PAC ID: 0941371835 Enrollment ID: I20080620000088 |
| Provider Name | Rafael Enrique Jimenez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033149364 PECOS PAC ID: 3476575010 Enrollment ID: I20080627000458 |
| Provider Name | Jody C Olson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659565943 PECOS PAC ID: 5597837930 Enrollment ID: I20080701000023 |
| Provider Name | Julie a Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356471098 PECOS PAC ID: 4183796477 Enrollment ID: I20080701000539 |
| 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 | Shaji K Kumar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1568434090 PECOS PAC ID: 4082786025 Enrollment ID: I20080708000193 |
| 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 | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740261841 PECOS PAC ID: 2264431113 Enrollment ID: I20080718000079 |
| Provider Name | Krishnaswamy Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730169806 PECOS PAC ID: 5193822070 Enrollment ID: I20080722000099 |
| Provider Name | Maria R Castro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598741589 PECOS PAC ID: 9638242829 Enrollment ID: I20080722000103 |
| Provider Name | John M Davis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881665024 PECOS PAC ID: 5092888206 Enrollment ID: I20080722000260 |
| Provider Name | Kalpana Muthusamy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407051931 PECOS PAC ID: 9032203104 Enrollment ID: I20080722000748 |
| Provider Name | Hiroshi Sekiguchi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053572735 PECOS PAC ID: 5799858858 Enrollment ID: I20080722000770 |
| Provider Name | Tayyab S Diwan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720246580 PECOS PAC ID: 4587738224 Enrollment ID: I20080730000055 |
| Provider Name | Erica D Wittwer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982803300 PECOS PAC ID: 5395819858 Enrollment ID: I20080731000411 |
| Provider Name | Bryce a Beckman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619131711 PECOS PAC ID: 3577637842 Enrollment ID: I20080805000159 |
| Provider Name | Carrie M Carr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316125461 PECOS PAC ID: 2668546946 Enrollment ID: I20080805000178 |
| Provider Name | Randall K Pearson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467432096 PECOS PAC ID: 6103990049 Enrollment ID: I20080811000381 |
| Provider Name | Brian D Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386622421 PECOS PAC ID: 2062592546 Enrollment ID: I20080813000458 |
| Provider Name | Harry H Yoon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255408258 PECOS PAC ID: 9830264639 Enrollment ID: I20080813000468 |
| Provider Name | Teresa J Goddard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922263839 PECOS PAC ID: 7012082712 Enrollment ID: I20080814000400 |
| Provider Name | Carrie L Langstraat |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1184707572 PECOS PAC ID: 5799867776 Enrollment ID: I20080815000067 |
| Provider Name | Charles S Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467659342 PECOS PAC ID: 5193890846 Enrollment ID: I20080815000129 |
| Provider Name | Nerissa M Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902003882 PECOS PAC ID: 2466527114 Enrollment ID: I20080815000133 |
| Provider Name | Arthur Beyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679770556 PECOS PAC ID: 2264507912 Enrollment ID: I20080815000151 |
| Provider Name | Renee M Breland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154549293 PECOS PAC ID: 4284709734 Enrollment ID: I20080818000444 |
| 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 | Venkatesh R Bellamkonda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659590115 PECOS PAC ID: 0547335069 Enrollment ID: I20080819000256 |
| Provider Name | Kharmene L Sunga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700076536 PECOS PAC ID: 6608941125 Enrollment ID: I20080819000287 |
| Provider Name | Brandon W Sloop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962529578 PECOS PAC ID: 3577638006 Enrollment ID: I20080819000326 |
| Provider Name | Malini Madhavan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538280680 PECOS PAC ID: 4587739958 Enrollment ID: I20080819000855 |
| Provider Name | Samar H Ibrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427179423 PECOS PAC ID: 2264507649 Enrollment ID: I20080819000927 |
| Provider Name | Matthew Carlson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831396712 PECOS PAC ID: 9234204611 Enrollment ID: I20080819000961 |
| Provider Name | Michael Bayrd Colgan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447428321 PECOS PAC ID: 4082789144 Enrollment ID: I20080825000302 |
| Provider Name | Melissa C Lipford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760680615 PECOS PAC ID: 3971678038 Enrollment ID: I20080825000316 |
| Provider Name | Cara C Prideaux |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144422031 PECOS PAC ID: 4688749757 Enrollment ID: I20080825000335 |
| 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 | Tomohiko Yamada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467447532 PECOS PAC ID: 2365342268 Enrollment ID: I20080827000039 |
| Provider Name | Mrinal M Patnaik |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1376727115 PECOS PAC ID: 6305912353 Enrollment ID: I20080827000694 |
| Provider Name | Steve G Peters |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770561052 PECOS PAC ID: 2365518313 Enrollment ID: I20080827000732 |
| Provider Name | Mark E Morrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750585501 PECOS PAC ID: 1153497029 Enrollment ID: I20080829000502 |
| Provider Name | Chelsey a Recker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437311834 PECOS PAC ID: 3476629346 Enrollment ID: I20080829000552 |
| Provider Name | Peter Rose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871570234 PECOS PAC ID: 7911073150 Enrollment ID: I20080911000479 |
| Provider Name | Lawrence W Steinkraus |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1346223872 PECOS PAC ID: 2668549668 Enrollment ID: I20080917000181 |
| Provider Name | Julie L Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164684866 PECOS PAC ID: 9830266329 Enrollment ID: I20080925000238 |
| Provider Name | Erik K St Louis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922090851 PECOS PAC ID: 2264509439 Enrollment ID: I20080930000580 |
| Provider Name | Matthew P Abdel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245437128 PECOS PAC ID: 3577630755 Enrollment ID: I20080930000630 |
| Provider Name | Kerry a Wright |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326167404 PECOS PAC ID: 6507934023 Enrollment ID: I20081009000706 |
| Provider Name | Donna M Desjardins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497940142 PECOS PAC ID: 8729173224 Enrollment ID: I20081010000626 |
| Provider Name | Shelagh a Cofer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417031519 PECOS PAC ID: 2163590571 Enrollment ID: I20081010000660 |
| Provider Name | Jennifer E Fugate |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083818140 PECOS PAC ID: 7416025820 Enrollment ID: I20081010000677 |
| Provider Name | Nicole L Hofmeister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184889669 PECOS PAC ID: 4183782477 Enrollment ID: I20081014000777 |
| Provider Name | Amy B Kolbe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295938009 PECOS PAC ID: 4880752187 Enrollment ID: I20081014000810 |
| Provider Name | Nancy a Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487800124 PECOS PAC ID: 8820156151 Enrollment ID: I20081015000285 |
| Provider Name | Sally E Heusinkvelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144476615 PECOS PAC ID: 0143388280 Enrollment ID: I20081018000232 |
| 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 | Esayas B Kebede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861697161 PECOS PAC ID: 1951469766 Enrollment ID: I20081023000293 |
| Provider Name | Roberto Benzo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588721146 PECOS PAC ID: 1052343670 Enrollment ID: I20081023000306 |
| Provider Name | Jessica C Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700032505 PECOS PAC ID: 6608934427 Enrollment ID: I20081023000373 |
| Provider Name | Maria I Vazquez-roque |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841408804 PECOS PAC ID: 3779641592 Enrollment ID: I20081023000388 |
| Provider Name | Jenny L Kollasch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114907698 PECOS PAC ID: 6709944432 Enrollment ID: I20081023000563 |
| Provider Name | Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275794562 PECOS PAC ID: 2062471659 Enrollment ID: I20081023000860 |
| Provider Name | Kenneth Olivier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063474245 PECOS PAC ID: 5890770630 Enrollment ID: I20081024000390 |
| Provider Name | Elizabeth S Yan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346490497 PECOS PAC ID: 7416015136 Enrollment ID: I20081024000457 |
| Provider Name | Peter C Rhee |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1487854766 PECOS PAC ID: 0345308938 Enrollment ID: I20081027000389 |
| Provider Name | David J Daniels |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235318296 PECOS PAC ID: 3779641378 Enrollment ID: I20081027000416 |
| Provider Name | Kodjo M Bossou |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982823951 PECOS PAC ID: 9032277579 Enrollment ID: I20081028000065 |
| Provider Name | Majken T Wingo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750583357 PECOS PAC ID: 0547329997 Enrollment ID: I20081030000423 |
| 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 | Summer V. S. Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821298100 PECOS PAC ID: 7911066220 Enrollment ID: I20081031000178 |
| Provider Name | Natasha M Rueth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649445917 PECOS PAC ID: 0840359006 Enrollment ID: I20081104000192 |
| Provider Name | Michael J Zaccariello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427215151 PECOS PAC ID: 3678632783 Enrollment ID: I20081104000625 |
| Provider Name | Andrea a Gossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881664597 PECOS PAC ID: 2466511308 Enrollment ID: I20081106000297 |
| Provider Name | Eva M Carmona Porquera |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427176254 PECOS PAC ID: 6901965805 Enrollment ID: I20081106000823 |
| Provider Name | Amir R Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447239553 PECOS PAC ID: 2365501269 Enrollment ID: I20081106000829 |
| Provider Name | William J Hogan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1962475699 PECOS PAC ID: 9537228333 Enrollment ID: I20081108000063 |
| Provider Name | Niti Aggarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598962474 PECOS PAC ID: 3375602006 Enrollment ID: I20081110000378 |
| Provider Name | Peter L Bos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689644692 PECOS PAC ID: 6901965649 Enrollment ID: I20081110000399 |
| Provider Name | Cindy M Boyum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861465924 PECOS PAC ID: 4789743451 Enrollment ID: I20081110000707 |
| Provider Name | Jennifer M Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902054174 PECOS PAC ID: 3476612169 Enrollment ID: I20081110000845 |
| Provider Name | Jordan S Lazer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336398643 PECOS PAC ID: 4284793977 Enrollment ID: I20081110000857 |
| Provider Name | Saravut J Weroha |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043415144 PECOS PAC ID: 5991864563 Enrollment ID: I20081111000816 |
| Provider Name | Jacob L Sellon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902892896 PECOS PAC ID: 1456411883 Enrollment ID: I20081114000725 |
| Provider Name | Richard H Rho |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1467422667 PECOS PAC ID: 4981764321 Enrollment ID: I20081115000011 |
| Provider Name | Andrea Beltran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881888014 PECOS PAC ID: 8921189648 Enrollment ID: I20081119000892 |
| Provider Name | Jody a Weckwerth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770556409 PECOS PAC ID: 1759441892 Enrollment ID: I20081119000899 |
| Provider Name | Christopher Collura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548467426 PECOS PAC ID: 6406916386 Enrollment ID: I20081121000550 |
| Provider Name | Katie Lyn Priebe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386800100 PECOS PAC ID: 6103986955 Enrollment ID: I20081124000333 |
| Provider Name | Myung S Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639389679 PECOS PAC ID: 2466512264 Enrollment ID: I20081124000812 |
| Provider Name | Michelle J Clarke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437136355 PECOS PAC ID: 3577623198 Enrollment ID: I20081126000476 |
| Provider Name | Ayse Karagulle Kendi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235358615 PECOS PAC ID: 3779644166 Enrollment ID: I20081203000718 |
| Provider Name | Jann N Sarkaria |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225018419 PECOS PAC ID: 5799733234 Enrollment ID: I20081203000912 |
| Provider Name | Mark S Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922070846 PECOS PAC ID: 9234290644 Enrollment ID: I20081203000921 |
| Provider Name | Lisa M Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285612853 PECOS PAC ID: 5597826909 Enrollment ID: I20081203000928 |
| Provider Name | Daniel R Hilliker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689764433 PECOS PAC ID: 2062510282 Enrollment ID: I20081204000002 |
| 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 | Ronald C Petersen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295713030 PECOS PAC ID: 7113088907 Enrollment ID: I20081211000797 |
| Provider Name | Francesca J Livgard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619953288 PECOS PAC ID: 9436210192 Enrollment ID: I20081212000668 |
| Provider Name | Julie Streib |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457504094 PECOS PAC ID: 7113089160 Enrollment ID: I20081229000485 |
| Provider Name | Luke Jeremy Ronneberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982850780 PECOS PAC ID: 5496818262 Enrollment ID: I20090106000500 |
| Provider Name | Jill M Hunchis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639352198 PECOS PAC ID: 6406932623 Enrollment ID: I20090106000740 |
| Provider Name | Adam Sawatsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114117934 PECOS PAC ID: 9537222112 Enrollment ID: I20090107000652 |
| Provider Name | Arun Subramanian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194939371 PECOS PAC ID: 6507929189 Enrollment ID: I20090107000672 |
| Provider Name | Melinda K Szynalski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457503369 PECOS PAC ID: 3779646351 Enrollment ID: I20090107000677 |
| Provider Name | Kara a Kapplinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861647968 PECOS PAC ID: 5294898169 Enrollment ID: I20090120000680 |
| 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 | David T Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881840403 PECOS PAC ID: 4688738180 Enrollment ID: I20090128000354 |
| Provider Name | Kathryn E Tiedtke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063658227 PECOS PAC ID: 8527122548 Enrollment ID: I20090205000279 |
| 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 | Kristin M Dooley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720231202 PECOS PAC ID: 3173688678 Enrollment ID: I20090217000541 |
| Provider Name | Nathan J Benn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629217252 PECOS PAC ID: 0749346575 Enrollment ID: I20090303000698 |
| 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 | Robert a Wermers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952374407 PECOS PAC ID: 8123091725 Enrollment ID: I20090305000156 |
| Provider Name | Lawrence a Szarka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619949815 PECOS PAC ID: 8628134269 Enrollment ID: I20090305000183 |
| Provider Name | Stephen J Wisniewski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609840891 PECOS PAC ID: 2769409788 Enrollment ID: I20090305000273 |
| Provider Name | Amy R Boettcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336307362 PECOS PAC ID: 9133285505 Enrollment ID: I20090310000376 |
| Provider Name | Kim a Baczynski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295719995 PECOS PAC ID: 9739245119 Enrollment ID: I20090310000426 |
| Provider Name | Adrian Vella |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104890607 PECOS PAC ID: 2860558251 Enrollment ID: I20090310000511 |
| Provider Name | Margaret E Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902885577 PECOS PAC ID: 3577629963 Enrollment ID: I20090310000522 |
| Provider Name | Yogish C Kudva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073586137 PECOS PAC ID: 5193881589 Enrollment ID: I20090310000553 |
| Provider Name | Stephanie Faubion |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275519316 PECOS PAC ID: 8729144118 Enrollment ID: I20090310000568 |
| Provider Name | Sundararajan V Rajkumar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548240914 PECOS PAC ID: 3678639929 Enrollment ID: I20090311000605 |
| Provider Name | Debra S Coy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124266325 PECOS PAC ID: 1052477296 Enrollment ID: I20090312000681 |
| 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 | Emily N Hamann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518104058 PECOS PAC ID: 1052478070 Enrollment ID: I20090318000705 |
| Provider Name | Robin Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871573212 PECOS PAC ID: 7113084856 Enrollment ID: I20090324000357 |
| Provider Name | Philip R Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831175900 PECOS PAC ID: 9830146877 Enrollment ID: I20090324000511 |
| Provider Name | Andrew C Greenlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962477612 PECOS PAC ID: 0143387803 Enrollment ID: I20090324000531 |
| Provider Name | Victor M Montori |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275503823 PECOS PAC ID: 4486711140 Enrollment ID: I20090324000556 |
| Provider Name | Kris G Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285608570 PECOS PAC ID: 7012074669 Enrollment ID: I20090325000735 |
| Provider Name | Jennifer L Lange-collett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801860283 PECOS PAC ID: 0749347300 Enrollment ID: I20090325000743 |
| Provider Name | Angela L Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740277896 PECOS PAC ID: 8426942319 Enrollment ID: I20090330000511 |
| Provider Name | Robert H Lohr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265419790 PECOS PAC ID: 9537148036 Enrollment ID: I20090413000488 |
| Provider Name | Michael J Link |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134107873 PECOS PAC ID: 4082761846 Enrollment ID: I20090413000490 |
| Provider Name | Susan M Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831176742 PECOS PAC ID: 9739236514 Enrollment ID: I20090414000197 |
| 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 | Jennifer a Bold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922071554 PECOS PAC ID: 5890842405 Enrollment ID: I20090420000189 |
| Provider Name | Deanne T Kashiwagi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588665806 PECOS PAC ID: 8628125119 Enrollment ID: I20090421000372 |
| Provider Name | Raymond Iezzi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528006699 PECOS PAC ID: 3375539323 Enrollment ID: I20090421000433 |
| Provider Name | Charles J Brommer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023258472 PECOS PAC ID: 2961550348 Enrollment ID: I20090423000715 |
| 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 | Colleen R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902054836 PECOS PAC ID: 9436207354 Enrollment ID: I20090504000432 |
| Provider Name | Julie a Buchholtz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780658351 PECOS PAC ID: 5799833620 Enrollment ID: I20090504000451 |
| Provider Name | Matthew Koedam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164662946 PECOS PAC ID: 8527116144 Enrollment ID: I20090507000604 |
| Provider Name | Manpreet S Mundi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639359987 PECOS PAC ID: 7517015134 Enrollment ID: I20090507000612 |
| Provider Name | Amy K Plackner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134369259 PECOS PAC ID: 1355499831 Enrollment ID: I20090512000129 |
| Provider Name | Sarah J Diedrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063652410 PECOS PAC ID: 8123177615 Enrollment ID: I20090512000275 |
| Provider Name | Jolene L Holden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508006958 PECOS PAC ID: 9638228158 Enrollment ID: I20090512000517 |
| Provider Name | Ellen D Mcphail |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891765681 PECOS PAC ID: 5395894836 Enrollment ID: I20090512000656 |
| Provider Name | Brandee J Kroening |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275773624 PECOS PAC ID: 9335298496 Enrollment ID: I20090519000651 |
| Provider Name | Bridget K Biggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669616538 PECOS PAC ID: 1850440629 Enrollment ID: I20090527000479 |
| Provider Name | Connie Meiners |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073753596 PECOS PAC ID: 3173672771 Enrollment ID: I20090529000422 |
| Provider Name | Lisa D Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194799403 PECOS PAC ID: 6608926878 Enrollment ID: I20090609000533 |
| Provider Name | Gesina F Keating |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326100363 PECOS PAC ID: 8224188495 Enrollment ID: I20090609000552 |
| Provider Name | Tad M Mabry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245219708 PECOS PAC ID: 1759431927 Enrollment ID: I20090609000581 |
| Provider Name | Sheila R Laleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437396173 PECOS PAC ID: 8921158197 Enrollment ID: I20090609000586 |
| Provider Name | Diva R Salomao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487634309 PECOS PAC ID: 1951451178 Enrollment ID: I20090610000232 |
| Provider Name | Gary L Keeney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629058250 PECOS PAC ID: 4486704608 Enrollment ID: I20090610000239 |
| Provider Name | Ines H Berger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114034543 PECOS PAC ID: 2769472117 Enrollment ID: I20090610000678 |
| Provider Name | Shala a Bain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497995849 PECOS PAC ID: 6709936792 Enrollment ID: I20090612000464 |
| Provider Name | Syed Ahsan Rizvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871714949 PECOS PAC ID: 7315021136 Enrollment ID: I20090624000399 |
| Provider Name | Emmanuel J Lujero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003056227 PECOS PAC ID: 1355492794 Enrollment ID: I20090625000376 |
| Provider Name | Wade P Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972578326 PECOS PAC ID: 8325199672 Enrollment ID: I20090625000508 |
| Provider Name | Joaquin J Garcia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023244977 PECOS PAC ID: 2466503768 Enrollment ID: I20090626000259 |
| Provider Name | Murali K Duggirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740267418 PECOS PAC ID: 5890846919 Enrollment ID: I20090701000452 |
| Provider Name | Margaret R Baker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164402988 PECOS PAC ID: 0648321489 Enrollment ID: I20090707000725 |
| Provider Name | Richard D Newcomb |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1659347458 PECOS PAC ID: 7618029315 Enrollment ID: I20090709000752 |
| Provider Name | William J Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689697203 PECOS PAC ID: 0042385429 Enrollment ID: I20090709000770 |
| Provider Name | Onur Demirci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699986646 PECOS PAC ID: 7911059456 Enrollment ID: I20090715000192 |
| Provider Name | James H Mcpherson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437138989 PECOS PAC ID: 3476605809 Enrollment ID: I20090716000287 |
| Provider Name | Eapen K Jacob |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497731731 PECOS PAC ID: 2365594793 Enrollment ID: I20090716000310 |
| Provider Name | Becky J Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548403363 PECOS PAC ID: 9436201779 Enrollment ID: I20090716000442 |
| Provider Name | Robert L Frye |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821076969 PECOS PAC ID: 2365594587 Enrollment ID: I20090720000476 |
| Provider Name | Kyle Traynor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104806231 PECOS PAC ID: 3173428158 Enrollment ID: I20090722000485 |
| Provider Name | Andrew Mckeon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558480087 PECOS PAC ID: 4486706462 Enrollment ID: I20090722000541 |
| Provider Name | Sanjeev Kakar |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1891960290 PECOS PAC ID: 7517019508 Enrollment ID: I20090722000606 |
| Provider Name | Derek R Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750508453 PECOS PAC ID: 2567514557 Enrollment ID: I20090722000668 |
| Provider Name | Lyell K Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235117474 PECOS PAC ID: 0345393062 Enrollment ID: I20090728000832 |
| Provider Name | Kari a Dessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154577989 PECOS PAC ID: 8224181839 Enrollment ID: I20090729000827 |
| Provider Name | Samih H Nasr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376670679 PECOS PAC ID: 6608897103 Enrollment ID: I20090729000947 |
| Provider Name | Donald Dean Potter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205808490 PECOS PAC ID: 0345393708 Enrollment ID: I20090803000039 |
| Provider Name | Radhika Dhamija |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598967291 PECOS PAC ID: 9335292796 Enrollment ID: I20090803000044 |
| Provider Name | Kyle W Satterblom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629204532 PECOS PAC ID: 3173676509 Enrollment ID: I20090803000716 |
| Provider Name | Neel B Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669635819 PECOS PAC ID: 7719030931 Enrollment ID: I20090805000052 |
| Provider Name | Teerin Liewluck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912108333 PECOS PAC ID: 9739232950 Enrollment ID: I20090805000123 |
| Provider Name | Kimberly L Schoonover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932363942 PECOS PAC ID: 3072667633 Enrollment ID: I20090817000073 |
| Provider Name | Robert H Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992782775 PECOS PAC ID: 9436203973 Enrollment ID: I20090818000164 |
| Provider Name | Rebecca K Ameduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861696569 PECOS PAC ID: 4688728116 Enrollment ID: I20090819000136 |
| Provider Name | Teng Moua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679524227 PECOS PAC ID: 9739263070 Enrollment ID: I20090820000897 |
| Provider Name | Joseph J Maleszewski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437204823 PECOS PAC ID: 0143374447 Enrollment ID: I20090820000904 |
| Provider Name | Ryan a Meverden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699902387 PECOS PAC ID: 0547314841 Enrollment ID: I20090821000044 |
| Provider Name | Shannon K Laughlin-tommaso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598900581 PECOS PAC ID: 9830243955 Enrollment ID: I20090824000522 |
| Provider Name | April M Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811137268 PECOS PAC ID: 7012061153 Enrollment ID: I20090824000619 |
| Provider Name | Terry L Hunt |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1659536639 PECOS PAC ID: 7416002381 Enrollment ID: I20090827000722 |
| Provider Name | Paul Y Takahashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982679320 PECOS PAC ID: 6204981020 Enrollment ID: I20090831000582 |
| Provider Name | Zaraq Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396930814 PECOS PAC ID: 2769537315 Enrollment ID: I20090902000613 |
| Provider Name | Sara S Oberhelman-eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386808335 PECOS PAC ID: 6800941469 Enrollment ID: I20090902000654 |
| Provider Name | Robert J Karnes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679569602 PECOS PAC ID: 2163577727 Enrollment ID: I20090902000670 |
| Provider Name | Lindsay a Rigelman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073744082 PECOS PAC ID: 7315092996 Enrollment ID: I20090903000191 |
| Provider Name | Marla a Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164640918 PECOS PAC ID: 3072668680 Enrollment ID: I20090903000470 |
| Provider Name | Meghna P Mansukhani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1558561506 PECOS PAC ID: 7517012016 Enrollment ID: I20090908000052 |
| Provider Name | Wayne L Feyereisn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619954120 PECOS PAC ID: 8224183736 Enrollment ID: I20090908000081 |
| Provider Name | Tanya J Huneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912139718 PECOS PAC ID: 4486709870 Enrollment ID: I20090909000182 |
| Provider Name | Rebecca L Pittelko |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780815795 PECOS PAC ID: 6002961497 Enrollment ID: I20090909000208 |
| Provider Name | Robert F Rea |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689651689 PECOS PAC ID: 5597869800 Enrollment ID: I20090911000160 |
| Provider Name | Uma Thanarajasingam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790949378 PECOS PAC ID: 3476608613 Enrollment ID: I20090911000238 |
| Provider Name | Jennifer L Vande Voort |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093971517 PECOS PAC ID: 2466507603 Enrollment ID: I20090911000252 |
| Provider Name | Irina Bancos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659552412 PECOS PAC ID: 6305991555 Enrollment ID: I20090911000320 |
| Provider Name | Adam M Goulson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174767347 PECOS PAC ID: 4183779374 Enrollment ID: I20090911000718 |
| Provider Name | Joseph a Hyder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518125152 PECOS PAC ID: 1951457191 Enrollment ID: I20090914000340 |
| Provider Name | Shahyar M Gharacholou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477752715 PECOS PAC ID: 2567436157 Enrollment ID: I20090914000355 |
| Provider Name | Sandra M. S. Herrmann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790964088 PECOS PAC ID: 1850447012 Enrollment ID: I20090914000461 |
| Provider Name | John E Eaton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982852414 PECOS PAC ID: 8022164284 Enrollment ID: I20090914000470 |
| Provider Name | Carol L Kuhle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215015425 PECOS PAC ID: 0042366122 Enrollment ID: I20090914000792 |
| Provider Name | April E Poolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744934 PECOS PAC ID: 0749336865 Enrollment ID: I20090915000344 |
| Provider Name | Christina M Lazer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720216088 PECOS PAC ID: 9830245810 Enrollment ID: I20090916000184 |
| Provider Name | Ryan T Hurt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578603163 PECOS PAC ID: 0042381097 Enrollment ID: I20090921000181 |
| Provider Name | Madhusudan Grover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033232608 PECOS PAC ID: 2264588789 Enrollment ID: I20090923000823 |
| Provider Name | Emily Brooke Beyer Wert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497986699 PECOS PAC ID: 2567518970 Enrollment ID: I20090925000228 |
| 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 | Prashant Kapoor |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1487671152 PECOS PAC ID: 8628963196 Enrollment ID: I20091001000693 |
| Provider Name | Jordan M Kautz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477717007 PECOS PAC ID: 8820134828 Enrollment ID: I20091005000756 |
| Provider Name | Jennifer Freitag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972736510 PECOS PAC ID: 1759427701 Enrollment ID: I20091006000440 |
| Provider Name | Yvette N Martin Mcgrew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912170622 PECOS PAC ID: 4183760911 Enrollment ID: I20091008000654 |
| Provider Name | Imad Absah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245494152 PECOS PAC ID: 8820134430 Enrollment ID: I20091013000585 |
| Provider Name | Candice House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518199231 PECOS PAC ID: 2567508039 Enrollment ID: I20091014000304 |
| Provider Name | Jill M Huber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689823841 PECOS PAC ID: 1052457454 Enrollment ID: I20091014000678 |
| Provider Name | Becky S Baas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417188855 PECOS PAC ID: 3678619087 Enrollment ID: I20091014000778 |
| Provider Name | Christopher L Hallemeier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134383417 PECOS PAC ID: 9830235241 Enrollment ID: I20091014000804 |
| Provider Name | Megan M Dulohery Scrodin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649435884 PECOS PAC ID: 1557407947 Enrollment ID: I20091015000640 |
| Provider Name | Miguel Paz Soldan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982848123 PECOS PAC ID: 1254478605 Enrollment ID: I20091016000592 |
| Provider Name | Matthew T Howard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487811675 PECOS PAC ID: 5193862423 Enrollment ID: I20091019000727 |
| 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 | Jonathan D Barlow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215192273 PECOS PAC ID: 2860539061 Enrollment ID: I20091020000758 |
| Provider Name | Tyler S Oesterle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003062795 PECOS PAC ID: 4183761323 Enrollment ID: I20091021000310 |
| Provider Name | Darrell B Newman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366698011 PECOS PAC ID: 6608913850 Enrollment ID: I20091021000358 |
| Provider Name | Matthew D Klein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124073218 PECOS PAC ID: 6901943091 Enrollment ID: I20091021000826 |
| Provider Name | Timothy J Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360731 PECOS PAC ID: 5395882492 Enrollment ID: I20091022000039 |
| Provider Name | Gina K Mitchell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669603080 PECOS PAC ID: 8325185457 Enrollment ID: I20091022000337 |
| Provider Name | Alecia a Moser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083845416 PECOS PAC ID: 6406993542 Enrollment ID: I20091022000456 |
| Provider Name | Diana M Orbelo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932339892 PECOS PAC ID: 4082751037 Enrollment ID: I20091022000637 |
| Provider Name | Leanne M Elmer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720129935 PECOS PAC ID: 8729125778 Enrollment ID: I20091022000722 |
| Provider Name | Michael D Ringler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285751776 PECOS PAC ID: 0345387122 Enrollment ID: I20091027000834 |
| Provider Name | Alaina L Softing Hataye |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427155654 PECOS PAC ID: 3375680077 Enrollment ID: I20091029000419 |
| Provider Name | David B Soma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093961906 PECOS PAC ID: 5395882906 Enrollment ID: I20091029000569 |
| Provider Name | Elena J Jelsing |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134373400 PECOS PAC ID: 5890832414 Enrollment ID: I20091029000613 |
| Provider Name | Bhanuprakesh Kolla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417156597 PECOS PAC ID: 6901943539 Enrollment ID: I20091029000698 |
| Provider Name | Marysia S Tweet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821254939 PECOS PAC ID: 4082751615 Enrollment ID: I20091029000703 |
| Provider Name | Travis E Grotz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245496934 PECOS PAC ID: 5890832422 Enrollment ID: I20091029000713 |
| Provider Name | Shelley P Ahrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770568735 PECOS PAC ID: 2860539491 Enrollment ID: I20091029000752 |
| Provider Name | Elizabeth D Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134453160 PECOS PAC ID: 0840338315 Enrollment ID: I20091104000217 |
| 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 | Megan T Spychalla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023341393 PECOS PAC ID: 5294873600 Enrollment ID: I20091104000683 |
| Provider Name | Phillip M Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801879192 PECOS PAC ID: 1456368646 Enrollment ID: I20091105000638 |
| Provider Name | Michelle M Bouquet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063745065 PECOS PAC ID: 2163560152 Enrollment ID: I20091111000737 |
| Provider Name | Gregory J Hanson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598742306 PECOS PAC ID: 4587702477 Enrollment ID: I20091113000247 |
| Provider Name | Danielle J Olaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427381771 PECOS PAC ID: 0840339925 Enrollment ID: I20091202000633 |
| Provider Name | Robert a Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871572818 PECOS PAC ID: 8820138522 Enrollment ID: I20091210000300 |
| Provider Name | Bernard J Kuipers |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962482935 PECOS PAC ID: 2062552771 Enrollment ID: I20091210000342 |
| Provider Name | Pedro J Caraballo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669445771 PECOS PAC ID: 2769522416 Enrollment ID: I20091210000650 |
| Provider Name | Michael D Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144554213 PECOS PAC ID: 4284774936 Enrollment ID: I20091210000675 |
| Provider Name | Muriel M Schornack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730152349 PECOS PAC ID: 4082754734 Enrollment ID: I20091210000695 |
| Provider Name | Kimberly N Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902871148 PECOS PAC ID: 4981744638 Enrollment ID: I20091210000707 |
| Provider Name | Eileen Broomall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932355120 PECOS PAC ID: 4688714348 Enrollment ID: I20091210000743 |
| Provider Name | Eric C Tangalos |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1528045952 PECOS PAC ID: 2264572940 Enrollment ID: I20091211000228 |
| Provider Name | Amindra S Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194705392 PECOS PAC ID: 4880734466 Enrollment ID: I20091211000258 |
| Provider Name | Thomas J Beckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013980218 PECOS PAC ID: 4688714264 Enrollment ID: I20091211000275 |
| Provider Name | Julie a Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821068172 PECOS PAC ID: 9133269509 Enrollment ID: I20091215000516 |
| Provider Name | Karen F Mauck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033199807 PECOS PAC ID: 9537200019 Enrollment ID: I20100106000105 |
| Provider Name | Cory a Lusk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033442744 PECOS PAC ID: 7911048475 Enrollment ID: I20100106000533 |
| Provider Name | Karen L Newcomer-aney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194704361 PECOS PAC ID: 7719028190 Enrollment ID: I20100107000236 |
| Provider Name | Mark H Winemiller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184603664 PECOS PAC ID: 4688715063 Enrollment ID: I20100107000268 |
| Provider Name | Thomas M Jaeger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962476838 PECOS PAC ID: 7113068594 Enrollment ID: I20100107000294 |
| Provider Name | David E Midthun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841270238 PECOS PAC ID: 6709927197 Enrollment ID: I20100107000320 |
| Provider Name | Michael a Mahr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225016959 PECOS PAC ID: 5597806984 Enrollment ID: I20100107000344 |
| Provider Name | David W Larson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255301818 PECOS PAC ID: 0941341341 Enrollment ID: I20100107000371 |
| Provider Name | Christopher Colby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427037977 PECOS PAC ID: 2264573492 Enrollment ID: I20100108000893 |
| Provider Name | Michael H Silber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194705525 PECOS PAC ID: 0446391460 Enrollment ID: I20100112000589 |
| Provider Name | Halina Woroncow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558349670 PECOS PAC ID: 3779624796 Enrollment ID: I20100112000617 |
| Provider Name | Darcy Ann Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104898444 PECOS PAC ID: 3173435252 Enrollment ID: I20100112000632 |
| Provider Name | Sanjay V Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477533990 PECOS PAC ID: 5698744571 Enrollment ID: I20100112000649 |
| Provider Name | Luis F Porrata |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1992784391 PECOS PAC ID: 1456492487 Enrollment ID: I20100112000683 |
| Provider Name | Casey R Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356327696 PECOS PAC ID: 9032250923 Enrollment ID: I20100114000475 |
| Provider Name | Matthew E Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163732 PECOS PAC ID: 4284775172 Enrollment ID: I20100114000491 |
| Provider Name | Leslie T Cooper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801872056 PECOS PAC ID: 5597807487 Enrollment ID: I20100114000550 |
| Provider Name | Ladan Zand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174789796 PECOS PAC ID: 5597807495 Enrollment ID: I20100114000666 |
| Provider Name | George K Chow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306824644 PECOS PAC ID: 1153463948 Enrollment ID: I20100115000748 |
| Provider Name | Sandhya Pruthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750355517 PECOS PAC ID: 0941342737 Enrollment ID: I20100115000780 |
| Provider Name | Laura a Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780662155 PECOS PAC ID: 5294877080 Enrollment ID: I20100115000791 |
| Provider Name | Timothy B Curry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790755130 PECOS PAC ID: 7911049705 Enrollment ID: I20100115000800 |
| Provider Name | Paul D Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861479156 PECOS PAC ID: 3173560737 Enrollment ID: I20100115000812 |
| Provider Name | Jeffrey W Britton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710963921 PECOS PAC ID: 4183766983 Enrollment ID: I20100115000823 |
| Provider Name | Allen J Aksamit |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720063878 PECOS PAC ID: 3173665973 Enrollment ID: I20100115000832 |
| Provider Name | Mary Ellen Warner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003895087 PECOS PAC ID: 2264574060 Enrollment ID: I20100115000843 |
| Provider Name | Colin P West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184601668 PECOS PAC ID: 7618019415 Enrollment ID: I20100115000849 |
| Provider Name | Lori a Erickson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376521153 PECOS PAC ID: 8224170022 Enrollment ID: I20100115000878 |
| Provider Name | Bart L Clarke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346226321 PECOS PAC ID: 4486796281 Enrollment ID: I20100115000889 |
| Provider Name | Eduardo E Benarroch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972578169 PECOS PAC ID: 6204978000 Enrollment ID: I20100115000893 |
| Provider Name | Marcia L Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558348524 PECOS PAC ID: 9931241734 Enrollment ID: I20100115000898 |
| Provider Name | David L Nash |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649259870 PECOS PAC ID: 3870635600 Enrollment ID: I20100116000320 |
| Provider Name | Ivy a Petersen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538132816 PECOS PAC ID: 5890837637 Enrollment ID: I20100116000419 |
| Provider Name | Virend K Somers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639159486 PECOS PAC ID: 5395887145 Enrollment ID: I20100118000040 |
| Provider Name | Kenley B Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972573863 PECOS PAC ID: 0840332698 Enrollment ID: I20100118000045 |
| Provider Name | Deborah L Renaud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932186103 PECOS PAC ID: 6103968953 Enrollment ID: I20100118000049 |
| Provider Name | Edwin H Rho |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225015225 PECOS PAC ID: 0749322592 Enrollment ID: I20100118000054 |
| Provider Name | Vijay H Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902883051 PECOS PAC ID: 3375685126 Enrollment ID: I20100118000057 |
| Provider Name | Shelly R Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275869620 PECOS PAC ID: 1658413422 Enrollment ID: I20100118000231 |
| Provider Name | Rhett P Ketterling |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104898360 PECOS PAC ID: 5092857862 Enrollment ID: I20100118000239 |
| Provider Name | Young J Juhn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174501217 PECOS PAC ID: 3173665940 Enrollment ID: I20100118000251 |
| Provider Name | Andrea E Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811127814 PECOS PAC ID: 6800938572 Enrollment ID: I20100118000268 |
| Provider Name | Duygu Selcen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376517169 PECOS PAC ID: 8426190190 Enrollment ID: I20100118000293 |
| Provider Name | Sabrina Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033197322 PECOS PAC ID: 8921057720 Enrollment ID: I20100118000299 |
| Provider Name | Y S Prakash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487633434 PECOS PAC ID: 7416099189 Enrollment ID: I20100118000303 |
| Provider Name | Randall K Roenigk |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1336126424 PECOS PAC ID: 7012074529 Enrollment ID: I20100118000304 |
| Provider Name | Kathy L Maclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225015308 PECOS PAC ID: 9234271909 Enrollment ID: I20100118000306 |
| Provider Name | James H Bower |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730166513 PECOS PAC ID: 9830231588 Enrollment ID: I20100119000706 |
| Provider Name | Bridget L Neubauer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568441962 PECOS PAC ID: 7810039492 Enrollment ID: I20100120000203 |
| Provider Name | Sidna M Tulledge-scheitel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932189305 PECOS PAC ID: 5496897035 Enrollment ID: I20100120000846 |
| Provider Name | Bret T Petersen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124006242 PECOS PAC ID: 0941342588 Enrollment ID: I20100120000852 |
| Provider Name | Hartzell V Schaff |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699752337 PECOS PAC ID: 1850433491 Enrollment ID: I20100120000853 |
| Provider Name | Ericka Tung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275504664 PECOS PAC ID: 8123012200 Enrollment ID: I20100120000879 |
| Provider Name | Thomas G Mason |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104805522 PECOS PAC ID: 0648312280 Enrollment ID: I20100120000888 |
| Provider Name | Andy J Boggust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336125426 PECOS PAC ID: 2860534336 Enrollment ID: I20100121000365 |
| Provider Name | Daniel Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801872734 PECOS PAC ID: 6305988874 Enrollment ID: I20100121000372 |
| 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 | Svetomir N Markovic |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013981257 PECOS PAC ID: 9830231323 Enrollment ID: I20100121000500 |
| Provider Name | Robert Mcbane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871579862 PECOS PAC ID: 5991847485 Enrollment ID: I20100121000524 |
| Provider Name | Carlos B Mantilla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225009566 PECOS PAC ID: 6608918198 Enrollment ID: I20100121000540 |
| Provider Name | Jeffrey L Winters |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942274931 PECOS PAC ID: 8022150523 Enrollment ID: I20100121000580 |
| Provider Name | Dana S Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851364202 PECOS PAC ID: 3375685878 Enrollment ID: I20100121000589 |
| Provider Name | Janet L Vittone |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871563825 PECOS PAC ID: 7719029214 Enrollment ID: I20100121000631 |
| Provider Name | Claire E Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992777528 PECOS PAC ID: 1254243744 Enrollment ID: I20100121000678 |
| Provider Name | Colin L. W. Driscoll |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174593321 PECOS PAC ID: 4284776790 Enrollment ID: I20100121000687 |
| Provider Name | Christopher M Burkle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003893769 PECOS PAC ID: 2860534385 Enrollment ID: I20100121000771 |
| Provider Name | Matthew Ross Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285604579 PECOS PAC ID: 6305988825 Enrollment ID: I20100121000776 |
| Provider Name | Stephanie NT Kannas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407826449 PECOS PAC ID: 7911049432 Enrollment ID: I20100121000809 |
| Provider Name | Brent a Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225002900 PECOS PAC ID: 4183766603 Enrollment ID: I20100121000821 |
| Provider Name | Robert J Witte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720067770 PECOS PAC ID: 1456493972 Enrollment ID: I20100121000828 |
| Provider Name | John L Black |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790762862 PECOS PAC ID: 4082756507 Enrollment ID: I20100121000833 |
| Provider Name | Peter C Amadio |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1467432997 PECOS PAC ID: 5193808525 Enrollment ID: I20100121000834 |
| Provider Name | Jeffrey R Basford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962474536 PECOS PAC ID: 7719029230 Enrollment ID: I20100121000836 |
| 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 | Steven R Alberts |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780660209 PECOS PAC ID: 1254473648 Enrollment ID: I20100122000711 |
| Provider Name | Ramona De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235116500 PECOS PAC ID: 2567350051 Enrollment ID: I20100122000784 |
| Provider Name | Charles H Rohren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588639124 PECOS PAC ID: 7416099759 Enrollment ID: I20100125000248 |
| Provider Name | Nho V Tran |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598743767 PECOS PAC ID: 3678615911 Enrollment ID: I20100125000258 |
| 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 | Abhiram Prasad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306810890 PECOS PAC ID: 2062465867 Enrollment ID: I20100125000316 |
| Provider Name | Charanjit Rihal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508845991 PECOS PAC ID: 3870635121 Enrollment ID: I20100125000337 |
| Provider Name | Keith G Rasmussen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124005491 PECOS PAC ID: 5496897746 Enrollment ID: I20100125000350 |
| 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 | Uldis Bite |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629056551 PECOS PAC ID: 8729120092 Enrollment ID: I20100125000530 |
| Provider Name | Glenn Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982680989 PECOS PAC ID: 1355483629 Enrollment ID: I20100125000537 |
| Provider Name | Keith H Baratz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376518944 PECOS PAC ID: 7517922933 Enrollment ID: I20100125000555 |
| Provider Name | Laurence C Torsher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972582849 PECOS PAC ID: 7214079599 Enrollment ID: I20100125000596 |
| Provider Name | Rajiv K Pruthi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1154300549 PECOS PAC ID: 5294877577 Enrollment ID: I20100125000615 |
| Provider Name | Juan M Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124006317 PECOS PAC ID: 5294877593 Enrollment ID: I20100125000842 |
| Provider Name | Anne M Kramlinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793986 PECOS PAC ID: 6002958303 Enrollment ID: I20100125000855 |
| Provider Name | Morie a Gertz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265402366 PECOS PAC ID: 4587666581 Enrollment ID: I20100126000892 |
| Provider Name | Matthew T Gettman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336113406 PECOS PAC ID: 1355483538 Enrollment ID: I20100126000899 |
| Provider Name | Michael G Haddock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518943307 PECOS PAC ID: 6709928914 Enrollment ID: I20100127000235 |
| Provider Name | Timothy J Hobday |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316919962 PECOS PAC ID: 6406998616 Enrollment ID: I20100127000272 |
| Provider Name | Jennifer Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215900436 PECOS PAC ID: 6608918719 Enrollment ID: I20100127000357 |
| Provider Name | Vicki L Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851377840 PECOS PAC ID: 9133261241 Enrollment ID: I20100127000377 |
| Provider Name | John Huston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295711257 PECOS PAC ID: 2769524875 Enrollment ID: I20100127000391 |
| Provider Name | Felecia R Fick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326010679 PECOS PAC ID: 1254473325 Enrollment ID: I20100127000947 |
| Provider Name | Walter B Franz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265419386 PECOS PAC ID: 4486796497 Enrollment ID: I20100128000404 |
| Provider Name | Stephanie F Heller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750368692 PECOS PAC ID: 2961544903 Enrollment ID: I20100128000698 |
| Provider Name | Angela Dispenzieri |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1235115023 PECOS PAC ID: 6204978257 Enrollment ID: I20100128000723 |
| Provider Name | Jon O Ebbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388423 PECOS PAC ID: 6406998467 Enrollment ID: I20100128000817 |
| Provider Name | Thomas G Mcleod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437123536 PECOS PAC ID: 4486796455 Enrollment ID: I20100128000960 |
| Provider Name | Kaiser G Lim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457338725 PECOS PAC ID: 5799828752 Enrollment ID: I20100130000203 |
| Provider Name | Douglas M Zerbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295714822 PECOS PAC ID: 7517000573 Enrollment ID: I20100130000207 |
| Provider Name | Ian R Mcphail |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750355707 PECOS PAC ID: 4880737857 Enrollment ID: I20100130000217 |
| Provider Name | Margaret a Moutvic-wasz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992785760 PECOS PAC ID: 9234272204 Enrollment ID: I20100130000233 |
| Provider Name | Harold B Kitaoka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073579660 PECOS PAC ID: 3476696444 Enrollment ID: I20100130000270 |
| Provider Name | Mark Liebow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912985763 PECOS PAC ID: 5092858068 Enrollment ID: I20100130000292 |
| Provider Name | Prema P Peethambaran |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760460505 PECOS PAC ID: 8729121793 Enrollment ID: I20100130000297 |
| Provider Name | Tobias Peikert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093794174 PECOS PAC ID: 6800939877 Enrollment ID: I20100130000305 |
| Provider Name | John D Port |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902877657 PECOS PAC ID: 3072656040 Enrollment ID: I20100130000314 |
| Provider Name | Henry J Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801860598 PECOS PAC ID: 1254474224 Enrollment ID: I20100130000321 |
| Provider Name | Paul Mueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427021955 PECOS PAC ID: 5890838874 Enrollment ID: I20100130000326 |
| Provider Name | Jennifer J Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651663 PECOS PAC ID: 1254474232 Enrollment ID: I20100130000336 |
| Provider Name | Michael J Stuart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215916267 PECOS PAC ID: 5890838700 Enrollment ID: I20100201000340 |
| Provider Name | Joseph W Furst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184604662 PECOS PAC ID: 4981747805 Enrollment ID: I20100201000434 |
| Provider Name | Thomas M Habermann |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1790757672 PECOS PAC ID: 4880737709 Enrollment ID: I20100201000443 |
| Provider Name | Daniel L Hurley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427034222 PECOS PAC ID: 2961545884 Enrollment ID: I20100201000464 |
| Provider Name | Thomas H Poterucha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093793978 PECOS PAC ID: 5395888226 Enrollment ID: I20100201000491 |
| Provider Name | Rawan J Amra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275505679 PECOS PAC ID: 0042353906 Enrollment ID: I20100201000783 |
| Provider Name | Biswajit Paul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477526051 PECOS PAC ID: 3678616539 Enrollment ID: I20100201000785 |
| Provider Name | Lynn a Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740266766 PECOS PAC ID: 2769525625 Enrollment ID: I20100201000795 |
| Provider Name | Brian a Crum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558332163 PECOS PAC ID: 5395888259 Enrollment ID: I20100201000798 |
| Provider Name | Martin D Abel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447235189 PECOS PAC ID: 9931242898 Enrollment ID: I20100201000802 |
| Provider Name | Julie R Gilbertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497733273 PECOS PAC ID: 6103969068 Enrollment ID: I20100201000807 |
| Provider Name | Amanda B Ebright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629056403 PECOS PAC ID: 7012050974 Enrollment ID: I20100201000808 |
| Provider Name | Warren G Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780654236 PECOS PAC ID: 5799828661 Enrollment ID: I20100202000049 |
| Provider Name | Caterina Giannini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043280332 PECOS PAC ID: 2860535739 Enrollment ID: I20100202000075 |
| Provider Name | Iftikhar J Kullo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104890581 PECOS PAC ID: 5395888267 Enrollment ID: I20100202000083 |
| Provider Name | Victor M Karpyak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154308401 PECOS PAC ID: 0840333712 Enrollment ID: I20100202000091 |
| Provider Name | Molly M Herr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619955663 PECOS PAC ID: 6002888070 Enrollment ID: I20100202000109 |
| Provider Name | Thomas E Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801873658 PECOS PAC ID: 2264575133 Enrollment ID: I20100202000127 |
| Provider Name | Julie E Hammack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740266790 PECOS PAC ID: 4082757802 Enrollment ID: I20100202000650 |
| Provider Name | Maria Lapid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619954096 PECOS PAC ID: 7214070044 Enrollment ID: I20100202000707 |
| Provider Name | Brian M Keegan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659345130 PECOS PAC ID: 1658414487 Enrollment ID: I20100202000725 |
| Provider Name | Gerard Sequeira Kamath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003894338 PECOS PAC ID: 7416090246 Enrollment ID: I20100202000769 |
| Provider Name | Margaret M. C. Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095619 PECOS PAC ID: 6305989146 Enrollment ID: I20100202000794 |
| 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 | Ann B Kiel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932172392 PECOS PAC ID: 6608919451 Enrollment ID: I20100202000886 |
| Provider Name | Sara R Richardson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588642938 PECOS PAC ID: 0143363994 Enrollment ID: I20100202000899 |
| Provider Name | Dawn B Underwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356311815 PECOS PAC ID: 7911040761 Enrollment ID: I20100202000951 |
| Provider Name | Alexander Shin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1609849298 PECOS PAC ID: 8729121579 Enrollment ID: I20100202000962 |
| Provider Name | Hilary K Walters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598739070 PECOS PAC ID: 9537202387 Enrollment ID: I20100202000971 |
| Provider Name | Joseph G Murphy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538134465 PECOS PAC ID: 1850434515 Enrollment ID: I20100203000127 |
| Provider Name | Matthew R Hopkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215916770 PECOS PAC ID: 8729121496 Enrollment ID: I20100203000178 |
| Provider Name | Bonnie J Huppert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538132113 PECOS PAC ID: 8426191198 Enrollment ID: I20100203000205 |
| Provider Name | Randall P Flick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376521013 PECOS PAC ID: 5991848681 Enrollment ID: I20100203000337 |
| Provider Name | Larissa L Loukianova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407828411 PECOS PAC ID: 8224171913 Enrollment ID: I20100203000365 |
| Provider Name | Adil E Bharucha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538149075 PECOS PAC ID: 9638212335 Enrollment ID: I20100203000407 |
| Provider Name | Bhargavi Gali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164492781 PECOS PAC ID: 4082757786 Enrollment ID: I20100203000414 |
| Provider Name | John B Gebhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902884737 PECOS PAC ID: 9537202239 Enrollment ID: I20100203000419 |
| Provider Name | James Hebl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811977689 PECOS PAC ID: 7618010315 Enrollment ID: I20100203000428 |
| Provider Name | Mark T Keegan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942280581 PECOS PAC ID: 6002959723 Enrollment ID: I20100203000621 |
| Provider Name | Donald J Hagler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942206016 PECOS PAC ID: 4587617386 Enrollment ID: I20100203000633 |
| Provider Name | Phillip a Low |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770557100 PECOS PAC ID: 1254474976 Enrollment ID: I20100203000650 |
| Provider Name | Lance a Mynderse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700865938 PECOS PAC ID: 9335282052 Enrollment ID: I20100203000658 |
| Provider Name | Simon Kung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962474981 PECOS PAC ID: 7719020445 Enrollment ID: I20100203000752 |
| Provider Name | Edward P Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285606285 PECOS PAC ID: 1254474984 Enrollment ID: I20100203000770 |
| Provider Name | Animesh D Pardanani |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700856804 PECOS PAC ID: 1153464896 Enrollment ID: I20100203000790 |
| Provider Name | Andrew H Limper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861471351 PECOS PAC ID: 8325181068 Enrollment ID: I20100203000800 |
| Provider Name | Sundeep Khosla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093793739 PECOS PAC ID: 0042353781 Enrollment ID: I20100203000808 |
| 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 | Michael D Jensen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073583464 PECOS PAC ID: 7113060856 Enrollment ID: I20100203000826 |
| Provider Name | Elie F Berbari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215909890 PECOS PAC ID: 4385787027 Enrollment ID: I20100203000837 |
| Provider Name | Daniel S Elliott |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891773016 PECOS PAC ID: 4183767825 Enrollment ID: I20100203000851 |
| Provider Name | David a Froehling |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285613497 PECOS PAC ID: 6608919352 Enrollment ID: I20100203000876 |
| 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 | Allen W Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942287974 PECOS PAC ID: 1658414305 Enrollment ID: I20100203000934 |
| Provider Name | Harry J Cloft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770553992 PECOS PAC ID: 4284777939 Enrollment ID: I20100203000937 |
| Provider Name | Fred M Cutrer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194702373 PECOS PAC ID: 7911040662 Enrollment ID: I20100203000941 |
| Provider Name | Nelson Leung |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356313910 PECOS PAC ID: 2961545520 Enrollment ID: I20100204000130 |
| Provider Name | Stephen M Ansell |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1558335935 PECOS PAC ID: 0345383980 Enrollment ID: I20100204000768 |
| Provider Name | Thomas Billings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731228 PECOS PAC ID: 5294878831 Enrollment ID: I20100204000828 |
| Provider Name | Tony Chon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558349324 PECOS PAC ID: 5092858639 Enrollment ID: I20100204000846 |
| Provider Name | Keith a Bengtson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093788689 PECOS PAC ID: 6800939349 Enrollment ID: I20100204000870 |
| Provider Name | Charles Bruce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811975980 PECOS PAC ID: 0244335537 Enrollment ID: I20100204000898 |
| Provider Name | Toby N Weingarten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437136595 PECOS PAC ID: 9133262678 Enrollment ID: I20100204000905 |
| Provider Name | Aminah Jatoi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437136553 PECOS PAC ID: 3678616117 Enrollment ID: I20100204000909 |
| Provider Name | Irene G Sia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710950969 PECOS PAC ID: 4587707021 Enrollment ID: I20100204000913 |
| Provider Name | Debra K Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528031598 PECOS PAC ID: 6305989849 Enrollment ID: I20100204000916 |
| Provider Name | Abinash Virk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588644777 PECOS PAC ID: 0941343487 Enrollment ID: I20100204000920 |
| Provider Name | Marion M Mcmahon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073592556 PECOS PAC ID: 4486797933 Enrollment ID: I20100205000093 |
| Provider Name | Frank a Bock |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467430975 PECOS PAC ID: 9830232388 Enrollment ID: I20100205000107 |
| Provider Name | Robert T Trousdale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972582344 PECOS PAC ID: 3173666518 Enrollment ID: I20100206000136 |
| Provider Name | Eduardo Chini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275510117 PECOS PAC ID: 7618990318 Enrollment ID: I20100206000139 |
| Provider Name | John E Ahlskog |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386629335 PECOS PAC ID: 0446393888 Enrollment ID: I20100206000145 |
| Provider Name | Timothy R Aksamit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184694770 PECOS PAC ID: 8527101963 Enrollment ID: I20100206000153 |
| Provider Name | Vernon D Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730166737 PECOS PAC ID: 3971646316 Enrollment ID: I20100206000158 |
| Provider Name | Roxann B Pike |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689649220 PECOS PAC ID: 4880737220 Enrollment ID: I20100206000161 |
| Provider Name | William E Krauss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164492252 PECOS PAC ID: 7416979547 Enrollment ID: I20100206000164 |
| Provider Name | Christopher J Boes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851378962 PECOS PAC ID: 9234272675 Enrollment ID: I20100206000177 |
| Provider Name | Steven D Higgins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912972134 PECOS PAC ID: 2961545306 Enrollment ID: I20100206000179 |
| Provider Name | Bradley C Leibovich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699755405 PECOS PAC ID: 6204979644 Enrollment ID: I20100206000207 |
| Provider Name | Kathleen M Baratz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134193048 PECOS PAC ID: 2668515008 Enrollment ID: I20100206000213 |
| Provider Name | K Sreekumaran Nair |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487633889 PECOS PAC ID: 1557404993 Enrollment ID: I20100206000236 |
| Provider Name | Lyle J Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699747071 PECOS PAC ID: 4688717044 Enrollment ID: I20100208000020 |
| Provider Name | Rafael Sierra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801875901 PECOS PAC ID: 9638212970 Enrollment ID: I20100208000781 |
| Provider Name | Clement J Michet |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063491298 PECOS PAC ID: 5799828034 Enrollment ID: I20100208000803 |
| Provider Name | Marvin Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194705152 PECOS PAC ID: 7416090758 Enrollment ID: I20100208000822 |
| Provider Name | Mark a Nyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679551964 PECOS PAC ID: 1052454394 Enrollment ID: I20100208000824 |
| Provider Name | P James B Dyck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982683470 PECOS PAC ID: 9032292776 Enrollment ID: I20100209000766 |
| Provider Name | Mark C Adkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659359321 PECOS PAC ID: 3678616851 Enrollment ID: I20100210000514 |
| Provider Name | Michael J Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821075250 PECOS PAC ID: 9436292620 Enrollment ID: I20100210000710 |
| Provider Name | John J Dillon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932186996 PECOS PAC ID: 5799828992 Enrollment ID: I20100210000725 |
| Provider Name | Richard C Daly |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1568448900 PECOS PAC ID: 7810087418 Enrollment ID: I20100210000740 |
| Provider Name | Doreen J Gudlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114994902 PECOS PAC ID: 1153464250 Enrollment ID: I20100211000044 |
| Provider Name | Katherine M Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093788952 PECOS PAC ID: 0143363242 Enrollment ID: I20100211000052 |
| Provider Name | Dennis J Forcelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831179258 PECOS PAC ID: 3678616778 Enrollment ID: I20100211000063 |
| Provider Name | Lori J Nuttall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396723888 PECOS PAC ID: 2668515768 Enrollment ID: I20100211000077 |
| Provider Name | Lori a Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383414 PECOS PAC ID: 4385787480 Enrollment ID: I20100211000079 |
| Provider Name | Neena Natt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154391951 PECOS PAC ID: 8527101633 Enrollment ID: I20100211000120 |
| Provider Name | Clark C Otley |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1578535506 PECOS PAC ID: 8224171350 Enrollment ID: I20100211000282 |
| Provider Name | Steve R Ommen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639141559 PECOS PAC ID: 8325095383 Enrollment ID: I20100211000301 |
| Provider Name | Bradly J Narr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063484509 PECOS PAC ID: 7719029107 Enrollment ID: I20100211000665 |
| Provider Name | W Richard Marsh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346220407 PECOS PAC ID: 1153342530 Enrollment ID: I20100211000750 |
| Provider Name | Dennis W Siemsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598742074 PECOS PAC ID: 8527101617 Enrollment ID: I20100211000767 |
| Provider Name | Martin E Wolfe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801868245 PECOS PAC ID: 9436292521 Enrollment ID: I20100211000769 |
| Provider Name | John B Bundrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275513632 PECOS PAC ID: 1254474349 Enrollment ID: I20100211000771 |
| Provider Name | Eric J Olson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225000722 PECOS PAC ID: 1355485400 Enrollment ID: I20100212000673 |
| Provider Name | Elizabeth a Bradley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316926892 PECOS PAC ID: 2961546957 Enrollment ID: I20100215000029 |
| Provider Name | Gregory 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 | John P Abenstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174509392 PECOS PAC ID: 5294879292 Enrollment ID: I20100215000189 |
| Provider Name | Haitham S Abu Lebdeh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942286802 PECOS PAC ID: 4385788397 Enrollment ID: I20100215000201 |
| Provider Name | Judy K Stensrud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063485704 PECOS PAC ID: 4082758099 Enrollment ID: I20100215000238 |
| Provider Name | Robert Vassallo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386618585 PECOS PAC ID: 7517001522 Enrollment ID: I20100215000262 |
| Provider Name | Barbara J Nord |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376516286 PECOS PAC ID: 3870637887 Enrollment ID: I20100215000270 |
| Provider Name | John M Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669450904 PECOS PAC ID: 7113839556 Enrollment ID: I20100215000714 |
| Provider Name | Elizabeth Rajan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700866993 PECOS PAC ID: 4688718653 Enrollment ID: I20100215000829 |
| Provider Name | Mark E Wylam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003880865 PECOS PAC ID: 6406990472 Enrollment ID: I20100215000831 |
| Provider Name | Eric J Sorenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710957030 PECOS PAC ID: 7012901044 Enrollment ID: I20100216000367 |
| Provider Name | Robert J Spinner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043298540 PECOS PAC ID: 9931243839 Enrollment ID: I20100216000399 |
| Provider Name | Ulrich Specks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588643456 PECOS PAC ID: 9739223645 Enrollment ID: I20100216000427 |
| 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 | Daniel E Rohe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861472284 PECOS PAC ID: 4284778119 Enrollment ID: I20100216000660 |
| Provider Name | Thomas F Bergquist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841264538 PECOS PAC ID: 4082758917 Enrollment ID: I20100216000681 |
| Provider Name | Jeffrey Pasternak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871573477 PECOS PAC ID: 2961546890 Enrollment ID: I20100216000723 |
| Provider Name | Darrell S Pardi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801874169 PECOS PAC ID: 9436293370 Enrollment ID: I20100216000821 |
| Provider Name | Lewis R Roberts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528046752 PECOS PAC ID: 1254475114 Enrollment ID: I20100216000956 |
| Provider Name | Douglas R Osmon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669459665 PECOS PAC ID: 2961546825 Enrollment ID: I20100216000977 |
| Provider Name | Joseph a Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538149018 PECOS PAC ID: 9133263098 Enrollment ID: I20100216000986 |
| Provider Name | Martin Ellman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548230311 PECOS PAC ID: 2668516402 Enrollment ID: I20100217000885 |
| Provider Name | Denise M Dupras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093787962 PECOS PAC ID: 9830233675 Enrollment ID: I20100217000891 |
| Provider Name | Eric J Dozois |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518930262 PECOS PAC ID: 6002950789 Enrollment ID: I20100218000447 |
| Provider Name | Fernando C Fervenza |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356313522 PECOS PAC ID: 6901940618 Enrollment ID: I20100218000743 |
| 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 | Neil E Kay |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1073585048 PECOS PAC ID: 1153465869 Enrollment ID: I20100218000786 |
| 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 | Bernard J Gersh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245219237 PECOS PAC ID: 1951445675 Enrollment ID: I20100218000824 |
| 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 | William a Faubion |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447224605 PECOS PAC ID: 5294879912 Enrollment ID: I20100218000847 |
| Provider Name | Gregory J Gores |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336126861 PECOS PAC ID: 7911041637 Enrollment ID: I20100218000856 |
| 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 | Brenda J Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477527406 PECOS PAC ID: 7911041512 Enrollment ID: I20100220000121 |
| Provider Name | Karen L Andrews |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235104829 PECOS PAC ID: 5698819290 Enrollment ID: I20100220000157 |
| Provider Name | Ivana N Micallef |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1346226370 PECOS PAC ID: 0648314252 Enrollment ID: I20100220000233 |
| Provider Name | Francis Whalen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790762458 PECOS PAC ID: 2163566670 Enrollment ID: I20100222000929 |
| Provider Name | Michele a Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154308187 PECOS PAC ID: 7618011131 Enrollment ID: I20100222000934 |
| Provider Name | Patrick G Dean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093791048 PECOS PAC ID: 4981748407 Enrollment ID: I20100222000935 |
| Provider Name | Michael J Krowka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588640528 PECOS PAC ID: 0345384863 Enrollment ID: I20100222000937 |
| Provider Name | Prathibha Varkey |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1740267210 PECOS PAC ID: 5799829214 Enrollment ID: I20100222000944 |
| Provider Name | Dawn MR Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043297633 PECOS PAC ID: 5698819118 Enrollment ID: I20100222000954 |
| Provider Name | Scott D Eggers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194795641 PECOS PAC ID: 5799670485 Enrollment ID: I20100223000870 |
| Provider Name | Susan L Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386618924 PECOS PAC ID: 3678617073 Enrollment ID: I20100223000883 |
| Provider Name | Diana S Dean |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679547939 PECOS PAC ID: 5496899890 Enrollment ID: I20100223000886 |
| Provider Name | Paul E Stensrud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174502355 PECOS PAC ID: 2769526169 Enrollment ID: I20100223000897 |
| Provider Name | Douglas L Wood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427037654 PECOS PAC ID: 3173667425 Enrollment ID: I20100224000523 |
| Provider Name | Mark R Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376529156 PECOS PAC ID: 9931243292 Enrollment ID: I20100224000591 |
| Provider Name | Ashokakumar Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891772109 PECOS PAC ID: 8820132103 Enrollment ID: I20100224000834 |
| Provider Name | Maria L Collazo-clavell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457339673 PECOS PAC ID: 0547304834 Enrollment ID: I20100224000937 |
| Provider Name | Sandra J Taler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447222682 PECOS PAC ID: 0345384640 Enrollment ID: I20100224000967 |
| Provider Name | Timothy G Call |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326024829 PECOS PAC ID: 4880738186 Enrollment ID: I20100224000970 |
| Provider Name | Jennifer L Bradt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023080413 PECOS PAC ID: 3779627070 Enrollment ID: I20100224000985 |
| Provider Name | Mark D Topazian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477532398 PECOS PAC ID: 4688718984 Enrollment ID: I20100224000986 |
| Provider Name | Gregory a Worrell |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1396725297 PECOS PAC ID: 0042354342 Enrollment ID: I20100224000994 |
| Provider Name | Walter Wilson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982684940 PECOS PAC ID: 9830183359 Enrollment ID: I20100224001001 |
| Provider Name | Robert T Wilder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033196944 PECOS PAC ID: 0840231726 Enrollment ID: I20100224001002 |
| Provider Name | Gurinder Vasdev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033198684 PECOS PAC ID: 4880653401 Enrollment ID: I20100224001004 |
| Provider Name | Gregory J Schears |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861472052 PECOS PAC ID: 2769526060 Enrollment ID: I20100224001006 |
| Provider Name | Michael L Hansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508843525 PECOS PAC ID: 3577607878 Enrollment ID: I20100224001007 |
| Provider Name | Tamara J Haight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376521880 PECOS PAC ID: 0244374445 Enrollment ID: I20100225000088 |
| Provider Name | Frank W Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083688998 PECOS PAC ID: 3678617875 Enrollment ID: I20100225000122 |
| Provider Name | Jill M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841520988 PECOS PAC ID: 7719021922 Enrollment ID: I20100225000197 |
| Provider Name | Win-kuang Shen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629055629 PECOS PAC ID: 4385703008 Enrollment ID: I20100225000315 |
| Provider Name | Steven L Moran |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649259557 PECOS PAC ID: 5193869352 Enrollment ID: I20100225000714 |
| Provider Name | Daniel J Berry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265407795 PECOS PAC ID: 7810031085 Enrollment ID: I20100225000841 |
| Provider Name | Paola Sandroni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841279494 PECOS PAC ID: 2062556251 Enrollment ID: I20100225000959 |
| Provider Name | Kenneth W Schroeder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760462295 PECOS PAC ID: 3779627963 Enrollment ID: I20100225000970 |
| Provider Name | Jarrett W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104806744 PECOS PAC ID: 1557368792 Enrollment ID: I20100225000974 |
| Provider Name | William G Morice |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275512691 PECOS PAC ID: 1658416847 Enrollment ID: I20100226000152 |
| Provider Name | Robert E Sedlack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801875935 PECOS PAC ID: 3476698630 Enrollment ID: I20100226000867 |
| Provider Name | Evanthia Galanis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326028234 PECOS PAC ID: 7517002678 Enrollment ID: I20100301000953 |
| Provider Name | James D Hannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639158819 PECOS PAC ID: 8426193582 Enrollment ID: I20100301000956 |
| Provider Name | Susan a Harker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790765261 PECOS PAC ID: 3870638935 Enrollment ID: I20100301000962 |
| Provider Name | John B Hagan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1366429573 PECOS PAC ID: 6507901667 Enrollment ID: I20100301000965 |
| Provider Name | Julie K Heimbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225016025 PECOS PAC ID: 7416092572 Enrollment ID: I20100301000966 |
| Provider Name | Michael J Camilleri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760405898 PECOS PAC ID: 6204971294 Enrollment ID: I20100302000414 |
| Provider Name | Dusica Babovic-vuksanovic |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1588634992 PECOS PAC ID: 3476698465 Enrollment ID: I20100302000420 |
| 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 | Melissa D Dejong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124005905 PECOS PAC ID: 9133264153 Enrollment ID: I20100302000725 |
| Provider Name | Matthew M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366420895 PECOS PAC ID: 0941345979 Enrollment ID: I20100302000749 |
| Provider Name | Cara M Mulrine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427022011 PECOS PAC ID: 7911042940 Enrollment ID: I20100302000779 |
| Provider Name | Margaret M Redfield |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1114999265 PECOS PAC ID: 5193860948 Enrollment ID: I20100303001151 |
| Provider Name | James P Utz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962480681 PECOS PAC ID: 9739224585 Enrollment ID: I20100303001155 |
| Provider Name | Miguel E Mulet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891755542 PECOS PAC ID: 9234210774 Enrollment ID: I20100304000703 |
| 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 | Alice Patton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437120839 PECOS PAC ID: 8729130380 Enrollment ID: I20100304001000 |
| Provider Name | Bruce E Pollock |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801876974 PECOS PAC ID: 4183769839 Enrollment ID: I20100304001019 |
| Provider Name | Jay Hoon Ryu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164401550 PECOS PAC ID: 1355486002 Enrollment ID: I20100304001036 |
| Provider Name | David J Rosenman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730159526 PECOS PAC ID: 9436294188 Enrollment ID: I20100304001046 |
| Provider Name | Paul M Altrichter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861471021 PECOS PAC ID: 0345250270 Enrollment ID: I20100304001063 |
| Provider Name | Stephen B Erickson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407834609 PECOS PAC ID: 4587709233 Enrollment ID: I20100304001088 |
| Provider Name | Wendy S Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437123890 PECOS PAC ID: 5496890147 Enrollment ID: I20100304001089 |
| Provider Name | Yumiko Hirao-try |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760453203 PECOS PAC ID: 5395880041 Enrollment ID: I20100304001092 |
| 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 | David Dingli |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1891769766 PECOS PAC ID: 9830234582 Enrollment ID: I20100304001110 |
| Provider Name | Christina M Pabelick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063490068 PECOS PAC ID: 1658416300 Enrollment ID: I20100304001112 |
| 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 | John a Schaffner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235118639 PECOS PAC ID: 4284779935 Enrollment ID: I20100304001116 |
| Provider Name | Maria K Poirier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710965090 PECOS PAC ID: 0547305203 Enrollment ID: I20100305000024 |
| Provider Name | Marco Rizzo |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1255310421 PECOS PAC ID: 9436220340 Enrollment ID: I20100305000046 |
| Provider Name | Raymond C Shields |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710950472 PECOS PAC ID: 6204971963 Enrollment ID: I20100305000089 |
| Provider Name | Michael J Ackerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104802032 PECOS PAC ID: 1759426430 Enrollment ID: I20100305000228 |
| Provider Name | Neeraj Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073588729 PECOS PAC ID: 8628113263 Enrollment ID: I20100306000089 |
| Provider Name | Cheryl L Khanna |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982680401 PECOS PAC ID: 4183769748 Enrollment ID: I20100306000341 |
| Provider Name | Sanjay Misra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427035377 PECOS PAC ID: 3476698085 Enrollment ID: I20100308000431 |
| Provider Name | Vandana Nehra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174595755 PECOS PAC ID: 7618012139 Enrollment ID: I20100308000564 |
| Provider Name | Kenneth J Mack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689651044 PECOS PAC ID: 6507901022 Enrollment ID: I20100308000580 |
| Provider Name | Kemuel L Philbrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518944883 PECOS PAC ID: 7113062647 Enrollment ID: I20100308000713 |
| Provider Name | Lawrence J Sinak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346228715 PECOS PAC ID: 2163567603 Enrollment ID: I20100308000792 |
| Provider Name | Mark a Nathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992783369 PECOS PAC ID: 4688719131 Enrollment ID: I20100308000910 |
| Provider Name | Francisco Lopez-jimenez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467430371 PECOS PAC ID: 0042355596 Enrollment ID: I20100308000914 |
| Provider Name | Sanjay Kalra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407836422 PECOS PAC ID: 6204971757 Enrollment ID: I20100308000937 |
| Provider Name | Robert P Frantz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730153503 PECOS PAC ID: 6800999517 Enrollment ID: I20100308000956 |
| Provider Name | Scott H Kaufmann |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1952380800 PECOS PAC ID: 7719022276 Enrollment ID: I20100308000986 |
| Provider Name | Dennis a Laudon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235103524 PECOS PAC ID: 8527103084 Enrollment ID: I20100308000998 |
| Provider Name | Stephen Kopecky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225008329 PECOS PAC ID: 7517002074 Enrollment ID: I20100308001009 |
| Provider Name | Jorge F Quevedo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154300226 PECOS PAC ID: 6800814807 Enrollment ID: I20100309000311 |
| Provider Name | Matthew D Sztajnkrycer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912986274 PECOS PAC ID: 9335284835 Enrollment ID: I20100309000313 |
| Provider Name | Vicente E Torres |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396722781 PECOS PAC ID: 0042355547 Enrollment ID: I20100309000321 |
| Provider Name | Zelalem Temesgen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528030335 PECOS PAC ID: 0840335345 Enrollment ID: I20100309000342 |
| Provider Name | Stephen N Ringhofer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386617975 PECOS PAC ID: 0345385852 Enrollment ID: I20100309000405 |
| Provider Name | Kaia a Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245210871 PECOS PAC ID: 5890830202 Enrollment ID: I20100309000507 |
| Provider Name | Roger D White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942287958 PECOS PAC ID: 7517002926 Enrollment ID: I20100309000519 |
| Provider Name | Mikel Prieto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255319513 PECOS PAC ID: 7315082724 Enrollment ID: I20100309000543 |
| Provider Name | Darryl S Chutka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245205640 PECOS PAC ID: 5395880736 Enrollment ID: I20100309000933 |
| Provider Name | Marian T Mcevoy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588641674 PECOS PAC ID: 7214072669 Enrollment ID: I20100310000109 |
| Provider Name | Brian G Mohney |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417936956 PECOS PAC ID: 1456496819 Enrollment ID: I20100310000172 |
| Provider Name | Scott L Nyberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033197744 PECOS PAC ID: 9436294899 Enrollment ID: I20100310000188 |
| Provider Name | Stephen D Cassivi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659350833 PECOS PAC ID: 2961547336 Enrollment ID: I20100310000304 |
| Provider Name | Mark W Pagnano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568434371 PECOS PAC ID: 4789729013 Enrollment ID: I20100310000968 |
| Provider Name | Bruce Sutor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508846684 PECOS PAC ID: 3577608801 Enrollment ID: I20100310001004 |
| Provider Name | Robert W Depompolo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841276706 PECOS PAC ID: 7113062449 Enrollment ID: I20100310001006 |
| Provider Name | Mark D Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811967367 PECOS PAC ID: 2668517996 Enrollment ID: I20100310001010 |
| Provider Name | Margaret M Gall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174500417 PECOS PAC ID: 5395880637 Enrollment ID: I20100310001013 |
| Provider Name | Robyn E Finney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730167941 PECOS PAC ID: 3476698713 Enrollment ID: I20100310001022 |
| Provider Name | Travis J Vlasaty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497728224 PECOS PAC ID: 7012052350 Enrollment ID: I20100310001028 |
| Provider Name | Jack L Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407836034 PECOS PAC ID: 9830234178 Enrollment ID: I20100310001030 |
| Provider Name | Margherita Milone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245219377 PECOS PAC ID: 8527103860 Enrollment ID: I20100311000034 |
| Provider Name | Michael M Reese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710965454 PECOS PAC ID: 4789729021 Enrollment ID: I20100311000053 |
| Provider Name | Christopher M Duncan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245218155 PECOS PAC ID: 6507901840 Enrollment ID: I20100311000055 |
| Provider Name | Sara E Tricarico |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841261179 PECOS PAC ID: 8325183668 Enrollment ID: I20100311000059 |
| Provider Name | John C Cheville |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023083169 PECOS PAC ID: 1052456399 Enrollment ID: I20100311000060 |
| Provider Name | Susan P Starkson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215916481 PECOS PAC ID: 6406991744 Enrollment ID: I20100311000069 |
| Provider Name | Robert C Chantigian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396718714 PECOS PAC ID: 8022153378 Enrollment ID: I20100311000081 |
| Provider Name | Yongmei Cha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811973027 PECOS PAC ID: 5597655738 Enrollment ID: I20100311000090 |
| Provider Name | Gina R Wimmer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235118605 PECOS PAC ID: 2466597711 Enrollment ID: I20100311000092 |
| Provider Name | Daniel a Diedrich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831179530 PECOS PAC ID: 9830189448 Enrollment ID: I20100311000104 |
| Provider Name | Niki M Dietz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124008453 PECOS PAC ID: 1153466404 Enrollment ID: I20100311000122 |
| Provider Name | Allen T Bishop |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629056924 PECOS PAC ID: 6507901857 Enrollment ID: I20100311000126 |
| Provider Name | Eric T Boie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437139276 PECOS PAC ID: 5597800854 Enrollment ID: I20100311000140 |
| Provider Name | Konstantinos N Lazaridis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649240094 PECOS PAC ID: 0648315903 Enrollment ID: I20100311000190 |
| Provider Name | Brian E Grogg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821075268 PECOS PAC ID: 7810032174 Enrollment ID: I20100311000201 |
| Provider Name | Mary E Fidler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124004130 PECOS PAC ID: 0143365411 Enrollment ID: I20100311000252 |
| Provider Name | Karen L Rech |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144291451 PECOS PAC ID: 4587709852 Enrollment ID: I20100311000269 |
| Provider Name | Jimmy R Fulgham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164492518 PECOS PAC ID: 4284779554 Enrollment ID: I20100311000303 |
| Provider Name | John W Sperling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881670776 PECOS PAC ID: 0042216947 Enrollment ID: I20100311000313 |
| Provider Name | Steven H Rose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679552558 PECOS PAC ID: 0547305823 Enrollment ID: I20100311000418 |
| Provider Name | Robert B Jenkins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083693550 PECOS PAC ID: 2163567454 Enrollment ID: I20100311000442 |
| Provider Name | Charles F Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891774378 PECOS PAC ID: 8628103967 Enrollment ID: I20100311001035 |
| Provider Name | Andre M Oliveira |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508838483 PECOS PAC ID: 6608901947 Enrollment ID: I20100311001053 |
| Provider Name | Bradley J Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411748 PECOS PAC ID: 1153456496 Enrollment ID: I20100311001058 |
| Provider Name | Louis M Wong Kee Song |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861471765 PECOS PAC ID: 0042345381 Enrollment ID: I20100311001077 |
| Provider Name | Kevin C Fleming |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1275500894 PECOS PAC ID: 9436284668 Enrollment ID: I20100312000894 |
| Provider Name | Ann Vincent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083694772 PECOS PAC ID: 7416082656 Enrollment ID: I20100312001014 |
| Provider Name | Ann M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366415887 PECOS PAC ID: 2961537105 Enrollment ID: I20100312001020 |
| Provider Name | Michelle a Ochs Kinney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912984493 PECOS PAC ID: 1052446192 Enrollment ID: I20100315000928 |
| Provider Name | Matthew Callstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316925621 PECOS PAC ID: 3870628837 Enrollment ID: I20100316000242 |
| Provider Name | Matthew J Ritter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194703835 PECOS PAC ID: 7214062272 Enrollment ID: I20100316000267 |
| Provider Name | Mark D Stegall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952388829 PECOS PAC ID: 1658406616 Enrollment ID: I20100316000290 |
| Provider Name | Patricia J Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811969967 PECOS PAC ID: 8729113790 Enrollment ID: I20100316000320 |
| Provider Name | Bryan J Wanek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265402929 PECOS PAC ID: 3678608650 Enrollment ID: I20100316000455 |
| 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 | Andrew D Badley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194799585 PECOS PAC ID: 7719012756 Enrollment ID: I20100316001041 |
| Provider Name | Timothy S Larson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093792269 PECOS PAC ID: 0446385488 Enrollment ID: I20100316001044 |
| Provider Name | Jeff L Fidler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780661702 PECOS PAC ID: 1355476391 Enrollment ID: I20100316001046 |
| Provider Name | Michelle H Elliott |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1740266543 PECOS PAC ID: 1850426701 Enrollment ID: I20100317000159 |
| Provider Name | Katrina N Glazebrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437124872 PECOS PAC ID: 8527193481 Enrollment ID: I20100317000246 |
| Provider Name | Steven W Hanna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053386201 PECOS PAC ID: 0547395469 Enrollment ID: I20100317000857 |
| Provider Name | William F Young |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457330946 PECOS PAC ID: 7315072246 Enrollment ID: I20100317000907 |
| Provider Name | Michele M Evans |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043285976 PECOS PAC ID: 1850426792 Enrollment ID: I20100317001013 |
| Provider Name | Joscelyn RK Martin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174501969 PECOS PAC ID: 0840325783 Enrollment ID: I20100317001018 |
| Provider Name | Mark D P Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912983396 PECOS PAC ID: 0749366326 Enrollment ID: I20100317001116 |
| Provider Name | Joseph J Eischen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952387177 PECOS PAC ID: 4486789229 Enrollment ID: I20100317001118 |
| Provider Name | Gabrielle J Melin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730153180 PECOS PAC ID: 6204961048 Enrollment ID: I20100317001121 |
| Provider Name | Kent H Rehfeldt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679550776 PECOS PAC ID: 3476688219 Enrollment ID: I20100317001123 |
| Provider Name | Joseph H Butterfield |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982681136 PECOS PAC ID: 1557496312 Enrollment ID: I20100318000136 |
| Provider Name | John M Barlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811960115 PECOS PAC ID: 7618002478 Enrollment ID: I20100318000159 |
| Provider Name | Michaeleen M Burroughs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548232952 PECOS PAC ID: 2365577137 Enrollment ID: I20100318000252 |
| Provider Name | Kurt a Kennel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881670867 PECOS PAC ID: 2163557893 Enrollment ID: I20100318000913 |
| Provider Name | Michael J Joyner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033181953 PECOS PAC ID: 8426183153 Enrollment ID: I20100318000920 |
| Provider Name | Karina a Keogh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356315121 PECOS PAC ID: 7416082144 Enrollment ID: I20100318000930 |
| Provider Name | Suzanne R Hayman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982684973 PECOS PAC ID: 1052446788 Enrollment ID: I20100318000935 |
| Provider Name | Torrey a Laack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114904224 PECOS PAC ID: 9032244769 Enrollment ID: I20100318000952 |
| Provider Name | Christopher J Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780658377 PECOS PAC ID: 9931234663 Enrollment ID: I20100318000960 |
| Provider Name | David R Delone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144207325 PECOS PAC ID: 4385779016 Enrollment ID: I20100318000962 |
| Provider Name | Sean C Dowdy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134109630 PECOS PAC ID: 7012042740 Enrollment ID: I20100318000963 |
| Provider Name | Sheila Jowsey-gregoire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265406425 PECOS PAC ID: 5193850824 Enrollment ID: I20100318000969 |
| Provider Name | Scott L Stafford |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255318432 PECOS PAC ID: 6002941739 Enrollment ID: I20100318000970 |
| Provider Name | Eric Moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689653842 PECOS PAC ID: 6901931633 Enrollment ID: I20100318000980 |
| Provider Name | Alison Bruce |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285614701 PECOS PAC ID: 8729113451 Enrollment ID: I20100318000982 |
| Provider Name | Andrew Gibbs Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770560666 PECOS PAC ID: 1456486182 Enrollment ID: I20100318000984 |
| Provider Name | Bridget K Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487626537 PECOS PAC ID: 0547395287 Enrollment ID: I20100318000995 |
| Provider Name | Joan B Cronin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215902416 PECOS PAC ID: 3173658812 Enrollment ID: I20100318000997 |
| Provider Name | Mary M Machulda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801874011 PECOS PAC ID: 5597890236 Enrollment ID: I20100319000021 |
| Provider Name | Stephanie N Ritter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891769428 PECOS PAC ID: 2769517424 Enrollment ID: I20100319000290 |
| Provider Name | Janna K Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437123072 PECOS PAC ID: 0547395212 Enrollment ID: I20100319000342 |
| Provider Name | Fredric B Meyer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023095486 PECOS PAC ID: 7911032693 Enrollment ID: I20100319000444 |
| Provider Name | Irene Meissner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588643605 PECOS PAC ID: 3971638651 Enrollment ID: I20100319000486 |
| Provider Name | Thomas E Witzig |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1508846791 PECOS PAC ID: 5395870083 Enrollment ID: I20100319000531 |
| Provider Name | Terry Dean Schneekloth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184696312 PECOS PAC ID: 2264567973 Enrollment ID: I20100319000802 |
| Provider Name | Nicholas F Larusso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063483303 PECOS PAC ID: 5991847386 Enrollment ID: I20100322000879 |
| Provider Name | Anuradha Luke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104890250 PECOS PAC ID: 3375678808 Enrollment ID: I20100322000908 |
| Provider Name | Yolanda I Garces |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871571653 PECOS PAC ID: 0840359634 Enrollment ID: I20100322000933 |
| Provider Name | Gregory W Barsness |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194790790 PECOS PAC ID: 9739214131 Enrollment ID: I20100323000827 |
| Provider Name | Michael L Camilleri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700862109 PECOS PAC ID: 8224163639 Enrollment ID: I20100323000899 |
| Provider Name | Susan L Korkowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891765129 PECOS PAC ID: 2466587878 Enrollment ID: I20100323000940 |
| Provider Name | Samy Magdy Riad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841492378 PECOS PAC ID: 7810022233 Enrollment ID: I20100323000957 |
| Provider Name | Jerome F Breen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578536926 PECOS PAC ID: 9638204050 Enrollment ID: I20100323000958 |
| Provider Name | William a Cliby |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1205815636 PECOS PAC ID: 2365577780 Enrollment ID: I20100323000961 |
| Provider Name | Bradley F Boeve |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053397216 PECOS PAC ID: 9537294954 Enrollment ID: I20100323000971 |
| Provider Name | Robert D Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942287032 PECOS PAC ID: 3072648492 Enrollment ID: I20100323000977 |
| Provider Name | Daniel M Breitkopf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558420968 PECOS PAC ID: 8729113691 Enrollment ID: I20100323000992 |
| Provider Name | Jennifer a Grenell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285969642 PECOS PAC ID: 9537294962 Enrollment ID: I20100324000095 |
| 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 | William J Tremaine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831176841 PECOS PAC ID: 1153457585 Enrollment ID: I20100324001199 |
| Provider Name | Thomas R Viggiano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841261328 PECOS PAC ID: 8325174758 Enrollment ID: I20100324001208 |
| Provider Name | Michael T Walsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003894171 PECOS PAC ID: 5597891929 Enrollment ID: I20100324001215 |
| Provider Name | Priya Sampathkumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891769139 PECOS PAC ID: 9133255565 Enrollment ID: I20100324001218 |
| Provider Name | Brian J Bartholmai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609856830 PECOS PAC ID: 2668508896 Enrollment ID: I20100326000929 |
| Provider Name | Igor Frank |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942280375 PECOS PAC ID: 1153457387 Enrollment ID: I20100326000997 |
| Provider Name | Philippe R Housmans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982680963 PECOS PAC ID: 8325174550 Enrollment ID: I20100326001010 |
| Provider Name | John C Lieske |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851366223 PECOS PAC ID: 3870629017 Enrollment ID: I20100326001016 |
| Provider Name | Ingrid Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154393643 PECOS PAC ID: 7214063460 Enrollment ID: I20100327000150 |
| Provider Name | Kirk M Welker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734594 PECOS PAC ID: 6103864590 Enrollment ID: I20100327000163 |
| Provider Name | Heather M Bamlet |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730154303 PECOS PAC ID: 4486780467 Enrollment ID: I20100329001097 |
| Provider Name | Melissa a Brudwick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528033933 PECOS PAC ID: 4385770379 Enrollment ID: I20100329001115 |
| Provider Name | Susan M Skinner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699745802 PECOS PAC ID: 9830225820 Enrollment ID: I20100329001120 |
| Provider Name | John a Dilger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831179126 PECOS PAC ID: 5395871271 Enrollment ID: I20100330000889 |
| Provider Name | John M Bostwick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326026642 PECOS PAC ID: 2264568146 Enrollment ID: I20100330000937 |
| Provider Name | John W Wilson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780654830 PECOS PAC ID: 9032245915 Enrollment ID: I20100330000977 |
| Provider Name | Jefferson J Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013985001 PECOS PAC ID: 5799811436 Enrollment ID: I20100331001248 |
| Provider Name | James C Watson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376522557 PECOS PAC ID: 7416083159 Enrollment ID: I20100331001259 |
| Provider Name | Eelco Wijdicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831177765 PECOS PAC ID: 3779619416 Enrollment ID: I20100331001265 |
| Provider Name | Marie Christine Aubry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730169947 PECOS PAC ID: 5799811311 Enrollment ID: I20100407000111 |
| Provider Name | Vesna D Garovic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942273198 PECOS PAC ID: 9133255722 Enrollment ID: I20100408000066 |
| Provider Name | Terrence Lagerlund |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1336126267 PECOS PAC ID: 0941336424 Enrollment ID: I20100414000213 |
| Provider Name | Carl C Hook |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1508836743 PECOS PAC ID: 1456488980 Enrollment ID: I20100414000910 |
| Provider Name | Akira Kawashima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356327472 PECOS PAC ID: 3870620305 Enrollment ID: I20100414000952 |
| Provider Name | Kelly D Flemming |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215900329 PECOS PAC ID: 2769519297 Enrollment ID: I20100414000976 |
| Provider Name | Dana Erickson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609849751 PECOS PAC ID: 5496882938 Enrollment ID: I20100414000995 |
| Provider Name | Vickie a Loeslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225015951 PECOS PAC ID: 6709913262 Enrollment ID: I20100415000307 |
| Provider Name | Nickie M Francisco-ziller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861462574 PECOS PAC ID: 1052448537 Enrollment ID: I20100415000457 |
| Provider Name | Julie R Edvenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093788168 PECOS PAC ID: 0446387831 Enrollment ID: I20100415000711 |
| Provider Name | Sherilyn Driscoll |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689652596 PECOS PAC ID: 4587791983 Enrollment ID: I20100415000897 |
| Provider Name | Rebecca M Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992778344 PECOS PAC ID: 8527195932 Enrollment ID: I20100415000965 |
| Provider Name | Thomas B Comfere |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447238167 PECOS PAC ID: 6608903018 Enrollment ID: I20100415000985 |
| Provider Name | Marie Hogan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710963731 PECOS PAC ID: 1052448487 Enrollment ID: I20100416000279 |
| Provider Name | Paul Friedman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609855881 PECOS PAC ID: 3779610118 Enrollment ID: I20100416000307 |
| Provider Name | Hossein Gharib |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265419501 PECOS PAC ID: 1153458526 Enrollment ID: I20100416000623 |
| Provider Name | Amit K Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093791253 PECOS PAC ID: 8224165691 Enrollment ID: I20100416000641 |
| Provider Name | Barry L Karon |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1710950985 PECOS PAC ID: 8022079409 Enrollment ID: I20100416000703 |
| Provider Name | Robert J Friedhoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023094810 PECOS PAC ID: 6800923277 Enrollment ID: I20100416000715 |
| Provider Name | Matthew Mark Melin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730166992 PECOS PAC ID: 0648307959 Enrollment ID: I20100419000341 |
| Provider Name | Sanjeev Nanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568448918 PECOS PAC ID: 8921135245 Enrollment ID: I20100419000431 |
| Provider Name | Ann T Lund |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730167180 PECOS PAC ID: 6406983600 Enrollment ID: I20100420000657 |
| Provider Name | Carol P Holtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386629608 PECOS PAC ID: 4284761495 Enrollment ID: I20100420000707 |
| Provider Name | Scott a Holtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588648174 PECOS PAC ID: 4082741293 Enrollment ID: I20100420000731 |
| Provider Name | Sharonne Northcutt Hayes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013994128 PECOS PAC ID: 9739072240 Enrollment ID: I20100420000839 |
| Provider Name | Teresa a Rummans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538146261 PECOS PAC ID: 2860304367 Enrollment ID: I20100420000942 |
| Provider Name | Gary L Schwartz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790758399 PECOS PAC ID: 5294862421 Enrollment ID: I20100420000964 |
| Provider Name | Juraj Sprung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821076878 PECOS PAC ID: 3971541087 Enrollment ID: I20100420001021 |
| Provider Name | Karl a Nath |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659344547 PECOS PAC ID: 2466589569 Enrollment ID: I20100421000761 |
| Provider Name | Joseph D Tricarico |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497709877 PECOS PAC ID: 0244367340 Enrollment ID: I20100421000795 |
| Provider Name | Brian a Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508842287 PECOS PAC ID: 8022145135 Enrollment ID: I20100421000840 |
| Provider Name | Debra D Denny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043298227 PECOS PAC ID: 8820125933 Enrollment ID: I20100421000857 |
| Provider Name | Patrick S Kamath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831169366 PECOS PAC ID: 4284761396 Enrollment ID: I20100421000865 |
| Provider Name | Cesar Augustus Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174853048 PECOS PAC ID: 3678600798 Enrollment ID: I20100422000025 |
| Provider Name | Deanna L Griebenow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841261252 PECOS PAC ID: 5597892562 Enrollment ID: I20100422000797 |
| Provider Name | Brett a Koplin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932173275 PECOS PAC ID: 1951438936 Enrollment ID: I20100422000937 |
| Provider Name | Marlene J Drake Einertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275519217 PECOS PAC ID: 9931236932 Enrollment ID: I20100422001112 |
| 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 | Andre C Lapeyre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861471039 PECOS PAC ID: 5193852192 Enrollment ID: I20100422001139 |
| Provider Name | Timothy R Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457338477 PECOS PAC ID: 0941337794 Enrollment ID: I20100427000537 |
| Provider Name | Carl E Lundstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619956893 PECOS PAC ID: 6002943867 Enrollment ID: I20100427000587 |
| Provider Name | Mary J Kasten |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871572842 PECOS PAC ID: 4688701469 Enrollment ID: I20100427000764 |
| Provider Name | Lisa Dearborn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578538773 PECOS PAC ID: 8729115506 Enrollment ID: I20100427000813 |
| Provider Name | Mary L Marnach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790756096 PECOS PAC ID: 3274660055 Enrollment ID: I20100427000818 |
| Provider Name | Debra King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144293069 PECOS PAC ID: 2264569045 Enrollment ID: I20100427000832 |
| Provider Name | James Li |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154300861 PECOS PAC ID: 8426185208 Enrollment ID: I20100427000847 |
| Provider Name | Darcy M Mullenbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265403596 PECOS PAC ID: 3072640739 Enrollment ID: I20100428000956 |
| Provider Name | Kathleen G Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831163260 PECOS PAC ID: 4284761982 Enrollment ID: I20100429000474 |
| Provider Name | Treva L Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548232101 PECOS PAC ID: 8426185042 Enrollment ID: I20100429000816 |
| Provider Name | Kathryn J Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952375503 PECOS PAC ID: 2860529484 Enrollment ID: I20100429000845 |
| Provider Name | Omolola O Famuyide |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417927989 PECOS PAC ID: 5991832529 Enrollment ID: I20100429000940 |
| Provider Name | Mark a Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174598320 PECOS PAC ID: 6002943644 Enrollment ID: I20100429001046 |
| Provider Name | Tammy M Kremers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871517086 PECOS PAC ID: 9537296173 Enrollment ID: I20100429001068 |
| Provider Name | Sudhir Kushwaha |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1497735401 PECOS PAC ID: 4789711326 Enrollment ID: I20100429001104 |
| Provider Name | Nancy a Kirscht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962477182 PECOS PAC ID: 4981731536 Enrollment ID: I20100429001217 |
| Provider Name | Stacey S Licht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871566059 PECOS PAC ID: 7315074978 Enrollment ID: I20100429001241 |
| Provider Name | Fletcher a Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437121589 PECOS PAC ID: 9638194228 Enrollment ID: I20100503000851 |
| Provider Name | Patrick Luetmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316923378 PECOS PAC ID: 4284762865 Enrollment ID: I20100503000861 |
| Provider Name | Stephen P Whiteside |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528030939 PECOS PAC ID: 4385772706 Enrollment ID: I20100505000884 |
| Provider Name | Cynthia Harbeck-weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972574135 PECOS PAC ID: 7214065655 Enrollment ID: I20100505001095 |
| Provider Name | Timothy J Gunneson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518937002 PECOS PAC ID: 6103954540 Enrollment ID: I20100505001129 |
| Provider Name | Michael E Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316917461 PECOS PAC ID: 6709914781 Enrollment ID: I20100512000698 |
| Provider Name | Jennifer a Soland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568440733 PECOS PAC ID: 9537297494 Enrollment ID: I20100513000544 |
| Provider Name | Jayant a Talwalkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316924228 PECOS PAC ID: 5597893453 Enrollment ID: I20100513000595 |
| Provider Name | Michael Trenary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801867148 PECOS PAC ID: 1951439850 Enrollment ID: I20100513001008 |
| Provider Name | Christopher P Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366421752 PECOS PAC ID: 7012045917 Enrollment ID: I20100513001029 |
| Provider Name | Jean M Guyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669444287 PECOS PAC ID: 9436287349 Enrollment ID: I20100513001092 |
| Provider Name | Jay C Goetting |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063491611 PECOS PAC ID: 0244368157 Enrollment ID: I20100513001108 |
| Provider Name | Jeffrey L Lamb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841263613 PECOS PAC ID: 4880722792 Enrollment ID: I20100513001114 |
| Provider Name | Gerald W Volcheck |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326028812 PECOS PAC ID: 9234268962 Enrollment ID: I20100518000867 |
| Provider Name | Christopher K Dietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447223581 PECOS PAC ID: 3072642735 Enrollment ID: I20100519000306 |
| Provider Name | John P Scott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265410096 PECOS PAC ID: 0446389027 Enrollment ID: I20100519000559 |
| Provider Name | Andrea J Boon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548248990 PECOS PAC ID: 5294864872 Enrollment ID: I20100519000631 |
| Provider Name | Amy C Clayton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598741605 PECOS PAC ID: 5092844670 Enrollment ID: I20100519000660 |
| Provider Name | Karim MD Bakri |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255524849 PECOS PAC ID: 3779612361 Enrollment ID: I20100519000733 |
| Provider Name | Lisa a Drage |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972582591 PECOS PAC ID: 5890824494 Enrollment ID: I20100519000817 |
| Provider Name | Paul J Deziel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477530095 PECOS PAC ID: 2961531561 Enrollment ID: I20100519000836 |
| Provider Name | Eric S Edell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356320980 PECOS PAC ID: 2860521465 Enrollment ID: I20100519000843 |
| Provider Name | David Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710958962 PECOS PAC ID: 0547399156 Enrollment ID: I20100519000900 |
| Provider Name | Beth a Elliott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114997442 PECOS PAC ID: 7618006222 Enrollment ID: I20100519000925 |
| Provider Name | Kirstin M Erickson Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558334326 PECOS PAC ID: 4789713397 Enrollment ID: I20100519000947 |
| Provider Name | Richa Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265446439 PECOS PAC ID: 7315076924 Enrollment ID: I20100519000953 |
| Provider Name | Conor G Loftus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871563569 PECOS PAC ID: 0941339550 Enrollment ID: I20100519000964 |
| 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 | Hugh Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174503759 PECOS PAC ID: 0840329454 Enrollment ID: I20100519000974 |
| Provider Name | Charles M Harper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801873922 PECOS PAC ID: 2365584752 Enrollment ID: I20100520000033 |
| Provider Name | Karl N Krecke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376513416 PECOS PAC ID: 3072642693 Enrollment ID: I20100520000071 |
| Provider Name | Tara L Henrichsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245216464 PECOS PAC ID: 5799814315 Enrollment ID: I20100520000094 |
| Provider Name | Amer N Kalaaji |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790756302 PECOS PAC ID: 9739218363 Enrollment ID: I20100520000169 |
| Provider Name | David F Kallmes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033189162 PECOS PAC ID: 1456480086 Enrollment ID: I20100520000185 |
| Provider Name | Michael P Bannon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073588489 PECOS PAC ID: 8123157617 Enrollment ID: I20100520001038 |
| Provider Name | Lisa a Boardman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366414559 PECOS PAC ID: 1850420340 Enrollment ID: I20100520001044 |
| Provider Name | Shreyasee Amin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316917552 PECOS PAC ID: 5496884983 Enrollment ID: I20100520001051 |
| Provider Name | Suzanne M Norby |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710950886 PECOS PAC ID: 2668501156 Enrollment ID: I20100520001060 |
| Provider Name | Nicole Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533691 PECOS PAC ID: 1153450507 Enrollment ID: I20100524000923 |
| Provider Name | Raymund R Razonable |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750351805 PECOS PAC ID: 5799814141 Enrollment ID: I20100524000930 |
| Provider Name | Arkadiusz Z Dudek |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538197181 PECOS PAC ID: 1355470600 Enrollment ID: I20100525000088 |
| Provider Name | Mark D Sawyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487632485 PECOS PAC ID: 7214066828 Enrollment ID: I20100525000935 |
| Provider Name | Lucyna E Aho |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063738649 PECOS PAC ID: 5597894774 Enrollment ID: I20100526000711 |
| Provider Name | Jennifer E Braaten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891011466 PECOS PAC ID: 4082743281 Enrollment ID: I20100526000919 |
| Provider Name | Donald D Hensrud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467438473 PECOS PAC ID: 1759410970 Enrollment ID: I20100526001131 |
| Provider Name | Ann T Sadosty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649250168 PECOS PAC ID: 2961531033 Enrollment ID: I20100527000718 |
| Provider Name | Judy Fruehbrodt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649204645 PECOS PAC ID: 2567591647 Enrollment ID: I20100527000774 |
| Provider Name | Keith a Josephs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326011289 PECOS PAC ID: 4082743166 Enrollment ID: I20100527000811 |
| Provider Name | Christopher Gostout |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821077884 PECOS PAC ID: 3779612866 Enrollment ID: I20100527000850 |
| Provider Name | Bart G Hanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215909270 PECOS PAC ID: 4688703770 Enrollment ID: I20100527000852 |
| Provider Name | Bryce C Holmgren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063464378 PECOS PAC ID: 1355322033 Enrollment ID: I20100602000231 |
| Provider Name | Jane H Cerhan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023097656 PECOS PAC ID: 6507995404 Enrollment ID: I20100602001072 |
| Provider Name | Heidi K Click |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508839127 PECOS PAC ID: 9133258031 Enrollment ID: I20100602001079 |
| Provider Name | Anthony J Windebank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356321319 PECOS PAC ID: 1951430859 Enrollment ID: I20100602001081 |
| Provider Name | Christoph F Viozzi |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548234578 PECOS PAC ID: 3870561863 Enrollment ID: I20100603000720 |
| Provider Name | Cindy a Kermott |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1215907860 PECOS PAC ID: 1759410517 Enrollment ID: I20100603000798 |
| Provider Name | Lisa Hwa Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649259391 PECOS PAC ID: 6709915564 Enrollment ID: I20100603000858 |
| Provider Name | Sonja M Kranz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922071067 PECOS PAC ID: 9234268095 Enrollment ID: I20100603000874 |
| Provider Name | Jean C Fox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164402350 PECOS PAC ID: 5294864062 Enrollment ID: I20100603000957 |
| Provider Name | Paul R Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124090550 PECOS PAC ID: 7911036785 Enrollment ID: I20100603000961 |
| Provider Name | Elson L So |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1417937814 PECOS PAC ID: 4183519747 Enrollment ID: I20100603000975 |
| Provider Name | David S Knopman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306818273 PECOS PAC ID: 2264561034 Enrollment ID: I20100603000992 |
| Provider Name | Eddie L Greene |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346214632 PECOS PAC ID: 2860521648 Enrollment ID: I20100604000054 |
| Provider Name | Patty P Atkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912972274 PECOS PAC ID: 8921138793 Enrollment ID: I20100605000127 |
| Provider Name | James S Newman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306811369 PECOS PAC ID: 2567592330 Enrollment ID: I20100605000135 |
| Provider Name | Rajeev Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922086842 PECOS PAC ID: 8820128697 Enrollment ID: I20100605000144 |
| Provider Name | Gregory a Poland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306824750 PECOS PAC ID: 4284764051 Enrollment ID: I20100605000152 |
| Provider Name | Daniel D Neveau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528032158 PECOS PAC ID: 3173653946 Enrollment ID: I20100605000179 |
| Provider Name | Daniel Borgeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033183520 PECOS PAC ID: 7719940477 Enrollment ID: I20100605000186 |
| Provider Name | Margot S Peters |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467788398 PECOS PAC ID: 9436289204 Enrollment ID: I20100605000189 |
| Provider Name | Carmen M Terzic |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639157803 PECOS PAC ID: 6709916570 Enrollment ID: I20100605000197 |
| Provider Name | Norman E Torres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356321541 PECOS PAC ID: 1254461031 Enrollment ID: I20100605000203 |
| Provider Name | James M Van Ess |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1093785255 PECOS PAC ID: 9335279116 Enrollment ID: I20100605000213 |
| Provider Name | Helga I Smars |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245200914 PECOS PAC ID: 3375673874 Enrollment ID: I20100609000957 |
| Provider Name | Marcia M Belau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245203546 PECOS PAC ID: 9638209133 Enrollment ID: I20100609000966 |
| Provider Name | Donna J Springer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497733869 PECOS PAC ID: 7618007113 Enrollment ID: I20100609000979 |
| Provider Name | Darren Q Calley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710964317 PECOS PAC ID: 3072643576 Enrollment ID: I20100609000987 |
| Provider Name | Kathlyn a Brumfield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730152893 PECOS PAC ID: 6709916208 Enrollment ID: I20100609000992 |
| Provider Name | Karen E Nase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164748489 PECOS PAC ID: 9335279835 Enrollment ID: I20100609000996 |
| Provider Name | Suzanne R Viggiano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366419400 PECOS PAC ID: 2062542590 Enrollment ID: I20100610000347 |
| Provider Name | Susan Zeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336127919 PECOS PAC ID: 6103956594 Enrollment ID: I20100610001036 |
| Provider Name | Thomas J Losasso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689612806 PECOS PAC ID: 4981734266 Enrollment ID: I20100612000164 |
| Provider Name | Jamie J Hilker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912224494 PECOS PAC ID: 7911037213 Enrollment ID: I20100614000168 |
| Provider Name | Gregory Nuttall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144290289 PECOS PAC ID: 7315077641 Enrollment ID: I20100614000476 |
| Provider Name | Marcella Caldi Scalcini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013996933 PECOS PAC ID: 7315077567 Enrollment ID: I20100614000889 |
| Provider Name | Karen L Swanson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316911605 PECOS PAC ID: 1759411903 Enrollment ID: I20100614000921 |
| Provider Name | Tanya M Pool |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720304942 PECOS PAC ID: 9537299664 Enrollment ID: I20100615000936 |
| Provider Name | Carl M Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932174760 PECOS PAC ID: 2264562396 Enrollment ID: I20100615000943 |
| Provider Name | Nancy L Johnson-rauen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396722674 PECOS PAC ID: 3173653201 Enrollment ID: I20100615000945 |
| Provider Name | Kevin G Hardesty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790768497 PECOS PAC ID: 4789714841 Enrollment ID: I20100616000427 |
| Provider Name | William C Mundell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083689434 PECOS PAC ID: 2365572450 Enrollment ID: I20100616000752 |
| Provider Name | Maja Tippman-peikert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497727622 PECOS PAC ID: 4385775212 Enrollment ID: I20100621000924 |
| Provider Name | Karissa a Goodrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417273764 PECOS PAC ID: 0244361194 Enrollment ID: I20100622000274 |
| Provider Name | Emily Botten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437475001 PECOS PAC ID: 7315078649 Enrollment ID: I20100629000976 |
| Provider Name | Twyla J Witeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962721472 PECOS PAC ID: 7911038930 Enrollment ID: I20100708000048 |
| Provider Name | Christian L Baum |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1285755736 PECOS PAC ID: 3173675691 Enrollment ID: I20100708000078 |
| Provider Name | Broc T Siems |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487979282 PECOS PAC ID: 7315079308 Enrollment ID: I20100708001071 |
| 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 | Peder Knutsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881631117 PECOS PAC ID: 9032241740 Enrollment ID: I20100715000717 |
| Provider Name | Bernard Aoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194925305 PECOS PAC ID: 4183756828 Enrollment ID: I20100716000094 |
| Provider Name | James W Baber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457399289 PECOS PAC ID: 9931095965 Enrollment ID: I20100721000606 |
| Provider Name | Brian Pickering |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538306451 PECOS PAC ID: 9234261587 Enrollment ID: I20100721000989 |
| Provider Name | Susan E Lien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164677191 PECOS PAC ID: 0244362465 Enrollment ID: I20100722000836 |
| Provider Name | Saad J Kenderian |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1922284942 PECOS PAC ID: 2264582212 Enrollment ID: I20100722001019 |
| Provider Name | Amie E. M. Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518288208 PECOS PAC ID: 7113059379 Enrollment ID: I20100723000222 |
| Provider Name | Mark a Warner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770561987 PECOS PAC ID: 4183525512 Enrollment ID: I20100728000347 |
| Provider Name | Brendan P Mcmenomy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326230798 PECOS PAC ID: 6103959754 Enrollment ID: I20100803000335 |
| Provider Name | Wesley Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265758593 PECOS PAC ID: 3375676992 Enrollment ID: I20100803001205 |
| Provider Name | Katy Ebert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487979183 PECOS PAC ID: 0446383061 Enrollment ID: I20100803001229 |
| 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 | Andrew J Barkmeier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609074236 PECOS PAC ID: 1850424177 Enrollment ID: I20100805001177 |
| Provider Name | Jason S Ogrady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285863126 PECOS PAC ID: 0244363430 Enrollment ID: I20100809001118 |
| Provider Name | William Cross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124221502 PECOS PAC ID: 6800949645 Enrollment ID: I20100809001126 |
| Provider Name | Emily C Bendel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144457730 PECOS PAC ID: 9931233012 Enrollment ID: I20100811000190 |
| Provider Name | Katrina S Pedersen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033349337 PECOS PAC ID: 6103950233 Enrollment ID: I20100811000768 |
| Provider Name | Amanda Jean Effertz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972815819 PECOS PAC ID: 8325172794 Enrollment ID: I20100820000462 |
| Provider Name | Elizabeth a Coon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053541292 PECOS PAC ID: 4082748314 Enrollment ID: I20100823000134 |
| 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 | Kimberly Beckstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821315854 PECOS PAC ID: 6406970748 Enrollment ID: I20100824000543 |
| 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 | Casey Clements |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497987226 PECOS PAC ID: 7315061694 Enrollment ID: I20100824000959 |
| Provider Name | Roberta F Stephenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336452374 PECOS PAC ID: 6709900988 Enrollment ID: I20100824001072 |
| Provider Name | Marin Veldic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649436114 PECOS PAC ID: 6608990882 Enrollment ID: I20100824001090 |
| Provider Name | Lisa Schimmenti |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1568544070 PECOS PAC ID: 6800910092 Enrollment ID: I20100824001212 |
| Provider Name | Aref Al-kali |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1598732877 PECOS PAC ID: 6305853441 Enrollment ID: I20100825001163 |
| Provider Name | Alastair J. S. Mckean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174753867 PECOS PAC ID: 2163546284 Enrollment ID: I20100826000456 |
| Provider Name | Angela C Mattke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578794574 PECOS PAC ID: 1052435179 Enrollment ID: I20100826000481 |
| Provider Name | Papya R Wriston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821242850 PECOS PAC ID: 1355403767 Enrollment ID: I20100831000992 |
| Provider Name | Mackram F Eleid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164451241 PECOS PAC ID: 5395822647 Enrollment ID: I20100831000994 |
| Provider Name | Patricia Greipp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912122839 PECOS PAC ID: 4385768837 Enrollment ID: I20100903000958 |
| Provider Name | Jeffrey P Mengeling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265510622 PECOS PAC ID: 2769463744 Enrollment ID: I20100907000905 |
| Provider Name | Sarah L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083932487 PECOS PAC ID: 3173648599 Enrollment ID: I20100908001037 |
| Provider Name | Mariel Rivera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710180971 PECOS PAC ID: 1254456577 Enrollment ID: I20100909001198 |
| Provider Name | Adam C Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467683987 PECOS PAC ID: 6305961624 Enrollment ID: I20100909001260 |
| Provider Name | Christopher Arpey |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1922092071 PECOS PAC ID: 6305975749 Enrollment ID: I20100913000220 |
| Provider Name | Ashima Makol |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407047707 PECOS PAC ID: 0648395756 Enrollment ID: I20100913001141 |
| Provider Name | Todd Kor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437140001 PECOS PAC ID: 8921998667 Enrollment ID: I20100915000276 |
| Provider Name | Zachary C Wilson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265669980 PECOS PAC ID: 1254456064 Enrollment ID: I20100916001380 |
| Provider Name | Barry Boilson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477742922 PECOS PAC ID: 5890810600 Enrollment ID: I20100916001384 |
| Provider Name | Eoin P Flanagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649435058 PECOS PAC ID: 0042335861 Enrollment ID: I20100917000043 |
| Provider Name | Megan N Manento |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336376045 PECOS PAC ID: 3476678970 Enrollment ID: I20100920001204 |
| Provider Name | Ron Citronowicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033343355 PECOS PAC ID: 9335289131 Enrollment ID: I20100929001637 |
| Provider Name | Beth a Cloud-biebl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902117427 PECOS PAC ID: 5395937643 Enrollment ID: I20101005001326 |
| Provider Name | Wenchen Qu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992958532 PECOS PAC ID: 9830381185 Enrollment ID: I20101005001334 |
| Provider Name | Kevin I Perry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386872240 PECOS PAC ID: 7517159759 Enrollment ID: I20101006001181 |
| Provider Name | Rachel M Amorim |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427021096 PECOS PAC ID: 8820280910 Enrollment ID: I20101007000714 |
| Provider Name | Brandon Yuan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205064284 PECOS PAC ID: 6002008141 Enrollment ID: I20101007001387 |
| Provider Name | Courtney a Arment |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134350770 PECOS PAC ID: 8628260767 Enrollment ID: I20101007001406 |
| Provider Name | Paul E Youssef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871725705 PECOS PAC ID: 8628260668 Enrollment ID: I20101007001419 |
| Provider Name | Joseph H Skalski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548499759 PECOS PAC ID: 5991997736 Enrollment ID: I20101012000246 |
| Provider Name | Emily Katherine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435167 PECOS PAC ID: 8921290776 Enrollment ID: I20101012000333 |
| Provider Name | Melanie a Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083925325 PECOS PAC ID: 8325230030 Enrollment ID: I20101012001249 |
| Provider Name | David B Burkholder |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1598995722 PECOS PAC ID: 6305038027 Enrollment ID: I20101012001415 |
| Provider Name | Lisa M Lammert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235442468 PECOS PAC ID: 5395937015 Enrollment ID: I20101012001424 |
| 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 | Rong He |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659317212 PECOS PAC ID: 5395938708 Enrollment ID: I20101018001194 |
| Provider Name | David J Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477784213 PECOS PAC ID: 2668665548 Enrollment ID: I20101023000233 |
| Provider Name | James Patrick Klaas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861622375 PECOS PAC ID: 0143414698 Enrollment ID: I20101028001558 |
| Provider Name | Gretchen E Glaser |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1184884645 PECOS PAC ID: 1951595404 Enrollment ID: I20101028001570 |
| 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 | Jonathan Graff-radford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396976569 PECOS PAC ID: 6901090919 Enrollment ID: I20101103001425 |
| Provider Name | Deirdre R Pachman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1194955880 PECOS PAC ID: 5496949224 Enrollment ID: I20101104001669 |
| Provider Name | Molly Jean Youssef |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962634808 PECOS PAC ID: 3577757301 Enrollment ID: I20101104001681 |
| Provider Name | Mark Stanley Mellstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346302106 PECOS PAC ID: 3577467844 Enrollment ID: I20101105001262 |
| Provider Name | Magdalena Romanowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144470345 PECOS PAC ID: 6305031139 Enrollment ID: I20101105001268 |
| Provider Name | Elissa J Yaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619296977 PECOS PAC ID: 7315132073 Enrollment ID: I20101109000038 |
| Provider Name | Stephen Broski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326282112 PECOS PAC ID: 1658566112 Enrollment ID: I20101109001584 |
| Provider Name | Sara L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962716241 PECOS PAC ID: 6002001534 Enrollment ID: I20101110000830 |
| Provider Name | Christine B Hills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124220462 PECOS PAC ID: 7517152978 Enrollment ID: I20101110001256 |
| Provider Name | David a Raslau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952530164 PECOS PAC ID: 9739374109 Enrollment ID: I20101110001336 |
| Provider Name | Natasha J Bertsch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033420377 PECOS PAC ID: 5294920666 Enrollment ID: I20101110001435 |
| Provider Name | Muhamad Elrashidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164654232 PECOS PAC ID: 7517152994 Enrollment ID: I20101110001496 |
| Provider Name | Andrea R Pauly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477865913 PECOS PAC ID: 4880889153 Enrollment ID: I20101111001320 |
| Provider Name | John K Bohman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689804684 PECOS PAC ID: 7315132693 Enrollment ID: I20101111001476 |
| Provider Name | Mireille El Ters |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861692311 PECOS PAC ID: 8527253525 Enrollment ID: I20101116001112 |
| Provider Name | Adam W Amundson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588807911 PECOS PAC ID: 9436344322 Enrollment ID: I20101117001164 |
| Provider Name | Beth a Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972816205 PECOS PAC ID: 4082800875 Enrollment ID: I20101118000962 |
| Provider Name | Sameer a Parikh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1841419348 PECOS PAC ID: 7911927736 Enrollment ID: I20101118001039 |
| Provider Name | Jennie M Goble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346557584 PECOS PAC ID: 0244426047 Enrollment ID: I20101118001108 |
| Provider Name | Heather Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730193269 PECOS PAC ID: 8921150756 Enrollment ID: I20101124000996 |
| Provider Name | Emily R Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497061626 PECOS PAC ID: 8022204445 Enrollment ID: I20101124001015 |
| Provider Name | Cori Arce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992863310 PECOS PAC ID: 1153217484 Enrollment ID: I20101130000366 |
| Provider Name | Timothy D Vangelder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831334424 PECOS PAC ID: 1759446859 Enrollment ID: I20101130000793 |
| Provider Name | Kevin Arce |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1427023126 PECOS PAC ID: 5496771370 Enrollment ID: I20101130001185 |
| 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 | Lori J Mcgowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801025978 PECOS PAC ID: 7315134749 Enrollment ID: I20101209001435 |
| Provider Name | Brandon P. Verdoorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154550200 PECOS PAC ID: 3476740788 Enrollment ID: I20101213001104 |
| Provider Name | Neal D Boeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902131246 PECOS PAC ID: 5395932420 Enrollment ID: I20101215000217 |
| Provider Name | Liu Yang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588813588 PECOS PAC ID: 1254529324 Enrollment ID: I20101216000711 |
| Provider Name | Johanna M Tweedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104131606 PECOS PAC ID: 0446448104 Enrollment ID: I20101221001128 |
| Provider Name | Michael Rivera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801063607 PECOS PAC ID: 1951467422 Enrollment ID: I20110104000222 |
| Provider Name | Riddhi S Parikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790930980 PECOS PAC ID: 2163611351 Enrollment ID: I20110104000263 |
| Provider Name | Angela Luckhardt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013225614 PECOS PAC ID: 9931398401 Enrollment ID: I20110113001230 |
| Provider Name | Thomas C Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538156799 PECOS PAC ID: 5698803500 Enrollment ID: I20110114000171 |
| Provider Name | Melissa M Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831422344 PECOS PAC ID: 6406035526 Enrollment ID: I20110121000413 |
| Provider Name | Tastan S Kulmeshkenov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083914709 PECOS PAC ID: 1850570540 Enrollment ID: I20110127000156 |
| Provider Name | Katherine a Zeratsky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811290703 PECOS PAC ID: 7719166321 Enrollment ID: I20110128000529 |
| Provider Name | Cynthia M Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356644835 PECOS PAC ID: 1153500665 Enrollment ID: I20110128000563 |
| Provider Name | Julie Marie Alleckson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417259961 PECOS PAC ID: 9133308646 Enrollment ID: I20110128000587 |
| Provider Name | Leah Tiffany Struss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124337746 PECOS PAC ID: 6406036805 Enrollment ID: I20110201000946 |
| Provider Name | Marko Vezmar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740599513 PECOS PAC ID: 4284814682 Enrollment ID: I20110202000022 |
| Provider Name | Julia a Jurgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043527278 PECOS PAC ID: 1557541778 Enrollment ID: I20110204000782 |
| Provider Name | Jane E Brumbaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619002458 PECOS PAC ID: 8628258845 Enrollment ID: I20110204000804 |
| Provider Name | Michelle L Booth Kowalczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154625788 PECOS PAC ID: 9931389186 Enrollment ID: I20110207000018 |
| Provider Name | Christy L Gossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417251042 PECOS PAC ID: 4486834637 Enrollment ID: I20110207000023 |
| Provider Name | Asma Javed Chattha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558514562 PECOS PAC ID: 9830379080 Enrollment ID: I20110207000032 |
| Provider Name | Kelly J Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730499492 PECOS PAC ID: 5698955854 Enrollment ID: I20110207000121 |
| Provider Name | Donald Derauf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265521041 PECOS PAC ID: 3072794528 Enrollment ID: I20110216001218 |
| Provider Name | Allison B Berg-heinemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689984569 PECOS PAC ID: 1355522301 Enrollment ID: I20110223000742 |
| Provider Name | Phoua Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700196946 PECOS PAC ID: 8921289893 Enrollment ID: I20110224000909 |
| 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 | Jill M Olmscheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962711739 PECOS PAC ID: 3779766944 Enrollment ID: I20110324001024 |
| Provider Name | Stephanie a Beer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437450301 PECOS PAC ID: 4486837663 Enrollment ID: I20110325000026 |
| Provider Name | Amy L Siebrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225332893 PECOS PAC ID: 4385827567 Enrollment ID: I20110325000034 |
| Provider Name | Sarah D Schettle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407156326 PECOS PAC ID: 3577746346 Enrollment ID: I20110331000945 |
| Provider Name | Loren P Herrera Hernandez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558562736 PECOS PAC ID: 7012190887 Enrollment ID: I20110331000949 |
| Provider Name | Richard Elias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912151358 PECOS PAC ID: 9830372606 Enrollment ID: I20110331000950 |
| Provider Name | Christopher Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346430592 PECOS PAC ID: 2860676673 Enrollment ID: I20110401000615 |
| Provider Name | Eduardo Antpack Filho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740439876 PECOS PAC ID: 6800070335 Enrollment ID: I20110407000720 |
| Provider Name | William J Fillmore |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1336397587 PECOS PAC ID: 7517141047 Enrollment ID: I20110407000739 |
| Provider Name | Sunil S Khanna |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033195797 PECOS PAC ID: 0244414795 Enrollment ID: I20110407000893 |
| Provider Name | Lori L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376851204 PECOS PAC ID: 6901080050 Enrollment ID: I20110413001027 |
| 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 Krosch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891920880 PECOS PAC ID: 4789868704 Enrollment ID: I20110414000884 |
| Provider Name | Joy R Heimgartner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619274768 PECOS PAC ID: 2062696032 Enrollment ID: I20110415000529 |
| Provider Name | Katherine M Linnen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023322963 PECOS PAC ID: 0446443725 Enrollment ID: I20110420000615 |
| Provider Name | Derek P Doty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255641791 PECOS PAC ID: 3779768478 Enrollment ID: I20110422000194 |
| Provider Name | Bryan T Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972800290 PECOS PAC ID: 5991980203 Enrollment ID: I20110502000727 |
| Provider Name | Megan E Grudem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154629491 PECOS PAC ID: 0244415412 Enrollment ID: I20110503000720 |
| 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 | Joseph M Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265739379 PECOS PAC ID: 4385829365 Enrollment ID: I20110506000728 |
| Provider Name | Lorie a Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619274586 PECOS PAC ID: 7315123361 Enrollment ID: I20110509000842 |
| Provider Name | Matthew W Dyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275831182 PECOS PAC ID: 5597941484 Enrollment ID: I20110510000505 |
| Provider Name | Marvin J Hobbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063710457 PECOS PAC ID: 5092991893 Enrollment ID: I20110511000822 |
| Provider Name | Roger D Pula |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841597150 PECOS PAC ID: 3476739988 Enrollment ID: I20110518000411 |
| Provider Name | Cari a Reinsvold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932406030 PECOS PAC ID: 3173709680 Enrollment ID: I20110518000444 |
| Provider Name | Julie a Fields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639307994 PECOS PAC ID: 6608052048 Enrollment ID: I20110518000865 |
| Provider Name | Theodore Loftsgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447564802 PECOS PAC ID: 7315062833 Enrollment ID: I20110519000094 |
| Provider Name | William J Shaughnessy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578541454 PECOS PAC ID: 5496931750 Enrollment ID: I20110520000629 |
| Provider Name | Michelle Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912205576 PECOS PAC ID: 9032395330 Enrollment ID: I20110523000315 |
| Provider Name | Karol a Eckel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720377344 PECOS PAC ID: 4587841531 Enrollment ID: I20110531000688 |
| Provider Name | Kari K Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295033694 PECOS PAC ID: 5799962957 Enrollment ID: I20110615000871 |
| Provider Name | Michael E Nemergut |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437295003 PECOS PAC ID: 3274710454 Enrollment ID: I20110616000192 |
| Provider Name | Andrea G Kattah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487815528 PECOS PAC ID: 3173700358 Enrollment ID: I20110616000205 |
| Provider Name | Sani Haider Kizilbash |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518172782 PECOS PAC ID: 7517033459 Enrollment ID: I20110616000256 |
| Provider Name | Marites G Villarama |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053618249 PECOS PAC ID: 0648458778 Enrollment ID: I20110620000683 |
| Provider Name | Charles Shepard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376713107 PECOS PAC ID: 7810175809 Enrollment ID: I20110621000776 |
| Provider Name | Amy J Neveau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003114745 PECOS PAC ID: 0345428306 Enrollment ID: I20110622000727 |
| Provider Name | Danielle P Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811973787 PECOS PAC ID: 4587842414 Enrollment ID: I20110624000149 |
| Provider Name | Sara M. K. Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861781296 PECOS PAC ID: 3971781816 Enrollment ID: I20110624000215 |
| Provider Name | Melissa K Klein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841598794 PECOS PAC ID: 7416135124 Enrollment ID: I20110628000894 |
| 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 | Kayla R Goulson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750676193 PECOS PAC ID: 6800064908 Enrollment ID: I20110715000189 |
| Provider Name | Michelle T Ziebarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841304763 PECOS PAC ID: 1153599253 Enrollment ID: I20110715000204 |
| Provider Name | Markus Arnold Bendel |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1417189812 PECOS PAC ID: 2769650860 Enrollment ID: I20110715000242 |
| Provider Name | Grant Soule Hamilton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841273281 PECOS PAC ID: 0840257515 Enrollment ID: I20110719000767 |
| Provider Name | Jeremy Thaden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295996296 PECOS PAC ID: 3971771577 Enrollment ID: I20110726000864 |
| Provider Name | Brooke S Peters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639465909 PECOS PAC ID: 7012185556 Enrollment ID: I20110727000449 |
| Provider Name | Jan-mendelt Tillema |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518168350 PECOS PAC ID: 5395914568 Enrollment ID: I20110803000803 |
| Provider Name | Jeremy M Clain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063673275 PECOS PAC ID: 4284803461 Enrollment ID: I20110803000943 |
| Provider Name | Kristi a Vonruden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093001000 PECOS PAC ID: 0749459832 Enrollment ID: I20110805000479 |
| Provider Name | Erica Bellamkonda |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164641288 PECOS PAC ID: 4688858764 Enrollment ID: I20110805000755 |
| Provider Name | Amela PA Dudakovic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225286149 PECOS PAC ID: 5597832782 Enrollment ID: I20110809000853 |
| Provider Name | Barham Abudayyeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902927353 PECOS PAC ID: 9133266539 Enrollment ID: I20110810000289 |
| Provider Name | Sean S Park |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447464078 PECOS PAC ID: 5890964787 Enrollment ID: I20110810000452 |
| Provider Name | Juan P Brito Campana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003064288 PECOS PAC ID: 3870762768 Enrollment ID: I20110810000474 |
| Provider Name | Summer L Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902191398 PECOS PAC ID: 2668641572 Enrollment ID: I20110810000643 |
| Provider Name | Yan Bi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629239397 PECOS PAC ID: 0244409027 Enrollment ID: I20110811000815 |
| Provider Name | Wilson I Gonsalves |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1790933588 PECOS PAC ID: 2264601970 Enrollment ID: I20110815000917 |
| Provider Name | Ying Ying Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992960546 PECOS PAC ID: 1355510868 Enrollment ID: I20110817000451 |
| Provider Name | Mariam P Alexander |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285861997 PECOS PAC ID: 7315116829 Enrollment ID: I20110817000500 |
| Provider Name | Rebecca L King |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437378700 PECOS PAC ID: 0840469359 Enrollment ID: I20110817000513 |
| Provider Name | Boyd R Viers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922319359 PECOS PAC ID: 4284803701 Enrollment ID: I20110817000548 |
| Provider Name | Stephen J Gleich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427202431 PECOS PAC ID: 9931378452 Enrollment ID: I20110817000637 |
| Provider Name | Brenda M Schiltz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386773430 PECOS PAC ID: 8325148703 Enrollment ID: I20110817000671 |
| Provider Name | Nicole K Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760779706 PECOS PAC ID: 0143499624 Enrollment ID: I20110818000268 |
| Provider Name | Tina J Hieken |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669468898 PECOS PAC ID: 5193873552 Enrollment ID: I20110824000490 |
| Provider Name | Andrea B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144514282 PECOS PAC ID: 3779753009 Enrollment ID: I20110824000508 |
| Provider Name | Mark Murdoch Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730490426 PECOS PAC ID: 0547430738 Enrollment ID: I20110825000415 |
| Provider Name | Lyndsay D Viers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225349764 PECOS PAC ID: 5092985283 Enrollment ID: I20110825000421 |
| Provider Name | Christin a Tiegs Heiden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164734000 PECOS PAC ID: 1759551955 Enrollment ID: I20110825000512 |
| Provider Name | Paul Croarkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639108053 PECOS PAC ID: 3678570280 Enrollment ID: I20110825000531 |
| Provider Name | Courtney C Eby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528354743 PECOS PAC ID: 0244400455 Enrollment ID: I20110825000710 |
| Provider Name | Rachel a Eiring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992091946 PECOS PAC ID: 5496925521 Enrollment ID: I20110829000665 |
| Provider Name | Abdul Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548421738 PECOS PAC ID: 7719157791 Enrollment ID: I20110830000630 |
| Provider Name | Aaron J Tande |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578722187 PECOS PAC ID: 5597935411 Enrollment ID: I20110901000739 |
| Provider Name | Ryan J Law |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508030925 PECOS PAC ID: 0648394403 Enrollment ID: I20110913000024 |
| 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 | Scott R Kelley |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902195381 PECOS PAC ID: 4981875473 Enrollment ID: I20110913000517 |
| Provider Name | Thomas P Pittelkow |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1033352307 PECOS PAC ID: 8820269335 Enrollment ID: I20110913000747 |
| Provider Name | Meera Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316181787 PECOS PAC ID: 7618158213 Enrollment ID: I20110913000898 |
| Provider Name | Tara L Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871805044 PECOS PAC ID: 0143491688 Enrollment ID: I20110914000281 |
| Provider Name | Christopher L Camp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942511530 PECOS PAC ID: 4082885264 Enrollment ID: I20110920000163 |
| Provider Name | Janani S Reisenauer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043521636 PECOS PAC ID: 0042481228 Enrollment ID: I20110920000213 |
| Provider Name | Catherine Ann Shonley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225318231 PECOS PAC ID: 0840461034 Enrollment ID: I20110920000259 |
| Provider Name | Bradley Aaron Bohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326359241 PECOS PAC ID: 0648441832 Enrollment ID: I20110920000278 |
| Provider Name | Angela Marie Kelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376864355 PECOS PAC ID: 0941471130 Enrollment ID: I20110920000354 |
| Provider Name | Alina Allen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467636902 PECOS PAC ID: 3072647379 Enrollment ID: I20110920000800 |
| Provider Name | Caroline J Von Bormann |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790949626 PECOS PAC ID: 8628249869 Enrollment ID: I20110920000931 |
| Provider Name | John T Ratelle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306167051 PECOS PAC ID: 1759552847 Enrollment ID: I20110921000538 |
| Provider Name | Daniel Desimone |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619298205 PECOS PAC ID: 5294906384 Enrollment ID: I20110921000555 |
| Provider Name | Jeremy K Cutsforth-gregory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790006450 PECOS PAC ID: 1052582152 Enrollment ID: I20110921000752 |
| Provider Name | Nicole a Selle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508154691 PECOS PAC ID: 3375714488 Enrollment ID: I20110921000829 |
| Provider Name | Justin D Kreuter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649498767 PECOS PAC ID: 3274704382 Enrollment ID: I20110921000837 |
| Provider Name | Rebecca M Hibbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699053231 PECOS PAC ID: 0244401065 Enrollment ID: I20110927000317 |
| Provider Name | David W Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487932984 PECOS PAC ID: 5193996916 Enrollment ID: I20110927000383 |
| Provider Name | Darci Lynn Zblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992092746 PECOS PAC ID: 5890966626 Enrollment ID: I20110927000417 |
| Provider Name | Callie L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154609824 PECOS PAC ID: 4789855511 Enrollment ID: I20110927000437 |
| Provider Name | Kristi J Wintheiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831484872 PECOS PAC ID: 6103097969 Enrollment ID: I20110927000781 |
| Provider Name | Victoria C Tuen-behm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649595240 PECOS PAC ID: 6002087806 Enrollment ID: I20110928000417 |
| Provider Name | Daniel J Ma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801093778 PECOS PAC ID: 4981875614 Enrollment ID: I20110928000852 |
| Provider Name | William Sunnock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164710539 PECOS PAC ID: 9234300963 Enrollment ID: I20110928000865 |
| Provider Name | Diana J Kelm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891016366 PECOS PAC ID: 3274705850 Enrollment ID: I20111003000616 |
| Provider Name | Christopher Desimone |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326369935 PECOS PAC ID: 7012189608 Enrollment ID: I20111003000723 |
| Provider Name | Sarah E Berini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679779474 PECOS PAC ID: 8527230150 Enrollment ID: I20111004000401 |
| Provider Name | Bernardo Selim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174501423 PECOS PAC ID: 9739151291 Enrollment ID: I20111004000419 |
| Provider Name | William B Beam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457672172 PECOS PAC ID: 8123290764 Enrollment ID: I20111004000462 |
| Provider Name | Nila J Akhtar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366611345 PECOS PAC ID: 2961575253 Enrollment ID: I20111004000862 |
| Provider Name | Brian J Linder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659692630 PECOS PAC ID: 7416129952 Enrollment ID: I20111006000726 |
| Provider Name | CHI Wan Koo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285898361 PECOS PAC ID: 9234282989 Enrollment ID: I20111012000796 |
| Provider Name | Ashley K Kimeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053690289 PECOS PAC ID: 8527230606 Enrollment ID: I20111014000113 |
| Provider Name | Randina R Harvey-springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619258696 PECOS PAC ID: 2860664844 Enrollment ID: I20111017000758 |
| Provider Name | Melissa J Naylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366720138 PECOS PAC ID: 1456523265 Enrollment ID: I20111019000882 |
| Provider Name | Jorys Martinez Jorge |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790945210 PECOS PAC ID: 2365614179 Enrollment ID: I20111019000884 |
| Provider Name | Emily E Sharpe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144548553 PECOS PAC ID: 2961675699 Enrollment ID: I20111025000723 |
| Provider Name | Karen E Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568796993 PECOS PAC ID: 7113190869 Enrollment ID: I20111025000893 |
| Provider Name | Elena N Beam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689995151 PECOS PAC ID: 5991978587 Enrollment ID: I20111026000576 |
| Provider Name | Meghana R Helder |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902117054 PECOS PAC ID: 8820261423 Enrollment ID: I20111026000667 |
| Provider Name | Julio C Sartori-valinotti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013146836 PECOS PAC ID: 7911170535 Enrollment ID: I20111026000959 |
| Provider Name | Brian Alan Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750417168 PECOS PAC ID: 3779636014 Enrollment ID: I20111027000025 |
| Provider Name | Sara L R Bonnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528389277 PECOS PAC ID: 3870766496 Enrollment ID: I20111027000046 |
| Provider Name | Karna K Sundsted |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982925632 PECOS PAC ID: 8123291572 Enrollment ID: I20111031000094 |
| Provider Name | Rondell P Graham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174754279 PECOS PAC ID: 5698948081 Enrollment ID: I20111031000548 |
| Provider Name | Robert J Wiechmann |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1659333953 PECOS PAC ID: 5890799001 Enrollment ID: I20111031000641 |
| Provider Name | Jorge Torres-mora |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093968695 PECOS PAC ID: 1557534864 Enrollment ID: I20111102000407 |
| Provider Name | Kevin T Behm |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043521685 PECOS PAC ID: 8224201462 Enrollment ID: I20111102000910 |
| Provider Name | Bradley F Thompson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902127640 PECOS PAC ID: 2567635634 Enrollment ID: I20111105000039 |
| Provider Name | Anna Svatikova |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558682203 PECOS PAC ID: 6103099270 Enrollment ID: I20111105000046 |
| Provider Name | Sarah K Wilhelmson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760760789 PECOS PAC ID: 1355514423 Enrollment ID: I20111105000077 |
| Provider Name | Anupama Ravi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619102068 PECOS PAC ID: 9335312305 Enrollment ID: I20111108000394 |
| Provider Name | Kitty R Mosher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497035257 PECOS PAC ID: 7517130495 Enrollment ID: I20111109000817 |
| Provider Name | Josephine Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689995342 PECOS PAC ID: 5698948586 Enrollment ID: I20111110000095 |
| Provider Name | Brianna M Skrukrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174802151 PECOS PAC ID: 4183898083 Enrollment ID: I20111110000282 |
| Provider Name | Catherine R Wemhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932487469 PECOS PAC ID: 7315111218 Enrollment ID: I20111110000328 |
| Provider Name | Laura E H Raffals |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538222054 PECOS PAC ID: 6305873662 Enrollment ID: I20111116000805 |
| Provider Name | Kathryn M Van Abel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518288497 PECOS PAC ID: 2062686678 Enrollment ID: I20111116000930 |
| Provider Name | Mansi Kanuga |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1588814016 PECOS PAC ID: 5890811913 Enrollment ID: I20111117000053 |
| Provider Name | David Wetzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457672198 PECOS PAC ID: 6204000730 Enrollment ID: I20111119000105 |
| Provider Name | Patricia M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710261748 PECOS PAC ID: 8123292513 Enrollment ID: I20111121000782 |
| Provider Name | Douglas a Simonetto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700116712 PECOS PAC ID: 0749455988 Enrollment ID: I20111215000918 |
| Provider Name | John D Rutledge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497037642 PECOS PAC ID: 0547435794 Enrollment ID: I20111216000133 |
| Provider Name | Jennifer Lynn Fang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538122171 PECOS PAC ID: 7810919123 Enrollment ID: I20111216000236 |
| Provider Name | Kaaren Reichard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265447734 PECOS PAC ID: 9032296843 Enrollment ID: I20111216000249 |
| Provider Name | Erin E Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699833830 PECOS PAC ID: 6709980352 Enrollment ID: I20111216000298 |
| Provider Name | Nicole L Borkovskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396012464 PECOS PAC ID: 0446425615 Enrollment ID: I20111216000384 |
| Provider Name | Brittany a Strelow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548542806 PECOS PAC ID: 5991971848 Enrollment ID: I20111227000787 |
| Provider Name | Kyle Steven Ettinger |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1881989234 PECOS PAC ID: 5698941243 Enrollment ID: I20120103000103 |
| Provider Name | Cynthia M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174801955 PECOS PAC ID: 9739356783 Enrollment ID: I20120117000199 |
| Provider Name | Jennifer Lynn Goins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811024250 PECOS PAC ID: 1759558604 Enrollment ID: I20120118000534 |
| Provider Name | Jane W Njeru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891928867 PECOS PAC ID: 6103093737 Enrollment ID: I20120121000127 |
| Provider Name | Fernanda Bellolio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023246022 PECOS PAC ID: 5496922098 Enrollment ID: I20120123000665 |
| Provider Name | Brenda Partlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477523017 PECOS PAC ID: 1850315532 Enrollment ID: I20120125000690 |
| Provider Name | Melissa J Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780961516 PECOS PAC ID: 1759558141 Enrollment ID: I20120126000185 |
| 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 | Johanne S Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245418078 PECOS PAC ID: 5799942967 Enrollment ID: I20120131000800 |
| Provider Name | Erin K Obrien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891836557 PECOS PAC ID: 1355440926 Enrollment ID: I20120201001012 |
| Provider Name | Kimberly J Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073882734 PECOS PAC ID: 3971760836 Enrollment ID: I20120203000317 |
| Provider Name | Sonya M Peters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427338300 PECOS PAC ID: 2163689738 Enrollment ID: I20120209000307 |
| Provider Name | Stacy L Farrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104129568 PECOS PAC ID: 8426215815 Enrollment ID: I20120214000363 |
| Provider Name | Pavel N. Pichurin |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1568697829 PECOS PAC ID: 0446418719 Enrollment ID: I20120220000020 |
| Provider Name | Elizabeth N Geissler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407130156 PECOS PAC ID: 9931367547 Enrollment ID: I20120228000164 |
| Provider Name | Sara B Severson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740553221 PECOS PAC ID: 1052570454 Enrollment ID: I20120305000135 |
| Provider Name | Jacob C Kruger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003188004 PECOS PAC ID: 5799944112 Enrollment ID: I20120305000335 |
| Provider Name | Stephan D Thome |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023098480 PECOS PAC ID: 4082683545 Enrollment ID: I20120307000255 |
| Provider Name | Rachel Marie Koenig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841340726 PECOS PAC ID: 3173626348 Enrollment ID: I20120323000445 |
| Provider Name | Sudhakar Venkatesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679869390 PECOS PAC ID: 0446411771 Enrollment ID: I20120413000424 |
| Provider Name | Jon C Heil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770864142 PECOS PAC ID: 9335300425 Enrollment ID: I20120417000653 |
| Provider Name | Holly a Wiste |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053685719 PECOS PAC ID: 6204097306 Enrollment ID: I20120417000705 |
| Provider Name | Aaron T Tempel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326311564 PECOS PAC ID: 1557522653 Enrollment ID: I20120417000716 |
| 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 | Aaron J Gross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780957084 PECOS PAC ID: 0941462709 Enrollment ID: I20120424000650 |
| Provider Name | Robin L Olsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497029813 PECOS PAC ID: 5395907158 Enrollment ID: I20120424000674 |
| Provider Name | Sarah L Billings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013282524 PECOS PAC ID: 2567624323 Enrollment ID: I20120424000681 |
| Provider Name | Anthony J Michalik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801169842 PECOS PAC ID: 6103088513 Enrollment ID: I20120501000666 |
| Provider Name | Miriam E Smars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669745766 PECOS PAC ID: 1254594021 Enrollment ID: I20120515000692 |
| Provider Name | Lois E Krahn |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1568446854 PECOS PAC ID: 3173607983 Enrollment ID: I20120518000333 |
| Provider Name | Julie a Lamppa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588897813 PECOS PAC ID: 8628124104 Enrollment ID: I20120530000183 |
| Provider Name | Meltiady Issa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639408180 PECOS PAC ID: 7113114570 Enrollment ID: I20120605000782 |
| 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 | Novette Berntson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972878478 PECOS PAC ID: 8820252166 Enrollment ID: I20120615000593 |
| Provider Name | Mindy L Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811905383 PECOS PAC ID: 5294730818 Enrollment ID: I20120621000694 |
| Provider Name | Emily M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295092013 PECOS PAC ID: 8325203375 Enrollment ID: I20120626000269 |
| Provider Name | Justin T Marks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053685024 PECOS PAC ID: 9739344789 Enrollment ID: I20120626000316 |
| Provider Name | Ericka J Slivinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427321710 PECOS PAC ID: 3173788098 Enrollment ID: I20120627000386 |
| Provider Name | Samantha J Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932472875 PECOS PAC ID: 5597920421 Enrollment ID: I20120627000447 |
| Provider Name | Leann K Thisius |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457624710 PECOS PAC ID: 6507021433 Enrollment ID: I20120627000571 |
| Provider Name | Lisa J Ahlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457627341 PECOS PAC ID: 4981869823 Enrollment ID: I20120627000687 |
| Provider Name | Laura E Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770750390 PECOS PAC ID: 1254596703 Enrollment ID: I20120706000364 |
| Provider Name | Joel J Gregory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932472230 PECOS PAC ID: 0840455275 Enrollment ID: I20120709000746 |
| Provider Name | Heidi J Ahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699040105 PECOS PAC ID: 1355506759 Enrollment ID: I20120710000746 |
| 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 | Ellen Brodrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467433243 PECOS PAC ID: 6103813589 Enrollment ID: I20120716000087 |
| Provider Name | Cheryl Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538286216 PECOS PAC ID: 0446416523 Enrollment ID: I20120717000440 |
| Provider Name | Peter M Pollak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477766509 PECOS PAC ID: 3072779438 Enrollment ID: I20120730000608 |
| Provider Name | Sumera Irie Ilyas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427283381 PECOS PAC ID: 1759547003 Enrollment ID: I20120731000801 |
| Provider Name | Benjamin J Sandefur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386816049 PECOS PAC ID: 8921265869 Enrollment ID: I20120801000552 |
| Provider Name | Muhammad Yasir Qureshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407065014 PECOS PAC ID: 3577719749 Enrollment ID: I20120804000048 |
| Provider Name | Siva Mulpuru |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770740417 PECOS PAC ID: 4284880352 Enrollment ID: I20120806000050 |
| Provider Name | A J Vinaya Simha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740259241 PECOS PAC ID: 0042280604 Enrollment ID: I20120806000709 |
| Provider Name | Cherie B Nau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609164094 PECOS PAC ID: 9133398043 Enrollment ID: I20120806000832 |
| Provider Name | Andrey a Borkovskiy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417216094 PECOS PAC ID: 5890941777 Enrollment ID: I20120808000630 |
| Provider Name | Matthew T Houdek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750675500 PECOS PAC ID: 0143476994 Enrollment ID: I20120809000478 |
| Provider Name | Bradley J Stish |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649562984 PECOS PAC ID: 3476709221 Enrollment ID: I20120809000534 |
| Provider Name | Jason Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336435270 PECOS PAC ID: 3274789052 Enrollment ID: I20120809000821 |
| Provider Name | Catherine W Njathi-ori |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174813471 PECOS PAC ID: 8921254715 Enrollment ID: I20120809000940 |
| Provider Name | Stacey B Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316207822 PECOS PAC ID: 9830345628 Enrollment ID: I20120809000941 |
| Provider Name | Annetta M Madsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669783619 PECOS PAC ID: 2264688092 Enrollment ID: I20120810000510 |
| Provider Name | Bradley R Salonen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821383993 PECOS PAC ID: 6709032436 Enrollment ID: I20120810000537 |
| Provider Name | Cassandra M Braun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265727663 PECOS PAC ID: 7214183946 Enrollment ID: I20120810000558 |
| 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 | Rebekkah Frunzac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033497169 PECOS PAC ID: 0547416265 Enrollment ID: I20120813000758 |
| Provider Name | Sherri a Braksick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992090302 PECOS PAC ID: 1355597071 Enrollment ID: I20120813000769 |
| Provider Name | Arjun Simon Sebastian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942596887 PECOS PAC ID: 0244486868 Enrollment ID: I20120813000796 |
| Provider Name | Taxiarchis Kourelis |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1710116967 PECOS PAC ID: 2961658588 Enrollment ID: I20120813000811 |
| Provider Name | Andres J Acosta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245466275 PECOS PAC ID: 1254587884 Enrollment ID: I20120814000062 |
| Provider Name | Kelsey M. Klaas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689969362 PECOS PAC ID: 9133375660 Enrollment ID: I20120815000628 |
| Provider Name | Matthew Ryan Meunier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619135761 PECOS PAC ID: 4284804170 Enrollment ID: I20120816000889 |
| Provider Name | Misbah Baqir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639145048 PECOS PAC ID: 1254360621 Enrollment ID: I20120817000158 |
| Provider Name | Robert W Mutter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780894634 PECOS PAC ID: 5294981668 Enrollment ID: I20120820000248 |
| Provider Name | Wendy M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326263963 PECOS PAC ID: 1153577531 Enrollment ID: I20120820000320 |
| Provider Name | Alaa Al Nofal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891056982 PECOS PAC ID: 8426205857 Enrollment ID: I20120820001110 |
| Provider Name | Julie M Baughn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033258520 PECOS PAC ID: 7012016496 Enrollment ID: I20120821000094 |
| Provider Name | Jason M Woodbury |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083904866 PECOS PAC ID: 7416104872 Enrollment ID: I20120821000164 |
| Provider Name | Alex a Nagelschneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033400031 PECOS PAC ID: 7517114705 Enrollment ID: I20120822000726 |
| Provider Name | Ashish Chintakuntlawar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356584262 PECOS PAC ID: 5294982401 Enrollment ID: I20120823000118 |
| Provider Name | Konstantinos a Papadakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669544581 PECOS PAC ID: 7315194487 Enrollment ID: I20120823000928 |
| Provider Name | Jonathan M Hendricks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750675963 PECOS PAC ID: 2668629734 Enrollment ID: I20120823000960 |
| Provider Name | Cary M Effertz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962794206 PECOS PAC ID: 8921255092 Enrollment ID: I20120823000966 |
| Provider Name | Gita Thanarajasingam |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1326207507 PECOS PAC ID: 2668643511 Enrollment ID: I20120827000308 |
| Provider Name | Saba Yasir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689818650 PECOS PAC ID: 5597912576 Enrollment ID: I20120827000400 |
| Provider Name | Aditya P Devalapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619262920 PECOS PAC ID: 2365699360 Enrollment ID: I20120827000604 |
| Provider Name | John Ohoro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659513364 PECOS PAC ID: 0840447785 Enrollment ID: I20120828000276 |
| Provider Name | Jennifer M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962767533 PECOS PAC ID: 3779730635 Enrollment ID: I20120828000523 |
| Provider Name | Jose A. Castro Garcia |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912193624 PECOS PAC ID: 8123275047 Enrollment ID: I20120829000213 |
| Provider Name | Brian T Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740572080 PECOS PAC ID: 0749437531 Enrollment ID: I20120830000109 |
| Provider Name | Nicolas N Madigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528389244 PECOS PAC ID: 2163679960 Enrollment ID: I20120830000248 |
| Provider Name | Waleed Brinjikji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770879892 PECOS PAC ID: 9931356656 Enrollment ID: I20120830000521 |
| Provider Name | Jacob Strand |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1457510638 PECOS PAC ID: 9133387681 Enrollment ID: I20120831000675 |
| Provider Name | Arman Arghami |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1144541723 PECOS PAC ID: 5991952517 Enrollment ID: I20120904000144 |
| Provider Name | Dawn Owen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790032423 PECOS PAC ID: 8022265669 Enrollment ID: I20120904000416 |
| Provider Name | Jessica Christine Schoen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417243783 PECOS PAC ID: 0042467540 Enrollment ID: I20120905000326 |
| Provider Name | Katie M Rieck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023303625 PECOS PAC ID: 2668629171 Enrollment ID: I20120905000495 |
| Provider Name | Luke T Hafdahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447544648 PECOS PAC ID: 6800043324 Enrollment ID: I20120905000549 |
| Provider Name | Christin a Harless |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508150046 PECOS PAC ID: 2961659495 Enrollment ID: I20120905000705 |
| Provider Name | Meghan R Cain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023303112 PECOS PAC ID: 7315194842 Enrollment ID: I20120905000713 |
| 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 | Jill J Colglazier |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184842957 PECOS PAC ID: 7911154471 Enrollment ID: I20120906000156 |
| 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 | Julian Naranjo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376838821 PECOS PAC ID: 8123275609 Enrollment ID: I20120906000381 |
| Provider Name | Emily Kate Ruether |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548556970 PECOS PAC ID: 9739336223 Enrollment ID: I20120906000545 |
| Provider Name | Laprincess C Brewer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669609301 PECOS PAC ID: 7719135284 Enrollment ID: I20120907000631 |
| Provider Name | Michel Toledano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649581166 PECOS PAC ID: 9739337155 Enrollment ID: I20120910000491 |
| Provider Name | Kenneth W Merrell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952693293 PECOS PAC ID: 1254589526 Enrollment ID: I20120911000252 |
| Provider Name | Michael J Breunig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720347271 PECOS PAC ID: 2961650296 Enrollment ID: I20120912000155 |
| Provider Name | Anna B Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467712638 PECOS PAC ID: 4688822877 Enrollment ID: I20120912000903 |
| Provider Name | Maya H Maloney |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609161348 PECOS PAC ID: 8022266220 Enrollment ID: I20120913000025 |
| Provider Name | Hayan Jouni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417278987 PECOS PAC ID: 7911155130 Enrollment ID: I20120913000266 |
| Provider Name | Emily M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710232863 PECOS PAC ID: 9638327711 Enrollment ID: I20120914000113 |
| Provider Name | Andrew E Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942596820 PECOS PAC ID: 4486802428 Enrollment ID: I20120917000134 |
| Provider Name | Christopher Joseph Reisenauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811285588 PECOS PAC ID: 7214185230 Enrollment ID: I20120918000082 |
| Provider Name | Thomas T Carmody |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1831151133 PECOS PAC ID: 4385657311 Enrollment ID: I20120918000316 |
| Provider Name | Cristiane M Ida |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497076319 PECOS PAC ID: 5294983136 Enrollment ID: I20120918000448 |
| Provider Name | Ursula J Keeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851679047 PECOS PAC ID: 5799959847 Enrollment ID: I20120919000774 |
| Provider Name | Christopher a Aakre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508151663 PECOS PAC ID: 6406004266 Enrollment ID: I20120919000881 |
| Provider Name | Robert J Morgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356636807 PECOS PAC ID: 5890943666 Enrollment ID: I20120920000080 |
| Provider Name | Kelly J Doolittle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306132709 PECOS PAC ID: 0749438455 Enrollment ID: I20120920000600 |
| Provider Name | Richard a Helmers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376526558 PECOS PAC ID: 4385784834 Enrollment ID: I20120924000424 |
| Provider Name | Elizabeth R Vogel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003102419 PECOS PAC ID: 9032367677 Enrollment ID: I20120924000584 |
| Provider Name | Brendan T Wanta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790084259 PECOS PAC ID: 4587812169 Enrollment ID: I20120925000059 |
| Provider Name | Elizabeth W Cozine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659666006 PECOS PAC ID: 0446408033 Enrollment ID: I20120925000226 |
| Provider Name | Shahrukh Hashmi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1891832630 PECOS PAC ID: 8921101742 Enrollment ID: I20120925000334 |
| Provider Name | Adam J Wood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942596622 PECOS PAC ID: 1658520259 Enrollment ID: I20120925000456 |
| Provider Name | Cameron R Wangsgard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831485564 PECOS PAC ID: 7618126228 Enrollment ID: I20120925000493 |
| Provider Name | Kyle M Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942595012 PECOS PAC ID: 7416106034 Enrollment ID: I20120925000645 |
| Provider Name | Misty a Radosevich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477849958 PECOS PAC ID: 8426207051 Enrollment ID: I20120925000769 |
| Provider Name | Narayan R Kissoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194019307 PECOS PAC ID: 9931358579 Enrollment ID: I20120925000838 |
| Provider Name | Roger Moreira |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881871275 PECOS PAC ID: 7517006562 Enrollment ID: I20120928000117 |
| Provider Name | Ann Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114214822 PECOS PAC ID: 7517116874 Enrollment ID: I20121001000293 |
| Provider Name | Deena M Nasr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245529676 PECOS PAC ID: 0042469330 Enrollment ID: I20121002000155 |
| Provider Name | Darin B White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558617779 PECOS PAC ID: 4284883596 Enrollment ID: I20121002000329 |
| Provider Name | Katie J Traver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225384332 PECOS PAC ID: 3577712801 Enrollment ID: I20121002000555 |
| Provider Name | Joseph V Gertcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174885974 PECOS PAC ID: 2769631019 Enrollment ID: I20121002000795 |
| Provider Name | Rahma M Warsame |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1568777449 PECOS PAC ID: 0648429860 Enrollment ID: I20121003000869 |
| Provider Name | Hemang Yadav |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891016549 PECOS PAC ID: 3971752197 Enrollment ID: I20121003000910 |
| Provider Name | Katelyn R Anderson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730475674 PECOS PAC ID: 6103075346 Enrollment ID: I20121004000160 |
| Provider Name | Tasha L Welch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295027530 PECOS PAC ID: 3779732821 Enrollment ID: I20121004000339 |
| Provider Name | Jeffrey Strauss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013270784 PECOS PAC ID: 3072762103 Enrollment ID: I20121005000229 |
| Provider Name | Stephanie L Ahrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578819744 PECOS PAC ID: 9133378268 Enrollment ID: I20121005000254 |
| Provider Name | George D Gilkey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073876371 PECOS PAC ID: 6406005487 Enrollment ID: I20121008000318 |
| Provider Name | Ernest M Hoffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306130844 PECOS PAC ID: 9335398148 Enrollment ID: I20121010000319 |
| Provider Name | Timothy D Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093076929 PECOS PAC ID: 0648429456 Enrollment ID: I20121010000394 |
| Provider Name | Ammar Killu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790006658 PECOS PAC ID: 1355590068 Enrollment ID: I20121012000054 |
| Provider Name | Alberto B Pochettino |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1184631244 PECOS PAC ID: 6406811926 Enrollment ID: I20121017000471 |
| Provider Name | Jonathan E Rohde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063768232 PECOS PAC ID: 1355591868 Enrollment ID: I20121018000329 |
| Provider Name | Tiffany Keller Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891043600 PECOS PAC ID: 6002066529 Enrollment ID: I20121018000445 |
| Provider Name | Joshua P Fenske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861754764 PECOS PAC ID: 1355591629 Enrollment ID: I20121022000687 |
| Provider Name | Catherine D Zomok |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124387071 PECOS PAC ID: 6608026943 Enrollment ID: I20121023000673 |
| Provider Name | Rory M Haney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003174095 PECOS PAC ID: 9133379472 Enrollment ID: I20121023000687 |
| Provider Name | Kirsten M Connaughty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548522915 PECOS PAC ID: 4183874043 Enrollment ID: I20121030000571 |
| Provider Name | Brenda L Frye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841244605 PECOS PAC ID: 0244251353 Enrollment ID: I20121031000424 |
| Provider Name | Dona E.C. Locke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326021551 PECOS PAC ID: 6901837558 Enrollment ID: I20121102000281 |
| Provider Name | Heather J Manke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952666778 PECOS PAC ID: 5395996128 Enrollment ID: I20121103000022 |
| 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 | Reed Degener |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174872527 PECOS PAC ID: 5092966416 Enrollment ID: I20121113000288 |
| Provider Name | Stephanie N Vanderboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619225653 PECOS PAC ID: 4183875479 Enrollment ID: I20121114000385 |
| Provider Name | Kyle D Busack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609122126 PECOS PAC ID: 0244481547 Enrollment ID: I20121114000542 |
| Provider Name | Emily a Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548522287 PECOS PAC ID: 9335390657 Enrollment ID: I20121114000679 |
| Provider Name | Cynthia Marie Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235491911 PECOS PAC ID: 2163673211 Enrollment ID: I20121119000323 |
| Provider Name | Amanda F Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518220680 PECOS PAC ID: 8123279213 Enrollment ID: I20121120000141 |
| Provider Name | Shangwe Kiliaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859718 PECOS PAC ID: 7416108436 Enrollment ID: I20121121000060 |
| Provider Name | Kenneth R Devault |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386633253 PECOS PAC ID: 7618003526 Enrollment ID: I20121121000179 |
| Provider Name | Krista M Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700140886 PECOS PAC ID: 7719138775 Enrollment ID: I20121121000538 |
| Provider Name | Danielle L Blazejak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871848366 PECOS PAC ID: 6406007483 Enrollment ID: I20121126000125 |
| Provider Name | Karen a Squillace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235487091 PECOS PAC ID: 1456502442 Enrollment ID: I20121126000305 |
| Provider Name | Allison L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134484918 PECOS PAC ID: 6507017431 Enrollment ID: I20121127000149 |
| 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 | Richard Boesch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306927520 PECOS PAC ID: 7618912734 Enrollment ID: I20121127000663 |
| Provider Name | Christina a Schank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710233275 PECOS PAC ID: 6800048794 Enrollment ID: I20121128000109 |
| Provider Name | Ryan M Giddings Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912291170 PECOS PAC ID: 7113179011 Enrollment ID: I20121128000283 |
| Provider Name | Courtney K Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295033033 PECOS PAC ID: 9537324686 Enrollment ID: I20121128000623 |
| Provider Name | Justine S Herndon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871843169 PECOS PAC ID: 2567614381 Enrollment ID: I20121130000206 |
| Provider Name | Sarah a Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831446152 PECOS PAC ID: 9638321466 Enrollment ID: I20121130000328 |
| Provider Name | Jessica Gusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337694 PECOS PAC ID: 0345492187 Enrollment ID: I20121130000472 |
| Provider Name | Michele M Merten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487915567 PECOS PAC ID: 7416109160 Enrollment ID: I20121204000379 |
| Provider Name | Bethany a Hoffmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477802189 PECOS PAC ID: 3678725264 Enrollment ID: I20121205000428 |
| Provider Name | Denise a Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477828812 PECOS PAC ID: 4587816194 Enrollment ID: I20121205000551 |
| Provider Name | Adam J Goble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205195385 PECOS PAC ID: 0941452411 Enrollment ID: I20121207000179 |
| Provider Name | Francois X Ndazigaruye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699024679 PECOS PAC ID: 3678725116 Enrollment ID: I20121210000319 |
| Provider Name | Sarah a Rains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386994028 PECOS PAC ID: 2668624008 Enrollment ID: I20121210000409 |
| Provider Name | Katherine M Andersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528318557 PECOS PAC ID: 9436301892 Enrollment ID: I20121211000032 |
| Provider Name | Kelly Soh-ah Hangge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861743429 PECOS PAC ID: 3577715937 Enrollment ID: I20121211000094 |
| Provider Name | Grace N Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669716767 PECOS PAC ID: 9537311733 Enrollment ID: I20121217000298 |
| Provider Name | Peter S Owegi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477897569 PECOS PAC ID: 8325290539 Enrollment ID: I20121217000338 |
| Provider Name | Alice J Malecha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982956850 PECOS PAC ID: 4082866165 Enrollment ID: I20121219000170 |
| Provider Name | Emily M Rueter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598019507 PECOS PAC ID: 2264684265 Enrollment ID: I20121219000367 |
| Provider Name | Michael C Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932153830 PECOS PAC ID: 5193782365 Enrollment ID: I20121219000522 |
| Provider Name | Kenda B Lichtenwalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083958003 PECOS PAC ID: 6305099268 Enrollment ID: I20130102000055 |
| Provider Name | Trista a Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336483429 PECOS PAC ID: 0648423483 Enrollment ID: I20130104000024 |
| Provider Name | John T Sheski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083960256 PECOS PAC ID: 3779736376 Enrollment ID: I20130110000155 |
| Provider Name | Anna M Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134473549 PECOS PAC ID: 6103070149 Enrollment ID: I20130129000269 |
| Provider Name | Janell K Melhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871658625 PECOS PAC ID: 4183879091 Enrollment ID: I20130226000463 |
| Provider Name | Kimberly a Prigge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386983500 PECOS PAC ID: 0941455356 Enrollment ID: I20130308000157 |
| Provider Name | Beth a Bergstedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225371859 PECOS PAC ID: 0547406308 Enrollment ID: I20130423000415 |
| Provider Name | Ronald S Go |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1891790515 PECOS PAC ID: 4486784741 Enrollment ID: I20130502000238 |
| Provider Name | Vicki a Samike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174967194 PECOS PAC ID: 9537307566 Enrollment ID: I20130603000029 |
| Provider Name | Nadir Demirel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538391628 PECOS PAC ID: 1355589334 Enrollment ID: I20130603000639 |
| Provider Name | Nicholas G Rhodes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548466899 PECOS PAC ID: 5496919755 Enrollment ID: I20130604000532 |
| Provider Name | Christian Hanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528221538 PECOS PAC ID: 7012155922 Enrollment ID: I20130605000516 |
| Provider Name | Robert Haddon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306169065 PECOS PAC ID: 2769455120 Enrollment ID: I20130614000024 |
| Provider Name | Melissa Christina Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139465 PECOS PAC ID: 9133369986 Enrollment ID: I20130628000199 |
| Provider Name | Tobias Kummer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295950277 PECOS PAC ID: 3274657390 Enrollment ID: I20130705000405 |
| Provider Name | Rita J Gasser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861732166 PECOS PAC ID: 7113167594 Enrollment ID: I20130708000555 |
| 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 | Sean M Loughran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609116763 PECOS PAC ID: 0749420040 Enrollment ID: I20130710000390 |
| Provider Name | Vanessa E Torbenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033178280 PECOS PAC ID: 2769540277 Enrollment ID: I20130710000563 |
| Provider Name | Amanda K Tucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588904940 PECOS PAC ID: 2062652381 Enrollment ID: I20130710000594 |
| Provider Name | Robert Benjamin Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699039511 PECOS PAC ID: 3678721222 Enrollment ID: I20130710000722 |
| Provider Name | Kathryn Ruddy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518948082 PECOS PAC ID: 6103973599 Enrollment ID: I20130710000856 |
| Provider Name | Ann M Brink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063752129 PECOS PAC ID: 2466692629 Enrollment ID: I20130711000240 |
| Provider Name | James H Boyum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083877187 PECOS PAC ID: 1153584503 Enrollment ID: I20130711000346 |
| Provider Name | Starla J Ricter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144560517 PECOS PAC ID: 3678713856 Enrollment ID: I20130711000437 |
| Provider Name | Andrea L Lorenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871833731 PECOS PAC ID: 2668612623 Enrollment ID: I20130716000147 |
| Provider Name | Stacie L Gwaltney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558601864 PECOS PAC ID: 8325288384 Enrollment ID: I20130716000250 |
| Provider Name | Daniel Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699926881 PECOS PAC ID: 5890972152 Enrollment ID: I20130716000351 |
| 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 | Michael Scott Torbenson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528099272 PECOS PAC ID: 0143350652 Enrollment ID: I20130719000251 |
| Provider Name | Denny J Padgett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679910723 PECOS PAC ID: 4880835768 Enrollment ID: I20130719000336 |
| Provider Name | Devon O Aganga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558545541 PECOS PAC ID: 5294976171 Enrollment ID: I20130719000379 |
| Provider Name | Laurie C Trudell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104166560 PECOS PAC ID: 5193966968 Enrollment ID: I20130722000424 |
| Provider Name | Elizabeth a Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528308681 PECOS PAC ID: 9436390101 Enrollment ID: I20130722000465 |
| 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 | Jana Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285974550 PECOS PAC ID: 8325289010 Enrollment ID: I20130723000218 |
| Provider Name | Mithun V Shah |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1134449630 PECOS PAC ID: 4880835479 Enrollment ID: I20130724000411 |
| 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 | Hassan B Alkhateeb |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982931705 PECOS PAC ID: 0446491088 Enrollment ID: I20130724000987 |
| Provider Name | Ana L Creo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730441700 PECOS PAC ID: 5395981286 Enrollment ID: I20130726000581 |
| Provider Name | Arnoley S Abcejo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841553070 PECOS PAC ID: 0143466250 Enrollment ID: I20130729000047 |
| Provider Name | Chris Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134482581 PECOS PAC ID: 9739327479 Enrollment ID: I20130729001053 |
| Provider Name | Michelle J Duvall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265796494 PECOS PAC ID: 2365680147 Enrollment ID: I20130729001064 |
| Provider Name | Brittany Siontis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659634822 PECOS PAC ID: 2668618653 Enrollment ID: I20130730000876 |
| Provider Name | Matthew J Koster |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588891469 PECOS PAC ID: 1951542141 Enrollment ID: I20130731000290 |
| Provider Name | Rachel C Gentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144565656 PECOS PAC ID: 4688828973 Enrollment ID: I20130731000691 |
| Provider Name | Kyle Steven Rader |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487964649 PECOS PAC ID: 9830388388 Enrollment ID: I20130731000851 |
| Provider Name | Yajue Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841289592 PECOS PAC ID: 1355317728 Enrollment ID: I20130801000434 |
| Provider Name | Amanika Kumar |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1932342730 PECOS PAC ID: 8820239924 Enrollment ID: I20130801000692 |
| Provider Name | Ruth E Defoster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558624700 PECOS PAC ID: 3678719713 Enrollment ID: I20130801000857 |
| Provider Name | Robert J Kahoud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962531392 PECOS PAC ID: 9739320748 Enrollment ID: I20130801000870 |
| Provider Name | Terry L Gran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760722078 PECOS PAC ID: 4880835826 Enrollment ID: I20130802000327 |
| Provider Name | Paul D Zimbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437439825 PECOS PAC ID: 3274704408 Enrollment ID: I20130802000445 |
| Provider Name | Melanie CB Bois |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497018543 PECOS PAC ID: 9638315740 Enrollment ID: I20130802000781 |
| Provider Name | Eugene L Scharf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932463981 PECOS PAC ID: 2264678028 Enrollment ID: I20130805000136 |
| Provider Name | Will M Schouten |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962766923 PECOS PAC ID: 5991941759 Enrollment ID: I20130805000154 |
| Provider Name | Anthony L Fine |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1780946756 PECOS PAC ID: 5294971313 Enrollment ID: I20130806000842 |
| Provider Name | Ryan E Hofer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467718825 PECOS PAC ID: 2163664962 Enrollment ID: I20130807000402 |
| Provider Name | Kelly J Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427022771 PECOS PAC ID: 9739198862 Enrollment ID: I20130808000731 |
| Provider Name | Kara L Fine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386907145 PECOS PAC ID: 6507002433 Enrollment ID: I20130809000061 |
| Provider Name | Marci D Newcome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821433475 PECOS PAC ID: 2062654700 Enrollment ID: I20130809000152 |
| Provider Name | Joshua D Overgaard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316258676 PECOS PAC ID: 3870735517 Enrollment ID: I20130809000165 |
| Provider Name | Timothy S Rozman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255671624 PECOS PAC ID: 9133361876 Enrollment ID: I20130809000174 |
| Provider Name | Sumedh S Hoskote |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063724425 PECOS PAC ID: 2769624154 Enrollment ID: I20130814000756 |
| Provider Name | Veljko Strajina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821377151 PECOS PAC ID: 9335385871 Enrollment ID: I20130816000091 |
| Provider Name | Jose C Villasboas Bisneto |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1114155603 PECOS PAC ID: 8628210838 Enrollment ID: I20130816000347 |
| Provider Name | Matthew a Warner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396001772 PECOS PAC ID: 7315189537 Enrollment ID: I20130816000523 |
| Provider Name | Lara a Walkoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588922231 PECOS PAC ID: 2668614884 Enrollment ID: I20130816000550 |
| Provider Name | Sarah E Dodd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932462199 PECOS PAC ID: 0143466029 Enrollment ID: I20130819000255 |
| Provider Name | Juliana Perez Botero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396023321 PECOS PAC ID: 4789820549 Enrollment ID: I20130820000514 |
| Provider Name | Diane M Donegan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295014066 PECOS PAC ID: 7810133931 Enrollment ID: I20130820000607 |
| Provider Name | Jonas Paludo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346535408 PECOS PAC ID: 1658517586 Enrollment ID: I20130821000713 |
| Provider Name | Joan N Mccaffrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770823031 PECOS PAC ID: 0345483350 Enrollment ID: I20130823000286 |
| Provider Name | Kimberly Holst |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548524515 PECOS PAC ID: 5991941882 Enrollment ID: I20130823000905 |
| Provider Name | Randall R Demartino |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982825204 PECOS PAC ID: 3375786338 Enrollment ID: I20130823000922 |
| Provider Name | Renee E Caswell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639152051 PECOS PAC ID: 8224172424 Enrollment ID: I20130823001060 |
| Provider Name | Mabel Ryder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083781215 PECOS PAC ID: 3173628708 Enrollment ID: I20130823001065 |
| Provider Name | Michael Gary Keeney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003170879 PECOS PAC ID: 9830335694 Enrollment ID: I20130826000318 |
| Provider Name | Alice Gallo De Moraes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447562558 PECOS PAC ID: 6901049840 Enrollment ID: I20130826000458 |
| Provider Name | Laura E Breeher |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1043539638 PECOS PAC ID: 4789824939 Enrollment ID: I20130826000482 |
| Provider Name | Tricia D Renk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477893840 PECOS PAC ID: 0042453904 Enrollment ID: I20130826000658 |
| Provider Name | Sydney L Schone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295176287 PECOS PAC ID: 9537302492 Enrollment ID: I20130826000736 |
| Provider Name | Christopher R Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598029563 PECOS PAC ID: 0143466656 Enrollment ID: I20130826000774 |
| Provider Name | Christopher L Welle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154677375 PECOS PAC ID: 0749423531 Enrollment ID: I20130826001089 |
| Provider Name | Kristyn a Maixner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659719607 PECOS PAC ID: 6002059896 Enrollment ID: I20130826001108 |
| Provider Name | Heather M O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972935617 PECOS PAC ID: 4880837699 Enrollment ID: I20130827000301 |
| Provider Name | Anne M Meehan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780024919 PECOS PAC ID: 5698918407 Enrollment ID: I20130827000315 |
| Provider Name | Nihal M Hamouda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356605315 PECOS PAC ID: 5890931612 Enrollment ID: I20130827000604 |
| Provider Name | Brianna C Leigh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952665838 PECOS PAC ID: 6709022668 Enrollment ID: I20130827000651 |
| Provider Name | Jennifer M Martinez Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518221415 PECOS PAC ID: 9436395548 Enrollment ID: I20130827000687 |
| Provider Name | Lauren K Licatino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326302209 PECOS PAC ID: 7810133782 Enrollment ID: I20130828000463 |
| Provider Name | Maya E Kessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164786018 PECOS PAC ID: 2567608318 Enrollment ID: I20130828000726 |
| Provider Name | Caitlin E Loprinzi-bauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316201890 PECOS PAC ID: 9739325358 Enrollment ID: I20130828000737 |
| Provider Name | Jillian L Deangelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508207028 PECOS PAC ID: 1254575194 Enrollment ID: I20130917000028 |
| Provider Name | Lora J Briese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295167435 PECOS PAC ID: 2365686920 Enrollment ID: I20130920000411 |
| Provider Name | Kari L Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821430240 PECOS PAC ID: 9436393907 Enrollment ID: I20130924000170 |
| Provider Name | Amy L Cress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790119824 PECOS PAC ID: 4688808934 Enrollment ID: I20130930000098 |
| Provider Name | Abby L Levasseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700220068 PECOS PAC ID: 4284868399 Enrollment ID: I20131003000186 |
| 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 | Nafisseh S Warner |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1275899650 PECOS PAC ID: 3173757168 Enrollment ID: I20131007000069 |
| Provider Name | Paul a Warner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043574973 PECOS PAC ID: 6406092428 Enrollment ID: I20131007001419 |
| Provider Name | Lindsay M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225462328 PECOS PAC ID: 9537393491 Enrollment ID: I20131008000591 |
| Provider Name | Brianna E Vaa Stelling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487918314 PECOS PAC ID: 8628214574 Enrollment ID: I20131008001097 |
| Provider Name | Bradley W. Ternus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144584129 PECOS PAC ID: 8628214624 Enrollment ID: I20131008001099 |
| Provider Name | Michael D. Olson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477567576 PECOS PAC ID: 3476518739 Enrollment ID: I20131009000656 |
| Provider Name | Ashok Seshadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669662524 PECOS PAC ID: 4082848841 Enrollment ID: I20131009001853 |
| Provider Name | Claudia M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669543013 PECOS PAC ID: 0840479275 Enrollment ID: I20131011001193 |
| Provider Name | John William Weimer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073946760 PECOS PAC ID: 8224262860 Enrollment ID: I20131014001448 |
| Provider Name | Jodi Lynn Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336588094 PECOS PAC ID: 4385878826 Enrollment ID: I20131016000510 |
| Provider Name | Nathaniel E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083886980 PECOS PAC ID: 0749460681 Enrollment ID: I20131016000665 |
| Provider Name | Josie K Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497196463 PECOS PAC ID: 4385878834 Enrollment ID: I20131016000833 |
| Provider Name | Emily M Coldiron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174754543 PECOS PAC ID: 5294871588 Enrollment ID: I20131018000326 |
| Provider Name | Kaleesha E Schauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288723 PECOS PAC ID: 6002040466 Enrollment ID: I20131018000347 |
| Provider Name | Donna MB Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245402239 PECOS PAC ID: 3375710007 Enrollment ID: I20131018001313 |
| Provider Name | Maggie C May |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063851251 PECOS PAC ID: 0749415131 Enrollment ID: I20131018001601 |
| Provider Name | Hannah Me Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255772216 PECOS PAC ID: 7113152554 Enrollment ID: I20131021000781 |
| Provider Name | Sarah R Soriano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477987519 PECOS PAC ID: 2668607953 Enrollment ID: I20131022000974 |
| Provider Name | Tawana Overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497195952 PECOS PAC ID: 3072748342 Enrollment ID: I20131023001049 |
| Provider Name | Laura a Schram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093159055 PECOS PAC ID: 9931334109 Enrollment ID: I20131023001544 |
| Provider Name | Elaine F Chiarelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821424342 PECOS PAC ID: 7810122041 Enrollment ID: I20131024001078 |
| Provider Name | Nicole L Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457795320 PECOS PAC ID: 9335374487 Enrollment ID: I20131028001112 |
| Provider Name | Maegen L Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982950341 PECOS PAC ID: 3779718820 Enrollment ID: I20131028001197 |
| Provider Name | Jamie L Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043658057 PECOS PAC ID: 1254566227 Enrollment ID: I20131029000059 |
| Provider Name | Katie N Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306278668 PECOS PAC ID: 5597990325 Enrollment ID: I20131101000107 |
| Provider Name | Jesse L Kuseske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093156457 PECOS PAC ID: 9335374172 Enrollment ID: I20131101000336 |
| Provider Name | Elizabeth a Lohmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356776413 PECOS PAC ID: 8022243880 Enrollment ID: I20131101001172 |
| Provider Name | Sandeep R Pagali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922319375 PECOS PAC ID: 2668607466 Enrollment ID: I20131104000435 |
| Provider Name | Meera Sridharan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1609130665 PECOS PAC ID: 0345486189 Enrollment ID: I20131104000672 |
| Provider Name | Aparna S Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477694842 PECOS PAC ID: 9537262720 Enrollment ID: I20131104001212 |
| Provider Name | Meghan G Theofiles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366706897 PECOS PAC ID: 1052546645 Enrollment ID: I20131107000928 |
| Provider Name | Alexander G Theofiles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396009221 PECOS PAC ID: 2769628874 Enrollment ID: I20131107001196 |
| Provider Name | Jenna M Jacobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740613157 PECOS PAC ID: 8426284886 Enrollment ID: I20131113002194 |
| Provider Name | Mohammad Sarraf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851447528 PECOS PAC ID: 5496817983 Enrollment ID: I20131122000075 |
| Provider Name | Robert a Goodew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164850087 PECOS PAC ID: 1850527573 Enrollment ID: I20131202000175 |
| Provider Name | Megan E Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818009 PECOS PAC ID: 4284860917 Enrollment ID: I20131202000300 |
| Provider Name | Carolyn M Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770912172 PECOS PAC ID: 2466688148 Enrollment ID: I20131203000191 |
| Provider Name | Larae J Ferrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427486349 PECOS PAC ID: 9537395223 Enrollment ID: I20131203000582 |
| Provider Name | Thomas M Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922362995 PECOS PAC ID: 9133366909 Enrollment ID: I20131205000890 |
| Provider Name | Rachel M Wiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509557 PECOS PAC ID: 2668609082 Enrollment ID: I20131210001727 |
| Provider Name | Donald Stuart Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457782336 PECOS PAC ID: 3274760004 Enrollment ID: I20131224000253 |
| Provider Name | Todd M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924092 PECOS PAC ID: 3577709666 Enrollment ID: I20131224000275 |
| Provider Name | Robroy H Maciver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467580589 PECOS PAC ID: 1456589175 Enrollment ID: I20131231001976 |
| Provider Name | Madison Marjorie Rengstorf Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518396217 PECOS PAC ID: 2668600396 Enrollment ID: I20140102000116 |
| Provider Name | Tracey L Boldon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851343024 PECOS PAC ID: 2365459963 Enrollment ID: I20140107000496 |
| Provider Name | Laura a Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194146985 PECOS PAC ID: 0446488019 Enrollment ID: I20140107000527 |
| Provider Name | Ian Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538451802 PECOS PAC ID: 1153559307 Enrollment ID: I20140114001507 |
| Provider Name | Craig N Sawchuk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588740237 PECOS PAC ID: 4688662356 Enrollment ID: I20140121001926 |
| Provider Name | Elizabeth Claire Fogelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568726099 PECOS PAC ID: 6901042977 Enrollment ID: I20140225001071 |
| Provider Name | Stephen M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245669688 PECOS PAC ID: 2466683503 Enrollment ID: I20140402001808 |
| Provider Name | Nichole a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649695685 PECOS PAC ID: 8628200672 Enrollment ID: I20140407001119 |
| Provider Name | Barbara a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912322405 PECOS PAC ID: 3971735929 Enrollment ID: I20140407001195 |
| Provider Name | Angela Ce Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386808475 PECOS PAC ID: 0446328124 Enrollment ID: I20140411000362 |
| Provider Name | Barrett J Ahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104241868 PECOS PAC ID: 2860625019 Enrollment ID: I20140424000190 |
| Provider Name | Jennifer Burckhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154746493 PECOS PAC ID: 8729211974 Enrollment ID: I20140424000331 |
| Provider Name | Sarah a Kane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760807382 PECOS PAC ID: 1153554308 Enrollment ID: I20140424000463 |
| Provider Name | Chelsey a Aubart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396160594 PECOS PAC ID: 1052544202 Enrollment ID: I20140424000491 |
| Provider Name | Cara E Mann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831514355 PECOS PAC ID: 5890928063 Enrollment ID: I20140424001150 |
| Provider Name | Kristina Elizabeth Foulke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467877647 PECOS PAC ID: 3779716956 Enrollment ID: I20140424001259 |
| Provider Name | Cadmar N Araka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538584842 PECOS PAC ID: 1951534015 Enrollment ID: I20140425001719 |
| Provider Name | Andrea RS Huebner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649340696 PECOS PAC ID: 8820192610 Enrollment ID: I20140425001798 |
| Provider Name | Corey Kunzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265575070 PECOS PAC ID: 2163650425 Enrollment ID: I20140428000962 |
| Provider Name | Joseph P Sorenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184049454 PECOS PAC ID: 3173756970 Enrollment ID: I20140501001416 |
| Provider Name | Jenna R Steege |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407271893 PECOS PAC ID: 9133352941 Enrollment ID: I20140501001602 |
| Provider Name | Nicole M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689778060 PECOS PAC ID: 7810075421 Enrollment ID: I20140502000988 |
| Provider Name | Leslie a Kummer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538489430 PECOS PAC ID: 8123251600 Enrollment ID: I20140507002315 |
| 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 | Erin D Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407271794 PECOS PAC ID: 4082847363 Enrollment ID: I20140513000812 |
| Provider Name | Holly a Schenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578904355 PECOS PAC ID: 2567685886 Enrollment ID: I20140513002344 |
| Provider Name | Jean F Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982029567 PECOS PAC ID: 9638392954 Enrollment ID: I20140514000035 |
| Provider Name | Megan Hofmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376968990 PECOS PAC ID: 7517180409 Enrollment ID: I20140521002595 |
| Provider Name | Karen Marie Townsend |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548272560 PECOS PAC ID: 9234195199 Enrollment ID: I20140522000002 |
| Provider Name | Jason S Ewoldt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093134058 PECOS PAC ID: 2365665874 Enrollment ID: I20140530000066 |
| Provider Name | Kaitlyn L Boettcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568897205 PECOS PAC ID: 7315172665 Enrollment ID: I20140602001201 |
| Provider Name | Brian M Dougan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942204383 PECOS PAC ID: 6608774922 Enrollment ID: I20140605000592 |
| Provider Name | Kristina M Colbenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639499940 PECOS PAC ID: 6507003068 Enrollment ID: I20140605000972 |
| Provider Name | Katherine L Trelstad-andrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255742003 PECOS PAC ID: 9537383773 Enrollment ID: I20140610001160 |
| Provider Name | Abhishek Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538359906 PECOS PAC ID: 8325262454 Enrollment ID: I20140611002035 |
| Provider Name | Abdallah El Sabbagh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093003766 PECOS PAC ID: 6901020742 Enrollment ID: I20140617001093 |
| Provider Name | Ryan Matthew Kern |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134354418 PECOS PAC ID: 4789877697 Enrollment ID: I20140619001339 |
| Provider Name | Konstantinos Leventakos |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326338070 PECOS PAC ID: 4284858861 Enrollment ID: I20140623001007 |
| Provider Name | Troy Seelhammer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447480694 PECOS PAC ID: 1355579376 Enrollment ID: I20140625000734 |
| Provider Name | Vincent S Pureza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841550415 PECOS PAC ID: 6305061789 Enrollment ID: I20140626001473 |
| Provider Name | Amanda L Holland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023420569 PECOS PAC ID: 0547485948 Enrollment ID: I20140626001985 |
| Provider Name | Lioudmila V Karnatovskaia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588861934 PECOS PAC ID: 5092848101 Enrollment ID: I20140630001749 |
| Provider Name | Kerry M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487066304 PECOS PAC ID: 5890910087 Enrollment ID: I20140701002294 |
| Provider Name | Elie Naddaf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568776904 PECOS PAC ID: 9436382850 Enrollment ID: I20140701002523 |
| Provider Name | Roberto a Leon Ferre |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427361377 PECOS PAC ID: 4587805999 Enrollment ID: I20140702000404 |
| 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 | James a Yiannias |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174506265 PECOS PAC ID: 7810037306 Enrollment ID: I20140703000613 |
| Provider Name | Julia K Meverden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255743134 PECOS PAC ID: 4880819978 Enrollment ID: I20140703000882 |
| Provider Name | Basel Sharaf |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770567604 PECOS PAC ID: 7517139348 Enrollment ID: I20140708001786 |
| Provider Name | Juan D Goracke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104230606 PECOS PAC ID: 5092930925 Enrollment ID: I20140708002170 |
| Provider Name | Jayanth Adusumalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316227143 PECOS PAC ID: 7911122866 Enrollment ID: I20140708002480 |
| 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 | Shounak Majumder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093028920 PECOS PAC ID: 7618192238 Enrollment ID: I20140715001067 |
| Provider Name | Tahir Mehmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740571413 PECOS PAC ID: 9830314459 Enrollment ID: I20140715001286 |
| Provider Name | Aparna Vijayasekaran |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194981787 PECOS PAC ID: 1658596275 Enrollment ID: I20140715001295 |
| Provider Name | Aditya Raghunathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952510513 PECOS PAC ID: 3779730163 Enrollment ID: I20140716000255 |
| Provider Name | Jeffrey T Siewert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932513678 PECOS PAC ID: 5698991156 Enrollment ID: I20140718002103 |
| Provider Name | Jennifer L Kleinman Sween |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427341627 PECOS PAC ID: 3577789957 Enrollment ID: I20140721000751 |
| Provider Name | Rayya a Saadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336439579 PECOS PAC ID: 8426274689 Enrollment ID: I20140723002172 |
| Provider Name | John N Caviness |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932182268 PECOS PAC ID: 0042350548 Enrollment ID: I20140724001293 |
| Provider Name | Kogulavadanan Arumaithurai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114157856 PECOS PAC ID: 6103042247 Enrollment ID: I20140724002535 |
| Provider Name | Alaina R Floryance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780090548 PECOS PAC ID: 7911123021 Enrollment ID: I20140725002079 |
| Provider Name | Hugo Botha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922363308 PECOS PAC ID: 6800032772 Enrollment ID: I20140729002593 |
| Provider Name | Christopher L Boswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891131587 PECOS PAC ID: 5395987994 Enrollment ID: I20140729002705 |
| Provider Name | Pamela S Zimbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659786838 PECOS PAC ID: 0648496497 Enrollment ID: I20140731000122 |
| Provider Name | Natalie K Soukup |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356753297 PECOS PAC ID: 9234356932 Enrollment ID: I20140804000551 |
| Provider Name | Michelle L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474053 PECOS PAC ID: 3779700497 Enrollment ID: I20140804001360 |
| Provider Name | Katherine J Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508277500 PECOS PAC ID: 9739306465 Enrollment ID: I20140804001482 |
| Provider Name | Chandra C Paff Shenoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194043984 PECOS PAC ID: 5294952941 Enrollment ID: I20140804002148 |
| Provider Name | Amanda M Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497001812 PECOS PAC ID: 0840439469 Enrollment ID: I20140804002287 |
| Provider Name | Alex Jaymes Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639518442 PECOS PAC ID: 0941441992 Enrollment ID: I20140804002484 |
| Provider Name | Alan Kubey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558707562 PECOS PAC ID: 7911147954 Enrollment ID: I20140805000806 |
| Provider Name | Tristina L Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952716458 PECOS PAC ID: 8820215452 Enrollment ID: I20140805002686 |
| Provider Name | Todd Milbrandt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760589568 PECOS PAC ID: 0446239917 Enrollment ID: I20140806000760 |
| Provider Name | Anna J Schwecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033521901 PECOS PAC ID: 3072730555 Enrollment ID: I20140806001509 |
| Provider Name | Viqar Mohammad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326308917 PECOS PAC ID: 9830346956 Enrollment ID: I20140806001965 |
| Provider Name | Megan Thorvilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467898163 PECOS PAC ID: 2466692975 Enrollment ID: I20140811002377 |
| Provider Name | Yirengah Mimie Chilinda-salter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245595792 PECOS PAC ID: 8527218825 Enrollment ID: I20140812001808 |
| Provider Name | Marcia R Venegas Pont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487928255 PECOS PAC ID: 6709022767 Enrollment ID: I20140813002672 |
| Provider Name | Joshua M Petron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124434006 PECOS PAC ID: 8820215932 Enrollment ID: I20140814000113 |
| Provider Name | Vlad C Vasile |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740544675 PECOS PAC ID: 3274779129 Enrollment ID: I20140818001867 |
| Provider Name | Rachael a Vaubel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992140982 PECOS PAC ID: 5496995821 Enrollment ID: I20140818002020 |
| Provider Name | Vaibhav Vaidya |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568726008 PECOS PAC ID: 6800032467 Enrollment ID: I20140818002407 |
| Provider Name | Kellen V Lambeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306258686 PECOS PAC ID: 3971720715 Enrollment ID: I20140819000490 |
| Provider Name | Sara B Leier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588078646 PECOS PAC ID: 8921225772 Enrollment ID: I20140819000651 |
| Provider Name | Matthew John Ziegelmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386080018 PECOS PAC ID: 6002057023 Enrollment ID: I20140819000713 |
| Provider Name | Moira Hilscher Sugrue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467892349 PECOS PAC ID: 9436390226 Enrollment ID: I20140819001833 |
| Provider Name | Stanislav Henkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407291495 PECOS PAC ID: 2365683141 Enrollment ID: I20140820000110 |
| Provider Name | Michael C Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932549458 PECOS PAC ID: 8527286350 Enrollment ID: I20140820000952 |
| Provider Name | Mark a Whealy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154767879 PECOS PAC ID: 0941448690 Enrollment ID: I20140821000121 |
| Provider Name | Jessica a Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740692409 PECOS PAC ID: 8224256896 Enrollment ID: I20140822000928 |
| Provider Name | Vance B Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417369471 PECOS PAC ID: 6002034485 Enrollment ID: I20140826002666 |
| Provider Name | Marissa L Kauss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417393935 PECOS PAC ID: 8729216940 Enrollment ID: I20140904000332 |
| Provider Name | Erin S Demartino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487947669 PECOS PAC ID: 4587882519 Enrollment ID: I20140904000569 |
| Provider Name | Carlos a Puig Gilbert |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942555032 PECOS PAC ID: 7113166869 Enrollment ID: I20140904001640 |
| 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 | Cornelius a Thiels |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215373915 PECOS PAC ID: 8527208032 Enrollment ID: I20140904002839 |
| Provider Name | Derek J Lomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164868824 PECOS PAC ID: 0143460576 Enrollment ID: I20140904002852 |
| Provider Name | Daniel a Adamo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184967416 PECOS PAC ID: 0648498642 Enrollment ID: I20140905000059 |
| Provider Name | Matthew N P Vogt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013287473 PECOS PAC ID: 4486872397 Enrollment ID: I20140905000796 |
| Provider Name | Lauren a Dalvin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386080968 PECOS PAC ID: 6709025240 Enrollment ID: I20140905000836 |
| Provider Name | Jason T Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366773087 PECOS PAC ID: 6103044029 Enrollment ID: I20140905001193 |
| Provider Name | Brennan J Boettcher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124468962 PECOS PAC ID: 6103044037 Enrollment ID: I20140905001245 |
| Provider Name | Taylor Beahrs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255690996 PECOS PAC ID: 5991947582 Enrollment ID: I20140905001251 |
| Provider Name | Yogesh N V Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508148511 PECOS PAC ID: 3072731900 Enrollment ID: I20140905001356 |
| Provider Name | Min Shi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023242567 PECOS PAC ID: 8123246071 Enrollment ID: I20140905001911 |
| Provider Name | Christian Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760608178 PECOS PAC ID: 0143366047 Enrollment ID: I20140908000635 |
| Provider Name | Hannah K Betcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295027662 PECOS PAC ID: 7719126325 Enrollment ID: I20140908000649 |
| Provider Name | Rachel L Keuseman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497193189 PECOS PAC ID: 3971742180 Enrollment ID: I20140908000817 |
| Provider Name | Daniel J Scholz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386085926 PECOS PAC ID: 9537300033 Enrollment ID: I20140908001295 |
| Provider Name | Abigail L. Stockham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730352550 PECOS PAC ID: 8628205838 Enrollment ID: I20140908001688 |
| Provider Name | Amanda Justine Calvin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013354513 PECOS PAC ID: 3971741646 Enrollment ID: I20140908001773 |
| 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 Paul Norgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881034171 PECOS PAC ID: 8325289119 Enrollment ID: I20140908002443 |
| Provider Name | John J Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437391083 PECOS PAC ID: 2264671494 Enrollment ID: I20140909000485 |
| Provider Name | Michael W Ruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649611260 PECOS PAC ID: 5092956391 Enrollment ID: I20140909001255 |
| 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 | Matthew a Bartlett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790048932 PECOS PAC ID: 4688810625 Enrollment ID: I20140909001569 |
| Provider Name | Mira a Kohorst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427494095 PECOS PAC ID: 8022256015 Enrollment ID: I20140909002059 |
| Provider Name | Benjamin W Lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700133048 PECOS PAC ID: 4880839778 Enrollment ID: I20140909002243 |
| Provider Name | Aruna Rangan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427481324 PECOS PAC ID: 9931335494 Enrollment ID: I20140909002503 |
| Provider Name | Greta Beth Liebo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417184326 PECOS PAC ID: 1254550072 Enrollment ID: I20140910000085 |
| Provider Name | Amy E Rabatin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962842252 PECOS PAC ID: 1759522519 Enrollment ID: I20140910000765 |
| Provider Name | Gavin W Roddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588005235 PECOS PAC ID: 2466694716 Enrollment ID: I20140910000951 |
| 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 | Amanda R Solberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740698737 PECOS PAC ID: 8325267859 Enrollment ID: I20140916001680 |
| Provider Name | Laura S Greenlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851701205 PECOS PAC ID: 6002035532 Enrollment ID: I20140916001898 |
| Provider Name | Nicole J Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619158185 PECOS PAC ID: 6901025329 Enrollment ID: I20140917002534 |
| Provider Name | Thomas G Salter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093942120 PECOS PAC ID: 7719106012 Enrollment ID: I20140918002174 |
| Provider Name | Stephanie R Fink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568874188 PECOS PAC ID: 1254550437 Enrollment ID: I20140922000266 |
| Provider Name | Konstantinos Siontis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457615999 PECOS PAC ID: 7911143771 Enrollment ID: I20140924002247 |
| Provider Name | Tamim I Rajjo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952696205 PECOS PAC ID: 6103046115 Enrollment ID: I20140925000795 |
| Provider Name | Lisa M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912312604 PECOS PAC ID: 8123248002 Enrollment ID: I20140926001001 |
| Provider Name | Daniel W Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366858631 PECOS PAC ID: 2365662053 Enrollment ID: I20140930003107 |
| Provider Name | Jenna N Wygant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134535909 PECOS PAC ID: 4284854837 Enrollment ID: I20141001002646 |
| Provider Name | Megan Ince-taeubel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801204615 PECOS PAC ID: 2668692229 Enrollment ID: I20141002000080 |
| Provider Name | Emily Ac Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508275611 PECOS PAC ID: 3476773037 Enrollment ID: I20141002000106 |
| Provider Name | Michael J Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598173387 PECOS PAC ID: 8022238690 Enrollment ID: I20141002000347 |
| Provider Name | David J Sas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922067776 PECOS PAC ID: 3870668155 Enrollment ID: I20141003000893 |
| Provider Name | Brianna M Molin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831505064 PECOS PAC ID: 4688894108 Enrollment ID: I20141006001219 |
| Provider Name | Mandy Marie Reckward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528470572 PECOS PAC ID: 2860612397 Enrollment ID: I20141006001588 |
| Provider Name | Bryan P Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649689829 PECOS PAC ID: 3476773631 Enrollment ID: I20141010000304 |
| Provider Name | Faye a Otis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174922777 PECOS PAC ID: 7416177555 Enrollment ID: I20141013001289 |
| Provider Name | Amy L Behnken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003225244 PECOS PAC ID: 5092935155 Enrollment ID: I20141013002018 |
| Provider Name | Shana S Salik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801211545 PECOS PAC ID: 2264653369 Enrollment ID: I20141014001143 |
| Provider Name | Maria Hanneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366859977 PECOS PAC ID: 8325269475 Enrollment ID: I20141015000938 |
| Provider Name | Yvonne S Butler Tobah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437355930 PECOS PAC ID: 7719108794 Enrollment ID: I20141015001819 |
| Provider Name | Ryan J Buus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811306996 PECOS PAC ID: 9739300716 Enrollment ID: I20141015002093 |
| Provider Name | Francis I Baffour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720427156 PECOS PAC ID: 0042431066 Enrollment ID: I20141016000898 |
| Provider Name | Christina M Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760881213 PECOS PAC ID: 2264653195 Enrollment ID: I20141017002232 |
| Provider Name | Candace L Dalpiaz-seitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427467190 PECOS PAC ID: 3072734904 Enrollment ID: I20141017002292 |
| Provider Name | Chelsey M Hoffmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386044550 PECOS PAC ID: 4587885231 Enrollment ID: I20141021002073 |
| Provider Name | Terrie L Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659780658 PECOS PAC ID: 4082835780 Enrollment ID: I20141022000808 |
| Provider Name | Jennifer L Ellefson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528377 PECOS PAC ID: 7810118478 Enrollment ID: I20141023000785 |
| Provider Name | Jodie L Lester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568871036 PECOS PAC ID: 1951522374 Enrollment ID: I20141028000259 |
| Provider Name | Padraig P Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659355659 PECOS PAC ID: 0749341378 Enrollment ID: I20141028002527 |
| Provider Name | Courtney S Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225439003 PECOS PAC ID: 4486875739 Enrollment ID: I20141029002710 |
| Provider Name | Anne E Kulinski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467854562 PECOS PAC ID: 1759503857 Enrollment ID: I20141105000395 |
| Provider Name | Diane M Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023418506 PECOS PAC ID: 8729200704 Enrollment ID: I20141106000627 |
| Provider Name | Lisa M Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609275775 PECOS PAC ID: 9335361310 Enrollment ID: I20141106000772 |
| Provider Name | Sarah J Holtegaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457752420 PECOS PAC ID: 3678795697 Enrollment ID: I20141106001742 |
| Provider Name | Robert T Flinchbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639157530 PECOS PAC ID: 6507909918 Enrollment ID: I20141112001911 |
| Provider Name | Christopher M Fjosne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255732475 PECOS PAC ID: 4880816578 Enrollment ID: I20141113000709 |
| Provider Name | Jennifer D Charlebois |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003157371 PECOS PAC ID: 2961642699 Enrollment ID: I20141114001049 |
| Provider Name | Joel J Hammill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528740 PECOS PAC ID: 5890017966 Enrollment ID: I20141126000552 |
| Provider Name | Shannen R Niemeyer-metling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508270927 PECOS PAC ID: 3072835164 Enrollment ID: I20141126001296 |
| 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 | Jennifer a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407251077 PECOS PAC ID: 3870815616 Enrollment ID: I20141204001703 |
| Provider Name | Angela M Kosec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619372323 PECOS PAC ID: 6204158991 Enrollment ID: I20141208002455 |
| Provider Name | Kari L Bottemiller |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528463429 PECOS PAC ID: 8921320524 Enrollment ID: I20141210001806 |
| Provider Name | Sarah M Benak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467888107 PECOS PAC ID: 9436385069 Enrollment ID: I20141211002039 |
| Provider Name | Seth W Gregory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891930509 PECOS PAC ID: 1052552817 Enrollment ID: I20141212001332 |
| Provider Name | Rachel C Haagensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215333836 PECOS PAC ID: 5597087908 Enrollment ID: I20141212001780 |
| Provider Name | Matthew M Thom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154660595 PECOS PAC ID: 3870815293 Enrollment ID: I20141212002174 |
| Provider Name | Erika P Chirpich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063816718 PECOS PAC ID: 0547582975 Enrollment ID: I20141213000081 |
| Provider Name | Edwin Akira Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346683364 PECOS PAC ID: 7517105216 Enrollment ID: I20141224000896 |
| Provider Name | Rebecca J Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437554334 PECOS PAC ID: 3678896156 Enrollment ID: I20150108002302 |
| Provider Name | Jean M Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201940 PECOS PAC ID: 4082938378 Enrollment ID: I20150114001744 |
| Provider Name | Joel J Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710385729 PECOS PAC ID: 5193049104 Enrollment ID: I20150122002015 |
| Provider Name | Jacob J Pauly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427453216 PECOS PAC ID: 2860717378 Enrollment ID: I20150204000754 |
| Provider Name | Luis S Escobar Acevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922406222 PECOS PAC ID: 0446575500 Enrollment ID: I20150211002421 |
| Provider Name | John Anthony Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609808534 PECOS PAC ID: 4587561139 Enrollment ID: I20150213000227 |
| Provider Name | Noreen E Nordling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023406121 PECOS PAC ID: 1658696430 Enrollment ID: I20150219001578 |
| Provider Name | Richard C Winters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821025636 PECOS PAC ID: 5092602920 Enrollment ID: I20150224001819 |
| Provider Name | Jessica Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912114208 PECOS PAC ID: 6204152804 Enrollment ID: I20150225001781 |
| Provider Name | Gina M Wolfgram |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376985077 PECOS PAC ID: 4587980107 Enrollment ID: I20150226000098 |
| Provider Name | Denise Klinkner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568559235 PECOS PAC ID: 4688843154 Enrollment ID: I20150311000729 |
| Provider Name | Rodolfo Savica |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740591627 PECOS PAC ID: 0648405597 Enrollment ID: I20150312000618 |
| Provider Name | Laura E Weerheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245620228 PECOS PAC ID: 2769709427 Enrollment ID: I20150318001279 |
| Provider Name | Corbin L Plooster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902296122 PECOS PAC ID: 8628395290 Enrollment ID: I20150318001914 |
| Provider Name | Anne C Wright |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356739262 PECOS PAC ID: 1557688025 Enrollment ID: I20150320001174 |
| Provider Name | Shelly Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973760 PECOS PAC ID: 9739406687 Enrollment ID: I20150402001233 |
| Provider Name | Ann C Comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952480311 PECOS PAC ID: 7719988849 Enrollment ID: I20150415000139 |
| Provider Name | Randall a Hirn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508264367 PECOS PAC ID: 5496073652 Enrollment ID: I20150420000771 |
| Provider Name | Michelle Rene Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245579267 PECOS PAC ID: 9234374620 Enrollment ID: I20150427002521 |
| Provider Name | Brett a Freedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467466573 PECOS PAC ID: 3476654757 Enrollment ID: I20150429001847 |
| Provider Name | Dennis Regan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568510907 PECOS PAC ID: 7012922669 Enrollment ID: I20150430001772 |
| Provider Name | Stephanie S Kingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972868891 PECOS PAC ID: 8527219146 Enrollment ID: I20150430001987 |
| Provider Name | Elliot J Bruhl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083691612 PECOS PAC ID: 1254348444 Enrollment ID: I20150501000553 |
| Provider Name | Michele L Lunaas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720471485 PECOS PAC ID: 2365761913 Enrollment ID: I20150501001408 |
| Provider Name | Samuel E Leadens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295124501 PECOS PAC ID: 4486973054 Enrollment ID: I20150501002060 |
| Provider Name | Alicia J Sticha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861884819 PECOS PAC ID: 2860711470 Enrollment ID: I20150504000907 |
| Provider Name | Mary B Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841685427 PECOS PAC ID: 9436478831 Enrollment ID: I20150506002982 |
| Provider Name | Amber M Koss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457746489 PECOS PAC ID: 3173842481 Enrollment ID: I20150508001216 |
| Provider Name | Craig Ailts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447647342 PECOS PAC ID: 0749509891 Enrollment ID: I20150512001388 |
| Provider Name | Natalie F Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750782363 PECOS PAC ID: 8628397783 Enrollment ID: I20150512001808 |
| Provider Name | Sabrina Duda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083001929 PECOS PAC ID: 9436479581 Enrollment ID: I20150513002111 |
| Provider Name | Anna Calhoun |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316330665 PECOS PAC ID: 9537489513 Enrollment ID: I20150514000538 |
| Provider Name | Lisa Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316334345 PECOS PAC ID: 9335469345 Enrollment ID: I20150514001765 |
| Provider Name | Tiffany Thornton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588051270 PECOS PAC ID: 9234459249 Enrollment ID: I20150514001816 |
| Provider Name | Sarah Voogd Seng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629465679 PECOS PAC ID: 3375863301 Enrollment ID: I20150514002286 |
| Provider Name | Christina Hoeft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396132932 PECOS PAC ID: 4688994627 Enrollment ID: I20150514002506 |
| Provider Name | Sarah Armour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629236476 PECOS PAC ID: 1850535261 Enrollment ID: I20150514002653 |
| Provider Name | Bryce Ricter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942697909 PECOS PAC ID: 6305166075 Enrollment ID: I20150520001070 |
| Provider Name | Tatnai Burnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306000146 PECOS PAC ID: 4981860343 Enrollment ID: I20150520001827 |
| Provider Name | Jacob Jentzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538334628 PECOS PAC ID: 2567782261 Enrollment ID: I20150520001985 |
| Provider Name | Jordan E Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275928079 PECOS PAC ID: 0244550812 Enrollment ID: I20150521001440 |
| Provider Name | Ellen Gay Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538547799 PECOS PAC ID: 7416277090 Enrollment ID: I20150521001802 |
| Provider Name | Alexander E Gurfinkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861679987 PECOS PAC ID: 0749500213 Enrollment ID: I20150522002114 |
| Provider Name | Sarah Lobue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881081891 PECOS PAC ID: 6507186731 Enrollment ID: I20150528002946 |
| Provider Name | Jeffrey N Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992113963 PECOS PAC ID: 8921089293 Enrollment ID: I20150601000137 |
| Provider Name | Umesh Goswami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114188406 PECOS PAC ID: 9335460278 Enrollment ID: I20150604000699 |
| Provider Name | Gayle Fosterling Kontos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013934793 PECOS PAC ID: 2365457884 Enrollment ID: I20150605000144 |
| Provider Name | Taylor M Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356720858 PECOS PAC ID: 1052632627 Enrollment ID: I20150608001944 |
| Provider Name | Luke E Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245491588 PECOS PAC ID: 2163609272 Enrollment ID: I20150608002124 |
| Provider Name | Bridget T Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851783930 PECOS PAC ID: 7012238496 Enrollment ID: I20150610002445 |
| Provider Name | Kelli Marie Kyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255304762 PECOS PAC ID: 4284945593 Enrollment ID: I20150612000500 |
| Provider Name | Mohamad Bydon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871766022 PECOS PAC ID: 5395994313 Enrollment ID: I20150615001839 |
| Provider Name | John Hui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982921821 PECOS PAC ID: 3577874569 Enrollment ID: I20150617001591 |
| Provider Name | Sarah Ann Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992183438 PECOS PAC ID: 6608187646 Enrollment ID: I20150617003066 |
| Provider Name | Lihong Bu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447541644 PECOS PAC ID: 0547571580 Enrollment ID: I20150618000052 |
| Provider Name | Benjamin J Sticha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548647415 PECOS PAC ID: 0547571408 Enrollment ID: I20150618000822 |
| Provider Name | Maryam Mahmood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770843989 PECOS PAC ID: 0446561310 Enrollment ID: I20150618001168 |
| Provider Name | Said Alsidawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518196518 PECOS PAC ID: 4880824374 Enrollment ID: I20150618001274 |
| Provider Name | William Leasure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952588147 PECOS PAC ID: 0840501714 Enrollment ID: I20150618001345 |
| Provider Name | Lance Pagliaro |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568553311 PECOS PAC ID: 0143414458 Enrollment ID: I20150618002067 |
| Provider Name | Brendan C Lanpher |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1598964595 PECOS PAC ID: 6800983230 Enrollment ID: I20150619001548 |
| Provider Name | Emily L Leasure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003005836 PECOS PAC ID: 6103979430 Enrollment ID: I20150622000851 |
| 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 | Priyanka a Pophali |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1245598101 PECOS PAC ID: 7618288390 Enrollment ID: I20150622002238 |
| Provider Name | Kimberly S Corbin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770608762 PECOS PAC ID: 2365684768 Enrollment ID: I20150624001283 |
| Provider Name | Ajoy L.V. Dias |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1376776542 PECOS PAC ID: 2961714365 Enrollment ID: I20150626000900 |
| Provider Name | Amie Fonder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295112423 PECOS PAC ID: 6103138516 Enrollment ID: I20150626001416 |
| Provider Name | Courtney E Bennett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295995868 PECOS PAC ID: 8921285644 Enrollment ID: I20150629001785 |
| Provider Name | Karthik Giridhar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962778183 PECOS PAC ID: 0941512230 Enrollment ID: I20150629002297 |
| Provider Name | Brian Nils Lundstrom |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| 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 | Gary Nathan Toups |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1215914874 PECOS PAC ID: 3375855497 Enrollment ID: I20150702000822 |
| 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 | Jad Sfeir |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104189323 PECOS PAC ID: 2062724008 Enrollment ID: I20150706001949 |
| Provider Name | Michelle M Gonzalez Salgado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578849642 PECOS PAC ID: 9032421946 Enrollment ID: I20150707001606 |
| Provider Name | Pingchuan Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750693826 PECOS PAC ID: 5698087518 Enrollment ID: I20150707001902 |
| Provider Name | Brittni N Lair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952782765 PECOS PAC ID: 4385956150 Enrollment ID: I20150708000273 |
| Provider Name | Amber Koehler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932596475 PECOS PAC ID: 9931411626 Enrollment ID: I20150709000922 |
| Provider Name | Alec Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194103754 PECOS PAC ID: 1254643885 Enrollment ID: I20150709002411 |
| Provider Name | Kaylee Lanser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316326622 PECOS PAC ID: 6204148703 Enrollment ID: I20150710001648 |
| Provider Name | Nabila Bennani |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1992932230 PECOS PAC ID: 8224340716 Enrollment ID: I20150713001175 |
| Provider Name | Janelle L Van Otterloo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174906747 PECOS PAC ID: 4486967916 Enrollment ID: I20150713002403 |
| Provider Name | Houssam Halawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487941928 PECOS PAC ID: 5294974754 Enrollment ID: I20150714000609 |
| Provider Name | Stephanie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588042915 PECOS PAC ID: 4183937592 Enrollment ID: I20150714001996 |
| Provider Name | Danielle Trieste Vlazny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477930790 PECOS PAC ID: 4789997800 Enrollment ID: I20150720000420 |
| Provider Name | Wesley Gilliam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467702696 PECOS PAC ID: 6305159351 Enrollment ID: I20150720001904 |
| Provider Name | Nicole Ann Fellows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134509797 PECOS PAC ID: 4486967445 Enrollment ID: I20150720002235 |
| Provider Name | Carolyn a Yavarow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346622644 PECOS PAC ID: 2062725062 Enrollment ID: I20150721000003 |
| Provider Name | Elizabeth a Mcdonald |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922489236 PECOS PAC ID: 2668785536 Enrollment ID: I20150721001930 |
| Provider Name | Natalie Catherine Erbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477969137 PECOS PAC ID: 5890911242 Enrollment ID: I20150721003316 |
| Provider Name | Krishan Ratilal Jethwa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194136713 PECOS PAC ID: 5395058200 Enrollment ID: I20150722003366 |
| Provider Name | Michael Jundt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194136895 PECOS PAC ID: 2567775349 Enrollment ID: I20150722005870 |
| Provider Name | Maleka Khambaty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598021933 PECOS PAC ID: 6406169218 Enrollment ID: I20150723006967 |
| Provider Name | Kathryn Handlogten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255747788 PECOS PAC ID: 2860618253 Enrollment ID: I20150723007130 |
| Provider Name | Sounak Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275978272 PECOS PAC ID: 5193966976 Enrollment ID: I20150723007209 |
| Provider Name | Stephanie C Mavis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184032518 PECOS PAC ID: 4789803586 Enrollment ID: I20150723008516 |
| Provider Name | Andrea Tooley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750797213 PECOS PAC ID: 3476771346 Enrollment ID: I20150723008777 |
| Provider Name | Lucinda Gruber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558777177 PECOS PAC ID: 1355567629 Enrollment ID: I20150723008927 |
| Provider Name | Thanh Ho |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962818526 PECOS PAC ID: 4284850660 Enrollment ID: I20150724010846 |
| Provider Name | Justin Juskewitch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124434980 PECOS PAC ID: 7810113479 Enrollment ID: I20150724011396 |
| Provider Name | Mary E Westerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376959189 PECOS PAC ID: 4981820545 Enrollment ID: I20150724011609 |
| Provider Name | Benjamin Nordhues |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336555135 PECOS PAC ID: 4082830666 Enrollment ID: I20150727001377 |
| Provider Name | Rochelle J Pompeian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881005718 PECOS PAC ID: 7911211420 Enrollment ID: I20150728005359 |
| Provider Name | Nicholas Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568879484 PECOS PAC ID: 7517184161 Enrollment ID: I20150729008191 |
| Provider Name | Claudia Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720494222 PECOS PAC ID: 2961628177 Enrollment ID: I20150730011731 |
| Provider Name | Adela Cope |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548676786 PECOS PAC ID: 9931325933 Enrollment ID: I20150730012176 |
| Provider Name | Farwa Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538591953 PECOS PAC ID: 2264675214 Enrollment ID: I20150730013609 |
| Provider Name | Luke C Radel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144637182 PECOS PAC ID: 3476771254 Enrollment ID: I20150731014829 |
| Provider Name | Alessandra Ainsworth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679989958 PECOS PAC ID: 6507082724 Enrollment ID: I20150731014948 |
| Provider Name | Deborah L Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992101620 PECOS PAC ID: 7113231275 Enrollment ID: I20150803001235 |
| Provider Name | John R Giudicessi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952717795 PECOS PAC ID: 5597984013 Enrollment ID: I20150803001313 |
| Provider Name | Waleed Gibreel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114367042 PECOS PAC ID: 5193967453 Enrollment ID: I20150803001878 |
| Provider Name | Allan Klompas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164854600 PECOS PAC ID: 6406080621 Enrollment ID: I20150803002334 |
| Provider Name | Derek Gearman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629485214 PECOS PAC ID: 7719104850 Enrollment ID: I20150803002519 |
| Provider Name | Rachel a Lindor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376983064 PECOS PAC ID: 5698991305 Enrollment ID: I20150804003198 |
| Provider Name | Miguel T Teixeira |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205242070 PECOS PAC ID: 9830315605 Enrollment ID: I20150804003886 |
| Provider Name | Katie Luhmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396129805 PECOS PAC ID: 8123332160 Enrollment ID: I20150804004434 |
| Provider Name | Eric Vargas Valls |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104232537 PECOS PAC ID: 6608092069 Enrollment ID: I20150804004436 |
| Provider Name | Lezlie Halbach Andersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063829869 PECOS PAC ID: 5496973273 Enrollment ID: I20150804004994 |
| Provider Name | Barrett Howell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487073243 PECOS PAC ID: 6709105091 Enrollment ID: I20150804005424 |
| Provider Name | Bernardo Curi Mendes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760814891 PECOS PAC ID: 0345483988 Enrollment ID: I20150805007189 |
| Provider Name | Mehrdad Hefazi Torghabeh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265873970 PECOS PAC ID: 0749422871 Enrollment ID: I20150805007430 |
| Provider Name | Julie Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164838488 PECOS PAC ID: 4183840085 Enrollment ID: I20150805008025 |
| Provider Name | Kelly M Pennington |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699181255 PECOS PAC ID: 7719103944 Enrollment ID: I20150806010998 |
| Provider Name | Hannah Nordhues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134535933 PECOS PAC ID: 1951527522 Enrollment ID: I20150806011119 |
| Provider Name | Sahar Saddoughi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821404732 PECOS PAC ID: 5698991586 Enrollment ID: I20150806011289 |
| Provider Name | Derek Stitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629486980 PECOS PAC ID: 2961621081 Enrollment ID: I20150806011846 |
| Provider Name | Paige Partain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659787109 PECOS PAC ID: 2163648866 Enrollment ID: I20150806012267 |
| Provider Name | Elsie Mensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285040071 PECOS PAC ID: 7517183098 Enrollment ID: I20150806012326 |
| Provider Name | Bradford Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457767691 PECOS PAC ID: 0143446005 Enrollment ID: I20150807013035 |
| Provider Name | Vidit Sharma |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063828465 PECOS PAC ID: 1557587987 Enrollment ID: I20150807013523 |
| Provider Name | Raymond Stetson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497163653 PECOS PAC ID: 1052530458 Enrollment ID: I20150807013908 |
| Provider Name | Sushil Luis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447691175 PECOS PAC ID: 4789825480 Enrollment ID: I20150807013911 |
| Provider Name | Ashley Egan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811303365 PECOS PAC ID: 3072739465 Enrollment ID: I20150807013926 |
| Provider Name | Daniel Partain |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063828150 PECOS PAC ID: 4385861434 Enrollment ID: I20150807014042 |
| Provider Name | Dagny Kristine Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245646751 PECOS PAC ID: 2466678826 Enrollment ID: I20150810002797 |
| Provider Name | Jon M Christensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033527866 PECOS PAC ID: 1557589702 Enrollment ID: I20150810002965 |
| Provider Name | Carl Andersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902213556 PECOS PAC ID: 6002033172 Enrollment ID: I20150810003184 |
| Provider Name | Lindsay Warner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326456039 PECOS PAC ID: 2466767041 Enrollment ID: I20150811004727 |
| Provider Name | Michelle Junker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194132803 PECOS PAC ID: 6204054083 Enrollment ID: I20150811004796 |
| Provider Name | Ivan Carabenciov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083020499 PECOS PAC ID: 1759507114 Enrollment ID: I20150812006184 |
| Provider Name | Juan Diaz Soto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881035608 PECOS PAC ID: 5597906131 Enrollment ID: I20150812006248 |
| Provider Name | Urshila Durani |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1275949745 PECOS PAC ID: 4981821436 Enrollment ID: I20150812006353 |
| Provider Name | Sheryl a Sathrum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144602475 PECOS PAC ID: 9739494394 Enrollment ID: I20150812007087 |
| Provider Name | Adam C Bledsoe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073929733 PECOS PAC ID: 2466678834 Enrollment ID: I20150812007357 |
| Provider Name | Lindsay Guevara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821417254 PECOS PAC ID: 8820303290 Enrollment ID: I20150813010914 |
| Provider Name | William Tobin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063858777 PECOS PAC ID: 3072752757 Enrollment ID: I20150814012882 |
| Provider Name | Jennifer L Grean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740664309 PECOS PAC ID: 8325353568 Enrollment ID: I20150817001476 |
| Provider Name | Jason Rathbun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912389305 PECOS PAC ID: 2062727266 Enrollment ID: I20150818003625 |
| Provider Name | Ahmad Parvinian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992122824 PECOS PAC ID: 6305151440 Enrollment ID: I20150818005251 |
| Provider Name | John M Franco |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437566262 PECOS PAC ID: 3870808785 Enrollment ID: I20150820010668 |
| 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 | Katie Jane Asberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750767174 PECOS PAC ID: 8820304629 Enrollment ID: I20150824002219 |
| Provider Name | Diego Zaquera Carvalho |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366882706 PECOS PAC ID: 9739305954 Enrollment ID: I20150826001325 |
| Provider Name | Lacey Gagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912382789 PECOS PAC ID: 9537475207 Enrollment ID: I20150826002633 |
| Provider Name | Carrie L Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750762274 PECOS PAC ID: 3274849856 Enrollment ID: I20150827000161 |
| Provider Name | Jade T Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932583168 PECOS PAC ID: 1355657941 Enrollment ID: I20150827000541 |
| Provider Name | Erika M Mcmahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437567252 PECOS PAC ID: 4183842362 Enrollment ID: I20150827001662 |
| Provider Name | Janalee Stokken |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174752851 PECOS PAC ID: 9739306069 Enrollment ID: I20150827001719 |
| Provider Name | Jamie Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689058604 PECOS PAC ID: 1557677903 Enrollment ID: I20150831000904 |
| Provider Name | Eleshia Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518305341 PECOS PAC ID: 6709192081 Enrollment ID: I20150901002039 |
| Provider Name | Kristie Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457727612 PECOS PAC ID: 5597071886 Enrollment ID: I20150901002515 |
| Provider Name | Wendaline M Vanburen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710306683 PECOS PAC ID: 2567687171 Enrollment ID: I20150901002768 |
| Provider Name | Sarel Myburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508242397 PECOS PAC ID: 5597071829 Enrollment ID: I20150902000186 |
| Provider Name | Anna Myburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912383647 PECOS PAC ID: 9739495060 Enrollment ID: I20150902000333 |
| Provider Name | Melissa Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595467 PECOS PAC ID: 4183930035 Enrollment ID: I20150908003107 |
| Provider Name | John Charles Matulis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891013140 PECOS PAC ID: 9830404136 Enrollment ID: I20150909000148 |
| Provider Name | Stephanie Cunningham Gregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366823767 PECOS PAC ID: 6204142169 Enrollment ID: I20150909000165 |
| Provider Name | Sheri Merten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346626579 PECOS PAC ID: 2860709672 Enrollment ID: I20150910002744 |
| Provider Name | Matthew R Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427013572 PECOS PAC ID: 2961430582 Enrollment ID: I20150911000685 |
| Provider Name | Anne M Stolp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972989473 PECOS PAC ID: 6305153982 Enrollment ID: I20150915000503 |
| Provider Name | Theodora Potretzke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154551646 PECOS PAC ID: 4183857139 Enrollment ID: I20150916001181 |
| Provider Name | Amy Jo Lee-wiener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922476324 PECOS PAC ID: 3678880192 Enrollment ID: I20150916001568 |
| Provider Name | Elena a Swan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619107448 PECOS PAC ID: 5890933766 Enrollment ID: I20150916003089 |
| Provider Name | Tamara Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770959009 PECOS PAC ID: 6507173903 Enrollment ID: I20150917001332 |
| Provider Name | Leah M Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366818098 PECOS PAC ID: 6103133517 Enrollment ID: I20150917001538 |
| Provider Name | Miriam Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366810210 PECOS PAC ID: 4486961786 Enrollment ID: I20150918001984 |
| Provider Name | Sarah Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114302221 PECOS PAC ID: 9032426341 Enrollment ID: I20150918002462 |
| Provider Name | Andrew R Mortenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811230287 PECOS PAC ID: 0244462877 Enrollment ID: I20150921001439 |
| Provider Name | Elena Myasoedova |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235576232 PECOS PAC ID: 5496998494 Enrollment ID: I20150921002309 |
| Provider Name | Mary Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871920397 PECOS PAC ID: 6406089135 Enrollment ID: I20150922000768 |
| Provider Name | Michelle M Copley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043695380 PECOS PAC ID: 3779890827 Enrollment ID: I20150922001894 |
| Provider Name | Christine Hunt |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447678628 PECOS PAC ID: 1557678596 Enrollment ID: I20150923001852 |
| Provider Name | Jocelyn Coy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454509 PECOS PAC ID: 8527376599 Enrollment ID: I20150925000107 |
| Provider Name | Scott C Lester |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013337054 PECOS PAC ID: 5698083491 Enrollment ID: I20150928002484 |
| Provider Name | Kathleen Cochrane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114395654 PECOS PAC ID: 2860700689 Enrollment ID: I20150929000380 |
| Provider Name | Lucy M Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770964025 PECOS PAC ID: 7012225857 Enrollment ID: I20150929000856 |
| Provider Name | Stephanie Janette Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366634719 PECOS PAC ID: 4981912649 Enrollment ID: I20150929001763 |
| Provider Name | Leah N Francis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427480003 PECOS PAC ID: 7416181268 Enrollment ID: I20150929002404 |
| Provider Name | Michael Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952777690 PECOS PAC ID: 9234447806 Enrollment ID: I20150930002797 |
| Provider Name | Evan R Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194101147 PECOS PAC ID: 4789992314 Enrollment ID: I20151001001404 |
| Provider Name | Jessica Stanich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033526751 PECOS PAC ID: 1355568056 Enrollment ID: I20151001001667 |
| Provider Name | Theresa Madigan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881035640 PECOS PAC ID: 9335381086 Enrollment ID: I20151001001831 |
| Provider Name | Jessica Shelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407223894 PECOS PAC ID: 7618285180 Enrollment ID: I20151002000042 |
| Provider Name | Gina Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013393529 PECOS PAC ID: 9335457803 Enrollment ID: I20151002000094 |
| Provider Name | Catherine Bausano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558730861 PECOS PAC ID: 5991013401 Enrollment ID: I20151002001591 |
| Provider Name | Julie Stierwalt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154707990 PECOS PAC ID: 6305154758 Enrollment ID: I20151005000650 |
| Provider Name | Cecilia Ann Puig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114308657 PECOS PAC ID: 3971811373 Enrollment ID: I20151005002897 |
| Provider Name | Tiffany Olswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373665 PECOS PAC ID: 7012225386 Enrollment ID: I20151006002452 |
| Provider Name | Laura M Little |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558730929 PECOS PAC ID: 3173831229 Enrollment ID: I20151009000547 |
| Provider Name | Ashley P Pountney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386087153 PECOS PAC ID: 4385884485 Enrollment ID: I20151013000121 |
| Provider Name | Malia J Eustice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598133076 PECOS PAC ID: 0749599645 Enrollment ID: I20151015001064 |
| Provider Name | Emily Anne Hosfield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295105831 PECOS PAC ID: 0446569073 Enrollment ID: I20151022001567 |
| Provider Name | Ann Braus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033401609 PECOS PAC ID: 8628391471 Enrollment ID: I20151022001763 |
| Provider Name | Michelle Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093190845 PECOS PAC ID: 1254640741 Enrollment ID: I20151023001178 |
| Provider Name | John D Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619346004 PECOS PAC ID: 8022327527 Enrollment ID: I20151023001424 |
| Provider Name | Erin Glunz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154798742 PECOS PAC ID: 3274842778 Enrollment ID: I20151023001543 |
| Provider Name | Emma Fell Johnson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033538517 PECOS PAC ID: 9133438567 Enrollment ID: I20151026000335 |
| Provider Name | Emily Axelson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457720245 PECOS PAC ID: 4688983968 Enrollment ID: I20151028000475 |
| Provider Name | Hillery Arroyo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790903227 PECOS PAC ID: 6103136171 Enrollment ID: I20151103001082 |
| Provider Name | Tiffany Joy Lohfink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245602572 PECOS PAC ID: 0648580670 Enrollment ID: I20151103003257 |
| 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 | Lauren M Starr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316348170 PECOS PAC ID: 4385865393 Enrollment ID: I20151116002206 |
| Provider Name | Juliet E Sunberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346611811 PECOS PAC ID: 2567762883 Enrollment ID: I20151118001056 |
| Provider Name | Oludare Olatoye |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1235575879 PECOS PAC ID: 9234355975 Enrollment ID: I20151119001509 |
| Provider Name | Karre Betzig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942515457 PECOS PAC ID: 4880881564 Enrollment ID: I20151120000699 |
| Provider Name | Molissa M Hager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780903047 PECOS PAC ID: 9436283991 Enrollment ID: I20151120001280 |
| Provider Name | Stephanie Burfeind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184097172 PECOS PAC ID: 0648570721 Enrollment ID: I20151120001769 |
| 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 | Anita May Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437590122 PECOS PAC ID: 2860628211 Enrollment ID: I20151201001980 |
| Provider Name | Mary M Bryngelson-lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376928648 PECOS PAC ID: 1456651116 Enrollment ID: I20151202000253 |
| Provider Name | Stephanie Elizabeth Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588037337 PECOS PAC ID: 2365742947 Enrollment ID: I20151203002744 |
| Provider Name | Jonathan Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397288 PECOS PAC ID: 3173823762 Enrollment ID: I20151203003197 |
| Provider Name | Michelle Hung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427420793 PECOS PAC ID: 5698075166 Enrollment ID: I20151207000338 |
| Provider Name | Kathryn M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679883474 PECOS PAC ID: 0042408106 Enrollment ID: I20151207001948 |
| Provider Name | Isabel C Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235275520 PECOS PAC ID: 4981764347 Enrollment ID: I20151207002125 |
| Provider Name | Tami Halverson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275908964 PECOS PAC ID: 3779884804 Enrollment ID: I20151215001737 |
| Provider Name | Patricia Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285008649 PECOS PAC ID: 4082915814 Enrollment ID: I20151218002129 |
| Provider Name | Renee Sue Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679948244 PECOS PAC ID: 8224339874 Enrollment ID: I20151224000053 |
| Provider Name | Andrew Homb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699806265 PECOS PAC ID: 5991821118 Enrollment ID: I20151224000138 |
| Provider Name | Tanya Bredesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720453137 PECOS PAC ID: 7810298403 Enrollment ID: I20151228001063 |
| Provider Name | April Chiu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023058252 PECOS PAC ID: 1153469887 Enrollment ID: I20151228001371 |
| Provider Name | Jason Emde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912280710 PECOS PAC ID: 2668648510 Enrollment ID: I20160106001839 |
| Provider Name | Tara Emde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902148224 PECOS PAC ID: 3870817307 Enrollment ID: I20160106002301 |
| Provider Name | Amanda Esau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871962639 PECOS PAC ID: 1951603067 Enrollment ID: I20160106002333 |
| Provider Name | Audrey Schuetz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962600064 PECOS PAC ID: 9739265612 Enrollment ID: I20160111002408 |
| Provider Name | Heidi Jo Wightman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841665627 PECOS PAC ID: 2365744158 Enrollment ID: I20160111002795 |
| Provider Name | Anna Forsman-johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780882282 PECOS PAC ID: 3870895501 Enrollment ID: I20160112001408 |
| Provider Name | James Milavetz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154316206 PECOS PAC ID: 2961391644 Enrollment ID: I20160121001583 |
| Provider Name | Brittany Don Vlaminck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154796449 PECOS PAC ID: 0345543112 Enrollment ID: I20160128001443 |
| Provider Name | Katherine Geiersbach |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811043425 PECOS PAC ID: 7214073253 Enrollment ID: I20160210002420 |
| Provider Name | Ana Casanegra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649452020 PECOS PAC ID: 8527256130 Enrollment ID: I20160215001730 |
| Provider Name | Angie Lou Tomlinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669617676 PECOS PAC ID: 5799080339 Enrollment ID: I20160219001331 |
| Provider Name | Nikki Stricker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720239916 PECOS PAC ID: 6800071473 Enrollment ID: I20160219001505 |
| Provider Name | Joann M Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164899621 PECOS PAC ID: 7113222662 Enrollment ID: I20160222002684 |
| Provider Name | Jill Rohling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255790382 PECOS PAC ID: 0840596581 Enrollment ID: I20160307002131 |
| Provider Name | Mina Se Hanna |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1205169430 PECOS PAC ID: 0143532457 Enrollment ID: I20160308001957 |
| Provider Name | Shehzad Khan Niazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174554919 PECOS PAC ID: 4688618747 Enrollment ID: I20160311001132 |
| Provider Name | Ciara C Osullivan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427495357 PECOS PAC ID: 9638475981 Enrollment ID: I20160311001350 |
| Provider Name | Kenneth K. Sakata |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811122666 PECOS PAC ID: 7315197902 Enrollment ID: I20160314002423 |
| Provider Name | Alicia a Mickow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609235530 PECOS PAC ID: 3173829322 Enrollment ID: I20160314002485 |
| Provider Name | Kelli L Passalacqua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780044354 PECOS PAC ID: 4587960737 Enrollment ID: I20160315000005 |
| Provider Name | Laura Connett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710304340 PECOS PAC ID: 9739485913 Enrollment ID: I20160315000639 |
| Provider Name | Sarah Ann Rudnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104285048 PECOS PAC ID: 3375849557 Enrollment ID: I20160315000648 |
| Provider Name | Peter J Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841659182 PECOS PAC ID: 7012213176 Enrollment ID: I20160316000081 |
| Provider Name | Heidi Marie Shriver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073972949 PECOS PAC ID: 0749586808 Enrollment ID: I20160316000089 |
| Provider Name | Leah R Graf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497112767 PECOS PAC ID: 9830495852 Enrollment ID: I20160316002311 |
| Provider Name | Michele L Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801255823 PECOS PAC ID: 8921304965 Enrollment ID: I20160316002732 |
| Provider Name | Kaitlin F Ahlskog |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649638883 PECOS PAC ID: 5193022184 Enrollment ID: I20160317001875 |
| Provider Name | Sarah L Kratz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972505246 PECOS PAC ID: 7416930656 Enrollment ID: I20160318001363 |
| Provider Name | Casey a Fazer-posorske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891173258 PECOS PAC ID: 5799082756 Enrollment ID: I20160318001615 |
| Provider Name | Yu Shi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558650994 PECOS PAC ID: 7416254982 Enrollment ID: I20160328002321 |
| Provider Name | Roberta J Losure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831559368 PECOS PAC ID: 0941507438 Enrollment ID: I20160329000384 |
| Provider Name | Sarah Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295002400 PECOS PAC ID: 6507003894 Enrollment ID: I20160330002386 |
| Provider Name | Erica Bryan-wegner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578922597 PECOS PAC ID: 0143527309 Enrollment ID: I20160404000015 |
| Provider Name | Jesse Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770947319 PECOS PAC ID: 4385942093 Enrollment ID: I20160413001724 |
| Provider Name | Crystal Crowley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053774356 PECOS PAC ID: 9830497403 Enrollment ID: I20160414001237 |
| Provider Name | Samuel Ahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942663026 PECOS PAC ID: 9931407541 Enrollment ID: I20160415000263 |
| Provider Name | Heather a Larsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669835765 PECOS PAC ID: 8224336656 Enrollment ID: I20160418001810 |
| Provider Name | Sarah E Ness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710100797 PECOS PAC ID: 0648578039 Enrollment ID: I20160419001034 |
| Provider Name | Valerie Lynn Martinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922452861 PECOS PAC ID: 5193024073 Enrollment ID: I20160427000940 |
| Provider Name | Patricio C Gargollo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982661781 PECOS PAC ID: 6305854357 Enrollment ID: I20160427001165 |
| Provider Name | Meredith a O'brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780048702 PECOS PAC ID: 1951600865 Enrollment ID: I20160427002080 |
| Provider Name | Michael Kraft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669835088 PECOS PAC ID: 0345549101 Enrollment ID: I20160428001136 |
| Provider Name | Heidi Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366806085 PECOS PAC ID: 8921307653 Enrollment ID: I20160502002566 |
| Provider Name | Wendy Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316391279 PECOS PAC ID: 5092014647 Enrollment ID: I20160503000716 |
| Provider Name | Sharon Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568817708 PECOS PAC ID: 2466751946 Enrollment ID: I20160504002656 |
| Provider Name | Benjamin K Mohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659732378 PECOS PAC ID: 8921397910 Enrollment ID: I20160513001622 |
| Provider Name | Janis J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679928345 PECOS PAC ID: 6709175730 Enrollment ID: I20160516000729 |
| Provider Name | Madelynn Anne Strong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194171322 PECOS PAC ID: 8123317971 Enrollment ID: I20160517002410 |
| Provider Name | Chad Cherny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154775054 PECOS PAC ID: 9133418965 Enrollment ID: I20160518001876 |
| Provider Name | Elise Rose Tentis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508288374 PECOS PAC ID: 1052544004 Enrollment ID: I20160518002609 |
| Provider Name | Michael Wainberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487637732 PECOS PAC ID: 0143357715 Enrollment ID: I20160519001513 |
| Provider Name | Lasonya Natividad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528422854 PECOS PAC ID: 5991094484 Enrollment ID: I20160524000358 |
| Provider Name | Matthew D Tentis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114372968 PECOS PAC ID: 0840580239 Enrollment ID: I20160525002864 |
| Provider Name | Yucai Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174866016 PECOS PAC ID: 5092005454 Enrollment ID: I20160526001613 |
| Provider Name | Elizabeth J. Cathcart-rake |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275876989 PECOS PAC ID: 9830327311 Enrollment ID: I20160526001686 |
| Provider Name | Michelle Kodet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740635580 PECOS PAC ID: 3476843848 Enrollment ID: I20160526001822 |
| Provider Name | Amy Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619323979 PECOS PAC ID: 1951691161 Enrollment ID: I20160531002026 |
| Provider Name | Eric Christopher Ehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497045173 PECOS PAC ID: 5698906220 Enrollment ID: I20160601000040 |
| Provider Name | David Douglas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760467898 PECOS PAC ID: 8123913985 Enrollment ID: I20160601001898 |
| Provider Name | Zhaohui Jin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750659025 PECOS PAC ID: 7113217290 Enrollment ID: I20160601002187 |
| Provider Name | Steven W Schreiter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790747087 PECOS PAC ID: 2860405818 Enrollment ID: I20160603000208 |
| 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 | Scott M Boeke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902198740 PECOS PAC ID: 9133424252 Enrollment ID: I20160607000401 |
| Provider Name | Jane Deering |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770502064 PECOS PAC ID: 0446394175 Enrollment ID: I20160608001926 |
| Provider Name | Charles R Sims |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518221902 PECOS PAC ID: 3476879453 Enrollment ID: I20160613001049 |
| Provider Name | Aaron M Potretzke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114157609 PECOS PAC ID: 1759513112 Enrollment ID: I20160613001358 |
| Provider Name | Maria De Los Angeles Mendoza De La Garza |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447699400 PECOS PAC ID: 1254622798 Enrollment ID: I20160614001026 |
| Provider Name | Nahid Yakuby Vidal |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1316269103 PECOS PAC ID: 7416191762 Enrollment ID: I20160616000232 |
| Provider Name | Hannah L Mattheisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629427737 PECOS PAC ID: 4284925462 Enrollment ID: I20160617001189 |
| Provider Name | Jonathan Elliot Charnin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689641870 PECOS PAC ID: 0345244646 Enrollment ID: I20160620002501 |
| Provider Name | Kristen Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184073926 PECOS PAC ID: 5698066769 Enrollment ID: I20160621000198 |
| Provider Name | Shaun S Dowd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780044024 PECOS PAC ID: 9436440310 Enrollment ID: I20160623001744 |
| Provider Name | Rosalyn Adigun |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1649616913 PECOS PAC ID: 9830480748 Enrollment ID: I20160624000085 |
| Provider Name | James Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154676294 PECOS PAC ID: 6709177595 Enrollment ID: I20160627000717 |
| Provider Name | Lindsay Paige Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134576655 PECOS PAC ID: 1658662226 Enrollment ID: I20160629001251 |
| Provider Name | Angela Imhoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912351131 PECOS PAC ID: 4789975368 Enrollment ID: I20160629001481 |
| Provider Name | Laura a Loga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407205586 PECOS PAC ID: 9931491529 Enrollment ID: I20160629002388 |
| Provider Name | Valery Joseph Andre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952634776 PECOS PAC ID: 8426292913 Enrollment ID: I20160630001914 |
| Provider Name | Jocelyn Lebow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356626113 PECOS PAC ID: 0547495046 Enrollment ID: I20160705000715 |
| Provider Name | Gustavo Cortes Puentes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447694641 PECOS PAC ID: 3779875141 Enrollment ID: I20160705000815 |
| Provider Name | Ali Austreberto Duarte Garcia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134481765 PECOS PAC ID: 7719279140 Enrollment ID: I20160706000437 |
| Provider Name | Victor G Chedid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023351061 PECOS PAC ID: 7315165784 Enrollment ID: I20160708001202 |
| Provider Name | Tito Pena Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336310119 PECOS PAC ID: 8325111586 Enrollment ID: I20160712002206 |
| Provider Name | Megan Barrone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265895478 PECOS PAC ID: 9537451547 Enrollment ID: I20160712003015 |
| Provider Name | Ana Catarina De Oliveira Virgens Paim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154762292 PECOS PAC ID: 9739472481 Enrollment ID: I20160719000745 |
| Provider Name | Stephen English |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225417686 PECOS PAC ID: 2769703024 Enrollment ID: I20160719002870 |
| Provider Name | Christopher Marcellino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356720510 PECOS PAC ID: 5698086429 Enrollment ID: I20160720002199 |
| Provider Name | Daniel a Schupack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912386806 PECOS PAC ID: 7719298447 Enrollment ID: I20160720002645 |
| Provider Name | Hee Eun Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447668892 PECOS PAC ID: 9739308537 Enrollment ID: I20160720002836 |
| Provider Name | Shari Bornstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679556005 PECOS PAC ID: 3375692494 Enrollment ID: I20160720002919 |
| Provider Name | Katherine Maland Schupack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659750313 PECOS PAC ID: 3476864190 Enrollment ID: I20160721000590 |
| Provider Name | Jeremy Ganong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083064323 PECOS PAC ID: 7618260134 Enrollment ID: I20160721000760 |
| 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 | Matthew Ryan Starr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972982262 PECOS PAC ID: 9739490418 Enrollment ID: I20160722000471 |
| Provider Name | Scott Jacob Austin Speelziek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962887208 PECOS PAC ID: 0345557674 Enrollment ID: I20160722000857 |
| Provider Name | Paul Hampel |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1104204510 PECOS PAC ID: 2264752419 Enrollment ID: I20160722001204 |
| Provider Name | Jithma Abeykoon |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1306225453 PECOS PAC ID: 8729393228 Enrollment ID: I20160722001654 |
| Provider Name | Fadi Elias Shamoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225038250 PECOS PAC ID: 1456250067 Enrollment ID: I20160722001739 |
| Provider Name | Ajay Akash Madhavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285029330 PECOS PAC ID: 1052604402 Enrollment ID: I20160722002269 |
| Provider Name | Courtney Elizabeth Ubl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285086991 PECOS PAC ID: 7113210477 Enrollment ID: I20160725000382 |
| Provider Name | Nadia Elfessi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154778678 PECOS PAC ID: 5395038673 Enrollment ID: I20160725001035 |
| 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 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 | Erin Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780062109 PECOS PAC ID: 2163737602 Enrollment ID: I20160725002325 |
| Provider Name | Ryan Carr |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366820789 PECOS PAC ID: 2567783038 Enrollment ID: I20160726000273 |
| Provider Name | Tatsuya Oishi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447645668 PECOS PAC ID: 3577864131 Enrollment ID: I20160726000362 |
| 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 | Garret M Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962897298 PECOS PAC ID: 5294028478 Enrollment ID: I20160726001069 |
| Provider Name | Ashley V Wong Grossman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841679347 PECOS PAC ID: 0648582650 Enrollment ID: I20160726001129 |
| Provider Name | Nicholas Tan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770962029 PECOS PAC ID: 0143531806 Enrollment ID: I20160726001701 |
| Provider Name | Melissa Kalyn Skov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558712026 PECOS PAC ID: 3779876982 Enrollment ID: I20160726001844 |
| Provider Name | Douglas Challener |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396123709 PECOS PAC ID: 4880915339 Enrollment ID: I20160726002215 |
| Provider Name | Scott M Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629457502 PECOS PAC ID: 6709191125 Enrollment ID: I20160726002608 |
| Provider Name | Kimberly L Seidel-miller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760861652 PECOS PAC ID: 5193037075 Enrollment ID: I20160727000661 |
| Provider Name | Mark Norton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942689203 PECOS PAC ID: 3072825280 Enrollment ID: I20160727001262 |
| Provider Name | Jay-sheree Allen Akambase |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1760863013 PECOS PAC ID: 4385956226 Enrollment ID: I20160727001664 |
| Provider Name | Derick Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730568759 PECOS PAC ID: 3375854920 Enrollment ID: I20160727002868 |
| Provider Name | Terin Tecla Sytsma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730560814 PECOS PAC ID: 8325350358 Enrollment ID: I20160728001401 |
| Provider Name | Vijay K Ramanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912391459 PECOS PAC ID: 7719290915 Enrollment ID: I20160729000058 |
| Provider Name | Micah D. Yost |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407235393 PECOS PAC ID: 8921310954 Enrollment ID: I20160729000431 |
| Provider Name | Moritz Binder |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942619804 PECOS PAC ID: 2567681091 Enrollment ID: I20160729001707 |
| Provider Name | Connie Geno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134266042 PECOS PAC ID: 0547157265 Enrollment ID: I20160801000677 |
| Provider Name | Paul William Yerhot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033590393 PECOS PAC ID: 7911218474 Enrollment ID: I20160801000764 |
| Provider Name | Jessica Marie Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501228 PECOS PAC ID: 9335432160 Enrollment ID: I20160801001252 |
| Provider Name | Abigail Katzka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164875035 PECOS PAC ID: 0648563429 Enrollment ID: I20160802000121 |
| Provider Name | Virginia Dines |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346628765 PECOS PAC ID: 9931420320 Enrollment ID: I20160802000316 |
| Provider Name | Michael P Oien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356736482 PECOS PAC ID: 1951694744 Enrollment ID: I20160802000384 |
| Provider Name | Alan Michael Sugrue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154737690 PECOS PAC ID: 2062638281 Enrollment ID: I20160802000611 |
| Provider Name | Fantley Clay Smither |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720472293 PECOS PAC ID: 5395039184 Enrollment ID: I20160802000831 |
| Provider Name | Hannah Marie Borup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851744593 PECOS PAC ID: 4880988609 Enrollment ID: I20160802001661 |
| Provider Name | Corrie R Bach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023403672 PECOS PAC ID: 7719292093 Enrollment ID: I20160802002472 |
| Provider Name | Omair a Shariq |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821405424 PECOS PAC ID: 8022236066 Enrollment ID: I20160802002505 |
| Provider Name | Elizabeth Leigh Bechtum |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417304163 PECOS PAC ID: 4284928045 Enrollment ID: I20160802002859 |
| Provider Name | Gururaj J Kolar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619315660 PECOS PAC ID: 9931493657 Enrollment ID: I20160803001487 |
| Provider Name | Abhishek a Mangaonkar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1871933770 PECOS PAC ID: 5799928883 Enrollment ID: I20160804000557 |
| Provider Name | Daniel Childs |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851770036 PECOS PAC ID: 7810208709 Enrollment ID: I20160804000752 |
| Provider Name | Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754061 PECOS PAC ID: 8729372321 Enrollment ID: I20160804000867 |
| Provider Name | Lindsey Grace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750732798 PECOS PAC ID: 4789978313 Enrollment ID: I20160804001917 |
| Provider Name | Sherry Ge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666282 PECOS PAC ID: 5890017958 Enrollment ID: I20160805000115 |
| Provider Name | Trygve Armour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053790485 PECOS PAC ID: 3870808314 Enrollment ID: I20160805000731 |
| Provider Name | Brittany a Snider |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003200304 PECOS PAC ID: 1850604034 Enrollment ID: I20160805001531 |
| Provider Name | Olivia M Muller |
|---|---|
| Provider Type | Practitioner - Prosthodontics |
| Provider Identifiers | NPI Number: 1649634304 PECOS PAC ID: 2163716507 Enrollment ID: I20160809000400 |
| Provider Name | Nicholas P Mckenna |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467831354 PECOS PAC ID: 2961713649 Enrollment ID: I20160809000687 |
| Provider Name | Michael T Orte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245683077 PECOS PAC ID: 2567756794 Enrollment ID: I20160810001183 |
| Provider Name | Bridget P Pulos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003101049 PECOS PAC ID: 4385959766 Enrollment ID: I20160811001450 |
| Provider Name | Nicholas a Pulos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306139837 PECOS PAC ID: 6305130436 Enrollment ID: I20160811001594 |
| Provider Name | Brendan M Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902285331 PECOS PAC ID: 1759698400 Enrollment ID: I20160811001622 |
| Provider Name | Nian En Chiang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750760831 PECOS PAC ID: 6406167378 Enrollment ID: I20160811001652 |
| Provider Name | Jennifer L Leiting |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558740738 PECOS PAC ID: 9133430341 Enrollment ID: I20160812000120 |
| Provider Name | Jamie House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700232790 PECOS PAC ID: 4880988989 Enrollment ID: I20160812000641 |
| Provider Name | Yu Kawai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114156072 PECOS PAC ID: 3577864453 Enrollment ID: I20160812001315 |
| Provider Name | Emily Brigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083168009 PECOS PAC ID: 0547554487 Enrollment ID: I20160816000206 |
| Provider Name | David M. Routman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063806347 PECOS PAC ID: 1850685744 Enrollment ID: I20160816001969 |
| Provider Name | Derek S Remme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784120 PECOS PAC ID: 5698060598 Enrollment ID: I20160816002817 |
| Provider Name | Martha Hagenbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679705107 PECOS PAC ID: 8123284775 Enrollment ID: I20160817001311 |
| Provider Name | Brianne a Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330743 PECOS PAC ID: 0749575561 Enrollment ID: I20160818000501 |
| Provider Name | Elizabeth M Valencia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437386679 PECOS PAC ID: 7012138381 Enrollment ID: I20160822000432 |
| Provider Name | Thanai Pongdee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1538111356 PECOS PAC ID: 3173622735 Enrollment ID: I20160823002290 |
| Provider Name | Megan Petrik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932553443 PECOS PAC ID: 8628363165 Enrollment ID: I20160824000096 |
| Provider Name | Kelsey Kae Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982157822 PECOS PAC ID: 9133414501 Enrollment ID: I20160824001281 |
| Provider Name | Mark Albert Romportl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871047670 PECOS PAC ID: 3577858943 Enrollment ID: I20160824001328 |
| Provider Name | Natalia Lazik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689905705 PECOS PAC ID: 4486849114 Enrollment ID: I20160824002001 |
| Provider Name | Amanda K Lorenz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225390073 PECOS PAC ID: 4688815228 Enrollment ID: I20160824002005 |
| Provider Name | Don Codipilly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861870289 PECOS PAC ID: 9830400076 Enrollment ID: I20160824002971 |
| Provider Name | Hilary Dubrock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649442716 PECOS PAC ID: 7012179260 Enrollment ID: I20160825002677 |
| Provider Name | Jacqueline Rae Wanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952855322 PECOS PAC ID: 8123313343 Enrollment ID: I20160825002897 |
| Provider Name | Alexander Niven |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578543716 PECOS PAC ID: 2769661826 Enrollment ID: I20160826001684 |
| Provider Name | Christine Klassen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801186705 PECOS PAC ID: 3870730989 Enrollment ID: I20160826001785 |
| Provider Name | Robert J Pignolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558302315 PECOS PAC ID: 3072649516 Enrollment ID: I20160829000186 |
| Provider Name | Victor Davila |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659712982 PECOS PAC ID: 4284854191 Enrollment ID: I20160829000545 |
| Provider Name | Heidi a Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945469 PECOS PAC ID: 4981999042 Enrollment ID: I20160829001173 |
| Provider Name | Elizabeth Carolilne Kinau Wight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972982940 PECOS PAC ID: 6103138185 Enrollment ID: I20160830002568 |
| Provider Name | Yazan Aljamal |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942618970 PECOS PAC ID: 6901025717 Enrollment ID: I20160831000097 |
| Provider Name | Terence Burns |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912154964 PECOS PAC ID: 2961798863 Enrollment ID: I20160831003079 |
| Provider Name | Matthew J Buesking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134672264 PECOS PAC ID: 6406142264 Enrollment ID: I20160906000976 |
| Provider Name | Enid Y. Rivera-chiauzzi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275813305 PECOS PAC ID: 6608000914 Enrollment ID: I20160907000404 |
| Provider Name | Amy L Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881047603 PECOS PAC ID: 2961798780 Enrollment ID: I20160908002800 |
| Provider Name | Hing Poh Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376096693 PECOS PAC ID: 9133415557 Enrollment ID: I20160912001838 |
| Provider Name | Gail Lynn Timbeross |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588111611 PECOS PAC ID: 7618263914 Enrollment ID: I20160913002349 |
| Provider Name | Lynsi N Romportl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720533839 PECOS PAC ID: 1951697168 Enrollment ID: I20160913002928 |
| Provider Name | George Otieno Onyango |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063863397 PECOS PAC ID: 2466748512 Enrollment ID: I20160915001920 |
| Provider Name | Joella Horner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003268764 PECOS PAC ID: 3870880834 Enrollment ID: I20160920001034 |
| Provider Name | Alyssa M Larish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932588555 PECOS PAC ID: 4183935497 Enrollment ID: I20160920001214 |
| Provider Name | Tracy Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891241790 PECOS PAC ID: 5092002972 Enrollment ID: I20160920002064 |
| Provider Name | Lorenzo Rinaldo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710366695 PECOS PAC ID: 4284945940 Enrollment ID: I20160921000164 |
| Provider Name | Nipunie Rajapakse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679029581 PECOS PAC ID: 2860789781 Enrollment ID: I20160921000590 |
| Provider Name | Kelli Jo Mohn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174976971 PECOS PAC ID: 2567759418 Enrollment ID: I20160921001481 |
| Provider Name | Susan Kok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033452420 PECOS PAC ID: 0840424982 Enrollment ID: I20160921002291 |
| Provider Name | Pedro Horna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497958979 PECOS PAC ID: 2668641192 Enrollment ID: I20160922000489 |
| Provider Name | Megan H Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366680720 PECOS PAC ID: 2769619758 Enrollment ID: I20160922001418 |
| Provider Name | Corey Alan Stoelb |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104372770 PECOS PAC ID: 1557658390 Enrollment ID: I20160922001591 |
| Provider Name | Michael H. Roh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366514218 PECOS PAC ID: 7315099207 Enrollment ID: I20160922002293 |
| Provider Name | David Brennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982083184 PECOS PAC ID: 4486969862 Enrollment ID: I20160923000421 |
| Provider Name | Kelsey Dowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619358074 PECOS PAC ID: 5092027946 Enrollment ID: I20160923000556 |
| Provider Name | Kathrine W Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639622715 PECOS PAC ID: 5698062297 Enrollment ID: I20160926001740 |
| Provider Name | Rene Lynn Utianski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912383415 PECOS PAC ID: 8123315611 Enrollment ID: I20160927002344 |
| Provider Name | Rebecca Floyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750543534 PECOS PAC ID: 7719128487 Enrollment ID: I20160930000412 |
| Provider Name | Michael T Poterucha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477008597 PECOS PAC ID: 9032407283 Enrollment ID: I20161004001726 |
| Provider Name | Cristina Rose Wirtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306394473 PECOS PAC ID: 8224326491 Enrollment ID: I20161004002463 |
| Provider Name | Jenna R Hoppenworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511746 PECOS PAC ID: 5193013084 Enrollment ID: I20161010000170 |
| Provider Name | Samira Zukanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407305584 PECOS PAC ID: 3678861358 Enrollment ID: I20161012002052 |
| Provider Name | Tanner J Vanlith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124573423 PECOS PAC ID: 5799073425 Enrollment ID: I20161013000597 |
| Provider Name | Bethany Ann Longtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861775728 PECOS PAC ID: 3274791926 Enrollment ID: I20161014001941 |
| Provider Name | Kayla Ann Sakowski Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790235307 PECOS PAC ID: 8527356070 Enrollment ID: I20161017000242 |
| Provider Name | Nicole S Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316497142 PECOS PAC ID: 4183912652 Enrollment ID: I20161017000861 |
| Provider Name | Lisa Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346798832 PECOS PAC ID: 3779871249 Enrollment ID: I20161017001013 |
| Provider Name | Sarah Cullison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205380300 PECOS PAC ID: 2062700495 Enrollment ID: I20161018000429 |
| Provider Name | Adrienne J Pompeian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780132118 PECOS PAC ID: 8921396250 Enrollment ID: I20161019000971 |
| Provider Name | Amy R Theiler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114901717 PECOS PAC ID: 5193869642 Enrollment ID: I20161024000936 |
| Provider Name | William J Remington |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730183104 PECOS PAC ID: 5698673929 Enrollment ID: I20161025000437 |
| Provider Name | Alicia Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336696798 PECOS PAC ID: 4486932225 Enrollment ID: I20161028000791 |
| Provider Name | Danielle L Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649721697 PECOS PAC ID: 4082992839 Enrollment ID: I20161028000965 |
| Provider Name | Katrina Viet |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760933402 PECOS PAC ID: 5597044883 Enrollment ID: I20161109000246 |
| Provider Name | Janelle R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376910414 PECOS PAC ID: 8022325224 Enrollment ID: I20161109000836 |
| Provider Name | Jessica Lea Kalmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871045898 PECOS PAC ID: 6002195278 Enrollment ID: I20161110000785 |
| Provider Name | Kay C Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601887 PECOS PAC ID: 3476832692 Enrollment ID: I20161110002220 |
| Provider Name | Asmeeta Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568912269 PECOS PAC ID: 7618256629 Enrollment ID: I20161115002397 |
| Provider Name | Quintin Cappelle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023307170 PECOS PAC ID: 9335459593 Enrollment ID: I20161116001747 |
| Provider Name | Sophia Palamarta Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780131961 PECOS PAC ID: 9335428226 Enrollment ID: I20161117000104 |
| Provider Name | Mikala Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144763483 PECOS PAC ID: 4789964966 Enrollment ID: I20161205001312 |
| Provider Name | Lisa Belch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831631977 PECOS PAC ID: 2466732524 Enrollment ID: I20161206002454 |
| Provider Name | Jessica S Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679978753 PECOS PAC ID: 6507188331 Enrollment ID: I20161206002469 |
| Provider Name | Marissa Lynn Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275075863 PECOS PAC ID: 7911287966 Enrollment ID: I20161208000670 |
| 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 | Jane Hein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245529478 PECOS PAC ID: 5092096693 Enrollment ID: I20161219001667 |
| Provider Name | Ravindra Ganesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477829455 PECOS PAC ID: 2860641636 Enrollment ID: I20161220000195 |
| Provider Name | Nicola Mather-brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013387950 PECOS PAC ID: 8224347521 Enrollment ID: I20161221001999 |
| Provider Name | Margaret Ayoade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710439260 PECOS PAC ID: 0648551051 Enrollment ID: I20161223000096 |
| Provider Name | Tasneem Z Naqvi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659308179 PECOS PAC ID: 8224136767 Enrollment ID: I20161227000473 |
| Provider Name | Laura Elliott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225136138 PECOS PAC ID: 7315992021 Enrollment ID: I20161229001867 |
| Provider Name | Genna Mortensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477009017 PECOS PAC ID: 0840571642 Enrollment ID: I20170110003429 |
| Provider Name | Clifford Kebaya Ongubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781871 PECOS PAC ID: 8022390400 Enrollment ID: I20170119001205 |
| Provider Name | Eric J Kern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972047413 PECOS PAC ID: 6002198496 Enrollment ID: I20170119001354 |
| Provider Name | Fahad Shuja |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376778274 PECOS PAC ID: 0547423022 Enrollment ID: I20170119002596 |
| Provider Name | Dustin a Muller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124561154 PECOS PAC ID: 9335421759 Enrollment ID: I20170119002758 |
| Provider Name | Patrick K Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255875928 PECOS PAC ID: 2365724473 Enrollment ID: I20170125003056 |
| Provider Name | Kelley Zhovtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093054074 PECOS PAC ID: 2062713118 Enrollment ID: I20170131002871 |
| Provider Name | Kalan Elizabeth Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831636711 PECOS PAC ID: 9133402597 Enrollment ID: I20170208002206 |
| Provider Name | Kaitlyn Elizabeth Caceres |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558807073 PECOS PAC ID: 8022391317 Enrollment ID: I20170210002298 |
| Provider Name | Elise W Sarvas |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1730442120 PECOS PAC ID: 7810270006 Enrollment ID: I20170214001200 |
| Provider Name | Matar Goumbala |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902343684 PECOS PAC ID: 2567745557 Enrollment ID: I20170217001295 |
| Provider Name | Kylee Elizabeth Row |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861760605 PECOS PAC ID: 9436463858 Enrollment ID: I20170222001798 |
| Provider Name | Christal Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225577117 PECOS PAC ID: 4688958309 Enrollment ID: I20170224001064 |
| Provider Name | Saikou Beyai |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528504420 PECOS PAC ID: 2466736194 Enrollment ID: I20170224001348 |
| Provider Name | Kari Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942748884 PECOS PAC ID: 7214211960 Enrollment ID: I20170224002250 |
| Provider Name | Anna M Depompolo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821224940 PECOS PAC ID: 3375827876 Enrollment ID: I20170301000543 |
| Provider Name | Anita Mahajan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457457194 PECOS PAC ID: 2264627629 Enrollment ID: I20170301000649 |
| Provider Name | Brian Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124567573 PECOS PAC ID: 7315221835 Enrollment ID: I20170301001290 |
| Provider Name | Jennifer Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323680 PECOS PAC ID: 2961786066 Enrollment ID: I20170309002434 |
| Provider Name | Sinneary Meas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932647419 PECOS PAC ID: 0547544538 Enrollment ID: I20170313001494 |
| Provider Name | Eric Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417494907 PECOS PAC ID: 6204972953 Enrollment ID: I20170314001176 |
| 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 | Jennifer a Vencill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548669088 PECOS PAC ID: 2163716671 Enrollment ID: I20170315001552 |
| Provider Name | David Miller |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972594943 PECOS PAC ID: 2769527613 Enrollment ID: I20170316000592 |
| Provider Name | Elizabeth T Kunkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306383591 PECOS PAC ID: 3779868294 Enrollment ID: I20170324001478 |
| Provider Name | Andrew J Bentall |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306383104 PECOS PAC ID: 9436434826 Enrollment ID: I20170327002872 |
| Provider Name | Amber Klindworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831620459 PECOS PAC ID: 6507142403 Enrollment ID: I20170407000200 |
| Provider Name | Tessah Skoog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902359888 PECOS PAC ID: 1557657731 Enrollment ID: I20170419002104 |
| Provider Name | Ratnasari Padang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548642077 PECOS PAC ID: 2668784398 Enrollment ID: I20170420000535 |
| Provider Name | Melanie Swift |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1619069036 PECOS PAC ID: 9739315870 Enrollment ID: I20170420000690 |
| Provider Name | Keri Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447784814 PECOS PAC ID: 1254618168 Enrollment ID: I20170502002048 |
| Provider Name | Betzalel Reich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336460344 PECOS PAC ID: 1254571078 Enrollment ID: I20170508002028 |
| Provider Name | Delamo Bekele |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467870139 PECOS PAC ID: 8527359629 Enrollment ID: I20170508002204 |
| Provider Name | Tobias Kohler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073656617 PECOS PAC ID: 2264525104 Enrollment ID: I20170508002441 |
| Provider Name | Kara Dupuy-mccauley |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932514031 PECOS PAC ID: 6800173402 Enrollment ID: I20170509001804 |
| Provider Name | Ram Jagannathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235573775 PECOS PAC ID: 9032409131 Enrollment ID: I20170509002318 |
| Provider Name | Benjamin Daniel Elder |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609190156 PECOS PAC ID: 5698924868 Enrollment ID: I20170509002944 |
| Provider Name | Jonathan Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154857605 PECOS PAC ID: 4981981412 Enrollment ID: I20170510000239 |
| Provider Name | Jamecca Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336433135 PECOS PAC ID: 8628232006 Enrollment ID: I20170510000931 |
| Provider Name | Travis O'brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679009252 PECOS PAC ID: 5890072359 Enrollment ID: I20170510001615 |
| Provider Name | Paras H Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548528185 PECOS PAC ID: 2163709643 Enrollment ID: I20170510002432 |
| Provider Name | Balwinder Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588001671 PECOS PAC ID: 3971899659 Enrollment ID: I20170510002605 |
| Provider Name | Eli Muchtar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982138285 PECOS PAC ID: 2163709668 Enrollment ID: I20170511000466 |
| Provider Name | Damon Houghton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043519507 PECOS PAC ID: 8426274952 Enrollment ID: I20170515001786 |
| Provider Name | Suraj Yalamuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942576483 PECOS PAC ID: 3476830753 Enrollment ID: I20170516001057 |
| Provider Name | Madiha Fida |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205241676 PECOS PAC ID: 4183920697 Enrollment ID: I20170519000861 |
| Provider Name | Maria Peris Celda |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245679687 PECOS PAC ID: 1850668815 Enrollment ID: I20170522002558 |
| Provider Name | Brittany L. Loken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962938563 PECOS PAC ID: 8426325499 Enrollment ID: I20170522002814 |
| Provider Name | Margaret Ainley Jones Diguardo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326468802 PECOS PAC ID: 3173741113 Enrollment ID: I20170523000586 |
| Provider Name | Hao Xie |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417368085 PECOS PAC ID: 8820300403 Enrollment ID: I20170530000798 |
| Provider Name | Gulshat Walters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386170538 PECOS PAC ID: 0446527196 Enrollment ID: I20170530002281 |
| Provider Name | Andrea Obyrne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881120392 PECOS PAC ID: 4981971637 Enrollment ID: I20170530002375 |
| Provider Name | Alisha Morgan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053546937 PECOS PAC ID: 2466698048 Enrollment ID: I20170601000981 |
| Provider Name | Nathaniel Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912431727 PECOS PAC ID: 5597032110 Enrollment ID: I20170601001042 |
| Provider Name | Siddhartha Yadav |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306134143 PECOS PAC ID: 2466683693 Enrollment ID: I20170601001781 |
| Provider Name | Imtithal Kisirwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518493196 PECOS PAC ID: 0244507887 Enrollment ID: I20170601001921 |
| Provider Name | Pandora K Lee |
|---|---|
| Provider Type | Practitioner - Prosthodontics |
| Provider Identifiers | NPI Number: 1174054282 PECOS PAC ID: 9830466481 Enrollment ID: I20170601002179 |
| Provider Name | Andrew Charles Storm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427357839 PECOS PAC ID: 2860641180 Enrollment ID: I20170601002431 |
| Provider Name | Holly Sebesta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790211167 PECOS PAC ID: 5193092757 Enrollment ID: I20170601002698 |
| Provider Name | Dong Kun Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265789457 PECOS PAC ID: 7719254390 Enrollment ID: I20170602000633 |
| Provider Name | Heather O'neil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780110056 PECOS PAC ID: 3678840287 Enrollment ID: I20170602001703 |
| Provider Name | Thomas Kingsley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033522719 PECOS PAC ID: 0840567285 Enrollment ID: I20170606001741 |
| Provider Name | Yewande Odeyemi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851688048 PECOS PAC ID: 6406123843 Enrollment ID: I20170606002113 |
| Provider Name | Vidhu Anand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164840591 PECOS PAC ID: 4981903572 Enrollment ID: I20170609002041 |
| Provider Name | Xiao Jing Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134462468 PECOS PAC ID: 0244534519 Enrollment ID: I20170614000042 |
| Provider Name | Priya Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487911707 PECOS PAC ID: 8224306311 Enrollment ID: I20170614000197 |
| Provider Name | Daniel E Sanchez Pellecer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386042885 PECOS PAC ID: 3971871922 Enrollment ID: I20170614002716 |
| Provider Name | Nicholas Gregg |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1528401296 PECOS PAC ID: 2466758354 Enrollment ID: I20170615001637 |
| Provider Name | Amanda Lynn Fjerstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033645874 PECOS PAC ID: 3870861750 Enrollment ID: I20170619000048 |
| Provider Name | Julia Routman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841727344 PECOS PAC ID: 9133497993 Enrollment ID: I20170620000902 |
| Provider Name | Regina Maria Mackey |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710320411 PECOS PAC ID: 7214234772 Enrollment ID: I20170621002946 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073820650 PECOS PAC ID: 5890087266 Enrollment ID: I20170623001747 |
| Provider Name | Laura Rhee |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265695472 PECOS PAC ID: 7810054368 Enrollment ID: I20170628000069 |
| Provider Name | Bethaney Wescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902333917 PECOS PAC ID: 5496024762 Enrollment ID: I20170629000764 |
| 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 | Rachael Guenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154858710 PECOS PAC ID: 6901175686 Enrollment ID: I20170712001699 |
| Provider Name | Elizabeth H Ristagno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649579327 PECOS PAC ID: 8224307822 Enrollment ID: I20170712002848 |
| Provider Name | Stacie Heuer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407381510 PECOS PAC ID: 6204105828 Enrollment ID: I20170712003774 |
| Provider Name | Jennifer Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689100182 PECOS PAC ID: 7012286651 Enrollment ID: I20170713000033 |
| Provider Name | Daniel J Beissel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689808057 PECOS PAC ID: 4486949237 Enrollment ID: I20170713002499 |
| Provider Name | Kanika Khandelwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457768889 PECOS PAC ID: 9133499775 Enrollment ID: I20170714001159 |
| Provider Name | Amy He |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184966186 PECOS PAC ID: 6305148834 Enrollment ID: I20170720000670 |
| Provider Name | Jordan Karow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770010217 PECOS PAC ID: 8224308358 Enrollment ID: I20170724001547 |
| Provider Name | Adiba Azad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518384775 PECOS PAC ID: 8628348521 Enrollment ID: I20170726001537 |
| Provider Name | Sarah Ostlie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154850550 PECOS PAC ID: 0446520357 Enrollment ID: I20170726002026 |
| Provider Name | Lydia NG |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174879076 PECOS PAC ID: 9537439393 Enrollment ID: I20170727000133 |
| Provider Name | Kevin Chodnicki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962866632 PECOS PAC ID: 2466744974 Enrollment ID: I20170801000292 |
| Provider Name | Aaron Bradley Klassen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750745428 PECOS PAC ID: 9638461163 Enrollment ID: I20170801000571 |
| Provider Name | April R Christensen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528403706 PECOS PAC ID: 0941505226 Enrollment ID: I20170801001051 |
| 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 | Larisa Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700269008 PECOS PAC ID: 6901110261 Enrollment ID: I20170801002723 |
| Provider Name | Daniel Jordan Stephens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144464223 PECOS PAC ID: 2961706726 Enrollment ID: I20170802000954 |
| Provider Name | Anna Elizabeth Kellund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457715112 PECOS PAC ID: 0941592448 Enrollment ID: I20170802002493 |
| Provider Name | Sam Albadri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881072213 PECOS PAC ID: 9830404383 Enrollment ID: I20170802003428 |
| Provider Name | Kevin Michael Wymer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770947434 PECOS PAC ID: 8628362274 Enrollment ID: I20170802003714 |
| Provider Name | Jennifer Clark |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952765505 PECOS PAC ID: 2163714171 Enrollment ID: I20170803001564 |
| Provider Name | Kathryn Larson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538523071 PECOS PAC ID: 4385936806 Enrollment ID: I20170803001683 |
| Provider Name | Flora Howie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023094539 PECOS PAC ID: 5698046035 Enrollment ID: I20170803002433 |
| Provider Name | Marianne Teresa Luetmer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508220286 PECOS PAC ID: 9032401088 Enrollment ID: I20170803002684 |
| Provider Name | Paul R Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720442205 PECOS PAC ID: 9931491990 Enrollment ID: I20170804000043 |
| Provider Name | Allison E Garda |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003278243 PECOS PAC ID: 5890082473 Enrollment ID: I20170804000676 |
| Provider Name | Daniel Larson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699139014 PECOS PAC ID: 3274826508 Enrollment ID: I20170804003011 |
| Provider Name | Mario Hevesi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215391974 PECOS PAC ID: 0244522399 Enrollment ID: I20170807002382 |
| Provider Name | Alexandra Gonzalez Juarrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700240389 PECOS PAC ID: 8123310224 Enrollment ID: I20170807002885 |
| Provider Name | Katie Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578927190 PECOS PAC ID: 8820380140 Enrollment ID: I20170807003667 |
| Provider Name | Ryan Steven D Souza |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1881042174 PECOS PAC ID: 8123310075 Enrollment ID: I20170808003497 |
| Provider Name | Laura Suarez Pardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447639679 PECOS PAC ID: 3375854011 Enrollment ID: I20170809000573 |
| Provider Name | Jeffrey Huang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295199883 PECOS PAC ID: 3779875075 Enrollment ID: I20170809004199 |
| Provider Name | Keith Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881058089 PECOS PAC ID: 9830481910 Enrollment ID: I20170810001900 |
| Provider Name | Jinette G Lais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083143259 PECOS PAC ID: 9133490980 Enrollment ID: I20170812000158 |
| Provider Name | Craig F Tschautscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316301096 PECOS PAC ID: 6507158227 Enrollment ID: I20170814000764 |
| Provider Name | Matej Markota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326427568 PECOS PAC ID: 1759692585 Enrollment ID: I20170814001917 |
| Provider Name | Vamshi Mugu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215391842 PECOS PAC ID: 8527350693 Enrollment ID: I20170814003330 |
| Provider Name | Jacob Jennings Orme |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275997926 PECOS PAC ID: 7214220177 Enrollment ID: I20170814003337 |
| Provider Name | Dame Idossa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538523121 PECOS PAC ID: 9830481878 Enrollment ID: I20170815000546 |
| Provider Name | Derek Ebner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528422110 PECOS PAC ID: 7315237658 Enrollment ID: I20170815000891 |
| Provider Name | Daniel Adewunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568997542 PECOS PAC ID: 3072885821 Enrollment ID: I20170815000892 |
| Provider Name | Alexander Finch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326402900 PECOS PAC ID: 7810289121 Enrollment ID: I20170815002600 |
| Provider Name | Ahmed Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205290400 PECOS PAC ID: 1759673825 Enrollment ID: I20170815002781 |
| Provider Name | Trang Vu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275987471 PECOS PAC ID: 3274826573 Enrollment ID: I20170815002875 |
| Provider Name | John Muller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548679509 PECOS PAC ID: 1153646609 Enrollment ID: I20170815003339 |
| Provider Name | Kelsey Smith |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1427412089 PECOS PAC ID: 9133411069 Enrollment ID: I20170816000339 |
| Provider Name | Marcus Jacobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477080919 PECOS PAC ID: 4880966522 Enrollment ID: I20170816000642 |
| Provider Name | Nicholas Oblizajek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356705016 PECOS PAC ID: 1153613062 Enrollment ID: I20170816000775 |
| Provider Name | Cody Clayton Wyles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871957480 PECOS PAC ID: 4082907423 Enrollment ID: I20170816001638 |
| Provider Name | Ann Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679920219 PECOS PAC ID: 6507159225 Enrollment ID: I20170816002595 |
| 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 | Allison Ducharme-smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629467493 PECOS PAC ID: 9133411580 Enrollment ID: I20170821002294 |
| Provider Name | Shelby Johnson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1780046805 PECOS PAC ID: 2365740115 Enrollment ID: I20170821003497 |
| Provider Name | Cree Kachelski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629432398 PECOS PAC ID: 4385936954 Enrollment ID: I20170822001836 |
| Provider Name | John Michael Zietlow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053775668 PECOS PAC ID: 4688967037 Enrollment ID: I20170823003776 |
| Provider Name | John M Powers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215319868 PECOS PAC ID: 1850604364 Enrollment ID: I20170824000273 |
| Provider Name | Samantha Morley Ryan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366806036 PECOS PAC ID: 6608168778 Enrollment ID: I20170824000936 |
| Provider Name | Alison M Sadowy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609849744 PECOS PAC ID: 6901949759 Enrollment ID: I20170824001002 |
| Provider Name | Darcy Dalen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184076846 PECOS PAC ID: 4486926482 Enrollment ID: I20170825002973 |
| Provider Name | Lauren Marie Jones Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134583503 PECOS PAC ID: 0547552002 Enrollment ID: I20170828002804 |
| Provider Name | Lindsay Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972841112 PECOS PAC ID: 8325261399 Enrollment ID: I20170828004395 |
| Provider Name | Nicole Wakeman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902333446 PECOS PAC ID: 2466725312 Enrollment ID: I20170829001910 |
| Provider Name | Kevin Alan Berry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952839870 PECOS PAC ID: 5395018188 Enrollment ID: I20170830000067 |
| Provider Name | Jacob Dey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790025559 PECOS PAC ID: 7911290168 Enrollment ID: I20170830002119 |
| Provider Name | Lynne Peterson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801908231 PECOS PAC ID: 0345146353 Enrollment ID: I20170830002426 |
| Provider Name | Sebastian Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902326994 PECOS PAC ID: 2466725221 Enrollment ID: I20170830002664 |
| Provider Name | Karissa Geisthardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760905848 PECOS PAC ID: 7315210085 Enrollment ID: I20170830003403 |
| Provider Name | John Nathan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1760917199 PECOS PAC ID: 7113290891 Enrollment ID: I20170831000083 |
| Provider Name | Gail M Boriel |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1720312176 PECOS PAC ID: 1254589963 Enrollment ID: I20170831002136 |
| Provider Name | Eeeln Buckarma |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1932541133 PECOS PAC ID: 0042502080 Enrollment ID: I20170901002391 |
| Provider Name | Stephanie M Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134649965 PECOS PAC ID: 4587937990 Enrollment ID: I20170907000377 |
| Provider Name | Jessica Michalak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679093470 PECOS PAC ID: 5193098515 Enrollment ID: I20170907000869 |
| Provider Name | Brian Burkett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811344740 PECOS PAC ID: 7517230857 Enrollment ID: I20170907001933 |
| Provider Name | James Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811344823 PECOS PAC ID: 2769774173 Enrollment ID: I20170907002758 |
| Provider Name | Katie E Hinderaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548615255 PECOS PAC ID: 8426340183 Enrollment ID: I20170907002794 |
| Provider Name | Emma M Verdeja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124557640 PECOS PAC ID: 6709159064 Enrollment ID: I20170907002955 |
| Provider Name | Jaclyn Poston Houghton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558693564 PECOS PAC ID: 3375672967 Enrollment ID: I20170908000272 |
| Provider Name | Mary Elizabeth Lynch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285086611 PECOS PAC ID: 0446523732 Enrollment ID: I20170908000386 |
| Provider Name | Marie Jean Bedard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770019846 PECOS PAC ID: 4385917699 Enrollment ID: I20170908001196 |
| Provider Name | Perene Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609188184 PECOS PAC ID: 9133355399 Enrollment ID: I20170908001651 |
| Provider Name | Evelyn Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578925178 PECOS PAC ID: 3072805035 Enrollment ID: I20170908001787 |
| Provider Name | Ermias Tamire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063937621 PECOS PAC ID: 7719250034 Enrollment ID: I20170908001830 |
| Provider Name | Megan M Persons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679097224 PECOS PAC ID: 9436422615 Enrollment ID: I20170911001070 |
| Provider Name | Ryan Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295259844 PECOS PAC ID: 5092088153 Enrollment ID: I20170912001467 |
| Provider Name | Timothy Jaykel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265895551 PECOS PAC ID: 1254623499 Enrollment ID: I20170913002645 |
| Provider Name | Sara P Lester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306257563 PECOS PAC ID: 9133425580 Enrollment ID: I20170914001967 |
| Provider Name | Lindsey a Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356865778 PECOS PAC ID: 8628342664 Enrollment ID: I20170914002653 |
| Provider Name | Ivana Ho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952765620 PECOS PAC ID: 7618269184 Enrollment ID: I20170914003238 |
| Provider Name | Holly Galles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780015115 PECOS PAC ID: 5597994533 Enrollment ID: I20170914003482 |
| Provider Name | Addison M Demer |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1912392390 PECOS PAC ID: 3678868148 Enrollment ID: I20170915001812 |
| Provider Name | Benjamin Thomas Daxon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053631150 PECOS PAC ID: 8628342326 Enrollment ID: I20170919002882 |
| Provider Name | Ellen Liang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487911913 PECOS PAC ID: 1557666740 Enrollment ID: I20170919004126 |
| Provider Name | Michelle Benish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538685425 PECOS PAC ID: 7315211067 Enrollment ID: I20170920000568 |
| Provider Name | Leah Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568980050 PECOS PAC ID: 1153695242 Enrollment ID: I20170928001886 |
| Provider Name | Keely Meagher Elwood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669833976 PECOS PAC ID: 3173898103 Enrollment ID: I20171002001381 |
| Provider Name | Julia Shekunov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275897415 PECOS PAC ID: 1355655564 Enrollment ID: I20171003004813 |
| 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 | Mariah Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073035598 PECOS PAC ID: 6608141809 Enrollment ID: I20171012003503 |
| Provider Name | Ashley Wendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269015 PECOS PAC ID: 2163798323 Enrollment ID: I20171017000622 |
| Provider Name | Yapeng Gu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720506637 PECOS PAC ID: 4284900382 Enrollment ID: I20171017002438 |
| Provider Name | Gabor Bagameri |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356556310 PECOS PAC ID: 1658520465 Enrollment ID: I20171018000071 |
| Provider Name | Adam J Purdy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346774486 PECOS PAC ID: 7416223243 Enrollment ID: I20171024000688 |
| Provider Name | Jason Thomas Kraus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205359296 PECOS PAC ID: 4981970712 Enrollment ID: I20171024001125 |
| Provider Name | Pamela Mae Haala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205345774 PECOS PAC ID: 0648546010 Enrollment ID: I20171031000002 |
| Provider Name | Meghann Therese Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669981361 PECOS PAC ID: 0547536823 Enrollment ID: I20171101001990 |
| Provider Name | Jess Friedrich Peterson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467625293 PECOS PAC ID: 1557586773 Enrollment ID: I20171102002051 |
| Provider Name | Moustafa M El Khatib |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891174231 PECOS PAC ID: 4688994809 Enrollment ID: I20171103000096 |
| Provider Name | Lindsey Prodoehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609385848 PECOS PAC ID: 8628334810 Enrollment ID: I20171103000301 |
| Provider Name | Kathleen Ann Jencks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548779903 PECOS PAC ID: 4688930878 Enrollment ID: I20171103000466 |
| Provider Name | Regan Theiler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609069558 PECOS PAC ID: 9335232230 Enrollment ID: I20171107000242 |
| Provider Name | Zachary J Domeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306357355 PECOS PAC ID: 7911263868 Enrollment ID: I20171108002524 |
| Provider Name | Jennifer Erin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912423245 PECOS PAC ID: 3072879956 Enrollment ID: I20171108003863 |
| Provider Name | Lindsay Ranea Slama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265951560 PECOS PAC ID: 6406112390 Enrollment ID: I20171109000516 |
| Provider Name | Jelena Glavas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074076 PECOS PAC ID: 3577829274 Enrollment ID: I20171114000588 |
| Provider Name | Audrey Lucille Bakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205352911 PECOS PAC ID: 2062778566 Enrollment ID: I20171116002038 |
| Provider Name | Katie Nicole Benike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982123550 PECOS PAC ID: 3870850837 Enrollment ID: I20171129000835 |
| Provider Name | Carolyn Margaret Jane Klampe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604653 PECOS PAC ID: 7719244607 Enrollment ID: I20171130003325 |
| Provider Name | Juan Crestanello |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477505048 PECOS PAC ID: 0244210490 Enrollment ID: I20171201001944 |
| Provider Name | Jessica Mae Fahrendholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902322589 PECOS PAC ID: 9335406834 Enrollment ID: I20171207001521 |
| Provider Name | Joshua M Baruth |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1588028161 PECOS PAC ID: 1951693183 Enrollment ID: I20171211000652 |
| Provider Name | Gregory a Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326564121 PECOS PAC ID: 4183982242 Enrollment ID: I20171218003133 |
| Provider Name | Sumera Razi Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699932574 PECOS PAC ID: 4486770559 Enrollment ID: I20171218003542 |
| 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 | Tammy Lee Olney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669994380 PECOS PAC ID: 1355609983 Enrollment ID: I20180103000396 |
| Provider Name | Tyler Little |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881110864 PECOS PAC ID: 4880953397 Enrollment ID: I20180108003225 |
| Provider Name | Amy Michelle Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134632326 PECOS PAC ID: 4082973359 Enrollment ID: I20180111001812 |
| Provider Name | Mallory Riggs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407101546 PECOS PAC ID: 8820249220 Enrollment ID: I20180112002184 |
| Provider Name | Aditya S Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740697598 PECOS PAC ID: 2567772643 Enrollment ID: I20180118000962 |
| Provider Name | Horatiu Olteanu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619190188 PECOS PAC ID: 3476612755 Enrollment ID: I20180118001013 |
| Provider Name | Chandrasagar Dugani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598017832 PECOS PAC ID: 6608014014 Enrollment ID: I20180122001109 |
| Provider Name | Heather L Tracey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942716931 PECOS PAC ID: 0042579849 Enrollment ID: I20180124003288 |
| Provider Name | Jenna a Sunjaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114433380 PECOS PAC ID: 2264792746 Enrollment ID: I20180131002264 |
| Provider Name | Megan Miller Semon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114156999 PECOS PAC ID: 3678628799 Enrollment ID: I20180207001903 |
| Provider Name | Colleen Ann Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306353982 PECOS PAC ID: 6305106592 Enrollment ID: I20180208000546 |
| Provider Name | Brooke Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255847760 PECOS PAC ID: 8820358047 Enrollment ID: I20180208002109 |
| 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 | Elizabeth Ann Mauricio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073774394 PECOS PAC ID: 8123260619 Enrollment ID: I20180209002301 |
| Provider Name | Megan Z Elli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891222543 PECOS PAC ID: 2163799693 Enrollment ID: I20180212001870 |
| Provider Name | Daniel BF Saris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265930994 PECOS PAC ID: 7113287053 Enrollment ID: I20180214000855 |
| Provider Name | Jay P Heiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942392444 PECOS PAC ID: 8729127188 Enrollment ID: I20180215000537 |
| Provider Name | Samuel Peter Marsland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023524964 PECOS PAC ID: 0547521114 Enrollment ID: I20180221002809 |
| Provider Name | Emily Ann Kiehne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629581707 PECOS PAC ID: 3072874684 Enrollment ID: I20180222001482 |
| Provider Name | Hannah Hineman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760990337 PECOS PAC ID: 3173884715 Enrollment ID: I20180223000052 |
| Provider Name | Sarah Lindsey Eslait |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841707783 PECOS PAC ID: 9234490715 Enrollment ID: I20180223002468 |
| Provider Name | Brittany Ann Pyfferoen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659888147 PECOS PAC ID: 1759642200 Enrollment ID: I20180227000194 |
| Provider Name | Elizabeth a Koenig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912413550 PECOS PAC ID: 0749541126 Enrollment ID: I20180227001633 |
| Provider Name | Bethani Jane Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659722205 PECOS PAC ID: 5294096566 Enrollment ID: I20180301000141 |
| Provider Name | Justus M Onsongo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376059287 PECOS PAC ID: 3072874304 Enrollment ID: I20180301002733 |
| Provider Name | Matthew D Gehling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316453236 PECOS PAC ID: 2961763297 Enrollment ID: I20180301002823 |
| Provider Name | Elizabeth Ann Weikum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306229224 PECOS PAC ID: 8224342787 Enrollment ID: I20180302000022 |
| Provider Name | Christine M Zettles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356858286 PECOS PAC ID: 1557622883 Enrollment ID: I20180302000151 |
| 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 | Isaac William Therneau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679089221 PECOS PAC ID: 8224399316 Enrollment ID: I20180306002770 |
| Provider Name | Bradford Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952628620 PECOS PAC ID: 5799046710 Enrollment ID: I20180307001376 |
| Provider Name | Rebekah Westerhouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699281220 PECOS PAC ID: 3476814377 Enrollment ID: I20180308002497 |
| Provider Name | Ryan Christopher Kingsley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427564871 PECOS PAC ID: 6800157710 Enrollment ID: I20180309000003 |
| Provider Name | Christopher James Edquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477061489 PECOS PAC ID: 3476814310 Enrollment ID: I20180309001252 |
| Provider Name | Holly Joy Carlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811498090 PECOS PAC ID: 2668733551 Enrollment ID: I20180312001194 |
| Provider Name | Kathryn Louise Mayo-hergott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215445275 PECOS PAC ID: 4385905272 Enrollment ID: I20180312001230 |
| Provider Name | Joseph M. Koenig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851807036 PECOS PAC ID: 6103188024 Enrollment ID: I20180313000098 |
| Provider Name | Si M Pham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811953086 PECOS PAC ID: 8022207398 Enrollment ID: I20180313002016 |
| Provider Name | Andrew Joseph Elli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578002804 PECOS PAC ID: 1355627589 Enrollment ID: I20180314000316 |
| Provider Name | Elizabeth Judith Connelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235645904 PECOS PAC ID: 4486916293 Enrollment ID: I20180314002057 |
| Provider Name | Kirsten a Boland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609380872 PECOS PAC ID: 0446512065 Enrollment ID: I20180320000904 |
| Provider Name | Molly L Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649773342 PECOS PAC ID: 2860754843 Enrollment ID: I20180403001791 |
| Provider Name | Jessica a Stanley-mesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248670 PECOS PAC ID: 1456614908 Enrollment ID: I20180413001640 |
| Provider Name | David Jonathan Wymore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295230761 PECOS PAC ID: 3678836798 Enrollment ID: I20180424000573 |
| Provider Name | Andrea R Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205280005 PECOS PAC ID: 0840599361 Enrollment ID: I20180425001520 |
| Provider Name | Frank D Rossi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801828769 PECOS PAC ID: 6901879279 Enrollment ID: I20180426001581 |
| Provider Name | Dana Marie Gatzke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841797792 PECOS PAC ID: 3678837671 Enrollment ID: I20180427000564 |
| Provider Name | Carolyn Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497252027 PECOS PAC ID: 0446514186 Enrollment ID: I20180507000335 |
| Provider Name | Amy Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396245874 PECOS PAC ID: 6608130117 Enrollment ID: I20180509002565 |
| Provider Name | Amy a Swanson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588921258 PECOS PAC ID: 7416278213 Enrollment ID: I20180515000768 |
| Provider Name | Maggie Malecha |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467954107 PECOS PAC ID: 9032474788 Enrollment ID: I20180530000075 |
| Provider Name | John C Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134462963 PECOS PAC ID: 8426353541 Enrollment ID: I20180531002876 |
| Provider Name | Mojun Zhu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376923581 PECOS PAC ID: 1557673456 Enrollment ID: I20180604002307 |
| Provider Name | Dmitry Esterov |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467870584 PECOS PAC ID: 3476818857 Enrollment ID: I20180606001267 |
| Provider Name | Petrice Mostardi Cogswell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487997557 PECOS PAC ID: 4385947894 Enrollment ID: I20180606001437 |
| Provider Name | Marci Pepper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215355144 PECOS PAC ID: 6204120736 Enrollment ID: I20180607000010 |
| Provider Name | Joanna C Dalland |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205241890 PECOS PAC ID: 5890001994 Enrollment ID: I20180607000099 |
| Provider Name | Ioanna Kouri |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699116368 PECOS PAC ID: 1355696493 Enrollment ID: I20180614000200 |
| Provider Name | Malvika Harisinh Solanki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326423179 PECOS PAC ID: 6103171251 Enrollment ID: I20180614000586 |
| Provider Name | Richard G Frimpong |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619310612 PECOS PAC ID: 0244458768 Enrollment ID: I20180614002492 |
| Provider Name | Jansen Navindra Seheult |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134663016 PECOS PAC ID: 1759636764 Enrollment ID: I20180615000111 |
| Provider Name | Sarah Kay Youny Lee |
|---|---|
| Provider Type | Practitioner - Prosthodontics |
| Provider Identifiers | NPI Number: 1164869343 PECOS PAC ID: 8224383237 Enrollment ID: I20180615000432 |
| 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 - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720466188 PECOS PAC ID: 2264738889 Enrollment ID: I20180616000025 |
| Provider Name | Sadia Zain Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760632806 PECOS PAC ID: 0648402412 Enrollment ID: I20180616000038 |
| Provider Name | Emily Ruth Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411093 PECOS PAC ID: 2062637648 Enrollment ID: I20180618002578 |
| Provider Name | Jonathan Michael Hagedorn |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972977098 PECOS PAC ID: 6709131626 Enrollment ID: I20180618003052 |
| Provider Name | Steven a Messina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477642536 PECOS PAC ID: 5597920132 Enrollment ID: I20180619002550 |
| Provider Name | Alexandra Louise Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013049683 PECOS PAC ID: 4486843166 Enrollment ID: I20180620000967 |
| Provider Name | Edward S Ahn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932155587 PECOS PAC ID: 2860586872 Enrollment ID: I20180620001224 |
| Provider Name | Catalina Sanchez Alvarez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619350519 PECOS PAC ID: 7517245368 Enrollment ID: I20180622001473 |
| Provider Name | Dhauna Prasad Karam Chandra Mohan Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265810923 PECOS PAC ID: 1254686686 Enrollment ID: I20180626001249 |
| Provider Name | Asmaa Ferdjallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013250836 PECOS PAC ID: 6002109113 Enrollment ID: I20180626002356 |
| Provider Name | Nathan Allan Neis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043666530 PECOS PAC ID: 8628365970 Enrollment ID: I20180627002645 |
| Provider Name | Charat Thongprayoon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659765188 PECOS PAC ID: 0345540159 Enrollment ID: I20180628001346 |
| Provider Name | Amir Orandi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467716027 PECOS PAC ID: 0840546149 Enrollment ID: I20180628001870 |
| Provider Name | Nicholas Anthony Bedard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073959680 PECOS PAC ID: 9335382944 Enrollment ID: I20180629000516 |
| Provider Name | Linda M Szymanski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366454399 PECOS PAC ID: 4284639238 Enrollment ID: I20180629000584 |
| Provider Name | Divyanshu Dubey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851648422 PECOS PAC ID: 8921392457 Enrollment ID: I20180702000132 |
| Provider Name | Natalie Sue Woodberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952893208 PECOS PAC ID: 9335495324 Enrollment ID: I20180705001389 |
| Provider Name | Michelle Lorenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427549021 PECOS PAC ID: 5193071819 Enrollment ID: I20180710002569 |
| Provider Name | Anne-lise Diana D Angelo |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1396023420 PECOS PAC ID: 7214169820 Enrollment ID: I20180714000060 |
| Provider Name | Sean P Templeman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194216598 PECOS PAC ID: 7113274556 Enrollment ID: I20180717002199 |
| Provider Name | Mayra E. Guerrero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023186566 PECOS PAC ID: 7113969932 Enrollment ID: I20180718003295 |
| Provider Name | Lionel Aurelien Kankeu Fonkoua |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144615667 PECOS PAC ID: 7315294527 Enrollment ID: I20180719000822 |
| Provider Name | Kamal Shouman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902248842 PECOS PAC ID: 3072814854 Enrollment ID: I20180719001226 |
| Provider Name | Harry Fuentes Bayne |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194131995 PECOS PAC ID: 7315243375 Enrollment ID: I20180721000039 |
| Provider Name | Tess Michelle Hansen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104356229 PECOS PAC ID: 9436406329 Enrollment ID: I20180724001679 |
| Provider Name | Lilly Helene Wagner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982990057 PECOS PAC ID: 1759672298 Enrollment ID: I20180730000740 |
| Provider Name | Benjamin Allen Johnson-tesch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053845925 PECOS PAC ID: 1951672674 Enrollment ID: I20180731000455 |
| Provider Name | Tova Elise Lyng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013402239 PECOS PAC ID: 0244588747 Enrollment ID: I20180731001548 |
| Provider Name | Luke Matzek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336670736 PECOS PAC ID: 8325310949 Enrollment ID: I20180731001678 |
| Provider Name | Jessica Ann Frenette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043701618 PECOS PAC ID: 5395093801 Enrollment ID: I20180731002126 |
| Provider Name | Yuxiang Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710408547 PECOS PAC ID: 6305118993 Enrollment ID: I20180731002359 |
| Provider Name | Forrest Brian Linch |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982136511 PECOS PAC ID: 1951659473 Enrollment ID: I20180731002490 |
| Provider Name | Peter Jeffrey Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528599917 PECOS PAC ID: 8325310907 Enrollment ID: I20180731002504 |
| Provider Name | Omar Yousef Sulaiman Mousa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942555909 PECOS PAC ID: 1658686167 Enrollment ID: I20180731002662 |
| Provider Name | Patrick Mcgarrah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417489527 PECOS PAC ID: 5496027757 Enrollment ID: I20180731002769 |
| Provider Name | Joseph Z Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548796253 PECOS PAC ID: 2163796178 Enrollment ID: I20180731003123 |
| Provider Name | Robert Ward |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124552096 PECOS PAC ID: 8628341401 Enrollment ID: I20180731003689 |
| Provider Name | Saranya Wyles |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760916910 PECOS PAC ID: 9638441827 Enrollment ID: I20180731003845 |
| Provider Name | Linda Xiaoyun Yin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801210968 PECOS PAC ID: 7719259332 Enrollment ID: I20180801000106 |
| Provider Name | Stuart Mccarter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457883563 PECOS PAC ID: 2062784689 Enrollment ID: I20180801000217 |
| Provider Name | Rafid Mustafa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639602204 PECOS PAC ID: 2062784671 Enrollment ID: I20180801001412 |
| Provider Name | Zhenmei Zhang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811428121 PECOS PAC ID: 0042582645 Enrollment ID: I20180801001785 |
| Provider Name | Daniel James Delaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790217875 PECOS PAC ID: 4880965904 Enrollment ID: I20180801003391 |
| Provider Name | Adam Jonathan Tagliero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932631488 PECOS PAC ID: 6305118084 Enrollment ID: I20180802000485 |
| Provider Name | Brandon Robert Bukowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770012882 PECOS PAC ID: 4688946304 Enrollment ID: I20180802000689 |
| Provider Name | Alexander Jay Ryu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053765891 PECOS PAC ID: 7214201011 Enrollment ID: I20180802001031 |
| Provider Name | Joshua a Spear |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598296055 PECOS PAC ID: 7214209980 Enrollment ID: I20180802001333 |
| Provider Name | Samuel a Shabtaie |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619401130 PECOS PAC ID: 6103198502 Enrollment ID: I20180802001468 |
| Provider Name | Richard Ephraim Silbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942734132 PECOS PAC ID: 5294007936 Enrollment ID: I20180802001509 |
| Provider Name | Hector Rene Cajigas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235207762 PECOS PAC ID: 9638205917 Enrollment ID: I20180802001664 |
| Provider Name | Mary Ann Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699261610 PECOS PAC ID: 9739437070 Enrollment ID: I20180802003595 |
| Provider Name | Grace Choong |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558881847 PECOS PAC ID: 7012289531 Enrollment ID: I20180803000132 |
| Provider Name | William Breen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437683562 PECOS PAC ID: 3476801697 Enrollment ID: I20180804000030 |
| Provider Name | Amanda Fields Ambrose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568995884 PECOS PAC ID: 8820360399 Enrollment ID: I20180806000633 |
| Provider Name | Anthony Mikula |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396278297 PECOS PAC ID: 6709158207 Enrollment ID: I20180806001164 |
| Provider Name | Eric Ryan Pease |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922539634 PECOS PAC ID: 3779855291 Enrollment ID: I20180806002731 |
| Provider Name | Alessia Buglioni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881058550 PECOS PAC ID: 2769775188 Enrollment ID: I20180806002910 |
| Provider Name | Donnie Keith Starnes |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1376987826 PECOS PAC ID: 8921226416 Enrollment ID: I20180807002583 |
| Provider Name | Sara Nicole Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255588505 PECOS PAC ID: 8123209459 Enrollment ID: I20180809000532 |
| Provider Name | Diego A. Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942738752 PECOS PAC ID: 2062784648 Enrollment ID: I20180809000633 |
| Provider Name | Sara Denise Jacobsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649524539 PECOS PAC ID: 4688922453 Enrollment ID: I20180810000500 |
| Provider Name | Brianna Konwinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720512189 PECOS PAC ID: 6800168519 Enrollment ID: I20180810000761 |
| Provider Name | Megan Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063836294 PECOS PAC ID: 5991937039 Enrollment ID: I20180810001247 |
| Provider Name | Matthew Howard Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407341134 PECOS PAC ID: 8224386024 Enrollment ID: I20180810001697 |
| Provider Name | Joanna M Lowisz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285992354 PECOS PAC ID: 3274839584 Enrollment ID: I20180810001993 |
| Provider Name | Kelly N Hagedorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568717957 PECOS PAC ID: 4284982901 Enrollment ID: I20180811000054 |
| Provider Name | Nikhil Kolluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114458627 PECOS PAC ID: 2062784820 Enrollment ID: I20180811000104 |
| Provider Name | Vanessa Kronzer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265963748 PECOS PAC ID: 3870865280 Enrollment ID: I20180813000518 |
| Provider Name | Anousheh Shafa |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225563836 PECOS PAC ID: 9739453697 Enrollment ID: I20180814001612 |
| Provider Name | Kyla Marie Lara-breitinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194110205 PECOS PAC ID: 4183973779 Enrollment ID: I20180815000152 |
| Provider Name | Sarah J Chalmers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740612241 PECOS PAC ID: 8426379355 Enrollment ID: I20180815000258 |
| Provider Name | Ryan Bijan Khodadadi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992238976 PECOS PAC ID: 9234401001 Enrollment ID: I20180815000389 |
| Provider Name | Toure Barksdale |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831532761 PECOS PAC ID: 9931402120 Enrollment ID: I20180815000900 |
| Provider Name | Richard Rogers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659804029 PECOS PAC ID: 0446522569 Enrollment ID: I20180815001232 |
| Provider Name | Joselle Madonna Cook |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295117059 PECOS PAC ID: 8820347446 Enrollment ID: I20180815001459 |
| Provider Name | Min Jun Hur |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871025437 PECOS PAC ID: 1557610177 Enrollment ID: I20180815001471 |
| Provider Name | Elizabeth Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689103723 PECOS PAC ID: 6709158322 Enrollment ID: I20180815001781 |
| Provider Name | Carolyn Kuras Landolfo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841309424 PECOS PAC ID: 8325933948 Enrollment ID: I20180815001909 |
| Provider Name | Mitchell J Kerfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972037497 PECOS PAC ID: 9638441363 Enrollment ID: I20180815002548 |
| Provider Name | Sara Suleman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609215607 PECOS PAC ID: 7719236207 Enrollment ID: I20180816000713 |
| Provider Name | Kaushal Parikh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710231006 PECOS PAC ID: 9335498773 Enrollment ID: I20180820000181 |
| Provider Name | Brenden Ingraham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497284616 PECOS PAC ID: 2860762739 Enrollment ID: I20180821002787 |
| Provider Name | Talha Riaz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871925636 PECOS PAC ID: 4183853500 Enrollment ID: I20180822000412 |
| Provider Name | Kathryn a Medinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518443373 PECOS PAC ID: 1557610649 Enrollment ID: I20180822003717 |
| Provider Name | Fareeda Taher Nazer Hussain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396181483 PECOS PAC ID: 1951604818 Enrollment ID: I20180823000195 |
| Provider Name | Vishal P Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306224514 PECOS PAC ID: 9436408531 Enrollment ID: I20180823000342 |
| Provider Name | Kathryn Teresa Del Valle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851825186 PECOS PAC ID: 0042582306 Enrollment ID: I20180823003237 |
| Provider Name | Nicholas C Canzanello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356879654 PECOS PAC ID: 8729351549 Enrollment ID: I20180828001441 |
| Provider Name | Dayne Henry Voelker |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578096855 PECOS PAC ID: 2466724943 Enrollment ID: I20180907000053 |
| Provider Name | Caitlin Hainy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679050165 PECOS PAC ID: 4789934829 Enrollment ID: I20180911001202 |
| Provider Name | Christopher Victor Anstine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063944072 PECOS PAC ID: 2567734130 Enrollment ID: I20180911001878 |
| Provider Name | Alicia M Hinze |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447546288 PECOS PAC ID: 9931332228 Enrollment ID: I20180911002411 |
| Provider Name | Chad Richard Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275026676 PECOS PAC ID: 7113277294 Enrollment ID: I20180911002703 |
| Provider Name | Stephanie Elizabeth Held |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447746789 PECOS PAC ID: 9739439837 Enrollment ID: I20180911003615 |
| Provider Name | Alexander James Mclimans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962989830 PECOS PAC ID: 8224388244 Enrollment ID: I20180912000873 |
| Provider Name | Anne L Shandera-ochsner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972989804 PECOS PAC ID: 5395050330 Enrollment ID: I20180912003332 |
| Provider Name | Mei E Yeow |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083892574 PECOS PAC ID: 3476620253 Enrollment ID: I20180913000368 |
| Provider Name | Becky Jo Zmolek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336631639 PECOS PAC ID: 8921358920 Enrollment ID: I20180913000374 |
| Provider Name | Sarah a Minter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699254987 PECOS PAC ID: 4688924509 Enrollment ID: I20180913001655 |
| Provider Name | Katherine Marie Montanari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971640 PECOS PAC ID: 8325398290 Enrollment ID: I20180914000010 |
| Provider Name | Cassandra Bowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023503547 PECOS PAC ID: 9830440601 Enrollment ID: I20180919000132 |
| Provider Name | Maria Paraschiva Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346736170 PECOS PAC ID: 7911258587 Enrollment ID: I20180920000971 |
| Provider Name | Katherine Burlas Sebald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003301367 PECOS PAC ID: 6901157478 Enrollment ID: I20180921001444 |
| Provider Name | Aldis P Siltumens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235660465 PECOS PAC ID: 9436400959 Enrollment ID: I20180924000337 |
| Provider Name | Melissa Kay Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184103863 PECOS PAC ID: 6204187677 Enrollment ID: I20180924003287 |
| 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 | Hannah Clark St. Jeor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023598059 PECOS PAC ID: 4486905627 Enrollment ID: I20180926003478 |
| Provider Name | Catherine Vu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215304761 PECOS PAC ID: 2961753124 Enrollment ID: I20180927000163 |
| Provider Name | Rebecca Anne Hewitson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063686194 PECOS PAC ID: 4284985342 Enrollment ID: I20180928001631 |
| Provider Name | Jeremy Douglas Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922121243 PECOS PAC ID: 1850569104 Enrollment ID: I20181001000473 |
| Provider Name | Amanda Nicole Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649750027 PECOS PAC ID: 7810248820 Enrollment ID: I20181001001093 |
| Provider Name | Daniel Chiang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336676279 PECOS PAC ID: 6103198627 Enrollment ID: I20181002000517 |
| Provider Name | Aniket Saoji |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508380445 PECOS PAC ID: 8224301577 Enrollment ID: I20181002000666 |
| Provider Name | Megan L Donnelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366973034 PECOS PAC ID: 6406108497 Enrollment ID: I20181002001751 |
| Provider Name | Ronstan Lobo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063862381 PECOS PAC ID: 9335430065 Enrollment ID: I20181002003369 |
| Provider Name | Katherine Marie Sherrard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760961627 PECOS PAC ID: 8921350968 Enrollment ID: I20181002003569 |
| Provider Name | Mashele Marie Huschka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436114 PECOS PAC ID: 2567714512 Enrollment ID: I20181003000122 |
| Provider Name | Jill Alena Butson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679052583 PECOS PAC ID: 3779835681 Enrollment ID: I20181003003645 |
| Provider Name | Daniel Maselli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760877310 PECOS PAC ID: 6709138506 Enrollment ID: I20181005000703 |
| Provider Name | Corrie a Kangas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538654959 PECOS PAC ID: 3476805102 Enrollment ID: I20181009000194 |
| Provider Name | Kathryn Ann Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780600254 PECOS PAC ID: 9537163274 Enrollment ID: I20181009003533 |
| Provider Name | Krista Kerlinske |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003324575 PECOS PAC ID: 4082966445 Enrollment ID: I20181012000295 |
| Provider Name | Angela Marie Clinton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083197867 PECOS PAC ID: 6406108885 Enrollment ID: I20181012001455 |
| Provider Name | Michaela Lynn Elliott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861975864 PECOS PAC ID: 1456603786 Enrollment ID: I20181015000710 |
| Provider Name | Jennifer Kay Owen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578078622 PECOS PAC ID: 2567721889 Enrollment ID: I20181015003435 |
| Provider Name | Elizabeth Grace Mooberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992281612 PECOS PAC ID: 6800148057 Enrollment ID: I20181016003000 |
| Provider Name | Dustin Wayne Kingsley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437638566 PECOS PAC ID: 1254683378 Enrollment ID: I20181017002258 |
| Provider Name | Lena Lea Kassab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134508484 PECOS PAC ID: 7416261094 Enrollment ID: I20181019000943 |
| Provider Name | Amie Gene Schei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265926083 PECOS PAC ID: 0749533792 Enrollment ID: I20181022002447 |
| Provider Name | Adam Joshua Eisenbraun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649752676 PECOS PAC ID: 4082967906 Enrollment ID: I20181023002240 |
| Provider Name | Mairead Bartley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255718482 PECOS PAC ID: 8224358692 Enrollment ID: I20181024001071 |
| Provider Name | Allison Pauline Fick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689154619 PECOS PAC ID: 6507119385 Enrollment ID: I20181024001598 |
| Provider Name | Anastasia Zekeridou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376075259 PECOS PAC ID: 8628340825 Enrollment ID: I20181024002212 |
| Provider Name | Neha P Raukar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518919869 PECOS PAC ID: 3476552183 Enrollment ID: I20181024002630 |
| Provider Name | Bhaumik Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891920195 PECOS PAC ID: 4486893468 Enrollment ID: I20181031001987 |
| Provider Name | Maria Pegan Gaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205318995 PECOS PAC ID: 1658624879 Enrollment ID: I20181105001979 |
| Provider Name | Deena Tajfirouz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790205680 PECOS PAC ID: 2860768280 Enrollment ID: I20181106000024 |
| Provider Name | Dean Alden Shumway |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649597378 PECOS PAC ID: 6002121720 Enrollment ID: I20181106000098 |
| Provider Name | Christopher Ray Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174006563 PECOS PAC ID: 2466705645 Enrollment ID: I20181106000853 |
| Provider Name | Kerry Rose Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437633427 PECOS PAC ID: 1153675343 Enrollment ID: I20181106001543 |
| Provider Name | Nishant Saran |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558739797 PECOS PAC ID: 1456653625 Enrollment ID: I20181106001795 |
| Provider Name | Kari Ann Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257949 PECOS PAC ID: 4688928849 Enrollment ID: I20181107001441 |
| Provider Name | Elizabeth Clare Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245713015 PECOS PAC ID: 3072867233 Enrollment ID: I20181107001705 |
| Provider Name | Elizabeth Mackey Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306325360 PECOS PAC ID: 0840544011 Enrollment ID: I20181107001946 |
| Provider Name | Marilyn Helene Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326566811 PECOS PAC ID: 0042578908 Enrollment ID: I20181107002212 |
| Provider Name | Joshua Pritchett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760919815 PECOS PAC ID: 2668744913 Enrollment ID: I20181117000409 |
| Provider Name | Abby Mcwaters |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881160026 PECOS PAC ID: 7214281807 Enrollment ID: I20181119000136 |
| Provider Name | Saira Haq |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497239875 PECOS PAC ID: 2860746302 Enrollment ID: I20181119002870 |
| Provider Name | Morgan Elizabeth Granchelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831618776 PECOS PAC ID: 9739454323 Enrollment ID: I20181128002921 |
| Provider Name | Gregory G Schalla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033634001 PECOS PAC ID: 7113284225 Enrollment ID: I20181130001662 |
| Provider Name | Sarah M Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457829541 PECOS PAC ID: 4385988229 Enrollment ID: I20181204003288 |
| Provider Name | Paula Mary Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962978411 PECOS PAC ID: 3173867934 Enrollment ID: I20181205000343 |
| Provider Name | Emily Ann Enevold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629546908 PECOS PAC ID: 2365786134 Enrollment ID: I20181205000778 |
| Provider Name | Ming-hsi Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649436668 PECOS PAC ID: 9931417516 Enrollment ID: I20181205001099 |
| Provider Name | Ellen Bendel-stenzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609815927 PECOS PAC ID: 9335104579 Enrollment ID: I20181208000166 |
| Provider Name | Chelsea Willson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013485689 PECOS PAC ID: 9234473695 Enrollment ID: I20181212000969 |
| 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 | Abigail Krystene Stockland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588133862 PECOS PAC ID: 2062757453 Enrollment ID: I20181212002060 |
| Provider Name | Michael Ruediger Mueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003182080 PECOS PAC ID: 6608026364 Enrollment ID: I20181212003110 |
| Provider Name | Gang Zheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881836872 PECOS PAC ID: 4385896158 Enrollment ID: I20181214000013 |
| Provider Name | Reade Alan Quinton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689141335 PECOS PAC ID: 3971848284 Enrollment ID: I20181214000434 |
| Provider Name | Nicole Kanz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114400413 PECOS PAC ID: 2567707615 Enrollment ID: I20181219000176 |
| Provider Name | Gina Ann Suh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609075977 PECOS PAC ID: 4789778507 Enrollment ID: I20181228000016 |
| Provider Name | Semirra Lynn Bayan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366761314 PECOS PAC ID: 5294969432 Enrollment ID: I20181228000865 |
| Provider Name | Leonardo E Candelario Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750767158 PECOS PAC ID: 4486990462 Enrollment ID: I20190111001615 |
| Provider Name | Erin Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942772835 PECOS PAC ID: 0244576163 Enrollment ID: I20190115001091 |
| Provider Name | Kai Joshua Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356633440 PECOS PAC ID: 8527304377 Enrollment ID: I20190115002684 |
| Provider Name | Katie Machacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912477084 PECOS PAC ID: 4486991031 Enrollment ID: I20190122000116 |
| Provider Name | Zongming Eric Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043351810 PECOS PAC ID: 3678631710 Enrollment ID: I20190122000950 |
| Provider Name | Nicole Rose Imhof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013489434 PECOS PAC ID: 4789921289 Enrollment ID: I20190122002236 |
| Provider Name | Jodi M. Moore-weiss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003036427 PECOS PAC ID: 3870526502 Enrollment ID: I20190131001013 |
| Provider Name | Ruben J Crespo-diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477908804 PECOS PAC ID: 8022355882 Enrollment ID: I20190131003419 |
| Provider Name | Victoria M Silvera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467539908 PECOS PAC ID: 7911966916 Enrollment ID: I20190201001908 |
| Provider Name | Jennifer Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861962045 PECOS PAC ID: 9335487057 Enrollment ID: I20190205001263 |
| Provider Name | Nitin Mishra |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1790940708 PECOS PAC ID: 8820249378 Enrollment ID: I20190207000748 |
| Provider Name | Hannah C Dettinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871066837 PECOS PAC ID: 5193063493 Enrollment ID: I20190212001854 |
| Provider Name | David M Overman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619916848 PECOS PAC ID: 5698868313 Enrollment ID: I20190214001233 |
| Provider Name | Lindsey Ann Gregory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457821852 PECOS PAC ID: 0547508319 Enrollment ID: I20190221000507 |
| Provider Name | Syril a Gillies |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467905570 PECOS PAC ID: 3870863525 Enrollment ID: I20190221001495 |
| Provider Name | Megan Herbers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912470857 PECOS PAC ID: 9335488949 Enrollment ID: I20190226002155 |
| Provider Name | Cole James Kriett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861965774 PECOS PAC ID: 3779822390 Enrollment ID: I20190226002760 |
| Provider Name | David Rushlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790775294 PECOS PAC ID: 8022051408 Enrollment ID: I20190301000280 |
| Provider Name | Kristin Marie Dyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447722608 PECOS PAC ID: 1153660113 Enrollment ID: I20190308002064 |
| Provider Name | Kelsey Ann Nelsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619449170 PECOS PAC ID: 8325387327 Enrollment ID: I20190311000438 |
| Provider Name | Nicholas Thomas Bray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720550254 PECOS PAC ID: 2567701568 Enrollment ID: I20190311000594 |
| Provider Name | Natalie Anne Laska |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306318829 PECOS PAC ID: 4284973280 Enrollment ID: I20190311000621 |
| Provider Name | Grace Natalie Angelondous |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497227987 PECOS PAC ID: 3971842881 Enrollment ID: I20190311001326 |
| Provider Name | Walter F Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043782253 PECOS PAC ID: 3870832728 Enrollment ID: I20190312000125 |
| Provider Name | Lindsay Joan Grudem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407326424 PECOS PAC ID: 5395084255 Enrollment ID: I20190312000330 |
| Provider Name | Stephen E Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063985042 PECOS PAC ID: 8527308493 Enrollment ID: I20190313001387 |
| Provider Name | Julie Streib |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457504094 PECOS PAC ID: 7113089160 Enrollment ID: I20190314000009 |
| Provider Name | Tanelle Nicole Franko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962906982 PECOS PAC ID: 9739429580 Enrollment ID: I20190314001353 |
| Provider Name | Colin Bucks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962441741 PECOS PAC ID: 9335142165 Enrollment ID: I20190315001055 |
| Provider Name | Paschalis Vergidis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780858613 PECOS PAC ID: 0547315442 Enrollment ID: I20190315001818 |
| Provider Name | Colin Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992049597 PECOS PAC ID: 9739429465 Enrollment ID: I20190315002475 |
| Provider Name | Lauren Michelle Elzen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588000939 PECOS PAC ID: 6103166756 Enrollment ID: I20190319002126 |
| Provider Name | Nathan Smits |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487110128 PECOS PAC ID: 8224378773 Enrollment ID: I20190319002355 |
| Provider Name | Haley A. Gaulke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225500796 PECOS PAC ID: 8123368529 Enrollment ID: I20190321001889 |
| Provider Name | Casandra Lynn Ahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023580453 PECOS PAC ID: 8921348137 Enrollment ID: I20190326002946 |
| Provider Name | Yuka Furuya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558655399 PECOS PAC ID: 4082834684 Enrollment ID: I20190327000096 |
| Provider Name | Katrina L Jech |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962968990 PECOS PAC ID: 7113268145 Enrollment ID: I20190401000999 |
| Provider Name | Brooke Marie Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528532827 PECOS PAC ID: 9739420779 Enrollment ID: I20190401001480 |
| Provider Name | Lindsay D. Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811453129 PECOS PAC ID: 7517208556 Enrollment ID: I20190401001587 |
| Provider Name | Elizabeth Laskowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962960567 PECOS PAC ID: 5294076279 Enrollment ID: I20190402000732 |
| Provider Name | Sarah Cashman Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902362932 PECOS PAC ID: 2668713504 Enrollment ID: I20190403000469 |
| Provider Name | Jennifer Ann Juers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154886992 PECOS PAC ID: 7810238672 Enrollment ID: I20190405000084 |
| Provider Name | David Duranceau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215409891 PECOS PAC ID: 5597006239 Enrollment ID: I20190408001077 |
| Provider Name | Rebecca Mary Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528511664 PECOS PAC ID: 2961743414 Enrollment ID: I20190410000036 |
| 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 | Lisa B Howley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760538359 PECOS PAC ID: 8224226535 Enrollment ID: I20190418002444 |
| Provider Name | Aubrie Christine Cohorst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932668373 PECOS PAC ID: 9335481357 Enrollment ID: I20190423001849 |
| Provider Name | Suzanne M Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740746189 PECOS PAC ID: 7315289238 Enrollment ID: I20190425000434 |
| Provider Name | Kathryn Grace Learned |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669930343 PECOS PAC ID: 8325380165 Enrollment ID: I20190429000133 |
| Provider Name | Catherine E Stanecki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912401019 PECOS PAC ID: 5991047730 Enrollment ID: I20190429000395 |
| Provider Name | Amy Joy Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801368949 PECOS PAC ID: 8325380025 Enrollment ID: I20190430000077 |
| Provider Name | Harish Ramakrishna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063495331 PECOS PAC ID: 0345288445 Enrollment ID: I20190501000526 |
| Provider Name | Kongmo Nsameluh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144785627 PECOS PAC ID: 8325380793 Enrollment ID: I20190506000371 |
| Provider Name | Molly Beth Boyle Kraus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518253731 PECOS PAC ID: 0547406571 Enrollment ID: I20190507000182 |
| Provider Name | Cassandra L Hoshor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104388644 PECOS PAC ID: 9133461403 Enrollment ID: I20190507001569 |
| Provider Name | Benjamin Dean Holmes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184604969 PECOS PAC ID: 3274548557 Enrollment ID: I20190510000175 |
| Provider Name | Heather Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336703479 PECOS PAC ID: 0749523405 Enrollment ID: I20190521000361 |
| Provider Name | Matthew Basiaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689800260 PECOS PAC ID: 5395900898 Enrollment ID: I20190521002755 |
| Provider Name | Sara a Lahti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235690967 PECOS PAC ID: 7719220367 Enrollment ID: I20190522001060 |
| Provider Name | Monica J Taylor-desir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770613259 PECOS PAC ID: 9335053800 Enrollment ID: I20190523001908 |
| Provider Name | Wesan S Shango |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386190817 PECOS PAC ID: 1759669070 Enrollment ID: I20190529001272 |
| Provider Name | Katie Marie Sellner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144886722 PECOS PAC ID: 4880927193 Enrollment ID: I20190531000164 |
| Provider Name | Aoife M. Egan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588895254 PECOS PAC ID: 8729350087 Enrollment ID: I20190531000270 |
| Provider Name | Miao Xian Zhou |
|---|---|
| Provider Type | Practitioner - Periodontics |
| Provider Identifiers | NPI Number: 1982867487 PECOS PAC ID: 2264765445 Enrollment ID: I20190603000507 |
| Provider Name | Amjad N Kanj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548614738 PECOS PAC ID: 3476846767 Enrollment ID: I20190603000907 |
| Provider Name | Chady Meroueh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235301599 PECOS PAC ID: 2961575246 Enrollment ID: I20190603003037 |
| Provider Name | Antoine Saliba |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780067314 PECOS PAC ID: 1355654625 Enrollment ID: I20190603003199 |
| Provider Name | Mohammed Nadir Bhuiyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831583194 PECOS PAC ID: 7214277821 Enrollment ID: I20190604000278 |
| Provider Name | Mays Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497094353 PECOS PAC ID: 8527387190 Enrollment ID: I20190604000375 |
| 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 | Amos Lal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235682857 PECOS PAC ID: 1850670746 Enrollment ID: I20190606000448 |
| Provider Name | Heather M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265096234 PECOS PAC ID: 4486987427 Enrollment ID: I20190606002283 |
| Provider Name | Sebastian Fernandez-bussy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366527277 PECOS PAC ID: 5496841850 Enrollment ID: I20190607000178 |
| Provider Name | Jennifer Tangtiphaiboontana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497190177 PECOS PAC ID: 0648563148 Enrollment ID: I20190610000850 |
| Provider Name | Christoph Gunter Stanislaw Nabzdyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932494788 PECOS PAC ID: 3173753043 Enrollment ID: I20190611000834 |
| Provider Name | Trenton Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639435217 PECOS PAC ID: 3678892098 Enrollment ID: I20190611001365 |
| Provider Name | Amirala S Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386910107 PECOS PAC ID: 2860647500 Enrollment ID: I20190612000311 |
| Provider Name | Avinash Nehra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952780199 PECOS PAC ID: 8628389368 Enrollment ID: I20190612000983 |
| Provider Name | Tiffany Sae Kho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205247608 PECOS PAC ID: 2466750047 Enrollment ID: I20190613000190 |
| Provider Name | Taryn Nichole Ragaisis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992369938 PECOS PAC ID: 6002149473 Enrollment ID: I20190618001129 |
| Provider Name | Nguyen H Tran |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811330079 PECOS PAC ID: 7911120480 Enrollment ID: I20190618001298 |
| Provider Name | Allison O Ferreira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679992606 PECOS PAC ID: 3870719115 Enrollment ID: I20190619000858 |
| Provider Name | Kristina Marie Babcock Donahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427511179 PECOS PAC ID: 1658605001 Enrollment ID: I20190619000920 |
| Provider Name | Kelly Milberg Novak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952798845 PECOS PAC ID: 6002127982 Enrollment ID: I20190619001234 |
| Provider Name | John a Halerz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114375532 PECOS PAC ID: 0648562439 Enrollment ID: I20190619001884 |
| Provider Name | Andrew S Tseng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053768614 PECOS PAC ID: 0648562389 Enrollment ID: I20190625000022 |
| 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 | Sarah Magdalen Morken |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851958755 PECOS PAC ID: 6204160286 Enrollment ID: I20190625002332 |
| Provider Name | Rachel Marie Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508423336 PECOS PAC ID: 1850625880 Enrollment ID: I20190626000023 |
| Provider Name | Han Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396164380 PECOS PAC ID: 0042544918 Enrollment ID: I20190626002256 |
| Provider Name | Ahmed Kurdi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427580471 PECOS PAC ID: 3779829726 Enrollment ID: I20190703000642 |
| Provider Name | Ashley Phimister |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497109193 PECOS PAC ID: 1456686930 Enrollment ID: I20190708000546 |
| Provider Name | Gloria Jinny No |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083857528 PECOS PAC ID: 0446470777 Enrollment ID: I20190711001248 |
| Provider Name | Muhammad Shafay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629524715 PECOS PAC ID: 7416282546 Enrollment ID: I20190711002937 |
| Provider Name | Matthew E Schumann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992221931 PECOS PAC ID: 9133453061 Enrollment ID: I20190712000222 |
| Provider Name | Ann M Rusk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649664582 PECOS PAC ID: 1658636147 Enrollment ID: I20190712001507 |
| Provider Name | Megan Elizabeth Giarratana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992365142 PECOS PAC ID: 7214262138 Enrollment ID: I20190716000329 |
| Provider Name | Matthew Thorpe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215372081 PECOS PAC ID: 2567797384 Enrollment ID: I20190716000802 |
| Provider Name | Anastasios Dimou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265729834 PECOS PAC ID: 5092937649 Enrollment ID: I20190717000996 |
| Provider Name | Katherine Theisen Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952744526 PECOS PAC ID: 3779818497 Enrollment ID: I20190717001160 |
| Provider Name | Joseph C. Ahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790162204 PECOS PAC ID: 5395090880 Enrollment ID: I20190717001514 |
| Provider Name | Kara Delger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780247676 PECOS PAC ID: 0345575080 Enrollment ID: I20190717001802 |
| Provider Name | Matthew Mulvihill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285290585 PECOS PAC ID: 4789919309 Enrollment ID: I20190718000403 |
| Provider Name | Mara Piltin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194138065 PECOS PAC ID: 8224364815 Enrollment ID: I20190718003447 |
| Provider Name | Francis Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841771532 PECOS PAC ID: 1557697059 Enrollment ID: I20190722001365 |
| Provider Name | An Qi Wu |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558921833 PECOS PAC ID: 3678809191 Enrollment ID: I20190722002575 |
| Provider Name | Michael E Wolf |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982921706 PECOS PAC ID: 6103152632 Enrollment ID: I20190722002744 |
| Provider Name | Brock Davidson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356836654 PECOS PAC ID: 1951637495 Enrollment ID: I20190722003116 |
| Provider Name | Aasiya Matin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1356655336 PECOS PAC ID: 8527293273 Enrollment ID: I20190722003395 |
| Provider Name | Sara Ann Schroeder Hevesi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013368414 PECOS PAC ID: 6709173727 Enrollment ID: I20190723000714 |
| Provider Name | Angela Gail Samuelsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053648360 PECOS PAC ID: 1254667405 Enrollment ID: I20190725000375 |
| Provider Name | Fatima Ezzeddine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881046894 PECOS PAC ID: 7416241062 Enrollment ID: I20190725000433 |
| Provider Name | Yamen Ezaizi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720475940 PECOS PAC ID: 3274869433 Enrollment ID: I20190725000727 |
| Provider Name | Justine Marie Reuter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306404132 PECOS PAC ID: 7517293541 Enrollment ID: I20190729000838 |
| Provider Name | Alan Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275038556 PECOS PAC ID: 6103173299 Enrollment ID: I20190730000227 |
| Provider Name | Valerie Ann Verdun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598262271 PECOS PAC ID: 5193073997 Enrollment ID: I20190730000706 |
| Provider Name | Siri Anne Urquhart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548767551 PECOS PAC ID: 0648527739 Enrollment ID: I20190730001115 |
| Provider Name | Elida Rose Voth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356835334 PECOS PAC ID: 1254688179 Enrollment ID: I20190730001615 |
| Provider Name | Riley Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891291894 PECOS PAC ID: 1254688211 Enrollment ID: I20190730002284 |
| Provider Name | Jyoti Gautam Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093370157 PECOS PAC ID: 5092041947 Enrollment ID: I20190730002559 |
| Provider Name | Alexander Kellington Bratt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265876445 PECOS PAC ID: 2961767181 Enrollment ID: I20190730002779 |
| Provider Name | Robert Kerwin Strother |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518463595 PECOS PAC ID: 1456608462 Enrollment ID: I20190730002862 |
| Provider Name | Larissa Taylor Shiue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053815787 PECOS PAC ID: 7810245891 Enrollment ID: I20190730003144 |
| Provider Name | Jason Derek Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336645282 PECOS PAC ID: 0749538379 Enrollment ID: I20190731000039 |
| Provider Name | David Martin Harmon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881190213 PECOS PAC ID: 5496003352 Enrollment ID: I20190731000064 |
| Provider Name | Beau R Gerding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215591052 PECOS PAC ID: 5597091496 Enrollment ID: I20190731000122 |
| Provider Name | Nathaniel L Robinson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083108195 PECOS PAC ID: 0941559660 Enrollment ID: I20190731000123 |
| Provider Name | Sindhuja Sominidi Damodaran |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194252254 PECOS PAC ID: 7911277173 Enrollment ID: I20190731000802 |
| Provider Name | Nathan Seven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003307075 PECOS PAC ID: 6608126925 Enrollment ID: I20190731001072 |
| Provider Name | Kiersten Pope |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073165791 PECOS PAC ID: 7012243827 Enrollment ID: I20190731001147 |
| Provider Name | John Warren Kirby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306333109 PECOS PAC ID: 0143556985 Enrollment ID: I20190731002372 |
| Provider Name | Bradley White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699265587 PECOS PAC ID: 3971852054 Enrollment ID: I20190731003562 |
| Provider Name | Andrew Erik Hutchison Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710481619 PECOS PAC ID: 1850648817 Enrollment ID: I20190801000384 |
| Provider Name | Katherine Ann Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518462316 PECOS PAC ID: 3870829674 Enrollment ID: I20190801000407 |
| Provider Name | Adam Koch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952805871 PECOS PAC ID: 7911254925 Enrollment ID: I20190801000525 |
| Provider Name | Livia F Kruger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215460415 PECOS PAC ID: 8224386057 Enrollment ID: I20190801000594 |
| Provider Name | Daniel D Penrice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235626045 PECOS PAC ID: 0244587384 Enrollment ID: I20190801000929 |
| Provider Name | Katherine Melissa Lucas Jostad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003479015 PECOS PAC ID: 3577899277 Enrollment ID: I20190801000952 |
| Provider Name | Emily Marie Olson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427553023 PECOS PAC ID: 3274880364 Enrollment ID: I20190801001205 |
| Provider Name | Taleen Alexandria Macarthur |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285139451 PECOS PAC ID: 4082961172 Enrollment ID: I20190802000443 |
| Provider Name | Tomas Carvajal Carvajal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104260025 PECOS PAC ID: 7315170354 Enrollment ID: I20190802000817 |
| Provider Name | Madeleine M Mason |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982109807 PECOS PAC ID: 1052668555 Enrollment ID: I20190803000071 |
| Provider Name | Lekui Xiao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932605664 PECOS PAC ID: 3274860911 Enrollment ID: I20190805000018 |
| Provider Name | Omar M Mohamed |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982109336 PECOS PAC ID: 0042567018 Enrollment ID: I20190805000231 |
| Provider Name | Jamie Kapplinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740786847 PECOS PAC ID: 6709133812 Enrollment ID: I20190805001093 |
| Provider Name | Alexander David Ritchie Ginsburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780180653 PECOS PAC ID: 2769739804 Enrollment ID: I20190805001367 |
| Provider Name | Samuel David Falde |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144714387 PECOS PAC ID: 4789932377 Enrollment ID: I20190805002162 |
| Provider Name | Fadi William M Adel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013412840 PECOS PAC ID: 8123372026 Enrollment ID: I20190805002419 |
| Provider Name | Tyler Herzog |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1245695501 PECOS PAC ID: 7214284223 Enrollment ID: I20190806000664 |
| Provider Name | Derek Opp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366947012 PECOS PAC ID: 1456608090 Enrollment ID: I20190806002043 |
| Provider Name | Raghav Julakanti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609372879 PECOS PAC ID: 2961759881 Enrollment ID: I20190806002189 |
| Provider Name | Brodie Richar Marthaler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093153751 PECOS PAC ID: 6608010608 Enrollment ID: I20190806002287 |
| Provider Name | Peace Nnenna Eneh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801393806 PECOS PAC ID: 2163779067 Enrollment ID: I20190806002424 |
| Provider Name | Gretchen Anne-rochelle Hoff Colbenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467959254 PECOS PAC ID: 8921355090 Enrollment ID: I20190806003834 |
| Provider Name | Aishwarya Ravindran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477085256 PECOS PAC ID: 8022380898 Enrollment ID: I20190806004073 |
| Provider Name | Anthony Kashou |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629572557 PECOS PAC ID: 5799032769 Enrollment ID: I20190807000059 |
| Provider Name | Francisco Cardenas Lara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033640156 PECOS PAC ID: 2668745233 Enrollment ID: I20190807000116 |
| Provider Name | Serena Jingxi Day |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1578068433 PECOS PAC ID: 5496003360 Enrollment ID: I20190807000180 |
| Provider Name | Michael Skolka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134610199 PECOS PAC ID: 6709113251 Enrollment ID: I20190807001690 |
| Provider Name | Allyson Palmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447755707 PECOS PAC ID: 4880941715 Enrollment ID: I20190807002115 |
| Provider Name | Courtney Rae Carlson Strother |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780189019 PECOS PAC ID: 5496007387 Enrollment ID: I20190808001765 |
| Provider Name | Mitra Anoosheh Khosravi Flanigan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053816918 PECOS PAC ID: 8325395262 Enrollment ID: I20190808002590 |
| Provider Name | Jessica Anne Ulrich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114419314 PECOS PAC ID: 2769739739 Enrollment ID: I20190808003728 |
| Provider Name | Patrick Navin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427570852 PECOS PAC ID: 8426320797 Enrollment ID: I20190813001501 |
| Provider Name | Patrick Michael Flanigan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497250682 PECOS PAC ID: 0547597569 Enrollment ID: I20190813002477 |
| Provider Name | Natalie Ann Rea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104313873 PECOS PAC ID: 6305193236 Enrollment ID: I20190814000956 |
| Provider Name | Patricia Chipi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578918454 PECOS PAC ID: 9638457484 Enrollment ID: I20190814002805 |
| Provider Name | Robert J Fagnant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093734360 PECOS PAC ID: 4385534346 Enrollment ID: I20190814003928 |
| Provider Name | Ashley Rebecca Santilli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629573803 PECOS PAC ID: 5193072288 Enrollment ID: I20190815002207 |
| Provider Name | David Sanborn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497250203 PECOS PAC ID: 2961759089 Enrollment ID: I20190815002881 |
| Provider Name | Ian D Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811250772 PECOS PAC ID: 0749584852 Enrollment ID: I20190816000011 |
| Provider Name | Scott Breitinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356728562 PECOS PAC ID: 9436493210 Enrollment ID: I20190816000171 |
| Provider Name | Catherine Elizabeth Hagen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447494430 PECOS PAC ID: 2961642731 Enrollment ID: I20190816000478 |
| Provider Name | Matthew Robert Augustine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821582305 PECOS PAC ID: 2769728377 Enrollment ID: I20190816000592 |
| Provider Name | Christopher Pierce Hartley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194084343 PECOS PAC ID: 6103181698 Enrollment ID: I20190816000934 |
| Provider Name | Bryan Joseph Neth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093210775 PECOS PAC ID: 1759639586 Enrollment ID: I20190816001534 |
| Provider Name | Stephanie Jo Steel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093212805 PECOS PAC ID: 4688922545 Enrollment ID: I20190819002402 |
| Provider Name | Juan Ripoll Sanz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376073304 PECOS PAC ID: 2365714110 Enrollment ID: I20190820002593 |
| Provider Name | Ashley L. Holland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205272200 PECOS PAC ID: 5799927950 Enrollment ID: I20190820003026 |
| Provider Name | Andrew Patrick Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992146005 PECOS PAC ID: 6305135906 Enrollment ID: I20190820004168 |
| Provider Name | Jacob Jochum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861059479 PECOS PAC ID: 8628306230 Enrollment ID: I20190821000169 |
| Provider Name | Timothy Ade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043552672 PECOS PAC ID: 1658609284 Enrollment ID: I20190821000888 |
| Provider Name | Indrani Sen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760915862 PECOS PAC ID: 0749552347 Enrollment ID: I20190821001150 |
| Provider Name | Carson Welker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427478809 PECOS PAC ID: 8224385778 Enrollment ID: I20190821003603 |
| Provider Name | Nicolett Rae Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114589181 PECOS PAC ID: 7810225331 Enrollment ID: I20190822000141 |
| Provider Name | Gordon J Ruan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982109369 PECOS PAC ID: 8426305491 Enrollment ID: I20190822000838 |
| Provider Name | Elizabeth Humes Stephens |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1194082123 PECOS PAC ID: 0547598088 Enrollment ID: I20190822001050 |
| Provider Name | Eileen Mei Russell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841794773 PECOS PAC ID: 5799032637 Enrollment ID: I20190822002542 |
| Provider Name | Jose Juan Sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053818187 PECOS PAC ID: 8527315654 Enrollment ID: I20190822003138 |
| Provider Name | Alexander Joseph Sahakian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225533961 PECOS PAC ID: 3577812296 Enrollment ID: I20190822003470 |
| Provider Name | Kelly C Holm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417519927 PECOS PAC ID: 1951639343 Enrollment ID: I20190822003489 |
| Provider Name | Jaskanwal Deep Sara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710417779 PECOS PAC ID: 8426321779 Enrollment ID: I20190822003673 |
| Provider Name | Mai Sia Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134783574 PECOS PAC ID: 0749518165 Enrollment ID: I20190823000001 |
| Provider Name | Sevann Helo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144588302 PECOS PAC ID: 1557632163 Enrollment ID: I20190823000044 |
| Provider Name | Sergio Elias Chiarella |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295020550 PECOS PAC ID: 4385948397 Enrollment ID: I20190823000485 |
| Provider Name | Kathy a Baule |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801863584 PECOS PAC ID: 9537123906 Enrollment ID: I20190823001448 |
| Provider Name | Ashley Dawn Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285288928 PECOS PAC ID: 7012245327 Enrollment ID: I20190824000559 |
| Provider Name | Winny Kerubo Omwamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508425828 PECOS PAC ID: 4385972538 Enrollment ID: I20190826002368 |
| Provider Name | Theresa J Wytaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043634496 PECOS PAC ID: 9739310962 Enrollment ID: I20190826002442 |
| Provider Name | Sarah Marie Norman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275020380 PECOS PAC ID: 6507113412 Enrollment ID: I20190828002171 |
| Provider Name | Jeffrey R Weatherhead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275894255 PECOS PAC ID: 1052611647 Enrollment ID: I20190829000209 |
| Provider Name | Lindy Lois Bungum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265086748 PECOS PAC ID: 6608104500 Enrollment ID: I20190829001992 |
| Provider Name | Dana Steien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053542357 PECOS PAC ID: 3072806520 Enrollment ID: I20190829002241 |
| Provider Name | Brittany Mcphail |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851850598 PECOS PAC ID: 0941538870 Enrollment ID: I20190829003470 |
| Provider Name | Mitchell Padkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699270207 PECOS PAC ID: 5799033718 Enrollment ID: I20190829004249 |
| Provider Name | Tal David Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811484520 PECOS PAC ID: 6901153139 Enrollment ID: I20190903000000 |
| Provider Name | Stefanie M Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174181838 PECOS PAC ID: 3577892421 Enrollment ID: I20190903000992 |
| Provider Name | Alyssa Christine Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033761317 PECOS PAC ID: 9436488210 Enrollment ID: I20190903002730 |
| Provider Name | Chad Alan Helton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124562582 PECOS PAC ID: 0446514939 Enrollment ID: I20190904001915 |
| Provider Name | Jackson J Hermanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013573682 PECOS PAC ID: 7416286190 Enrollment ID: I20190905000693 |
| Provider Name | Jacob P Martinez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912498478 PECOS PAC ID: 0941550743 Enrollment ID: I20190905001009 |
| Provider Name | Emily Hubbard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184282600 PECOS PAC ID: 9830428549 Enrollment ID: I20190905001769 |
| Provider Name | Madeline Marie Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194377614 PECOS PAC ID: 5496084147 Enrollment ID: I20190906000014 |
| Provider Name | Affan Irfan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942588066 PECOS PAC ID: 4789958893 Enrollment ID: I20190909003725 |
| Provider Name | Kariline Elizabeth Bringe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346583200 PECOS PAC ID: 4587989256 Enrollment ID: I20190911000023 |
| Provider Name | Jill Shannon Dorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821642364 PECOS PAC ID: 1850620196 Enrollment ID: I20190911001638 |
| Provider Name | Andrea Erin Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902453269 PECOS PAC ID: 7719216076 Enrollment ID: I20190911002367 |
| 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 | Michael R Basso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497751291 PECOS PAC ID: 0547534182 Enrollment ID: I20190917000037 |
| Provider Name | Jill Kristine Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245886142 PECOS PAC ID: 4688903610 Enrollment ID: I20190917000643 |
| Provider Name | Nibras El Sherif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922539303 PECOS PAC ID: 3274877402 Enrollment ID: I20190920002909 |
| Provider Name | Garrett Fooshee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720645492 PECOS PAC ID: 3375873870 Enrollment ID: I20190926000658 |
| Provider Name | Alpana Joshi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073912697 PECOS PAC ID: 9739407032 Enrollment ID: I20190927000137 |
| Provider Name | Scott Aaron Kuzma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275599664 PECOS PAC ID: 4082933460 Enrollment ID: I20191002001314 |
| Provider Name | Michael Muchiri Kariuki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295273456 PECOS PAC ID: 2466739123 Enrollment ID: I20191002001507 |
| Provider Name | Maranda Heinks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770139420 PECOS PAC ID: 4981935020 Enrollment ID: I20191003003439 |
| Provider Name | Yasmeen Tandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992021067 PECOS PAC ID: 3476796327 Enrollment ID: I20191014003281 |
| Provider Name | Nessa Aghazadeh Mohandesi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770089161 PECOS PAC ID: 4385979855 Enrollment ID: I20191015000602 |
| Provider Name | David M Phelan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679646715 PECOS PAC ID: 3274585013 Enrollment ID: I20191015001825 |
| Provider Name | Adedayo Temitope Dosumu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174019038 PECOS PAC ID: 3870824139 Enrollment ID: I20191017001572 |
| Provider Name | Michael Homer Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457306995 PECOS PAC ID: 9032121777 Enrollment ID: I20191018000617 |
| Provider Name | Conor M Lane |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982119277 PECOS PAC ID: 0143578955 Enrollment ID: I20191021001009 |
| Provider Name | Atousa Deljou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336646926 PECOS PAC ID: 2860749835 Enrollment ID: I20191021001128 |
| Provider Name | Panagiotis Kerezoudis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689171597 PECOS PAC ID: 8729335815 Enrollment ID: I20191023000953 |
| Provider Name | Farah S Baban |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033616271 PECOS PAC ID: 6103173638 Enrollment ID: I20191028000430 |
| Provider Name | Gregory P. Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437237120 PECOS PAC ID: 1850445024 Enrollment ID: I20191028000949 |
| Provider Name | Janie Reitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043869530 PECOS PAC ID: 0042542862 Enrollment ID: I20191029000772 |
| Provider Name | Tiffany Jayne Galush |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942867692 PECOS PAC ID: 5698007334 Enrollment ID: I20191029002322 |
| Provider Name | Shelby Jean Chilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710529375 PECOS PAC ID: 7618209313 Enrollment ID: I20191030001181 |
| Provider Name | Stacey Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134675069 PECOS PAC ID: 3971881608 Enrollment ID: I20191030001948 |
| Provider Name | David George Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893854 PECOS PAC ID: 4880926336 Enrollment ID: I20191101001347 |
| Provider Name | Jasmine Kamboj |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144557638 PECOS PAC ID: 8820380272 Enrollment ID: I20191105001066 |
| Provider Name | Kevin P. Landolfo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073622585 PECOS PAC ID: 1951460682 Enrollment ID: I20191106001846 |
| Provider Name | Rabia Javed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306343207 PECOS PAC ID: 6406103340 Enrollment ID: I20191107002195 |
| Provider Name | Sarvenaz Esmaeilzadeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871079319 PECOS PAC ID: 3779831623 Enrollment ID: I20191111000178 |
| Provider Name | Bailey Breanne Staffan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508415522 PECOS PAC ID: 3577995612 Enrollment ID: I20191112001164 |
| Provider Name | Haley Robinson-peil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023588225 PECOS PAC ID: 7810329778 Enrollment ID: I20191114000282 |
| Provider Name | Charles W Nordstrom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447223011 PECOS PAC ID: 5597739797 Enrollment ID: I20191114000628 |
| Provider Name | Laura Marie Boldenow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902449788 PECOS PAC ID: 7214369131 Enrollment ID: I20191114002877 |
| Provider Name | Svea Alm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722513 PECOS PAC ID: 4183056005 Enrollment ID: I20191114003127 |
| Provider Name | Ashley Paige Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457995557 PECOS PAC ID: 0345672119 Enrollment ID: I20191115001890 |
| Provider Name | Samantha Joann Caron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982248589 PECOS PAC ID: 9234561002 Enrollment ID: I20191115001988 |
| Provider Name | Jonathan David Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659695518 PECOS PAC ID: 0345542908 Enrollment ID: I20191115002252 |
| Provider Name | Germaine Marie Kleinheksel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639712524 PECOS PAC ID: 8325470115 Enrollment ID: I20191116000003 |
| Provider Name | Heather N. Montane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154726628 PECOS PAC ID: 3072837442 Enrollment ID: I20191118002146 |
| Provider Name | Allie M Martinson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669016770 PECOS PAC ID: 3072945625 Enrollment ID: I20191120000049 |
| Provider Name | Moses Mhayamaguru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417397811 PECOS PAC ID: 3173818473 Enrollment ID: I20191126003122 |
| Provider Name | Mary E Verdun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417593922 PECOS PAC ID: 2163855495 Enrollment ID: I20191127001241 |
| Provider Name | Anna Kathryn Olson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790992295 PECOS PAC ID: 7214122050 Enrollment ID: I20191127001936 |
| Provider Name | Cassandra Jeanne Gorman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821477100 PECOS PAC ID: 9638501455 Enrollment ID: I20191205002922 |
| Provider Name | Jenny Montejo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053358655 PECOS PAC ID: 1557314747 Enrollment ID: I20191212000442 |
| Provider Name | Manuel Arteta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922018548 PECOS PAC ID: 2365403961 Enrollment ID: I20191212000983 |
| Provider Name | Sabrina S Rochelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316580087 PECOS PAC ID: 0143653717 Enrollment ID: I20191212001591 |
| Provider Name | Maja Katusic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558789974 PECOS PAC ID: 2466745088 Enrollment ID: I20191216000018 |
| Provider Name | Jordan Grabow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962957670 PECOS PAC ID: 1153617808 Enrollment ID: I20191216001319 |
| Provider Name | Marilynn Freeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619514056 PECOS PAC ID: 8022442490 Enrollment ID: I20191218002600 |
| Provider Name | Danielle a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639725609 PECOS PAC ID: 7012341373 Enrollment ID: I20191220000280 |
| Provider Name | Sondra Sue Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669018222 PECOS PAC ID: 7416381579 Enrollment ID: I20191223001838 |
| Provider Name | Sherief Shawki |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1861714222 PECOS PAC ID: 0244538585 Enrollment ID: I20191226001353 |
| Provider Name | Danelle Ann Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417372590 PECOS PAC ID: 2769605385 Enrollment ID: I20191226001523 |
| Provider Name | Joanna Lynn Gullickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477109593 PECOS PAC ID: 7113351255 Enrollment ID: I20191226002021 |
| Provider Name | Sarah Lauren Cohen Rassier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831235977 PECOS PAC ID: 9830362417 Enrollment ID: I20200103000219 |
| Provider Name | Shari B Phelan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972541373 PECOS PAC ID: 5890788970 Enrollment ID: I20200114000961 |
| Provider Name | Carly Elizabeth Burbank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790323749 PECOS PAC ID: 8628403987 Enrollment ID: I20200114001486 |
| Provider Name | Lara Louise Beacom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013556489 PECOS PAC ID: 3476988643 Enrollment ID: I20200116000052 |
| Provider Name | Eukeria Tanyir Boila Epse Nsameluh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477191807 PECOS PAC ID: 5294160420 Enrollment ID: I20200116002308 |
| Provider Name | Leslie Carranza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770697971 PECOS PAC ID: 1456475144 Enrollment ID: I20200121002524 |
| Provider Name | Hannah Rose Christenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235779273 PECOS PAC ID: 4880029792 Enrollment ID: I20200123001602 |
| Provider Name | Minh a Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053954487 PECOS PAC ID: 8123453909 Enrollment ID: I20200124001747 |
| Provider Name | Jenny Weyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902446925 PECOS PAC ID: 5496181190 Enrollment ID: I20200128001842 |
| 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 | Sawyer Blake Lange |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811527856 PECOS PAC ID: 5698101947 Enrollment ID: I20200204001772 |
| Provider Name | Anand Padmanabhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104085075 PECOS PAC ID: 6800082025 Enrollment ID: I20200207002082 |
| Provider Name | Leslie a Washburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255307682 PECOS PAC ID: 2163476946 Enrollment ID: I20200211002448 |
| Provider Name | Randolph Navasca Lao |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083244909 PECOS PAC ID: 7911333836 Enrollment ID: I20200212000882 |
| Provider Name | Kyle Michael Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972133890 PECOS PAC ID: 0244666055 Enrollment ID: I20200213002226 |
| Provider Name | Christopher W Saenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376174672 PECOS PAC ID: 1355777111 Enrollment ID: I20200214001381 |
| Provider Name | Jacob Richard Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275163263 PECOS PAC ID: 3577990050 Enrollment ID: I20200221001880 |
| Provider Name | Jenesse Nicole Moffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497395370 PECOS PAC ID: 7618304163 Enrollment ID: I20200224001533 |
| Provider Name | Michelle Genevieive Rogers Kull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437799319 PECOS PAC ID: 2860829090 Enrollment ID: I20200227000847 |
| Provider Name | Lindsey Pelke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942849948 PECOS PAC ID: 5496182305 Enrollment ID: I20200304002864 |
| Provider Name | Sarah Jean Hedrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104457472 PECOS PAC ID: 0840628798 Enrollment ID: I20200309000202 |
| Provider Name | Randi J. Riggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386277952 PECOS PAC ID: 3971931783 Enrollment ID: I20200310000414 |
| Provider Name | Jacqueline J Meyer-rostad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942832712 PECOS PAC ID: 3870921687 Enrollment ID: I20200310000475 |
| Provider Name | Avery R Schalla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861024945 PECOS PAC ID: 8325476161 Enrollment ID: I20200310001746 |
| Provider Name | Whitney Marie Bones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316347974 PECOS PAC ID: 0749618478 Enrollment ID: I20200312000058 |
| Provider Name | Kate E Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679112403 PECOS PAC ID: 7517395197 Enrollment ID: I20200313000254 |
| Provider Name | Katherine Elizabeth Mcmahon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215567144 PECOS PAC ID: 2163850751 Enrollment ID: I20200313000623 |
| Provider Name | Molly J Doughty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851921803 PECOS PAC ID: 4688002215 Enrollment ID: I20200313002056 |
| Provider Name | Alicia R Bestland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649802273 PECOS PAC ID: 2860820321 Enrollment ID: I20200316001095 |
| Provider Name | Sarah Elizabeth Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750921268 PECOS PAC ID: 4880022383 Enrollment ID: I20200317000017 |
| Provider Name | Maheder a Bitew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154749273 PECOS PAC ID: 8527496033 Enrollment ID: I20200317000378 |
| Provider Name | Randa R Soubra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083247910 PECOS PAC ID: 6305274630 Enrollment ID: I20200319000727 |
| Provider Name | Victoria Catherine Sharkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578197554 PECOS PAC ID: 6800224148 Enrollment ID: I20200319001004 |
| Provider Name | Elissa K Strunk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265062186 PECOS PAC ID: 2062840234 Enrollment ID: I20200323000285 |
| Provider Name | Kathleen Marie Kratt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326678798 PECOS PAC ID: 7012345291 Enrollment ID: I20200323000543 |
| Provider Name | Grigoriy Malyshev |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851924583 PECOS PAC ID: 1254769391 Enrollment ID: I20200324000297 |
| Provider Name | Krista L Mandler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992337562 PECOS PAC ID: 2466880562 Enrollment ID: I20200324003027 |
| Provider Name | Kate E Brossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134750128 PECOS PAC ID: 5193153104 Enrollment ID: I20200325000171 |
| Provider Name | Ashley K Loken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629599147 PECOS PAC ID: 7416227277 Enrollment ID: I20200325001388 |
| Provider Name | Jennifer Rose Sveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326673799 PECOS PAC ID: 0547698524 Enrollment ID: I20200325003251 |
| Provider Name | Chelsie Rachelle Twohey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992330401 PECOS PAC ID: 4082043971 Enrollment ID: I20200327001099 |
| Provider Name | Roderick William Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023513405 PECOS PAC ID: 2567719495 Enrollment ID: I20200330001631 |
| Provider Name | Becky Pileggi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235553330 PECOS PAC ID: 3971847690 Enrollment ID: I20200330002545 |
| Provider Name | Narjis a Eversman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316360340 PECOS PAC ID: 4082044193 Enrollment ID: I20200413002702 |
| Provider Name | Megan Jo Ungerer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104363092 PECOS PAC ID: 5193008704 Enrollment ID: I20200504000052 |
| Provider Name | Luann T. Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639455892 PECOS PAC ID: 6901067404 Enrollment ID: I20200511000597 |
| Provider Name | Jad Abimansour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417488248 PECOS PAC ID: 2567730799 Enrollment ID: I20200515002446 |
| Provider Name | Ryan M Phillips |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184011348 PECOS PAC ID: 8820305790 Enrollment ID: I20200520000118 |
| Provider Name | Mark Waddle |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275910812 PECOS PAC ID: 5294048583 Enrollment ID: I20200520000403 |
| Provider Name | Jorge Trejo-lopez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851710834 PECOS PAC ID: 2567680663 Enrollment ID: I20200520000730 |
| Provider Name | Supavit Chesdachai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982138228 PECOS PAC ID: 6800161456 Enrollment ID: I20200520001659 |
| Provider Name | Erin Ballenger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689048449 PECOS PAC ID: 1951606003 Enrollment ID: I20200522001297 |
| Provider Name | Kristina T Flicek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568872364 PECOS PAC ID: 1456678986 Enrollment ID: I20200523000033 |
| Provider Name | Eric Joseph Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841654456 PECOS PAC ID: 6709207996 Enrollment ID: I20200526000550 |
| Provider Name | Abhinav Khanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154734127 PECOS PAC ID: 2860794286 Enrollment ID: I20200526002216 |
| Provider Name | Miriam Levi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538432323 PECOS PAC ID: 3476797838 Enrollment ID: I20200527002446 |
| Provider Name | Christopher Marcos Paff Shenoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932684321 PECOS PAC ID: 5294156394 Enrollment ID: I20200527002832 |
| Provider Name | Akeem Ronell Lewis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760833941 PECOS PAC ID: 9931442688 Enrollment ID: I20200528000857 |
| Provider Name | Carolina Larmeu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427582071 PECOS PAC ID: 7416378575 Enrollment ID: I20200528002295 |
| Provider Name | Aysegul Ozerdem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720615982 PECOS PAC ID: 3274954235 Enrollment ID: I20200528003191 |
| Provider Name | David Craig Fipps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255781720 PECOS PAC ID: 9638464043 Enrollment ID: I20200530000127 |
| Provider Name | Joshua Wiedermann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720345044 PECOS PAC ID: 0345531323 Enrollment ID: I20200601000060 |
| Provider Name | Michael Paul Merren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568405934 PECOS PAC ID: 4880699446 Enrollment ID: I20200601000178 |
| Provider Name | Cecilia Anne Merrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558981910 PECOS PAC ID: 3678994621 Enrollment ID: I20200601000525 |
| Provider Name | James Bryan Meiling |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669933347 PECOS PAC ID: 4789005679 Enrollment ID: I20200601003024 |
| Provider Name | Andrew Norman Chalupka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356751861 PECOS PAC ID: 0648588202 Enrollment ID: I20200609000931 |
| Provider Name | Charles Patrick Hannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417339375 PECOS PAC ID: 9537459441 Enrollment ID: I20200609001196 |
| Provider Name | Casey Lynn Wunderlich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508486093 PECOS PAC ID: 3577985951 Enrollment ID: I20200613000126 |
| Provider Name | Prerna Sinha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427255025 PECOS PAC ID: 2062593239 Enrollment ID: I20200615002095 |
| Provider Name | Andrew James Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316560733 PECOS PAC ID: 4284056417 Enrollment ID: I20200617000906 |
| Provider Name | Sara Hassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538509898 PECOS PAC ID: 9739501974 Enrollment ID: I20200617001430 |
| Provider Name | Nadine Abdallah |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1093169112 PECOS PAC ID: 9032403043 Enrollment ID: I20200617002394 |
| Provider Name | Benish Fatima |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922595594 PECOS PAC ID: 3375896772 Enrollment ID: I20200619000779 |
| Provider Name | Benjamin T Kor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730740432 PECOS PAC ID: 8628300332 Enrollment ID: I20200619001104 |
| Provider Name | George Stephen Zakhia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346690906 PECOS PAC ID: 0749602746 Enrollment ID: I20200620000007 |
| Provider Name | Maryam Shahi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164780672 PECOS PAC ID: 5395049605 Enrollment ID: I20200622001618 |
| Provider Name | Hicham Dabaja |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1346735750 PECOS PAC ID: 5991040131 Enrollment ID: I20200622001773 |
| 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 | Chia-chun Chiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568872414 PECOS PAC ID: 3870711799 Enrollment ID: I20200622003012 |
| Provider Name | Ji Yuan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659533347 PECOS PAC ID: 6103069877 Enrollment ID: I20200623000182 |
| Provider Name | Ying-chun Lo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487032470 PECOS PAC ID: 6901118587 Enrollment ID: I20200623000544 |
| Provider Name | Christopher Lamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063899672 PECOS PAC ID: 6204148372 Enrollment ID: I20200623000945 |
| Provider Name | Petar Saric |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336593862 PECOS PAC ID: 6204110125 Enrollment ID: I20200625001290 |
| Provider Name | Nawras Habash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992227979 PECOS PAC ID: 8022388735 Enrollment ID: I20200625002388 |
| Provider Name | Jane Konidis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154974897 PECOS PAC ID: 1951632686 Enrollment ID: I20200626000007 |
| Provider Name | Anvi Raina |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881042364 PECOS PAC ID: 3072806553 Enrollment ID: I20200626000404 |
| Provider Name | Josef Pleticha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124400593 PECOS PAC ID: 6103118278 Enrollment ID: I20200627000030 |
| Provider Name | Omar M. Ghanem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245544576 PECOS PAC ID: 8426342049 Enrollment ID: I20200629000092 |
| 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 | Andrew J Layman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336489004 PECOS PAC ID: 7315215977 Enrollment ID: I20200630001641 |
| Provider Name | Tuoyo Mene-afejuku |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1184076853 PECOS PAC ID: 3072848209 Enrollment ID: I20200630002627 |
| Provider Name | Kalli Rose Lundell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871128082 PECOS PAC ID: 8729401187 Enrollment ID: I20200702001097 |
| Provider Name | Prowpanga Udompap |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407389190 PECOS PAC ID: 0941574651 Enrollment ID: I20200707001442 |
| Provider Name | Isin Yagmur Comba |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467973727 PECOS PAC ID: 9335562404 Enrollment ID: I20200708000530 |
| Provider Name | Kevin Koo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912340373 PECOS PAC ID: 7719285501 Enrollment ID: I20200713001229 |
| Provider Name | Cody M Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902468044 PECOS PAC ID: 6507194412 Enrollment ID: I20200714000025 |
| Provider Name | Gregory a Aird |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417512005 PECOS PAC ID: 7810221447 Enrollment ID: I20200714000074 |
| Provider Name | Alla Blotsky |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538515663 PECOS PAC ID: 8325379431 Enrollment ID: I20200715000021 |
| Provider Name | Matthew D Braithwaite |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104280817 PECOS PAC ID: 1456617901 Enrollment ID: I20200716000082 |
| Provider Name | Ray Qian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285051565 PECOS PAC ID: 3072732460 Enrollment ID: I20200716000272 |
| Provider Name | Yuliya Petukhova |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1285253112 PECOS PAC ID: 4981028453 Enrollment ID: I20200717000293 |
| Provider Name | Judith Jebastin Thangaiah |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124403761 PECOS PAC ID: 8426472713 Enrollment ID: I20200720002189 |
| Provider Name | Laura Lehrian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659527356 PECOS PAC ID: 8224263009 Enrollment ID: I20200721003630 |
| Provider Name | Christopher Anh-thao Dinh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285294389 PECOS PAC ID: 4082949581 Enrollment ID: I20200723001055 |
| Provider Name | Elaine Marilyn Griffeth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396206355 PECOS PAC ID: 6507190014 Enrollment ID: I20200723001402 |
| Provider Name | Bridget Findlay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649736851 PECOS PAC ID: 3072847615 Enrollment ID: I20200727001569 |
| Provider Name | Tolulope Oyinkansola Kehinde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134680606 PECOS PAC ID: 2062746605 Enrollment ID: I20200728000049 |
| Provider Name | Catherine Marie Wroclawski |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1457983157 PECOS PAC ID: 7315361045 Enrollment ID: I20200728000792 |
| Provider Name | Sara T Medina-bielski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679170 PECOS PAC ID: 1254665201 Enrollment ID: I20200730000067 |
| Provider Name | Dustin Ross Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124588371 PECOS PAC ID: 0648504217 Enrollment ID: I20200730000904 |
| Provider Name | Vanessa Marie Dang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912467028 PECOS PAC ID: 6204161706 Enrollment ID: I20200730002087 |
| Provider Name | Puanani Hopson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518378694 PECOS PAC ID: 6507281086 Enrollment ID: I20200730002483 |
| Provider Name | Anagha Bangalore Kumar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295390342 PECOS PAC ID: 4981029345 Enrollment ID: I20200731001393 |
| Provider Name | Paige C Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922560747 PECOS PAC ID: 5092040451 Enrollment ID: I20200731001727 |
| Provider Name | Stephanie Grach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073073318 PECOS PAC ID: 9436484524 Enrollment ID: I20200731002751 |
| Provider Name | Carmen Montagnon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962963819 PECOS PAC ID: 7810221462 Enrollment ID: I20200803000193 |
| Provider Name | Mark Kaczor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497319065 PECOS PAC ID: 1759616006 Enrollment ID: I20200803001868 |
| Provider Name | Khaled Alameddine |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134689599 PECOS PAC ID: 8325372964 Enrollment ID: I20200803002460 |
| Provider Name | Keeley Nicole Susienka |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760009625 PECOS PAC ID: 2961827241 Enrollment ID: I20200804000210 |
| Provider Name | David Francis Malyuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073174694 PECOS PAC ID: 6709201007 Enrollment ID: I20200804001138 |
| Provider Name | Aurora S H Peck Norman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053976514 PECOS PAC ID: 7113251620 Enrollment ID: I20200804001574 |
| Provider Name | Jennifer Lorraine Skaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275155798 PECOS PAC ID: 3072938307 Enrollment ID: I20200804002512 |
| Provider Name | Sneha Mohan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568015840 PECOS PAC ID: 2567798622 Enrollment ID: I20200804002588 |
| Provider Name | Marcus Vinicius Pinto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356865547 PECOS PAC ID: 4284908062 Enrollment ID: I20200805000211 |
| Provider Name | Pierce Peters |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427518646 PECOS PAC ID: 5193050425 Enrollment ID: I20200805000311 |
| Provider Name | Nitesh Prakashbhai Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922662782 PECOS PAC ID: 6507191848 Enrollment ID: I20200805001000 |
| Provider Name | Carlee Ingrum Oakley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326509225 PECOS PAC ID: 4688909179 Enrollment ID: I20200805001616 |
| Provider Name | Deborah Olmstead Setter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497216162 PECOS PAC ID: 9537493176 Enrollment ID: I20200807000148 |
| Provider Name | Joshua Michaels Romero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487217436 PECOS PAC ID: 6406181874 Enrollment ID: I20200807001757 |
| Provider Name | Hallbera Gudmundsdottir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891359907 PECOS PAC ID: 5193053155 Enrollment ID: I20200810000070 |
| Provider Name | Jennifer Tomlinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013477017 PECOS PAC ID: 5890020143 Enrollment ID: I20200810000533 |
| Provider Name | Forrest Leigh Sturgill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598326308 PECOS PAC ID: 6204161342 Enrollment ID: I20200810000620 |
| Provider Name | Daniel Eduardo Leon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407316631 PECOS PAC ID: 5799010054 Enrollment ID: I20200810001497 |
| Provider Name | Emily Elizabeth Karp Bukowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306406186 PECOS PAC ID: 2668707191 Enrollment ID: I20200810002162 |
| Provider Name | Christopher Warne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093374340 PECOS PAC ID: 9133454507 Enrollment ID: I20200810002170 |
| Provider Name | Grant August Wintheiser |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043770092 PECOS PAC ID: 2860726791 Enrollment ID: I20200810002278 |
| Provider Name | Jessica M Kiel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801356035 PECOS PAC ID: 1153655642 Enrollment ID: I20200810002418 |
| Provider Name | Burak Tekin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346803202 PECOS PAC ID: 2264767441 Enrollment ID: I20200810002942 |
| Provider Name | Hadiyah Yasin Ahmad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497216394 PECOS PAC ID: 9537493382 Enrollment ID: I20200811000073 |
| Provider Name | Nathan Vinzant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407316664 PECOS PAC ID: 8426382938 Enrollment ID: I20200811000707 |
| 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 | Michael Armstrong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679033971 PECOS PAC ID: 8527392166 Enrollment ID: I20200814000422 |
| Provider Name | Samantha Ashley Banks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326508375 PECOS PAC ID: 2062747553 Enrollment ID: I20200814001778 |
| Provider Name | Sneha S Shukla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114580008 PECOS PAC ID: 4688909104 Enrollment ID: I20200817001214 |
| Provider Name | Elizabeth Williams Beiermann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699236778 PECOS PAC ID: 0648504167 Enrollment ID: I20200817002208 |
| Provider Name | Kelly Ingraham |
|---|---|
| Provider Type | Practitioner - Prosthodontics |
| Provider Identifiers | NPI Number: 1629606199 PECOS PAC ID: 7719303056 Enrollment ID: I20200817002537 |
| Provider Name | Melissa Helene Bogin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649830985 PECOS PAC ID: 5496080962 Enrollment ID: I20200817003788 |
| Provider Name | John W Kelsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992169403 PECOS PAC ID: 4082908181 Enrollment ID: I20200818000340 |
| Provider Name | Tomas Victorino Gonzalez Cano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174187454 PECOS PAC ID: 3870919103 Enrollment ID: I20200818001647 |
| Provider Name | Rolando Daniel Calderon |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1528528528 PECOS PAC ID: 1658606181 Enrollment ID: I20200818002994 |
| Provider Name | Roman Kowalchuk |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962965608 PECOS PAC ID: 2567888738 Enrollment ID: I20200818003371 |
| Provider Name | Shanterian King |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700346160 PECOS PAC ID: 6507190154 Enrollment ID: I20200820000022 |
| Provider Name | Christopher Reis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861952988 PECOS PAC ID: 8426383886 Enrollment ID: I20200820000451 |
| 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 - Hospitalist |
| Provider Identifiers | NPI Number: 1033525456 PECOS PAC ID: 6507156981 Enrollment ID: I20200821000056 |
| Provider Name | Ellen Pavilion Encisco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386105807 PECOS PAC ID: 6002141363 Enrollment ID: I20200821002190 |
| Provider Name | Lauren Elizabeth Tagliero |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316503998 PECOS PAC ID: 5395070866 Enrollment ID: I20200821002935 |
| Provider Name | Kristin Karim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811309131 PECOS PAC ID: 8224255526 Enrollment ID: I20200824001690 |
| Provider Name | Eucabeth M Asamoah |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1811458714 PECOS PAC ID: 9739413386 Enrollment ID: I20200824002500 |
| Provider Name | Dylan Shea Soukup |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396205613 PECOS PAC ID: 2668706201 Enrollment ID: I20200825000064 |
| Provider Name | Hillary Elizabeth Hook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255895025 PECOS PAC ID: 5294152179 Enrollment ID: I20200825000729 |
| Provider Name | Ameya P Patil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720425572 PECOS PAC ID: 3779725023 Enrollment ID: I20200825003079 |
| Provider Name | Tiffany Wu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134583651 PECOS PAC ID: 4486980968 Enrollment ID: I20200826001850 |
| Provider Name | Sarah Lynn D'souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821611823 PECOS PAC ID: 5698192284 Enrollment ID: I20200827001696 |
| Provider Name | Theodore Alan Betting |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588225007 PECOS PAC ID: 8628495256 Enrollment ID: I20200827003366 |
| Provider Name | Lara Magnabosco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326401118 PECOS PAC ID: 3375834997 Enrollment ID: I20200828000681 |
| Provider Name | Fazal Wahab Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932626124 PECOS PAC ID: 0648546267 Enrollment ID: I20200828001604 |
| Provider Name | Aivi Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558781286 PECOS PAC ID: 1052738580 Enrollment ID: I20200829000090 |
| Provider Name | Grace Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689136491 PECOS PAC ID: 9032536560 Enrollment ID: I20200829000156 |
| Provider Name | David Nathaniel Tryon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508391350 PECOS PAC ID: 3577980010 Enrollment ID: I20200831000312 |
| Provider Name | Brittani Ariel Berg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508475922 PECOS PAC ID: 2264859594 Enrollment ID: I20200901000455 |
| Provider Name | Kathleen Mae Hahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568072494 PECOS PAC ID: 9537586706 Enrollment ID: I20200902001663 |
| Provider Name | Annaliese G Seidel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316407406 PECOS PAC ID: 7214262732 Enrollment ID: I20200903000473 |
| Provider Name | Madeline Lee Eischen Utley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063979508 PECOS PAC ID: 1355768391 Enrollment ID: I20200908001026 |
| Provider Name | Jessie Wilburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407415201 PECOS PAC ID: 4486072477 Enrollment ID: I20200908001211 |
| Provider Name | Niki Parikh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689138307 PECOS PAC ID: 2062747421 Enrollment ID: I20200908001777 |
| Provider Name | Sasha Mansukhani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790218113 PECOS PAC ID: 1153670625 Enrollment ID: I20200909001201 |
| Provider Name | Corinna Shanice Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275151474 PECOS PAC ID: 6406274331 Enrollment ID: I20200909002891 |
| Provider Name | Eva Celeste Alden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710595426 PECOS PAC ID: 2567880339 Enrollment ID: I20200910000899 |
| Provider Name | Wendy Allen-rhoades |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700045655 PECOS PAC ID: 7214355098 Enrollment ID: I20200910001207 |
| Provider Name | Kaymi Mae De La Fuente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598386815 PECOS PAC ID: 0446678163 Enrollment ID: I20200914000020 |
| Provider Name | Kendall K Tasche |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003227489 PECOS PAC ID: 2062638356 Enrollment ID: I20200914000140 |
| 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 | Michael Ryan Mccarthy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992365332 PECOS PAC ID: 4789919796 Enrollment ID: I20200914001681 |
| Provider Name | Sarayna Mcguire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972063154 PECOS PAC ID: 9537493168 Enrollment ID: I20200915000139 |
| Provider Name | Marissa M Li |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1437711959 PECOS PAC ID: 4789919820 Enrollment ID: I20200915002937 |
| Provider Name | Nadia Akhiyat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922664507 PECOS PAC ID: 7911232418 Enrollment ID: I20200916000106 |
| Provider Name | Mathias Mccormick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528521978 PECOS PAC ID: 9133453723 Enrollment ID: I20200916002131 |
| Provider Name | Gamaleldin Osman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063875334 PECOS PAC ID: 6709204936 Enrollment ID: I20200919000031 |
| Provider Name | Kristen Scheitler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669038576 PECOS PAC ID: 2961737234 Enrollment ID: I20200921001273 |
| Provider Name | Jack William MC Hugh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639731961 PECOS PAC ID: 1254666811 Enrollment ID: I20200921002631 |
| Provider Name | Mason J Webb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306306600 PECOS PAC ID: 6709111065 Enrollment ID: I20200922000604 |
| Provider Name | Sarah Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174148829 PECOS PAC ID: 5294153326 Enrollment ID: I20200922000620 |
| Provider Name | Mark D Rollins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750330064 PECOS PAC ID: 3779569637 Enrollment ID: I20200922001407 |
| Provider Name | Kathryn Maureen Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821558081 PECOS PAC ID: 8820323272 Enrollment ID: I20200922001984 |
| Provider Name | Ryan William Kendziora |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508426610 PECOS PAC ID: 1355675992 Enrollment ID: I20200922002968 |
| Provider Name | Samuel Vukov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528505658 PECOS PAC ID: 9739507823 Enrollment ID: I20200922003210 |
| Provider Name | Zachary F Mages |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811398860 PECOS PAC ID: 4183042278 Enrollment ID: I20200922003254 |
| Provider Name | Saurabh Zanwar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1245890003 PECOS PAC ID: 4688909922 Enrollment ID: I20200923000010 |
| Provider Name | Tanner Henrie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003376385 PECOS PAC ID: 8224362355 Enrollment ID: I20200923000114 |
| Provider Name | Simrit Kaur Warring |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1043773195 PECOS PAC ID: 9739414186 Enrollment ID: I20200923000398 |
| Provider Name | David Turay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699957688 PECOS PAC ID: 8921286121 Enrollment ID: I20200923000479 |
| Provider Name | Juliana Christine Capp |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114489713 PECOS PAC ID: 8224362868 Enrollment ID: I20200924001947 |
| Provider Name | Leah R Petermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609498096 PECOS PAC ID: 1759700529 Enrollment ID: I20200928002130 |
| Provider Name | Karla Elizabeth Plote |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134686678 PECOS PAC ID: 4082033899 Enrollment ID: I20200929000331 |
| Provider Name | Matthew Joseph Aizpuru |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669932836 PECOS PAC ID: 1658605159 Enrollment ID: I20200929000477 |
| Provider Name | Michael Neblett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578925723 PECOS PAC ID: 8123311529 Enrollment ID: I20200929001324 |
| Provider Name | Christina Marie Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386260560 PECOS PAC ID: 9638598485 Enrollment ID: I20200929001940 |
| Provider Name | Roshini Selladurai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134653074 PECOS PAC ID: 2860739364 Enrollment ID: I20200930000889 |
| Provider Name | Heather Amber Hoke Bartel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073125985 PECOS PAC ID: 0749609386 Enrollment ID: I20200930002338 |
| Provider Name | Alejandra Catalina Vasquez Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003378902 PECOS PAC ID: 8123352051 Enrollment ID: I20200930002443 |
| Provider Name | Ladeanna Marie Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750994406 PECOS PAC ID: 4880013473 Enrollment ID: I20201001000236 |
| Provider Name | Garrett Alexander Welle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861953689 PECOS PAC ID: 9436484920 Enrollment ID: I20201001000731 |
| Provider Name | Mauro Schenone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750588596 PECOS PAC ID: 5092854000 Enrollment ID: I20201001000871 |
| Provider Name | Joshua Charles Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770139925 PECOS PAC ID: 6406275858 Enrollment ID: I20201005000053 |
| Provider Name | Mason Uvodich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548720519 PECOS PAC ID: 6709111297 Enrollment ID: I20201005000448 |
| Provider Name | Kyrsten Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396231296 PECOS PAC ID: 5698023539 Enrollment ID: I20201006000418 |
| Provider Name | Joshua Daniel Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306459276 PECOS PAC ID: 4688093974 Enrollment ID: I20201006002794 |
| Provider Name | Theresa Marie Elsbernd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609487958 PECOS PAC ID: 8628497914 Enrollment ID: I20201006003018 |
| Provider Name | Anita Zheng |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164982179 PECOS PAC ID: 6305171661 Enrollment ID: I20201007001190 |
| Provider Name | Kelly Horst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134383748 PECOS PAC ID: 9537318068 Enrollment ID: I20201008001888 |
| Provider Name | Audrey Mary Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114541885 PECOS PAC ID: 5294155446 Enrollment ID: I20201009000484 |
| Provider Name | Afsaneh Alavi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083211023 PECOS PAC ID: 9739509506 Enrollment ID: I20201015002641 |
| Provider Name | Allison Kayla Chorzempa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316404858 PECOS PAC ID: 3274953070 Enrollment ID: I20201016000735 |
| Provider Name | Arvind Kumar Garg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154551968 PECOS PAC ID: 2062640014 Enrollment ID: I20201020000965 |
| Provider Name | Katherine Margaret Ehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679034888 PECOS PAC ID: 8628303773 Enrollment ID: I20201027001125 |
| Provider Name | Erin Marissa Hannigan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558985101 PECOS PAC ID: 8325458615 Enrollment ID: I20201027001537 |
| Provider Name | Melissa Sue Kinney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033757364 PECOS PAC ID: 7113337213 Enrollment ID: I20201030001632 |
| Provider Name | Ashley Elaine Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508323049 PECOS PAC ID: 7618387556 Enrollment ID: I20201105000165 |
| Provider Name | Jose James |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932662749 PECOS PAC ID: 0547594095 Enrollment ID: I20201105000379 |
| Provider Name | Caroline Scherbring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730546813 PECOS PAC ID: 3173829298 Enrollment ID: I20201105001541 |
| Provider Name | Meghan Katherine Sontag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790344810 PECOS PAC ID: 6002226891 Enrollment ID: I20201105002850 |
| Provider Name | Michelle Dawn Linke Shafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346804598 PECOS PAC ID: 3971830647 Enrollment ID: I20201106001145 |
| Provider Name | John C Schupbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669932810 PECOS PAC ID: 3971837568 Enrollment ID: I20201106002048 |
| Provider Name | Sawyer Berrett |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1396206090 PECOS PAC ID: 1557695103 Enrollment ID: I20201112003072 |
| Provider Name | Heidi Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609395243 PECOS PAC ID: 7810307238 Enrollment ID: I20201112003290 |
| Provider Name | Charis Erin Kampschroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902403504 PECOS PAC ID: 4981015203 Enrollment ID: I20201117003278 |
| Provider Name | Matthew David Read |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275892713 PECOS PAC ID: 0143512434 Enrollment ID: I20201118003133 |
| Provider Name | Jillian Cornelia Lynaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386251098 PECOS PAC ID: 8224449434 Enrollment ID: I20201119000903 |
| Provider Name | Jonathan Moonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710584909 PECOS PAC ID: 2466863436 Enrollment ID: I20201123002100 |
| Provider Name | Leah Jean Mighell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053928788 PECOS PAC ID: 1153732151 Enrollment ID: I20201124000229 |
| Provider Name | Micah Nieboer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336702224 PECOS PAC ID: 0547595803 Enrollment ID: I20201124001208 |
| Provider Name | Anna C Lin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750905873 PECOS PAC ID: 3375954225 Enrollment ID: I20201124002957 |
| Provider Name | Erika N Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356949523 PECOS PAC ID: 9133530660 Enrollment ID: I20201204000704 |
| Provider Name | Kourtney E Gault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790315604 PECOS PAC ID: 0244641728 Enrollment ID: I20201204002561 |
| Provider Name | Malinda Marie Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972104180 PECOS PAC ID: 6507278017 Enrollment ID: I20201207001616 |
| Provider Name | Chelsea Lee Bowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801495163 PECOS PAC ID: 4688086119 Enrollment ID: I20201207002650 |
| Provider Name | Ralph Thomas Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225659246 PECOS PAC ID: 6901218247 Enrollment ID: I20201210001986 |
| Provider Name | Michael Maniaci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215910500 PECOS PAC ID: 0941302657 Enrollment ID: I20201211000167 |
| Provider Name | Allison Rae Burgstahler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144787680 PECOS PAC ID: 7315359403 Enrollment ID: I20201214003215 |
| Provider Name | Fu'ad Al-azzam |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295136232 PECOS PAC ID: 0840411369 Enrollment ID: I20201215001805 |
| Provider Name | Stephen Wade Rieke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780054015 PECOS PAC ID: 0042520587 Enrollment ID: I20201215001831 |
| Provider Name | Aaron Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619578721 PECOS PAC ID: 2062824006 Enrollment ID: I20201215002155 |
| Provider Name | Chelsea Jo Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427651702 PECOS PAC ID: 7315359254 Enrollment ID: I20201217000020 |
| Provider Name | Annah Joy Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699378026 PECOS PAC ID: 7416369368 Enrollment ID: I20201217000370 |
| Provider Name | Melody Christians |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326238106 PECOS PAC ID: 5890978571 Enrollment ID: I20201217000407 |
| Provider Name | Van Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265041594 PECOS PAC ID: 9436561297 Enrollment ID: I20201219000002 |
| Provider Name | Emily Anne Moret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134733405 PECOS PAC ID: 6406268168 Enrollment ID: I20201222001593 |
| Provider Name | Annika Balekos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619593969 PECOS PAC ID: 5597177196 Enrollment ID: I20201223000266 |
| Provider Name | Claudia Santamaria Ariza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427578038 PECOS PAC ID: 9931511573 Enrollment ID: I20201223001591 |
| Provider Name | Harrison David Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043822646 PECOS PAC ID: 8527471887 Enrollment ID: I20210105000929 |
| Provider Name | Choua Vue-brabant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891037198 PECOS PAC ID: 0446663397 Enrollment ID: I20210113002383 |
| Provider Name | Joshua R Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265035976 PECOS PAC ID: 6406269299 Enrollment ID: I20210116000123 |
| Provider Name | Hayden Taylor Middleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619577640 PECOS PAC ID: 3072927748 Enrollment ID: I20210121001290 |
| Provider Name | Luis Felipe Tapias Vargas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922391143 PECOS PAC ID: 7517110620 Enrollment ID: I20210121001621 |
| Provider Name | Shannon Marie Stiebner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871196568 PECOS PAC ID: 2264846849 Enrollment ID: I20210121001694 |
| Provider Name | Adam Cassidy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326395039 PECOS PAC ID: 9335553924 Enrollment ID: I20210121002162 |
| Provider Name | Za Chang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023575297 PECOS PAC ID: 7517371131 Enrollment ID: I20210122000260 |
| Provider Name | Katelyn Marie Park Pritchard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205463999 PECOS PAC ID: 1951715317 Enrollment ID: I20210126000525 |
| Provider Name | Mauricio a Villavicencio |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497153332 PECOS PAC ID: 2961711841 Enrollment ID: I20210127003504 |
| Provider Name | Jacqueline Joachim Mahoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912357716 PECOS PAC ID: 1254745565 Enrollment ID: I20210128000495 |
| Provider Name | Desiree Marie Morrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891251690 PECOS PAC ID: 0648684464 Enrollment ID: I20210205000839 |
| Provider Name | Todd E. Rasmussen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093725707 PECOS PAC ID: 4486687258 Enrollment ID: I20210208000185 |
| Provider Name | Sarah Elizabeth Leoni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831792894 PECOS PAC ID: 3678988490 Enrollment ID: I20210209000420 |
| Provider Name | Alan M Manzardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801485065 PECOS PAC ID: 6608281399 Enrollment ID: I20210210000704 |
| Provider Name | Christopher M Adams |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346207719 PECOS PAC ID: 8325077704 Enrollment ID: I20210216000276 |
| Provider Name | Carlos Diogenes Pinheiro Neto |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831403237 PECOS PAC ID: 9830383744 Enrollment ID: I20210216000888 |
| Provider Name | Madeline E Beiswanger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245876432 PECOS PAC ID: 0648685172 Enrollment ID: I20210216001433 |
| Provider Name | Emily Nicole Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700472982 PECOS PAC ID: 7416362769 Enrollment ID: I20210218000664 |
| Provider Name | Rachel Oludiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588282545 PECOS PAC ID: 1557776804 Enrollment ID: I20210218000843 |
| Provider Name | Kelechi Okoroha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356683510 PECOS PAC ID: 5799917860 Enrollment ID: I20210219001447 |
| Provider Name | Simon Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851917264 PECOS PAC ID: 6002221264 Enrollment ID: I20210219002555 |
| Provider Name | Anne M Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376151530 PECOS PAC ID: 7214342476 Enrollment ID: I20210220000150 |
| Provider Name | Danette K Grimsrud-walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447881370 PECOS PAC ID: 0941615108 Enrollment ID: I20210220000155 |
| Provider Name | Brea a Heil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871198945 PECOS PAC ID: 3072928191 Enrollment ID: I20210222002782 |
| Provider Name | Jenna K Grubisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568059939 PECOS PAC ID: 6002221132 Enrollment ID: I20210223000458 |
| Provider Name | Miranda B.I. Hatzis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568071058 PECOS PAC ID: 5991110041 Enrollment ID: I20210223001224 |
| Provider Name | Katherine Mallett Zimmerman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265092951 PECOS PAC ID: 4284968835 Enrollment ID: I20210225002563 |
| Provider Name | Jennifer I Stern |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326218157 PECOS PAC ID: 8325110968 Enrollment ID: I20210302000802 |
| Provider Name | Anna C Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619516614 PECOS PAC ID: 3971939208 Enrollment ID: I20210302001969 |
| Provider Name | Amy Elizabeth Garmaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861082729 PECOS PAC ID: 0547676348 Enrollment ID: I20210302002129 |
| Provider Name | Erin E Rotter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205381399 PECOS PAC ID: 8022390160 Enrollment ID: I20210302002312 |
| Provider Name | Alyssa Danielle Carey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093304032 PECOS PAC ID: 8921414780 Enrollment ID: I20210303001348 |
| Provider Name | Yoojung Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760078620 PECOS PAC ID: 6608282041 Enrollment ID: I20210309001730 |
| Provider Name | Summer Nicole Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255922928 PECOS PAC ID: 5597171850 Enrollment ID: I20210311000026 |
| Provider Name | Kayla Terese Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417545963 PECOS PAC ID: 8820404072 Enrollment ID: I20210312000603 |
| Provider Name | Madison Kendall Graham |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174187181 PECOS PAC ID: 4082020235 Enrollment ID: I20210312000661 |
| Provider Name | Laurie Ann Utne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891381646 PECOS PAC ID: 4486060647 Enrollment ID: I20210312000966 |
| Provider Name | Brittany Marie Schoer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730775115 PECOS PAC ID: 5294141461 Enrollment ID: I20210312001458 |
| Provider Name | Lane C Cavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184255234 PECOS PAC ID: 4981010030 Enrollment ID: I20210315002676 |
| Provider Name | Zachary Paul Carron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588253835 PECOS PAC ID: 6204242399 Enrollment ID: I20210316001229 |
| Provider Name | Katelynn Kressin Borgen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528654340 PECOS PAC ID: 0143636142 Enrollment ID: I20210316001940 |
| Provider Name | Shant Ayanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720390503 PECOS PAC ID: 5799919395 Enrollment ID: I20210316002502 |
| Provider Name | Maria Carron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225627573 PECOS PAC ID: 1951718972 Enrollment ID: I20210318001080 |
| Provider Name | Chad Lee Stencel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043814239 PECOS PAC ID: 3678980570 Enrollment ID: I20210319001814 |
| Provider Name | Samantha Lange |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134716251 PECOS PAC ID: 4284041062 Enrollment ID: I20210323000644 |
| Provider Name | Cornelia M Weyand |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952310450 PECOS PAC ID: 4981693744 Enrollment ID: I20210324000781 |
| Provider Name | Courtney K Swenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346836186 PECOS PAC ID: 1759798432 Enrollment ID: I20210324002515 |
| Provider Name | Marie Johnson Tackmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154952885 PECOS PAC ID: 1355758822 Enrollment ID: I20210329002510 |
| Provider Name | Khaled S Mohammed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710410535 PECOS PAC ID: 1850626656 Enrollment ID: I20210402000122 |
| Provider Name | Mubarak a Hassan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255927000 PECOS PAC ID: 7315355229 Enrollment ID: I20210414000812 |
| Provider Name | Morgan Kathryn Decook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386231603 PECOS PAC ID: 7315355179 Enrollment ID: I20210415000239 |
| 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 | Megan Marie Volk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881275626 PECOS PAC ID: 4688083736 Enrollment ID: I20210503000773 |
| Provider Name | Lindsey Elise Sefried |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831778752 PECOS PAC ID: 9739598806 Enrollment ID: I20210503001805 |
| Provider Name | Emily a Mctate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265793087 PECOS PAC ID: 8123252731 Enrollment ID: I20210504000149 |
| Provider Name | Caitlin Marie Pyrz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356977714 PECOS PAC ID: 4486063484 Enrollment ID: I20210504000625 |
| Provider Name | Ellen Kearns Borhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417548157 PECOS PAC ID: 6103235122 Enrollment ID: I20210504001132 |
| Provider Name | William Richard George Perry |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1346801222 PECOS PAC ID: 7517296767 Enrollment ID: I20210507000760 |
| Provider Name | Hannah G Minter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245811785 PECOS PAC ID: 4183033913 Enrollment ID: I20210507001858 |
| Provider Name | Bonnie Sohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962841023 PECOS PAC ID: 8921396821 Enrollment ID: I20210512001851 |
| Provider Name | Shea Nicole Church |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467014233 PECOS PAC ID: 5991035586 Enrollment ID: I20210514000220 |
| Provider Name | Maureen Patricia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831777333 PECOS PAC ID: 5698184992 Enrollment ID: I20210517000575 |
| Provider Name | Maria Adelita Vizcaino Villalobos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134681182 PECOS PAC ID: 2769717008 Enrollment ID: I20210517001281 |
| Provider Name | Abigail M Wacholz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972186658 PECOS PAC ID: 4587073820 Enrollment ID: I20210517002441 |
| Provider Name | Katherine a Bouquet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740871946 PECOS PAC ID: 9739598087 Enrollment ID: I20210517002547 |
| Provider Name | Trevor James Simard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235746983 PECOS PAC ID: 9234559063 Enrollment ID: I20210520000614 |
| Provider Name | Jacob Miles Hanson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487237947 PECOS PAC ID: 4880093970 Enrollment ID: I20210521001024 |
| Provider Name | Jenny Liles Link |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124552690 PECOS PAC ID: 6709163561 Enrollment ID: I20210527003042 |
| Provider Name | Bright P Thilagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225340474 PECOS PAC ID: 9032352208 Enrollment ID: I20210528001790 |
| Provider Name | David Toro Tobon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881188514 PECOS PAC ID: 4789083403 Enrollment ID: I20210601001122 |
| Provider Name | Patricija Zot |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952821308 PECOS PAC ID: 7911278098 Enrollment ID: I20210601002696 |
| Provider Name | Oluwadunni Emiloju |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033630249 PECOS PAC ID: 6608275250 Enrollment ID: I20210601002817 |
| Provider Name | Benjamin Brakke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225560030 PECOS PAC ID: 3678972221 Enrollment ID: I20210602000053 |
| Provider Name | Rachael Carolee Passmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356556195 PECOS PAC ID: 6507906005 Enrollment ID: I20210602002209 |
| Provider Name | Stacy L Stratmann Egan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760400733 PECOS PAC ID: 8426018573 Enrollment ID: I20210604000009 |
| Provider Name | Xia Zhou |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871099515 PECOS PAC ID: 3375891872 Enrollment ID: I20210604000101 |
| Provider Name | Abhinav Singla |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104230002 PECOS PAC ID: 9335444256 Enrollment ID: I20210604000928 |
| Provider Name | Niloufarsadat Yarandi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477935971 PECOS PAC ID: 5698042943 Enrollment ID: I20210604001738 |
| Provider Name | Caitlin Batzlaff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679007702 PECOS PAC ID: 8426457888 Enrollment ID: I20210604001827 |
| Provider Name | Tyler Mathew Kaplan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578183976 PECOS PAC ID: 9537583810 Enrollment ID: I20210607000719 |
| Provider Name | Kornpong Vantanasiri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437640489 PECOS PAC ID: 8921358052 Enrollment ID: I20210607000965 |
| Provider Name | Ashley M Darlington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568994648 PECOS PAC ID: 0749559557 Enrollment ID: I20210608000124 |
| Provider Name | Nikolaos Andreatos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982196499 PECOS PAC ID: 7315293768 Enrollment ID: I20210608000567 |
| Provider Name | Brandon Jacob Smith |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1598387185 PECOS PAC ID: 5698196806 Enrollment ID: I20210609000337 |
| Provider Name | Megan Christine Erlandson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134793052 PECOS PAC ID: 8325448533 Enrollment ID: I20210609002807 |
| Provider Name | Paul J Farnsworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407207236 PECOS PAC ID: 1153721311 Enrollment ID: I20210610000980 |
| Provider Name | Joshua M Hauser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992144182 PECOS PAC ID: 8921340803 Enrollment ID: I20210610001535 |
| Provider Name | Diana Snyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477896363 PECOS PAC ID: 4789986027 Enrollment ID: I20210610003543 |
| Provider Name | Arushi Khurana |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1841545472 PECOS PAC ID: 3779802178 Enrollment ID: I20210615002816 |
| Provider Name | Jennifer Ann Braaten Winch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780258715 PECOS PAC ID: 2062812811 Enrollment ID: I20210615003339 |
| Provider Name | Khushboo Sanjay Gala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023506748 PECOS PAC ID: 6002216892 Enrollment ID: I20210616000982 |
| Provider Name | Emily Ann Theede |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528634441 PECOS PAC ID: 2365842960 Enrollment ID: I20210619000056 |
| Provider Name | Morgan Elaine Turski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447830013 PECOS PAC ID: 0648670125 Enrollment ID: I20210621003141 |
| Provider Name | Lucas William Utley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497332480 PECOS PAC ID: 6709287204 Enrollment ID: I20210622000549 |
| Provider Name | Akriti Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669883062 PECOS PAC ID: 6305060021 Enrollment ID: I20210622000613 |
| Provider Name | Lytitia Shea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265400691 PECOS PAC ID: 5991809188 Enrollment ID: I20210622001006 |
| Provider Name | Arjun Lakshman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700376308 PECOS PAC ID: 0941552574 Enrollment ID: I20210622001238 |
| Provider Name | Jacob Paul Reinhart |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1184011744 PECOS PAC ID: 6305247826 Enrollment ID: I20210622001464 |
| Provider Name | Janelle Santos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023549201 PECOS PAC ID: 4688075138 Enrollment ID: I20210622002278 |
| Provider Name | Ahmad Al-huniti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841632965 PECOS PAC ID: 1759675598 Enrollment ID: I20210622002437 |
| Provider Name | Krista E Bratt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740711068 PECOS PAC ID: 0244563427 Enrollment ID: I20210623000341 |
| Provider Name | William Tyler Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477086387 PECOS PAC ID: 2567712227 Enrollment ID: I20210623001066 |
| Provider Name | Rashi B Sandooja |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982181020 PECOS PAC ID: 7113277328 Enrollment ID: I20210625000754 |
| Provider Name | Jessica M Selle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538695952 PECOS PAC ID: 5193096782 Enrollment ID: I20210628001099 |
| Provider Name | Heather Buerman Ducharme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013458306 PECOS PAC ID: 1759782402 Enrollment ID: I20210701001310 |
| Provider Name | Asha Ahmed Islaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477157980 PECOS PAC ID: 7911308671 Enrollment ID: I20210701001739 |
| Provider Name | Antonio J Forte |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851551717 PECOS PAC ID: 1951624030 Enrollment ID: I20210701001742 |
| Provider Name | James F Meschia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912996364 PECOS PAC ID: 1850426677 Enrollment ID: I20210706001743 |
| Provider Name | Amarilys D Alarcon Calderon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548758485 PECOS PAC ID: 2567864952 Enrollment ID: I20210707003463 |
| Provider Name | Chieh-ju Chao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164802211 PECOS PAC ID: 1355647603 Enrollment ID: I20210708000845 |
| Provider Name | Katherine Emilie Rhoades Smith |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316440126 PECOS PAC ID: 7012267651 Enrollment ID: I20210708001450 |
| Provider Name | Richard Curtis Godby |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1487186896 PECOS PAC ID: 7214214303 Enrollment ID: I20210712003857 |
| Provider Name | Joshua a Rezkalla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740711829 PECOS PAC ID: 2365874583 Enrollment ID: I20210713000090 |
| Provider Name | Marc Granata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508162207 PECOS PAC ID: 3779715446 Enrollment ID: I20210713001714 |
| Provider Name | Aparna Kailasam |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1114450012 PECOS PAC ID: 8325440365 Enrollment ID: I20210713001930 |
| Provider Name | Omar Elmadhoun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467985911 PECOS PAC ID: 4284902172 Enrollment ID: I20210713002590 |
| Provider Name | Tina Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710515432 PECOS PAC ID: 8022449693 Enrollment ID: I20210714003064 |
| Provider Name | Yeng Fransoua Her |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1528594595 PECOS PAC ID: 5193073245 Enrollment ID: I20210714003514 |
| Provider Name | Preet Dhillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306473772 PECOS PAC ID: 3870903529 Enrollment ID: I20210714003675 |
| Provider Name | Alexander Senu Edorh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285270728 PECOS PAC ID: 8022410893 Enrollment ID: I20210715003499 |
| Provider Name | Catherine Daley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053792846 PECOS PAC ID: 7214227081 Enrollment ID: I20210719001444 |
| Provider Name | Naina Kumari Sawal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043732605 PECOS PAC ID: 8325441041 Enrollment ID: I20210719002596 |
| Provider Name | Angela Luckhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013225614 PECOS PAC ID: 9931398401 Enrollment ID: I20210719002935 |
| Provider Name | Maria Carolina Olave Martinez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619405792 PECOS PAC ID: 1254734932 Enrollment ID: I20210720000691 |
| Provider Name | Mariam Charkviani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831683291 PECOS PAC ID: 3971903469 Enrollment ID: I20210720001413 |
| Provider Name | Jai K Mediratta |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1225618390 PECOS PAC ID: 8022411685 Enrollment ID: I20210721000093 |
| Provider Name | Kharisa Rachmasari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225525215 PECOS PAC ID: 9537562194 Enrollment ID: I20210721000224 |
| Provider Name | Gabriel Enrique Ortiz Jaimes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497317135 PECOS PAC ID: 5496158966 Enrollment ID: I20210721001004 |
| Provider Name | Ammar G Almorsy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699303909 PECOS PAC ID: 0749603694 Enrollment ID: I20210721003476 |
| Provider Name | Elizabeth Sherrill Bermudez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073000972 PECOS PAC ID: 7618227398 Enrollment ID: I20210722000969 |
| Provider Name | Christineil Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730673898 PECOS PAC ID: 4789921834 Enrollment ID: I20210722001412 |
| Provider Name | John Patrick Welby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831728195 PECOS PAC ID: 5991121725 Enrollment ID: I20210722002222 |
| Provider Name | Mary E Lohman |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1245623941 PECOS PAC ID: 8224440169 Enrollment ID: I20210722002336 |
| Provider Name | Eric E Twohey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063041556 PECOS PAC ID: 9234556556 Enrollment ID: I20210722002350 |
| Provider Name | Elisa Ilse-frances Herrman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912599929 PECOS PAC ID: 6800299207 Enrollment ID: I20210722002351 |
| Provider Name | Tyler West |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1154958619 PECOS PAC ID: 2567893126 Enrollment ID: I20210722002634 |
| Provider Name | Eloy Enrique Ordaya Espinoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689031767 PECOS PAC ID: 8921363367 Enrollment ID: I20210722002781 |
| Provider Name | Olivia M Crum |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1730718263 PECOS PAC ID: 1850716382 Enrollment ID: I20210722003433 |
| Provider Name | Eyal Ron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992324651 PECOS PAC ID: 1759708258 Enrollment ID: I20210722003676 |
| Provider Name | John Peter Bretzman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083242564 PECOS PAC ID: 3971927385 Enrollment ID: I20210723000341 |
| Provider Name | Wade H Nedderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649807181 PECOS PAC ID: 4688005366 Enrollment ID: I20210723000819 |
| Provider Name | Nicholas Decker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548883721 PECOS PAC ID: 0143644682 Enrollment ID: I20210723000924 |
| Provider Name | Francisco Augusto Eguia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952846784 PECOS PAC ID: 7911321393 Enrollment ID: I20210723000949 |
| Provider Name | Clifford Michael Csizmar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346878840 PECOS PAC ID: 8022432491 Enrollment ID: I20210724000001 |
| Provider Name | Eugene Zheng |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205499977 PECOS PAC ID: 2062836372 Enrollment ID: I20210724000017 |
| Provider Name | Reid Hayward Eggleston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164041356 PECOS PAC ID: 8123442688 Enrollment ID: I20210724000078 |
| Provider Name | Michael Berres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760019236 PECOS PAC ID: 6800219742 Enrollment ID: I20210724000085 |
| Provider Name | Hannah H Zhao-fleming |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982232260 PECOS PAC ID: 0941624266 Enrollment ID: I20210726001538 |
| Provider Name | Ryan Patrick Coburn |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1003444043 PECOS PAC ID: 6103240924 Enrollment ID: I20210726001923 |
| Provider Name | Melanie Jayne White |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609404037 PECOS PAC ID: 2466876883 Enrollment ID: I20210726001963 |
| Provider Name | Anna Jane Elias |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528696010 PECOS PAC ID: 6204250673 Enrollment ID: I20210726002517 |
| Provider Name | Jissy Cyriac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477181188 PECOS PAC ID: 0042634453 Enrollment ID: I20210727000135 |
| Provider Name | Jeffrey Xianglun Yang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619505617 PECOS PAC ID: 1153745880 Enrollment ID: I20210727000246 |
| Provider Name | Nouran Felo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316575053 PECOS PAC ID: 0345664751 Enrollment ID: I20210727001466 |
| Provider Name | Ashley Maree Stantz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780212241 PECOS PAC ID: 2264856632 Enrollment ID: I20210727001470 |
| Provider Name | Benjamin David Posch |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1609468636 PECOS PAC ID: 8426451584 Enrollment ID: I20210727001833 |
| Provider Name | Thomas Ward Fredrick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265060305 PECOS PAC ID: 6608291240 Enrollment ID: I20210727001969 |
| Provider Name | Brooke Malia Fenske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306466487 PECOS PAC ID: 5496179863 Enrollment ID: I20210727002104 |
| Provider Name | Jesse Vance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679139844 PECOS PAC ID: 9234553637 Enrollment ID: I20210727002525 |
| Provider Name | Anne Marie Waniger |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1932738937 PECOS PAC ID: 2163846114 Enrollment ID: I20210727003188 |
| Provider Name | Francis Augustus Jefferson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700411493 PECOS PAC ID: 8325462708 Enrollment ID: I20210728000512 |
| Provider Name | June Tome |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568099554 PECOS PAC ID: 0446674865 Enrollment ID: I20210728001508 |
| Provider Name | Thomas Trischman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275161259 PECOS PAC ID: 6608290176 Enrollment ID: I20210728003682 |
| Provider Name | Genya G Turgul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225666936 PECOS PAC ID: 5991129371 Enrollment ID: I20210729002736 |
| Provider Name | Jacob Goodwin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962031914 PECOS PAC ID: 2769806140 Enrollment ID: I20210802000015 |
| Provider Name | Daniel Ebner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972131522 PECOS PAC ID: 0648674416 Enrollment ID: I20210802003051 |
| Provider Name | Marika Adrienne Dudiak Pitot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306472303 PECOS PAC ID: 1254758998 Enrollment ID: I20210802003305 |
| Provider Name | Catherine Gao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518594472 PECOS PAC ID: 8527481308 Enrollment ID: I20210803002718 |
| Provider Name | Joseph Albert Gottwald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992332985 PECOS PAC ID: 2860816147 Enrollment ID: I20210804001356 |
| Provider Name | Garrett Ungerer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609142066 PECOS PAC ID: 0143482299 Enrollment ID: I20210804001740 |
| Provider Name | Dennis K Kobiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083240956 PECOS PAC ID: 0345664710 Enrollment ID: I20210804003101 |
| Provider Name | Marisia Rose Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104496066 PECOS PAC ID: 7719381375 Enrollment ID: I20210804003750 |
| Provider Name | Ajay 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 | Jacob Ron Greenmyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891323564 PECOS PAC ID: 9234553611 Enrollment ID: I20210805000252 |
| Provider Name | Augustine Osula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982232005 PECOS PAC ID: 7315361904 Enrollment ID: I20210805001005 |
| Provider Name | Michael Patrick Penfold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679101562 PECOS PAC ID: 8628492063 Enrollment ID: I20210805001424 |
| Provider Name | Maryna Khromava |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174152995 PECOS PAC ID: 1052735461 Enrollment ID: I20210805001571 |
| Provider Name | Emina Mujcic Smailovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821670753 PECOS PAC ID: 4688078199 Enrollment ID: I20210805002039 |
| 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 | Nischal Ranganath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245802016 PECOS PAC ID: 5597169029 Enrollment ID: I20210805002529 |
| Provider Name | Elizabeth Jane Olive |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528690328 PECOS PAC ID: 2365866985 Enrollment ID: I20210806000252 |
| Provider Name | Maxwell Donald Mirande |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437654076 PECOS PAC ID: 9830512763 Enrollment ID: I20210806000547 |
| Provider Name | Donald Kleppel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669000253 PECOS PAC ID: 3870917693 Enrollment ID: I20210806000708 |
| Provider Name | Dante Merlino |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831727619 PECOS PAC ID: 4082037932 Enrollment ID: I20210806000733 |
| Provider Name | Matthew Hadley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891324794 PECOS PAC ID: 5991129306 Enrollment ID: I20210806002063 |
| Provider Name | Marty Duane Unruh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679155527 PECOS PAC ID: 7517361918 Enrollment ID: I20210806002201 |
| Provider Name | Blake M Novy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083243182 PECOS PAC ID: 8224451166 Enrollment ID: I20210806002869 |
| Provider Name | Jonathan David Knott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174151211 PECOS PAC ID: 6800210212 Enrollment ID: I20210806002965 |
| Provider Name | Jessica Frances Burlile |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811523327 PECOS PAC ID: 1052715489 Enrollment ID: I20210807000195 |
| Provider Name | Michael Dehong Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083136535 PECOS PAC ID: 6305269374 Enrollment ID: I20210807000202 |
| Provider Name | Christopher Heinrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063040582 PECOS PAC ID: 3577988005 Enrollment ID: I20210807000246 |
| Provider Name | Samuel Niles Schrader |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013537620 PECOS PAC ID: 2961826433 Enrollment ID: I20210807000252 |
| Provider Name | Ikram-ul Haq |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568074920 PECOS PAC ID: 1759708126 Enrollment ID: I20210809000041 |
| Provider Name | Patrizia Mondello |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1922593011 PECOS PAC ID: 1355745787 Enrollment ID: I20210809000118 |
| Provider Name | Clarissa Erteza Jordan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932737269 PECOS PAC ID: 1658795125 Enrollment ID: I20210809000341 |
| Provider Name | Mariya Saify |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831704931 PECOS PAC ID: 0244640365 Enrollment ID: I20210809000495 |
| Provider Name | Kim Griffin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174143549 PECOS PAC ID: 7618308099 Enrollment ID: I20210809000660 |
| Provider Name | Daniel Kashani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639675010 PECOS PAC ID: 2466795174 Enrollment ID: I20210809001026 |
| Provider Name | Lauren Taylor Kerivan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881222719 PECOS PAC ID: 8325462724 Enrollment ID: I20210809001148 |
| Provider Name | Jwan Atallah Frieh Naser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114555877 PECOS PAC ID: 1355764218 Enrollment ID: I20210809001601 |
| Provider Name | Mary-tiffany Adannia Oduah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992325708 PECOS PAC ID: 3476977034 Enrollment ID: I20210809001990 |
| Provider Name | Emily Grace Larson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427671072 PECOS PAC ID: 2466875109 Enrollment ID: I20210810000057 |
| Provider Name | Whitney Shae Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184253056 PECOS PAC ID: 6901220383 Enrollment ID: I20210810000759 |
| Provider Name | Shirin Nour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912535931 PECOS PAC ID: 2769805647 Enrollment ID: I20210811002241 |
| Provider Name | Ellen Kathleen Lucille Kronzer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336793017 PECOS PAC ID: 6709200017 Enrollment ID: I20210811002517 |
| Provider Name | Stephanie Bridget Syc-mazurek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306475686 PECOS PAC ID: 7012331572 Enrollment ID: I20210811002764 |
| Provider Name | Reece Michael Hass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942838990 PECOS PAC ID: 0042634503 Enrollment ID: I20210811003528 |
| Provider Name | Nicole Ruidl Mclaughlin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083242762 PECOS PAC ID: 0648693572 Enrollment ID: I20210812000970 |
| Provider Name | Hiroaki Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770112948 PECOS PAC ID: 9133543457 Enrollment ID: I20210812002188 |
| Provider Name | Jeremiah Francis Dang Molligan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629528740 PECOS PAC ID: 6406135508 Enrollment ID: I20210812002486 |
| Provider Name | Kiersten Jackson Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114592250 PECOS PAC ID: 3173927167 Enrollment ID: I20210813000012 |
| Provider Name | Vahe Fahradyan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558867846 PECOS PAC ID: 5395151518 Enrollment ID: I20210813002978 |
| Provider Name | Madison Mae Breiland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679101240 PECOS PAC ID: 4284038142 Enrollment ID: I20210813003072 |
| Provider Name | Leah Nicole Hammer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508430323 PECOS PAC ID: 0143624007 Enrollment ID: I20210814000007 |
| Provider Name | Marit Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962079004 PECOS PAC ID: 1254735129 Enrollment ID: I20210814000466 |
| Provider Name | Katie Irene Tahtinen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740818301 PECOS PAC ID: 7810391794 Enrollment ID: I20210816000285 |
| Provider Name | Ji Eun Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386065092 PECOS PAC ID: 1658678040 Enrollment ID: I20210816002026 |
| Provider Name | Ugur Sener |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972914844 PECOS PAC ID: 5496974917 Enrollment ID: I20210816002780 |
| Provider Name | Rachelle Leona Rouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548881576 PECOS PAC ID: 9436554375 Enrollment ID: I20210816003126 |
| Provider Name | Danielle N Carlson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346819166 PECOS PAC ID: 2062817927 Enrollment ID: I20210817000022 |
| Provider Name | Stacy D'andre |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629053939 PECOS PAC ID: 7911800099 Enrollment ID: I20210817000625 |
| Provider Name | Katherine Elizabeth Talbott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881058428 PECOS PAC ID: 5890080857 Enrollment ID: I20210817001319 |
| Provider Name | Krystin Alane Hidden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790172880 PECOS PAC ID: 2466752522 Enrollment ID: I20210817001614 |
| Provider Name | Zafer Keser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831543859 PECOS PAC ID: 1052734738 Enrollment ID: I20210817001747 |
| Provider Name | Sarah Ann Yoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801478102 PECOS PAC ID: 5991100703 Enrollment ID: I20210817002303 |
| Provider Name | Brittni Ashton Scruggs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942689252 PECOS PAC ID: 5597078071 Enrollment ID: I20210818002264 |
| Provider Name | Belinda Galeano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790394435 PECOS PAC ID: 0648696831 Enrollment ID: I20210818003149 |
| Provider Name | Jon Brison Salzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447825237 PECOS PAC ID: 0941605679 Enrollment ID: I20210818003512 |
| Provider Name | Alexandra Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912571670 PECOS PAC ID: 6608271200 Enrollment ID: I20210819002693 |
| Provider Name | Yasamin Sharifzadeh-moghaddam |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407476435 PECOS PAC ID: 8426450370 Enrollment ID: I20210819003391 |
| Provider Name | Emily Adeline Hundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750961710 PECOS PAC ID: 3476958026 Enrollment ID: I20210820000901 |
| Provider Name | Jayme a Sakhitab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366010035 PECOS PAC ID: 5991100414 Enrollment ID: I20210823000528 |
| Provider Name | Abbey Eileen Kasel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235711003 PECOS PAC ID: 0840695375 Enrollment ID: I20210823000787 |
| Provider Name | Lindsey Koop Miley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235752270 PECOS PAC ID: 3274959671 Enrollment ID: I20210824002356 |
| Provider Name | Tina Eileen Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861062648 PECOS PAC ID: 2567867898 Enrollment ID: I20210824002448 |
| Provider Name | Jennifer Ann Buzzard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609495027 PECOS PAC ID: 3375967805 Enrollment ID: I20210824003188 |
| Provider Name | Sean Raymond Legler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750878435 PECOS PAC ID: 3375888944 Enrollment ID: I20210825000022 |
| Provider Name | Alexander Michael Kiel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225666589 PECOS PAC ID: 5496177347 Enrollment ID: I20210825000098 |
| Provider Name | Emily Kaye Radcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245804913 PECOS PAC ID: 3870998164 Enrollment ID: I20210825001317 |
| Provider Name | Hasina Maredia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144765249 PECOS PAC ID: 0547670457 Enrollment ID: I20210825003374 |
| Provider Name | Fatima Quddusi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912534900 PECOS PAC ID: 5395169775 Enrollment ID: I20210825003545 |
| Provider Name | Sarah C Eggleston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275169120 PECOS PAC ID: 0244653236 Enrollment ID: I20210825004028 |
| Provider Name | Katherine Wallerius |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528696515 PECOS PAC ID: 1254755671 Enrollment ID: I20210826000245 |
| Provider Name | Jennifer Lynn Coias |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740800846 PECOS PAC ID: 2668803461 Enrollment ID: I20210826000695 |
| Provider Name | Savannah Saylor Liddell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467080861 PECOS PAC ID: 5597189068 Enrollment ID: I20210826001106 |
| Provider Name | Chelsea Handfield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639707391 PECOS PAC ID: 1456756642 Enrollment ID: I20210826001244 |
| Provider Name | Erin M Rainosek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417576026 PECOS PAC ID: 5597189969 Enrollment ID: I20210826001294 |
| Provider Name | Jacqueleen Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659953826 PECOS PAC ID: 1759786965 Enrollment ID: I20210826001999 |
| Provider Name | Sean Huls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831718287 PECOS PAC ID: 3779988894 Enrollment ID: I20210826002797 |
| Provider Name | Nicholas John Dickovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922653294 PECOS PAC ID: 7911332721 Enrollment ID: I20210827000716 |
| Provider Name | Lucas Orrin Seehafer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669963781 PECOS PAC ID: 9537564695 Enrollment ID: I20210827000760 |
| Provider Name | Carmen Rae Holmes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114553013 PECOS PAC ID: 2769809904 Enrollment ID: I20210827002053 |
| Provider Name | Matheus Goncalves Marques |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336756527 PECOS PAC ID: 6608296884 Enrollment ID: I20210827002686 |
| Provider Name | Lindsey Anne Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275101362 PECOS PAC ID: 6305241324 Enrollment ID: I20210828000419 |
| Provider Name | Randi J Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013322759 PECOS PAC ID: 8426355769 Enrollment ID: I20210830000111 |
| Provider Name | Keri Quinn Zieminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104409390 PECOS PAC ID: 3577968551 Enrollment ID: I20210830001914 |
| Provider Name | Jacob D Bowdon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841873619 PECOS PAC ID: 1355747361 Enrollment ID: I20210831000023 |
| Provider Name | Jeffrey E Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366855751 PECOS PAC ID: 4981902871 Enrollment ID: I20210831000065 |
| Provider Name | Emma Caron Bounmixay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437727278 PECOS PAC ID: 3375949324 Enrollment ID: I20210831001669 |
| Provider Name | Alex Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942620968 PECOS PAC ID: 4082834254 Enrollment ID: I20210831003219 |
| Provider Name | Jin Hong Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972131134 PECOS PAC ID: 5193149508 Enrollment ID: I20210901000045 |
| Provider Name | Kitty Yuechuan Wu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144995119 PECOS PAC ID: 0446656342 Enrollment ID: I20210901000116 |
| Provider Name | Danielle Marie Shilling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588290696 PECOS PAC ID: 0446674816 Enrollment ID: I20210901000893 |
| Provider Name | Devin Parker Leland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568090454 PECOS PAC ID: 2860816253 Enrollment ID: I20210901003178 |
| Provider Name | Audrey Ruth Mccandless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215566583 PECOS PAC ID: 5890118020 Enrollment ID: I20210902000025 |
| Provider Name | Caroline Louise Schupbach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821626839 PECOS PAC ID: 2163846387 Enrollment ID: I20210902000221 |
| Provider Name | Yining Lu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346867843 PECOS PAC ID: 6204250418 Enrollment ID: I20210902000426 |
| Provider Name | Michelle Wenya Mcquinn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801424684 PECOS PAC ID: 1456774389 Enrollment ID: I20210902000916 |
| Provider Name | Phillip John Link |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770111858 PECOS PAC ID: 8820411796 Enrollment ID: I20210902001183 |
| Provider Name | Yun Liang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508494527 PECOS PAC ID: 4183048622 Enrollment ID: I20210902001377 |
| Provider Name | Amira E Joseph |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003436155 PECOS PAC ID: 8224452040 Enrollment ID: I20210902001704 |
| Provider Name | Nasro Abdinur Isaq |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033748884 PECOS PAC ID: 8224453246 Enrollment ID: I20210902001893 |
| Provider Name | Jessica Anne Steadman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447888367 PECOS PAC ID: 3577987981 Enrollment ID: I20210902001926 |
| Provider Name | Kenneth Robert Seid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154959575 PECOS PAC ID: 1355765553 Enrollment ID: I20210902002443 |
| Provider Name | Benjamin Russell Stultz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831727163 PECOS PAC ID: 0840614210 Enrollment ID: I20210902003072 |
| Provider Name | Wentiirim Borkor Annankra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790393114 PECOS PAC ID: 3375960941 Enrollment ID: I20210903000101 |
| Provider Name | Megan Nicole Kummerlowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689202954 PECOS PAC ID: 3577987999 Enrollment ID: I20210903000103 |
| Provider Name | Austin D Chen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770100133 PECOS PAC ID: 2668899527 Enrollment ID: I20210903000321 |
| Provider Name | Salomon Cohen Cohen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154826808 PECOS PAC ID: 7719239763 Enrollment ID: I20210903000334 |
| Provider Name | Travis Haller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962027482 PECOS PAC ID: 8527482637 Enrollment ID: I20210903000467 |
| Provider Name | Judit Maria Perez Ortiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609492511 PECOS PAC ID: 4981028214 Enrollment ID: I20210903000827 |
| Provider Name | Malik Errol Dancy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043848211 PECOS PAC ID: 2860816261 Enrollment ID: I20210903001054 |
| Provider Name | Nikita Lakomkin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770112583 PECOS PAC ID: 9335563741 Enrollment ID: I20210903001058 |
| Provider Name | Maraika Robinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619509254 PECOS PAC ID: 0840614251 Enrollment ID: I20210903001065 |
| Provider Name | Charles Holliday |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750901609 PECOS PAC ID: 9638593007 Enrollment ID: I20210903002520 |
| Provider Name | Leah Christine Soderberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861011595 PECOS PAC ID: 5092139493 Enrollment ID: I20210907002711 |
| Provider Name | Mary Megan Mrdutt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871938225 PECOS PAC ID: 5799066742 Enrollment ID: I20210908001688 |
| Provider Name | Kelly L Staricha |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356979140 PECOS PAC ID: 0749604031 Enrollment ID: I20210909002879 |
| Provider Name | Jian Campian |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295979524 PECOS PAC ID: 0446431712 Enrollment ID: I20210909003761 |
| Provider Name | Meghan Flanigan Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952074106 PECOS PAC ID: 6800292228 Enrollment ID: I20210910001497 |
| Provider Name | Matthew Paul Heinrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073141305 PECOS PAC ID: 8123442530 Enrollment ID: I20210910002843 |
| Provider Name | Kayla Marie Munger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841828555 PECOS PAC ID: 8426472598 Enrollment ID: I20210911000211 |
| Provider Name | Rosalie Marie Dunham Sterner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902434681 PECOS PAC ID: 0749604205 Enrollment ID: I20210913003433 |
| Provider Name | Matthew Eric Milam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407482409 PECOS PAC ID: 9739599424 Enrollment ID: I20210913003442 |
| Provider Name | Abigail E Bross |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003580788 PECOS PAC ID: 3476950510 Enrollment ID: I20210916001231 |
| Provider Name | Brian L Straub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235282427 PECOS PAC ID: 0749687812 Enrollment ID: I20210916002670 |
| Provider Name | Hajrudina Brkic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750953774 PECOS PAC ID: 3971900994 Enrollment ID: I20210917001618 |
| Provider Name | Susanne G Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679786693 PECOS PAC ID: 7113167198 Enrollment ID: I20210920002121 |
| Provider Name | Kristen Kaye Gloor Rumer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1003250366 PECOS PAC ID: 2365849262 Enrollment ID: I20210920002304 |
| Provider Name | Kenzie Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699303396 PECOS PAC ID: 9638593080 Enrollment ID: I20210920002505 |
| Provider Name | Morgan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091704 PECOS PAC ID: 5395142202 Enrollment ID: I20210920002635 |
| Provider Name | Melinda Sue Schaller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023375581 PECOS PAC ID: 2466746136 Enrollment ID: I20210920003326 |
| Provider Name | Alison Seemann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215565205 PECOS PAC ID: 3870990799 Enrollment ID: I20210920003406 |
| Provider Name | Alina Sievers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861959306 PECOS PAC ID: 3072927631 Enrollment ID: I20210921001008 |
| Provider Name | Kambiz Kalantari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619019189 PECOS PAC ID: 4183638927 Enrollment ID: I20210921001242 |
| Provider Name | Lucas Kreutz Rodrigues |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093343212 PECOS PAC ID: 0547684946 Enrollment ID: I20210921002086 |
| Provider Name | Heidi Lee Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861169971 PECOS PAC ID: 1254738065 Enrollment ID: I20210921003514 |
| Provider Name | Jonathan N Warner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437360757 PECOS PAC ID: 3476611294 Enrollment ID: I20210922000912 |
| Provider Name | Taryn Allycia Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255903944 PECOS PAC ID: 1951708635 Enrollment ID: I20210922002901 |
| Provider Name | Marcia H Winer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427560861 PECOS PAC ID: 5799041349 Enrollment ID: I20210924001014 |
| Provider Name | Mallory Taylor Francis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245908771 PECOS PAC ID: 4385041839 Enrollment ID: I20210925000204 |
| Provider Name | Christina Ellen Chin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447923594 PECOS PAC ID: 4880091347 Enrollment ID: I20210927000130 |
| Provider Name | Lindsay Julia Vitse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083283204 PECOS PAC ID: 3779980230 Enrollment ID: I20210927000214 |
| Provider Name | Amanda Marnholtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679142756 PECOS PAC ID: 4880091354 Enrollment ID: I20210927000480 |
| 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 | Jaime Victoria Stanczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164093050 PECOS PAC ID: 8224435631 Enrollment ID: I20210928002891 |
| Provider Name | Shannon Marie Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841964350 PECOS PAC ID: 3779980073 Enrollment ID: I20210929003124 |
| Provider Name | Sarah Ashley Lawrence |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730708256 PECOS PAC ID: 2163847047 Enrollment ID: I20210929003154 |
| Provider Name | Sarah Nicole Lannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518432798 PECOS PAC ID: 7911304217 Enrollment ID: I20210929003293 |
| Provider Name | Caroline G Clune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336286236 PECOS PAC ID: 8527090661 Enrollment ID: I20210929003663 |
| Provider Name | Megan Mae Schlager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609540905 PECOS PAC ID: 0749688869 Enrollment ID: I20211004002624 |
| Provider Name | Rachel E Carlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023472115 PECOS PAC ID: 8123311487 Enrollment ID: I20211005000677 |
| Provider Name | Shashi Raj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932392347 PECOS PAC ID: 5395065411 Enrollment ID: I20211005001246 |
| Provider Name | Jeffrey Strauss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013270784 PECOS PAC ID: 3072762103 Enrollment ID: I20211005001656 |
| Provider Name | Rachel Rose Mickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194491944 PECOS PAC ID: 5799183760 Enrollment ID: I20211005001733 |
| Provider Name | Netsanet Mekonnen Habtu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508531864 PECOS PAC ID: 6901204981 Enrollment ID: I20211005002111 |
| Provider Name | Lauren Elizabeth Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144895699 PECOS PAC ID: 1153729108 Enrollment ID: I20211006001241 |
| Provider Name | Mark Randall Hopkins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710337951 PECOS PAC ID: 5890088546 Enrollment ID: I20211006002423 |
| Provider Name | Breydan Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487278297 PECOS PAC ID: 7012331481 Enrollment ID: I20211006002626 |
| Provider Name | Andrea Lynn Gosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578231916 PECOS PAC ID: 3274931167 Enrollment ID: I20211006003423 |
| Provider Name | James Gaensbauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861783920 PECOS PAC ID: 3870584410 Enrollment ID: I20211007000056 |
| Provider Name | Jithinraj Edakkanambeth Varayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033591847 PECOS PAC ID: 3678878741 Enrollment ID: I20211007001015 |
| Provider Name | Nicole J Ron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184052862 PECOS PAC ID: 4486884095 Enrollment ID: I20211007002956 |
| Provider Name | Natalie Ann Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851600589 PECOS PAC ID: 5294929485 Enrollment ID: I20211007003617 |
| Provider Name | Amie Marie Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922778422 PECOS PAC ID: 8628476413 Enrollment ID: I20211008000580 |
| Provider Name | Saralyn Ruth Squillace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154095206 PECOS PAC ID: 9830597640 Enrollment ID: I20211008001335 |
| Provider Name | Jenna Leigh Bohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932877248 PECOS PAC ID: 7618375437 Enrollment ID: I20211008001950 |
| Provider Name | Susanna Kristine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760153084 PECOS PAC ID: 0547668196 Enrollment ID: I20211012001272 |
| Provider Name | Pravesh Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245672849 PECOS PAC ID: 8628376951 Enrollment ID: I20211012001632 |
| Provider Name | Ashley Nicole Kell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073282034 PECOS PAC ID: 8820496490 Enrollment ID: I20211012002198 |
| Provider Name | Holly L Engler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003485434 PECOS PAC ID: 0648678243 Enrollment ID: I20211013000015 |
| Provider Name | Jeremiah Joyce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528687704 PECOS PAC ID: 8527484971 Enrollment ID: I20211013001106 |
| Provider Name | Jasleen K Agherrabi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073136180 PECOS PAC ID: 0547668006 Enrollment ID: I20211013002752 |
| Provider Name | Masoumeh Kiamanesh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225267651 PECOS PAC ID: 4587815691 Enrollment ID: I20211013003424 |
| Provider Name | Madeline C Baloga |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114540218 PECOS PAC ID: 7315345733 Enrollment ID: I20211014002100 |
| Provider Name | Jenna Lee Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083285746 PECOS PAC ID: 6002214459 Enrollment ID: I20211014003219 |
| Provider Name | Molly Cierzan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124796974 PECOS PAC ID: 7315345774 Enrollment ID: I20211015000381 |
| 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 | Travis Nelson Mighell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588237796 PECOS PAC ID: 3779971981 Enrollment ID: I20211020002364 |
| Provider Name | Dane M Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790357739 PECOS PAC ID: 4284022419 Enrollment ID: I20211020003068 |
| Provider Name | Lori Mae Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073284717 PECOS PAC ID: 8022406107 Enrollment ID: I20211021002209 |
| Provider Name | Clare Ann Coddington Heckathorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467124149 PECOS PAC ID: 9335537422 Enrollment ID: I20211021002459 |
| Provider Name | Maija Christine Otness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265103873 PECOS PAC ID: 9931597044 Enrollment ID: I20211021003175 |
| Provider Name | David Wilson Honda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922619832 PECOS PAC ID: 1759701014 Enrollment ID: I20211022000575 |
| Provider Name | Mauricio E Gamez Haro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295016004 PECOS PAC ID: 7113242686 Enrollment ID: I20211022002462 |
| Provider Name | Rumeal D Whaley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548618473 PECOS PAC ID: 1557653946 Enrollment ID: I20211025000218 |
| Provider Name | Sara Lynn Zich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639831589 PECOS PAC ID: 2466840434 Enrollment ID: I20211025000322 |
| Provider Name | Alexis May Pavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225634389 PECOS PAC ID: 0143618124 Enrollment ID: I20211025000526 |
| Provider Name | Megan K Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346902111 PECOS PAC ID: 0749678613 Enrollment ID: I20211026001324 |
| Provider Name | Elizabeth Leigh Bechtum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417304163 PECOS PAC ID: 4284928045 Enrollment ID: I20211027001946 |
| Provider Name | Samantha Ready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336802685 PECOS PAC ID: 1052709821 Enrollment ID: I20211027002255 |
| Provider Name | Elizabeth Christine Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417570391 PECOS PAC ID: 7517355126 Enrollment ID: I20211102000251 |
| Provider Name | Allee Hassing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124655147 PECOS PAC ID: 3173947413 Enrollment ID: I20211108001754 |
| Provider Name | Karli L Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811489743 PECOS PAC ID: 9830449222 Enrollment ID: I20211110001428 |
| Provider Name | Matthew Gian Digiusto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417341918 PECOS PAC ID: 5294047593 Enrollment ID: I20211111001068 |
| Provider Name | Danielle Sioui Nation |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275204398 PECOS PAC ID: 4981093036 Enrollment ID: I20211111001952 |
| Provider Name | Jody Lynn Doll-wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689338378 PECOS PAC ID: 8921497959 Enrollment ID: I20211113000221 |
| Provider Name | Lena Saiz Fawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306508627 PECOS PAC ID: 1850780529 Enrollment ID: I20211118000838 |
| Provider Name | Meghan Kerry Deyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558865295 PECOS PAC ID: 3274922984 Enrollment ID: I20211118002831 |
| Provider Name | Lindsay Anne White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447716089 PECOS PAC ID: 7517291198 Enrollment ID: I20211119000060 |
| Provider Name | Siddhant Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700272317 PECOS PAC ID: 2860881406 Enrollment ID: I20211119001090 |
| Provider Name | Kasandra Jane Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770249229 PECOS PAC ID: 2769871250 Enrollment ID: I20211123001693 |
| Provider Name | Michelle M Valiquette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174523195 PECOS PAC ID: 5193747699 Enrollment ID: I20211124000291 |
| Provider Name | Joe Graham Mayo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922573427 PECOS PAC ID: 4688064082 Enrollment ID: I20211129000981 |
| Provider Name | Julia Stathas O'neill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437727047 PECOS PAC ID: 6608277439 Enrollment ID: I20211130000184 |
| Provider Name | Thomas Nicholas Drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982378014 PECOS PAC ID: 5799175089 Enrollment ID: I20211130002126 |
| Provider Name | Collin Carl Kandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225653678 PECOS PAC ID: 3274923594 Enrollment ID: I20211201000078 |
| Provider Name | Chelsea Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811524036 PECOS PAC ID: 9032533880 Enrollment ID: I20211203000274 |
| Provider Name | Christine Lynn Van Dyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659037109 PECOS PAC ID: 9537559554 Enrollment ID: I20211207001203 |
| Provider Name | Kathryn Reese Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669604229 PECOS PAC ID: 8527236546 Enrollment ID: I20211208002223 |
| Provider Name | Amye J. Tevaarwerk |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306879028 PECOS PAC ID: 7113095365 Enrollment ID: I20211208002638 |
| Provider Name | Nicole S Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073270765 PECOS PAC ID: 4688064413 Enrollment ID: I20211209000657 |
| Provider Name | Kathryn Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588321137 PECOS PAC ID: 5294125043 Enrollment ID: I20211209001295 |
| Provider Name | Philip Spencer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1780979476 PECOS PAC ID: 5890958375 Enrollment ID: I20211210001761 |
| Provider Name | Salah Eldien Altarabsheh |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1013248681 PECOS PAC ID: 4587055181 Enrollment ID: I20211215000690 |
| Provider Name | Justin S Layton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316521628 PECOS PAC ID: 9638560006 Enrollment ID: I20211217001881 |
| Provider Name | Hilary Ann Mettler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811667918 PECOS PAC ID: 9032500301 Enrollment ID: I20211221000402 |
| Provider Name | Luke James Burchill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265773055 PECOS PAC ID: 2062642192 Enrollment ID: I20211228001409 |
| Provider Name | David Edward Scussel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164181020 PECOS PAC ID: 9638560634 Enrollment ID: I20211230001304 |
| Provider Name | Amanda Knapton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790443901 PECOS PAC ID: 1355732298 Enrollment ID: I20220103000789 |
| Provider Name | Dominika Jegen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023528155 PECOS PAC ID: 1355617945 Enrollment ID: I20220105000121 |
| Provider Name | Keith Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417617457 PECOS PAC ID: 3678964434 Enrollment ID: I20220105001217 |
| Provider Name | Lia Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306506944 PECOS PAC ID: 5294126918 Enrollment ID: I20220106001288 |
| Provider Name | Kayla Anne Tschanz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396400826 PECOS PAC ID: 7214328947 Enrollment ID: I20220106001689 |
| Provider Name | Maria J Bachman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528478500 PECOS PAC ID: 9436377314 Enrollment ID: I20220112001455 |
| Provider Name | Ricardo Verdiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003870221 PECOS PAC ID: 0840292728 Enrollment ID: I20220112002161 |
| Provider Name | Lauren Nicole Fleenor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497413728 PECOS PAC ID: 3577955087 Enrollment ID: I20220113000140 |
| Provider Name | Kelly J Oberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669131702 PECOS PAC ID: 2769874221 Enrollment ID: I20220113002353 |
| Provider Name | Marc a Dean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497061220 PECOS PAC ID: 1052504834 Enrollment ID: I20220120001793 |
| Provider Name | Mariah Kately Travis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104587393 PECOS PAC ID: 7810389996 Enrollment ID: I20220122000150 |
| Provider Name | Camille Marie Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073272365 PECOS PAC ID: 2365835063 Enrollment ID: I20220201001672 |
| Provider Name | Shelby Elizabeth Kern |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992462394 PECOS PAC ID: 2163815879 Enrollment ID: I20220201002236 |
| Provider Name | Paula Gill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750363909 PECOS PAC ID: 1557392883 Enrollment ID: I20220202002198 |
| Provider Name | Alexis Jordyn Mckeever |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831726488 PECOS PAC ID: 3678991031 Enrollment ID: I20220204000454 |
| Provider Name | Adam Nicholas Finck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255887493 PECOS PAC ID: 3072858448 Enrollment ID: I20220204002003 |
| Provider Name | Hatim Hassan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417970385 PECOS PAC ID: 8426052150 Enrollment ID: I20220207001048 |
| Provider Name | Ryan Chase Ransom |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578172789 PECOS PAC ID: 9931525094 Enrollment ID: I20220207001820 |
| Provider Name | Alyssa Jordan Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558029868 PECOS PAC ID: 2163815598 Enrollment ID: I20220208001994 |
| Provider Name | Isla Mariann Mckerrow Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417585571 PECOS PAC ID: 7012332224 Enrollment ID: I20220210001310 |
| Provider Name | Brandon Thomas Schubert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306504113 PECOS PAC ID: 0143613000 Enrollment ID: I20220217001144 |
| Provider Name | Ciorsti J Macintyre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285031088 PECOS PAC ID: 4284027160 Enrollment ID: I20220217001774 |
| Provider Name | Mara Kathryn Waaraniemi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467128470 PECOS PAC ID: 3971997867 Enrollment ID: I20220217002298 |
| Provider Name | Andrea N Skinner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144988072 PECOS PAC ID: 9234523135 Enrollment ID: I20220217002780 |
| Provider Name | Gustavo Lionel Knop |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861146425 PECOS PAC ID: 3375937113 Enrollment ID: I20220222000569 |
| Provider Name | Zhihong Li |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750041547 PECOS PAC ID: 6709270325 Enrollment ID: I20220224002836 |
| Provider Name | Blake Ashley Ebner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609486505 PECOS PAC ID: 0749608735 Enrollment ID: I20220302002771 |
| Provider Name | Megan Rose Weinhold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194485094 PECOS PAC ID: 0941694160 Enrollment ID: I20220303000910 |
| Provider Name | Stephanie Marie Palmer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891449294 PECOS PAC ID: 4385038496 Enrollment ID: I20220304001826 |
| Provider Name | Kelly Diane Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453744 PECOS PAC ID: 6103210281 Enrollment ID: I20220307001742 |
| Provider Name | Nicole Marie Holmgren |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023352150 PECOS PAC ID: 7315331402 Enrollment ID: I20220307001957 |
| Provider Name | Giang Huong Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336583426 PECOS PAC ID: 8224358965 Enrollment ID: I20220309000108 |
| Provider Name | Anna Krzmarzick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194485433 PECOS PAC ID: 3072908045 Enrollment ID: I20220310001139 |
| Provider Name | Jennifer Benson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619950284 PECOS PAC ID: 9032189832 Enrollment ID: I20220310002406 |
| Provider Name | Santiago Ocariz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760142517 PECOS PAC ID: 4880089655 Enrollment ID: I20220314000300 |
| Provider Name | Kaitlyn Melchert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174279046 PECOS PAC ID: 2466847215 Enrollment ID: I20220315001257 |
| Provider Name | Jacob Schema |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679226112 PECOS PAC ID: 0446645907 Enrollment ID: I20220318001532 |
| Provider Name | Arthur Randolph Mielke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922331412 PECOS PAC ID: 0143656850 Enrollment ID: I20220318001672 |
| Provider Name | Siaka Sanneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009981 PECOS PAC ID: 2769732825 Enrollment ID: I20220321002144 |
| Provider Name | Anika Marin Hansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508510702 PECOS PAC ID: 1658766027 Enrollment ID: I20220322000535 |
| Provider Name | Meaghan Wopperer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821653007 PECOS PAC ID: 1951796333 Enrollment ID: I20220322001242 |
| Provider Name | Lorenza Saldivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912666579 PECOS PAC ID: 9931594348 Enrollment ID: I20220322002300 |
| Provider Name | Ailsa G Luce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881354397 PECOS PAC ID: 3870988298 Enrollment ID: I20220322002679 |
| Provider Name | Suzanne Bundrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689296949 PECOS PAC ID: 0143615492 Enrollment ID: I20220323001148 |
| Provider Name | Wade W Kreun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013677897 PECOS PAC ID: 0547655839 Enrollment ID: I20220323002917 |
| Provider Name | Brian D Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003576851 PECOS PAC ID: 9436544723 Enrollment ID: I20220323003037 |
| Provider Name | Andrew John Wandersee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962157115 PECOS PAC ID: 2668868787 Enrollment ID: I20220329002504 |
| Provider Name | Nathan Brytowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497415780 PECOS PAC ID: 6103212196 Enrollment ID: I20220330002335 |
| Provider Name | Claire Jordan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982275087 PECOS PAC ID: 0547656555 Enrollment ID: I20220330002844 |
| Provider Name | Chanchrisna Kish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770248163 PECOS PAC ID: 9436545027 Enrollment ID: I20220407001384 |
| Provider Name | Manal Abdelmalek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013964873 PECOS PAC ID: 8820091697 Enrollment ID: I20220408001851 |
| Provider Name | Lily Tamire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245904861 PECOS PAC ID: 8820484314 Enrollment ID: I20220411000111 |
| Provider Name | Daniel Frendl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003290867 PECOS PAC ID: 9032405659 Enrollment ID: I20220412002718 |
| Provider Name | Annika Rotto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407508526 PECOS PAC ID: 5395131643 Enrollment ID: I20220413001414 |
| Provider Name | Amah Wonegbloin Messan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932869229 PECOS PAC ID: 7517353873 Enrollment ID: I20220413002120 |
| Provider Name | Nicole a Hektner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861828030 PECOS PAC ID: 5698161966 Enrollment ID: I20220413002757 |
| Provider Name | Kayla Ann Van Der Weerd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689165474 PECOS PAC ID: 7012304223 Enrollment ID: I20220418001540 |
| Provider Name | Ashlie a Bernhisel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356751572 PECOS PAC ID: 2567760457 Enrollment ID: I20220418001579 |
| Provider Name | Tenzin Yingchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679233159 PECOS PAC ID: 1557758729 Enrollment ID: I20220419001033 |
| Provider Name | Breanne L Prothero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487305140 PECOS PAC ID: 4082001268 Enrollment ID: I20220419001560 |
| Provider Name | Danielle R Klima |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104280320 PECOS PAC ID: 1850685702 Enrollment ID: I20220420000840 |
| Provider Name | Steven Ressler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427031194 PECOS PAC ID: 2769526987 Enrollment ID: I20220420000925 |
| Provider Name | Fahma Osman Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538789276 PECOS PAC ID: 5698197317 Enrollment ID: I20220420002164 |
| Provider Name | Duy Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952442915 PECOS PAC ID: 6901930379 Enrollment ID: I20220420002432 |
| Provider Name | Erick Nyambariga Ateka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720330434 PECOS PAC ID: 0648667667 Enrollment ID: I20220421001654 |
| Provider Name | Kristina Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912667429 PECOS PAC ID: 3476940438 Enrollment ID: I20220422000553 |
| Provider Name | Anna C Anthony |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669023420 PECOS PAC ID: 0840682761 Enrollment ID: I20220503001574 |
| Provider Name | Amanda R Blom |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801247895 PECOS PAC ID: 5890182240 Enrollment ID: I20220503002540 |
| Provider Name | Katie Elizabeth Buehler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487394045 PECOS PAC ID: 6406233758 Enrollment ID: I20220506001642 |
| Provider Name | Melisa Vanderheiden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174279798 PECOS PAC ID: 1456738707 Enrollment ID: I20220506001858 |
| Provider Name | Maria Victoria Lazaro-elemos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689854796 PECOS PAC ID: 2860581543 Enrollment ID: I20220510001657 |
| Provider Name | Lorelei Elizabeth Tinaglia Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801536206 PECOS PAC ID: 4082091194 Enrollment ID: I20220511000881 |
| Provider Name | Britt I. Particelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306586680 PECOS PAC ID: 7911384839 Enrollment ID: I20220516001526 |
| Provider Name | Kirsten Education Lipps |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235520966 PECOS PAC ID: 8527394931 Enrollment ID: I20220517002606 |
| Provider Name | Elina Jerschow |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922197235 PECOS PAC ID: 8426115700 Enrollment ID: I20220518001967 |
| Provider Name | Angela N Phillips |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245791508 PECOS PAC ID: 7416282439 Enrollment ID: I20220518002967 |
| Provider Name | Hilal Olgun Kucuk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790247039 PECOS PAC ID: 7810224920 Enrollment ID: I20220519001656 |
| Provider Name | Teodora Donisan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669034088 PECOS PAC ID: 2466787270 Enrollment ID: I20220519001843 |
| Provider Name | Muhannad a Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215596358 PECOS PAC ID: 7214265040 Enrollment ID: I20220519002053 |
| Provider Name | Abdullah Al-abcha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669958724 PECOS PAC ID: 9830576495 Enrollment ID: I20220519002399 |
| Provider Name | Nayla Ahmed |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1508272923 PECOS PAC ID: 6800116708 Enrollment ID: I20220520001542 |
| Provider Name | David Chiang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457856155 PECOS PAC ID: 0941558027 Enrollment ID: I20220521000030 |
| Provider Name | Elizabeth Ender |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376065813 PECOS PAC ID: 1456695006 Enrollment ID: I20220521000307 |
| Provider Name | Nathaniel Brian Head |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366187668 PECOS PAC ID: 5799162244 Enrollment ID: I20220523000779 |
| Provider Name | Urbee D Peterson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366904112 PECOS PAC ID: 0749512960 Enrollment ID: I20220523002120 |
| Provider Name | Gerardo Calderon Manrique |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487115465 PECOS PAC ID: 8820322324 Enrollment ID: I20220524000525 |
| Provider Name | Logan J Hostetter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346739703 PECOS PAC ID: 1850793498 Enrollment ID: I20220524000827 |
| Provider Name | Qiying Dai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497106546 PECOS PAC ID: 7012394463 Enrollment ID: I20220524002390 |
| Provider Name | Sarah Elizabeth Betzold |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922643576 PECOS PAC ID: 1254730666 Enrollment ID: I20220524002844 |
| Provider Name | Kallie M Nunez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609476670 PECOS PAC ID: 7810308574 Enrollment ID: I20220525001657 |
| Provider Name | Navreet Chowla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184784621 PECOS PAC ID: 2466442496 Enrollment ID: I20220525002985 |
| Provider Name | Prasanth Lingamaneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265927149 PECOS PAC ID: 2567707706 Enrollment ID: I20220531000256 |
| Provider Name | Conway Xu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285138198 PECOS PAC ID: 8921356973 Enrollment ID: I20220531000471 |
| Provider Name | Khalid a Jazieh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851896641 PECOS PAC ID: 0042575870 Enrollment ID: I20220531001762 |
| Provider Name | Xiaoke Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528046034 PECOS PAC ID: 5890868533 Enrollment ID: I20220531001880 |
| Provider Name | Bismarck Steven Bisono-garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598325169 PECOS PAC ID: 4789062993 Enrollment ID: I20220531001927 |
| Provider Name | Ebrahim Hasan Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710548110 PECOS PAC ID: 7214315373 Enrollment ID: I20220601001137 |
| Provider Name | Kathryn Schmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700346582 PECOS PAC ID: 1557789252 Enrollment ID: I20220601001254 |
| Provider Name | Samantha K Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396114609 PECOS PAC ID: 9032429287 Enrollment ID: I20220603000456 |
| Provider Name | Nancy V Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033195136 PECOS PAC ID: 7618052317 Enrollment ID: I20220606001534 |
| Provider Name | Steven Buskirk |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659361582 PECOS PAC ID: 8921170325 Enrollment ID: I20220609001509 |
| Provider Name | Corrine Kalmes Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316436322 PECOS PAC ID: 3274887021 Enrollment ID: I20220609001663 |
| Provider Name | Chidi Nwachukwu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750818811 PECOS PAC ID: 7214207687 Enrollment ID: I20220610001021 |
| Provider Name | Jackie Cohrs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932637774 PECOS PAC ID: 3274808829 Enrollment ID: I20220611000218 |
| Provider Name | Samuel Benjamin Wopperer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427519248 PECOS PAC ID: 0143608679 Enrollment ID: I20220611000335 |
| Provider Name | Fiona Diviya Fonseca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962906263 PECOS PAC ID: 7911253059 Enrollment ID: I20220613001742 |
| Provider Name | Amanda Langemo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275843419 PECOS PAC ID: 1951590769 Enrollment ID: I20220614000267 |
| Provider Name | Erin Elise Krause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588306732 PECOS PAC ID: 9133508658 Enrollment ID: I20220614000429 |
| Provider Name | Trevor Jared Oliverson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508503475 PECOS PAC ID: 3971982208 Enrollment ID: I20220616002416 |
| Provider Name | Jennifer Renee Hewlett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255838280 PECOS PAC ID: 6002210309 Enrollment ID: I20220622001377 |
| Provider Name | Manik Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659932796 PECOS PAC ID: 7113255530 Enrollment ID: I20220627001974 |
| Provider Name | Alyssa Nicole Eisenbraun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740938406 PECOS PAC ID: 8527447143 Enrollment ID: I20220628000582 |
| Provider Name | Logan Kludt Lawrence |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891441697 PECOS PAC ID: 9537548169 Enrollment ID: I20220628000913 |
| Provider Name | Annette Sullivan |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1316328719 PECOS PAC ID: 6800199985 Enrollment ID: I20220628002303 |
| Provider Name | Monica Sung Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104086115 PECOS PAC ID: 2769861343 Enrollment ID: I20220628002788 |
| Provider Name | Christopher Zixiang Zheng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285130005 PECOS PAC ID: 5799164380 Enrollment ID: I20220628003031 |
| Provider Name | Jasmine Magbutay Pasco |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841947298 PECOS PAC ID: 3870972466 Enrollment ID: I20220628003063 |
| Provider Name | Sarah Premji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588126361 PECOS PAC ID: 8022497619 Enrollment ID: I20220628003150 |
| Provider Name | Sam Sadegh Atlasi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962156489 PECOS PAC ID: 6901285592 Enrollment ID: I20220628003277 |
| Provider Name | Dhairya Jarsania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164982864 PECOS PAC ID: 2062743560 Enrollment ID: I20220628003342 |
| Provider Name | Kathleen Kopecky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205290293 PECOS PAC ID: 9931490323 Enrollment ID: I20220628003475 |
| Provider Name | Sarah Thurman |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1346258175 PECOS PAC ID: 6103896030 Enrollment ID: I20220628003737 |
| Provider Name | John Austin Wight |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932669587 PECOS PAC ID: 0749517811 Enrollment ID: I20220629001232 |
| Provider Name | Silpita Katragadda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518522192 PECOS PAC ID: 5698004216 Enrollment ID: I20220629001703 |
| Provider Name | Aisha a Abdulrazaq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891281846 PECOS PAC ID: 8224389135 Enrollment ID: I20220629002997 |
| Provider Name | James Robert Dornhoffer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326578022 PECOS PAC ID: 8022384080 Enrollment ID: I20220630000258 |
| Provider Name | Brittany C Kimball |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639675408 PECOS PAC ID: 1153675863 Enrollment ID: I20220630001277 |
| Provider Name | Mohamed Shanshal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538440649 PECOS PAC ID: 3678711702 Enrollment ID: I20220630003131 |
| Provider Name | Danielle N Westenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215427505 PECOS PAC ID: 3678821675 Enrollment ID: I20220701001068 |
| Provider Name | Mats Steffi Jennifer Masilamani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013470442 PECOS PAC ID: 6901130046 Enrollment ID: I20220701001738 |
| Provider Name | Rachel Brooke Thorstenson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376299271 PECOS PAC ID: 5991185266 Enrollment ID: I20220704000227 |
| Provider Name | Paul Davis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437611019 PECOS PAC ID: 9739417783 Enrollment ID: I20220705000281 |
| Provider Name | Hannah Christine Patten |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508501156 PECOS PAC ID: 9739569062 Enrollment ID: I20220705002050 |
| Provider Name | Ashley P Vincent |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588256978 PECOS PAC ID: 8921488172 Enrollment ID: I20220705003118 |
| Provider Name | Mackenzie Lee Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407586985 PECOS PAC ID: 5991185035 Enrollment ID: I20220706003256 |
| Provider Name | Jacqueline Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447980990 PECOS PAC ID: 3375923428 Enrollment ID: I20220706003868 |
| Provider Name | Anna Kristine Morrisey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669102554 PECOS PAC ID: 4385024454 Enrollment ID: I20220707000185 |
| Provider Name | Vivek Kumbhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740522069 PECOS PAC ID: 8224268024 Enrollment ID: I20220707001082 |
| Provider Name | Melanie Bratcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791144 PECOS PAC ID: 0840533923 Enrollment ID: I20220707001309 |
| Provider Name | Amir Yosef |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801258553 PECOS PAC ID: 0143515320 Enrollment ID: I20220707002219 |
| Provider Name | Binav Baral |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962064766 PECOS PAC ID: 4587996251 Enrollment ID: I20220707002438 |
| Provider Name | Matthew Steven Machacek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538809181 PECOS PAC ID: 9133509136 Enrollment ID: I20220708000558 |
| Provider Name | Patrick Philipp Starlinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063978245 PECOS PAC ID: 2062741291 Enrollment ID: I20220708000683 |
| Provider Name | Jorge F Trejo Gutierrez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063409225 PECOS PAC ID: 9133250509 Enrollment ID: I20220708001130 |
| Provider Name | Kelly Bruce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871024570 PECOS PAC ID: 9931458981 Enrollment ID: I20220712002392 |
| Provider Name | Patrick Dennis Crowley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386149821 PECOS PAC ID: 4183971476 Enrollment ID: I20220712003475 |
| Provider Name | Amelia Erin Tetlie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558015438 PECOS PAC ID: 9335520956 Enrollment ID: I20220713003896 |
| 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 | George William Marek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578023537 PECOS PAC ID: 2769713270 Enrollment ID: I20220715000769 |
| Provider Name | Nichole Brunton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164929147 PECOS PAC ID: 5799030045 Enrollment ID: I20220715000833 |
| Provider Name | Viral K Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710449921 PECOS PAC ID: 3375953151 Enrollment ID: I20220715001264 |
| Provider Name | Keegan O'hern |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1821675117 PECOS PAC ID: 9133520356 Enrollment ID: I20220715001446 |
| Provider Name | Kelsey Frechette |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356920128 PECOS PAC ID: 1355744582 Enrollment ID: I20220715002167 |
| Provider Name | Elijah J Germo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639758097 PECOS PAC ID: 7517360225 Enrollment ID: I20220716000002 |
| Provider Name | Laura Claire Bailly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205413614 PECOS PAC ID: 8426439845 Enrollment ID: I20220718000717 |
| Provider Name | Oscar a Garcia Valencia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447710439 PECOS PAC ID: 8325429624 Enrollment ID: I20220718003362 |
| Provider Name | Kirk J Wangensteen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104067123 PECOS PAC ID: 8527358647 Enrollment ID: I20220719000493 |
| Provider Name | Liwei Yu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790337863 PECOS PAC ID: 7012398357 Enrollment ID: I20220719000888 |
| Provider Name | Marissa Diann Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245962646 PECOS PAC ID: 3173904414 Enrollment ID: I20220719001031 |
| Provider Name | Karan Seegobin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225482888 PECOS PAC ID: 9335434133 Enrollment ID: I20220719003616 |
| Provider Name | Rebecca Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093388639 PECOS PAC ID: 5193916476 Enrollment ID: I20220720001732 |
| Provider Name | Girish Bathla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760737738 PECOS PAC ID: 2769621093 Enrollment ID: I20220720003101 |
| Provider Name | Si Won Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164913208 PECOS PAC ID: 2062893860 Enrollment ID: I20220725001494 |
| Provider Name | Sanghee Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730759556 PECOS PAC ID: 4284038324 Enrollment ID: I20220726000127 |
| Provider Name | Volha Ivanovna Mazziotto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922686757 PECOS PAC ID: 2668874397 Enrollment ID: I20220726001120 |
| Provider Name | Jessica Rose Hosek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770216061 PECOS PAC ID: 9931580727 Enrollment ID: I20220726001452 |
| 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 | Zaid Saadeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154908580 PECOS PAC ID: 8729469515 Enrollment ID: I20220726001598 |
| 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 | Michael Zhang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326667197 PECOS PAC ID: 1052718640 Enrollment ID: I20220726002321 |
| Provider Name | Vitor Barbosa Abrantes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194497164 PECOS PAC ID: 2365840170 Enrollment ID: I20220726003141 |
| Provider Name | Kristin L Follett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396220174 PECOS PAC ID: 5799107611 Enrollment ID: I20220726003511 |
| Provider Name | Xi Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700235793 PECOS PAC ID: 8022357953 Enrollment ID: I20220726003640 |
| Provider Name | Ann Kristine Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407588726 PECOS PAC ID: 6709268535 Enrollment ID: I20220726003760 |
| Provider Name | Cameron Callaghan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861933046 PECOS PAC ID: 5991052375 Enrollment ID: I20220727002401 |
| Provider Name | Jaelin J Otta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336727668 PECOS PAC ID: 6406259456 Enrollment ID: I20220728001769 |
| Provider Name | Shariska Petersen Harrington |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1144648320 PECOS PAC ID: 9234464934 Enrollment ID: I20220728003470 |
| Provider Name | Robert Boyd Turlington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255919171 PECOS PAC ID: 2860874492 Enrollment ID: I20220729000201 |
| Provider Name | Andrew Michael Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265067367 PECOS PAC ID: 2264833011 Enrollment ID: I20220729000766 |
| Provider Name | Carrie Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508596982 PECOS PAC ID: 4385026921 Enrollment ID: I20220729000826 |
| Provider Name | Maliha Zahid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932135092 PECOS PAC ID: 5092764928 Enrollment ID: I20220729001190 |
| Provider Name | Christopher M Wiger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205403250 PECOS PAC ID: 4981086543 Enrollment ID: I20220729001443 |
| Provider Name | Diane Cheng Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912588484 PECOS PAC ID: 7214338359 Enrollment ID: I20220729002356 |
| Provider Name | Kathryn Irene Breon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821727215 PECOS PAC ID: 7517349087 Enrollment ID: I20220729002422 |
| Provider Name | Brett Michael Mcgettigan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861952145 PECOS PAC ID: 0143643395 Enrollment ID: I20220730000407 |
| Provider Name | Richard Siegfried |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1366522682 PECOS PAC ID: 7719951086 Enrollment ID: I20220801002174 |
| Provider Name | Silvia Maria De Oliveira Titan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265057921 PECOS PAC ID: 0749662146 Enrollment ID: I20220802001099 |
| Provider Name | Danielle Anne Aase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316524135 PECOS PAC ID: 1153722327 Enrollment ID: I20220802002322 |
| Provider Name | Timothy Tianma Xu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699351635 PECOS PAC ID: 6901207059 Enrollment ID: I20220803000087 |
| Provider Name | Eliza Ruth Thompson Westermeyer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871167593 PECOS PAC ID: 0648671875 Enrollment ID: I20220804000225 |
| Provider Name | Anika Dutta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245811678 PECOS PAC ID: 1153721857 Enrollment ID: I20220804000737 |
| Provider Name | Alexander Hua Xiao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194270017 PECOS PAC ID: 0042611238 Enrollment ID: I20220804001188 |
| Provider Name | Rebecca Yao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093393134 PECOS PAC ID: 0345641577 Enrollment ID: I20220804002049 |
| Provider Name | Mariana Restrepo Holguin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972180305 PECOS PAC ID: 8628479771 Enrollment ID: I20220804002127 |
| Provider Name | Jessica Kraker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548853443 PECOS PAC ID: 8224439484 Enrollment ID: I20220805001911 |
| Provider Name | Nicholas Reed Randall |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093229452 PECOS PAC ID: 1850792078 Enrollment ID: I20220805002941 |
| Provider Name | Halden D Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598343741 PECOS PAC ID: 4284035254 Enrollment ID: I20220805003040 |
| Provider Name | Zachary Pennington |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982119731 PECOS PAC ID: 1951702943 Enrollment ID: I20220808002579 |
| Provider Name | Jana Wieland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659958452 PECOS PAC ID: 3476954652 Enrollment ID: I20220809000745 |
| Provider Name | Kara Nicole Fairbanks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861121113 PECOS PAC ID: 3870975717 Enrollment ID: I20220809001742 |
| Provider Name | Jami Lynne Theiler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467186338 PECOS PAC ID: 1759763634 Enrollment ID: I20220809003206 |
| Provider Name | Jessica D White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891373270 PECOS PAC ID: 5890196083 Enrollment ID: I20220809003521 |
| Provider Name | Rachel C Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508430919 PECOS PAC ID: 5092114843 Enrollment ID: I20220810000938 |
| Provider Name | Aditya Khurana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942836473 PECOS PAC ID: 0547643462 Enrollment ID: I20220810001001 |
| Provider Name | Lauren Michelle Webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023692787 PECOS PAC ID: 7618378761 Enrollment ID: I20220810003161 |
| 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 | Elsa a Sutton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407423122 PECOS PAC ID: 9638577851 Enrollment ID: I20220811002941 |
| Provider Name | Sarina D Skrukrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840893 PECOS PAC ID: 9032592894 Enrollment ID: I20220811003380 |
| Provider Name | Karson Mostert |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548847080 PECOS PAC ID: 2466854609 Enrollment ID: I20220812000739 |
| Provider Name | Roxanne M Paulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194473678 PECOS PAC ID: 1254714959 Enrollment ID: I20220812001643 |
| Provider Name | John Gangelhoff |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1730756677 PECOS PAC ID: 6507262623 Enrollment ID: I20220812001957 |
| Provider Name | Rachel Douglas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033452198 PECOS PAC ID: 4688949399 Enrollment ID: I20220815000599 |
| Provider Name | Travis James Kolbo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770212029 PECOS PAC ID: 9032592670 Enrollment ID: I20220816000066 |
| Provider Name | Kendal Weger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083283535 PECOS PAC ID: 6002217734 Enrollment ID: I20220816000585 |
| Provider Name | Leah Margaret Strope Markos |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194464974 PECOS PAC ID: 9335522887 Enrollment ID: I20220816000701 |
| Provider Name | Jennifer Marie Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255661724 PECOS PAC ID: 9931392552 Enrollment ID: I20220816002528 |
| Provider Name | Danielle Girdeen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174253736 PECOS PAC ID: 5092198598 Enrollment ID: I20220816002887 |
| Provider Name | Melissa Avery Courtad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992219356 PECOS PAC ID: 1658624507 Enrollment ID: I20220816003147 |
| Provider Name | Colleen Elizabeth Dudley Khandalavala |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467940569 PECOS PAC ID: 6002299518 Enrollment ID: I20220816003370 |
| Provider Name | Yun Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437738655 PECOS PAC ID: 3476954678 Enrollment ID: I20220816003664 |
| Provider Name | Bryan David Vandreese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871170407 PECOS PAC ID: 7214338458 Enrollment ID: I20220817000487 |
| Provider Name | Brandon S Hendriksen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265827570 PECOS PAC ID: 3678800562 Enrollment ID: I20220817002652 |
| Provider Name | Brian Daniel Wahlig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952933699 PECOS PAC ID: 6608277751 Enrollment ID: I20220817003097 |
| Provider Name | Yakira Nneka David |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477967321 PECOS PAC ID: 3577817915 Enrollment ID: I20220817003406 |
| Provider Name | Madeline Marie Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912638206 PECOS PAC ID: 5991188229 Enrollment ID: I20220818001104 |
| Provider Name | Devon Lee Altshuler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881323285 PECOS PAC ID: 7315320645 Enrollment ID: I20220818001211 |
| Provider Name | Laura Dee Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801521547 PECOS PAC ID: 5496138752 Enrollment ID: I20220818002658 |
| Provider Name | Kierstin Sloane Utter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255919007 PECOS PAC ID: 6406257559 Enrollment ID: I20220818002912 |
| Provider Name | William H Trousdale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861028565 PECOS PAC ID: 6507267598 Enrollment ID: I20220819002268 |
| Provider Name | Fatima Fazal Ansari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306411384 PECOS PAC ID: 8426459728 Enrollment ID: I20220822000593 |
| Provider Name | Jay J Pillai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972603439 PECOS PAC ID: 9234130493 Enrollment ID: I20220822001138 |
| Provider Name | Justin Edward Mckone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376123612 PECOS PAC ID: 4789085978 Enrollment ID: I20220822001308 |
| Provider Name | Sabina Kadariya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982343067 PECOS PAC ID: 5496138695 Enrollment ID: I20220822001495 |
| Provider Name | Jonathan Winegarden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518534379 PECOS PAC ID: 9931502176 Enrollment ID: I20220822002295 |
| Provider Name | Brett Ferguson Curran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487234563 PECOS PAC ID: 7618378878 Enrollment ID: I20220823000290 |
| Provider Name | Alexander Buchholz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588242671 PECOS PAC ID: 2567863848 Enrollment ID: I20220823000366 |
| Provider Name | Emily Hughes Bero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669050894 PECOS PAC ID: 3577966142 Enrollment ID: I20220823000375 |
| Provider Name | Samuel Earl Broida |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134606684 PECOS PAC ID: 8527469881 Enrollment ID: I20220823000698 |
| Provider Name | Tyler Gavin Allen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841878378 PECOS PAC ID: 2163825720 Enrollment ID: I20220823000866 |
| Provider Name | Camilo Bermudez Noguera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255911988 PECOS PAC ID: 7214338557 Enrollment ID: I20220823000928 |
| Provider Name | Weslyn Danice Bunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275110025 PECOS PAC ID: 5890196000 Enrollment ID: I20220823001428 |
| Provider Name | Peter B Anderson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780261495 PECOS PAC ID: 9931500220 Enrollment ID: I20220823001619 |
| Provider Name | Sara Provider Inglis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366013609 PECOS PAC ID: 8628471984 Enrollment ID: I20220823001689 |
| Provider Name | Reese Lee Imhof |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023698735 PECOS PAC ID: 4385045681 Enrollment ID: I20220823001826 |
| Provider Name | Maria Camila Cardenas Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659958429 PECOS PAC ID: 5294136586 Enrollment ID: I20220823001846 |
| Provider Name | Bryce Kaleiokalaihaiia Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316524119 PECOS PAC ID: 4284035528 Enrollment ID: I20220823001906 |
| Provider Name | Devika Madhu Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205413127 PECOS PAC ID: 7517368848 Enrollment ID: I20220823001968 |
| Provider Name | Ehiremen Martins Iyoha |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760065692 PECOS PAC ID: 5193126415 Enrollment ID: I20220823001984 |
| Provider Name | Deandra Kimberly Chetram Kern |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205415833 PECOS PAC ID: 2860893070 Enrollment ID: I20220823002027 |
| Provider Name | Heather Lynn Johns |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699352203 PECOS PAC ID: 4587065883 Enrollment ID: I20220823002140 |
| Provider Name | Jonte Jefferson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679156277 PECOS PAC ID: 1052712163 Enrollment ID: I20220823002328 |
| Provider Name | Christopher Tipton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053999144 PECOS PAC ID: 7012318231 Enrollment ID: I20220823003058 |
| Provider Name | Noelle Obritsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558943894 PECOS PAC ID: 1052712270 Enrollment ID: I20220823003785 |
| Provider Name | Alexander Louis Ticho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538746342 PECOS PAC ID: 2961803150 Enrollment ID: I20220823004119 |
| Provider Name | Christopher Fuguet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679150296 PECOS PAC ID: 0244631570 Enrollment ID: I20220824000223 |
| Provider Name | Daniel Sykora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992382709 PECOS PAC ID: 2668873886 Enrollment ID: I20220824000394 |
| Provider Name | Lauren Taylor Gates-tanzer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720665656 PECOS PAC ID: 1951704196 Enrollment ID: I20220824001740 |
| Provider Name | Mitchell G Dumais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720665300 PECOS PAC ID: 2769883008 Enrollment ID: I20220824001806 |
| Provider Name | David Michael Finkel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831776731 PECOS PAC ID: 4587065701 Enrollment ID: I20220824002102 |
| Provider Name | Rebecca M Friberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104403641 PECOS PAC ID: 4385045673 Enrollment ID: I20220824002285 |
| Provider Name | Haley Sullivan D'souza |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508451907 PECOS PAC ID: 2365843661 Enrollment ID: I20220824002731 |
| Provider Name | David M Feller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457935058 PECOS PAC ID: 7810398179 Enrollment ID: I20220824003134 |
| Provider Name | Claire H Sejour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831776640 PECOS PAC ID: 6406257724 Enrollment ID: I20220824003310 |
| Provider Name | Katlyn Elizabeth Weber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366178584 PECOS PAC ID: 4486038486 Enrollment ID: I20220824003373 |
| Provider Name | Ozan Dikilitas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871176883 PECOS PAC ID: 6305247669 Enrollment ID: I20220824003466 |
| Provider Name | Piotr Karol Kopinski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871178632 PECOS PAC ID: 5193126217 Enrollment ID: I20220825000237 |
| Provider Name | Edith Liliana Patarroyo Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376215566 PECOS PAC ID: 6103214366 Enrollment ID: I20220825000263 |
| Provider Name | Michael William Seward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518544386 PECOS PAC ID: 3779984810 Enrollment ID: I20220825000283 |
| Provider Name | Lazaro Rafael Peraza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164003208 PECOS PAC ID: 5991107062 Enrollment ID: I20220825000325 |
| Provider Name | Nathan Thomas Kor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982270740 PECOS PAC ID: 0941601207 Enrollment ID: I20220825000368 |
| Provider Name | Manfred Kubler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871174193 PECOS PAC ID: 4587065792 Enrollment ID: I20220825000486 |
| Provider Name | Brittanee J Samuelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891323499 PECOS PAC ID: 2365843588 Enrollment ID: I20220825000557 |
| Provider Name | Anne Elizabeth Nora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265013767 PECOS PAC ID: 9133520281 Enrollment ID: I20220825000675 |
| Provider Name | Katharine Diann Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154909125 PECOS PAC ID: 3678974961 Enrollment ID: I20220825000796 |
| Provider Name | Tyler Powell Jackowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629656194 PECOS PAC ID: 3870994866 Enrollment ID: I20220825000947 |
| Provider Name | Richard Charles Lindsey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477130128 PECOS PAC ID: 5496156622 Enrollment ID: I20220825001019 |
| Provider Name | Brian Gentry Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437737905 PECOS PAC ID: 1153722319 Enrollment ID: I20220825001075 |
| Provider Name | Kevin Frederick Hanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821681461 PECOS PAC ID: 8224439518 Enrollment ID: I20220825001184 |
| Provider Name | Joanne Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730763632 PECOS PAC ID: 0143621110 Enrollment ID: I20220825001231 |
| Provider Name | Katarina Lorraine Fabre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306424643 PECOS PAC ID: 1658772942 Enrollment ID: I20220825001241 |
| Provider Name | Michael Harrison Storandt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518545086 PECOS PAC ID: 4880095926 Enrollment ID: I20220825001296 |
| Provider Name | Alexander Brighton Pais |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548847502 PECOS PAC ID: 5799186987 Enrollment ID: I20220825001337 |
| Provider Name | Alexander Nguyen |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1740867555 PECOS PAC ID: 4486055670 Enrollment ID: I20220825001458 |
| Provider Name | Kelly Suzanne Lehner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144894759 PECOS PAC ID: 6800297862 Enrollment ID: I20220825001468 |
| Provider Name | Peter Nels Kundert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710565189 PECOS PAC ID: 5395147680 Enrollment ID: I20220825001687 |
| Provider Name | Autumn Hargraves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295314797 PECOS PAC ID: 3375944655 Enrollment ID: I20220825001710 |
| Provider Name | James Howick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043893373 PECOS PAC ID: 4880095009 Enrollment ID: I20220825001715 |
| Provider Name | Sara Jamin Hooshmand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417534298 PECOS PAC ID: 7810398963 Enrollment ID: I20220825001812 |
| Provider Name | Trevor Gordon Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831862622 PECOS PAC ID: 2860897519 Enrollment ID: I20220825001813 |
| Provider Name | Thomas Nick Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558949016 PECOS PAC ID: 6608277694 Enrollment ID: I20220825001817 |
| Provider Name | Chieh-ting Tony Huang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699352963 PECOS PAC ID: 7517368749 Enrollment ID: I20220825001836 |
| Provider Name | Kevin Jurgensmeier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235716184 PECOS PAC ID: 5597166884 Enrollment ID: I20220825001883 |
| Provider Name | Ryan Lewis |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366964827 PECOS PAC ID: 4183008147 Enrollment ID: I20220825001924 |
| Provider Name | Amir Nazem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437728920 PECOS PAC ID: 4880096387 Enrollment ID: I20220825002080 |
| Provider Name | Luke Joseph Klugherz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013590769 PECOS PAC ID: 6608277991 Enrollment ID: I20220825002110 |
| Provider Name | Daria Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871172197 PECOS PAC ID: 6800298027 Enrollment ID: I20220825002120 |
| Provider Name | Benjamin Franklin Kopecky |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467031625 PECOS PAC ID: 0244631588 Enrollment ID: I20220825002397 |
| Provider Name | Hannah Lyndsay Fiona Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982370912 PECOS PAC ID: 5799181681 Enrollment ID: I20220825002569 |
| Provider Name | Ibrahim Abdullahi Omar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851978449 PECOS PAC ID: 8224439161 Enrollment ID: I20220825002586 |
| Provider Name | Mathias Earl Palmer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942874516 PECOS PAC ID: 2961803143 Enrollment ID: I20220825002607 |
| Provider Name | James Roland Markos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912581844 PECOS PAC ID: 4587066022 Enrollment ID: I20220825002630 |
| Provider Name | Rebecca Alisa Leff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972180883 PECOS PAC ID: 4880095025 Enrollment ID: I20220825002762 |
| Provider Name | Jennifer Lee Perez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003492406 PECOS PAC ID: 1557762689 Enrollment ID: I20220825002806 |
| Provider Name | Christina Ann Moe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568036507 PECOS PAC ID: 9931500162 Enrollment ID: I20220825002870 |
| Provider Name | Allison Leigh Kerper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518544451 PECOS PAC ID: 7012318736 Enrollment ID: I20220825002984 |
| Provider Name | Jonathan Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255910956 PECOS PAC ID: 1254732225 Enrollment ID: I20220825003019 |
| Provider Name | Sujaytha Subhash Paknikar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700466885 PECOS PAC ID: 3678974714 Enrollment ID: I20220825003063 |
| Provider Name | Britney Lau Honda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710579677 PECOS PAC ID: 2961803127 Enrollment ID: I20220825003199 |
| Provider Name | Eliza Michelle Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447838990 PECOS PAC ID: 6507268505 Enrollment ID: I20220825003221 |
| Provider Name | Philip David Sang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467039263 PECOS PAC ID: 9436550654 Enrollment ID: I20220825003222 |
| Provider Name | Alex Y. Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063091924 PECOS PAC ID: 6204237407 Enrollment ID: I20220825003271 |
| Provider Name | Jack Woodworth Sample |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093393944 PECOS PAC ID: 4789085523 Enrollment ID: I20220825003377 |
| Provider Name | Jenna Lynn Sturz-ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003490491 PECOS PAC ID: 5890196935 Enrollment ID: I20220825003388 |
| Provider Name | Jasraj S Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730767807 PECOS PAC ID: 7214338409 Enrollment ID: I20220825003427 |
| Provider Name | Mostafa Ahmed Moawed Ramadan Salama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043989841 PECOS PAC ID: 5294133260 Enrollment ID: I20220825003474 |
| Provider Name | Amanda Jeanne Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659958460 PECOS PAC ID: 1254732910 Enrollment ID: I20220825003632 |
| Provider Name | Tiffany Thuy-tien Ngo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871171538 PECOS PAC ID: 6901207067 Enrollment ID: I20220825003747 |
| Provider Name | Paulina Sharon Marell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265019103 PECOS PAC ID: 1951702166 Enrollment ID: I20220825003772 |
| Provider Name | Alan Wei Hu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467039222 PECOS PAC ID: 1254732449 Enrollment ID: I20220825004046 |
| Provider Name | Christiana Driver |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1982281234 PECOS PAC ID: 5799186045 Enrollment ID: I20220825004136 |
| Provider Name | Elyse Conley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679150650 PECOS PAC ID: 3173924479 Enrollment ID: I20220826001120 |
| Provider Name | Ryan Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871170357 PECOS PAC ID: 9931500295 Enrollment ID: I20220826001487 |
| Provider Name | Amanda Kate Seyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598359309 PECOS PAC ID: 1355742479 Enrollment ID: I20220826001581 |
| Provider Name | Hilary Bauer Kunkel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306423892 PECOS PAC ID: 0941684898 Enrollment ID: I20220826001637 |
| Provider Name | Hawa M Ali |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912589847 PECOS PAC ID: 9335540632 Enrollment ID: I20220826001954 |
| Provider Name | Mohamed Provider Ahmed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851986236 PECOS PAC ID: 0345641510 Enrollment ID: I20220826001988 |
| Provider Name | Elizabeth Lee Prejean Mckone |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477132447 PECOS PAC ID: 8921409152 Enrollment ID: I20220826002302 |
| Provider Name | Mitra Moazzami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992371710 PECOS PAC ID: 3375944580 Enrollment ID: I20220826002624 |
| Provider Name | Elke Sarah Schipani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518547835 PECOS PAC ID: 7719388867 Enrollment ID: I20220826002796 |
| Provider Name | Sara Marianna Shu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598343154 PECOS PAC ID: 2365843141 Enrollment ID: I20220826002898 |
| Provider Name | Crystal Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285212886 PECOS PAC ID: 6305247057 Enrollment ID: I20220826002942 |
| Provider Name | Mark Jonathan Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114508744 PECOS PAC ID: 4183027113 Enrollment ID: I20220827000072 |
| Provider Name | Leslie Saba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184390205 PECOS PAC ID: 6103222336 Enrollment ID: I20220829000342 |
| Provider Name | Jennifer Shereen Eller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578140414 PECOS PAC ID: 0244631406 Enrollment ID: I20220829000402 |
| Provider Name | Jacob Ryan Jackowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902487259 PECOS PAC ID: 5991106247 Enrollment ID: I20220829001777 |
| Provider Name | Andrew Falkner Emanuels |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275108268 PECOS PAC ID: 2860893021 Enrollment ID: I20220829001803 |
| Provider Name | Aldo Adrian Acosta Medina |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790368249 PECOS PAC ID: 7416350178 Enrollment ID: I20220829002088 |
| Provider Name | Kareme Dale Alder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396322210 PECOS PAC ID: 1759782899 Enrollment ID: I20220829003290 |
| Provider Name | Katarina Alajbegovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922685528 PECOS PAC ID: 6305247594 Enrollment ID: I20220830000530 |
| Provider Name | Badro Abdi Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629656764 PECOS PAC ID: 6800297144 Enrollment ID: I20220830000846 |
| Provider Name | Sarah J Kruger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063149557 PECOS PAC ID: 0244614949 Enrollment ID: I20220830001531 |
| Provider Name | Aamod Sanjeev Dekhne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568049351 PECOS PAC ID: 1759782030 Enrollment ID: I20220830001771 |
| Provider Name | Alexandra Arguello |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093392953 PECOS PAC ID: 3971904228 Enrollment ID: I20220830002190 |
| Provider Name | Xiao Tony Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457983090 PECOS PAC ID: 0143621342 Enrollment ID: I20220830003471 |
| Provider Name | Catherine Megan Reiko Kato |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265051833 PECOS PAC ID: 0244631521 Enrollment ID: I20220830003597 |
| Provider Name | Rahul Kumar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003449000 PECOS PAC ID: 0042611287 Enrollment ID: I20220831000472 |
| Provider Name | Yuan Provider Yao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306515895 PECOS PAC ID: 7012314693 Enrollment ID: I20220831000501 |
| Provider Name | Jacob William Baxter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811575673 PECOS PAC ID: 3375944622 Enrollment ID: I20220831001411 |
| Provider Name | David Chascsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508181256 PECOS PAC ID: 8527367622 Enrollment ID: I20220831002766 |
| Provider Name | Amanda E Moder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023494283 PECOS PAC ID: 1850775495 Enrollment ID: I20220831002957 |
| Provider Name | John Damian Mcglothlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255918744 PECOS PAC ID: 2062813256 Enrollment ID: I20220901001656 |
| Provider Name | Timothy Ostby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376278796 PECOS PAC ID: 4981088499 Enrollment ID: I20220901002097 |
| Provider Name | Jessica Wilson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902339666 PECOS PAC ID: 2466724364 Enrollment ID: I20220901003573 |
| Provider Name | Kate Hagen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033789003 PECOS PAC ID: 7618371725 Enrollment ID: I20220902001742 |
| Provider Name | Elizabeth Lees |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982199725 PECOS PAC ID: 8729335518 Enrollment ID: I20220906001094 |
| Provider Name | Asma Ali |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1649858564 PECOS PAC ID: 7911308291 Enrollment ID: I20220908000337 |
| Provider Name | Krystin Hannah Rohloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629700257 PECOS PAC ID: 7810371911 Enrollment ID: I20220908000577 |
| Provider Name | Nari Sohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982263034 PECOS PAC ID: 6800270968 Enrollment ID: I20220908002941 |
| Provider Name | Alyssa Jean Suddendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773979 PECOS PAC ID: 0244614303 Enrollment ID: I20220908003035 |
| Provider Name | Samantha Marie Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871229716 PECOS PAC ID: 6002290178 Enrollment ID: I20220908003409 |
| Provider Name | Elisa Carol Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679208359 PECOS PAC ID: 4789069899 Enrollment ID: I20220909001664 |
| Provider Name | Genna Brooke Sutermeister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699401562 PECOS PAC ID: 7911382064 Enrollment ID: I20220910000137 |
| Provider Name | Jonathan Morrison |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639684434 PECOS PAC ID: 2668731357 Enrollment ID: I20220913000720 |
| Provider Name | Mark F Tatera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356800874 PECOS PAC ID: 8628310562 Enrollment ID: I20220913001955 |
| Provider Name | Claire E Raphael |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275081812 PECOS PAC ID: 4183912173 Enrollment ID: I20220913002838 |
| Provider Name | Nikolaos Skartsis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801158241 PECOS PAC ID: 8426340514 Enrollment ID: I20220913003595 |
| Provider Name | Kenneth Poole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649434408 PECOS PAC ID: 3678741139 Enrollment ID: I20220914001193 |
| Provider Name | Corey Trowbridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770160574 PECOS PAC ID: 1153723572 Enrollment ID: I20220914001496 |
| Provider Name | Mikaela Highland Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043897457 PECOS PAC ID: 2961803176 Enrollment ID: I20220917000407 |
| Provider Name | Laura Wangensteen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578856050 PECOS PAC ID: 2365662830 Enrollment ID: I20220923001151 |
| Provider Name | Savanna Marie Arellano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073241329 PECOS PAC ID: 7618352873 Enrollment ID: I20220923002561 |
| Provider Name | Jacqueline Ann Lingl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598485989 PECOS PAC ID: 7810373990 Enrollment ID: I20220927001162 |
| Provider Name | Muhammad Haris Bin Akhtar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790404556 PECOS PAC ID: 3274919352 Enrollment ID: I20220927001216 |
| Provider Name | Elizabeth Renae Kurtti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053040360 PECOS PAC ID: 4183000276 Enrollment ID: I20220927001254 |
| Provider Name | Adrian Jose Da Silva De Abreu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588041222 PECOS PAC ID: 3971854878 Enrollment ID: I20220927001501 |
| Provider Name | Matthew Paul Hamilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346814951 PECOS PAC ID: 2668873712 Enrollment ID: I20220928000177 |
| Provider Name | Anthony M De Gregorio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215514039 PECOS PAC ID: 3779984034 Enrollment ID: I20220928000819 |
| Provider Name | Anne W Rajkumar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699201186 PECOS PAC ID: 7719234582 Enrollment ID: I20221003001580 |
| Provider Name | Alex Christopher Goettl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629685102 PECOS PAC ID: 6507242229 Enrollment ID: I20221004002334 |
| Provider Name | Tia Marie Faupel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225766900 PECOS PAC ID: 8224414958 Enrollment ID: I20221004002806 |
| Provider Name | Elisa Houwink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740918903 PECOS PAC ID: 0547646275 Enrollment ID: I20221004002996 |
| Provider Name | Sonya Makhni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669901039 PECOS PAC ID: 5496024754 Enrollment ID: I20221005002396 |
| Provider Name | Ashley Jean Muller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215658240 PECOS PAC ID: 7810373420 Enrollment ID: I20221005002854 |
| Provider Name | Padao Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528793767 PECOS PAC ID: 7315323821 Enrollment ID: I20221006003500 |
| Provider Name | Mckena Thoennes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548983513 PECOS PAC ID: 7517343825 Enrollment ID: I20221010001564 |
| Provider Name | Kindra Marie Pint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467180422 PECOS PAC ID: 3577949866 Enrollment ID: I20221011001206 |
| Provider Name | Arpan Samaddar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912641960 PECOS PAC ID: 8426445818 Enrollment ID: I20221011002052 |
| Provider Name | Megan Augusta Dyslin Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346978285 PECOS PAC ID: 2163898438 Enrollment ID: I20221012002099 |
| Provider Name | Andree H Koop |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205213360 PECOS PAC ID: 0749599124 Enrollment ID: I20221014001022 |
| Provider Name | Bastiaan Leonardus Johanne Kietselaer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114649928 PECOS PAC ID: 4183090236 Enrollment ID: I20221014002140 |
| Provider Name | Harish Aroor Kinni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023379179 PECOS PAC ID: 5193957967 Enrollment ID: I20221018001275 |
| Provider Name | Nicole L. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861015893 PECOS PAC ID: 2860868783 Enrollment ID: I20221018002455 |
| Provider Name | Ember Scriven Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750005146 PECOS PAC ID: 2466828223 Enrollment ID: I20221019000691 |
| Provider Name | Lisa L. Ellsworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548204472 PECOS PAC ID: 9234119124 Enrollment ID: I20221019002316 |
| Provider Name | Mark Daniel Urban |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548877863 PECOS PAC ID: 2567838378 Enrollment ID: I20221019002586 |
| Provider Name | Alek Michael Pena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780125195 PECOS PAC ID: 4880060698 Enrollment ID: I20221019002786 |
| Provider Name | Brittany L. Hodkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598484040 PECOS PAC ID: 4385010107 Enrollment ID: I20221019003036 |
| Provider Name | Chetna Mangat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255617809 PECOS PAC ID: 8224252986 Enrollment ID: I20221019003303 |
| Provider Name | Kacie Leigh Shopnitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679203632 PECOS PAC ID: 3476929126 Enrollment ID: I20221020001385 |
| Provider Name | Mariana De Lima Laporta Miranda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639756554 PECOS PAC ID: 4082015250 Enrollment ID: I20221025001506 |
| Provider Name | Krzysztof Laudanski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760579643 PECOS PAC ID: 0143414938 Enrollment ID: I20221027000521 |
| Provider Name | Emmanouil Grigoriou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861889834 PECOS PAC ID: 2365843943 Enrollment ID: I20221027002539 |
| Provider Name | Brooke K Moin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982215968 PECOS PAC ID: 5294154324 Enrollment ID: I20221028001839 |
| Provider Name | Karen Alejandra Gomez Ruiz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457968703 PECOS PAC ID: 9234506544 Enrollment ID: I20221028002700 |
| Provider Name | Michael D Dick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376150714 PECOS PAC ID: 7719354034 Enrollment ID: I20221029000242 |
| Provider Name | Kevin Glen Buda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801450226 PECOS PAC ID: 6406223692 Enrollment ID: I20221101000259 |
| Provider Name | Tabita Amoatemaa Darkwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164156535 PECOS PAC ID: 8628444395 Enrollment ID: I20221101001313 |
| Provider Name | Samyd Said Bustos Hemer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871170639 PECOS PAC ID: 6507267861 Enrollment ID: I20221103003073 |
| Provider Name | Katrina Renee Hacker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003531179 PECOS PAC ID: 6305213257 Enrollment ID: I20221104002140 |
| Provider Name | Shruti Agrawal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457883092 PECOS PAC ID: 0547538076 Enrollment ID: I20221105000025 |
| Provider Name | Sushmitha Grama Srinivasan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265019244 PECOS PAC ID: 4981005980 Enrollment ID: I20221105000044 |
| Provider Name | Dawn R Mrozinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104373836 PECOS PAC ID: 4284922683 Enrollment ID: I20221107000068 |
| Provider Name | Laura C Jorgenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962081307 PECOS PAC ID: 7810392230 Enrollment ID: I20221107000713 |
| Provider Name | David Andrew Majewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073239109 PECOS PAC ID: 3274900931 Enrollment ID: I20221109001409 |
| Provider Name | Jason William Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013642255 PECOS PAC ID: 1850768532 Enrollment ID: I20221109002168 |
| Provider Name | Fiona C Haeuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871843490 PECOS PAC ID: 8123271376 Enrollment ID: I20221111000419 |
| Provider Name | Nina R Hartsel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386308799 PECOS PAC ID: 7012384613 Enrollment ID: I20221111000770 |
| Provider Name | Erica M Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477285146 PECOS PAC ID: 2961888581 Enrollment ID: I20221114002431 |
| Provider Name | Malakh Lal Shrestha |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518684885 PECOS PAC ID: 1658749155 Enrollment ID: I20221114002868 |
| Provider Name | Sarah Woolums |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265150999 PECOS PAC ID: 4385012814 Enrollment ID: I20221115000529 |
| Provider Name | Patrick William Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194310656 PECOS PAC ID: 7517335045 Enrollment ID: I20221115000685 |
| Provider Name | Cathleen Rose Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679952428 PECOS PAC ID: 6002118460 Enrollment ID: I20221115001276 |
| Provider Name | Kriston Kay Friedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275259756 PECOS PAC ID: 2264800721 Enrollment ID: I20221115001890 |
| Provider Name | Victoria Paige Boss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730796269 PECOS PAC ID: 8325416704 Enrollment ID: I20221115002869 |
| Provider Name | Jonathan Richard Chin |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619541190 PECOS PAC ID: 5597167221 Enrollment ID: I20221116003117 |
| Provider Name | Kendall N Solinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497478689 PECOS PAC ID: 9436527785 Enrollment ID: I20221117003422 |
| Provider Name | Barbara Tylka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992173470 PECOS PAC ID: 2062703200 Enrollment ID: I20221118001048 |
| Provider Name | Michael Stephens |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1427638774 PECOS PAC ID: 8820499957 Enrollment ID: I20221118002229 |
| Provider Name | Sarah Rose Bohlen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285341511 PECOS PAC ID: 4880062009 Enrollment ID: I20221119000373 |
| Provider Name | Katherine Rachel Prinsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790410694 PECOS PAC ID: 2860860004 Enrollment ID: I20221121000286 |
| Provider Name | Alexandra Lynn Kaase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366159824 PECOS PAC ID: 8820466964 Enrollment ID: I20221122001382 |
| Provider Name | Naima Khalif Mohamed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528675022 PECOS PAC ID: 6406224443 Enrollment ID: I20221122001688 |
| Provider Name | Bryan Traughber |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609049873 PECOS PAC ID: 0446545594 Enrollment ID: I20221123001123 |
| Provider Name | Jana Al Hashash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548422397 PECOS PAC ID: 3274776539 Enrollment ID: I20221123001787 |
| Provider Name | Brendon Groen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750831293 PECOS PAC ID: 3971885955 Enrollment ID: I20221123002360 |
| Provider Name | Sherry Shuai-li Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407386824 PECOS PAC ID: 9537437363 Enrollment ID: I20221123002754 |
| Provider Name | Mary Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699382044 PECOS PAC ID: 9537537493 Enrollment ID: I20221125000448 |
| Provider Name | Sonia Z Kudla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700389426 PECOS PAC ID: 1355603697 Enrollment ID: I20221125000506 |
| Provider Name | Matthew Marilley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417538174 PECOS PAC ID: 5890184105 Enrollment ID: I20221128000045 |
| Provider Name | Mariam Shariff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780256560 PECOS PAC ID: 5395149991 Enrollment ID: I20221128000484 |
| Provider Name | Brianna Laqisha Coffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396467346 PECOS PAC ID: 2860860699 Enrollment ID: I20221128002840 |
| Provider Name | Michael Robert Mcconnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235746678 PECOS PAC ID: 4688042419 Enrollment ID: I20221128002859 |
| Provider Name | Heather Marie Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801521851 PECOS PAC ID: 4082082797 Enrollment ID: I20221129003207 |
| Provider Name | Jessica a Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114643897 PECOS PAC ID: 3476921107 Enrollment ID: I20221130000855 |
| Provider Name | Anna C Jones |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699152843 PECOS PAC ID: 0143533794 Enrollment ID: I20221130002390 |
| Provider Name | Kayla Shannon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760998769 PECOS PAC ID: 2769719285 Enrollment ID: I20221201002310 |
| Provider Name | Gina Ann Lablanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669198040 PECOS PAC ID: 3779952395 Enrollment ID: I20221202002647 |
| Provider Name | Alan Howard Stolpen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760470629 PECOS PAC ID: 2062554702 Enrollment ID: I20221206000869 |
| Provider Name | Maren Berniece Kryzer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710694823 PECOS PAC ID: 6709255748 Enrollment ID: I20221213002453 |
| Provider Name | Angela Rosanna Grassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306423272 PECOS PAC ID: 4981005246 Enrollment ID: I20221213002681 |
| Provider Name | Courtney Elizabeth Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053878595 PECOS PAC ID: 8921426370 Enrollment ID: I20221214002400 |
| Provider Name | Stephanie Marie Cabler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003537648 PECOS PAC ID: 3173992021 Enrollment ID: I20221215001006 |
| Provider Name | Taylor D Bratten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912560384 PECOS PAC ID: 4284053083 Enrollment ID: I20221219000552 |
| Provider Name | Brandon Richard Crouley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538894100 PECOS PAC ID: 2466822077 Enrollment ID: I20221222001901 |
| Provider Name | Neera Kanhouwa Dahl |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336254002 PECOS PAC ID: 7315841970 Enrollment ID: I20221223000589 |
| Provider Name | Amanda R Dietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336647569 PECOS PAC ID: 2466712500 Enrollment ID: I20221223000969 |
| Provider Name | Sarah C Morris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154049336 PECOS PAC ID: 8527438175 Enrollment ID: I20221223001029 |
| Provider Name | Sherronda Jean Bowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750091799 PECOS PAC ID: 4981074531 Enrollment ID: I20221223001091 |
| Provider Name | Callie Schleicher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164146692 PECOS PAC ID: 6406226927 Enrollment ID: I20221228000467 |
| Provider Name | Meghan a Cooper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871987941 PECOS PAC ID: 8224455167 Enrollment ID: I20221229002740 |
| Provider Name | Janelle D Tumbleson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861159824 PECOS PAC ID: 4587034517 Enrollment ID: I20230106002637 |
| Provider Name | Ellen Lucy Larson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497215115 PECOS PAC ID: 1456787076 Enrollment ID: I20230110001440 |
| Provider Name | Alecia Rosemarie Anyim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912218066 PECOS PAC ID: 7012100795 Enrollment ID: I20230117002014 |
| Provider Name | Taylor Eckhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124634373 PECOS PAC ID: 3577973890 Enrollment ID: I20230117002721 |
| Provider Name | Donica Doran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194437699 PECOS PAC ID: 0244601805 Enrollment ID: I20230119000837 |
| Provider Name | Beth Vanderwielen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447593462 PECOS PAC ID: 3678842770 Enrollment ID: I20230119002814 |
| Provider Name | Isaac Theerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659702421 PECOS PAC ID: 7618352212 Enrollment ID: I20230131001618 |
| Provider Name | Elizabeth L Bondi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508251505 PECOS PAC ID: 0042522294 Enrollment ID: I20230131002763 |
| Provider Name | Suhail Shuja |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982654851 PECOS PAC ID: 9234133117 Enrollment ID: I20230208001315 |
| Provider Name | James Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093132250 PECOS PAC ID: 1557618139 Enrollment ID: I20230216000689 |
| Provider Name | K Drew Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326018623 PECOS PAC ID: 4688655004 Enrollment ID: I20230216001023 |
| Provider Name | Amy Scibona |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932795051 PECOS PAC ID: 2163894262 Enrollment ID: I20230220000961 |
| Provider Name | Katie Nicole Meeker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033823349 PECOS PAC ID: 8123490158 Enrollment ID: I20230221000196 |
| Provider Name | Shannon Marie Dalbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235841289 PECOS PAC ID: 4284006271 Enrollment ID: I20230221003130 |
| Provider Name | Meng Welliver |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053476283 PECOS PAC ID: 2264603927 Enrollment ID: I20230222003056 |
| Provider Name | Jaime Marie Leimer Decker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063759264 PECOS PAC ID: 5193198091 Enrollment ID: I20230223001286 |
| Provider Name | Jamie M Voetberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922488238 PECOS PAC ID: 3971816844 Enrollment ID: I20230227000184 |
| Provider Name | Jenna Marie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942917265 PECOS PAC ID: 8628441474 Enrollment ID: I20230227002147 |
| Provider Name | Muhib Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043452337 PECOS PAC ID: 7315180536 Enrollment ID: I20230302002654 |
| Provider Name | Rushna P Ali |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316243512 PECOS PAC ID: 3870725500 Enrollment ID: I20230302002776 |
| Provider Name | Samuel John Degeest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790483733 PECOS PAC ID: 7416320858 Enrollment ID: I20230306000332 |
| 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 | Jesse a Rice |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700510534 PECOS PAC ID: 7517330764 Enrollment ID: I20230308003130 |
| Provider Name | Ryan Solinsky |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083980254 PECOS PAC ID: 5597089235 Enrollment ID: I20230310002289 |
| Provider Name | Jordan Ashley Schaffer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346951852 PECOS PAC ID: 1557735461 Enrollment ID: I20230316000048 |
| Provider Name | Carol Marie David |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407567514 PECOS PAC ID: 3678947520 Enrollment ID: I20230316001640 |
| Provider Name | Aaron Michael Burt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245941707 PECOS PAC ID: 1052785912 Enrollment ID: I20230316002017 |
| Provider Name | Dustin Thomas Henning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255043956 PECOS PAC ID: 4789058645 Enrollment ID: I20230316002026 |
| Provider Name | Heather Marie Lawrence |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689385221 PECOS PAC ID: 4385018191 Enrollment ID: I20230317001731 |
| Provider Name | Kehinde Odubeko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295431955 PECOS PAC ID: 4981078797 Enrollment ID: I20230317001910 |
| Provider Name | Jacob William Pridie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083325419 PECOS PAC ID: 2769856582 Enrollment ID: I20230317002092 |
| Provider Name | Kelsey Nicole Forcier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932819752 PECOS PAC ID: 0840664538 Enrollment ID: I20230320002607 |
| Provider Name | Jessica Lynn Schliep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558002857 PECOS PAC ID: 9436523156 Enrollment ID: I20230321001232 |
| Provider Name | Bobbie Alex Napier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114637766 PECOS PAC ID: 5294109922 Enrollment ID: I20230321001584 |
| Provider Name | Deborah J Lien |
|---|---|
| Provider Type | Practitioner - Orthodontics And Dentofacial Orthopedics |
| Provider Identifiers | NPI Number: 1932316247 PECOS PAC ID: 5799006342 Enrollment ID: I20230321002820 |
| Provider Name | Danica Lydia Welke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790496370 PECOS PAC ID: 8527432111 Enrollment ID: I20230322001369 |
| Provider Name | Mimi Frances Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194430363 PECOS PAC ID: 1254705841 Enrollment ID: I20230322001377 |
| Provider Name | Paola Angela Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770298135 PECOS PAC ID: 6901270487 Enrollment ID: I20230323002808 |
| Provider Name | Christopher Robert Carpenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508884925 PECOS PAC ID: 1759577760 Enrollment ID: I20230327000886 |
| Provider Name | Jessica Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275163057 PECOS PAC ID: 0648683128 Enrollment ID: I20230327002698 |
| Provider Name | Aswath Padmanabhan Chandrasekar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790354751 PECOS PAC ID: 0042618704 Enrollment ID: I20230328002896 |
| Provider Name | Angela Marie Bathke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013621432 PECOS PAC ID: 7012381239 Enrollment ID: I20230329002133 |
| Provider Name | Lilian O Monari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164135919 PECOS PAC ID: 6204200439 Enrollment ID: I20230329002711 |
| Provider Name | Jennifer S Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700223468 PECOS PAC ID: 1456726603 Enrollment ID: I20230331001684 |
| Provider Name | Blake Thomas Sisson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740632355 PECOS PAC ID: 1355716333 Enrollment ID: I20230404002317 |
| Provider Name | Madison Ann Jacobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780257964 PECOS PAC ID: 6709251788 Enrollment ID: I20230404002362 |
| Provider Name | Robert R Orford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336122001 PECOS PAC ID: 0749322105 Enrollment ID: I20230407001806 |
| Provider Name | Amy Lynn Arcand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194421925 PECOS PAC ID: 6709251507 Enrollment ID: I20230410001213 |
| Provider Name | Sarah Elizabeth Blonsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154776664 PECOS PAC ID: 8426312893 Enrollment ID: I20230417001393 |
| Provider Name | Chelsea Marie Gustafson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770294357 PECOS PAC ID: 8820463292 Enrollment ID: I20230417002817 |
| Provider Name | Chelsie Lynn Heetland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447952056 PECOS PAC ID: 7012382492 Enrollment ID: I20230418000113 |
| Provider Name | Mariya O Pogorelova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417161944 PECOS PAC ID: 4688775182 Enrollment ID: I20230425000320 |
| Provider Name | Nicholas L Bormann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750879367 PECOS PAC ID: 3870849490 Enrollment ID: I20230427000327 |
| Provider Name | Gabriella Avitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421366 PECOS PAC ID: 2769880624 Enrollment ID: I20230427000997 |
| Provider Name | Lori Ellen Russell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598032195 PECOS PAC ID: 7719342542 Enrollment ID: I20230502000093 |
| Provider Name | Caroline Ashley Fejedelem |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073224648 PECOS PAC ID: 8729443403 Enrollment ID: I20230502002454 |
| Provider Name | Andrea Delgado |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598179574 PECOS PAC ID: 7618196593 Enrollment ID: I20230503000542 |
| Provider Name | Jason Kalvelage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295445922 PECOS PAC ID: 4183089709 Enrollment ID: I20230503001380 |
| Provider Name | Paul Andrew Winge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023718053 PECOS PAC ID: 9537524160 Enrollment ID: I20230503001438 |
| Provider Name | Joseph Thomas Carroll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588918205 PECOS PAC ID: 3870722291 Enrollment ID: I20230503001716 |
| Provider Name | Sophia Jean Leiby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376895201 PECOS PAC ID: 8921493503 Enrollment ID: I20230509000746 |
| Provider Name | Arnold J Hill |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275667123 PECOS PAC ID: 0244696656 Enrollment ID: I20230509002444 |
| Provider Name | Ahmad Ghassan Mustafa Abutaka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689253247 PECOS PAC ID: 1951702208 Enrollment ID: I20230510000310 |
| Provider Name | Ilhwan Yeo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811247653 PECOS PAC ID: 3678799145 Enrollment ID: I20230512002443 |
| Provider Name | Laura Rhaney |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1407204118 PECOS PAC ID: 6305279381 Enrollment ID: I20230515001269 |
| Provider Name | Nathan Michael Wick |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992366504 PECOS PAC ID: 7113253683 Enrollment ID: I20230515002509 |
| Provider Name | Albert Aboseif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649732462 PECOS PAC ID: 8820331580 Enrollment ID: I20230515003017 |
| Provider Name | Binoy Yohannan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1750778510 PECOS PAC ID: 6204188246 Enrollment ID: I20230516000796 |
| Provider Name | Katrin J Vetter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154813293 PECOS PAC ID: 5294191391 Enrollment ID: I20230516000856 |
| Provider Name | Charles Viers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202303 PECOS PAC ID: 6406103506 Enrollment ID: I20230516001225 |
| Provider Name | Denis Snegovskikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689815839 PECOS PAC ID: 0840343463 Enrollment ID: I20230516001256 |
| Provider Name | Vinita Pankaj Ved |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447987656 PECOS PAC ID: 5597121608 Enrollment ID: I20230516001720 |
| Provider Name | Camila Alejandra Villavicencio Torres |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558922294 PECOS PAC ID: 9830555952 Enrollment ID: I20230516001820 |
| Provider Name | Aditi Singh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285041905 PECOS PAC ID: 7012208853 Enrollment ID: I20230516002533 |
| Provider Name | John Aristotle Damianos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265061444 PECOS PAC ID: 3274956321 Enrollment ID: I20230517000304 |
| Provider Name | Shireen Chacko |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518519131 PECOS PAC ID: 8628459294 Enrollment ID: I20230517001382 |
| Provider Name | Motaz Hamzah Ashkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538423132 PECOS PAC ID: 8426382300 Enrollment ID: I20230517001454 |
| Provider Name | Sophie J Halfpenny |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619420213 PECOS PAC ID: 0840530747 Enrollment ID: I20230517001549 |
| Provider Name | Yahya Ahmed Adnan Alwatari |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376063180 PECOS PAC ID: 3274802582 Enrollment ID: I20230517001658 |
| Provider Name | Karol Maricel Quelal Analuisa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174176168 PECOS PAC ID: 3779913314 Enrollment ID: I20230517001890 |
| Provider Name | Zeynep Idil MD Seckin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1336777275 PECOS PAC ID: 6901220342 Enrollment ID: I20230517001903 |
| Provider Name | Ayesha Samreen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225599905 PECOS PAC ID: 8820468945 Enrollment ID: I20230517002270 |
| Provider Name | Allison Robbins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487113296 PECOS PAC ID: 3072943125 Enrollment ID: I20230517002272 |
| Provider Name | Audai Alrwashdeh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104479781 PECOS PAC ID: 2860858867 Enrollment ID: I20230517002448 |
| Provider Name | John Spigos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386272474 PECOS PAC ID: 5395101323 Enrollment ID: I20230517003492 |
| Provider Name | John Thomas Casnovsky |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1942863451 PECOS PAC ID: 3375909302 Enrollment ID: I20230517003578 |
| Provider Name | Griffin James Reed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952927303 PECOS PAC ID: 9931524667 Enrollment ID: I20230518001024 |
| 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 | Lori Beth Bjork |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073048773 PECOS PAC ID: 1456717321 Enrollment ID: I20230518001871 |
| Provider Name | Valerie Jaroenpuntaruk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033774104 PECOS PAC ID: 2769885193 Enrollment ID: I20230518002462 |
| Provider Name | Sihyeong Park |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1366004020 PECOS PAC ID: 8921336439 Enrollment ID: I20230518002744 |
| Provider Name | Dinu-valentin Balanescu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679135099 PECOS PAC ID: 0749515559 Enrollment ID: I20230518002747 |
| Provider Name | Conor Odonnell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730886524 PECOS PAC ID: 6305202201 Enrollment ID: I20230518003452 |
| Provider Name | Swetapadma Pattanaik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427581883 PECOS PAC ID: 0840561718 Enrollment ID: I20230519000333 |
| Provider Name | Byoung Uk Park |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912490178 PECOS PAC ID: 4385000207 Enrollment ID: I20230519000648 |
| Provider Name | Maria Aguirre Flores |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1851909600 PECOS PAC ID: 0749646578 Enrollment ID: I20230519001622 |
| Provider Name | Gloria Isabel Ortiz Guerrero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154982585 PECOS PAC ID: 0042546483 Enrollment ID: I20230519001781 |
| Provider Name | Sailaja Pisipati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174054563 PECOS PAC ID: 3375816119 Enrollment ID: I20230519001963 |
| Provider Name | Xinhang Tu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1922615715 PECOS PAC ID: 4385000124 Enrollment ID: I20230519002124 |
| Provider Name | Leidy Johanna Plaza Enriquez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700414570 PECOS PAC ID: 3678903903 Enrollment ID: I20230519002943 |
| Provider Name | Joon Yong Moon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841828076 PECOS PAC ID: 2961833595 Enrollment ID: I20230522002370 |
| Provider Name | Krystal Chante Sewell Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740843358 PECOS PAC ID: 9739545450 Enrollment ID: I20230522002491 |
| Provider Name | Michael Mcginnis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013575182 PECOS PAC ID: 3476888611 Enrollment ID: I20230522002550 |
| Provider Name | Mariah Jo Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962938936 PECOS PAC ID: 2062878705 Enrollment ID: I20230522003200 |
| Provider Name | Shuji Mitsuhashi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285253104 PECOS PAC ID: 4981025418 Enrollment ID: I20230523000347 |
| Provider Name | Rosalyn Isam Marar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750907622 PECOS PAC ID: 5991123382 Enrollment ID: I20230523001330 |
| Provider Name | Francisco Maldonado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255837555 PECOS PAC ID: 6709133804 Enrollment ID: I20230523001466 |
| Provider Name | Guyu Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629684816 PECOS PAC ID: 8527424142 Enrollment ID: I20230523002675 |
| Provider Name | Heidi Monica Kashat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417677675 PECOS PAC ID: 5193181725 Enrollment ID: I20230523003093 |
| Provider Name | Ugur Kucuk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891213013 PECOS PAC ID: 6305102120 Enrollment ID: I20230524000091 |
| Provider Name | Myeongji Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821613829 PECOS PAC ID: 2567885080 Enrollment ID: I20230524000433 |
| Provider Name | Benjamin R E Harris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003376146 PECOS PAC ID: 7214355700 Enrollment ID: I20230524000793 |
| Provider Name | Mohammed Yasin Ibrahim Mahgoub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215434485 PECOS PAC ID: 6103235700 Enrollment ID: I20230524000978 |
| Provider Name | Kofi O Owusu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790171403 PECOS PAC ID: 6204119308 Enrollment ID: I20230524001009 |
| Provider Name | Stefanie Cavalcanti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053873984 PECOS PAC ID: 5991161556 Enrollment ID: I20230524001034 |
| Provider Name | Kara Joyce Jencks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467078972 PECOS PAC ID: 3274957147 Enrollment ID: I20230524001443 |
| Provider Name | Mahmoud Ismayl |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831707017 PECOS PAC ID: 9335564756 Enrollment ID: I20230524001813 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124540604 PECOS PAC ID: 3072979657 Enrollment ID: I20230524002289 |
| Provider Name | Ahmed Zeen Alabedeen Alrifai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780831529 PECOS PAC ID: 6204077126 Enrollment ID: I20230524002395 |
| Provider Name | Elizabeth ER Fischer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033735345 PECOS PAC ID: 4981024858 Enrollment ID: I20230524002918 |
| Provider Name | Rita Igwilo-alaneme |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639780422 PECOS PAC ID: 4284090788 Enrollment ID: I20230524003775 |
| Provider Name | Eugene Chiemeka Nwankwo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285253328 PECOS PAC ID: 3072938547 Enrollment ID: I20230525000108 |
| Provider Name | Suryanarayanan Balakrishnan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396360657 PECOS PAC ID: 7113347865 Enrollment ID: I20230525002362 |
| Provider Name | Ahmad Muhammad Ali Majeed-saidan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518552173 PECOS PAC ID: 3476910910 Enrollment ID: I20230527000131 |
| Provider Name | Yazen Hanna Qumsiyeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518462050 PECOS PAC ID: 6800253345 Enrollment ID: I20230527000255 |
| Provider Name | Syeda Ahmedunnessa Mina |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487214730 PECOS PAC ID: 3476889932 Enrollment ID: I20230527000271 |
| Provider Name | Wiaam Yasser Elkhatib |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1659900710 PECOS PAC ID: 6800219338 Enrollment ID: I20230530000661 |
| Provider Name | Anna Kornafeld |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265060768 PECOS PAC ID: 4789005687 Enrollment ID: I20230530001252 |
| Provider Name | Amina Ugonwa Hamza |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1194353359 PECOS PAC ID: 1658738133 Enrollment ID: I20230530001257 |
| Provider Name | Stephen Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487281911 PECOS PAC ID: 8628490703 Enrollment ID: I20230530001354 |
| Provider Name | Neil Raj Kumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821627373 PECOS PAC ID: 4082071568 Enrollment ID: I20230530001437 |
| Provider Name | Caroline Yizhu Yu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245792662 PECOS PAC ID: 6800121575 Enrollment ID: I20230530002647 |
| Provider Name | Katherine Desprez Wick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003311929 PECOS PAC ID: 3779911532 Enrollment ID: I20230530003162 |
| Provider Name | Yetunde Adekemi Fatade |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033678321 PECOS PAC ID: 2961738760 Enrollment ID: I20230531000046 |
| Provider Name | Melanie Haak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629737317 PECOS PAC ID: 3779940119 Enrollment ID: I20230531000559 |
| Provider Name | Hina Amin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1013440429 PECOS PAC ID: 6103162037 Enrollment ID: I20230531000975 |
| Provider Name | Berty Baskaran |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1861000242 PECOS PAC ID: 8628435914 Enrollment ID: I20230531003299 |
| Provider Name | Christianne Lee Saenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679268817 PECOS PAC ID: 4981061215 Enrollment ID: I20230601001297 |
| Provider Name | Velvet Van Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457063554 PECOS PAC ID: 4688031735 Enrollment ID: I20230605001251 |
| Provider Name | Samuel Weigel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386296028 PECOS PAC ID: 5496082760 Enrollment ID: I20230606001767 |
| Provider Name | Joseph Paul Hoffmann |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174210173 PECOS PAC ID: 3476910423 Enrollment ID: I20230606002629 |
| Provider Name | Wendy Kay Olson Myer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699480418 PECOS PAC ID: 8820455785 Enrollment ID: I20230607003275 |
| Provider Name | Rachel Jane Najib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306558853 PECOS PAC ID: 0244697118 Enrollment ID: I20230608000186 |
| Provider Name | Paige Kathryn Wooldridge |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356009997 PECOS PAC ID: 2567829443 Enrollment ID: I20230608000483 |
| Provider Name | Brandon Jeffry Seubert |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730420910 PECOS PAC ID: 4880051614 Enrollment ID: I20230608002923 |
| Provider Name | Ying Chen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508539560 PECOS PAC ID: 9335539899 Enrollment ID: I20230608003368 |
| Provider Name | Jaerae J Dell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538860895 PECOS PAC ID: 3577920198 Enrollment ID: I20230613000732 |
| Provider Name | Breanna Marie Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083330906 PECOS PAC ID: 5991162554 Enrollment ID: I20230613002150 |
| Provider Name | Samantha Rae Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457046245 PECOS PAC ID: 0547627119 Enrollment ID: I20230613002537 |
| Provider Name | Lauren Koehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831882174 PECOS PAC ID: 0244697811 Enrollment ID: I20230613002625 |
| Provider Name | Mingchun Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235659525 PECOS PAC ID: 1951733112 Enrollment ID: I20230614002807 |
| Provider Name | Jack G Madsen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447956883 PECOS PAC ID: 6002274503 Enrollment ID: I20230615000127 |
| Provider Name | Ruchi Jalota Sahota |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891291795 PECOS PAC ID: 8022355452 Enrollment ID: I20230619001657 |
| Provider Name | Tyler a Luonuansuu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194353557 PECOS PAC ID: 8325469760 Enrollment ID: I20230619001748 |
| Provider Name | Ryan Christian Augustin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710478094 PECOS PAC ID: 0446652432 Enrollment ID: I20230620001035 |
| Provider Name | William O Humphrey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902245467 PECOS PAC ID: 9931343936 Enrollment ID: I20230626000825 |
| Provider Name | Christopher Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962864538 PECOS PAC ID: 1355614322 Enrollment ID: I20230626002505 |
| Provider Name | Cassidy Mccann Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346932142 PECOS PAC ID: 9638537400 Enrollment ID: I20230627000887 |
| Provider Name | William Daniel Castedo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902594633 PECOS PAC ID: 7719345503 Enrollment ID: I20230627001714 |
| Provider Name | Paul Chun Yung Tang |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1184889222 PECOS PAC ID: 4587881164 Enrollment ID: I20230627002407 |
| Provider Name | Lacey Rachel Pflibsen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750735718 PECOS PAC ID: 2668765116 Enrollment ID: I20230628001021 |
| Provider Name | Keir Fyfe Mackay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588287049 PECOS PAC ID: 4688097397 Enrollment ID: I20230628003965 |
| Provider Name | Benjamin Malcolm Hibbert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780378455 PECOS PAC ID: 0547629156 Enrollment ID: I20230629002345 |
| Provider Name | Sivakumar Sudhakaran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154854628 PECOS PAC ID: 9830468966 Enrollment ID: I20230630000440 |
| Provider Name | Nicholas Paul Sywyj |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427752237 PECOS PAC ID: 4587023973 Enrollment ID: I20230703001450 |
| Provider Name | Nellie a Kim-weroha |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780706275 PECOS PAC ID: 4486013877 Enrollment ID: I20230703001479 |
| Provider Name | Rashmi Thapa |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1962663815 PECOS PAC ID: 4688897317 Enrollment ID: I20230704000069 |
| Provider Name | Emily O'brien |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609568583 PECOS PAC ID: 2264891605 Enrollment ID: I20230704000088 |
| Provider Name | Christopher Koo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457811382 PECOS PAC ID: 8426417700 Enrollment ID: I20230705001209 |
| Provider Name | Melissa Marie Kerkelis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912536475 PECOS PAC ID: 8022434406 Enrollment ID: I20230705001660 |
| Provider Name | Kia Lor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811457310 PECOS PAC ID: 8426417601 Enrollment ID: I20230706001649 |
| Provider Name | Daryl John Coates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134831795 PECOS PAC ID: 4880053701 Enrollment ID: I20230710001999 |
| Provider Name | Casey L Dravis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487346326 PECOS PAC ID: 7911366844 Enrollment ID: I20230710002249 |
| Provider Name | Harshil Ashwinkumar Fichadiya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548879257 PECOS PAC ID: 5698134476 Enrollment ID: I20230711004281 |
| Provider Name | Natalia Margarita Luna Andrade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144781105 PECOS PAC ID: 6406185636 Enrollment ID: I20230712000460 |
| Provider Name | Eric Edward Babajanian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972007433 PECOS PAC ID: 0648603969 Enrollment ID: I20230712000834 |
| Provider Name | Cyra Mia-bailey Cottrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588125967 PECOS PAC ID: 8628438447 Enrollment ID: I20230712001324 |
| Provider Name | Ava G Chappell |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447614052 PECOS PAC ID: 1850688102 Enrollment ID: I20230712001561 |
| Provider Name | Felix Wadja Wireko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740801570 PECOS PAC ID: 4385004118 Enrollment ID: I20230712001644 |
| Provider Name | Ahmed Noureddin Mohammed Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710548201 PECOS PAC ID: 7810357647 Enrollment ID: I20230712001700 |
| Provider Name | Carolina Gil Tommee |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1033670294 PECOS PAC ID: 2567797095 Enrollment ID: I20230712001753 |
| Provider Name | Marie Feng Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053948117 PECOS PAC ID: 9436576246 Enrollment ID: I20230712001806 |
| Provider Name | Jennifer Carroll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215291711 PECOS PAC ID: 6103054911 Enrollment ID: I20230712002882 |
| Provider Name | Seneca D Hutson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063155505 PECOS PAC ID: 4688034366 Enrollment ID: I20230712004003 |
| Provider Name | Karla Lilibeth Inestroza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881214401 PECOS PAC ID: 0547620221 Enrollment ID: I20230712004148 |
| Provider Name | Erica Lynn Andres |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366061921 PECOS PAC ID: 8325447451 Enrollment ID: I20230713002248 |
| Provider Name | Alexandros Flaris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972965317 PECOS PAC ID: 4284094806 Enrollment ID: I20230714000561 |
| Provider Name | Grant M Henning |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851885818 PECOS PAC ID: 7416317946 Enrollment ID: I20230717000278 |
| Provider Name | Nandita Ganne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205465242 PECOS PAC ID: 8527480359 Enrollment ID: I20230717002019 |
| Provider Name | Karina Andrea Pone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306307970 PECOS PAC ID: 2668708033 Enrollment ID: I20230718001224 |
| Provider Name | Yee Weng Wong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477246734 PECOS PAC ID: 4183084445 Enrollment ID: I20230718002284 |
| Provider Name | Shilpa Mokshagundam |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295390375 PECOS PAC ID: 7911367289 Enrollment ID: I20230718002637 |
| Provider Name | Fabien Meta |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023514106 PECOS PAC ID: 9739435363 Enrollment ID: I20230718003801 |
| Provider Name | Ray Matthew Lunasin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306358551 PECOS PAC ID: 5698135853 Enrollment ID: I20230719002353 |
| Provider Name | Sujatha Narayanamoorthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124673538 PECOS PAC ID: 9739418328 Enrollment ID: I20230719002760 |
| Provider Name | Wen Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700178738 PECOS PAC ID: 0042508053 Enrollment ID: I20230719003646 |
| Provider Name | Sunita Bhandari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851005284 PECOS PAC ID: 2860852936 Enrollment ID: I20230720003066 |
| Provider Name | Andrew Stephen Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760971709 PECOS PAC ID: 4880054998 Enrollment ID: I20230721000236 |
| Provider Name | Carrie a Bronars |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164707923 PECOS PAC ID: 2466813357 Enrollment ID: I20230725000943 |
| Provider Name | Allison Marie Angeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700536968 PECOS PAC ID: 1456738053 Enrollment ID: I20230726000336 |
| Provider Name | Trevor Keith Parton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437890860 PECOS PAC ID: 5890176424 Enrollment ID: I20230726000952 |
| Provider Name | Mohamed Elhadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548869787 PECOS PAC ID: 1254745862 Enrollment ID: I20230726001171 |
| Provider Name | Fadumo Mowleed Warsame |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578206694 PECOS PAC ID: 9234512203 Enrollment ID: I20230726001277 |
| Provider Name | Tyler Andrew Bahr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093461816 PECOS PAC ID: 9436539293 Enrollment ID: I20230726002866 |
| Provider Name | Hee Bae Korleski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023758000 PECOS PAC ID: 1850771213 Enrollment ID: I20230727000177 |
| Provider Name | Mohammad Akram Hussein Salameh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891429635 PECOS PAC ID: 9234511726 Enrollment ID: I20230727001304 |
| Provider Name | Ashwin Ganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932720315 PECOS PAC ID: 8022431915 Enrollment ID: I20230727003975 |
| Provider Name | Jeremy Clarence Grate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255828877 PECOS PAC ID: 7416204433 Enrollment ID: I20230728000697 |
| Provider Name | Alexandra Elizabeth Allman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962152140 PECOS PAC ID: 9335529155 Enrollment ID: I20230728000843 |
| Provider Name | Alind Zeki Amedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235888520 PECOS PAC ID: 7012395528 Enrollment ID: I20230728001143 |
| Provider Name | Mohamad Saleh Alabdaljabar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255063442 PECOS PAC ID: 9436530623 Enrollment ID: I20230728001179 |
| Provider Name | Sreyoshi Fatima Alam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164031324 PECOS PAC ID: 8224449574 Enrollment ID: I20230728001527 |
| Provider Name | Katrina J. Augustin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487142204 PECOS PAC ID: 7214283522 Enrollment ID: I20230728001941 |
| Provider Name | Christina Anne Alexandres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376292573 PECOS PAC ID: 9436539251 Enrollment ID: I20230730000077 |
| Provider Name | Jake Ryan Altshuler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053054163 PECOS PAC ID: 3577943349 Enrollment ID: I20230730000087 |
| Provider Name | Thomas Daniel Alter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548991748 PECOS PAC ID: 2163802992 Enrollment ID: I20230731000411 |
| Provider Name | Benjamin Keith Ashby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861142200 PECOS PAC ID: 8325429475 Enrollment ID: I20230731001507 |
| Provider Name | Claire Elizabeth Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780327825 PECOS PAC ID: 5092195834 Enrollment ID: I20230731002049 |
| Provider Name | Afia Brago Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245961309 PECOS PAC ID: 7911388194 Enrollment ID: I20230731002514 |
| Provider Name | Nolan Blakely Ayers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205578051 PECOS PAC ID: 8729460308 Enrollment ID: I20230801000355 |
| Provider Name | Grayson Breneman Ashby |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598414641 PECOS PAC ID: 5092196642 Enrollment ID: I20230801002755 |
| Provider Name | Valeria Gonzalez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720701808 PECOS PAC ID: 9931575842 Enrollment ID: I20230802000760 |
| Provider Name | Lauren Licatino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043572415 PECOS PAC ID: 7214193184 Enrollment ID: I20230802001047 |
| Provider Name | Guilherme Baumgardt Barbosa Lima |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558011270 PECOS PAC ID: 1456732114 Enrollment ID: I20230803001308 |
| Provider Name | Alexandra Bennett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174264832 PECOS PAC ID: 0143608802 Enrollment ID: I20230803001907 |
| Provider Name | Tyler John Benning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538819164 PECOS PAC ID: 0648650408 Enrollment ID: I20230803002315 |
| Provider Name | Audrey M Blazek Ramsay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689323800 PECOS PAC ID: 2163804881 Enrollment ID: I20230803002748 |
| Provider Name | Annie Lauren Howrigon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255061289 PECOS PAC ID: 4880076504 Enrollment ID: I20230803002909 |
| Provider Name | Paul Theodore Cacioppo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841935145 PECOS PAC ID: 6103206826 Enrollment ID: I20230803004155 |
| Provider Name | Matteo Castrichini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477207181 PECOS PAC ID: 0749660488 Enrollment ID: I20230804000142 |
| Provider Name | Lainey Grey Bukowiec |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710628367 PECOS PAC ID: 6002296878 Enrollment ID: I20230804000699 |
| Provider Name | Casey Marshal Briggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912638099 PECOS PAC ID: 8426439985 Enrollment ID: I20230804001079 |
| Provider Name | Andrew Charlton Cannon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104566892 PECOS PAC ID: 6204216096 Enrollment ID: I20230804001089 |
| Provider Name | Valerie Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891445540 PECOS PAC ID: 7012397748 Enrollment ID: I20230804001379 |
| Provider Name | Taylor Christian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811638521 PECOS PAC ID: 7719367465 Enrollment ID: I20230804002337 |
| Provider Name | Rhett Dacy Carpenter-thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598414633 PECOS PAC ID: 7810377744 Enrollment ID: I20230804003001 |
| Provider Name | Megan Mae Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093455842 PECOS PAC ID: 4486035060 Enrollment ID: I20230807001985 |
| Provider Name | Garima Suman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093394199 PECOS PAC ID: 5193127058 Enrollment ID: I20230808000538 |
| Provider Name | Julia Therese Carter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104576131 PECOS PAC ID: 5193105989 Enrollment ID: I20230808000759 |
| Provider Name | Hope Angeline Brus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336884436 PECOS PAC ID: 3274914858 Enrollment ID: I20230808001197 |
| Provider Name | John George Loepfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427735331 PECOS PAC ID: 6002278009 Enrollment ID: I20230808001768 |
| Provider Name | Trevor Christian Chopko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326777921 PECOS PAC ID: 7113307869 Enrollment ID: I20230808001974 |
| Provider Name | Ruti Sella Svetlit |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962113076 PECOS PAC ID: 5991167967 Enrollment ID: I20230809000253 |
| Provider Name | Aaron Downs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255072674 PECOS PAC ID: 6507247202 Enrollment ID: I20230809000586 |
| Provider Name | Aliya Grace Feroe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174272538 PECOS PAC ID: 5092196600 Enrollment ID: I20230809000788 |
| Provider Name | Ashton Elizabeth Cross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235889734 PECOS PAC ID: 8325429020 Enrollment ID: I20230809001200 |
| Provider Name | Ghazal Daher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457093338 PECOS PAC ID: 9436532090 Enrollment ID: I20230809001499 |
| Provider Name | Autumn Dach |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548843451 PECOS PAC ID: 3678957750 Enrollment ID: I20230809001538 |
| Provider Name | Brandon Feaster |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932858172 PECOS PAC ID: 9931588985 Enrollment ID: I20230809001745 |
| Provider Name | Alex Paul Danielson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811647381 PECOS PAC ID: 2769864255 Enrollment ID: I20230809001855 |
| Provider Name | Lauren Schaefer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598408510 PECOS PAC ID: 9931561859 Enrollment ID: I20230809002324 |
| Provider Name | Kristin Elisabeth Yu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609526508 PECOS PAC ID: 5799166989 Enrollment ID: I20230809002507 |
| Provider Name | Jordan Shane Nunnelee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073263455 PECOS PAC ID: 6204217953 Enrollment ID: I20230809003009 |
| Provider Name | Vrinda Munjal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700517463 PECOS PAC ID: 1052792736 Enrollment ID: I20230809003184 |
| Provider Name | Veena Chowdary Karanam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376284182 PECOS PAC ID: 2769862127 Enrollment ID: I20230809003278 |
| Provider Name | Victoria Jane Cress |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326797630 PECOS PAC ID: 9537549282 Enrollment ID: I20230809004139 |
| Provider Name | Amrit Mohnie Kaur Vasdev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366182198 PECOS PAC ID: 5698137560 Enrollment ID: I20230810000203 |
| Provider Name | Doga Kuruoglu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720717739 PECOS PAC ID: 1254711922 Enrollment ID: I20230810000523 |
| Provider Name | Chandler Elizabeth Kessel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346981362 PECOS PAC ID: 0941689731 Enrollment ID: I20230810000543 |
| Provider Name | Kathleen Fletcher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962133108 PECOS PAC ID: 5991172082 Enrollment ID: I20230810000778 |
| Provider Name | Vishal Balasubramanian Swaminathan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578211355 PECOS PAC ID: 5193104727 Enrollment ID: I20230810000932 |
| Provider Name | Joelle Nicole Friesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619617115 PECOS PAC ID: 4789064460 Enrollment ID: I20230810000951 |
| Provider Name | Kyle Joseph Farrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306586094 PECOS PAC ID: 1052792660 Enrollment ID: I20230810001069 |
| Provider Name | Darrell Kohli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396491312 PECOS PAC ID: 7315327095 Enrollment ID: I20230810001167 |
| Provider Name | Samuel Ray Kosydar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619614369 PECOS PAC ID: 0840671541 Enrollment ID: I20230810001478 |
| Provider Name | Benjamin Fletcher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174254320 PECOS PAC ID: 8527441120 Enrollment ID: I20230810001549 |
| Provider Name | Eugene S Bah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154053106 PECOS PAC ID: 0143603381 Enrollment ID: I20230810002248 |
| Provider Name | Dongni Yi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952051732 PECOS PAC ID: 4880077759 Enrollment ID: I20230810002462 |
| Provider Name | Helena Katerina Xeros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598407264 PECOS PAC ID: 3577943398 Enrollment ID: I20230810002757 |
| Provider Name | Jonah D Devries |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588306161 PECOS PAC ID: 3173905247 Enrollment ID: I20230810002815 |
| Provider Name | Joshua Isaac Daum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730820838 PECOS PAC ID: 0941681696 Enrollment ID: I20230810002836 |
| Provider Name | Haukur Einarsson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235865387 PECOS PAC ID: 9436532124 Enrollment ID: I20230810003077 |
| Provider Name | Naba Farooqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184364903 PECOS PAC ID: 4688055288 Enrollment ID: I20230810003330 |
| Provider Name | Deborah Brundage Cull |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306595525 PECOS PAC ID: 8426438102 Enrollment ID: I20230810003436 |
| Provider Name | Erin Nicole Dankert Eggum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396486825 PECOS PAC ID: 4486035003 Enrollment ID: I20230810003723 |
| Provider Name | Oluwatomini Ayomide Fashina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578269841 PECOS PAC ID: 6002289022 Enrollment ID: I20230810004214 |
| Provider Name | Austin Gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942941240 PECOS PAC ID: 1254793094 Enrollment ID: I20230810004325 |
| Provider Name | Hannah A. Levy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003558339 PECOS PAC ID: 3577943240 Enrollment ID: I20230811000182 |
| Provider Name | Paul Yousif |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356084651 PECOS PAC ID: 8921487380 Enrollment ID: I20230811000413 |
| Provider Name | Jose Francisco De Melo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417687500 PECOS PAC ID: 6406239599 Enrollment ID: I20230811000462 |
| Provider Name | Emily Elizabeth Walsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336668094 PECOS PAC ID: 3870955537 Enrollment ID: I20230811000776 |
| Provider Name | Sarah Sherif Tawfic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922739630 PECOS PAC ID: 8729468475 Enrollment ID: I20230811001033 |
| Provider Name | Elizabeth Eleanor Doll |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265174718 PECOS PAC ID: 0840671566 Enrollment ID: I20230811001190 |
| Provider Name | Matthew T Parrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942942958 PECOS PAC ID: 2365823085 Enrollment ID: I20230811001239 |
| Provider Name | Evelyn Mae Leland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275178253 PECOS PAC ID: 0648650184 Enrollment ID: I20230811001538 |
| Provider Name | John Bae Korleski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134766959 PECOS PAC ID: 8123408580 Enrollment ID: I20230811001693 |
| Provider Name | Brooke Ellen Willborg |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952041170 PECOS PAC ID: 7618357450 Enrollment ID: I20230811001744 |
| Provider Name | Zafar A. Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790414050 PECOS PAC ID: 6800276551 Enrollment ID: I20230811001770 |
| Provider Name | Brandon Jocher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669122123 PECOS PAC ID: 4486034253 Enrollment ID: I20230811001807 |
| Provider Name | Beija Kimberly Villalpando |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124763040 PECOS PAC ID: 0749661635 Enrollment ID: I20230811001872 |
| Provider Name | Lauren Elizabeth Slarks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013667575 PECOS PAC ID: 0749660322 Enrollment ID: I20230811001930 |
| Provider Name | Aurelio Vargas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578213070 PECOS PAC ID: 2264811058 Enrollment ID: I20230811001990 |
| Provider Name | Cameron Matthew Thiele |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770224958 PECOS PAC ID: 4880074475 Enrollment ID: I20230811002054 |
| Provider Name | Anshul Ravi Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659021160 PECOS PAC ID: 2961882725 Enrollment ID: I20230811002087 |
| Provider Name | Motassem Nashawaty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013581420 PECOS PAC ID: 8820450521 Enrollment ID: I20230811002324 |
| Provider Name | Michael G Lavere |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972253615 PECOS PAC ID: 6204215254 Enrollment ID: I20230811003196 |
| Provider Name | Alison Katherine Kor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285384404 PECOS PAC ID: 0042691743 Enrollment ID: I20230811003269 |
| Provider Name | Hans M Gao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053894220 PECOS PAC ID: 4688054356 Enrollment ID: I20230811003329 |
| Provider Name | Frank Guo Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225788839 PECOS PAC ID: 1355721788 Enrollment ID: I20230811003370 |
| Provider Name | Victoria Rachel Kalinoski-dubose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922748425 PECOS PAC ID: 4981084688 Enrollment ID: I20230811003414 |
| Provider Name | Francisco Gabriel Lazaro-paulina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841872827 PECOS PAC ID: 6103227418 Enrollment ID: I20230814000090 |
| Provider Name | Nathan Robert Graden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760127880 PECOS PAC ID: 4587045182 Enrollment ID: I20230814000145 |
| Provider Name | Kristin M Tischer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285371104 PECOS PAC ID: 6800279092 Enrollment ID: I20230814000205 |
| Provider Name | Nickolas Steinauer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487304002 PECOS PAC ID: 2668852310 Enrollment ID: I20230814000294 |
| Provider Name | Cameron Smock |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295476943 PECOS PAC ID: 0941689442 Enrollment ID: I20230814000330 |
| Provider Name | Anuradha Kanaparthi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497496327 PECOS PAC ID: 6608258280 Enrollment ID: I20230814000722 |
| Provider Name | Samuel Nowicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982278198 PECOS PAC ID: 4082076724 Enrollment ID: I20230814000778 |
| Provider Name | Lane Ross Uhing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508516360 PECOS PAC ID: 2466833157 Enrollment ID: I20230814000824 |
| Provider Name | Jesse Burson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639829328 PECOS PAC ID: 0042694945 Enrollment ID: I20230814001166 |
| Provider Name | Frank Jing |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1598348583 PECOS PAC ID: 0547647075 Enrollment ID: I20230814001538 |
| Provider Name | Brittney Angel Thiele |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932840915 PECOS PAC ID: 7618358318 Enrollment ID: I20230814001733 |
| Provider Name | Sydney Nichole Loy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447990213 PECOS PAC ID: 5890175293 Enrollment ID: I20230814001782 |
| Provider Name | Daniel Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205586641 PECOS PAC ID: 5799165486 Enrollment ID: I20230814001855 |
| Provider Name | Dylan Jay Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194475764 PECOS PAC ID: 1850771379 Enrollment ID: I20230814001935 |
| Provider Name | Kelsey Ann Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952864498 PECOS PAC ID: 8022342161 Enrollment ID: I20230814001961 |
| Provider Name | Alma Rut Oskarsdottir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073249124 PECOS PAC ID: 2961885652 Enrollment ID: I20230814002171 |
| Provider Name | Priscilla Koirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770226862 PECOS PAC ID: 4082094701 Enrollment ID: I20230814002241 |
| Provider Name | Katlin Terry Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518617828 PECOS PAC ID: 8921481441 Enrollment ID: I20230814002547 |
| Provider Name | Daniel Carl Schmidtman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548910078 PECOS PAC ID: 8426439571 Enrollment ID: I20230814002759 |
| Provider Name | Kaitlyn Krebushevski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942837299 PECOS PAC ID: 2961864541 Enrollment ID: I20230814002784 |
| Provider Name | Anessa Naomi Rafetto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093396285 PECOS PAC ID: 4183005838 Enrollment ID: I20230814002905 |
| Provider Name | Shelby Augusta Swartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770229841 PECOS PAC ID: 0749642338 Enrollment ID: I20230814003004 |
| Provider Name | Jason Sargent |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225771355 PECOS PAC ID: 9739563693 Enrollment ID: I20230814003031 |
| Provider Name | Rachel Ann Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184366650 PECOS PAC ID: 0941680623 Enrollment ID: I20230814003076 |
| Provider Name | Samir Redmond Nath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154071330 PECOS PAC ID: 9234510843 Enrollment ID: I20230814003303 |
| Provider Name | Brent Joseph Gawey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487130936 PECOS PAC ID: 6800276650 Enrollment ID: I20230814003418 |
| Provider Name | Kelsey Megan Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376285825 PECOS PAC ID: 0941680680 Enrollment ID: I20230814003431 |
| Provider Name | Jonathan Frederick Lang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386394831 PECOS PAC ID: 2668852021 Enrollment ID: I20230814003479 |
| Provider Name | Jared Nigel Hobson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548902992 PECOS PAC ID: 3476915075 Enrollment ID: I20230814003582 |
| Provider Name | Erin Mary Triplet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730838384 PECOS PAC ID: 7214316017 Enrollment ID: I20230814003647 |
| Provider Name | Alexander Sebastian Roth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922748045 PECOS PAC ID: 2163802646 Enrollment ID: I20230814003691 |
| Provider Name | Hayden Jon Swartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396481727 PECOS PAC ID: 8628430220 Enrollment ID: I20230814003742 |
| Provider Name | Tomas Leng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568103927 PECOS PAC ID: 0345621975 Enrollment ID: I20230814004008 |
| Provider Name | Matthew James Moberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386385367 PECOS PAC ID: 2860854478 Enrollment ID: I20230814004014 |
| Provider Name | Emmett J Cleary |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306410444 PECOS PAC ID: 9335520535 Enrollment ID: I20230815000491 |
| Provider Name | Terence J Meyerhoefer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063152742 PECOS PAC ID: 6002297611 Enrollment ID: I20230815000572 |
| Provider Name | Daniel Montes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831849116 PECOS PAC ID: 1557742848 Enrollment ID: I20230815001072 |
| Provider Name | Charlotte a Pougnier |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275282170 PECOS PAC ID: 8426438052 Enrollment ID: I20230815001205 |
| Provider Name | Fiorella Stefania Blanden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336884600 PECOS PAC ID: 4880056423 Enrollment ID: I20230815001253 |
| Provider Name | Timothy M Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326723438 PECOS PAC ID: 3173985710 Enrollment ID: I20230815001647 |
| Provider Name | William Hatton Swain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548910193 PECOS PAC ID: 7911387667 Enrollment ID: I20230815001708 |
| Provider Name | Luis Rey Gasca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740920784 PECOS PAC ID: 5496136186 Enrollment ID: I20230815002145 |
| Provider Name | Christian Scott Rosenow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710637590 PECOS PAC ID: 3375924954 Enrollment ID: I20230815002200 |
| Provider Name | Matthew Shiyuan Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992388763 PECOS PAC ID: 8921488362 Enrollment ID: I20230815002239 |
| Provider Name | Diana Jessenia Valencia Morales |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366192775 PECOS PAC ID: 0446633069 Enrollment ID: I20230815002285 |
| Provider Name | Ian Mckenzie Lorang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063162345 PECOS PAC ID: 9830579572 Enrollment ID: I20230815002326 |
| Provider Name | Robert Joseph Haemmerle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104568146 PECOS PAC ID: 5294115010 Enrollment ID: I20230815002397 |
| Provider Name | Kobina Gumiye Mensah-brown |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497404834 PECOS PAC ID: 6800270802 Enrollment ID: I20230815002412 |
| Provider Name | Maxwell John Jabaay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023755923 PECOS PAC ID: 9133509953 Enrollment ID: I20230815002527 |
| Provider Name | Bronwyn Marques |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003566530 PECOS PAC ID: 3870974561 Enrollment ID: I20230815002546 |
| Provider Name | Klara Milojkovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912647991 PECOS PAC ID: 0547641219 Enrollment ID: I20230815002588 |
| Provider Name | Vaishnavi Lakshminarasimha Rao |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932840006 PECOS PAC ID: 2567843246 Enrollment ID: I20230815002589 |
| Provider Name | Thais Ribeiro Peclat Da Silva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942947809 PECOS PAC ID: 3173904703 Enrollment ID: I20230815002632 |
| Provider Name | Ceylan Colak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538782289 PECOS PAC ID: 3678994126 Enrollment ID: I20230815002646 |
| Provider Name | Alyssa L Golden-hart |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114506581 PECOS PAC ID: 6800258369 Enrollment ID: I20230815002660 |
| Provider Name | Victor Enrique Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285384420 PECOS PAC ID: 4082094586 Enrollment ID: I20230815002736 |
| Provider Name | Jacob Morey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689324808 PECOS PAC ID: 0143601823 Enrollment ID: I20230815002942 |
| Provider Name | Allison Ann Reinhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225788003 PECOS PAC ID: 3375924988 Enrollment ID: I20230815002984 |
| Provider Name | Jess David Rames |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346980893 PECOS PAC ID: 5991188138 Enrollment ID: I20230815002993 |
| Provider Name | Michael Joseph Rigby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417607367 PECOS PAC ID: 8123408788 Enrollment ID: I20230815003002 |
| Provider Name | William Richard Schulz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609526565 PECOS PAC ID: 6901286582 Enrollment ID: I20230815003246 |
| Provider Name | Ji Hyun Ahn |
|---|---|
| Provider Type | Practitioner - Orthodontics And Dentofacial Orthopedics |
| Provider Identifiers | NPI Number: 1023416120 PECOS PAC ID: 9931561412 Enrollment ID: I20230815003442 |
| Provider Name | Scott Kyle Odorico |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184361073 PECOS PAC ID: 8921489535 Enrollment ID: I20230815003533 |
| Provider Name | John Wenjun Li |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1871243485 PECOS PAC ID: 2769862168 Enrollment ID: I20230815003615 |
| Provider Name | Karl Khandalavala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508597436 PECOS PAC ID: 6901287457 Enrollment ID: I20230815003646 |
| Provider Name | Courtney Mcewen Cho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124768791 PECOS PAC ID: 3678953239 Enrollment ID: I20230815003918 |
| Provider Name | Cordelia Mcgehee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902538176 PECOS PAC ID: 0941681142 Enrollment ID: I20230815004039 |
| Provider Name | Katherine Amy Lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619422797 PECOS PAC ID: 8224418629 Enrollment ID: I20230815004161 |
| Provider Name | Mitchell Malecha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083356166 PECOS PAC ID: 7911389960 Enrollment ID: I20230816000545 |
| Provider Name | Hannah Reese Phillips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104576974 PECOS PAC ID: 7911388517 Enrollment ID: I20230816000925 |
| Provider Name | Michael Louis Martini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407506637 PECOS PAC ID: 2163803842 Enrollment ID: I20230816001056 |
| Provider Name | Nicholas Edward Bohrer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689134348 PECOS PAC ID: 8325376775 Enrollment ID: I20230816001298 |
| Provider Name | Austin James Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427639228 PECOS PAC ID: 3274913835 Enrollment ID: I20230816001423 |
| Provider Name | Natalie E Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083175079 PECOS PAC ID: 8820419518 Enrollment ID: I20230816001478 |
| Provider Name | Justin Walter Maroun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578294476 PECOS PAC ID: 1456732106 Enrollment ID: I20230816002113 |
| Provider Name | Michelle Colbert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073150538 PECOS PAC ID: 7719365253 Enrollment ID: I20230816002234 |
| Provider Name | Steven Craig Mahnke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487304507 PECOS PAC ID: 3779963426 Enrollment ID: I20230816003152 |
| Provider Name | Bilge Dundar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568028686 PECOS PAC ID: 9931561305 Enrollment ID: I20230816003488 |
| Provider Name | Caleb Nicholas Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255081287 PECOS PAC ID: 3173904547 Enrollment ID: I20230816003772 |
| Provider Name | Devin Earl Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497405930 PECOS PAC ID: 6507246337 Enrollment ID: I20230816004150 |
| Provider Name | Eric Ray Leveille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922758853 PECOS PAC ID: 4284014002 Enrollment ID: I20230817000742 |
| Provider Name | Manpreet Kaur Nijjer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770217572 PECOS PAC ID: 2567845472 Enrollment ID: I20230817001099 |
| Provider Name | Joseph W Barwatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558890921 PECOS PAC ID: 1355722000 Enrollment ID: I20230817001316 |
| Provider Name | Rebecca Jeanne Stoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912649138 PECOS PAC ID: 0547640211 Enrollment ID: I20230817001509 |
| Provider Name | Jorge Andrade Romo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457810376 PECOS PAC ID: 5597096388 Enrollment ID: I20230817001884 |
| Provider Name | Brendan Mulhern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851822605 PECOS PAC ID: 7113291717 Enrollment ID: I20230817001985 |
| Provider Name | Sandra Reiter-campeau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902588890 PECOS PAC ID: 9436511771 Enrollment ID: I20230817002325 |
| Provider Name | Camry Lynn Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316688849 PECOS PAC ID: 9436530128 Enrollment ID: I20230817002687 |
| Provider Name | Muhammad Shuja |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649811167 PECOS PAC ID: 6204168198 Enrollment ID: I20230818001291 |
| Provider Name | Audrey Alice Potts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871226225 PECOS PAC ID: 4284016957 Enrollment ID: I20230818002175 |
| Provider Name | Eric Lehrer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780189316 PECOS PAC ID: 2466783261 Enrollment ID: I20230818003401 |
| Provider Name | Kaitlin M Reznick-lipina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427788272 PECOS PAC ID: 0042672180 Enrollment ID: I20230822000396 |
| Provider Name | Brett Eric Sterk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558011593 PECOS PAC ID: 3577931468 Enrollment ID: I20230822004054 |
| Provider Name | Michaela Ali Mills-rudy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932840154 PECOS PAC ID: 0446631626 Enrollment ID: I20230823000687 |
| Provider Name | Mariah Lynn O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700572948 PECOS PAC ID: 2062875131 Enrollment ID: I20230823001603 |
| Provider Name | Amara Heard Stittum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922460351 PECOS PAC ID: 0547549255 Enrollment ID: I20230824000839 |
| Provider Name | Crina L. Manole Weddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215552096 PECOS PAC ID: 4880013010 Enrollment ID: I20230824002014 |
| Provider Name | Fred Paul Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942940978 PECOS PAC ID: 4587042411 Enrollment ID: I20230824002233 |
| Provider Name | Hala Muaddi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427730027 PECOS PAC ID: 0446613350 Enrollment ID: I20230824003968 |
| Provider Name | Makayla Lawrence |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396476909 PECOS PAC ID: 9133582927 Enrollment ID: I20230828000039 |
| Provider Name | Bennett Minnie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528789617 PECOS PAC ID: 3779946579 Enrollment ID: I20230828000442 |
| Provider Name | Soyun Hwang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578051090 PECOS PAC ID: 5991188716 Enrollment ID: I20230828001100 |
| Provider Name | Megan Elaine Vandevoorde Mussell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760172548 PECOS PAC ID: 5890158638 Enrollment ID: I20230828002357 |
| Provider Name | Kathleen Nicole Brennan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215662291 PECOS PAC ID: 6800259656 Enrollment ID: I20230828002821 |
| Provider Name | Hali Jessica Mcmillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497447502 PECOS PAC ID: 4284097981 Enrollment ID: I20230829001020 |
| Provider Name | Brooke C Sukalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467936179 PECOS PAC ID: 9436493996 Enrollment ID: I20230829001659 |
| Provider Name | Eric James Paget |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912651795 PECOS PAC ID: 1153784871 Enrollment ID: I20230829002279 |
| Provider Name | Jaylene Charity Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720770514 PECOS PAC ID: 1759744352 Enrollment ID: I20230830001087 |
| Provider Name | Leticia Rolon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336464023 PECOS PAC ID: 0244479186 Enrollment ID: I20230830002165 |
| Provider Name | Austen Lowell Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811570245 PECOS PAC ID: 0648651075 Enrollment ID: I20230830003877 |
| Provider Name | Onyedika Prince Isaac |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598499097 PECOS PAC ID: 6800278615 Enrollment ID: I20230831000084 |
| Provider Name | Now Bahar Alam |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508363532 PECOS PAC ID: 7113389115 Enrollment ID: I20230831000112 |
| Provider Name | Brendan Putko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215610399 PECOS PAC ID: 7618330952 Enrollment ID: I20230903000009 |
| Provider Name | Ethan S Bryce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891430112 PECOS PAC ID: 5395125157 Enrollment ID: I20230905001775 |
| Provider Name | Thomas Everett Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629776380 PECOS PAC ID: 4183087349 Enrollment ID: I20230906000664 |
| Provider Name | Abigail Jo Bardwell Owen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205577731 PECOS PAC ID: 3173903952 Enrollment ID: I20230907000563 |
| Provider Name | Melissa Marie Joy Rames |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407506785 PECOS PAC ID: 5991169179 Enrollment ID: I20230907001815 |
| Provider Name | Krishnan Sridhar Ramanujan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407351810 PECOS PAC ID: 7315283025 Enrollment ID: I20230907004305 |
| Provider Name | Daniel Fiterman Molinari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316670193 PECOS PAC ID: 0042691883 Enrollment ID: I20230908002338 |
| Provider Name | Mickayla Lee Hinkle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083375646 PECOS PAC ID: 2365806361 Enrollment ID: I20230908002787 |
| Provider Name | Nizamuddin Shaikh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396489282 PECOS PAC ID: 3072995992 Enrollment ID: I20230911000685 |
| Provider Name | Grace E Streed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922752724 PECOS PAC ID: 1355705393 Enrollment ID: I20230911000898 |
| Provider Name | Sheri Pariha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184346496 PECOS PAC ID: 9032595160 Enrollment ID: I20230911001708 |
| Provider Name | Brett Calvert Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487397956 PECOS PAC ID: 8426438284 Enrollment ID: I20230911001783 |
| Provider Name | Brandon Paul Mcmaster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467195297 PECOS PAC ID: 9638550254 Enrollment ID: I20230911001926 |
| Provider Name | Bowen Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154070258 PECOS PAC ID: 2163886037 Enrollment ID: I20230911002327 |
| Provider Name | Estela Del Mar Chen Gonzalez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568951531 PECOS PAC ID: 6800147554 Enrollment ID: I20230911002335 |
| Provider Name | Courtney Higgins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982225744 PECOS PAC ID: 8224450374 Enrollment ID: I20230911003246 |
| Provider Name | Joseph Thomas George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366184715 PECOS PAC ID: 5799149613 Enrollment ID: I20230912000470 |
| Provider Name | Aubrey Anna Euteneuer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851041529 PECOS PAC ID: 0042691636 Enrollment ID: I20230914001456 |
| Provider Name | Adam Cortland Kessel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912657636 PECOS PAC ID: 6901260538 Enrollment ID: I20230914001781 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760163802 PECOS PAC ID: 7719341239 Enrollment ID: I20230915001519 |
| Provider Name | Mark Alan Rustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265112312 PECOS PAC ID: 8820452345 Enrollment ID: I20230915001891 |
| Provider Name | Cora Lyn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811676380 PECOS PAC ID: 7618331034 Enrollment ID: I20230918002522 |
| Provider Name | Sonam Yangzom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871295063 PECOS PAC ID: 7214391648 Enrollment ID: I20230918003242 |
| Provider Name | Isaac David Trocinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093469918 PECOS PAC ID: 8921462367 Enrollment ID: I20230918003400 |
| Provider Name | Brandon M Ballard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588354138 PECOS PAC ID: 2466816806 Enrollment ID: I20230918003481 |
| Provider Name | Rebecca Heart Chun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316697709 PECOS PAC ID: 4981068350 Enrollment ID: I20230919000899 |
| Provider Name | Devin M Shaheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174307169 PECOS PAC ID: 0446614747 Enrollment ID: I20230919002321 |
| Provider Name | Megan Danielle Biggs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033738885 PECOS PAC ID: 5092169334 Enrollment ID: I20230920003586 |
| Provider Name | John Yeakel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467959353 PECOS PAC ID: 9931456977 Enrollment ID: I20230921000321 |
| Provider Name | Fatima Ali |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700561628 PECOS PAC ID: 3577917855 Enrollment ID: I20230921000822 |
| Provider Name | Anthony Elijah Kilgore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164169033 PECOS PAC ID: 7315328010 Enrollment ID: I20230921003910 |
| Provider Name | Ashley Vallesarmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760124002 PECOS PAC ID: 8325428170 Enrollment ID: I20230925003085 |
| Provider Name | Hannah Botkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184204943 PECOS PAC ID: 3678953429 Enrollment ID: I20230927000343 |
| Provider Name | Mandy Troendle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093412678 PECOS PAC ID: 8123472974 Enrollment ID: I20230927001820 |
| Provider Name | Alexia Ione Abric |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962156885 PECOS PAC ID: 8820442692 Enrollment ID: I20230927002453 |
| Provider Name | Andrew J Elbe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215681135 PECOS PAC ID: 2062866833 Enrollment ID: I20230927002630 |
| Provider Name | Morgan Diane Streyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477296903 PECOS PAC ID: 2365896008 Enrollment ID: I20230928001333 |
| Provider Name | Ladonna Elizabeth Kearse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255837787 PECOS PAC ID: 1850745506 Enrollment ID: I20230928001945 |
| Provider Name | Kaycee Lyn Carroscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992410906 PECOS PAC ID: 8820442585 Enrollment ID: I20230928002166 |
| Provider Name | Aisha Khadija Ahmed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619600038 PECOS PAC ID: 7113371881 Enrollment ID: I20230928002546 |
| Provider Name | Katie Irene Tousis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407543366 PECOS PAC ID: 1456705144 Enrollment ID: I20230928003847 |
| Provider Name | Lindsay Elizabeth Barriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235753831 PECOS PAC ID: 7517311202 Enrollment ID: I20230928003965 |
| Provider Name | Katrina Rose Vaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558041186 PECOS PAC ID: 1557715174 Enrollment ID: I20230929001513 |
| Provider Name | Christopher Charles Schafer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437832417 PECOS PAC ID: 5799139325 Enrollment ID: I20230929001818 |
| Provider Name | Ryan Christopher Bille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497433403 PECOS PAC ID: 1850745407 Enrollment ID: I20230929002983 |
| Provider Name | Jun Min Koay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639755796 PECOS PAC ID: 1254785868 Enrollment ID: I20231002000897 |
| Provider Name | Michelle Parra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215023353 PECOS PAC ID: 8022105386 Enrollment ID: I20231002001954 |
| Provider Name | Brianna Carolyn Wilder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225783897 PECOS PAC ID: 4688028186 Enrollment ID: I20231003001427 |
| Provider Name | Joyce D Schroeder |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1295834067 PECOS PAC ID: 0749287217 Enrollment ID: I20231003003268 |
| Provider Name | Madalyn Lorene Trocinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386398162 PECOS PAC ID: 6406200849 Enrollment ID: I20231003003877 |
| Provider Name | Kholood Abdelmutie Abuhadid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629739313 PECOS PAC ID: 2264886621 Enrollment ID: I20231004000478 |
| Provider Name | Can Muzaffer Sungur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083064257 PECOS PAC ID: 9234495037 Enrollment ID: I20231004000899 |
| Provider Name | Nikolas Porter Lyon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790226280 PECOS PAC ID: 1850745233 Enrollment ID: I20231004001084 |
| Provider Name | Jami a Kinnucan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003045634 PECOS PAC ID: 9133432230 Enrollment ID: I20231004001450 |
| Provider Name | Laura Renee Workman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285322974 PECOS PAC ID: 6507210994 Enrollment ID: I20231004001543 |
| 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 | Callie Rose Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639815731 PECOS PAC ID: 6103208673 Enrollment ID: I20231005002126 |
| Provider Name | Sarah Ann Andre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699429514 PECOS PAC ID: 0941655237 Enrollment ID: I20231005002773 |
| Provider Name | Yasir Hussein Kabashi Abdelgadir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255786216 PECOS PAC ID: 4688968662 Enrollment ID: I20231009000621 |
| Provider Name | James Andrew Lambert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710617170 PECOS PAC ID: 6608257332 Enrollment ID: I20231009002006 |
| Provider Name | Mary Labib |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356079289 PECOS PAC ID: 5294110581 Enrollment ID: I20231009002177 |
| Provider Name | Mary K Finta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053971002 PECOS PAC ID: 9638406333 Enrollment ID: I20231010002835 |
| Provider Name | Dalliah Black |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295725794 PECOS PAC ID: 8921035643 Enrollment ID: I20231011000963 |
| Provider Name | Alexis Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205512910 PECOS PAC ID: 8921453937 Enrollment ID: I20231011002698 |
| Provider Name | Abigail Laurie Matthews Hamberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023341450 PECOS PAC ID: 6800023151 Enrollment ID: I20231011003158 |
| Provider Name | Brittany Marie Varriale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619658242 PECOS PAC ID: 9436504453 Enrollment ID: I20231011003357 |
| Provider Name | Anne Isadora Roche |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932826112 PECOS PAC ID: 1850746892 Enrollment ID: I20231011004034 |
| Provider Name | Patrick D Conway |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841295102 PECOS PAC ID: 4284765736 Enrollment ID: I20231012000294 |
| Provider Name | Lindsey D Daon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740786862 PECOS PAC ID: 7315348216 Enrollment ID: I20231012000298 |
| Provider Name | Megan Cassidy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083923239 PECOS PAC ID: 6103013990 Enrollment ID: I20231012000323 |
| Provider Name | Marcus Dean Goodfellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801576533 PECOS PAC ID: 7113372087 Enrollment ID: I20231012001586 |
| Provider Name | Emma Jean St Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558041046 PECOS PAC ID: 4981059862 Enrollment ID: I20231012001862 |
| Provider Name | Khoon Ghee Queenie Tan |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1720378904 PECOS PAC ID: 5092007369 Enrollment ID: I20231012001936 |
| Provider Name | Afton Koball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235577404 PECOS PAC ID: 5890929483 Enrollment ID: I20231012002103 |
| Provider Name | Gabriela Kovacikova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164048013 PECOS PAC ID: 0749604171 Enrollment ID: I20231012002366 |
| Provider Name | Sarah Catherine Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881374734 PECOS PAC ID: 2264887165 Enrollment ID: I20231012002781 |
| Provider Name | Janae Lara Kirsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831773878 PECOS PAC ID: 4486009396 Enrollment ID: I20231012003173 |
| Provider Name | Shannon Walsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518572908 PECOS PAC ID: 6507211331 Enrollment ID: I20231013000316 |
| Provider Name | Stephanie Jaycox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184306060 PECOS PAC ID: 6002261831 Enrollment ID: I20231013000498 |
| Provider Name | Ashley Jean Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851744577 PECOS PAC ID: 5092096156 Enrollment ID: I20231013000723 |
| Provider Name | Meiyappan Udayappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598386971 PECOS PAC ID: 0143641472 Enrollment ID: I20231013000794 |
| Provider Name | Muna a Alimire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780360941 PECOS PAC ID: 6204281041 Enrollment ID: I20231013000901 |
| Provider Name | Katrina Dawn Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578244372 PECOS PAC ID: 8325493174 Enrollment ID: I20231013001191 |
| Provider Name | Emily Violet Roeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922638279 PECOS PAC ID: 4587019336 Enrollment ID: I20231013001277 |
| Provider Name | Ying-hsia Chu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023493442 PECOS PAC ID: 4688906969 Enrollment ID: I20231013001970 |
| Provider Name | Adam Popp Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477233997 PECOS PAC ID: 7113372988 Enrollment ID: I20231013001977 |
| Provider Name | Carrissa Lee Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003500653 PECOS PAC ID: 5496100273 Enrollment ID: I20231013002416 |
| Provider Name | Madeline Anne Chausse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912579194 PECOS PAC ID: 6800284464 Enrollment ID: I20231013002425 |
| Provider Name | Kady Ann Busho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770267064 PECOS PAC ID: 0345695128 Enrollment ID: I20231013002662 |
| Provider Name | Wendy Stanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013471705 PECOS PAC ID: 0244685022 Enrollment ID: I20231013002717 |
| Provider Name | Priya Kalsank Pai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427793207 PECOS PAC ID: 9234511577 Enrollment ID: I20231016002719 |
| Provider Name | Alexandra Louise Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023891496 PECOS PAC ID: 9830544535 Enrollment ID: I20231016002966 |
| Provider Name | Eleanor Frances Duffy Le Fevre |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093182248 PECOS PAC ID: 1850746561 Enrollment ID: I20231016003443 |
| Provider Name | Gabrielle Rose Gertner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366113094 PECOS PAC ID: 9032564653 Enrollment ID: I20231017000646 |
| Provider Name | Kathe Claire Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285312454 PECOS PAC ID: 2860847498 Enrollment ID: I20231017001049 |
| Provider Name | Rhodene M Mullings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801578059 PECOS PAC ID: 8224483722 Enrollment ID: I20231018000326 |
| Provider Name | Allison M Tanner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275215576 PECOS PAC ID: 1658726153 Enrollment ID: I20231018000457 |
| Provider Name | Lorelei Simpson Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972855930 PECOS PAC ID: 0749538908 Enrollment ID: I20231018001227 |
| 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 | Peter J Schoettler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790164523 PECOS PAC ID: 8729350111 Enrollment ID: I20231018001832 |
| Provider Name | Jonathan Wong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780926808 PECOS PAC ID: 0648563213 Enrollment ID: I20231018002853 |
| Provider Name | Ethylin Wang Jabs |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1467408336 PECOS PAC ID: 9739278102 Enrollment ID: I20231018003008 |
| Provider Name | Brady William Oeltjenbruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609555861 PECOS PAC ID: 3274988738 Enrollment ID: I20231018003027 |
| Provider Name | Timothy Barry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508224742 PECOS PAC ID: 7113217621 Enrollment ID: I20231018003206 |
| Provider Name | Mary Alexandra Kraybill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841970043 PECOS PAC ID: 6507211067 Enrollment ID: I20231018003224 |
| Provider Name | Kossi Essey Afanou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124707443 PECOS PAC ID: 1658726120 Enrollment ID: I20231018003413 |
| Provider Name | Navin Rath Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598047169 PECOS PAC ID: 0749510444 Enrollment ID: I20231019000494 |
| Provider Name | Kirsten M Sax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588440523 PECOS PAC ID: 0244686764 Enrollment ID: I20231019001785 |
| Provider Name | Lauren Bobbi Nicole Adams-sanantonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891479028 PECOS PAC ID: 3678929114 Enrollment ID: I20231019002464 |
| Provider Name | Elizabeth I Sokolowski |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477987469 PECOS PAC ID: 9931450350 Enrollment ID: I20231019002979 |
| Provider Name | John O Joerns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598020489 PECOS PAC ID: 6204065527 Enrollment ID: I20231019003098 |
| Provider Name | Elena Kopeikin Joerns |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871909572 PECOS PAC ID: 0648499400 Enrollment ID: I20231019003633 |
| Provider Name | Timothy Joseph Zietz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154053502 PECOS PAC ID: 0547616005 Enrollment ID: I20231019003670 |
| Provider Name | Kasara Ann Little |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982375671 PECOS PAC ID: 6305292707 Enrollment ID: I20231020001792 |
| Provider Name | Courtney M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578241600 PECOS PAC ID: 3476909748 Enrollment ID: I20231023001387 |
| Provider Name | Danielle Michael Strozza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366192478 PECOS PAC ID: 9739569419 Enrollment ID: I20231023002138 |
| Provider Name | Nelson Finne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780394056 PECOS PAC ID: 9436521739 Enrollment ID: I20231024000529 |
| Provider Name | Jessica N Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811522006 PECOS PAC ID: 0042666208 Enrollment ID: I20231024001731 |
| Provider Name | Michelle Ann Remold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154001956 PECOS PAC ID: 2466808621 Enrollment ID: I20231024001898 |
| Provider Name | Sarah Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598447773 PECOS PAC ID: 3274989439 Enrollment ID: I20231024001933 |
| Provider Name | Clara E Keyes Ehrman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659151264 PECOS PAC ID: 5890141063 Enrollment ID: I20231024002074 |
| Provider Name | Alex Juan Galloway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265219760 PECOS PAC ID: 9234585407 Enrollment ID: I20231024002139 |
| Provider Name | Bethany Jean Marlette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326719048 PECOS PAC ID: 5092161273 Enrollment ID: I20231024002428 |
| Provider Name | Kelli Marie Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033997713 PECOS PAC ID: 6901252188 Enrollment ID: I20231024002432 |
| Provider Name | Hannah Renee Regan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902577299 PECOS PAC ID: 0143676320 Enrollment ID: I20231024002589 |
| Provider Name | Maggie Ann Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740962943 PECOS PAC ID: 9931555117 Enrollment ID: I20231024002701 |
| Provider Name | Hailey C Stuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669049706 PECOS PAC ID: 6507254372 Enrollment ID: I20231024002848 |
| Provider Name | Kelly Ann Rentfrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902682743 PECOS PAC ID: 4284080482 Enrollment ID: I20231024003379 |
| Provider Name | Michelle R Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689457814 PECOS PAC ID: 1153777396 Enrollment ID: I20231025000614 |
| Provider Name | Sergio M Navarro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467073767 PECOS PAC ID: 5294153599 Enrollment ID: I20231025003704 |
| Provider Name | Madeleine Okeefe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588197040 PECOS PAC ID: 7517392392 Enrollment ID: I20231026002837 |
| Provider Name | Dominica a Hadley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275204802 PECOS PAC ID: 4880040872 Enrollment ID: I20231027000263 |
| Provider Name | Randy Loftus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467508788 PECOS PAC ID: 1355495177 Enrollment ID: I20231030000942 |
| Provider Name | Dragos V Balf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619178258 PECOS PAC ID: 7113014838 Enrollment ID: I20231030001807 |
| Provider Name | Charlotte Mae Horne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518373075 PECOS PAC ID: 6800198573 Enrollment ID: I20231101001878 |
| Provider Name | Maria G Gmehlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457011249 PECOS PAC ID: 1456743061 Enrollment ID: I20231101002627 |
| Provider Name | Nicholas Robert Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568140614 PECOS PAC ID: 7012363609 Enrollment ID: I20231102002974 |
| Provider Name | Alex Christine Borgen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801546445 PECOS PAC ID: 8729435375 Enrollment ID: I20231103002164 |
| Provider Name | Mckenna Renee Schaefer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851073001 PECOS PAC ID: 2062869613 Enrollment ID: I20231103002295 |
| Provider Name | Jinlan Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861004194 PECOS PAC ID: 8820445497 Enrollment ID: I20231103003099 |
| Provider Name | Maximiliano Alberto Hawkes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316497894 PECOS PAC ID: 2062700446 Enrollment ID: I20231103003250 |
| Provider Name | Patrick King |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972063923 PECOS PAC ID: 1153655725 Enrollment ID: I20231106001489 |
| Provider Name | Robert Christopher Scheel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588325609 PECOS PAC ID: 3870975121 Enrollment ID: I20231106002583 |
| Provider Name | Christopher Randall Cowart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437545365 PECOS PAC ID: 3173869542 Enrollment ID: I20231107001015 |
| Provider Name | Katherine Marie Trudeau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760129944 PECOS PAC ID: 0446607857 Enrollment ID: I20231107001451 |
| Provider Name | Olivia Marie Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306529169 PECOS PAC ID: 5890142202 Enrollment ID: I20231107001499 |
| Provider Name | Tracy S Linden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508641101 PECOS PAC ID: 9537516828 Enrollment ID: I20231108000554 |
| Provider Name | Lacy Marie Zimmerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932619954 PECOS PAC ID: 5991066540 Enrollment ID: I20231108003531 |
| Provider Name | Rayna Lauren Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942758982 PECOS PAC ID: 1951680677 Enrollment ID: I20231108003699 |
| Provider Name | Deqa Awil Abdi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396416970 PECOS PAC ID: 3678920824 Enrollment ID: I20231108003751 |
| Provider Name | Callie Ann Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821871161 PECOS PAC ID: 1759738909 Enrollment ID: I20231108003810 |
| Provider Name | Paul Menno Scholten |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477877991 PECOS PAC ID: 1658683537 Enrollment ID: I20231109003456 |
| Provider Name | Kristine Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003841404 PECOS PAC ID: 6406755487 Enrollment ID: I20231110002030 |
| Provider Name | Stuart Alan Ostby |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1043743487 PECOS PAC ID: 6204112428 Enrollment ID: I20231110002256 |
| Provider Name | Karis Ni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831820844 PECOS PAC ID: 6901288679 Enrollment ID: I20231114001181 |
| Provider Name | Molly Jean Flo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023899523 PECOS PAC ID: 9830546795 Enrollment ID: I20231114002853 |
| Provider Name | Jeremy Lee Gwilt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750024725 PECOS PAC ID: 0840647632 Enrollment ID: I20231116000976 |
| Provider Name | Orly Pnina Ran Sapir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649908393 PECOS PAC ID: 2668855750 Enrollment ID: I20231117000138 |
| Provider Name | Sophia Mae Wagner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669258471 PECOS PAC ID: 5597113282 Enrollment ID: I20231117002141 |
| Provider Name | Peter Lucas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457433419 PECOS PAC ID: 9931244647 Enrollment ID: I20231120002602 |
| Provider Name | Eric Hsi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619934817 PECOS PAC ID: 1850394982 Enrollment ID: I20231121001620 |
| Provider Name | Ahmed Amer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487016481 PECOS PAC ID: 2062705148 Enrollment ID: I20231121001976 |
| Provider Name | Lourdes M Valdez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306842265 PECOS PAC ID: 3971784141 Enrollment ID: I20231122001473 |
| Provider Name | Majd N Al-soleiti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922719509 PECOS PAC ID: 8123498763 Enrollment ID: I20231129001373 |
| Provider Name | Linda M Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639189269 PECOS PAC ID: 6709928823 Enrollment ID: I20231129002255 |
| Provider Name | Brandan K Penaluna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497312326 PECOS PAC ID: 9133454242 Enrollment ID: I20231129002631 |
| Provider Name | Jennifer Marie Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184404485 PECOS PAC ID: 2769830652 Enrollment ID: I20231204001258 |
| Provider Name | Noe Anguiano Robles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720862675 PECOS PAC ID: 4981053709 Enrollment ID: I20231205003306 |
| Provider Name | David Joseph Grindem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790166569 PECOS PAC ID: 3375840143 Enrollment ID: I20231207000486 |
| Provider Name | Margaret a Kalka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477331619 PECOS PAC ID: 7113376591 Enrollment ID: I20231211001799 |
| Provider Name | Katelyn Elizabeth Gasperlin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477327930 PECOS PAC ID: 7911356357 Enrollment ID: I20231212000366 |
| Provider Name | Ricardo a Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609243906 PECOS PAC ID: 4880902824 Enrollment ID: I20231212002950 |
| Provider Name | Courtney Brianna Banzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639950603 PECOS PAC ID: 5890144034 Enrollment ID: I20231213000373 |
| Provider Name | Sara Kathleen Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881468668 PECOS PAC ID: 6800245887 Enrollment ID: I20231215002695 |
| Provider Name | Jennifer E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336929447 PECOS PAC ID: 9436509569 Enrollment ID: I20240102001142 |
| Provider Name | Gary T Marshall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265844187 PECOS PAC ID: 2567752611 Enrollment ID: I20240102003146 |
| Provider Name | Jean Marie Mcgowan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083046916 PECOS PAC ID: 0345538997 Enrollment ID: I20240104002712 |
| Provider Name | Vanessa a Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881462364 PECOS PAC ID: 8426409079 Enrollment ID: I20240108004012 |
| Provider Name | Sangeeta Bhorade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174685622 PECOS PAC ID: 4284663725 Enrollment ID: I20240122001498 |
| Provider Name | Angela Maria Bookwalter Collie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992948988 PECOS PAC ID: 3173834926 Enrollment ID: I20240122002768 |
| Provider Name | Tori Mae Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447864467 PECOS PAC ID: 9436501830 Enrollment ID: I20240122003355 |
| Provider Name | Isabelle Faye Roth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588432124 PECOS PAC ID: 3072965334 Enrollment ID: I20240123000954 |
| Provider Name | Amelia F Kruser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992017941 PECOS PAC ID: 0244682508 Enrollment ID: I20240123000965 |
| Provider Name | Erin Deblieck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750150314 PECOS PAC ID: 8224480587 Enrollment ID: I20240123001016 |
| Provider Name | Lindsay Hana Kawada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598543282 PECOS PAC ID: 3173975315 Enrollment ID: I20240123003927 |
| Provider Name | Hanna Honn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659987410 PECOS PAC ID: 6406266881 Enrollment ID: I20240124002745 |
| Provider Name | Micah H Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558937276 PECOS PAC ID: 2860845807 Enrollment ID: I20240126000185 |
| Provider Name | Cassandra Lenneman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093585861 PECOS PAC ID: 1658724604 Enrollment ID: I20240126000638 |
| 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 | Abigail Madison Lau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366228512 PECOS PAC ID: 9739532276 Enrollment ID: I20240131002304 |
| Provider Name | Katie Mattila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124891858 PECOS PAC ID: 3173976453 Enrollment ID: I20240202001856 |
| Provider Name | Jennifer Wilson Maston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780141440 PECOS PAC ID: 4789927872 Enrollment ID: I20240205000985 |
| Provider Name | Crystal Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144516170 PECOS PAC ID: 8729257423 Enrollment ID: I20240206001834 |
| Provider Name | Jade Emily Jensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104696988 PECOS PAC ID: 3779926811 Enrollment ID: I20240206002640 |
| Provider Name | Sarah Anne Kalsy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801211610 PECOS PAC ID: 8729421664 Enrollment ID: I20240208000787 |
| Provider Name | Jonathan N Nyman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619645454 PECOS PAC ID: 0941643704 Enrollment ID: I20240208001765 |
| Provider Name | Alisha L Janssen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659734739 PECOS PAC ID: 2062750169 Enrollment ID: I20240209003238 |
| Provider Name | Emily Linnea Steen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073238911 PECOS PAC ID: 7214370857 Enrollment ID: I20240209003532 |
| Provider Name | Purnesh Naimish Joshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760258610 PECOS PAC ID: 5799129128 Enrollment ID: I20240214000197 |
| Provider Name | Daniel Chamberlain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841269297 PECOS PAC ID: 5496870024 Enrollment ID: I20240214002674 |
| Provider Name | Sherrie M. Hanna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942583257 PECOS PAC ID: 1153765474 Enrollment ID: I20240214003631 |
| Provider Name | Keith Edward Gascho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366529257 PECOS PAC ID: 1254775588 Enrollment ID: I20240214004044 |
| Provider Name | Jamie Leigh Hanson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942741624 PECOS PAC ID: 2769767516 Enrollment ID: I20240215001538 |
| Provider Name | Mackenzie Kaileen Urban |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538889589 PECOS PAC ID: 6800230046 Enrollment ID: I20240215003748 |
| Provider Name | Jason Yungil Ryu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629847199 PECOS PAC ID: 8022452184 Enrollment ID: I20240216000128 |
| Provider Name | Jessica Grocott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265028021 PECOS PAC ID: 7315351871 Enrollment ID: I20240216002539 |
| Provider Name | Jennifer Dawn Lanners |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992008940 PECOS PAC ID: 0244674109 Enrollment ID: I20240219002519 |
| Provider Name | Julianna Marie Malone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447029939 PECOS PAC ID: 7416391370 Enrollment ID: I20240219002551 |
| Provider Name | Zachary Paquette |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184252199 PECOS PAC ID: 5092159921 Enrollment ID: I20240220001445 |
| Provider Name | Dustin Hillerson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134530454 PECOS PAC ID: 4688974520 Enrollment ID: I20240220003340 |
| Provider Name | Sydney Fuchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609645316 PECOS PAC ID: 2668816349 Enrollment ID: I20240221002232 |
| Provider Name | Sara Jean Auringer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811644800 PECOS PAC ID: 3072957752 Enrollment ID: I20240221002407 |
| Provider Name | Nicholas Plutowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245091610 PECOS PAC ID: 4880038405 Enrollment ID: I20240221004086 |
| Provider Name | Joshua David Steinhorst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356114979 PECOS PAC ID: 1052755626 Enrollment ID: I20240222001531 |
| Provider Name | Keith Alain Coffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740467422 PECOS PAC ID: 8123199015 Enrollment ID: I20240226000332 |
| Provider Name | Erica R Bauer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750145942 PECOS PAC ID: 9537504956 Enrollment ID: I20240226001333 |
| Provider Name | Ashlee Debrae Newhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790463776 PECOS PAC ID: 0648615013 Enrollment ID: I20240226003173 |
| Provider Name | Nicholas J Mele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366210023 PECOS PAC ID: 5597100842 Enrollment ID: I20240227001997 |
| Provider Name | Holly C Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942891841 PECOS PAC ID: 2860837010 Enrollment ID: I20240228001216 |
| Provider Name | Debbie L Fuehrer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811433741 PECOS PAC ID: 8325483480 Enrollment ID: I20240228001963 |
| Provider Name | Rachel Lynn Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962034553 PECOS PAC ID: 3577908631 Enrollment ID: I20240228002074 |
| Provider Name | Matthew Thomas Brickl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205462025 PECOS PAC ID: 3173968245 Enrollment ID: I20240228002278 |
| Provider Name | Stephanie T Reneson-feeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215317631 PECOS PAC ID: 1759726847 Enrollment ID: I20240228002850 |
| Provider Name | Toria Brynn Lodzinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548023492 PECOS PAC ID: 0648615765 Enrollment ID: I20240228004120 |
| Provider Name | Jenny Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043631948 PECOS PAC ID: 2860770450 Enrollment ID: I20240301001457 |
| Provider Name | Sabrina Correa Da Costa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710363890 PECOS PAC ID: 8123358173 Enrollment ID: I20240301001534 |
| Provider Name | Alyssa Wittmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750155834 PECOS PAC ID: 3476999061 Enrollment ID: I20240305004426 |
| Provider Name | Allyson Nichole Messer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548723802 PECOS PAC ID: 4385080357 Enrollment ID: I20240313000063 |
| Provider Name | Wendy Renee Worden |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841897923 PECOS PAC ID: 2365888336 Enrollment ID: I20240313000141 |
| Provider Name | Mohammad Qasim Raza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336501204 PECOS PAC ID: 6709160567 Enrollment ID: I20240313001909 |
| Provider Name | Sarah Julia Barkeim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780456186 PECOS PAC ID: 0840636700 Enrollment ID: I20240313003520 |
| Provider Name | Timothy Malouff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558894469 PECOS PAC ID: 4688944770 Enrollment ID: I20240314002537 |
| Provider Name | Haily C Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265208615 PECOS PAC ID: 5597101337 Enrollment ID: I20240314002758 |
| Provider Name | Abigail Marie Sutter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275240426 PECOS PAC ID: 1052757770 Enrollment ID: I20240315001694 |
| Provider Name | Adam Krings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427821040 PECOS PAC ID: 0648617357 Enrollment ID: I20240318000855 |
| Provider Name | Matthew Joseph Sadlowsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093589897 PECOS PAC ID: 6305283052 Enrollment ID: I20240318002266 |
| Provider Name | Cesar Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679347447 PECOS PAC ID: 8426495094 Enrollment ID: I20240319003057 |
| Provider Name | Katelyn Ihrke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962267419 PECOS PAC ID: 5890132203 Enrollment ID: I20240321000581 |
| Provider Name | Brett Steven Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811761687 PECOS PAC ID: 5698112902 Enrollment ID: I20240322000644 |
| Provider Name | Kristi Vap Rodgers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255610135 PECOS PAC ID: 5799122024 Enrollment ID: I20240322001072 |
| Provider Name | Yvonne T Bui Conway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326788043 PECOS PAC ID: 8022464981 Enrollment ID: I20240325000580 |
| Provider Name | Elizabeth Anne Klees |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356965073 PECOS PAC ID: 9739526898 Enrollment ID: I20240325002323 |
| Provider Name | Amy Sue Gnagey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205133725 PECOS PAC ID: 3678758653 Enrollment ID: I20240325002623 |
| Provider Name | Karla Anne Irish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548033145 PECOS PAC ID: 2567809585 Enrollment ID: I20240326001024 |
| Provider Name | Reilly Lederhaas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952179780 PECOS PAC ID: 4183061104 Enrollment ID: I20240326001119 |
| Provider Name | Brianna Leigh Paulsrud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538932942 PECOS PAC ID: 0446697478 Enrollment ID: I20240326001175 |
| Provider Name | Jennifer Macintyre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174392344 PECOS PAC ID: 8921445958 Enrollment ID: I20240326001436 |
| Provider Name | Kaitlin Joan Kading |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386417772 PECOS PAC ID: 4880031822 Enrollment ID: I20240326001630 |
| Provider Name | Thomas Creighton Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962276865 PECOS PAC ID: 8224475140 Enrollment ID: I20240327000443 |
| Provider Name | Sydney N Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801515937 PECOS PAC ID: 2163808809 Enrollment ID: I20240327001360 |
| Provider Name | Ellianne Emmanuelle Jacques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770348633 PECOS PAC ID: 6608213574 Enrollment ID: I20240327002453 |
| Provider Name | David R. Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255108064 PECOS PAC ID: 8426495219 Enrollment ID: I20240328002768 |
| Provider Name | Justine Angelica Feliciano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366205205 PECOS PAC ID: 0648618439 Enrollment ID: I20240328003524 |
| Provider Name | Jill Renea Snuggerud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902236078 PECOS PAC ID: 2668810367 Enrollment ID: I20240401001023 |
| Provider Name | Karyn E Rapundalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700649431 PECOS PAC ID: 6507204278 Enrollment ID: I20240401003297 |
| Provider Name | Kehinde a Oke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366218802 PECOS PAC ID: 2961840442 Enrollment ID: I20240403000534 |
| Provider Name | Sachin Thakorlal Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447230198 PECOS PAC ID: 8123032810 Enrollment ID: I20240403000852 |
| Provider Name | Parker Monroe Acree |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760251540 PECOS PAC ID: 9436597937 Enrollment ID: I20240403001290 |
| Provider Name | Sara Ann Wipf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447930755 PECOS PAC ID: 2567800683 Enrollment ID: I20240409000511 |
| Provider Name | Melissa Curtiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922233352 PECOS PAC ID: 5395895056 Enrollment ID: I20240412001292 |
| Provider Name | Samantha Ann Ketchum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902666449 PECOS PAC ID: 2365881851 Enrollment ID: I20240417000268 |
| Provider Name | Karilee Maria Isaak-weigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417719782 PECOS PAC ID: 2466891874 Enrollment ID: I20240418001541 |
| Provider Name | Felix Knauf |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104093624 PECOS PAC ID: 9638213549 Enrollment ID: I20240419001296 |
| Provider Name | Erin M Voss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417438151 PECOS PAC ID: 7517210578 Enrollment ID: I20240423000232 |
| Provider Name | David P Semeniuk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790185528 PECOS PAC ID: 0345530408 Enrollment ID: I20240423003579 |
| Provider Name | Jacob G Eide |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386008084 PECOS PAC ID: 6901195569 Enrollment ID: I20240425001221 |
| Provider Name | Nancy P Richard-lany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629752779 PECOS PAC ID: 3678937224 Enrollment ID: I20240429002864 |
| Provider Name | Brittany Friar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205693710 PECOS PAC ID: 1254771900 Enrollment ID: I20240429003367 |
| Provider Name | Andrea Schwinghammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144764994 PECOS PAC ID: 9537509963 Enrollment ID: I20240501003215 |
| Provider Name | Dominique J. Monlezun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437681061 PECOS PAC ID: 8921423229 Enrollment ID: I20240513000610 |
| Provider Name | Julie Ellen Dammann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780015636 PECOS PAC ID: 6305287848 Enrollment ID: I20240515000125 |
| Provider Name | Sara J Sedivy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184054280 PECOS PAC ID: 3779924253 Enrollment ID: I20240515001616 |
| Provider Name | Cynthia Udeh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912764457 PECOS PAC ID: 2163863671 Enrollment ID: I20240515002779 |
| Provider Name | Aadel Chaudhuri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487097572 PECOS PAC ID: 5890048706 Enrollment ID: I20240515003708 |
| Provider Name | Jasmine Jeanette Silas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578004347 PECOS PAC ID: 3072954395 Enrollment ID: I20240516002917 |
| Provider Name | Judith Akinyi Okoth Dogo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003671959 PECOS PAC ID: 2264873447 Enrollment ID: I20240520000721 |
| Provider Name | Morgan R Briggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700381035 PECOS PAC ID: 1759711377 Enrollment ID: I20240529003772 |
| Provider Name | Ibrahim Yusuf Abubeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164064655 PECOS PAC ID: 4284057415 Enrollment ID: I20240530000272 |
| Provider Name | Kiera Noreen Rosa |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023868932 PECOS PAC ID: 0840632154 Enrollment ID: I20240531000593 |
| Provider Name | Breethaa Janani Selvamani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083100226 PECOS PAC ID: 2769730894 Enrollment ID: I20240531001301 |
| Provider Name | Daniel H Hofstedt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871055665 PECOS PAC ID: 1456684075 Enrollment ID: I20240531002535 |
| Provider Name | Jenifer Bantle-felt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316426091 PECOS PAC ID: 4789934993 Enrollment ID: I20240531002636 |
| Provider Name | Siddharth Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609440411 PECOS PAC ID: 3274935341 Enrollment ID: I20240604003649 |
| Provider Name | Mudassar Ahmad |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093155483 PECOS PAC ID: 0749574234 Enrollment ID: I20240605002660 |
| Provider Name | Kristina Matkowskyj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023266087 PECOS PAC ID: 8820250046 Enrollment ID: I20240607000954 |
| Provider Name | Andres Azuero Ordonez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215545181 PECOS PAC ID: 1759823404 Enrollment ID: I20240610000933 |
| Provider Name | Benjamin M Slowinski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790472983 PECOS PAC ID: 1850833468 Enrollment ID: I20240611003009 |
| Provider Name | Michael S Albosta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750900361 PECOS PAC ID: 8022550581 Enrollment ID: I20240612000626 |
| Provider Name | May Elbanna |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891358628 PECOS PAC ID: 3375876865 Enrollment ID: I20240612002884 |
| Provider Name | Molly Carol Bates |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255968699 PECOS PAC ID: 5092258244 Enrollment ID: I20240617002621 |
| Provider Name | Khalid Al-kharraz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598434854 PECOS PAC ID: 6103369277 Enrollment ID: I20240617003684 |
| Provider Name | Michael David Baird |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073048815 PECOS PAC ID: 3173066297 Enrollment ID: I20240618001235 |
| Provider Name | Benjamin Bizer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689243123 PECOS PAC ID: 2567864689 Enrollment ID: I20240619000136 |
| Provider Name | Suhaib Abaza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003499070 PECOS PAC ID: 9931500865 Enrollment ID: I20240620001844 |
| Provider Name | Dylan Jacob Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063251858 PECOS PAC ID: 9436692365 Enrollment ID: I20240620002065 |
| Provider Name | Ellie E Hukriede |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932893922 PECOS PAC ID: 3375086846 Enrollment ID: I20240625002480 |
| Provider Name | Jonathan Richard Day |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730587429 PECOS PAC ID: 5597189092 Enrollment ID: I20240627001093 |
| Provider Name | Brandon Cabarcas |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962963496 PECOS PAC ID: 5991249245 Enrollment ID: I20240627003905 |
| Provider Name | David Richard Peters |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801329602 PECOS PAC ID: 8527345362 Enrollment ID: I20240628000485 |
| Provider Name | Ahmad Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558948117 PECOS PAC ID: 9931643145 Enrollment ID: I20240628001724 |
| Provider Name | Mitchell Hillel Dittus |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1811573538 PECOS PAC ID: 8527502731 Enrollment ID: I20240628001919 |
| Provider Name | Emma Catherine St Martin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992382626 PECOS PAC ID: 6709320930 Enrollment ID: I20240628002640 |
| Provider Name | Noah Robert Brady |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295593762 PECOS PAC ID: 9638613755 Enrollment ID: I20240701001488 |
| Provider Name | Thanat Chaikijurajai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164096087 PECOS PAC ID: 1951706001 Enrollment ID: I20240701003914 |
| Provider Name | Mohanad S Hamandi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952984411 PECOS PAC ID: 3476950940 Enrollment ID: I20240702000068 |
| Provider Name | Shaikha Al-shokri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700459203 PECOS PAC ID: 1153725692 Enrollment ID: I20240702000306 |
| Provider Name | Aida Kaivan Sarcon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326508698 PECOS PAC ID: 6406181767 Enrollment ID: I20240702001693 |
| Provider Name | Courtney Kay Pfeuti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821627621 PECOS PAC ID: 7911329081 Enrollment ID: I20240702002238 |
| Provider Name | Christopher Stewart Hazzard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487143095 PECOS PAC ID: 9335683283 Enrollment ID: I20240702002262 |
| Provider Name | Monalisa Attif Hassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568090140 PECOS PAC ID: 8628512597 Enrollment ID: I20240702003061 |
| Provider Name | Fabricio Jose Hernandez-delima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730601352 PECOS PAC ID: 0840734737 Enrollment ID: I20240702003736 |
| Provider Name | Omar J Haque |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376074930 PECOS PAC ID: 0547533267 Enrollment ID: I20240702004464 |
| Provider Name | Tanzeel Awadalla |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1851975023 PECOS PAC ID: 3678017415 Enrollment ID: I20240703001386 |
| Provider Name | Ankit Chhoda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538615737 PECOS PAC ID: 8921389974 Enrollment ID: I20240703002942 |
| Provider Name | Kelley H Chen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124551338 PECOS PAC ID: 1951671593 Enrollment ID: I20240703003882 |
| Provider Name | Samuel Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003177304 PECOS PAC ID: 8325261829 Enrollment ID: I20240704000618 |
| Provider Name | David CHI |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780178830 PECOS PAC ID: 6507300258 Enrollment ID: I20240705000472 |
| Provider Name | Estefania Gauto-mariotti |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1972032621 PECOS PAC ID: 1456625185 Enrollment ID: I20240705000692 |
| Provider Name | Renee Daniella Cotroneo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952989683 PECOS PAC ID: 8123562808 Enrollment ID: I20240705001331 |
| Provider Name | Peter Conrad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992325849 PECOS PAC ID: 5193147460 Enrollment ID: I20240705002663 |
| Provider Name | Abdallah Nabil Ishaq Mughrabi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770155798 PECOS PAC ID: 8729520325 Enrollment ID: I20240705002952 |
| Provider Name | Stephen C Music |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225665730 PECOS PAC ID: 9739502378 Enrollment ID: I20240708000482 |
| Provider Name | Halle Foss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265095806 PECOS PAC ID: 1254674500 Enrollment ID: I20240708001147 |
| Provider Name | Hanna Erickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619610839 PECOS PAC ID: 1355727009 Enrollment ID: I20240708001283 |
| Provider Name | Arjunmohan Mohan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497325914 PECOS PAC ID: 6901340587 Enrollment ID: I20240708001438 |
| Provider Name | Sofia Molina Garcia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124607767 PECOS PAC ID: 9638588163 Enrollment ID: I20240708001651 |
| Provider Name | Joseph Giacalone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932725447 PECOS PAC ID: 0749603934 Enrollment ID: I20240708003045 |
| Provider Name | Katherine Ann Elsea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538789391 PECOS PAC ID: 1456896075 Enrollment ID: I20240708003095 |
| Provider Name | Isha Snehal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972117018 PECOS PAC ID: 0446664353 Enrollment ID: I20240709000000 |
| Provider Name | Rachel Magnan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790361145 PECOS PAC ID: 1557806122 Enrollment ID: I20240709000638 |
| Provider Name | Matthew L Hupy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184252421 PECOS PAC ID: 8325462161 Enrollment ID: I20240709000884 |
| Provider Name | Mariam Ghafoor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679187876 PECOS PAC ID: 7416375951 Enrollment ID: I20240709002977 |
| Provider Name | Claudia Gyimah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780262360 PECOS PAC ID: 2466997911 Enrollment ID: I20240709003816 |
| Provider Name | Kishendra Gopaul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477079903 PECOS PAC ID: 6204180532 Enrollment ID: I20240709003876 |
| Provider Name | Jason Ina |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255838058 PECOS PAC ID: 7618412172 Enrollment ID: I20240709004420 |
| Provider Name | Dipan Uppal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568948081 PECOS PAC ID: 3678018041 Enrollment ID: I20240710000042 |
| Provider Name | Matthew T Mcleay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992267983 PECOS PAC ID: 0345575049 Enrollment ID: I20240710000226 |
| Provider Name | John Phillip Cox Marinelli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053975375 PECOS PAC ID: 3971957093 Enrollment ID: I20240710000231 |
| Provider Name | Shane Stean Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609439066 PECOS PAC ID: 0345785721 Enrollment ID: I20240710000234 |
| Provider Name | Mohammed Abdelwahed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023645504 PECOS PAC ID: 4981149366 Enrollment ID: I20240710000247 |
| Provider Name | Elliot Lee Blankespoor |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1154945608 PECOS PAC ID: 3476975822 Enrollment ID: I20240710000793 |
| Provider Name | Ashish Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093388597 PECOS PAC ID: 1658778345 Enrollment ID: I20240710000841 |
| Provider Name | Asmita S Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427611888 PECOS PAC ID: 4284179680 Enrollment ID: I20240710000976 |
| Provider Name | Adam Jackson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407483415 PECOS PAC ID: 3577008986 Enrollment ID: I20240710001537 |
| Provider Name | Laura E Billstein |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821613142 PECOS PAC ID: 2860894425 Enrollment ID: I20240710001812 |
| Provider Name | Sarah Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295307544 PECOS PAC ID: 8628471927 Enrollment ID: I20240710001861 |
| Provider Name | Luz Yorlady Sullivan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467089193 PECOS PAC ID: 1254876675 Enrollment ID: I20240710002125 |
| Provider Name | Shubhang K Bhatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801477740 PECOS PAC ID: 9739581091 Enrollment ID: I20240710002179 |
| Provider Name | Junaid Ahmad Wali |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1740802990 PECOS PAC ID: 7416492848 Enrollment ID: I20240710002658 |
| Provider Name | Rosa Valtanen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841751906 PECOS PAC ID: 5395280747 Enrollment ID: I20240710003279 |
| Provider Name | Adedayo Olumuyiwa Okanlawon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588241913 PECOS PAC ID: 6204371651 Enrollment ID: I20240710003286 |
| Provider Name | Takahiro Matsuo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457922460 PECOS PAC ID: 4284179631 Enrollment ID: I20240710003373 |
| Provider Name | Sally Rosalyn Olmstead |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841034527 PECOS PAC ID: 8426593880 Enrollment ID: I20240710003526 |
| Provider Name | Joshua Peterson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144717349 PECOS PAC ID: 4587912522 Enrollment ID: I20240710003723 |
| Provider Name | Amra Sakusic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952921066 PECOS PAC ID: 5890117311 Enrollment ID: I20240710003919 |
| Provider Name | Naila Shiraliyeva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942887690 PECOS PAC ID: 6608311972 Enrollment ID: I20240710004359 |
| Provider Name | Sami Hussein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528619368 PECOS PAC ID: 4587042551 Enrollment ID: I20240710005078 |
| Provider Name | Daniel P Kaufman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285194340 PECOS PAC ID: 1355676552 Enrollment ID: I20240711001386 |
| Provider Name | Imran Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538747522 PECOS PAC ID: 9032654389 Enrollment ID: I20240711001712 |
| Provider Name | Vanessa L Wanjeri |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033564521 PECOS PAC ID: 1456777374 Enrollment ID: I20240711001759 |
| Provider Name | Mouhand Faisal Hamad Mohamed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023686961 PECOS PAC ID: 2163810037 Enrollment ID: I20240711001852 |
| Provider Name | Shivaraj Prakash Patil |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023506722 PECOS PAC ID: 3173871662 Enrollment ID: I20240711003433 |
| Provider Name | Johnson Dallas Pounders |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1841819943 PECOS PAC ID: 0446795637 Enrollment ID: I20240711003694 |
| Provider Name | Laura Piccolo Serafim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083289987 PECOS PAC ID: 4789129974 Enrollment ID: I20240711003757 |
| Provider Name | Pitchaya Worapongsatitaya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205457314 PECOS PAC ID: 3779028980 Enrollment ID: I20240711004174 |
| Provider Name | Abhay Raina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295398980 PECOS PAC ID: 6204371412 Enrollment ID: I20240711004292 |
| Provider Name | Yoshito Nishimura |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992318166 PECOS PAC ID: 3577008796 Enrollment ID: I20240712000080 |
| Provider Name | Joseph Michael Orndorff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194346478 PECOS PAC ID: 6608297882 Enrollment ID: I20240712000271 |
| Provider Name | Daniel S Roberson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093275760 PECOS PAC ID: 9133664378 Enrollment ID: I20240712000679 |
| Provider Name | Georges El Hasbani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033780432 PECOS PAC ID: 6002351244 Enrollment ID: I20240712000844 |
| Provider Name | Felipe Jorge Simoes Jones |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891301792 PECOS PAC ID: 8527503663 Enrollment ID: I20240712000961 |
| Provider Name | Jacob James Williamson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588420046 PECOS PAC ID: 5890230940 Enrollment ID: I20240712001313 |
| Provider Name | Alice Piccinini |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245896844 PECOS PAC ID: 9335472141 Enrollment ID: I20240712001725 |
| Provider Name | Jabra G Zarka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710560081 PECOS PAC ID: 1052715620 Enrollment ID: I20240712002466 |
| Provider Name | Jessica Roberts |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477139913 PECOS PAC ID: 0143622910 Enrollment ID: I20240712002586 |
| Provider Name | John a Zadroga |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1720608300 PECOS PAC ID: 5294158267 Enrollment ID: I20240712002834 |
| Provider Name | Shannon Rose Strader |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740818004 PECOS PAC ID: 5698210797 Enrollment ID: I20240712003349 |
| Provider Name | Thapat Wannarong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932693157 PECOS PAC ID: 6103174727 Enrollment ID: I20240712003825 |
| Provider Name | Nishika Karbhari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497383285 PECOS PAC ID: 8426473679 Enrollment ID: I20240715000204 |
| Provider Name | Aamil Umesh Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881218659 PECOS PAC ID: 3577986595 Enrollment ID: I20240715000373 |
| Provider Name | Melanie R Major |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629468848 PECOS PAC ID: 8325316656 Enrollment ID: I20240715000577 |
| Provider Name | Ruth Yewande Eletta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417536079 PECOS PAC ID: 2264977222 Enrollment ID: I20240715000604 |
| Provider Name | Ali El Mokahal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194335505 PECOS PAC ID: 5799220752 Enrollment ID: I20240715000713 |
| Provider Name | Mohammed Sayed Ahmed Abdalla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952823007 PECOS PAC ID: 6901348374 Enrollment ID: I20240715002077 |
| Provider Name | Sirus Saeedipour |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1780144634 PECOS PAC ID: 4385979087 Enrollment ID: I20240715002864 |
| Provider Name | Ayo Falade |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639752892 PECOS PAC ID: 4688079940 Enrollment ID: I20240715003048 |
| Provider Name | Jamal Sultan Gurbis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235824434 PECOS PAC ID: 4981060530 Enrollment ID: I20240716000632 |
| Provider Name | Brian Lee Obritsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184313801 PECOS PAC ID: 3678930971 Enrollment ID: I20240716000666 |
| Provider Name | Dylan Goings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568166841 PECOS PAC ID: 3678939436 Enrollment ID: I20240716000682 |
| Provider Name | Mitchel Whorton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841852894 PECOS PAC ID: 4880929454 Enrollment ID: I20240716000838 |
| Provider Name | Olisaemeka Dilibe Ogbue |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578132981 PECOS PAC ID: 8729461710 Enrollment ID: I20240716000870 |
| Provider Name | Selene Rubino |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134701402 PECOS PAC ID: 5597149831 Enrollment ID: I20240716000906 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053947010 PECOS PAC ID: 6305269929 Enrollment ID: I20240716000960 |
| Provider Name | Abdullah Al-asaad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912460817 PECOS PAC ID: 3577891811 Enrollment ID: I20240716001698 |
| Provider Name | Cameron Gray Gmehlin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821791633 PECOS PAC ID: 8123484987 Enrollment ID: I20240716002153 |
| Provider Name | Jae Hyung Jung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134787872 PECOS PAC ID: 2466787809 Enrollment ID: I20240716002541 |
| Provider Name | Emily Griffin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417572355 PECOS PAC ID: 8426471566 Enrollment ID: I20240716003136 |
| Provider Name | Jacob Zhung-dong Lui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205415288 PECOS PAC ID: 7012452832 Enrollment ID: I20240716003150 |
| Provider Name | Shelby J Lapham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528614906 PECOS PAC ID: 2163830407 Enrollment ID: I20240716003810 |
| Provider Name | Lemuel Eiallo Hackshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235822651 PECOS PAC ID: 7810355732 Enrollment ID: I20240716004492 |
| Provider Name | William Walker Mangin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386220481 PECOS PAC ID: 5698175735 Enrollment ID: I20240717000264 |
| Provider Name | Leah Olson Grcevich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447946405 PECOS PAC ID: 0446616254 Enrollment ID: I20240717003196 |
| Provider Name | Brennan Glenn Olson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811691892 PECOS PAC ID: 9830555697 Enrollment ID: I20240717004715 |
| Provider Name | Dustin Parsons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033808134 PECOS PAC ID: 5890151559 Enrollment ID: I20240718003223 |
| Provider Name | Kathleen Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922855451 PECOS PAC ID: 4385180934 Enrollment ID: I20240719001411 |
| Provider Name | Adithi Yeddula Reddy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154940161 PECOS PAC ID: 0749641785 Enrollment ID: I20240719001630 |
| Provider Name | Kelsey Ann Ewert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043054786 PECOS PAC ID: 4587100060 Enrollment ID: I20240719002854 |
| Provider Name | Hali Nicole Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336842830 PECOS PAC ID: 7214393974 Enrollment ID: I20240719003160 |
| Provider Name | Hayley Premo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538857206 PECOS PAC ID: 6507223807 Enrollment ID: I20240719003367 |
| Provider Name | Sofia Rael |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396448841 PECOS PAC ID: 8921464967 Enrollment ID: I20240719003496 |
| Provider Name | Sanjna Rajput |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770286163 PECOS PAC ID: 3678939519 Enrollment ID: I20240720000117 |
| Provider Name | Zachary Cale Reuter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528761376 PECOS PAC ID: 0244696185 Enrollment ID: I20240722001105 |
| Provider Name | Seth Colton Ransom |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124716782 PECOS PAC ID: 6204294127 Enrollment ID: I20240722003874 |
| Provider Name | Hana Rai Rosenow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992408470 PECOS PAC ID: 7810353794 Enrollment ID: I20240722003891 |
| Provider Name | Nathaniel Pendleton Rogers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972206423 PECOS PAC ID: 4284090945 Enrollment ID: I20240723002332 |
| Provider Name | Alexander Robert Shoemaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225874571 PECOS PAC ID: 9931645181 Enrollment ID: I20240724000168 |
| Provider Name | Nicole Entenmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699463448 PECOS PAC ID: 9931565827 Enrollment ID: I20240724002163 |
| Provider Name | Gal Tsaban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649054750 PECOS PAC ID: 3577926831 Enrollment ID: I20240724002308 |
| Provider Name | Zan Ahmed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932760113 PECOS PAC ID: 9830548700 Enrollment ID: I20240726001983 |
| Provider Name | Subhash Chander |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992290928 PECOS PAC ID: 3072840321 Enrollment ID: I20240729000425 |
| Provider Name | Jose Arriola Montenegro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811663164 PECOS PAC ID: 3274927348 Enrollment ID: I20240729000833 |
| Provider Name | Jason Hayes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447248463 PECOS PAC ID: 8729357272 Enrollment ID: I20240729001418 |
| Provider Name | Kemar Orlando Barrett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144896606 PECOS PAC ID: 7911443759 Enrollment ID: I20240729001669 |
| Provider Name | Stephanie Ann Saey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760170476 PECOS PAC ID: 4385001841 Enrollment ID: I20240731000116 |
| Provider Name | Nader James Al-shakarchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023711421 PECOS PAC ID: 6305202599 Enrollment ID: I20240731003208 |
| Provider Name | Jessica Atieh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144895301 PECOS PAC ID: 2466853593 Enrollment ID: I20240731004051 |
| Provider Name | Timothy Shen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184372708 PECOS PAC ID: 7315303492 Enrollment ID: I20240801001269 |
| Provider Name | Cathryn Ann Chezick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871337303 PECOS PAC ID: 9638616162 Enrollment ID: I20240801004037 |
| Provider Name | Kerri Marie Mcinnis-smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245936624 PECOS PAC ID: 6103282983 Enrollment ID: I20240801004322 |
| Provider Name | Stephanie Anaya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790488419 PECOS PAC ID: 8820453244 Enrollment ID: I20240802000834 |
| Provider Name | Justin Gene Carrington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063115079 PECOS PAC ID: 6002272085 Enrollment ID: I20240802001371 |
| Provider Name | Rachel Naomi Israilevich |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861187841 PECOS PAC ID: 3375909039 Enrollment ID: I20240802001503 |
| Provider Name | Ashley Zhou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144810292 PECOS PAC ID: 6103282264 Enrollment ID: I20240802002091 |
| Provider Name | Suhail Magdi Saad-omer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851977714 PECOS PAC ID: 9436696861 Enrollment ID: I20240802003737 |
| Provider Name | Grace Xiao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528650645 PECOS PAC ID: 8820454028 Enrollment ID: I20240805000797 |
| Provider Name | Carissa Ann Bordelon |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104670371 PECOS PAC ID: 8426595794 Enrollment ID: I20240805000858 |
| Provider Name | Mariam Amr Aly Mohamed Elsaban |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831877356 PECOS PAC ID: 0648630590 Enrollment ID: I20240805003091 |
| Provider Name | Joseph Bisoglio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376246819 PECOS PAC ID: 3173989399 Enrollment ID: I20240805003171 |
| Provider Name | Brianna Siggins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790435188 PECOS PAC ID: 6709255540 Enrollment ID: I20240806000679 |
| Provider Name | Sandra Lea Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730927047 PECOS PAC ID: 4284171455 Enrollment ID: I20240806000759 |
| Provider Name | Bailey Reid Macinnis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134877145 PECOS PAC ID: 5991161770 Enrollment ID: I20240807001411 |
| Provider Name | Barbara a Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720415839 PECOS PAC ID: 4688111693 Enrollment ID: I20240807002890 |
| Provider Name | Kaleb a Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831892942 PECOS PAC ID: 8729448543 Enrollment ID: I20240807002981 |
| Provider Name | Cole Holan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942904917 PECOS PAC ID: 6901262799 Enrollment ID: I20240807003591 |
| Provider Name | Madison Jane Bacca |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164270922 PECOS PAC ID: 6204373236 Enrollment ID: I20240807003841 |
| Provider Name | Jacob Russell Billings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659075562 PECOS PAC ID: 8426414814 Enrollment ID: I20240807003997 |
| Provider Name | Lena Ayari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770270126 PECOS PAC ID: 4789040999 Enrollment ID: I20240807004015 |
| Provider Name | Bailey Jane Jolivette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316788797 PECOS PAC ID: 6709323769 Enrollment ID: I20240808000330 |
| Provider Name | Mark Chedraoui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417650656 PECOS PAC ID: 1850758319 Enrollment ID: I20240808000450 |
| Provider Name | Kristen Nicole Ruby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184086316 PECOS PAC ID: 3476845058 Enrollment ID: I20240808000640 |
| Provider Name | Elliot Duk Jin Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376231357 PECOS PAC ID: 2961949946 Enrollment ID: I20240808000896 |
| Provider Name | Madugodaralalage Don Kumari Gunaratne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598344152 PECOS PAC ID: 5193262046 Enrollment ID: I20240808004269 |
| Provider Name | Tahir Syed Kafil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710615752 PECOS PAC ID: 3870976962 Enrollment ID: I20240808004407 |
| Provider Name | Michael J Carr |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396286621 PECOS PAC ID: 5698022366 Enrollment ID: I20240809000609 |
| Provider Name | Julianna Marie Boyum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740837152 PECOS PAC ID: 5991242877 Enrollment ID: I20240809000753 |
| Provider Name | Nicholas Paul Bergeron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376246934 PECOS PAC ID: 0143686352 Enrollment ID: I20240809000806 |
| Provider Name | Katelyn Suzanne Nilges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942056254 PECOS PAC ID: 8426595315 Enrollment ID: I20240809000826 |
| Provider Name | Cole M Gatzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306694021 PECOS PAC ID: 3072051960 Enrollment ID: I20240809001279 |
| Provider Name | Mathew Ryan Schnorenberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184327207 PECOS PAC ID: 8921464009 Enrollment ID: I20240809001382 |
| Provider Name | Jennifer M Torbenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407611379 PECOS PAC ID: 6103364013 Enrollment ID: I20240809002517 |
| Provider Name | Yi Zhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669176467 PECOS PAC ID: 5890151005 Enrollment ID: I20240812000172 |
| Provider Name | Jessica Langevin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205516952 PECOS PAC ID: 1951762913 Enrollment ID: I20240812001994 |
| Provider Name | Cynthia Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063004505 PECOS PAC ID: 7214342583 Enrollment ID: I20240813001119 |
| Provider Name | Amelia Adcock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497982623 PECOS PAC ID: 5698915270 Enrollment ID: I20240813001304 |
| Provider Name | Muzammil Shahid Chaudhry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891534293 PECOS PAC ID: 8426596149 Enrollment ID: I20240813002635 |
| Provider Name | Sweta Bhoopatiraju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578258778 PECOS PAC ID: 4385000504 Enrollment ID: I20240814000462 |
| Provider Name | Mohsen Afarideh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467181396 PECOS PAC ID: 2769920339 Enrollment ID: I20240814000488 |
| Provider Name | Maani Meshkin Archang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902509623 PECOS PAC ID: 9436515210 Enrollment ID: I20240814000662 |
| Provider Name | Louise Marie Asleson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326741984 PECOS PAC ID: 2668838863 Enrollment ID: I20240814000972 |
| Provider Name | Nehaal Hassan Ahmed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558064006 PECOS PAC ID: 5395100747 Enrollment ID: I20240814001266 |
| Provider Name | Jacob Michael Bauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023711199 PECOS PAC ID: 5799141909 Enrollment ID: I20240814001449 |
| Provider Name | Rachel Jacqueline Knopp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760185870 PECOS PAC ID: 3173989373 Enrollment ID: I20240814001655 |
| Provider Name | Remi Boudreau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093410664 PECOS PAC ID: 0648636860 Enrollment ID: I20240814001847 |
| Provider Name | Richa Bisht |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275236002 PECOS PAC ID: 7517323728 Enrollment ID: I20240814002199 |
| Provider Name | David Bayless |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568157485 PECOS PAC ID: 3971969940 Enrollment ID: I20240814002278 |
| Provider Name | Archis Ramkrishna Bhandarkar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104547009 PECOS PAC ID: 9335505544 Enrollment ID: I20240814002501 |
| Provider Name | Elizabeth Christine Baugher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447995659 PECOS PAC ID: 3779949565 Enrollment ID: I20240814002696 |
| Provider Name | Sara Nicole Bocchinfuso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790466472 PECOS PAC ID: 2264894252 Enrollment ID: I20240814002796 |
| Provider Name | Tyler R Bendrick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477276517 PECOS PAC ID: 9739627290 Enrollment ID: I20240814004651 |
| Provider Name | Summer Bernard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164119657 PECOS PAC ID: 8628434826 Enrollment ID: I20240814004726 |
| Provider Name | Kyle Chase Baumgardner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639867914 PECOS PAC ID: 2062878275 Enrollment ID: I20240815000133 |
| Provider Name | Sergio Luis Alvarez-mulett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639706609 PECOS PAC ID: 4789122276 Enrollment ID: I20240815000591 |
| Provider Name | Michael David Brandt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760187595 PECOS PAC ID: 1759747140 Enrollment ID: I20240815001062 |
| Provider Name | Rebecca Therese Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700580958 PECOS PAC ID: 0345605705 Enrollment ID: I20240815001168 |
| Provider Name | Brett Robert Bukowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932802782 PECOS PAC ID: 2961868088 Enrollment ID: I20240815001775 |
| Provider Name | Corbrielle Boulard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871295071 PECOS PAC ID: 3072972496 Enrollment ID: I20240815003134 |
| Provider Name | Jessica Noella Buttinger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962175711 PECOS PAC ID: 5991163636 Enrollment ID: I20240815004709 |
| Provider Name | George Andrew Cholack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669122214 PECOS PAC ID: 1052777026 Enrollment ID: I20240816000959 |
| Provider Name | Chuan Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114621901 PECOS PAC ID: 5294191268 Enrollment ID: I20240816001051 |
| Provider Name | Rachel Vo Christenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356036214 PECOS PAC ID: 6800252867 Enrollment ID: I20240816001279 |
| Provider Name | Christine L Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396448676 PECOS PAC ID: 4981060951 Enrollment ID: I20240816001294 |
| Provider Name | Roxanne Coderre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033948005 PECOS PAC ID: 6709324114 Enrollment ID: I20240816001386 |
| Provider Name | Patricia Carey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184319832 PECOS PAC ID: 2365808342 Enrollment ID: I20240816002005 |
| Provider Name | Ashlyn Victoria Byers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912648288 PECOS PAC ID: 8729445150 Enrollment ID: I20240816002354 |
| Provider Name | Griffin Andrew Coghill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578267498 PECOS PAC ID: 4284090259 Enrollment ID: I20240816002517 |
| Provider Name | Anthony Carmen-joseph Denovio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316649916 PECOS PAC ID: 1355707399 Enrollment ID: I20240816003469 |
| Provider Name | Rami Darwich |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710715073 PECOS PAC ID: 0345788691 Enrollment ID: I20240816003473 |
| Provider Name | Miriam Erline Dash |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285369165 PECOS PAC ID: 3971969932 Enrollment ID: I20240816003561 |
| Provider Name | Jenny Jia Ling Cao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164116125 PECOS PAC ID: 6608234547 Enrollment ID: I20240816003919 |
| Provider Name | Madeline Deangelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437726601 PECOS PAC ID: 7911363957 Enrollment ID: I20240816004035 |
| Provider Name | Jasleen Kaur Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588343362 PECOS PAC ID: 3779944715 Enrollment ID: I20240816004046 |
| Provider Name | Benjamin Theodore Dralle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669167441 PECOS PAC ID: 8123484003 Enrollment ID: I20240817000469 |
| Provider Name | Jacob Jeffrey Schaefer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427752088 PECOS PAC ID: 4183080161 Enrollment ID: I20240819000035 |
| Provider Name | Alisa Keiko Erck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306534615 PECOS PAC ID: 4789041443 Enrollment ID: I20240819000111 |
| Provider Name | Wassim Drissi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255034013 PECOS PAC ID: 5193263481 Enrollment ID: I20240819000143 |
| Provider Name | Steven Michael Dotzler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851094122 PECOS PAC ID: 7719344142 Enrollment ID: I20240819000198 |
| Provider Name | Karen Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508610676 PECOS PAC ID: 4981142270 Enrollment ID: I20240819000264 |
| Provider Name | Nicole Marie De La Pena |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205530961 PECOS PAC ID: 1355707316 Enrollment ID: I20240819000414 |
| Provider Name | Claire De Forcrand De Coiselet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881397628 PECOS PAC ID: 6002272069 Enrollment ID: I20240819001000 |
| Provider Name | Rayane El Mouallem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619750650 PECOS PAC ID: 2264895572 Enrollment ID: I20240819001113 |
| Provider Name | Jenna Marie Davison |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780273599 PECOS PAC ID: 7214393180 Enrollment ID: I20240819001132 |
| Provider Name | Nathaniel Erik Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518660265 PECOS PAC ID: 8325404387 Enrollment ID: I20240819001355 |
| Provider Name | Lauren Elizabeth Eide |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386339216 PECOS PAC ID: 1658737440 Enrollment ID: I20240819001542 |
| Provider Name | Fatima Elahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699235846 PECOS PAC ID: 4981939535 Enrollment ID: I20240819003054 |
| Provider Name | Sabrina Poonja |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245069160 PECOS PAC ID: 3971041153 Enrollment ID: I20240819004258 |
| Provider Name | Ann Marie Rydberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407551724 PECOS PAC ID: 2466818422 Enrollment ID: I20240820001543 |
| Provider Name | Kira Saje Kopacz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609527563 PECOS PAC ID: 6608314745 Enrollment ID: I20240820002377 |
| Provider Name | Graison Lamendola Sitenga |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275228793 PECOS PAC ID: 5496116287 Enrollment ID: I20240820002558 |
| Provider Name | Katherine Ann Hill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861195075 PECOS PAC ID: 9739545476 Enrollment ID: I20240820003728 |
| Provider Name | Erin Elizabeth Finn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033812490 PECOS PAC ID: 0840656641 Enrollment ID: I20240821001360 |
| Provider Name | Kelly Elizabeth Fahrner-scott |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801584776 PECOS PAC ID: 4486010253 Enrollment ID: I20240821001642 |
| Provider Name | Lauren Elyse Penz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205539764 PECOS PAC ID: 7719343755 Enrollment ID: I20240821003190 |
| Provider Name | James Tsyap En Hayward Paget |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508623810 PECOS PAC ID: 5395284392 Enrollment ID: I20240822000103 |
| Provider Name | Andres Frias |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265129688 PECOS PAC ID: 5193264117 Enrollment ID: I20240822000463 |
| Provider Name | Sheryl Lindsay Fuehrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790480614 PECOS PAC ID: 8820454697 Enrollment ID: I20240822000805 |
| Provider Name | Melvin Helgeson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881709244 PECOS PAC ID: 3173718061 Enrollment ID: I20240822000832 |
| Provider Name | Shane a Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386333706 PECOS PAC ID: 6305202169 Enrollment ID: I20240822001091 |
| Provider Name | Hans-magne Hamnvag |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679137756 PECOS PAC ID: 3072052018 Enrollment ID: I20240822001502 |
| Provider Name | Sarah Elizabeth Hopfer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679276786 PECOS PAC ID: 6709242464 Enrollment ID: I20240822002354 |
| Provider Name | Jared Anker Hanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669176673 PECOS PAC ID: 1557727336 Enrollment ID: I20240823000070 |
| Provider Name | Iuri Ferreira Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043913445 PECOS PAC ID: 4486010246 Enrollment ID: I20240823000239 |
| Provider Name | Jonah Abraham Kan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548962707 PECOS PAC ID: 6204292956 Enrollment ID: I20240823000271 |
| Provider Name | Roy Hajjar |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1568291680 PECOS PAC ID: 5193264018 Enrollment ID: I20240823000278 |
| Provider Name | Robert Loren Owen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083317754 PECOS PAC ID: 7911363783 Enrollment ID: I20240823000461 |
| Provider Name | Luis Henrique Fernandes Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578245262 PECOS PAC ID: 0547623472 Enrollment ID: I20240823000740 |
| Provider Name | Thomas Charles Hartmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023706587 PECOS PAC ID: 3274072103 Enrollment ID: I20240823000764 |
| Provider Name | Laura Marielis Hernandez-diaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184218364 PECOS PAC ID: 4789044942 Enrollment ID: I20240823001028 |
| Provider Name | Spencer Hofschulte-beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710682927 PECOS PAC ID: 2567828221 Enrollment ID: I20240823001128 |
| Provider Name | Aiman Jawed Faruqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235832965 PECOS PAC ID: 3476919226 Enrollment ID: I20240823001309 |
| Provider Name | Anna Huanling Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669175055 PECOS PAC ID: 3375909922 Enrollment ID: I20240823001344 |
| Provider Name | Jason Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538856745 PECOS PAC ID: 8325404080 Enrollment ID: I20240823001368 |
| Provider Name | Carrie Margaret Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770288474 PECOS PAC ID: 4981060654 Enrollment ID: I20240823001534 |
| Provider Name | Chase Habben |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144925009 PECOS PAC ID: 1850757618 Enrollment ID: I20240823001654 |
| Provider Name | Eric Scott Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437853033 PECOS PAC ID: 0143686808 Enrollment ID: I20240823001715 |
| Provider Name | Amanda Marie Hargett-granato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730884529 PECOS PAC ID: 7810353604 Enrollment ID: I20240823001799 |
| Provider Name | Timon Joseph Higgins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710672159 PECOS PAC ID: 5294191920 Enrollment ID: I20240823001819 |
| Provider Name | Raymond Lay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598469439 PECOS PAC ID: 3678939212 Enrollment ID: I20240823002065 |
| Provider Name | Ebuka Ibuoka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053004259 PECOS PAC ID: 4183082092 Enrollment ID: I20240823002201 |
| Provider Name | Cody Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801464979 PECOS PAC ID: 5496111254 Enrollment ID: I20240823002243 |
| Provider Name | Rebecca Kruc |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154017648 PECOS PAC ID: 7719343474 Enrollment ID: I20240823002299 |
| Provider Name | Peter Hopmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194285239 PECOS PAC ID: 0345573960 Enrollment ID: I20240823002302 |
| Provider Name | Hannah Mugford Kuly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407545387 PECOS PAC ID: 1850757493 Enrollment ID: I20240823002586 |
| Provider Name | Katherine G Holder |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073298923 PECOS PAC ID: 8022479039 Enrollment ID: I20240823002627 |
| Provider Name | Emily Flaherty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053016980 PECOS PAC ID: 5597121301 Enrollment ID: I20240823003629 |
| Provider Name | Sidrah Khan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1598111080 PECOS PAC ID: 4880133693 Enrollment ID: I20240825000124 |
| Provider Name | Mian Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003310152 PECOS PAC ID: 8921346685 Enrollment ID: I20240826000340 |
| Provider Name | Vianca Carolina Insignares |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174226930 PECOS PAC ID: 2860858537 Enrollment ID: I20240826001055 |
| Provider Name | Caroline Bergeron Ledet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114621927 PECOS PAC ID: 9234595315 Enrollment ID: I20240826001156 |
| Provider Name | Erin Rose Hupy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730717372 PECOS PAC ID: 1850715913 Enrollment ID: I20240826001250 |
| Provider Name | Kyle Steiger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568165082 PECOS PAC ID: 3577929652 Enrollment ID: I20240826001356 |
| Provider Name | Lai Jiang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831772334 PECOS PAC ID: 1658737317 Enrollment ID: I20240826001460 |
| Provider Name | Joshua Ivare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003519513 PECOS PAC ID: 0244696904 Enrollment ID: I20240826001590 |
| Provider Name | Gillian Rebecca Murray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740921162 PECOS PAC ID: 1254797913 Enrollment ID: I20240826001689 |
| Provider Name | Laura Kek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013668656 PECOS PAC ID: 9931565587 Enrollment ID: I20240826002323 |
| Provider Name | Ioannis Anatoly Kournoutas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194428672 PECOS PAC ID: 5799141453 Enrollment ID: I20240826003010 |
| Provider Name | Lara Fahmy Abdou Gad Alla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881380046 PECOS PAC ID: 6103282942 Enrollment ID: I20240826003132 |
| Provider Name | Victoria Kusztos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144923830 PECOS PAC ID: 5698131233 Enrollment ID: I20240826003201 |
| Provider Name | John Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831889815 PECOS PAC ID: 6608233150 Enrollment ID: I20240826003462 |
| Provider Name | Regina Marie Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245935212 PECOS PAC ID: 2668838202 Enrollment ID: I20240826003676 |
| Provider Name | Roshen Thomas John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619671252 PECOS PAC ID: 3476910936 Enrollment ID: I20240826003692 |
| Provider Name | Alexa Soares Jensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811690357 PECOS PAC ID: 3375909047 Enrollment ID: I20240826004176 |
| Provider Name | Georgios Michalopoulos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922702232 PECOS PAC ID: 0345606075 Enrollment ID: I20240827000681 |
| Provider Name | Cecilia Vincy Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649966573 PECOS PAC ID: 9335509983 Enrollment ID: I20240827001237 |
| Provider Name | Julia Diane Liberto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285329425 PECOS PAC ID: 2062878721 Enrollment ID: I20240827001528 |
| Provider Name | Kalei Moon Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932896941 PECOS PAC ID: 2365808029 Enrollment ID: I20240827001682 |
| Provider Name | Barbara Louise Mullen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891498572 PECOS PAC ID: 7315303104 Enrollment ID: I20240827001751 |
| Provider Name | Bruin Pollard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063117133 PECOS PAC ID: 3870951551 Enrollment ID: I20240827002573 |
| Provider Name | Olga Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922795939 PECOS PAC ID: 8022474782 Enrollment ID: I20240827003204 |
| Provider Name | Angela Lu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619671237 PECOS PAC ID: 4183080856 Enrollment ID: I20240828000422 |
| Provider Name | Victoria Adejoke Oladipo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588312284 PECOS PAC ID: 3870959653 Enrollment ID: I20240828000782 |
| Provider Name | Preston Ray Mcmullin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902500218 PECOS PAC ID: 9133585862 Enrollment ID: I20240828001801 |
| Provider Name | Santiago Martinez Sosa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780365304 PECOS PAC ID: 7416319298 Enrollment ID: I20240828002047 |
| Provider Name | Elleana Joy Majdinasab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083319719 PECOS PAC ID: 4486012150 Enrollment ID: I20240828002348 |
| Provider Name | Rachel Mcphedran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013755842 PECOS PAC ID: 7214476704 Enrollment ID: I20240828002644 |
| Provider Name | Ranveer Mohan Singh Vasdev |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922706159 PECOS PAC ID: 2961868179 Enrollment ID: I20240828002938 |
| Provider Name | Connor Patrick Mcmahon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558065060 PECOS PAC ID: 1759747546 Enrollment ID: I20240828003001 |
| Provider Name | Malik Tyvell Mays |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831892884 PECOS PAC ID: 7113383845 Enrollment ID: I20240828003233 |
| Provider Name | Savannah Rose Whitfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629771530 PECOS PAC ID: 7911363106 Enrollment ID: I20240828004380 |
| Provider Name | Olivia Man |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972200772 PECOS PAC ID: 0547626285 Enrollment ID: I20240829000392 |
| Provider Name | Saadiya Nazli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366188369 PECOS PAC ID: 3072994680 Enrollment ID: I20240829000973 |
| Provider Name | Hirmand Nouraei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285464925 PECOS PAC ID: 7113466590 Enrollment ID: I20240829001079 |
| Provider Name | Keaton Andrew Rummel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164117297 PECOS PAC ID: 0042673006 Enrollment ID: I20240829001469 |
| Provider Name | Abdul Kader Natour |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114668225 PECOS PAC ID: 3375921109 Enrollment ID: I20240829002419 |
| Provider Name | Sierra Nichole Tolbert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659079507 PECOS PAC ID: 9931565702 Enrollment ID: I20240829003303 |
| Provider Name | Amanda Marie Ruiz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114615796 PECOS PAC ID: 6204292840 Enrollment ID: I20240829003682 |
| Provider Name | John Robert Roth |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487357810 PECOS PAC ID: 4385000264 Enrollment ID: I20240829003728 |
| Provider Name | Emmanuella Lebasaana Salia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689369357 PECOS PAC ID: 5092171058 Enrollment ID: I20240829003784 |
| Provider Name | Ken Porche |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407389372 PECOS PAC ID: 8224303821 Enrollment ID: I20240830001046 |
| Provider Name | Molly Margaret Murray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437806551 PECOS PAC ID: 5597121319 Enrollment ID: I20240902000363 |
| Provider Name | Angelina Lee Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356186605 PECOS PAC ID: 4789123894 Enrollment ID: I20240903001581 |
| Provider Name | Smitha Narayana Gowda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942790126 PECOS PAC ID: 2961751805 Enrollment ID: I20240903002756 |
| Provider Name | Ikreet Cheema |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346071487 PECOS PAC ID: 2062951155 Enrollment ID: I20240904000043 |
| Provider Name | Stephany J Dimoulas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326893934 PECOS PAC ID: 6901346006 Enrollment ID: I20240904000808 |
| Provider Name | Kelli Durr Pflughoft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649013806 PECOS PAC ID: 7719427814 Enrollment ID: I20240904000809 |
| Provider Name | Rainey L. Bloomquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114775152 PECOS PAC ID: 4789124819 Enrollment ID: I20240904002398 |
| Provider Name | Aaron Gu Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851123863 PECOS PAC ID: 9234679374 Enrollment ID: I20240904002932 |
| Provider Name | Shannon Lillina Cogdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588401574 PECOS PAC ID: 8123568201 Enrollment ID: I20240904004406 |
| Provider Name | David Oleh Sohutskay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881397206 PECOS PAC ID: 0941666036 Enrollment ID: I20240905004598 |
| Provider Name | Madalyn Marie Mechas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790542397 PECOS PAC ID: 3870033780 Enrollment ID: I20240906000393 |
| Provider Name | Katherine Julia Spurlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588352371 PECOS PAC ID: 8820454580 Enrollment ID: I20240906001044 |
| Provider Name | Sara a Segner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205456738 PECOS PAC ID: 2365982295 Enrollment ID: I20240906001078 |
| Provider Name | Kathleen Marie Skeens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407438203 PECOS PAC ID: 8426414632 Enrollment ID: I20240906003309 |
| Provider Name | John Richard Strikwerda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104516590 PECOS PAC ID: 0648636290 Enrollment ID: I20240906003575 |
| Provider Name | Olivia Emmanuelle Stanier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700574779 PECOS PAC ID: 5294191375 Enrollment ID: I20240906004135 |
| Provider Name | Anthony Alan Stephenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760185524 PECOS PAC ID: 4688030778 Enrollment ID: I20240907000240 |
| Provider Name | Steven Tessier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508552258 PECOS PAC ID: 0749646909 Enrollment ID: I20240907000578 |
| Provider Name | Marisa Nicole Ulrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376291872 PECOS PAC ID: 9638535859 Enrollment ID: I20240907000674 |
| Provider Name | Grace Louisa Gary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467297754 PECOS PAC ID: 7012457849 Enrollment ID: I20240909000393 |
| Provider Name | Shelby Kohatsu Yee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720773120 PECOS PAC ID: 9234595448 Enrollment ID: I20240909002529 |
| Provider Name | Casey Robert Vieni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801584529 PECOS PAC ID: 0244696458 Enrollment ID: I20240909003932 |
| Provider Name | Matthew Tyler Weintraub |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376246090 PECOS PAC ID: 1052777265 Enrollment ID: I20240910000176 |
| Provider Name | Nadia Toumeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265181127 PECOS PAC ID: 6103282322 Enrollment ID: I20240910000354 |
| Provider Name | Jackson Newcomer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275283103 PECOS PAC ID: 8123568771 Enrollment ID: I20240910001076 |
| Provider Name | Sean Daniel O'donnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851094932 PECOS PAC ID: 8022474881 Enrollment ID: I20240910001105 |
| Provider Name | Luke C Teigen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366138828 PECOS PAC ID: 2668826892 Enrollment ID: I20240910001480 |
| Provider Name | Anaelle Carla Zimmowitch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386331932 PECOS PAC ID: 6103282256 Enrollment ID: I20240910002855 |
| Provider Name | Abigail Therese Tarasewicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699462374 PECOS PAC ID: 4284090366 Enrollment ID: I20240910002925 |
| Provider Name | Allison Rae Valerius |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306594387 PECOS PAC ID: 3870959083 Enrollment ID: I20240910003762 |
| Provider Name | Emily Lin Siegler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841941937 PECOS PAC ID: 7315303500 Enrollment ID: I20240911000999 |
| Provider Name | Gabrielle S Gale |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689422636 PECOS PAC ID: 5496295982 Enrollment ID: I20240911001429 |
| Provider Name | Nicolas Aleksei Winter Selemon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992408884 PECOS PAC ID: 8628434388 Enrollment ID: I20240911003518 |
| Provider Name | Matthew Scott Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578317889 PECOS PAC ID: 0749720159 Enrollment ID: I20240912001540 |
| Provider Name | Kyle Andrew Capone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568204386 PECOS PAC ID: 8820538143 Enrollment ID: I20240912002455 |
| Provider Name | Syeda Sahra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356904551 PECOS PAC ID: 6305175688 Enrollment ID: I20240913001053 |
| Provider Name | Simon Rodier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659834646 PECOS PAC ID: 3870836976 Enrollment ID: I20240913001316 |
| Provider Name | Maheen Khan Bangash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275236432 PECOS PAC ID: 8325404536 Enrollment ID: I20240916001636 |
| Provider Name | Mary Younji Sohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033730502 PECOS PAC ID: 2668839960 Enrollment ID: I20240916001868 |
| Provider Name | Emma Kelly Stetler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982468757 PECOS PAC ID: 8224475033 Enrollment ID: I20240916002811 |
| Provider Name | Isabel Angela Yoon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427752294 PECOS PAC ID: 5698131803 Enrollment ID: I20240917000859 |
| Provider Name | Anna Thomsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750084224 PECOS PAC ID: 3678939832 Enrollment ID: I20240917001687 |
| Provider Name | Emma Eileen Villamaria |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902500622 PECOS PAC ID: 2365808565 Enrollment ID: I20240917003097 |
| Provider Name | Scott a Vonbank |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568125912 PECOS PAC ID: 3375903735 Enrollment ID: I20240918003765 |
| Provider Name | Zeynep Ilke Ozcan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205539301 PECOS PAC ID: 7911363700 Enrollment ID: I20240918004401 |
| Provider Name | Mohamed Sarraj |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184455248 PECOS PAC ID: 3072054857 Enrollment ID: I20240919003186 |
| Provider Name | Reid Schlesinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679129654 PECOS PAC ID: 5698131845 Enrollment ID: I20240919003347 |
| Provider Name | Sean Patrick Curran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609599950 PECOS PAC ID: 9638610421 Enrollment ID: I20240919003499 |
| Provider Name | Maria F Aguilera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912570854 PECOS PAC ID: 7214478015 Enrollment ID: I20240919003804 |
| Provider Name | Eva Elizabeth Schaible |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992408280 PECOS PAC ID: 5496111577 Enrollment ID: I20240919004066 |
| Provider Name | Charles-antoine Alexandre Mechas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326508524 PECOS PAC ID: 9638597362 Enrollment ID: I20240919004170 |
| Provider Name | Kayvon Faeghi Sharif |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730882317 PECOS PAC ID: 4880050970 Enrollment ID: I20240920001784 |
| Provider Name | Omoteniola Aishat Davis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982391553 PECOS PAC ID: 0547626582 Enrollment ID: I20240920002860 |
| Provider Name | Michael Mckernan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437846144 PECOS PAC ID: 5193185411 Enrollment ID: I20240920003203 |
| Provider Name | Maria Saliba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134815186 PECOS PAC ID: 7911363999 Enrollment ID: I20240920003290 |
| Provider Name | Trevor Andrew Gauthier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295422376 PECOS PAC ID: 5193181907 Enrollment ID: I20240920003304 |
| Provider Name | Haley Elise Sherburne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992408538 PECOS PAC ID: 6507222692 Enrollment ID: I20240920003542 |
| Provider Name | Trina Victoria Stephens |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013740968 PECOS PAC ID: 4284175993 Enrollment ID: I20240923000181 |
| Provider Name | Kaden Neuberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366144859 PECOS PAC ID: 2365983079 Enrollment ID: I20240923000211 |
| Provider Name | Grace Ann Hagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508569617 PECOS PAC ID: 0143686873 Enrollment ID: I20240923000311 |
| Provider Name | Rachel Elise Koenig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215773007 PECOS PAC ID: 3173064896 Enrollment ID: I20240923000594 |
| Provider Name | Michelle Nicole Stram |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316329865 PECOS PAC ID: 2163963893 Enrollment ID: I20240923000684 |
| Provider Name | Guido Fiorentini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750050373 PECOS PAC ID: 3375940950 Enrollment ID: I20240923001342 |
| Provider Name | Mitchell Thelen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811692338 PECOS PAC ID: 8426419318 Enrollment ID: I20240923001736 |
| Provider Name | Jesse Nolan Steadman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407423627 PECOS PAC ID: 0446791016 Enrollment ID: I20240923002722 |
| Provider Name | Lindsay Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124860390 PECOS PAC ID: 6608317227 Enrollment ID: I20240924000482 |
| Provider Name | Marwil Pacheco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285263319 PECOS PAC ID: 1658812276 Enrollment ID: I20240924000655 |
| Provider Name | Nicole Marie Lauffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437906658 PECOS PAC ID: 9133660657 Enrollment ID: I20240924000957 |
| Provider Name | Matthew C Councell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952024374 PECOS PAC ID: 1759822281 Enrollment ID: I20240924001482 |
| Provider Name | Levi Polus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063165835 PECOS PAC ID: 1557756491 Enrollment ID: I20240924002550 |
| Provider Name | Mckenna Schimmel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215685888 PECOS PAC ID: 3173989233 Enrollment ID: I20240924003865 |
| Provider Name | Alexis Breanna Hilts |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831891464 PECOS PAC ID: 7416301361 Enrollment ID: I20240926001044 |
| Provider Name | Alexander Charles Hayden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447948658 PECOS PAC ID: 1456717230 Enrollment ID: I20240926002625 |
| Provider Name | Meghan E Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134624315 PECOS PAC ID: 0547517344 Enrollment ID: I20240926003328 |
| Provider Name | Christopher Vetter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609306646 PECOS PAC ID: 3375922149 Enrollment ID: I20240926003421 |
| Provider Name | Rebecca Leigh Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568210151 PECOS PAC ID: 9133650435 Enrollment ID: I20240926003600 |
| Provider Name | Nicholas Anthony Staffieri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790522472 PECOS PAC ID: 0648701953 Enrollment ID: I20240926003845 |
| Provider Name | Alyssa C Arel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194556266 PECOS PAC ID: 5597296822 Enrollment ID: I20240927000331 |
| Provider Name | Zohaib Y Lakhani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962105841 PECOS PAC ID: 6002275997 Enrollment ID: I20240927000372 |
| Provider Name | Avantika Lakshmi Narasimhan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144923111 PECOS PAC ID: 0143686782 Enrollment ID: I20240927000420 |
| Provider Name | Alexander R Cortez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427443076 PECOS PAC ID: 0749592913 Enrollment ID: I20240927000665 |
| Provider Name | Austin Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679261580 PECOS PAC ID: 3971969189 Enrollment ID: I20240927002121 |
| Provider Name | Ryder Ronald Richard Reed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679101307 PECOS PAC ID: 9638593197 Enrollment ID: I20240927002583 |
| Provider Name | Samuel Schaffer Rudisill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083297519 PECOS PAC ID: 8022474741 Enrollment ID: I20240930000508 |
| Provider Name | Nara T Judd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437610920 PECOS PAC ID: 4183958523 Enrollment ID: I20240930000908 |
| Provider Name | John Bonner Maxwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457916413 PECOS PAC ID: 8527395367 Enrollment ID: I20240930001554 |
| Provider Name | Hailey Rose Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053092486 PECOS PAC ID: 9739542275 Enrollment ID: I20241001001179 |
| Provider Name | Michael David Zhitnitsky |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386349884 PECOS PAC ID: 0244761393 Enrollment ID: I20241001001355 |
| Provider Name | Georges Kaoukabani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528761418 PECOS PAC ID: 5698131357 Enrollment ID: I20241001001367 |
| Provider Name | Kiran Kaur Chauhan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174211239 PECOS PAC ID: 5890155659 Enrollment ID: I20241001001453 |
| Provider Name | Jenna Arlys Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740023860 PECOS PAC ID: 9931630084 Enrollment ID: I20241001001472 |
| Provider Name | Amy Lynn Norby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508601600 PECOS PAC ID: 7113458266 Enrollment ID: I20241001001477 |
| Provider Name | Daniel Zheng You |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710671300 PECOS PAC ID: 1153777875 Enrollment ID: I20241001001902 |
| Provider Name | Kyle Joseph Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952144594 PECOS PAC ID: 7810428885 Enrollment ID: I20241001002438 |
| Provider Name | Elizabeth Anne Boots |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902662380 PECOS PAC ID: 1355872334 Enrollment ID: I20241001002890 |
| Provider Name | Faye Angelique Antonio Celestino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073133609 PECOS PAC ID: 2062943921 Enrollment ID: I20241002001708 |
| Provider Name | Paul Thomas Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013756246 PECOS PAC ID: 8022549906 Enrollment ID: I20241002002809 |
| Provider Name | Ryan Toan Dinh Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265135776 PECOS PAC ID: 5496111205 Enrollment ID: I20241003001214 |
| Provider Name | Ethan Aubrey Thonn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760187629 PECOS PAC ID: 1355872177 Enrollment ID: I20241004000173 |
| Provider Name | Jacob Lee Kooiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710726484 PECOS PAC ID: 8224569058 Enrollment ID: I20241004000265 |
| Provider Name | Alex Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881382315 PECOS PAC ID: 0648634287 Enrollment ID: I20241004001718 |
| Provider Name | Alexandra Marie Austin Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164127676 PECOS PAC ID: 3577923358 Enrollment ID: I20241008003280 |
| Provider Name | Leslie J Christenson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871571794 PECOS PAC ID: 0446346472 Enrollment ID: I20241009000536 |
| Provider Name | Lisa Marie Mielniczuk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053174870 PECOS PAC ID: 5294266631 Enrollment ID: I20241009001477 |
| Provider Name | Madeline Ann Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083451835 PECOS PAC ID: 9931630399 Enrollment ID: I20241009002366 |
| Provider Name | Aditya Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164009825 PECOS PAC ID: 5496156671 Enrollment ID: I20241009002851 |
| Provider Name | Joao V Machado Horvat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952918203 PECOS PAC ID: 1658784350 Enrollment ID: I20241010001630 |
| Provider Name | Ashley Alyson Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194561613 PECOS PAC ID: 0941732309 Enrollment ID: I20241010002184 |
| Provider Name | Javier Enrique Gomez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326784588 PECOS PAC ID: 2860878170 Enrollment ID: I20241014001605 |
| Provider Name | Katherine Marie Alvarez-wurdeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669215422 PECOS PAC ID: 5294267431 Enrollment ID: I20241014001820 |
| Provider Name | Derek Michael Rupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144064825 PECOS PAC ID: 7517499767 Enrollment ID: I20241014002032 |
| Provider Name | Brian Robert Bickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134961402 PECOS PAC ID: 0840722096 Enrollment ID: I20241014002201 |
| Provider Name | Brooke Joanne Wooster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114770526 PECOS PAC ID: 1153853312 Enrollment ID: I20241014002489 |
| Provider Name | Katie Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083144224 PECOS PAC ID: 2264705466 Enrollment ID: I20241014002734 |
| Provider Name | Sue Ting Lim |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629598834 PECOS PAC ID: 7517238934 Enrollment ID: I20241014003922 |
| Provider Name | Sara Kaitlyn Daniel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508251125 PECOS PAC ID: 9537475330 Enrollment ID: I20241014004662 |
| Provider Name | Samantha Porcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083455737 PECOS PAC ID: 7113459173 Enrollment ID: I20241015002680 |
| Provider Name | Erin Elizabeth Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790529436 PECOS PAC ID: 2860924685 Enrollment ID: I20241018000050 |
| Provider Name | Alexa Nicole Dvorak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982448007 PECOS PAC ID: 3678005493 Enrollment ID: I20241018000081 |
| Provider Name | Simon Joseph Jean-yves Laplante |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003633223 PECOS PAC ID: 8820520646 Enrollment ID: I20241018000149 |
| Provider Name | Karlise Catherine Rotenberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396575734 PECOS PAC ID: 5092247817 Enrollment ID: I20241018000196 |
| Provider Name | Sarah Ann Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982446589 PECOS PAC ID: 5991237638 Enrollment ID: I20241018001168 |
| Provider Name | Abbey Marie Roisum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386488419 PECOS PAC ID: 0941732697 Enrollment ID: I20241018001808 |
| Provider Name | Heather Marie Borchert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912745480 PECOS PAC ID: 3173055712 Enrollment ID: I20241021001502 |
| Provider Name | Caleb James Trouth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669165494 PECOS PAC ID: 1254863830 Enrollment ID: I20241021003459 |
| Provider Name | Sarah Jean Welsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578396198 PECOS PAC ID: 1153853734 Enrollment ID: I20241021003500 |
| Provider Name | Andrew C Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104669415 PECOS PAC ID: 9234661828 Enrollment ID: I20241021003539 |
| Provider Name | Catherine Carver Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528801925 PECOS PAC ID: 5597297184 Enrollment ID: I20241021003625 |
| Provider Name | Cathy Niu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639916521 PECOS PAC ID: 0547792137 Enrollment ID: I20241021003829 |
| Provider Name | Garima Dahiya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235653973 PECOS PAC ID: 3678831880 Enrollment ID: I20241021004245 |
| Provider Name | Lee Ann Santore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821791955 PECOS PAC ID: 6002272077 Enrollment ID: I20241022003026 |
| Provider Name | Luis Alejandro Antezana |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871280164 PECOS PAC ID: 8426414210 Enrollment ID: I20241023002209 |
| Provider Name | Jasmine Perez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598501439 PECOS PAC ID: 6901339167 Enrollment ID: I20241025002172 |
| Provider Name | Claire Fabian |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851089775 PECOS PAC ID: 8325400096 Enrollment ID: I20241028002479 |
| Provider Name | Natally De Souza Maciel Rocha Horvat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215544572 PECOS PAC ID: 8729491428 Enrollment ID: I20241029000363 |
| Provider Name | Kelsey Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861099624 PECOS PAC ID: 5294268330 Enrollment ID: I20241029001618 |
| Provider Name | Lindsey M Zhang |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023465838 PECOS PAC ID: 7517259989 Enrollment ID: I20241030002313 |
| Provider Name | Alyssa Halalay Kalata |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063718989 PECOS PAC ID: 7911168158 Enrollment ID: I20241030002323 |
| Provider Name | Megan N Webb |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073246179 PECOS PAC ID: 7214312065 Enrollment ID: I20241030002471 |
| Provider Name | Tori Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245069871 PECOS PAC ID: 4284167149 Enrollment ID: I20241030002525 |
| Provider Name | Samantha Ann Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649019688 PECOS PAC ID: 3274066147 Enrollment ID: I20241030003023 |
| Provider Name | James Michael Wentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457187239 PECOS PAC ID: 4486187374 Enrollment ID: I20241030003931 |
| Provider Name | Nadia El-hamdi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780386029 PECOS PAC ID: 7012375082 Enrollment ID: I20241031000530 |
| Provider Name | Deanna Kay Tweten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255186458 PECOS PAC ID: 6204369127 Enrollment ID: I20241031000739 |
| Provider Name | Mary Katherine Trouth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518798123 PECOS PAC ID: 6709319528 Enrollment ID: I20241031000969 |
| Provider Name | Amy Winifred Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083443998 PECOS PAC ID: 2860925682 Enrollment ID: I20241031001102 |
| Provider Name | Anand Srinivasan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588069645 PECOS PAC ID: 8527465301 Enrollment ID: I20241031001583 |
| Provider Name | Hannah Rebekah Rodgers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205664166 PECOS PAC ID: 2769915529 Enrollment ID: I20241031002951 |
| Provider Name | Cole Grant Gunneson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851014948 PECOS PAC ID: 2466985239 Enrollment ID: I20241031003155 |
| Provider Name | Mandy Marie Sailor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467293373 PECOS PAC ID: 1951834613 Enrollment ID: I20241101003308 |
| Provider Name | Xiaoyan Fei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922658087 PECOS PAC ID: 6204294671 Enrollment ID: I20241104001322 |
| Provider Name | Sreechandra Kruthiventi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265090591 PECOS PAC ID: 1052845534 Enrollment ID: I20241106001053 |
| Provider Name | Ayssa Teles Abrao Trad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609571371 PECOS PAC ID: 5193181311 Enrollment ID: I20241106001800 |
| Provider Name | Brian Michael Bishop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265136725 PECOS PAC ID: 5395199731 Enrollment ID: I20241107004296 |
| Provider Name | Kashmira Chawla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558716423 PECOS PAC ID: 4183915465 Enrollment ID: I20241108002131 |
| Provider Name | Amy Caroline Klompenhower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619794021 PECOS PAC ID: 7517491566 Enrollment ID: I20241113001524 |
| Provider Name | Anoop Sheshadri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639469661 PECOS PAC ID: 4981997426 Enrollment ID: I20241113002465 |
| Provider Name | Haley Ray Hoel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871033175 PECOS PAC ID: 1052845021 Enrollment ID: I20241113002554 |
| Provider Name | Ramon Banzon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770348690 PECOS PAC ID: 9537693510 Enrollment ID: I20241113002850 |
| Provider Name | Kaitlin Marie Conniff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427771609 PECOS PAC ID: 8628503992 Enrollment ID: I20241122002333 |
| Provider Name | Lora Linda Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528885233 PECOS PAC ID: 8022543206 Enrollment ID: I20241125002277 |
| Provider Name | Paige Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699505321 PECOS PAC ID: 4183159361 Enrollment ID: I20241125002427 |
| Provider Name | Omar Ryan Yaman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851174577 PECOS PAC ID: 5597128116 Enrollment ID: I20241126004239 |
| Provider Name | Brittany Lashea Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780053157 PECOS PAC ID: 3476088311 Enrollment ID: I20241202000481 |
| Provider Name | Lewis Hahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023455854 PECOS PAC ID: 3779839543 Enrollment ID: I20241202001282 |
| Provider Name | John Scott Heath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881697985 PECOS PAC ID: 8628966926 Enrollment ID: I20241202001774 |
| Provider Name | Ashley M Jancuska |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942650197 PECOS PAC ID: 3971895574 Enrollment ID: I20241204000304 |
| Provider Name | Sheyna Elizabeth Gifford |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1497198162 PECOS PAC ID: 3971874843 Enrollment ID: I20241204000430 |
| Provider Name | Tasneem Riyad Abdel-karim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669057444 PECOS PAC ID: 4981005188 Enrollment ID: I20241204001879 |
| Provider Name | Kasandra M Hager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063249712 PECOS PAC ID: 0042746737 Enrollment ID: I20241204003415 |
| Provider Name | Jasmine Raneisha Berry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235862400 PECOS PAC ID: 4789110347 Enrollment ID: I20241206000979 |
| Provider Name | Caitlin Crowley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356126338 PECOS PAC ID: 5193174811 Enrollment ID: I20241206001837 |
| Provider Name | Rylan David Bearden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073221396 PECOS PAC ID: 5799211272 Enrollment ID: I20241206002168 |
| Provider Name | Amna Ahmed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609695824 PECOS PAC ID: 3678009156 Enrollment ID: I20241206002259 |
| Provider Name | Danielle Ruth Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174345169 PECOS PAC ID: 7012443930 Enrollment ID: I20241216000558 |
| Provider Name | Elisabeth Heath |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700823796 PECOS PAC ID: 8022020379 Enrollment ID: I20241219002287 |
| Provider Name | Eric John Spagenski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922520998 PECOS PAC ID: 3678000296 Enrollment ID: I20241220001294 |
| Provider Name | Rachel Lauren Edvenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902625874 PECOS PAC ID: 4082141585 Enrollment ID: I20241223001085 |
| Provider Name | Christoph Wald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487754370 PECOS PAC ID: 1557346442 Enrollment ID: I20241224001319 |
| Provider Name | Amanda Rose Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861216491 PECOS PAC ID: 5294262689 Enrollment ID: I20241224001474 |
| Provider Name | Robrecht Nils Planken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407671589 PECOS PAC ID: 8426585449 Enrollment ID: I20250102001505 |
| Provider Name | Lindsey Roeker |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1497168538 PECOS PAC ID: 0547670820 Enrollment ID: I20250108001587 |
| Provider Name | Sandra Maged Salama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720800741 PECOS PAC ID: 1355879032 Enrollment ID: I20250108002623 |
| Provider Name | Amanda Dawn Heuker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548032766 PECOS PAC ID: 3971031691 Enrollment ID: I20250109000368 |
| Provider Name | Pamela Jean Roessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831910058 PECOS PAC ID: 7618405341 Enrollment ID: I20250109000791 |
| Provider Name | Vincent a Hurley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649993981 PECOS PAC ID: 9335677905 Enrollment ID: I20250109002701 |
| Provider Name | Allison Hoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235946575 PECOS PAC ID: 0941738579 Enrollment ID: I20250110001060 |
| Provider Name | Rikki M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881423184 PECOS PAC ID: 0244768885 Enrollment ID: I20250110001395 |
| Provider Name | Hannah Catherine Southwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245059955 PECOS PAC ID: 1557899002 Enrollment ID: I20250110002683 |
| Provider Name | Wade Fredrick Katula |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477276715 PECOS PAC ID: 0143758599 Enrollment ID: I20250113002059 |
| Provider Name | Erika Denise Guyon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467123166 PECOS PAC ID: 1850742990 Enrollment ID: I20250113002320 |
| Provider Name | Anna Marie Trotter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558183962 PECOS PAC ID: 7214466390 Enrollment ID: I20250121000008 |
| Provider Name | Kristen S Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144905670 PECOS PAC ID: 6002278025 Enrollment ID: I20250121000073 |
| Provider Name | Bethany Diamond Carnefix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134650690 PECOS PAC ID: 0446514228 Enrollment ID: I20250121000746 |
| Provider Name | Anthony Edward Lawler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093436198 PECOS PAC ID: 8921537929 Enrollment ID: I20250121001245 |
| Provider Name | Estee P Wang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417202417 PECOS PAC ID: 5395274351 Enrollment ID: I20250121003255 |
| Provider Name | Vaibhav Gupta |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992515738 PECOS PAC ID: 2567991102 Enrollment ID: I20250127000684 |
| Provider Name | Janelle Amber Strain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336964485 PECOS PAC ID: 1951830587 Enrollment ID: I20250128002790 |
| Provider Name | Dennis P. Mcginnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144762808 PECOS PAC ID: 4587193875 Enrollment ID: I20250131001209 |
| Provider Name | Grace Evelyn Larsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841031002 PECOS PAC ID: 4880123009 Enrollment ID: I20250131002798 |
| Provider Name | Nway Le Ko Ko |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649646126 PECOS PAC ID: 9032443106 Enrollment ID: I20250203001097 |
| Provider Name | Timothy J Poterucha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124466412 PECOS PAC ID: 9638390198 Enrollment ID: I20250203001239 |
| Provider Name | Hannah R Vaden |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225712292 PECOS PAC ID: 0840653853 Enrollment ID: I20250206000518 |
| Provider Name | Bailee Eleanor Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215754486 PECOS PAC ID: 8921538877 Enrollment ID: I20250207002085 |
| Provider Name | Elizabeth Crowley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962285460 PECOS PAC ID: 2769912567 Enrollment ID: I20250210000387 |
| Provider Name | Jacob L. Clements |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699222760 PECOS PAC ID: 6608162755 Enrollment ID: I20250211003739 |
| Provider Name | Gelareh Mohammadzadeh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861208209 PECOS PAC ID: 4880124460 Enrollment ID: I20250212000735 |
| Provider Name | Scott a Tober |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235462995 PECOS PAC ID: 2466594288 Enrollment ID: I20250213001622 |
| Provider Name | Taiylor Bowen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447069463 PECOS PAC ID: 6002336203 Enrollment ID: I20250218002791 |
| Provider Name | Mitchell Holtzworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376368654 PECOS PAC ID: 9133649213 Enrollment ID: I20250219002143 |
| Provider Name | Kimberly O'day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497017370 PECOS PAC ID: 0840516837 Enrollment ID: I20250219002385 |
| Provider Name | Renee Tiffani Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659188720 PECOS PAC ID: 2163942269 Enrollment ID: I20250219002829 |
| Provider Name | Rachel Ya Whey Graves |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992428379 PECOS PAC ID: 5496275463 Enrollment ID: I20250220001690 |
| Provider Name | Kelsey Alexis Block |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659073369 PECOS PAC ID: 2466972443 Enrollment ID: I20250220001817 |
| Provider Name | Emily Eva Schlechtinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760190482 PECOS PAC ID: 6507386588 Enrollment ID: I20250220002011 |
| Provider Name | Molly Claire Sindelar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023794765 PECOS PAC ID: 3375063399 Enrollment ID: I20250220003446 |
| Provider Name | Jeannie Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013724103 PECOS PAC ID: 8426578311 Enrollment ID: I20250221002806 |
| Provider Name | Jesse C Coble |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730998790 PECOS PAC ID: 3375063167 Enrollment ID: I20250224002508 |
| Provider Name | Carli Jade Cota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952944258 PECOS PAC ID: 1052726841 Enrollment ID: I20250226002472 |
| Provider Name | Ashley Janet Haga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548945249 PECOS PAC ID: 7214457761 Enrollment ID: I20250227000831 |
| Provider Name | James Warren Swanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750106084 PECOS PAC ID: 7113447608 Enrollment ID: I20250227001906 |
| Provider Name | Hans Christopher Dubbels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134944812 PECOS PAC ID: 4284154691 Enrollment ID: I20250227003285 |
| Provider Name | Cory Keller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043036197 PECOS PAC ID: 6800316274 Enrollment ID: I20250228001594 |
| Provider Name | Nuzhet Meridew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215377627 PECOS PAC ID: 9133649528 Enrollment ID: I20250228002312 |
| Provider Name | Alyssa Marie Meza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720899958 PECOS PAC ID: 0244751600 Enrollment ID: I20250303001106 |
| Provider Name | J Jesus Meza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821809674 PECOS PAC ID: 2466973789 Enrollment ID: I20250303003290 |
| Provider Name | Marcin Moryc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376369470 PECOS PAC ID: 8628599867 Enrollment ID: I20250305000375 |
| Provider Name | Eli Swartzentruber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013732759 PECOS PAC ID: 2668993791 Enrollment ID: I20250305003372 |
| Provider Name | Tyler Steinberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083439061 PECOS PAC ID: 9234650219 Enrollment ID: I20250306001429 |
| Provider Name | Taylor Lehmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699590331 PECOS PAC ID: 9830610823 Enrollment ID: I20250306001621 |
| Provider Name | Nathan Jon Rudlong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528875986 PECOS PAC ID: 9739600594 Enrollment ID: I20250310000882 |
| Provider Name | Zachary Bruce Homontowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922810662 PECOS PAC ID: 2769903525 Enrollment ID: I20250310001146 |
| Provider Name | James M Hurley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689486177 PECOS PAC ID: 5092236877 Enrollment ID: I20250310001637 |
| Provider Name | Jessica Salpor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033807466 PECOS PAC ID: 6103282926 Enrollment ID: I20250310002177 |
| Provider Name | Alyssa Marie Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265245997 PECOS PAC ID: 2466973086 Enrollment ID: I20250311002548 |
| Provider Name | Jack Todd Roesler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275256539 PECOS PAC ID: 5698296226 Enrollment ID: I20250311002819 |
| Provider Name | Jennifer Schundler Meyers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700601044 PECOS PAC ID: 3072641877 Enrollment ID: I20250313001181 |
| Provider Name | Christopher a Cipoletti-ewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356159875 PECOS PAC ID: 3476075961 Enrollment ID: I20250313001637 |
| Provider Name | Chelsie Althea Fabian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639974702 PECOS PAC ID: 7911429352 Enrollment ID: I20250314002645 |
| Provider Name | Eric Scott Semmel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437813003 PECOS PAC ID: 8527580828 Enrollment ID: I20250317000669 |
| Provider Name | Brittany Michels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700252632 PECOS PAC ID: 2163714585 Enrollment ID: I20250317001561 |
| Provider Name | Kelsey Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770308777 PECOS PAC ID: 4688196942 Enrollment ID: I20250317002589 |
| Provider Name | Paul C Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942375043 PECOS PAC ID: 7214944107 Enrollment ID: I20250318003354 |
| Provider Name | Eunice Fay Nyanamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467265165 PECOS PAC ID: 9638691744 Enrollment ID: I20250318003395 |
| Provider Name | Kirby John Greger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982419842 PECOS PAC ID: 2769905207 Enrollment ID: I20250326000265 |
| Provider Name | Louis Dac Pham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881406759 PECOS PAC ID: 1052834520 Enrollment ID: I20250326001211 |
| Provider Name | Devon Everson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558183137 PECOS PAC ID: 9436672706 Enrollment ID: I20250327000562 |
| Provider Name | Lauren Theiss Gleason |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1285167288 PECOS PAC ID: 6507133253 Enrollment ID: I20250327001540 |
| Provider Name | Kimberly C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144892407 PECOS PAC ID: 5193115210 Enrollment ID: I20250403002403 |
| Provider Name | Molly Jill Leis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801603428 PECOS PAC ID: 8123542529 Enrollment ID: I20250407003524 |
| Provider Name | Rebekah Jean Seinola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043012479 PECOS PAC ID: 4284158171 Enrollment ID: I20250414000182 |
| Provider Name | Sharmila Arjunan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215746912 PECOS PAC ID: 9931624517 Enrollment ID: I20250416000809 |
| Provider Name | Jordi Sanchez Dahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225842651 PECOS PAC ID: 4486179017 Enrollment ID: I20250416002070 |
| Provider Name | Jessica Miriam Cemenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790594737 PECOS PAC ID: 3274058805 Enrollment ID: I20250416002202 |
| Provider Name | Amelia N Kopplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013727114 PECOS PAC ID: 0143745786 Enrollment ID: I20250416002397 |
| Provider Name | Kaitlin Maureen Mulcahy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578248381 PECOS PAC ID: 9234654757 Enrollment ID: I20250417000816 |
| Provider Name | Timothy Jay Milbrandt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619791993 PECOS PAC ID: 4981129418 Enrollment ID: I20250417001137 |
| Provider Name | Emily Suzanne Ingram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932905056 PECOS PAC ID: 1658896022 Enrollment ID: I20250417002429 |
| Provider Name | Claire Lindsay Slote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295416006 PECOS PAC ID: 9436674678 Enrollment ID: I20250421000555 |
| Provider Name | Stacy Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679367866 PECOS PAC ID: 9739604976 Enrollment ID: I20250421000645 |
| Provider Name | Michael Heiling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609673573 PECOS PAC ID: 4284159484 Enrollment ID: I20250421001827 |
| Provider Name | Nasser B Lubega |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376237479 PECOS PAC ID: 4789045568 Enrollment ID: I20250422003606 |
| Provider Name | Nancy Ann Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790587715 PECOS PAC ID: 2860917747 Enrollment ID: I20250423002390 |
| Provider Name | Giovanni Feliciano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831984095 PECOS PAC ID: 8527584143 Enrollment ID: I20250428001542 |
| Provider Name | Barbara Lynn Dallavalle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316731623 PECOS PAC ID: 5597281097 Enrollment ID: I20250428003597 |
| Provider Name | Miriam Liat Alpert |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396378014 PECOS PAC ID: 7315328788 Enrollment ID: I20250508000894 |
| Provider Name | Ari Phillip Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902425705 PECOS PAC ID: 4880111236 Enrollment ID: I20250508001594 |
| Provider Name | Dory Arevalo Salazar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972173284 PECOS PAC ID: 8426451105 Enrollment ID: I20250508001604 |
| Provider Name | Noppawit Aiumtrakul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295466324 PECOS PAC ID: 9931626397 Enrollment ID: I20250508002112 |
| Provider Name | Upasana Agrawal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417691932 PECOS PAC ID: 7517484983 Enrollment ID: I20250508002306 |
| Provider Name | Omar a Abdelsadek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720751100 PECOS PAC ID: 0042614133 Enrollment ID: I20250508002660 |
| Provider Name | Grace Marie Nicole Biso Dominguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801474457 PECOS PAC ID: 0345767745 Enrollment ID: I20250508003258 |
| Provider Name | Michael Binder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750872297 PECOS PAC ID: 8022366384 Enrollment ID: I20250508003335 |
| Provider Name | Austin Bo Auyeung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730819210 PECOS PAC ID: 1658818679 Enrollment ID: I20250508003360 |
| Provider Name | Layne a Callstrom |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447995147 PECOS PAC ID: 2163804741 Enrollment ID: I20250509000024 |
| Provider Name | Christopher Joseph Costa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154065050 PECOS PAC ID: 5193242451 Enrollment ID: I20250509000938 |
| Provider Name | Sanya Chandna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225683535 PECOS PAC ID: 7416338496 Enrollment ID: I20250509001069 |
| Provider Name | Paige Chardavoyne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841878030 PECOS PAC ID: 2264837467 Enrollment ID: I20250509001273 |
| Provider Name | Jose Cortez |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1881221083 PECOS PAC ID: 5597149146 Enrollment ID: I20250509001463 |
| Provider Name | Robert Colef |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124607643 PECOS PAC ID: 5698292993 Enrollment ID: I20250509001588 |
| Provider Name | Adriana Cifuentes De La Torre |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003546599 PECOS PAC ID: 8820472566 Enrollment ID: I20250509001850 |
| Provider Name | Marina Buciuc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497374334 PECOS PAC ID: 0840696548 Enrollment ID: I20250509003236 |
| Provider Name | Ricaurte Ramiro Crespo Trevino |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740939966 PECOS PAC ID: 7810363389 Enrollment ID: I20250512000951 |
| Provider Name | Sergio Anthony De La Torre |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285211243 PECOS PAC ID: 2163864372 Enrollment ID: I20250512001068 |
| Provider Name | Willie Mohammed Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962086157 PECOS PAC ID: 8426575515 Enrollment ID: I20250513000239 |
| Provider Name | Ahmed Dia Eldin Elnaiem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497335616 PECOS PAC ID: 4981005832 Enrollment ID: I20250513000247 |
| Provider Name | Muhammad Azeem Khan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1538613625 PECOS PAC ID: 2769711803 Enrollment ID: I20250513000525 |
| Provider Name | Navdeep Kaur |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609458785 PECOS PAC ID: 0941723043 Enrollment ID: I20250513000616 |
| Provider Name | Nikolas Alan Moring |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366079089 PECOS PAC ID: 1456879543 Enrollment ID: I20250513000628 |
| Provider Name | Christina Alexandra Rios |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1124607809 PECOS PAC ID: 6103293998 Enrollment ID: I20250513000804 |
| Provider Name | Katelyn Johnson Wegerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740939909 PECOS PAC ID: 5092198572 Enrollment ID: I20250513000847 |
| Provider Name | Elizaveta Flerova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215604525 PECOS PAC ID: 9234535105 Enrollment ID: I20250513001023 |
| Provider Name | Matthew Hager |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083243984 PECOS PAC ID: 2264854793 Enrollment ID: I20250513001084 |
| Provider Name | Joya-rita Hindy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194465070 PECOS PAC ID: 9335526334 Enrollment ID: I20250513001152 |
| Provider Name | Irma Andrea Munoz Verdugo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053061333 PECOS PAC ID: 6204354319 Enrollment ID: I20250513001313 |
| Provider Name | Jessica Cady Eaton |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346776846 PECOS PAC ID: 0446508089 Enrollment ID: I20250513001337 |
| Provider Name | Madison Veronica Epperson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598388605 PECOS PAC ID: 4284055252 Enrollment ID: I20250513001440 |
| Provider Name | Jeffery Holton |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1043830797 PECOS PAC ID: 9436589736 Enrollment ID: I20250513001517 |
| Provider Name | Albert Jang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003376468 PECOS PAC ID: 5991171357 Enrollment ID: I20250513001669 |
| Provider Name | Maria Alyssa Yee Policarpio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306589817 PECOS PAC ID: 9638697766 Enrollment ID: I20250513001744 |
| Provider Name | Alan Li |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1902474604 PECOS PAC ID: 9032512181 Enrollment ID: I20250513002084 |
| Provider Name | Saqr Alsakarneh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891427381 PECOS PAC ID: 0840679411 Enrollment ID: I20250513002272 |
| Provider Name | Alaa S Hrizat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053993519 PECOS PAC ID: 5890197230 Enrollment ID: I20250513003022 |
| Provider Name | Jennifer Tich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144800541 PECOS PAC ID: 6305249806 Enrollment ID: I20250514001135 |
| Provider Name | Joshua Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255918629 PECOS PAC ID: 2264975531 Enrollment ID: I20250514001393 |
| Provider Name | Frederick Tolle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841878857 PECOS PAC ID: 6507303039 Enrollment ID: I20250514001587 |
| Provider Name | Alyssa Marie Anton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841934726 PECOS PAC ID: 5092194811 Enrollment ID: I20250515000891 |
| Provider Name | Simon Yang |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295313278 PECOS PAC ID: 9830586775 Enrollment ID: I20250515002273 |
| Provider Name | Laverne Kar Yin Yip |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134856115 PECOS PAC ID: 8325566151 Enrollment ID: I20250515002414 |
| Provider Name | Hasaan Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770218539 PECOS PAC ID: 2668857418 Enrollment ID: I20250515002503 |
| Provider Name | Christopher James Ehret |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568106144 PECOS PAC ID: 1658753595 Enrollment ID: I20250516001573 |
| Provider Name | Marc Ohlhausen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205405545 PECOS PAC ID: 3870991656 Enrollment ID: I20250516002735 |
| Provider Name | Benjamin Richard Kreitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598382335 PECOS PAC ID: 6103228994 Enrollment ID: I20250519000129 |
| Provider Name | Carolyne Elizabeth Lemieux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902601453 PECOS PAC ID: 9234657859 Enrollment ID: I20250519000205 |
| Provider Name | Joel Antonio Morales Rosado |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811372246 PECOS PAC ID: 7618495144 Enrollment ID: I20250519000520 |
| Provider Name | Tomas Marek |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326677998 PECOS PAC ID: 0042738585 Enrollment ID: I20250519000670 |
| Provider Name | Trisha Domantay Laxamana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205446945 PECOS PAC ID: 9234657701 Enrollment ID: I20250519001206 |
| Provider Name | Neema Jayachamarajapura Onkaramurthy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275197725 PECOS PAC ID: 3375061856 Enrollment ID: I20250519001311 |
| Provider Name | Alexander Kersey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093249849 PECOS PAC ID: 6103344692 Enrollment ID: I20250519001570 |
| Provider Name | Anna Maria Ligocki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174218333 PECOS PAC ID: 6305288663 Enrollment ID: I20250519003672 |
| Provider Name | Waddah Malas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386107225 PECOS PAC ID: 9335523042 Enrollment ID: I20250520000138 |
| Provider Name | Sydney O'malley |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851754626 PECOS PAC ID: 4880112283 Enrollment ID: I20250520000415 |
| Provider Name | Adolfo Martinez Salazar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891367082 PECOS PAC ID: 6305364704 Enrollment ID: I20250520000506 |
| Provider Name | Nicholas Mills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609499656 PECOS PAC ID: 0345665709 Enrollment ID: I20250520000787 |
| Provider Name | Waqas Rasheed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992332126 PECOS PAC ID: 8628494200 Enrollment ID: I20250520001132 |
| Provider Name | Andreas Kontosis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679148555 PECOS PAC ID: 7416475744 Enrollment ID: I20250520001151 |
| Provider Name | Julian Maamari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326779067 PECOS PAC ID: 7517322647 Enrollment ID: I20250520001422 |
| Provider Name | Ana Sofia Ore Carranza |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336633783 PECOS PAC ID: 1850648163 Enrollment ID: I20250520001604 |
| Provider Name | Eric Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689049827 PECOS PAC ID: 4183072903 Enrollment ID: I20250520001715 |
| Provider Name | Alaa Khaled Fayez Mohamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376284208 PECOS PAC ID: 3971021239 Enrollment ID: I20250520001847 |
| Provider Name | Aaron Amundson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063035749 PECOS PAC ID: 3971927161 Enrollment ID: I20250521000305 |
| Provider Name | Rawan Amir |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1639730963 PECOS PAC ID: 1658607841 Enrollment ID: I20250521000438 |
| Provider Name | Sierra Ray Mclean |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588246698 PECOS PAC ID: 8224438270 Enrollment ID: I20250521000887 |
| Provider Name | Luis NG Sueng |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306460597 PECOS PAC ID: 0345660932 Enrollment ID: I20250521001311 |
| Provider Name | Jude Itani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205429974 PECOS PAC ID: 6204239395 Enrollment ID: I20250521001426 |
| Provider Name | Hadi Rezaei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780317131 PECOS PAC ID: 2769865500 Enrollment ID: I20250521001504 |
| Provider Name | Mohamed Tausif Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952759078 PECOS PAC ID: 0244562643 Enrollment ID: I20250521001825 |
| Provider Name | Joshua Peterson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1881331312 PECOS PAC ID: 2961882949 Enrollment ID: I20250521001963 |
| Provider Name | Joseph Reed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942818497 PECOS PAC ID: 1254731995 Enrollment ID: I20250521002003 |
| Provider Name | Andre Marangoni Asperti |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1538736160 PECOS PAC ID: 7012452758 Enrollment ID: I20250521002129 |
| Provider Name | Joao Manoel Miranda Magalhaes Santos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659114981 PECOS PAC ID: 0840731600 Enrollment ID: I20250521002145 |
| Provider Name | Ewelina Marta Niedzialkowska |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447981204 PECOS PAC ID: 9739568395 Enrollment ID: I20250521002578 |
| Provider Name | Frederick Berro Rivera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457083859 PECOS PAC ID: 2365961539 Enrollment ID: I20250521002703 |
| Provider Name | Jacob Schwartz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336601301 PECOS PAC ID: 2860720638 Enrollment ID: I20250522000666 |
| Provider Name | Amir Sultan Seid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205568615 PECOS PAC ID: 4688056047 Enrollment ID: I20250522000750 |
| Provider Name | Akanksha Sharma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396488151 PECOS PAC ID: 8729460472 Enrollment ID: I20250522000919 |
| Provider Name | Cemre Busra Turk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609629526 PECOS PAC ID: 5395287205 Enrollment ID: I20250522000958 |
| Provider Name | Alborz Sherafati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417659442 PECOS PAC ID: 1759742711 Enrollment ID: I20250522001129 |
| Provider Name | Jamelle Vance Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598342164 PECOS PAC ID: 2466971429 Enrollment ID: I20250522003047 |
| Provider Name | Joseph Gosnell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558939249 PECOS PAC ID: 3870965445 Enrollment ID: I20250523000111 |
| Provider Name | Pooya Zardoost |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316687338 PECOS PAC ID: 1557748910 Enrollment ID: I20250527000221 |
| Provider Name | Alexia Marie Kessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780328641 PECOS PAC ID: 7012395254 Enrollment ID: I20250527000655 |
| Provider Name | Goyal Umadat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164983011 PECOS PAC ID: 6002141405 Enrollment ID: I20250527000749 |
| Provider Name | Alexander a Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831930114 PECOS PAC ID: 5799204459 Enrollment ID: I20250527000750 |
| Provider Name | George Khludenev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316526866 PECOS PAC ID: 4385045012 Enrollment ID: I20250527001034 |
| Provider Name | Harsh P Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750933990 PECOS PAC ID: 6002225133 Enrollment ID: I20250527001238 |
| Provider Name | Puru Rattan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306233770 PECOS PAC ID: 3971807496 Enrollment ID: I20250527001753 |
| Provider Name | Ann Marie Heyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124692223 PECOS PAC ID: 8123420221 Enrollment ID: I20250527001910 |
| Provider Name | Mohamad Shieb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043941891 PECOS PAC ID: 7719406446 Enrollment ID: I20250527002500 |
| Provider Name | Layla Farahani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235713231 PECOS PAC ID: 8224447651 Enrollment ID: I20250527003561 |
| Provider Name | James Butz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689100349 PECOS PAC ID: 6800166745 Enrollment ID: I20250528000498 |
| Provider Name | Weston Bradley Wright |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1518548726 PECOS PAC ID: 8123428703 Enrollment ID: I20250528001201 |
| Provider Name | Sarah Jessica Williamson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306423231 PECOS PAC ID: 7214456771 Enrollment ID: I20250528001661 |
| Provider Name | Rama Ellauzi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558093120 PECOS PAC ID: 3274042411 Enrollment ID: I20250530001897 |
| Provider Name | Anusha S Adkoli |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033787270 PECOS PAC ID: 8729597505 Enrollment ID: I20250603002133 |
| Provider Name | Jessica Lee Adams |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790366888 PECOS PAC ID: 9234539776 Enrollment ID: I20250603002914 |
| Provider Name | Maria Lorraine Garcia Bugayong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447879945 PECOS PAC ID: 6103335880 Enrollment ID: I20250604000141 |
| Provider Name | Aviva Atri Schuller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194465609 PECOS PAC ID: 7315327608 Enrollment ID: I20250604000368 |
| Provider Name | Joshua Kogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205499688 PECOS PAC ID: 6800256314 Enrollment ID: I20250604003373 |
| Provider Name | Faraz Samadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336304690 PECOS PAC ID: 8921518200 Enrollment ID: I20250606000260 |
| Provider Name | David Sadegh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992376677 PECOS PAC ID: 6002326394 Enrollment ID: I20250606000605 |
| Provider Name | Geoffrey Halling |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437710951 PECOS PAC ID: 8527395250 Enrollment ID: I20250611001333 |
| Provider Name | Faith Ibu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386376606 PECOS PAC ID: 1658751029 Enrollment ID: I20250611001352 |
| Provider Name | Lee Her Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356049381 PECOS PAC ID: 3476927559 Enrollment ID: I20250613000240 |
| Provider Name | Lalita Thitiseranee |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1285364125 PECOS PAC ID: 0840670048 Enrollment ID: I20250613000533 |
| Provider Name | Navi Johal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760017610 PECOS PAC ID: 0749721538 Enrollment ID: I20250613000973 |
| Provider Name | Anna Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427798602 PECOS PAC ID: 7719360692 Enrollment ID: I20250613001278 |
| Provider Name | Justin Michael Barnes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356968069 PECOS PAC ID: 9436552841 Enrollment ID: I20250613001468 |
| Provider Name | Hadil Yousef Hasan Zureigat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205577590 PECOS PAC ID: 1052798410 Enrollment ID: I20250616001029 |
| Provider Name | Morgan Taylor Sorensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780260430 PECOS PAC ID: 5496266603 Enrollment ID: I20250616001155 |
| Provider Name | Luke Kevin Trench |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134747025 PECOS PAC ID: 7315367240 Enrollment ID: I20250616001878 |
| Provider Name | Chrystal Rose Stallworth |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265018279 PECOS PAC ID: 7416366091 Enrollment ID: I20250616002018 |
| Provider Name | Zachary Aldei Lanier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568252492 PECOS PAC ID: 7214448364 Enrollment ID: I20250616002030 |
| Provider Name | Ahmad Humeidi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447959697 PECOS PAC ID: 1850802786 Enrollment ID: I20250617002241 |
| Provider Name | Morgan R Steffen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629647219 PECOS PAC ID: 7214335090 Enrollment ID: I20250618000518 |
| Provider Name | Michael Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215556204 PECOS PAC ID: 0244741007 Enrollment ID: I20250618000973 |
| Provider Name | Cristian Moises Villegas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376123315 PECOS PAC ID: 0042721813 Enrollment ID: I20250618001318 |
| Provider Name | Bridget Marie Kuhn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790425650 PECOS PAC ID: 8921485814 Enrollment ID: I20250618003941 |
| Provider Name | Allison R Garbacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124825963 PECOS PAC ID: 5193237758 Enrollment ID: I20250620001530 |
| Provider Name | Jiannan Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356075709 PECOS PAC ID: 0840676516 Enrollment ID: I20250623003780 |
| Provider Name | David Loyd Crawford |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003490434 PECOS PAC ID: 7719426311 Enrollment ID: I20250624003313 |
| Provider Name | Abigail Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922845759 PECOS PAC ID: 7214477264 Enrollment ID: I20250625001282 |
| Provider Name | Vikram Venkata Puram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467197368 PECOS PAC ID: 3072025717 Enrollment ID: I20250626002030 |
| Provider Name | Faisal Osama Ahmed Alali |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184355174 PECOS PAC ID: 1557890555 Enrollment ID: I20250626002552 |
| Provider Name | Wilfor Jhonathan Diaz Fernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134611817 PECOS PAC ID: 7618226705 Enrollment ID: I20250626002602 |
| Provider Name | Peter Charles Brennan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962297549 PECOS PAC ID: 4486167046 Enrollment ID: I20250627002230 |
| Provider Name | Jenna Grace Howden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609667179 PECOS PAC ID: 4183137656 Enrollment ID: I20250627002800 |
| Provider Name | Meghna Anita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629859343 PECOS PAC ID: 8325551831 Enrollment ID: I20250627003455 |
| Provider Name | Taylor Makay Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568253607 PECOS PAC ID: 7315450822 Enrollment ID: I20250627003487 |
| Provider Name | Cheyenne Vann Thornton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487499075 PECOS PAC ID: 6002329554 Enrollment ID: I20250630000020 |
| Provider Name | Andrew Steven Charles Barty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619505807 PECOS PAC ID: 3971033226 Enrollment ID: I20250630001101 |
| Provider Name | Clare Angela Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891858031 PECOS PAC ID: 8628581980 Enrollment ID: I20250630003209 |
| Provider Name | Aaron L Hecht |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487141008 PECOS PAC ID: 0648528083 Enrollment ID: I20250702000029 |
| Provider Name | Danielle Debacker Dang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962992271 PECOS PAC ID: 2365955390 Enrollment ID: I20250702000306 |
| Provider Name | Julia Michelle Englund |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598557399 PECOS PAC ID: 6507379542 Enrollment ID: I20250702000675 |
| Provider Name | Jamie Lauren Byrne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972395127 PECOS PAC ID: 0840703807 Enrollment ID: I20250702000758 |
| Provider Name | Stephane Chartier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104453323 PECOS PAC ID: 2466876404 Enrollment ID: I20250702000839 |
| Provider Name | David Jonathan Kumpula |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285206219 PECOS PAC ID: 3577076496 Enrollment ID: I20250702002240 |
| Provider Name | Talal Nael Almasri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447997366 PECOS PAC ID: 6204349152 Enrollment ID: I20250702002940 |
| Provider Name | Nathaniel Martis Harry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881229730 PECOS PAC ID: 7618489469 Enrollment ID: I20250702003126 |
| Provider Name | Margaret Anne Goodman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295522746 PECOS PAC ID: 8729591540 Enrollment ID: I20250703000324 |
| Provider Name | Mallory Jannelle Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336945161 PECOS PAC ID: 6305359126 Enrollment ID: I20250703000472 |
| Provider Name | Merina Rajbhandari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275106767 PECOS PAC ID: 2365955192 Enrollment ID: I20250703000613 |
| Provider Name | Jeremy James Kaiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609678978 PECOS PAC ID: 9830602697 Enrollment ID: I20250703001199 |
| Provider Name | Elisabeth Veil Ehnert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962294421 PECOS PAC ID: 9436662210 Enrollment ID: I20250703001750 |
| Provider Name | Rebecca Rose Bakkedahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538052634 PECOS PAC ID: 0042724841 Enrollment ID: I20250703002697 |
| Provider Name | Yoo Jung Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407476765 PECOS PAC ID: 5193267870 Enrollment ID: I20250705000082 |
| Provider Name | Steven J Kindel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649477365 PECOS PAC ID: 0345406856 Enrollment ID: I20250707000666 |
| Provider Name | Kari Zich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083255228 PECOS PAC ID: 1052642386 Enrollment ID: I20250707003203 |
| Provider Name | Brett C Bade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457672297 PECOS PAC ID: 3173742061 Enrollment ID: I20250707003275 |
| Provider Name | Cassidy Margaret Ruud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396535704 PECOS PAC ID: 4284148750 Enrollment ID: I20250708001156 |
| Provider Name | Tarek Souaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790416600 PECOS PAC ID: 7113307356 Enrollment ID: I20250708001956 |
| Provider Name | Olivia Anderson Kraft |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1649071853 PECOS PAC ID: 1759895121 Enrollment ID: I20250708003330 |
| Provider Name | Christopher Anthony Sanfilippo |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1619543840 PECOS PAC ID: 0749794923 Enrollment ID: I20250709002768 |
| Provider Name | Claudia-denise Haivas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265849152 PECOS PAC ID: 2466727136 Enrollment ID: I20250709002824 |
| Provider Name | Radhika Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831776939 PECOS PAC ID: 3971904608 Enrollment ID: I20250710004146 |
| Provider Name | Tariq Zuheir Mahmoud Kewan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1861979924 PECOS PAC ID: 0345582839 Enrollment ID: I20250714002863 |
| Provider Name | Alexis Dudash |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912797960 PECOS PAC ID: 1850806977 Enrollment ID: I20250716002654 |
| Provider Name | Thomas Nelson Epperson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063916443 PECOS PAC ID: 0749602563 Enrollment ID: I20250717000649 |
| Provider Name | Sarah Margaret Lebrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528866472 PECOS PAC ID: 7719492768 Enrollment ID: I20250717001290 |
| Provider Name | Luke Gerald Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396595856 PECOS PAC ID: 5890201792 Enrollment ID: I20250718000703 |
| Provider Name | Brianna Conte Galvin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508607862 PECOS PAC ID: 4082158159 Enrollment ID: I20250718001187 |
| Provider Name | Isabel Cecilia Breyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811749880 PECOS PAC ID: 9234579822 Enrollment ID: I20250718003285 |
| Provider Name | Jennifer Lynne Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669278305 PECOS PAC ID: 9638685456 Enrollment ID: I20250718003677 |
| Provider Name | Mateo Porres Aguilar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093925927 PECOS PAC ID: 9234314840 Enrollment ID: I20250718003803 |
| Provider Name | Rebecca Jean Bulmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790529873 PECOS PAC ID: 0648715268 Enrollment ID: I20250719000026 |
| Provider Name | Karen Borges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649016841 PECOS PAC ID: 4486190824 Enrollment ID: I20250721000023 |
| Provider Name | Madeleine Carlene Berg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386492379 PECOS PAC ID: 0244746949 Enrollment ID: I20250721001180 |
| Provider Name | Thomas Wayne Blankespoor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205686680 PECOS PAC ID: 0345681466 Enrollment ID: I20250721001746 |
| Provider Name | Cem Bilgin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134810856 PECOS PAC ID: 1456718881 Enrollment ID: I20250721002339 |
| Provider Name | Kylea Taylor Barnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437850484 PECOS PAC ID: 4486094570 Enrollment ID: I20250721002357 |
| Provider Name | Cameron Gilvin Berg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740869494 PECOS PAC ID: 6800291527 Enrollment ID: I20250722001052 |
| Provider Name | Sindhuja Palle |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003470881 PECOS PAC ID: 8123534542 Enrollment ID: I20250723000272 |
| Provider Name | Abby Jo Aymond |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083473458 PECOS PAC ID: 4486094950 Enrollment ID: I20250723000906 |
| Provider Name | Isaac Thomas Burright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174373393 PECOS PAC ID: 6608216999 Enrollment ID: I20250723000941 |
| Provider Name | Lauren Danielle Pomerantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013777234 PECOS PAC ID: 7517401136 Enrollment ID: I20250723001071 |
| Provider Name | Sydney Rose Roston |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447091723 PECOS PAC ID: 2365980158 Enrollment ID: I20250723001468 |
| Provider Name | Amanda Jayne Steiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902658859 PECOS PAC ID: 2163967464 Enrollment ID: I20250723001816 |
| Provider Name | Mohamad Rani Hassoun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356954218 PECOS PAC ID: 1052752714 Enrollment ID: I20250723001905 |
| Provider Name | Evan Gregory Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275385445 PECOS PAC ID: 1355886656 Enrollment ID: I20250723002673 |
| Provider Name | Erika Marie Stephens Pierce |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831945633 PECOS PAC ID: 4981140225 Enrollment ID: I20250723003309 |
| Provider Name | Benjamin David Lueck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386404556 PECOS PAC ID: 4587006507 Enrollment ID: I20250724000014 |
| Provider Name | Bashar Lamei Asir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669222790 PECOS PAC ID: 9133568173 Enrollment ID: I20250724000032 |
| Provider Name | Mariana Isabel Arce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619729563 PECOS PAC ID: 7719326784 Enrollment ID: I20250724000551 |
| Provider Name | Kristin Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518309947 PECOS PAC ID: 4688809437 Enrollment ID: I20250724001348 |
| Provider Name | Jacob Allen Jordan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821837717 PECOS PAC ID: 6002352176 Enrollment ID: I20250728000676 |
| Provider Name | Daniel John Kroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376335299 PECOS PAC ID: 0143737593 Enrollment ID: I20250730000285 |
| Provider Name | Khalid Farid Kamel Abu-zeinah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992549166 PECOS PAC ID: 0941745558 Enrollment ID: I20250730000383 |
| Provider Name | Anne P Nguyen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477203503 PECOS PAC ID: 5193102168 Enrollment ID: I20250730000397 |
| Provider Name | Hannah Elise Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225822588 PECOS PAC ID: 3971010299 Enrollment ID: I20250730001656 |
| Provider Name | Benito Jose Alvarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093565012 PECOS PAC ID: 8426497454 Enrollment ID: I20250731000570 |
| Provider Name | Sara Ann Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083408009 PECOS PAC ID: 3274041488 Enrollment ID: I20250731000839 |
| Provider Name | Rewan Mohamed Abdelwahab |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013698323 PECOS PAC ID: 3476061623 Enrollment ID: I20250731001622 |
| Provider Name | Hisham Abdou |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245090968 PECOS PAC ID: 8022457050 Enrollment ID: I20250731001911 |
| Provider Name | Saad Ahmed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093302846 PECOS PAC ID: 0446691109 Enrollment ID: I20250731002111 |
| Provider Name | Molly Elizabeth Barnhardt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598589210 PECOS PAC ID: 5890203848 Enrollment ID: I20250801002041 |
| Provider Name | Abby D Ewing-newberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568264737 PECOS PAC ID: 0840708707 Enrollment ID: I20250801002575 |
| Provider Name | Savanna May Knudsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154125730 PECOS PAC ID: 5496263337 Enrollment ID: I20250801003976 |
| Provider Name | Lucille Anzia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306697453 PECOS PAC ID: 2668915349 Enrollment ID: I20250804001056 |
| Provider Name | Monica a Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912366543 PECOS PAC ID: 2264730290 Enrollment ID: I20250804001786 |
| Provider Name | Manouchehr Amanat Yazdi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851145106 PECOS PAC ID: 5890134837 Enrollment ID: I20250804002031 |
| Provider Name | Olivia Hirai Wersinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730975475 PECOS PAC ID: 4486162120 Enrollment ID: I20250804002065 |
| Provider Name | Laura Cacciaguerra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841088200 PECOS PAC ID: 9335657089 Enrollment ID: I20250804002239 |
| Provider Name | Alexander Dean Sherry |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699303511 PECOS PAC ID: 9537581392 Enrollment ID: I20250804003474 |
| Provider Name | Steve R Juenemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477442242 PECOS PAC ID: 2668980392 Enrollment ID: I20250804003845 |
| Provider Name | Drashti Rakeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124750534 PECOS PAC ID: 4385152859 Enrollment ID: I20250805002648 |
| Provider Name | Keldon Kai Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790537629 PECOS PAC ID: 8921543794 Enrollment ID: I20250806004394 |
| Provider Name | Nirupama Devanathan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497502330 PECOS PAC ID: 6002257300 Enrollment ID: I20250807000424 |
| Provider Name | Caroline Dant Culver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851034748 PECOS PAC ID: 7719328830 Enrollment ID: I20250807000740 |
| Provider Name | Miranda Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720781842 PECOS PAC ID: 7315389343 Enrollment ID: I20250807000755 |
| Provider Name | Adilson Da Costa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518541788 PECOS PAC ID: 6709274780 Enrollment ID: I20250807001140 |
| Provider Name | Kaci Ann Clement |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417709221 PECOS PAC ID: 4880034974 Enrollment ID: I20250807001227 |
| Provider Name | Nicholas Isaac Comeau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639921455 PECOS PAC ID: 5991146565 Enrollment ID: I20250807001295 |
| Provider Name | Byrne Belzer Curl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942060363 PECOS PAC ID: 4688015787 Enrollment ID: I20250807001312 |
| Provider Name | Walker Michael Schmidt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396593513 PECOS PAC ID: 1456895218 Enrollment ID: I20250807001399 |
| Provider Name | Kahlen Robert Morris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033965314 PECOS PAC ID: 3274975818 Enrollment ID: I20250807001487 |
| Provider Name | Jeeva Palanisamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093565111 PECOS PAC ID: 6002359270 Enrollment ID: I20250807001549 |
| Provider Name | Divya Korpu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669823159 PECOS PAC ID: 8325333222 Enrollment ID: I20250807001571 |
| Provider Name | Kayla Christine Finnegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215787304 PECOS PAC ID: 7810338126 Enrollment ID: I20250807001576 |
| Provider Name | Rachel Marie Heschke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386499911 PECOS PAC ID: 7719329994 Enrollment ID: I20250807001825 |
| Provider Name | Rikki Jewel Cunningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265285308 PECOS PAC ID: 4789121252 Enrollment ID: I20250807001836 |
| Provider Name | Agata Katarzyna Sularz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215797543 PECOS PAC ID: 4385189695 Enrollment ID: I20250807001902 |
| Provider Name | Darine Daher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255191516 PECOS PAC ID: 0446784854 Enrollment ID: I20250807001951 |
| Provider Name | Ia Ong Vang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558127704 PECOS PAC ID: 4486190915 Enrollment ID: I20250807002202 |
| Provider Name | Hira Shahid Chouhdry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548010309 PECOS PAC ID: 1052751229 Enrollment ID: I20250807002772 |
| Provider Name | Benjamin John Weidemann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275998304 PECOS PAC ID: 8921544362 Enrollment ID: I20250807003038 |
| Provider Name | Luigi Antonio De Vitis |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487491619 PECOS PAC ID: 2961949532 Enrollment ID: I20250807003388 |
| Provider Name | Danuzia Santana Da Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548011745 PECOS PAC ID: 6608310263 Enrollment ID: I20250807003851 |
| Provider Name | Bradley William Fossum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821843780 PECOS PAC ID: 7911348230 Enrollment ID: I20250808000970 |
| Provider Name | Anna Marie Clemens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982457560 PECOS PAC ID: 5193165371 Enrollment ID: I20250808001035 |
| Provider Name | Rachel Katherine Frankle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821848813 PECOS PAC ID: 1850733288 Enrollment ID: I20250808001109 |
| Provider Name | Miles William Adolphus Fisher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811458508 PECOS PAC ID: 5496253544 Enrollment ID: I20250808001202 |
| Provider Name | Joshua Holden Elmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932959194 PECOS PAC ID: 6507207271 Enrollment ID: I20250808002179 |
| Provider Name | Madeline Ashleigh Franke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487407524 PECOS PAC ID: 8820439151 Enrollment ID: I20250808002350 |
| Provider Name | Miguel Enrique Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386404622 PECOS PAC ID: 2264874254 Enrollment ID: I20250808002507 |
| Provider Name | Tyler John Canova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750081162 PECOS PAC ID: 5496195950 Enrollment ID: I20250808003068 |
| Provider Name | Daniel Nessim Roffe Vazquez |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1801479472 PECOS PAC ID: 9436657434 Enrollment ID: I20250808003223 |
| Provider Name | Ciara Mary Egan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669227211 PECOS PAC ID: 1355782020 Enrollment ID: I20250808003493 |
| Provider Name | Carla Isabel Borre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467204842 PECOS PAC ID: 7416397088 Enrollment ID: I20250808003901 |
| Provider Name | James Harrison Fleming |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477304723 PECOS PAC ID: 1850732173 Enrollment ID: I20250811000582 |
| Provider Name | Jeffry Kriegshauser |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265416861 PECOS PAC ID: 5092856005 Enrollment ID: I20250811000614 |
| Provider Name | Gunjan Gaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790537892 PECOS PAC ID: 6002258266 Enrollment ID: I20250811000859 |
| Provider Name | Jacob Kendall Dunlap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588250609 PECOS PAC ID: 6103368451 Enrollment ID: I20250811000980 |
| Provider Name | Michael Francis Franco |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245072289 PECOS PAC ID: 4880139443 Enrollment ID: I20250811001058 |
| Provider Name | Cecelia Kristine Hanline |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417791278 PECOS PAC ID: 6103361647 Enrollment ID: I20250811001109 |
| Provider Name | Ellenor CHI |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114656469 PECOS PAC ID: 2961842588 Enrollment ID: I20250811001164 |
| Provider Name | Megan Alise Lynch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699494443 PECOS PAC ID: 4789026782 Enrollment ID: I20250811001179 |
| Provider Name | Juan Pablo Garcia-mendez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609611300 PECOS PAC ID: 7214472893 Enrollment ID: I20250811001330 |
| Provider Name | Elsha Melinda Eggink |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609505957 PECOS PAC ID: 3274974506 Enrollment ID: I20250811001448 |
| Provider Name | Stefan Luigi Farrugia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144080482 PECOS PAC ID: 0648611392 Enrollment ID: I20250811001633 |
| Provider Name | Kalli Janae Fautsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932959020 PECOS PAC ID: 8729429493 Enrollment ID: I20250811001642 |
| Provider Name | Isabel Cristina Lopera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912767252 PECOS PAC ID: 5294177275 Enrollment ID: I20250811001693 |
| Provider Name | Wade Robert Gutierrez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689430282 PECOS PAC ID: 2365884095 Enrollment ID: I20250811002215 |
| Provider Name | Erika Eleanor Lynn-green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457104499 PECOS PAC ID: 8820430895 Enrollment ID: I20250811002547 |
| Provider Name | Madeline Mae Lorentzen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821854191 PECOS PAC ID: 9436591476 Enrollment ID: I20250811003021 |
| Provider Name | Yul Oliver Kahn-pascual |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962249573 PECOS PAC ID: 4385180371 Enrollment ID: I20250811003270 |
| Provider Name | Nishanth Srivaths Iyengar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316523921 PECOS PAC ID: 4587162375 Enrollment ID: I20250811003284 |
| Provider Name | Jonathan S Lun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720828486 PECOS PAC ID: 3072057793 Enrollment ID: I20250811003353 |
| Provider Name | Ganiru Oderah Mathis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437999133 PECOS PAC ID: 8820533375 Enrollment ID: I20250812000180 |
| Provider Name | Zachary Huttinger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255952354 PECOS PAC ID: 1153744768 Enrollment ID: I20250812000508 |
| Provider Name | Tanish Modi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558106096 PECOS PAC ID: 2769927797 Enrollment ID: I20250812000650 |
| Provider Name | Vijayvardhan Kamalumpundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770335374 PECOS PAC ID: 4981046562 Enrollment ID: I20250812000722 |
| Provider Name | Jeremy Cal Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679321400 PECOS PAC ID: 9537601703 Enrollment ID: I20250812000830 |
| Provider Name | Lillian Jane Dyre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821845785 PECOS PAC ID: 3476098963 Enrollment ID: I20250812000937 |
| Provider Name | Muhammed Talha Hepsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124859392 PECOS PAC ID: 8426598343 Enrollment ID: I20250812001091 |
| Provider Name | Kelsey Victoria Kolasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194577452 PECOS PAC ID: 9234571530 Enrollment ID: I20250812001221 |
| Provider Name | John Joseph Kelly |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174150163 PECOS PAC ID: 0042718793 Enrollment ID: I20250812001265 |
| Provider Name | Caroline Suzanne Mifsud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093565350 PECOS PAC ID: 1456793892 Enrollment ID: I20250812001469 |
| Provider Name | Alyssa Katherine Whitney Maclean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801646807 PECOS PAC ID: 2466894753 Enrollment ID: I20250812001737 |
| Provider Name | Graham Walter Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013757772 PECOS PAC ID: 5698219210 Enrollment ID: I20250812001797 |
| Provider Name | Guneet Singh Janda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447004593 PECOS PAC ID: 1759723919 Enrollment ID: I20250812001945 |
| Provider Name | Mitchell Daniel Gullickson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689415903 PECOS PAC ID: 8820596513 Enrollment ID: I20250812002113 |
| Provider Name | Ha Vy Huynh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437900396 PECOS PAC ID: 5193260628 Enrollment ID: I20250812002204 |
| Provider Name | Ingrid Hirte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609631647 PECOS PAC ID: 5193268324 Enrollment ID: I20250812002281 |
| Provider Name | Melanie Marie Klemond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790536902 PECOS PAC ID: 9234673856 Enrollment ID: I20250812002371 |
| Provider Name | Rebecca Elizabeth Falzon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235861592 PECOS PAC ID: 5799127791 Enrollment ID: I20250812002376 |
| Provider Name | Jessica Caitlin Heard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205499209 PECOS PAC ID: 2769980473 Enrollment ID: I20250812002428 |
| Provider Name | Grace Ibitamuno |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871333278 PECOS PAC ID: 3779026034 Enrollment ID: I20250812002612 |
| Provider Name | Giuseppe Domenico Maiocco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851144612 PECOS PAC ID: 9234671579 Enrollment ID: I20250812002898 |
| Provider Name | Emma Marie Johns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225877814 PECOS PAC ID: 3274076468 Enrollment ID: I20250812004508 |
| Provider Name | Theodore Miclau |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730881376 PECOS PAC ID: 1254773666 Enrollment ID: I20250813001385 |
| Provider Name | Rebecca Lauren Merrill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689427353 PECOS PAC ID: 8022450519 Enrollment ID: I20250813001684 |
| Provider Name | Min Soo Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396406963 PECOS PAC ID: 0941708416 Enrollment ID: I20250813001917 |
| Provider Name | Mackenzie Gwinner Morgan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548009830 PECOS PAC ID: 8729586201 Enrollment ID: I20250813002084 |
| Provider Name | Stephanie Anne Matthews |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275389843 PECOS PAC ID: 6204373749 Enrollment ID: I20250813002092 |
| Provider Name | Jose Muro-cardenas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295575876 PECOS PAC ID: 5597209213 Enrollment ID: I20250813003043 |
| Provider Name | Rosa Anna Chorro Bas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013777309 PECOS PAC ID: 4486096948 Enrollment ID: I20250814000046 |
| Provider Name | Alexander Amir Hysong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164982518 PECOS PAC ID: 2466787114 Enrollment ID: I20250814000138 |
| Provider Name | Samuel Ahrenholz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275376535 PECOS PAC ID: 3274078845 Enrollment ID: I20250814000175 |
| Provider Name | Hayato Nakanishi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740012251 PECOS PAC ID: 5698215556 Enrollment ID: I20250814000675 |
| Provider Name | Hakeem Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528819083 PECOS PAC ID: 6608215645 Enrollment ID: I20250814001066 |
| Provider Name | Josue Maldonado Custodio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609229525 PECOS PAC ID: 2365860236 Enrollment ID: I20250814001353 |
| Provider Name | Juan Felipe Garzon Hincapie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386494730 PECOS PAC ID: 2365985702 Enrollment ID: I20250814001566 |
| Provider Name | Varan Perananthan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184452708 PECOS PAC ID: 8628518545 Enrollment ID: I20250814002101 |
| Provider Name | Kareem Mohammad Al-mulki |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265954457 PECOS PAC ID: 6204335581 Enrollment ID: I20250814002791 |
| Provider Name | Mauricio Franco Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174364525 PECOS PAC ID: 1456895168 Enrollment ID: I20250814003051 |
| Provider Name | Breta a Awuku |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376121004 PECOS PAC ID: 2163921461 Enrollment ID: I20250814003472 |
| Provider Name | Andrew Edwin Donaldson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417417171 PECOS PAC ID: 9335474667 Enrollment ID: I20250814004119 |
| Provider Name | Nickolas Glen Kessler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083460711 PECOS PAC ID: 3072056936 Enrollment ID: I20250814004127 |
| Provider Name | Thomas John Carroll |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1609403146 PECOS PAC ID: 8628498573 Enrollment ID: I20250814004798 |
| Provider Name | Medhavi Bhasin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467031120 PECOS PAC ID: 9638678824 Enrollment ID: I20250815000767 |
| Provider Name | Sophia Mavrommatis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164272761 PECOS PAC ID: 2365884608 Enrollment ID: I20250818000316 |
| Provider Name | William Nawa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982281259 PECOS PAC ID: 0042614406 Enrollment ID: I20250818000627 |
| Provider Name | Reem Hekmat Matar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124865605 PECOS PAC ID: 1153867205 Enrollment ID: I20250818001635 |
| Provider Name | Yong Hun Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851142731 PECOS PAC ID: 0547703449 Enrollment ID: I20250818001770 |
| Provider Name | Lilia Grace Lunt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346708682 PECOS PAC ID: 4486153368 Enrollment ID: I20250818002564 |
| Provider Name | Kelcie Nicole Lushefski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346700309 PECOS PAC ID: 6204368483 Enrollment ID: I20250818003165 |
| Provider Name | Cyrus Mohammed Nouraee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508626722 PECOS PAC ID: 2961944285 Enrollment ID: I20250819000359 |
| Provider Name | Travis Webb Turner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861246977 PECOS PAC ID: 6305381336 Enrollment ID: I20250820001436 |
| Provider Name | Sarah Richmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750276507 PECOS PAC ID: 0547760902 Enrollment ID: I20250821001669 |
| Provider Name | Safwan Urooj Abbasi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689412637 PECOS PAC ID: 7416494760 Enrollment ID: I20250822003153 |
| Provider Name | Luul Aden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558117770 PECOS PAC ID: 3274033147 Enrollment ID: I20250825002058 |
| Provider Name | Trevor Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104668060 PECOS PAC ID: 9830636992 Enrollment ID: I20250826003147 |
| Provider Name | Hope Deann Menning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689424624 PECOS PAC ID: 5193267482 Enrollment ID: I20250826003643 |
| Provider Name | Shahed Tish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669033114 PECOS PAC ID: 9739501834 Enrollment ID: I20250827000875 |
| Provider Name | Ashley Lauren Titan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1255795993 PECOS PAC ID: 5890296305 Enrollment ID: I20250827003237 |
| Provider Name | Addison Jean Demaine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891677746 PECOS PAC ID: 5698276053 Enrollment ID: I20250828002320 |
| Provider Name | Quinn Jamard Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942052279 PECOS PAC ID: 6002352283 Enrollment ID: I20250829001129 |
| Provider Name | Parth Sunil Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366143513 PECOS PAC ID: 1850833039 Enrollment ID: I20250829002788 |
| Provider Name | Anneka Marie West Allison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235703406 PECOS PAC ID: 0941701908 Enrollment ID: I20250829004374 |
| Provider Name | Sarah Nicole Pimple |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346090248 PECOS PAC ID: 5496299059 Enrollment ID: I20250829004514 |
| Provider Name | Rishi Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003667635 PECOS PAC ID: 7113462748 Enrollment ID: I20250829004774 |
| Provider Name | Golddy Milagros Saldana |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952146706 PECOS PAC ID: 9335684398 Enrollment ID: I20250829004800 |
| Provider Name | Zachary Alan Trottier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043051980 PECOS PAC ID: 0840735163 Enrollment ID: I20250830000542 |
| Provider Name | Debra F Strosahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336628510 PECOS PAC ID: 1355420621 Enrollment ID: I20250901000527 |
| Provider Name | Elizabeth Grace Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801770086 PECOS PAC ID: 1759882699 Enrollment ID: I20250902000053 |
| Provider Name | Beat Moeckli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730542317 PECOS PAC ID: 6305347279 Enrollment ID: I20250902000613 |
| Provider Name | Belinda Kwartemaa Nti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841018215 PECOS PAC ID: 6507399987 Enrollment ID: I20250902000617 |
| Provider Name | Daniel Gregory Meeker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104440254 PECOS PAC ID: 7517380058 Enrollment ID: I20250902000768 |
| Provider Name | Amanda Jo Holm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811748791 PECOS PAC ID: 4789128513 Enrollment ID: I20250902002196 |
| Provider Name | Sahand Chase Eftekari |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821831298 PECOS PAC ID: 5193269801 Enrollment ID: I20250902002595 |
| Provider Name | Kedous Yared Mekbib |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104521483 PECOS PAC ID: 8224470562 Enrollment ID: I20250902003012 |
| Provider Name | Jordan Lisa Hoffmann Nustad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255191144 PECOS PAC ID: 6709228240 Enrollment ID: I20250903000544 |
| Provider Name | Jacob David Mikula |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1821594599 PECOS PAC ID: 2062913726 Enrollment ID: I20250903001071 |
| Provider Name | Kathleen Marie Mcvey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366946949 PECOS PAC ID: 6608377379 Enrollment ID: I20250903001435 |
| Provider Name | Collin Ryan Missel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053200261 PECOS PAC ID: 1557862232 Enrollment ID: I20250903001692 |
| Provider Name | Vera C Obinwanne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841974706 PECOS PAC ID: 3779084462 Enrollment ID: I20250903001863 |
| Provider Name | Lauren Nicole Hibshman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194305094 PECOS PAC ID: 6507368289 Enrollment ID: I20250903003848 |
| Provider Name | Nicole Catherine Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477350882 PECOS PAC ID: 9931601556 Enrollment ID: I20250904000574 |
| Provider Name | Kyle Meder Montgomery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144807124 PECOS PAC ID: 6305246612 Enrollment ID: I20250904001686 |
| Provider Name | Jennifer Cowart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760645675 PECOS PAC ID: 8820257710 Enrollment ID: I20250905000753 |
| Provider Name | Brynne Allison Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235011123 PECOS PAC ID: 1052813219 Enrollment ID: I20250906000210 |
| Provider Name | Shari J Zaslow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932969201 PECOS PAC ID: 0547602773 Enrollment ID: I20250906000465 |
| Provider Name | Mark Jernej Zorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164266003 PECOS PAC ID: 7315482304 Enrollment ID: I20250906000627 |
| Provider Name | Ahmed Yasser Abdelfattah Younis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841041688 PECOS PAC ID: 9234672718 Enrollment ID: I20250906000740 |
| Provider Name | Ben George |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295930519 PECOS PAC ID: 9638203300 Enrollment ID: I20250908000430 |
| Provider Name | Nathanael G Bailey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003013814 PECOS PAC ID: 7012194491 Enrollment ID: I20250908000621 |
| Provider Name | Lindsey Wilson Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023850047 PECOS PAC ID: 5799229415 Enrollment ID: I20250908001268 |
| Provider Name | Sarah Joan Godfrey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063918704 PECOS PAC ID: 4385146489 Enrollment ID: I20250908001670 |
| Provider Name | Collin Matthew Wentworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720960255 PECOS PAC ID: 6800398900 Enrollment ID: I20250908001695 |
| Provider Name | Katherine Vandervest |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336295963 PECOS PAC ID: 9830244409 Enrollment ID: I20250908002674 |
| Provider Name | Emily Nicole Readle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184518508 PECOS PAC ID: 7618479643 Enrollment ID: I20250908002680 |
| Provider Name | Samuel Jong Cherng Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699525741 PECOS PAC ID: 0941746473 Enrollment ID: I20250908002789 |
| Provider Name | Grace Ellen Sinkule |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255228250 PECOS PAC ID: 8820590870 Enrollment ID: I20250908003279 |
| Provider Name | Jaques Lamonte Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104679539 PECOS PAC ID: 9537604574 Enrollment ID: I20250908003402 |
| Provider Name | Caleb Louis Wolz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861249872 PECOS PAC ID: 5193167229 Enrollment ID: I20250908003584 |
| Provider Name | Kristen Nicole Worth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487409348 PECOS PAC ID: 0547705584 Enrollment ID: I20250908003637 |
| Provider Name | Zurisadai Cevallos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376342881 PECOS PAC ID: 9931601887 Enrollment ID: I20250909000627 |
| Provider Name | Thomas Emil Kolbusz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144033267 PECOS PAC ID: 4789186511 Enrollment ID: I20250909002255 |
| Provider Name | Obadi M Obadi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225887664 PECOS PAC ID: 3971945205 Enrollment ID: I20250909002319 |
| Provider Name | Reece Martin Wadle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588417612 PECOS PAC ID: 9133664188 Enrollment ID: I20250909004756 |
| Provider Name | Nicolas Villarraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295587038 PECOS PAC ID: 1052856085 Enrollment ID: I20250910000536 |
| Provider Name | Emma Limehouse Wetmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861252124 PECOS PAC ID: 5496290447 Enrollment ID: I20250910001922 |
| Provider Name | Alan Francisco Villarreal Rizzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740037779 PECOS PAC ID: 7911445127 Enrollment ID: I20250910002727 |
| Provider Name | Kiana Brittany Verplancke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861244295 PECOS PAC ID: 4981149952 Enrollment ID: I20250910002737 |
| Provider Name | Huy Gia Vuong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518601350 PECOS PAC ID: 2769985340 Enrollment ID: I20250910002979 |
| Provider Name | Lisa Viltz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942053566 PECOS PAC ID: 9133665664 Enrollment ID: I20250910004164 |
| Provider Name | Kaitlyn Schultis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699464198 PECOS PAC ID: 0143766576 Enrollment ID: I20250911000139 |
| Provider Name | Nanthaya Tisavipat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871353045 PECOS PAC ID: 2466997788 Enrollment ID: I20250911000700 |
| Provider Name | Noah Benjamin Trapp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760232490 PECOS PAC ID: 8022554617 Enrollment ID: I20250911000996 |
| Provider Name | Rebecca Treffalls |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104678804 PECOS PAC ID: 3476090051 Enrollment ID: I20250911001301 |
| Provider Name | Samuel Bear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124915244 PECOS PAC ID: 7113420613 Enrollment ID: I20250911001414 |
| Provider Name | Austin James Teel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922858117 PECOS PAC ID: 4183169402 Enrollment ID: I20250911001841 |
| Provider Name | Kimi Gabriella Taira |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831949619 PECOS PAC ID: 4082159306 Enrollment ID: I20250911001902 |
| Provider Name | Marisa Kelly Tobes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831959105 PECOS PAC ID: 7315388832 Enrollment ID: I20250911002186 |
| Provider Name | Brian Hong Trieu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063263283 PECOS PAC ID: 3678018991 Enrollment ID: I20250911002291 |
| Provider Name | Victoria Gladys Skolnick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750931838 PECOS PAC ID: 7012452048 Enrollment ID: I20250911002480 |
| Provider Name | Jiye Son |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780441451 PECOS PAC ID: 8628513066 Enrollment ID: I20250911002980 |
| Provider Name | Yoshiko Toyoda |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1861952236 PECOS PAC ID: 0749783132 Enrollment ID: I20250911003209 |
| Provider Name | Lindsey Janice Wanberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174374771 PECOS PAC ID: 0143765198 Enrollment ID: I20250911003614 |
| Provider Name | Tyra Lynn Swanson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578323689 PECOS PAC ID: 7416492442 Enrollment ID: I20250911004141 |
| Provider Name | Joseph E Tanenbaum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952937971 PECOS PAC ID: 5193148351 Enrollment ID: I20250911004231 |
| Provider Name | John Austin Treffalls |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518718535 PECOS PAC ID: 8325584741 Enrollment ID: I20250911004387 |
| Provider Name | Chenyu Sun |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1588227698 PECOS PAC ID: 8123521416 Enrollment ID: I20250912000085 |
| Provider Name | John-rudolph Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376303693 PECOS PAC ID: 7517402910 Enrollment ID: I20250912000287 |
| Provider Name | Trey Randall Sledge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063261592 PECOS PAC ID: 5698210052 Enrollment ID: I20250912000876 |
| Provider Name | Savannah Sutherlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982464228 PECOS PAC ID: 2860833167 Enrollment ID: I20250912001303 |
| Provider Name | Jonathan David Skjaerlund |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013757681 PECOS PAC ID: 0749728434 Enrollment ID: I20250912001615 |
| Provider Name | Joshua Hunter Ali Soleymani |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194574178 PECOS PAC ID: 9830634252 Enrollment ID: I20250912001792 |
| Provider Name | Melissa Solares Bravo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881454114 PECOS PAC ID: 2961947361 Enrollment ID: I20250915001738 |
| Provider Name | Lorraine Cheree Siebold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134972888 PECOS PAC ID: 4385180728 Enrollment ID: I20250915002233 |
| Provider Name | Aaron James Lassila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760280846 PECOS PAC ID: 4880198746 Enrollment ID: I20250916000843 |
| Provider Name | Debarshi Sinha |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063262244 PECOS PAC ID: 9032613831 Enrollment ID: I20250916001657 |
| Provider Name | Marjorie Ann Malbas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588977284 PECOS PAC ID: 1759655780 Enrollment ID: I20250916001731 |
| Provider Name | Zachary Scharf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750122206 PECOS PAC ID: 9133663958 Enrollment ID: I20250916001739 |
| Provider Name | Benjamin Gilbert Gorman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609627090 PECOS PAC ID: 0446795983 Enrollment ID: I20250916001792 |
| Provider Name | Kegan N Murphy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659830867 PECOS PAC ID: 9830422401 Enrollment ID: I20250916001964 |
| Provider Name | Tea Pere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891525937 PECOS PAC ID: 8022549260 Enrollment ID: I20250916002082 |
| Provider Name | Benjamin Jeffrey Quiram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902666167 PECOS PAC ID: 9739623489 Enrollment ID: I20250916002268 |
| Provider Name | Tamara Deanne Scott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013767011 PECOS PAC ID: 7315482619 Enrollment ID: I20250916002325 |
| Provider Name | Angela Marie Mercurio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891545752 PECOS PAC ID: 3274075569 Enrollment ID: I20250916002603 |
| Provider Name | Allison Meghan Leung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447095609 PECOS PAC ID: 6507360377 Enrollment ID: I20250916003268 |
| Provider Name | Tahlia Ranae Walbrecht |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962186874 PECOS PAC ID: 0345744017 Enrollment ID: I20250916003408 |
| Provider Name | Lindsey Shannon Palm-vlasak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508625666 PECOS PAC ID: 0941744742 Enrollment ID: I20250916003490 |
| Provider Name | Daniel George Daubek Packard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306690656 PECOS PAC ID: 5597207837 Enrollment ID: I20250916003683 |
| Provider Name | Justin Sapp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609513316 PECOS PAC ID: 4880137355 Enrollment ID: I20250916003830 |
| Provider Name | Lisa Ann Jelinek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750175774 PECOS PAC ID: 1153825864 Enrollment ID: I20250916004860 |
| Provider Name | George Tinotenda Mukosera |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972363133 PECOS PAC ID: 0840632329 Enrollment ID: I20250917000236 |
| Provider Name | Dennis L Shung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235540816 PECOS PAC ID: 0345538658 Enrollment ID: I20250917001184 |
| Provider Name | Ossama Sayed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184477218 PECOS PAC ID: 6305380122 Enrollment ID: I20250917001522 |
| Provider Name | Hannah Tirion Levell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407738305 PECOS PAC ID: 4183128788 Enrollment ID: I20250917002128 |
| Provider Name | Kwame Gyamfi Awuku |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225599087 PECOS PAC ID: 7719218726 Enrollment ID: I20250917002631 |
| Provider Name | Savanna Rio Russell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154203032 PECOS PAC ID: 0042714677 Enrollment ID: I20250917002823 |
| Provider Name | Meaghan Elizabeth Sievers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336998434 PECOS PAC ID: 9032655469 Enrollment ID: I20250917003313 |
| Provider Name | Sabrina Katja Aoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184425894 PECOS PAC ID: 5092219634 Enrollment ID: I20250917003379 |
| Provider Name | Duk Hwan Oh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972349181 PECOS PAC ID: 0345744835 Enrollment ID: I20250918000067 |
| Provider Name | George Mina Saieed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457111270 PECOS PAC ID: 4880138700 Enrollment ID: I20250918002841 |
| Provider Name | Reece Mcevoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073112009 PECOS PAC ID: 6103228093 Enrollment ID: I20250918003041 |
| Provider Name | Regan Mcelfresh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851180798 PECOS PAC ID: 6103320437 Enrollment ID: I20250918003145 |
| Provider Name | Maria Daniel Santiago Estevez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447001094 PECOS PAC ID: 1355885179 Enrollment ID: I20250918003182 |
| Provider Name | Manvir Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831940949 PECOS PAC ID: 5092252163 Enrollment ID: I20250918003528 |
| Provider Name | Luis a Cornejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689567893 PECOS PAC ID: 2466956693 Enrollment ID: I20250919000734 |
| Provider Name | Ahauve Mary Orusa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982454757 PECOS PAC ID: 7618419961 Enrollment ID: I20250922000723 |
| Provider Name | Kristen Allyson Ramones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245790955 PECOS PAC ID: 9133500622 Enrollment ID: I20250922001443 |
| Provider Name | Patricia Pringle Bloom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730527359 PECOS PAC ID: 2062640949 Enrollment ID: I20250922002815 |
| Provider Name | Alexander Loren Vlasak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467915181 PECOS PAC ID: 8123357712 Enrollment ID: I20250922003081 |
| Provider Name | Kathryn Nicole Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447144803 PECOS PAC ID: 5395240345 Enrollment ID: I20250923000350 |
| Provider Name | Gabriela Francis Meade |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588256598 PECOS PAC ID: 6608371653 Enrollment ID: I20250923000624 |
| Provider Name | Bethany Janelle Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306630868 PECOS PAC ID: 0143725101 Enrollment ID: I20250923000678 |
| Provider Name | Sara Marie Klennert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447047873 PECOS PAC ID: 8820593882 Enrollment ID: I20250923000867 |
| Provider Name | Kenneth D Aldape |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083700801 PECOS PAC ID: 6709071053 Enrollment ID: I20250923001232 |
| Provider Name | Michael George Kattah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871813675 PECOS PAC ID: 1456663962 Enrollment ID: I20250923001620 |
| Provider Name | Megan Rose Gehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639973027 PECOS PAC ID: 8224533146 Enrollment ID: I20250923002356 |
| Provider Name | Kimberly Rose Runnells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952107484 PECOS PAC ID: 5092210955 Enrollment ID: I20250923003181 |
| Provider Name | Julianne Christine Brandes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609760230 PECOS PAC ID: 7113422080 Enrollment ID: I20250923003340 |
| Provider Name | Ivor Bence Asztalos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962882969 PECOS PAC ID: 9032579826 Enrollment ID: I20250923003420 |
| Provider Name | Kyle Robert Duchman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609133107 PECOS PAC ID: 9133369424 Enrollment ID: I20250924000757 |
| Provider Name | Austin Jay Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861222481 PECOS PAC ID: 4284139973 Enrollment ID: I20250924001657 |
| Provider Name | Rylee Ann Rosentreter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538957097 PECOS PAC ID: 6901301696 Enrollment ID: I20250924001676 |
| Provider Name | Benjamin Joseph Sosin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821840687 PECOS PAC ID: 1850836115 Enrollment ID: I20250924001914 |
| Provider Name | Ryan Brisson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528687886 PECOS PAC ID: 5092130955 Enrollment ID: I20250924002799 |
| Provider Name | Kritica Arora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912563164 PECOS PAC ID: 9931437480 Enrollment ID: I20250924002938 |
| Provider Name | Michael Galen Mclatchey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336991827 PECOS PAC ID: 8426490764 Enrollment ID: I20250924004276 |
| Provider Name | Jeramiah Daniel Gallant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396444915 PECOS PAC ID: 9830694314 Enrollment ID: I20250925001612 |
| Provider Name | Julian Simon Rechberger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598517492 PECOS PAC ID: 6103360730 Enrollment ID: I20250926001688 |
| Provider Name | Beth Alison Hennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255220422 PECOS PAC ID: 8123523313 Enrollment ID: I20250926003732 |
| Provider Name | Seth Karl Ramin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366202244 PECOS PAC ID: 3476097007 Enrollment ID: I20250929000598 |
| Provider Name | Tito Onyekweli |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275393878 PECOS PAC ID: 8729429477 Enrollment ID: I20250929001103 |
| Provider Name | Derrick Obiri-yeboah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760222814 PECOS PAC ID: 7012452592 Enrollment ID: I20250929001412 |
| Provider Name | Stephanie Youngki Rhee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104678549 PECOS PAC ID: 2062957590 Enrollment ID: I20250929001749 |
| Provider Name | Joshua Paul Rainey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326676370 PECOS PAC ID: 2365848322 Enrollment ID: I20250929003313 |
| Provider Name | Khaled Aziz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881213007 PECOS PAC ID: 2668871054 Enrollment ID: I20250930000336 |
| Provider Name | Jackson Rogers |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790531804 PECOS PAC ID: 8628574647 Enrollment ID: I20250930001129 |
| Provider Name | Nicole Alexandra Rigler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568201580 PECOS PAC ID: 8224572847 Enrollment ID: I20250930002293 |
| Provider Name | Paige Argent |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043002207 PECOS PAC ID: 4385140144 Enrollment ID: I20251001000403 |
| Provider Name | Dori Nicole Abel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477058154 PECOS PAC ID: 3971009762 Enrollment ID: I20251001000955 |
| Provider Name | Martin Junas Ryll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457182610 PECOS PAC ID: 3072052836 Enrollment ID: I20251001001417 |
| Provider Name | Emily Marie Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912752056 PECOS PAC ID: 4183166598 Enrollment ID: I20251001001699 |
| Provider Name | Sai Divya Yadavalli |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104686526 PECOS PAC ID: 9739621426 Enrollment ID: I20251001001769 |
| Provider Name | Garrett Rhodes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568871457 PECOS PAC ID: 7517402183 Enrollment ID: I20251001003197 |
| Provider Name | German Jose Medina-rincon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023843505 PECOS PAC ID: 3476094236 Enrollment ID: I20251002000120 |
| Provider Name | Mia Poleksic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295588325 PECOS PAC ID: 0244672681 Enrollment ID: I20251002002190 |
| Provider Name | Meera Reghunathan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1942866785 PECOS PAC ID: 7113423658 Enrollment ID: I20251002003475 |
| Provider Name | Nicholas a Roberts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437918687 PECOS PAC ID: 1759820830 Enrollment ID: I20251002003607 |
| Provider Name | Mai Mohamed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366286866 PECOS PAC ID: 8224576582 Enrollment ID: I20251002003705 |
| Provider Name | Gabrielle S Ray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982231155 PECOS PAC ID: 4688099823 Enrollment ID: I20251003002023 |
| Provider Name | Stephanie Volker NG |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1558781039 PECOS PAC ID: 4688955594 Enrollment ID: I20251006000459 |
| Provider Name | Mohammed Abdullah O Alharbi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427893882 PECOS PAC ID: 0244736445 Enrollment ID: I20251006000967 |
| Provider Name | Juan Jose Morales Behaine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801626908 PECOS PAC ID: 3072052828 Enrollment ID: I20251006001747 |
| Provider Name | Saranya Prathibha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225525033 PECOS PAC ID: 9739433160 Enrollment ID: I20251006001977 |
| Provider Name | Virgenal L Owens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730716861 PECOS PAC ID: 3072936152 Enrollment ID: I20251006002104 |
| Provider Name | Caylon R Pettis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295576643 PECOS PAC ID: 4789128406 Enrollment ID: I20251006003151 |
| Provider Name | Meera M Dhodapkar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982390613 PECOS PAC ID: 2365883014 Enrollment ID: I20251007000500 |
| Provider Name | Emily Mae Peairs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265287049 PECOS PAC ID: 3274975602 Enrollment ID: I20251007000577 |
| Provider Name | Ahmed Amine Alaoui |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992680730 PECOS PAC ID: 4981101078 Enrollment ID: I20251007000960 |
| Provider Name | Jordan Blake Iceton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376129312 PECOS PAC ID: 3971736562 Enrollment ID: I20251007002380 |
| Provider Name | Abhilasha Borkar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124634712 PECOS PAC ID: 3779980479 Enrollment ID: I20251007002456 |
| Provider Name | Laura Jean Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528862372 PECOS PAC ID: 1557868353 Enrollment ID: I20251008001624 |
| Provider Name | Natalia Alekseevna Rothschild |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720788367 PECOS PAC ID: 4688171481 Enrollment ID: I20251008001693 |
| Provider Name | Kelly Jo Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437949765 PECOS PAC ID: 4880191618 Enrollment ID: I20251008001850 |
| Provider Name | Prince Jeffery Boadi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437900958 PECOS PAC ID: 8224478821 Enrollment ID: I20251008001863 |
| Provider Name | Annemarie Leontine Versteeg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235017633 PECOS PAC ID: 5991202590 Enrollment ID: I20251009001176 |
| Provider Name | Leah Renee Riese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972382208 PECOS PAC ID: 0143717405 Enrollment ID: I20251013000783 |
| Provider Name | Elsie Touma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700614054 PECOS PAC ID: 6305384934 Enrollment ID: I20251014003527 |
| Provider Name | Catherine Elizabeth Mckenna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336713528 PECOS PAC ID: 5193127926 Enrollment ID: I20251015003247 |
| Provider Name | Kunal Jain |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336021740 PECOS PAC ID: 8123515590 Enrollment ID: I20251017002941 |
| Provider Name | Abigail Elise Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407683386 PECOS PAC ID: 5092203331 Enrollment ID: I20251020002027 |
| Provider Name | Anna Freeman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699567628 PECOS PAC ID: 9537657739 Enrollment ID: I20251021000895 |
| Provider Name | Asaya Crisostomo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497059273 PECOS PAC ID: 5991757296 Enrollment ID: I20251021001789 |
| Provider Name | Megan Elizabeth Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871049668 PECOS PAC ID: 6507152022 Enrollment ID: I20251022003597 |
| Provider Name | Emma Esther Olberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093528861 PECOS PAC ID: 1951899616 Enrollment ID: I20251023003506 |
| Provider Name | Rochelle Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629008644 PECOS PAC ID: 1557327962 Enrollment ID: I20251023004263 |
| Provider Name | Rachel Mariah Neff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487408795 PECOS PAC ID: 0547702672 Enrollment ID: I20251027001483 |
| Provider Name | Adam Richard Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922983139 PECOS PAC ID: 9537658943 Enrollment ID: I20251027003861 |
| Provider Name | Max F Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912793308 PECOS PAC ID: 7416446240 Enrollment ID: I20251030003665 |
| Provider Name | Mark Jeffrey Hoegger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306227137 PECOS PAC ID: 1355654823 Enrollment ID: I20251104000574 |
| Provider Name | Kirsten Alejandrina Goumbala |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346049764 PECOS PAC ID: 2961992458 Enrollment ID: I20251104000943 |
| Provider Name | Yun Kyoung Tiger |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578096269 PECOS PAC ID: 9638418643 Enrollment ID: I20251105001801 |
| Provider Name | Rebecca Katherine Mohs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881487619 PECOS PAC ID: 1355831793 Enrollment ID: I20251105001829 |
| Provider Name | Somaya Aly Mohamed a Zahran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245119577 PECOS PAC ID: 8527558774 Enrollment ID: I20251106000071 |
| Provider Name | Daniel Labuz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083075998 PECOS PAC ID: 0446546055 Enrollment ID: I20251106002852 |
| Provider Name | Hira Saleem Chaudhary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225602394 PECOS PAC ID: 3375945215 Enrollment ID: I20251110001250 |
| Provider Name | Hannah C Baumgart |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285511188 PECOS PAC ID: 2769973460 Enrollment ID: I20251111001070 |
| Provider Name | Austin Ray Muchmore- St Clair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326831389 PECOS PAC ID: 0840781308 Enrollment ID: I20251113000485 |
| Provider Name | Rijul Sudhir Kshirsagar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992168298 PECOS PAC ID: 1254694243 Enrollment ID: I20251113001788 |
| Provider Name | Devin Louis Froerer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639808868 PECOS PAC ID: 8921449257 Enrollment ID: I20251117002766 |
| Provider Name | Andrea Murez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841050127 PECOS PAC ID: 0547702839 Enrollment ID: I20251117003165 |
| Provider Name | Doha Mohamed Abdalla Hassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639746977 PECOS PAC ID: 3476937442 Enrollment ID: I20251117003320 |
| Provider Name | Christopher Phillips |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1821675398 PECOS PAC ID: 3375916844 Enrollment ID: I20251118002286 |
| Provider Name | Joseph Anthony Panos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154020873 PECOS PAC ID: 4486196219 Enrollment ID: I20251119001687 |
| Provider Name | Robb Rowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780666057 PECOS PAC ID: 4183645278 Enrollment ID: I20251119001795 |
| Provider Name | Joseph Wittmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912440579 PECOS PAC ID: 4688048994 Enrollment ID: I20251119002441 |
| Provider Name | Elizabeth Suzanne Frick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801634688 PECOS PAC ID: 3173014958 Enrollment ID: I20251119002896 |
| Provider Name | Erin Marie Siebenaler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023754439 PECOS PAC ID: 4688166432 Enrollment ID: I20251119004738 |
| Provider Name | Amber Shimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427949833 PECOS PAC ID: 1355833922 Enrollment ID: I20251120004214 |
| Provider Name | Mckenna Wensman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578454781 PECOS PAC ID: 6204328818 Enrollment ID: I20251121001032 |
| Provider Name | Paolo Machi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073487732 PECOS PAC ID: 9931691391 Enrollment ID: I20251124000052 |
| Provider Name | Philomina Bigelow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508473067 PECOS PAC ID: 4981196300 Enrollment ID: I20251124001620 |
| Provider Name | Anna Lee Kiffmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043057870 PECOS PAC ID: 5698267961 Enrollment ID: I20251124003165 |
| Provider Name | Stephanie Kraybill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649812975 PECOS PAC ID: 3678969888 Enrollment ID: I20251125001221 |
| Provider Name | Tierra Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407667355 PECOS PAC ID: 8325530504 Enrollment ID: I20251125001749 |
| Provider Name | Julia Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942899869 PECOS PAC ID: 1355758236 Enrollment ID: I20251125004513 |
| Provider Name | Caroline Mariela Miner Gearin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700665163 PECOS PAC ID: 7416449475 Enrollment ID: I20251126001018 |
| Provider Name | Brandon Trammell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285413781 PECOS PAC ID: 4082106075 Enrollment ID: I20251126001496 |
| Provider Name | Scott Swasey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710086210 PECOS PAC ID: 2163556820 Enrollment ID: I20251128000077 |
| Provider Name | Margaret Blattner |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1619358371 PECOS PAC ID: 0648584516 Enrollment ID: I20251128000142 |
| Provider Name | Subha Hanif |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578192142 PECOS PAC ID: 0840674339 Enrollment ID: I20251128000490 |
| Provider Name | Sarah Mohamedaly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598297616 PECOS PAC ID: 2062818040 Enrollment ID: I20251201001835 |
| Provider Name | Bailey a Willard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346057320 PECOS PAC ID: 0143713941 Enrollment ID: I20251201002407 |
| Provider Name | Laura Christine Leder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255121109 PECOS PAC ID: 0840783601 Enrollment ID: I20251202000306 |
| Provider Name | Kelly Margaret Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457672941 PECOS PAC ID: 0941519045 Enrollment ID: I20251202001055 |
| Provider Name | Jeremy William Briggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316364185 PECOS PAC ID: 7416968300 Enrollment ID: I20251202003221 |
| Provider Name | Chloe Ann Line |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891574216 PECOS PAC ID: 9830682467 Enrollment ID: I20251203000550 |
| Provider Name | Margaret Nora Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710860119 PECOS PAC ID: 9638662141 Enrollment ID: I20251203002171 |
| Provider Name | Alexandra Kay Kirby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194212365 PECOS PAC ID: 3870086382 Enrollment ID: I20251203002382 |
| Provider Name | Shavonne Ying Han Chen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932072790 PECOS PAC ID: 9638662158 Enrollment ID: I20251203002440 |
| Provider Name | Tazim Sameer Merchant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629625991 PECOS PAC ID: 2365984655 Enrollment ID: I20251204001216 |
| Provider Name | Miranda Lynn Stangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821977885 PECOS PAC ID: 3678066990 Enrollment ID: I20251204003893 |
| Provider Name | Priscilla Quynh-phuong Vu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538522669 PECOS PAC ID: 6103180559 Enrollment ID: I20251208002006 |
| Provider Name | Lauryn Ward Nagle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831083674 PECOS PAC ID: 4789178773 Enrollment ID: I20251208002186 |
| Provider Name | Chef Stan Lucena Macaraeg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578202156 PECOS PAC ID: 5395239289 Enrollment ID: I20251209001410 |
| Provider Name | Diego Vinnicyus Santos Rodrigues |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386495166 PECOS PAC ID: 6507303088 Enrollment ID: I20251210003475 |
| Provider Name | Michelle Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568232676 PECOS PAC ID: 8022453299 Enrollment ID: I20251211000746 |
| Provider Name | William Howard Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952190225 PECOS PAC ID: 3476047895 Enrollment ID: I20251212002712 |
| Provider Name | Annette Rose Glotfelty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780477026 PECOS PAC ID: 6709370984 Enrollment ID: I20251215002824 |
| Provider Name | Andrew Warfield Hoel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558313718 PECOS PAC ID: 3678722600 Enrollment ID: I20251222000808 |
| Provider Name | Kartavya Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295045201 PECOS PAC ID: 0345535803 Enrollment ID: I20251223000788 |
| Provider Name | Christine Elizabeth Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376333955 PECOS PAC ID: 9931694270 Enrollment ID: I20251223003854 |
| Provider Name | Christopher W Dirkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003797580 PECOS PAC ID: 3779078043 Enrollment ID: I20251223004298 |
| Provider Name | Hannah Rose Taube |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366221640 PECOS PAC ID: 2365938495 Enrollment ID: I20251229001245 |
| Provider Name | Amber Kay Bakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477424620 PECOS PAC ID: 6709372832 Enrollment ID: I20251229001334 |
| Provider Name | Nathaniel Edward Wiest |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215590864 PECOS PAC ID: 2769717354 Enrollment ID: I20251229001445 |
| Provider Name | Coral Erica Dirks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699312827 PECOS PAC ID: 7810336484 Enrollment ID: I20251229002527 |
| Provider Name | Madeline Breanna Stavlo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861037350 PECOS PAC ID: 3678069697 Enrollment ID: I20251230000463 |
| Provider Name | Rachel Marie Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093683633 PECOS PAC ID: 5193211050 Enrollment ID: I20251230001986 |
| Provider Name | Rebecca F Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770843062 PECOS PAC ID: 6305222860 Enrollment ID: I20251230002494 |
| Provider Name | Matthew Alan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083591960 PECOS PAC ID: 3375039134 Enrollment ID: I20251231001415 |
| Provider Name | Meeval Marian Biju |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275412405 PECOS PAC ID: 3274029954 Enrollment ID: I20251231003592 |
| Provider Name | Matthew Tomas Villaume |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1760001986 PECOS PAC ID: 0042706723 Enrollment ID: I20251231003808 |
| Provider Name | Zoey Marion Malone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841046885 PECOS PAC ID: 1850887548 Enrollment ID: I20251231003866 |
| Provider Name | Sinead Louise Murphy Salem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033641170 PECOS PAC ID: 9032567615 Enrollment ID: I20251231003892 |
| Provider Name | Calyn Merit Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598633950 PECOS PAC ID: 1456847060 Enrollment ID: I20260105000414 |
| Provider Name | Monica Flores Navarro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609354919 PECOS PAC ID: 2365807393 Enrollment ID: I20260105001551 |
| Provider Name | Melissa L. Del Rosario |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932663051 PECOS PAC ID: 6204162282 Enrollment ID: I20260105001802 |
| Provider Name | Kristen Carol Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932077054 PECOS PAC ID: 5799271003 Enrollment ID: I20260106003181 |
| Provider Name | Makenzie Lauren Hodson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326827767 PECOS PAC ID: 0042706368 Enrollment ID: I20260106003369 |
| Provider Name | Vi Nguyentran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790518041 PECOS PAC ID: 2062940836 Enrollment ID: I20260107002367 |
| Provider Name | Stacey a Ress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295601987 PECOS PAC ID: 4486130689 Enrollment ID: I20260107003617 |
| Provider Name | Michael Patrick O'shea |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558969436 PECOS PAC ID: 1052721388 Enrollment ID: I20260109002136 |
| Provider Name | Alexis Bonnie Wolf Mcevoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467327254 PECOS PAC ID: 1456837103 Enrollment ID: I20260112003554 |
| Provider Name | Bilqis Siddiqah Muzaffarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871914762 PECOS PAC ID: 8426353210 Enrollment ID: I20260115003326 |
| Provider Name | Daniel Hammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164205761 PECOS PAC ID: 7719464775 Enrollment ID: I20260121001631 |
| Provider Name | Pietro Hector Di Santo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073479242 PECOS PAC ID: 7113404112 Enrollment ID: I20260121002763 |
| Provider Name | Serenah Morris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528946332 PECOS PAC ID: 9234616251 Enrollment ID: I20260121003213 |
| Provider Name | Nesime S Tiskaoglu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558107516 PECOS PAC ID: 1254829138 Enrollment ID: I20260128001013 |
| Provider Name | Danielle K Devlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477178580 PECOS PAC ID: 4183047921 Enrollment ID: I20260128002763 |
| Provider Name | Jennifer a Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568739720 PECOS PAC ID: 9335627686 Enrollment ID: I20260129000698 |
| Provider Name | Ariel Marie King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174487714 PECOS PAC ID: 7719465756 Enrollment ID: I20260130002056 |
| Provider Name | Tamara Lynn Soerensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588541619 PECOS PAC ID: 3072091826 Enrollment ID: I20260202002996 |
| Provider Name | Hannah Elise Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013889153 PECOS PAC ID: 0042798845 Enrollment ID: I20260203000653 |
| Provider Name | Alexia Rae Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962029611 PECOS PAC ID: 0749605715 Enrollment ID: I20260203000725 |
| Provider Name | Fadila Dedic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285596098 PECOS PAC ID: 2769960376 Enrollment ID: I20260203003602 |
| Provider Name | Ruth Campos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205799848 PECOS PAC ID: 8820576499 Enrollment ID: I20260204001051 |
| Provider Name | Diana Doris Chavez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356217889 PECOS PAC ID: 6608354295 Enrollment ID: I20260204001346 |
| Provider Name | John Drussell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730040148 PECOS PAC ID: 0547749020 Enrollment ID: I20260204004318 |
| Provider Name | Wingman Cheung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902777063 PECOS PAC ID: 3870072168 Enrollment ID: I20260206002814 |
| Provider Name | Kelly Lynn Kohrs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699641043 PECOS PAC ID: 1052890266 Enrollment ID: I20260209001761 |
| Provider Name | Helen Theresa Conlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164383907 PECOS PAC ID: 8123508702 Enrollment ID: I20260213000441 |
| Provider Name | Holly a Diercks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912864596 PECOS PAC ID: 8325528938 Enrollment ID: I20260213000904 |
| Provider Name | Alexander Joseph Holets |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073303582 PECOS PAC ID: 5294215786 Enrollment ID: I20260213003576 |
| Provider Name | Brittany Camille Fields |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871055863 PECOS PAC ID: 6103153507 Enrollment ID: I20260218001827 |
| Provider Name | Cameron Searle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851025183 PECOS PAC ID: 4082082508 Enrollment ID: I20260220000867 |
| Provider Name | Grace Welter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326894452 PECOS PAC ID: 9830670363 Enrollment ID: I20260224000047 |
| Provider Name | Jason Kolbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871340919 PECOS PAC ID: 5799266227 Enrollment ID: I20260224000316 |
| Provider Name | Krista Nicole Korkowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306708045 PECOS PAC ID: 6901387521 Enrollment ID: I20260226001325 |
| Provider Name | Katlin Elizabeth Morse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417815325 PECOS PAC ID: 3678054699 Enrollment ID: I20260226003143 |
| Provider Name | Sarah a Atmajoana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811859259 PECOS PAC ID: 1850872789 Enrollment ID: I20260227002081 |
| Provider Name | Ryan Uitti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881683241 PECOS PAC ID: 0345371670 Enrollment ID: I20260303000515 |
| Provider Name | Keith Wemple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780555847 PECOS PAC ID: 3971085432 Enrollment ID: I20260304001023 |
| Provider Name | Aashna Tarang Ray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962281139 PECOS PAC ID: 5193208973 Enrollment ID: I20260310003374 |
| Provider Name | Madeline May Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265391098 PECOS PAC ID: 7315420965 Enrollment ID: I20260311002818 |
| Provider Name | Craig H Bennett |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992743702 PECOS PAC ID: 3072401751 Enrollment ID: I20260312000780 |
| Provider Name | Tina Marie Diepenbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952185928 PECOS PAC ID: 4880177013 Enrollment ID: I20260316001249 |
| Provider Name | Aya Wassef Elmir |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669352233 PECOS PAC ID: 9133603285 Enrollment ID: I20260317004028 |
| Provider Name | Stephanie Marie Judy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801595947 PECOS PAC ID: 4284118118 Enrollment ID: I20260319000292 |
| Provider Name | Binty Kunwar Chhetri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043689185 PECOS PAC ID: 3476861832 Enrollment ID: I20260325000179 |
| Provider Name | Shannon Karels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801751748 PECOS PAC ID: 1759865959 Enrollment ID: I20260325000781 |
| Provider Name | Subha Ghosh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205897774 PECOS PAC ID: 1759302300 Enrollment ID: I20260325001196 |
| Provider Name | Coltyn T Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992310700 PECOS PAC ID: 9537657275 Enrollment ID: I20260325003167 |
| Provider Name | Prem Balaji Senthil Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376170118 PECOS PAC ID: 2860925096 Enrollment ID: I20260326001210 |
| Provider Name | Heather Lynn Kraling-coons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992651020 PECOS PAC ID: 5496230328 Enrollment ID: I20260330001213 |
| Provider Name | Rachael Lyann Printz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659237519 PECOS PAC ID: 5395220826 Enrollment ID: I20260401002509 |
| Provider Name | Lynsey Mae Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336013457 PECOS PAC ID: 8921573296 Enrollment ID: I20260406001074 |
| Provider Name | Stephen Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215552542 PECOS PAC ID: 2860815289 Enrollment ID: I20260408001608 |
| Provider Name | Spencer O'reilly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699632182 PECOS PAC ID: 2567937378 Enrollment ID: I20260409001486 |
| Provider Name | Masaki Funamoto |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1346607637 PECOS PAC ID: 2062718042 Enrollment ID: I20260414000626 |
| Provider Name | Bria Anne Berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356296818 PECOS PAC ID: 1759857162 Enrollment ID: I20260414001761 |
| Provider Name | Brian Burnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659806230 PECOS PAC ID: 7113299595 Enrollment ID: I20260415001332 |
| Provider Name | Megan Kathryn Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578404752 PECOS PAC ID: 6507332731 Enrollment ID: I20260415003447 |
| Provider Name | Monika Radike |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457294035 PECOS PAC ID: 5597231175 Enrollment ID: I20260421000993 |
| Provider Name | Morgan Leigh Moseley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366393118 PECOS PAC ID: 3577039098 Enrollment ID: I20260421002947 |
| Provider Name | Philippe Armand |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1689648263 PECOS PAC ID: 9537183496 Enrollment ID: I20260429000926 |
| Provider Name | Natalie Boatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265101380 PECOS PAC ID: 3971070707 Enrollment ID: I20260429001497 |
| Provider Name | Jeffrey Ehmsen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1174827448 PECOS PAC ID: 6406286236 Enrollment ID: I20260430000168 |
| Provider Name | Matthew Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760773964 PECOS PAC ID: 0749514867 Enrollment ID: I20260501001221 |
| Provider Name | Quinton Xavier-james Conner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851248652 PECOS PAC ID: 2668940859 Enrollment ID: I20260506001273 |
| Provider Name | Igor E. Konstantinov |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942009683 PECOS PAC ID: 1153890892 Enrollment ID: I20260512002656 |
| Provider Name | Salym Winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275310617 PECOS PAC ID: 7911354436 Enrollment ID: I20260601000845 |
| Provider Name | M Mrhaf Alsamman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881221307 PECOS PAC ID: 1850750985 Enrollment ID: I20260602002450 |
| Provider Name | Annika Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427660711 PECOS PAC ID: 5496226268 Enrollment ID: I20260603001359 |
| Provider Name | Oliver Peacock |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1225686413 PECOS PAC ID: 5991119729 Enrollment ID: I20260604001732 |
| Provider Name | Rajaeaswaran Chinnamuthu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437836624 PECOS PAC ID: 5294206892 Enrollment ID: I20260604001941 |
| Provider Name | Viswatej Avutu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255759163 PECOS PAC ID: 4082832464 Enrollment ID: I20260604002186 |
| Provider Name | Apoorva Avutu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255795506 PECOS PAC ID: 3779810452 Enrollment ID: I20260608000578 |
| Provider Name | Jose Antonio Meade Aguilar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144922931 PECOS PAC ID: 6305207465 Enrollment ID: I20260611003764 |
| Provider Name | Brit J Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700222635 PECOS PAC ID: 1951666916 Enrollment ID: I20260613000044 |
| Provider Name | Alyssa M Pioggia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063254985 PECOS PAC ID: 4688114879 Enrollment ID: I20260615003287 |
| Provider Name | Benjamin Arnold Brandt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720910664 PECOS PAC ID: 7315419561 Enrollment ID: I20260618001481 |
| Provider Name | Jason Robert Mathews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265372916 PECOS PAC ID: 0749753382 Enrollment ID: I20260624004202 |
Omc Skyway Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 1st Ave Sw, Suite 203, Rochester, MN 55902 Phone: 507-529-6616 |
Renew Bridge LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 50th Ave Nw, Rochester, MN 55901 Phone: 507-271-7309 |
Fastcare South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 14th St Sw Ste 200, Rochester, MN 55902 Phone: 507-280-1824 |
Integrative Solutions Chiropractic PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 14th St Nw Ste 101, Rochester, MN 55901 Phone: 507-323-9004 |
Thrive Together Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Manor Ridge Dr Nw, Rochester, MN 55901 Phone: 612-458-4598 |
Marcia Guertin, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 Highway 52 N, Suite C, Rochester, MN 55901 Phone: 507-990-2744 Fax: 507-282-9626 |