| Memorial Health Partners Foundation, Inc | |
|
5600 Brainerd Rd Suite 500 Chattanooga TN 37411-5310 | |
| (423) 495-6870 | |
| Not Available |
| Full Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5600 Brainerd Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Maelor G Hughes (PRESIDENT) |
| Authorized Official Contact | 4234956870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Health Partners Foundation, Inc Po Box 749748 Atlanta GA 30374-9748 Ph: (423) 495-8659 | Memorial Health Partners Foundation, Inc 5600 Brainerd Rd Suite 500 Chattanooga TN 37411-5310 Ph: (423) 495-6870 |
| NPI Number | 1922053545 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 8022919570 |
|---|---|
| Medicare Enrollment ID | O20040116000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922053545 | NPI | - | NPPES |
| Provider Name | Tareck a Kadrie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700814191 PECOS PAC ID: 3072417906 Enrollment ID: I20031122000026 |
| Provider Name | Jeffrey Balser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891760153 PECOS PAC ID: 4789580432 Enrollment ID: I20031211000916 |
| Provider Name | Blaise Baxter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487681342 PECOS PAC ID: 6507763232 Enrollment ID: I20031218000926 |
| Provider Name | John S Muller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861477374 PECOS PAC ID: 8527969054 Enrollment ID: I20040117000149 |
| Provider Name | Jeffrey S Jump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467462150 PECOS PAC ID: 8426959750 Enrollment ID: I20040119000495 |
| Provider Name | David B Dodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518942424 PECOS PAC ID: 4688567175 Enrollment ID: I20040206000903 |
| Provider Name | David a Denman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942287453 PECOS PAC ID: 1254226129 Enrollment ID: I20040219000067 |
| Provider Name | Johannes J Duplooy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194767376 PECOS PAC ID: 8224927488 Enrollment ID: I20040315000472 |
| Provider Name | Richard H Jennings |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245299551 PECOS PAC ID: 9335039106 Enrollment ID: I20040316001186 |
| Provider Name | Michael Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245207497 PECOS PAC ID: 6800884636 Enrollment ID: I20040503000255 |
| Provider Name | Christopher R Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174551600 PECOS PAC ID: 7719977453 Enrollment ID: I20040514000946 |
| Provider Name | Cheril M Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427024363 PECOS PAC ID: 6103816418 Enrollment ID: I20040517001273 |
| Provider Name | Rodney J Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023019304 PECOS PAC ID: 8729069448 Enrollment ID: I20040528000064 |
| Provider Name | Suzanne E Storey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346225919 PECOS PAC ID: 0042292088 Enrollment ID: I20040603000929 |
| Provider Name | Larry R Sprouse |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730173634 PECOS PAC ID: 2567445828 Enrollment ID: I20040609000583 |
| Provider Name | Richard L Yap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710956305 PECOS PAC ID: 0941283147 Enrollment ID: I20040609000918 |
| Provider Name | Lonard C Rigsby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942285523 PECOS PAC ID: 8820992944 Enrollment ID: I20040615001485 |
| Provider Name | Mario E Mariani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487680344 PECOS PAC ID: 7012991177 Enrollment ID: I20040616000311 |
| Provider Name | Luke Stephan Erdoes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558355511 PECOS PAC ID: 5294712634 Enrollment ID: I20040702000418 |
| Provider Name | Jacqueline Louise Rogers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831229236 PECOS PAC ID: 8921078064 Enrollment ID: I20040727001510 |
| Provider Name | William T Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073552121 PECOS PAC ID: 9537130679 Enrollment ID: I20040803001096 |
| Provider Name | Vincent a Viscomi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982689493 PECOS PAC ID: 7416928197 Enrollment ID: I20040805000031 |
| Provider Name | Steven Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376537001 PECOS PAC ID: 7810961638 Enrollment ID: I20040825001359 |
| Provider Name | Scott Randall Dryzer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164494621 PECOS PAC ID: 1557335395 Enrollment ID: I20040825001535 |
| Provider Name | Sibaji Shome |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922022672 PECOS PAC ID: 8123097490 Enrollment ID: I20041002000137 |
| Provider Name | John L Gwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861486839 PECOS PAC ID: 1254391279 Enrollment ID: I20041014000384 |
| Provider Name | Kelly J Rouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689610230 PECOS PAC ID: 5890758882 Enrollment ID: I20041110000829 |
| Provider Name | Marilyn L Bean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366417545 PECOS PAC ID: 6305802760 Enrollment ID: I20041207000895 |
| Provider Name | Bobby L Ray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871568600 PECOS PAC ID: 6709842990 Enrollment ID: I20041209000212 |
| Provider Name | George R Oscar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811962053 PECOS PAC ID: 1153387352 Enrollment ID: I20041209000234 |
| Provider Name | Serena Lau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477528693 PECOS PAC ID: 2163334483 Enrollment ID: I20041209000297 |
| Provider Name | Chetan D Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659480606 PECOS PAC ID: 7113985086 Enrollment ID: I20041222000804 |
| Provider Name | Hal E Hill |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689663197 PECOS PAC ID: 2264482561 Enrollment ID: I20050125000377 |
| Provider Name | Paul Cornea |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083603906 PECOS PAC ID: 4688624844 Enrollment ID: I20050125000923 |
| Provider Name | Jeffery a Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225067861 PECOS PAC ID: 9537113055 Enrollment ID: I20050308000941 |
| Provider Name | Subhash P Virani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336222546 PECOS PAC ID: 2062467418 Enrollment ID: I20050317001003 |
| Provider Name | Ryan S Mcnamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598878084 PECOS PAC ID: 0446299473 Enrollment ID: I20050428001254 |
| Provider Name | Anuj Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710977301 PECOS PAC ID: 1557303989 Enrollment ID: I20050525001309 |
| Provider Name | Allen T Sherwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902825102 PECOS PAC ID: 4284677535 Enrollment ID: I20050607000968 |
| Provider Name | Ann H Rybolt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750375333 PECOS PAC ID: 0244269751 Enrollment ID: I20050804001128 |
| Provider Name | Oana L Andreescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306821947 PECOS PAC ID: 5193613719 Enrollment ID: I20050823000512 |
| Provider Name | Theresa a Pollard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073513537 PECOS PAC ID: 6507891124 Enrollment ID: I20051003000691 |
| Provider Name | Jenny L Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720174360 PECOS PAC ID: 9830118322 Enrollment ID: I20051114001031 |
| Provider Name | Eric Eskioglu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336222900 PECOS PAC ID: 5890714976 Enrollment ID: I20051117000647 |
| Provider Name | Laura S Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881672327 PECOS PAC ID: 8820003841 Enrollment ID: I20060213000630 |
| Provider Name | Paul Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063470276 PECOS PAC ID: 7911912506 Enrollment ID: I20060220000076 |
| Provider Name | Robert S Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205814738 PECOS PAC ID: 2961418207 Enrollment ID: I20060223000814 |
| Provider Name | Ron Lanier Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073553608 PECOS PAC ID: 3375551906 Enrollment ID: I20060323000503 |
| Provider Name | Beth N Jordan-lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376601351 PECOS PAC ID: 8022028885 Enrollment ID: I20060425000385 |
| Provider Name | Walter Rose |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689668121 PECOS PAC ID: 7113938523 Enrollment ID: I20060524000175 |
| Provider Name | Holly D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295763316 PECOS PAC ID: 4082617162 Enrollment ID: I20060809000433 |
| Provider Name | John C House |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538138805 PECOS PAC ID: 4385649029 Enrollment ID: I20061002000178 |
| Provider Name | Travis L Flock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629044920 PECOS PAC ID: 7315944758 Enrollment ID: I20061027000401 |
| Provider Name | Joel S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134239270 PECOS PAC ID: 8224037601 Enrollment ID: I20061212000661 |
| Provider Name | Terrance Moss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346335262 PECOS PAC ID: 5890796924 Enrollment ID: I20070116000450 |
| Provider Name | Julie C Munson-jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952328874 PECOS PAC ID: 4486656691 Enrollment ID: I20070131000672 |
| Provider Name | Thomas Diller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932297835 PECOS PAC ID: 5294737854 Enrollment ID: I20070209000606 |
| Provider Name | Fitzhugh L Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477527653 PECOS PAC ID: 1951404003 Enrollment ID: I20070312000166 |
| Provider Name | Rita Wirth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831245877 PECOS PAC ID: 2860598406 Enrollment ID: I20070427000524 |
| Provider Name | Jameson Greiner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740317379 PECOS PAC ID: 5092813899 Enrollment ID: I20070601000158 |
| Provider Name | Carole H Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962536631 PECOS PAC ID: 3577664499 Enrollment ID: I20070723000402 |
| Provider Name | Angela Darlene Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306910351 PECOS PAC ID: 0244322782 Enrollment ID: I20070828000902 |
| Provider Name | Christina Woodard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780871434 PECOS PAC ID: 8527156959 Enrollment ID: I20071117000096 |
| Provider Name | Cynthia F Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891798047 PECOS PAC ID: 9830288646 Enrollment ID: I20071201000134 |
| Provider Name | Ryan Langford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215119748 PECOS PAC ID: 1254412588 Enrollment ID: I20080112000200 |
| Provider Name | Paul E Hoffmann |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851304307 PECOS PAC ID: 3274531066 Enrollment ID: I20080219000248 |
| Provider Name | James R Headrick |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104812817 PECOS PAC ID: 5496658445 Enrollment ID: I20080326000284 |
| Provider Name | Raymond Frank Alonge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366517609 PECOS PAC ID: 6103910427 Enrollment ID: I20080625000259 |
| Provider Name | Anja Altheria Patton-evans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750364204 PECOS PAC ID: 0143393124 Enrollment ID: I20080724000233 |
| Provider Name | Laura C Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114197522 PECOS PAC ID: 5294808077 Enrollment ID: I20080728000199 |
| Provider Name | Roberta J Rakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831366293 PECOS PAC ID: 6608943923 Enrollment ID: I20080927000228 |
| Provider Name | Kristen Joels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437169711 PECOS PAC ID: 3577506328 Enrollment ID: I20081014000746 |
| Provider Name | Andrea Hawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306098975 PECOS PAC ID: 0143389122 Enrollment ID: I20081105000549 |
| Provider Name | Madeline Grotefendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912176280 PECOS PAC ID: 9931269651 Enrollment ID: I20081125000256 |
| Provider Name | Jennifer L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593917 PECOS PAC ID: 3476614363 Enrollment ID: I20081210000746 |
| Provider Name | Nataria Pitiyanuvath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831301811 PECOS PAC ID: 7911069067 Enrollment ID: I20081223000640 |
| Provider Name | Kristine J Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891944765 PECOS PAC ID: 1557424231 Enrollment ID: I20090106000719 |
| Provider Name | Sandra C Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003072273 PECOS PAC ID: 6406910249 Enrollment ID: I20090122000775 |
| Provider Name | Paul D Bates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518021518 PECOS PAC ID: 5698832004 Enrollment ID: I20090328000042 |
| Provider Name | Thomas Devlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891723284 PECOS PAC ID: 4082648076 Enrollment ID: I20090422000630 |
| Provider Name | Mark Fugate |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124227459 PECOS PAC ID: 7113077132 Enrollment ID: I20090615000103 |
| Provider Name | Garrett Paul Salmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952542714 PECOS PAC ID: 9436209301 Enrollment ID: I20090615000699 |
| Provider Name | Paul E Ballinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881677847 PECOS PAC ID: 3577575109 Enrollment ID: I20090622000116 |
| Provider Name | Heidi R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821223488 PECOS PAC ID: 5294886750 Enrollment ID: I20090624000361 |
| Provider Name | Melanie Black Blake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073735304 PECOS PAC ID: 3678647781 Enrollment ID: I20090722000527 |
| Provider Name | James a Lovette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336232354 PECOS PAC ID: 9335126317 Enrollment ID: I20090811000147 |
| Provider Name | Christopher B Baucom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124124664 PECOS PAC ID: 8820136187 Enrollment ID: I20091109000009 |
| Provider Name | Brandy Baucom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114150109 PECOS PAC ID: 3173661436 Enrollment ID: I20091109000026 |
| Provider Name | David R Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984576 PECOS PAC ID: 0345158283 Enrollment ID: I20100219000187 |
| Provider Name | Stephen Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598701674 PECOS PAC ID: 5496883696 Enrollment ID: I20100510000065 |
| Provider Name | Adrien Strickland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225230162 PECOS PAC ID: 4385774280 Enrollment ID: I20100618000435 |
| Provider Name | Beverly J Still |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235105107 PECOS PAC ID: 0345371746 Enrollment ID: I20100629000577 |
| Provider Name | Issabel D Crabtree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528034295 PECOS PAC ID: 4385660661 Enrollment ID: I20100630000427 |
| Provider Name | Bryan J Lopes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720054760 PECOS PAC ID: 7618008830 Enrollment ID: I20100701000208 |
| Provider Name | Hamid Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679693931 PECOS PAC ID: 2668503798 Enrollment ID: I20100706000353 |
| Provider Name | Margaret Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558337576 PECOS PAC ID: 7315078474 Enrollment ID: I20100706000705 |
| Provider Name | Griffith Toney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417923301 PECOS PAC ID: 8921139098 Enrollment ID: I20100706000756 |
| Provider Name | Karen S Caldwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447226923 PECOS PAC ID: 3375674476 Enrollment ID: I20100707000348 |
| Provider Name | Joseph Vial |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548236441 PECOS PAC ID: 2264564970 Enrollment ID: I20100715000766 |
| Provider Name | Julie a Harr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336115526 PECOS PAC ID: 8628012556 Enrollment ID: I20100720000932 |
| Provider Name | Brett Maize |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376519538 PECOS PAC ID: 6204968597 Enrollment ID: I20100722000339 |
| Provider Name | Margaret H Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730411901 PECOS PAC ID: 0345372496 Enrollment ID: I20100726000099 |
| Provider Name | William M Young |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952308421 PECOS PAC ID: 4880728153 Enrollment ID: I20100823000710 |
| Provider Name | Richard Gusso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780673434 PECOS PAC ID: 3375688948 Enrollment ID: I20100824000569 |
| Provider Name | Arlene J Donowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548247109 PECOS PAC ID: 0244354991 Enrollment ID: I20100901000516 |
| Provider Name | Mark E Heinsohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457338014 PECOS PAC ID: 5496844821 Enrollment ID: I20100902000212 |
| Provider Name | John W Laramore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013994615 PECOS PAC ID: 6406970037 Enrollment ID: I20100902000652 |
| Provider Name | Richard F Sowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386621944 PECOS PAC ID: 9133244411 Enrollment ID: I20100909000682 |
| Provider Name | Sandra Corry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629044383 PECOS PAC ID: 2668597949 Enrollment ID: I20100909000719 |
| Provider Name | Kent a Grotefendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439026 PECOS PAC ID: 9133244684 Enrollment ID: I20100921000653 |
| Provider Name | Jason D Kennedy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447391677 PECOS PAC ID: 2365488046 Enrollment ID: I20100922001068 |
| Provider Name | Steven D Petarra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710953062 PECOS PAC ID: 2860419348 Enrollment ID: I20101008000568 |
| Provider Name | Robert F. Marcum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659311231 PECOS PAC ID: 0446442172 Enrollment ID: I20101013000054 |
| Provider Name | Kristen M Soder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114233707 PECOS PAC ID: 6103012562 Enrollment ID: I20101124000336 |
| Provider Name | Steven M Truelove |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174598205 PECOS PAC ID: 5496843823 Enrollment ID: I20101202000278 |
| Provider Name | Elizabeth Kouvarakis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063737278 PECOS PAC ID: 5890982029 Enrollment ID: I20101214000251 |
| Provider Name | Seong Joo Jeong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538240072 PECOS PAC ID: 6507981313 Enrollment ID: I20101220000668 |
| Provider Name | Nathan H Mull |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588653208 PECOS PAC ID: 1254433725 Enrollment ID: I20101230000315 |
| Provider Name | Jeremy B Waddell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649469552 PECOS PAC ID: 7719074038 Enrollment ID: I20110114000308 |
| Provider Name | Miranda Swafford Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394190 PECOS PAC ID: 1557541992 Enrollment ID: I20110202000415 |
| Provider Name | Jan Summer Morea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285937250 PECOS PAC ID: 6901082387 Enrollment ID: I20110519000407 |
| Provider Name | Christopher S Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851693360 PECOS PAC ID: 4587841465 Enrollment ID: I20110601000448 |
| Provider Name | Krishnendu Bhadra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093850745 PECOS PAC ID: 9436295656 Enrollment ID: I20110614000156 |
| Provider Name | Jennifer Bower |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871512319 PECOS PAC ID: 9830131705 Enrollment ID: I20110808000077 |
| Provider Name | Avni S Kapadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639335839 PECOS PAC ID: 0143490649 Enrollment ID: I20110818000651 |
| Provider Name | Claudia C Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053586941 PECOS PAC ID: 0648440339 Enrollment ID: I20110907001567 |
| Provider Name | Michael E Dant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518944081 PECOS PAC ID: 7719010198 Enrollment ID: I20111007000430 |
| Provider Name | Christopher M Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154308740 PECOS PAC ID: 0547393563 Enrollment ID: I20111010000505 |
| Provider Name | Michael D Lorren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598046948 PECOS PAC ID: 4981877123 Enrollment ID: I20111102000882 |
| Provider Name | Sharon Nancy Farber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083642474 PECOS PAC ID: 0648443606 Enrollment ID: I20111108000190 |
| Provider Name | Donald Philip Megison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962582163 PECOS PAC ID: 3173655115 Enrollment ID: I20111121000894 |
| Provider Name | Darryl Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982986279 PECOS PAC ID: 3870750813 Enrollment ID: I20120202000911 |
| Provider Name | Rhonda E Jacks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609149202 PECOS PAC ID: 6103085865 Enrollment ID: I20120315000564 |
| Provider Name | Katy B Douglas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760748925 PECOS PAC ID: 5698937167 Enrollment ID: I20120427000653 |
| Provider Name | Eun Kyung Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114115383 PECOS PAC ID: 2365524436 Enrollment ID: I20120508000443 |
| Provider Name | Karen Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811260649 PECOS PAC ID: 5294998902 Enrollment ID: I20120516000432 |
| Provider Name | Jaime R Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053595348 PECOS PAC ID: 3375619497 Enrollment ID: I20120606000312 |
| Provider Name | Melinda R Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144597600 PECOS PAC ID: 7416111653 Enrollment ID: I20120619000496 |
| Provider Name | Sheila R Hutchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477811784 PECOS PAC ID: 8224292321 Enrollment ID: I20120620000508 |
| Provider Name | Sarah Hafner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851651731 PECOS PAC ID: 5890950240 Enrollment ID: I20120710000198 |
| Provider Name | Ashley Estes Shamblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760788699 PECOS PAC ID: 3577729268 Enrollment ID: I20120724001041 |
| Provider Name | Marcus M Wagner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770780686 PECOS PAC ID: 2769648302 Enrollment ID: I20120725000734 |
| Provider Name | Megan Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878516 PECOS PAC ID: 6406012889 Enrollment ID: I20120730000776 |
| Provider Name | Stephen Leroy Barnes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902069891 PECOS PAC ID: 3072760776 Enrollment ID: I20120831000601 |
| Provider Name | John a Fortney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215026372 PECOS PAC ID: 9234260365 Enrollment ID: I20120924000419 |
| Provider Name | Betsy Jo Washburn |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1831210152 PECOS PAC ID: 8426227943 Enrollment ID: I20121017000819 |
| Provider Name | Lisa Diane Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275881823 PECOS PAC ID: 3173774122 Enrollment ID: I20121121000424 |
| Provider Name | Stephanie Gehrke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730431206 PECOS PAC ID: 3577714567 Enrollment ID: I20121126000280 |
| Provider Name | Cassie L Dahlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467705681 PECOS PAC ID: 0042463788 Enrollment ID: I20130109000288 |
| Provider Name | Jennifer R Spry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992056782 PECOS PAC ID: 4082868807 Enrollment ID: I20130205000043 |
| Provider Name | Emily T Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669721007 PECOS PAC ID: 9335399351 Enrollment ID: I20130211000333 |
| Provider Name | Garrick B Spoon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275871519 PECOS PAC ID: 3678719663 Enrollment ID: I20130417000592 |
| Provider Name | Maegen N Frizzell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356682066 PECOS PAC ID: 1254579246 Enrollment ID: I20130604000031 |
| Provider Name | Casey M Waddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316289408 PECOS PAC ID: 9234378076 Enrollment ID: I20130626000881 |
| Provider Name | Curtis Mccormick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639410608 PECOS PAC ID: 3375783699 Enrollment ID: I20130710000658 |
| Provider Name | Amy F Turnure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902146376 PECOS PAC ID: 5395988745 Enrollment ID: I20130904000232 |
| Provider Name | James Clifford Balvich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033434873 PECOS PAC ID: 2567611262 Enrollment ID: I20130911000778 |
| Provider Name | Cynthia D. Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424522 PECOS PAC ID: 0749420198 Enrollment ID: I20130918000379 |
| Provider Name | Emily C Decroos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114041902 PECOS PAC ID: 8022289636 Enrollment ID: I20131210001090 |
| Provider Name | Candice M Heuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901599 PECOS PAC ID: 1456589779 Enrollment ID: I20140114000278 |
| Provider Name | Kimberly Lynn Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003128893 PECOS PAC ID: 1557594256 Enrollment ID: I20140505000620 |
| Provider Name | Chad E Paxson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366562894 PECOS PAC ID: 3173789443 Enrollment ID: I20140514001874 |
| Provider Name | Hany a Naggar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881892735 PECOS PAC ID: 7214068345 Enrollment ID: I20140725000955 |
| Provider Name | Nancy G Michaelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452425 PECOS PAC ID: 0840102489 Enrollment ID: I20140725001802 |
| Provider Name | Julia W Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831509132 PECOS PAC ID: 3274759931 Enrollment ID: I20140801001300 |
| Provider Name | Jonathan Whaley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669616132 PECOS PAC ID: 8527285279 Enrollment ID: I20140804002249 |
| Provider Name | Russell Noth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316361777 PECOS PAC ID: 4688891559 Enrollment ID: I20140818000277 |
| Provider Name | Adria F Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720407778 PECOS PAC ID: 6800014267 Enrollment ID: I20140826002174 |
| Provider Name | Whitney K Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497990170 PECOS PAC ID: 9032355730 Enrollment ID: I20140909001845 |
| Provider Name | Ashley D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275942278 PECOS PAC ID: 8022237114 Enrollment ID: I20140923001162 |
| Provider Name | Amy B Riemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205132347 PECOS PAC ID: 0749459576 Enrollment ID: I20140930001979 |
| Provider Name | Kristopher B Meadows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700170602 PECOS PAC ID: 6305066531 Enrollment ID: I20141009002090 |
| Provider Name | Darshan Dilipkumar Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487940425 PECOS PAC ID: 9032357090 Enrollment ID: I20141013001394 |
| Provider Name | James Edward Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811283831 PECOS PAC ID: 1850539537 Enrollment ID: I20141014001310 |
| Provider Name | Mindi S Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821405663 PECOS PAC ID: 6901027937 Enrollment ID: I20141016001059 |
| Provider Name | Carolyn S Heithold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124433560 PECOS PAC ID: 9830310614 Enrollment ID: I20141020001971 |
| Provider Name | Danielle a Vandergriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558731 PECOS PAC ID: 7517188246 Enrollment ID: I20141022001848 |
| Provider Name | Mark S Crago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791410 PECOS PAC ID: 9830311422 Enrollment ID: I20141114002059 |
| Provider Name | Max R Baldwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316028467 PECOS PAC ID: 8022245307 Enrollment ID: I20141120000320 |
| Provider Name | Prashanth C Chandra Sekhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861612103 PECOS PAC ID: 2769516863 Enrollment ID: I20141121000200 |
| Provider Name | Gregory Ray Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659533230 PECOS PAC ID: 8022330117 Enrollment ID: I20141126001492 |
| Provider Name | Katie M Swafford-hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639572340 PECOS PAC ID: 9436472032 Enrollment ID: I20150107001333 |
| Provider Name | Young Seong Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295016533 PECOS PAC ID: 2769629591 Enrollment ID: I20150112000847 |
| Provider Name | Brooke W Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235475625 PECOS PAC ID: 2264756394 Enrollment ID: I20150121001126 |
| Provider Name | Zachary Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376961268 PECOS PAC ID: 7618291253 Enrollment ID: I20150130000814 |
| Provider Name | Eric a Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336545664 PECOS PAC ID: 9830417526 Enrollment ID: I20150408002737 |
| Provider Name | Elaine Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477959179 PECOS PAC ID: 9830418318 Enrollment ID: I20150505001244 |
| Provider Name | Rachel Baldwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609279645 PECOS PAC ID: 5092034579 Enrollment ID: I20150505001328 |
| Provider Name | Joy a Wintermeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942694641 PECOS PAC ID: 8729308085 Enrollment ID: I20150528000341 |
| Provider Name | Bethany Elaine Condra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376952895 PECOS PAC ID: 5395064901 Enrollment ID: I20150603000193 |
| Provider Name | Franklin H Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740439462 PECOS PAC ID: 4082762133 Enrollment ID: I20150617000022 |
| Provider Name | David Sahaj |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275630907 PECOS PAC ID: 1355387978 Enrollment ID: I20150624001497 |
| Provider Name | Joshua Terrell Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326307182 PECOS PAC ID: 9133378250 Enrollment ID: I20150625002148 |
| Provider Name | Elise H Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013271477 PECOS PAC ID: 6406168665 Enrollment ID: I20150701001499 |
| Provider Name | Kevin W Farris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295065142 PECOS PAC ID: 6103955851 Enrollment ID: I20150702002598 |
| Provider Name | Jeffrey K Mullins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508038944 PECOS PAC ID: 4688849870 Enrollment ID: I20150707000639 |
| Provider Name | Mary L Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447458435 PECOS PAC ID: 6103063615 Enrollment ID: I20150728005098 |
| Provider Name | Mehul M Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689931404 PECOS PAC ID: 3274775796 Enrollment ID: I20150729010181 |
| Provider Name | Geneva M Record |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003297078 PECOS PAC ID: 3072828870 Enrollment ID: I20150821013502 |
| Provider Name | Neil Melnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164488524 PECOS PAC ID: 4385690759 Enrollment ID: I20150928001094 |
| Provider Name | Erin R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932440260 PECOS PAC ID: 2365750130 Enrollment ID: I20150928001483 |
| Provider Name | Roxxann L Quinn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538596556 PECOS PAC ID: 6204067663 Enrollment ID: I20151006001918 |
| Provider Name | Tracy Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595111 PECOS PAC ID: 9234448739 Enrollment ID: I20151023001272 |
| Provider Name | Elizabeth Ann Deleonardis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326379751 PECOS PAC ID: 3678882024 Enrollment ID: I20151026001194 |
| Provider Name | Stephanie E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952798019 PECOS PAC ID: 7517279060 Enrollment ID: I20151028001688 |
| Provider Name | Jeremiah S Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649656380 PECOS PAC ID: 3274843297 Enrollment ID: I20151103002910 |
| Provider Name | Jennifer T Castro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780091314 PECOS PAC ID: 9133442023 Enrollment ID: I20151118002718 |
| Provider Name | Katherine Mccahill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104293828 PECOS PAC ID: 6103126651 Enrollment ID: I20151204002023 |
| Provider Name | Nicholas Harley Cutchens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902198989 PECOS PAC ID: 5496997629 Enrollment ID: I20151215002604 |
| Provider Name | Theresa Popas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437589678 PECOS PAC ID: 3274837042 Enrollment ID: I20160215002860 |
| Provider Name | Richard W Pigg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154901 PECOS PAC ID: 6901042449 Enrollment ID: I20160224001735 |
| Provider Name | Sherry Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548341175 PECOS PAC ID: 3779889274 Enrollment ID: I20160309002042 |
| Provider Name | Tracy Gose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275864332 PECOS PAC ID: 0749588275 Enrollment ID: I20160415001201 |
| Provider Name | Owen F Speer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053632018 PECOS PAC ID: 8123246402 Enrollment ID: I20160425001483 |
| Provider Name | Debra Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677901 PECOS PAC ID: 2860781978 Enrollment ID: I20160512001886 |
| Provider Name | William M Rasberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356786669 PECOS PAC ID: 0143469817 Enrollment ID: I20160603000433 |
| Provider Name | Amy K Farlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275903171 PECOS PAC ID: 3476845223 Enrollment ID: I20160714001407 |
| Provider Name | Patrick Wortman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831268960 PECOS PAC ID: 6103119565 Enrollment ID: I20160721002522 |
| Provider Name | Lacie Roddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629425715 PECOS PAC ID: 5597058982 Enrollment ID: I20160722000475 |
| Provider Name | Andrew S Olinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932543550 PECOS PAC ID: 4880988898 Enrollment ID: I20160812001310 |
| Provider Name | Geraldo Enrique Holguin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528360765 PECOS PAC ID: 9436320926 Enrollment ID: I20160816000040 |
| Provider Name | Alie M Geren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245605310 PECOS PAC ID: 5799070546 Enrollment ID: I20160818001845 |
| Provider Name | Kristen Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659727378 PECOS PAC ID: 2163717521 Enrollment ID: I20160824000842 |
| Provider Name | Ruchir Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396033437 PECOS PAC ID: 1557656501 Enrollment ID: I20160830000695 |
| Provider Name | Christine B Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487641809 PECOS PAC ID: 3476533712 Enrollment ID: I20160901001925 |
| Provider Name | Kyle J Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356799951 PECOS PAC ID: 7911293147 Enrollment ID: I20160914000480 |
| Provider Name | Shelly Lauren Hereth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437502085 PECOS PAC ID: 8729376876 Enrollment ID: I20161005002642 |
| Provider Name | Antoinette Boameh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194157610 PECOS PAC ID: 3678861135 Enrollment ID: I20161017000658 |
| Provider Name | Matthew Hyman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407204258 PECOS PAC ID: 3476841982 Enrollment ID: I20161017002314 |
| Provider Name | Renee I Book |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790132363 PECOS PAC ID: 9335427814 Enrollment ID: I20161103002446 |
| Provider Name | Maria Hafera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184076218 PECOS PAC ID: 2264711175 Enrollment ID: I20161117000784 |
| Provider Name | Emily Anne Elswick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568910461 PECOS PAC ID: 5890074587 Enrollment ID: I20161121002240 |
| Provider Name | Sloan Curry Youngblood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720240039 PECOS PAC ID: 6608049911 Enrollment ID: I20161221000826 |
| Provider Name | Angela a Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982902557 PECOS PAC ID: 2769665686 Enrollment ID: I20170123000260 |
| Provider Name | Alycia Cleinman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568691509 PECOS PAC ID: 3779723291 Enrollment ID: I20170411001734 |
| Provider Name | Charles L Tapley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679547061 PECOS PAC ID: 0446163554 Enrollment ID: I20170420000710 |
| Provider Name | Megan Vonwerssowetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700241783 PECOS PAC ID: 2668758855 Enrollment ID: I20170425001335 |
| Provider Name | Jeremiah S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790039188 PECOS PAC ID: 6709039324 Enrollment ID: I20170518002057 |
| Provider Name | Caroline Rae Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194852459 PECOS PAC ID: 1850685488 Enrollment ID: I20170811001780 |
| Provider Name | Wade E Lenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255383469 PECOS PAC ID: 8224128467 Enrollment ID: I20170829003530 |
| Provider Name | Samantha Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659816478 PECOS PAC ID: 7719251701 Enrollment ID: I20170914000227 |
| Provider Name | Aaron K Blakeney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225456288 PECOS PAC ID: 5395964217 Enrollment ID: I20170915001675 |
| Provider Name | Jamie Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568902922 PECOS PAC ID: 2769756980 Enrollment ID: I20170926003338 |
| Provider Name | Stephanie L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659793958 PECOS PAC ID: 6204068752 Enrollment ID: I20171102003025 |
| Provider Name | Branda B Snowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609311141 PECOS PAC ID: 4789940917 Enrollment ID: I20171103002488 |
| Provider Name | Paul Habegger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982140117 PECOS PAC ID: 3173880481 Enrollment ID: I20171121002775 |
| Provider Name | Sarah M Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922426709 PECOS PAC ID: 8325269632 Enrollment ID: I20180103001263 |
| Provider Name | Christina R Parkhurst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093928020 PECOS PAC ID: 8921291220 Enrollment ID: I20180112000165 |
| Provider Name | Sarah K Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043737976 PECOS PAC ID: 4880954098 Enrollment ID: I20180208001852 |
| Provider Name | April Danielle Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083024558 PECOS PAC ID: 3274759634 Enrollment ID: I20180516002006 |
| Provider Name | Erin M Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700299419 PECOS PAC ID: 1052539186 Enrollment ID: I20180521000688 |
| Provider Name | Amanda Brooke Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083133524 PECOS PAC ID: 3971858192 Enrollment ID: I20180612002005 |
| Provider Name | Chibuzor Nnaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740418177 PECOS PAC ID: 5395997175 Enrollment ID: I20180614001449 |
| Provider Name | Leslie Broschay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598276792 PECOS PAC ID: 1557616117 Enrollment ID: I20180622001026 |
| Provider Name | Josue B Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467965707 PECOS PAC ID: 4486900727 Enrollment ID: I20180628003301 |
| Provider Name | Laura K Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578094215 PECOS PAC ID: 8022395656 Enrollment ID: I20180710001178 |
| Provider Name | Thomas Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184138794 PECOS PAC ID: 4284981234 Enrollment ID: I20180720002853 |
| Provider Name | Jamie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447708649 PECOS PAC ID: 0840588000 Enrollment ID: I20180816001330 |
| Provider Name | James Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962571992 PECOS PAC ID: 6406891019 Enrollment ID: I20180823001236 |
| Provider Name | Holley Leona Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407198179 PECOS PAC ID: 6901109917 Enrollment ID: I20180827000587 |
| Provider Name | Matt Crane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285132100 PECOS PAC ID: 0648520940 Enrollment ID: I20180907000610 |
| Provider Name | Mark Benjamin Currin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821438441 PECOS PAC ID: 4284923079 Enrollment ID: I20180912003732 |
| Provider Name | Teresa Eden Jabaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982146973 PECOS PAC ID: 7416232111 Enrollment ID: I20180924001375 |
| Provider Name | Matthew a Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235624339 PECOS PAC ID: 1557613197 Enrollment ID: I20181010001688 |
| Provider Name | Daniel L Heithold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588664106 PECOS PAC ID: 0547275208 Enrollment ID: I20181012002072 |
| Provider Name | Trevor Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299283 PECOS PAC ID: 7113279266 Enrollment ID: I20181017003321 |
| Provider Name | Leslie M Moro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043723281 PECOS PAC ID: 0840542924 Enrollment ID: I20181018000806 |
| Provider Name | Kim to Thien Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194005439 PECOS PAC ID: 6002102795 Enrollment ID: I20181101000312 |
| Provider Name | Justin Charles Blinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639465925 PECOS PAC ID: 3577816800 Enrollment ID: I20181102000549 |
| Provider Name | Azaria Ehlers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235516261 PECOS PAC ID: 1850640699 Enrollment ID: I20181106002696 |
| Provider Name | Diana Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861977381 PECOS PAC ID: 7911251178 Enrollment ID: I20181107001750 |
| Provider Name | Sarah M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033638234 PECOS PAC ID: 9638426760 Enrollment ID: I20181108000002 |
| Provider Name | Joseph Foy Rivers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699937391 PECOS PAC ID: 0345497764 Enrollment ID: I20181114001829 |
| Provider Name | Sabrina M Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114493848 PECOS PAC ID: 0840544565 Enrollment ID: I20181116000406 |
| Provider Name | Ryan Cleary |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609210269 PECOS PAC ID: 7618279522 Enrollment ID: I20181128001501 |
| Provider Name | Mandy J Cleek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750898466 PECOS PAC ID: 9133479835 Enrollment ID: I20181205003099 |
| Provider Name | Anne Kathleen Rothenbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316251309 PECOS PAC ID: 4880882109 Enrollment ID: I20181205003884 |
| Provider Name | Barbra M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821566548 PECOS PAC ID: 4385988906 Enrollment ID: I20181207000737 |
| Provider Name | Brenan Vega |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639659667 PECOS PAC ID: 6204172430 Enrollment ID: I20190109002033 |
| Provider Name | Cristal Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376099960 PECOS PAC ID: 3779829742 Enrollment ID: I20190111001455 |
| Provider Name | Rachel D Labovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508183880 PECOS PAC ID: 7012154842 Enrollment ID: I20190305001782 |
| Provider Name | Ashley Virginia Platzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275055394 PECOS PAC ID: 2668747882 Enrollment ID: I20190422000575 |
| Provider Name | Whitney R May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285191676 PECOS PAC ID: 2365784246 Enrollment ID: I20190424001386 |
| Provider Name | Derek L Duran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255814299 PECOS PAC ID: 5294077418 Enrollment ID: I20190508001489 |
| Provider Name | Talundria Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174082382 PECOS PAC ID: 4880927219 Enrollment ID: I20190617002978 |
| Provider Name | Chelsea Rose Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558717975 PECOS PAC ID: 7517240401 Enrollment ID: I20190701000247 |
| Provider Name | Daniel Pippin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467925438 PECOS PAC ID: 4082940788 Enrollment ID: I20190801000741 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20190807003973 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20190828003814 |
| Provider Name | David R Ambrosetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154785327 PECOS PAC ID: 6103125489 Enrollment ID: I20190831000281 |
| Provider Name | Sumit M Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255695011 PECOS PAC ID: 8820370828 Enrollment ID: I20190909003926 |
| Provider Name | Jessica L Tyler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497161608 PECOS PAC ID: 8628393584 Enrollment ID: I20190912003311 |
| Provider Name | Jesse Tucker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902148042 PECOS PAC ID: 7012246283 Enrollment ID: I20190912003389 |
| Provider Name | Samuel Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467802629 PECOS PAC ID: 5597050260 Enrollment ID: I20191003000362 |
| Provider Name | Sarah Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871041251 PECOS PAC ID: 2163705245 Enrollment ID: I20191023003394 |
| Provider Name | Mittal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740644103 PECOS PAC ID: 3577857853 Enrollment ID: I20191025000432 |
| Provider Name | Nickie a Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801355466 PECOS PAC ID: 3274965959 Enrollment ID: I20191119000254 |
| Provider Name | Tiffany Daniell Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427565266 PECOS PAC ID: 9830446640 Enrollment ID: I20191119001044 |
| Provider Name | Stephanie Hamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234484 PECOS PAC ID: 7214361153 Enrollment ID: I20191230002416 |
| Provider Name | Jeffrey David Caughran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700177482 PECOS PAC ID: 2062846694 Enrollment ID: I20200107001421 |
| Provider Name | Eric Jay Betts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336132679 PECOS PAC ID: 8224014261 Enrollment ID: I20200114003655 |
| Provider Name | Patrick Williams |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164828869 PECOS PAC ID: 6709133085 Enrollment ID: I20200123002385 |
| Provider Name | Lauren E Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588206155 PECOS PAC ID: 5890121602 Enrollment ID: I20200213002199 |
| Provider Name | Rolla D Jibrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114572450 PECOS PAC ID: 0143657676 Enrollment ID: I20200224000822 |
| Provider Name | Kelsey Monger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316583990 PECOS PAC ID: 1850720301 Enrollment ID: I20200403000829 |
| Provider Name | Amanda L Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750776639 PECOS PAC ID: 4789993908 Enrollment ID: I20200407003226 |
| Provider Name | Karen Ivette Ossa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801005418 PECOS PAC ID: 7315199569 Enrollment ID: I20200408002960 |
| Provider Name | Mandy Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792825 PECOS PAC ID: 2961831185 Enrollment ID: I20200408003972 |
| Provider Name | Nicole F Caton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255835898 PECOS PAC ID: 6901155746 Enrollment ID: I20200409002114 |
| Provider Name | Brenda Sue Borkgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639361579 PECOS PAC ID: 8527153436 Enrollment ID: I20200506002446 |
| Provider Name | Nitesh Rana |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205270428 PECOS PAC ID: 6103128020 Enrollment ID: I20200519001779 |
| Provider Name | Ryan Thomas Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306200290 PECOS PAC ID: 8022301308 Enrollment ID: I20200522001226 |
| Provider Name | Justin Gorsline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336778406 PECOS PAC ID: 4789005695 Enrollment ID: I20200602000741 |
| Provider Name | Stephen Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740609684 PECOS PAC ID: 5890098180 Enrollment ID: I20200701001947 |
| Provider Name | Leslie B Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689298846 PECOS PAC ID: 9638592090 Enrollment ID: I20200702001107 |
| Provider Name | Farid a Thanawalla |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770558496 PECOS PAC ID: 5698688612 Enrollment ID: I20200720000306 |
| Provider Name | Tye Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297238 PECOS PAC ID: 7214351287 Enrollment ID: I20200723000867 |
| Provider Name | Valerie Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618630 PECOS PAC ID: 5496171605 Enrollment ID: I20200819000752 |
| Provider Name | Jourdan Aromin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598150955 PECOS PAC ID: 4082942776 Enrollment ID: I20200828000054 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200901002977 |
| Provider Name | Rishabh Nikhil Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134462153 PECOS PAC ID: 9133427966 Enrollment ID: I20200905000049 |
| Provider Name | Rebekah D Sherlin-chaplin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548795701 PECOS PAC ID: 5799103750 Enrollment ID: I20200908003476 |
| Provider Name | David Dukhyun Moh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295026607 PECOS PAC ID: 8224275979 Enrollment ID: I20200910002796 |
| Provider Name | Julia Clare Cervantes Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999553 PECOS PAC ID: 6800214586 Enrollment ID: I20200911001537 |
| Provider Name | Morgan Paige Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710590583 PECOS PAC ID: 3476971110 Enrollment ID: I20200914000581 |
| Provider Name | Linda Hanna |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073149233 PECOS PAC ID: 1658799978 Enrollment ID: I20200917001639 |
| Provider Name | Leslie T Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851918841 PECOS PAC ID: 2567881659 Enrollment ID: I20200923000186 |
| Provider Name | Amy L Tillett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326447780 PECOS PAC ID: 4082834486 Enrollment ID: I20200930003635 |
| Provider Name | Ryan Matthew Bellomy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659998425 PECOS PAC ID: 4082024377 Enrollment ID: I20201027001423 |
| Provider Name | Eun Hyea Godbold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013540517 PECOS PAC ID: 4385054600 Enrollment ID: I20201027002724 |
| Provider Name | Jeffrey Mitchell Blackmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710901996 PECOS PAC ID: 0446291314 Enrollment ID: I20201104002445 |
| Provider Name | Katherine S Mcclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023544871 PECOS PAC ID: 9133494115 Enrollment ID: I20201112001447 |
| Provider Name | Sara Gonser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831723097 PECOS PAC ID: 7416368808 Enrollment ID: I20201116000266 |
| Provider Name | Jennifer P Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730789926 PECOS PAC ID: 8224449699 Enrollment ID: I20201117000380 |
| Provider Name | Alyssa Layne Bear |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588270987 PECOS PAC ID: 0648681023 Enrollment ID: I20201117000945 |
| Provider Name | Rafael a Souchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851924609 PECOS PAC ID: 2466863451 Enrollment ID: I20201123003135 |
| Provider Name | Hannah E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902276330 PECOS PAC ID: 3173823051 Enrollment ID: I20201208000807 |
| Provider Name | Hillary L Templeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992302038 PECOS PAC ID: 8921410655 Enrollment ID: I20201222000248 |
| Provider Name | John Dowlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487253035 PECOS PAC ID: 5890109276 Enrollment ID: I20210126001476 |
| Provider Name | Pamela Hanley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780294306 PECOS PAC ID: 0345655460 Enrollment ID: I20210222002768 |
| Provider Name | Anthony M Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700897394 PECOS PAC ID: 7315095254 Enrollment ID: I20210302000584 |
| Provider Name | Amanda N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770175309 PECOS PAC ID: 7315353893 Enrollment ID: I20210308002122 |
| Provider Name | Rylee Charles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558969428 PECOS PAC ID: 6800202342 Enrollment ID: I20210309001606 |
| Provider Name | Panrapee Jesse Mahautmr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417302118 PECOS PAC ID: 5496163172 Enrollment ID: I20210419000595 |
| Provider Name | Richa Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427482769 PECOS PAC ID: 8729212881 Enrollment ID: I20210506000402 |
| Provider Name | Sara-page Red |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043770738 PECOS PAC ID: 3779991872 Enrollment ID: I20210506001310 |
| Provider Name | Juan Garrido |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164955886 PECOS PAC ID: 0941626378 Enrollment ID: I20210527000435 |
| Provider Name | Hannah Elizabeth Porter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508440330 PECOS PAC ID: 9436559671 Enrollment ID: I20210610000451 |
| Provider Name | Zachary Greene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932549847 PECOS PAC ID: 2062630726 Enrollment ID: I20210616001845 |
| Provider Name | Christopher Lewis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649351719 PECOS PAC ID: 8729184577 Enrollment ID: I20210617001266 |
| Provider Name | James F Carsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194756023 PECOS PAC ID: 9638156979 Enrollment ID: I20210618000967 |
| Provider Name | Jussie Correia Lima |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932514304 PECOS PAC ID: 1052614484 Enrollment ID: I20210702000163 |
| Provider Name | Benjamin Scott Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780175596 PECOS PAC ID: 9638423478 Enrollment ID: I20210708001522 |
| Provider Name | Susan Andrea Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20210709001141 |
| Provider Name | Hayden Jahn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992151286 PECOS PAC ID: 9739474016 Enrollment ID: I20210715003906 |
| Provider Name | Derek Crouthers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962908343 PECOS PAC ID: 5395098289 Enrollment ID: I20210716001669 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20210726000823 |
| Provider Name | Grace Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20210727002051 |
| Provider Name | Jeffrey Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210727002240 |
| Provider Name | Tru-khang Trong Dinh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639523863 PECOS PAC ID: 2769886241 Enrollment ID: I20210805000636 |
| Provider Name | Christopher D Doneski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235532151 PECOS PAC ID: 8426374539 Enrollment ID: I20210809000995 |
| Provider Name | Sydney L Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952923914 PECOS PAC ID: 0547665762 Enrollment ID: I20210825002762 |
| Provider Name | Ellen C Cleland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124525423 PECOS PAC ID: 6406106855 Enrollment ID: I20210910002718 |
| Provider Name | Arjun Jalandar Jadhav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750876116 PECOS PAC ID: 5092053413 Enrollment ID: I20210922002037 |
| Provider Name | Ashley B Masterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417438714 PECOS PAC ID: 5799182416 Enrollment ID: I20210923000866 |
| Provider Name | Brittany Ragsdale Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215606488 PECOS PAC ID: 3779980198 Enrollment ID: I20210927002680 |
| Provider Name | Ranjith Babu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205271525 PECOS PAC ID: 9133526353 Enrollment ID: I20210930000487 |
| Provider Name | Justin Grant Wilkes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821350604 PECOS PAC ID: 0244533974 Enrollment ID: I20211005000487 |
| Provider Name | Karim Ahmed Ibrahim Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871908939 PECOS PAC ID: 3779885876 Enrollment ID: I20211014000821 |
| Provider Name | Kylea S Eldridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417627738 PECOS PAC ID: 7315345642 Enrollment ID: I20211018000784 |
| Provider Name | Stephen Nichols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700465689 PECOS PAC ID: 4587062872 Enrollment ID: I20211018003004 |
| Provider Name | Joy Gray Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699344176 PECOS PAC ID: 3173911302 Enrollment ID: I20211020003172 |
| Provider Name | Nicholas Litwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679993711 PECOS PAC ID: 6406157874 Enrollment ID: I20211022000006 |
| Provider Name | Drew a Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962010785 PECOS PAC ID: 6901217173 Enrollment ID: I20211101002422 |
| Provider Name | Sara Mullinax Darden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417346156 PECOS PAC ID: 5193021384 Enrollment ID: I20211102001404 |
| Provider Name | Janice Denise Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407528896 PECOS PAC ID: 3971992132 Enrollment ID: I20211110001365 |
| Provider Name | Marijka a Grey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083666309 PECOS PAC ID: 4587675665 Enrollment ID: I20211112000615 |
| Provider Name | Karen Jipping |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023788189 PECOS PAC ID: 2062801764 Enrollment ID: I20211118002093 |
| Provider Name | Matthew a Vargo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134196017 PECOS PAC ID: 8729007372 Enrollment ID: I20211201000493 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20211203002233 |
| Provider Name | Victoria Vanderwall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831770684 PECOS PAC ID: 8820488935 Enrollment ID: I20211203002239 |
| Provider Name | Julie Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164830543 PECOS PAC ID: 3375763287 Enrollment ID: I20211210000717 |
| Provider Name | Michelle Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669134177 PECOS PAC ID: 7911397591 Enrollment ID: I20211214002790 |
| Provider Name | Ryan Mccormack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851984850 PECOS PAC ID: 7416348289 Enrollment ID: I20220105001854 |
| Provider Name | Elizabeth North Fluhrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003574831 PECOS PAC ID: 3173915972 Enrollment ID: I20220127001315 |
| Provider Name | Charity Danielle Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790438653 PECOS PAC ID: 3779976139 Enrollment ID: I20220207001651 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20220208000999 |
| Provider Name | Brian Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20220217002533 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20220218000097 |
| Provider Name | Taylor Grant Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760133615 PECOS PAC ID: 3375937824 Enrollment ID: I20220225001034 |
| Provider Name | Jacob Jennings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730859661 PECOS PAC ID: 7416342126 Enrollment ID: I20220316001151 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20220321002226 |
| Provider Name | Diana Hutchings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619546645 PECOS PAC ID: 9032513783 Enrollment ID: I20220322001129 |
| Provider Name | Mary Elizabeth Still |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720733462 PECOS PAC ID: 1254726391 Enrollment ID: I20220328000973 |
| Provider Name | Samuel Zitnyar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023766623 PECOS PAC ID: 4688060312 Enrollment ID: I20220406001568 |
| Provider Name | Diana Laverne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548918402 PECOS PAC ID: 0143616342 Enrollment ID: I20220414001193 |
| Provider Name | Shannon Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285715847 PECOS PAC ID: 8224003017 Enrollment ID: I20220425001447 |
| Provider Name | Levi B Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427624253 PECOS PAC ID: 9032596432 Enrollment ID: I20220524000384 |
| Provider Name | Taylor Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649849266 PECOS PAC ID: 1658778535 Enrollment ID: I20220608000964 |
| Provider Name | James Joslyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629633102 PECOS PAC ID: 9537494075 Enrollment ID: I20220615000029 |
| Provider Name | Bhageeradh H Mulpur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881128387 PECOS PAC ID: 2567731896 Enrollment ID: I20220627001293 |
| Provider Name | Hannah Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235793449 PECOS PAC ID: 6406184928 Enrollment ID: I20220627002076 |
| Provider Name | Mariah Patrice Turrentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861141855 PECOS PAC ID: 8022498625 Enrollment ID: I20220629000123 |
| Provider Name | John F Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841797768 PECOS PAC ID: 4385994961 Enrollment ID: I20220630000815 |
| Provider Name | Rachael Anne Maciver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124544762 PECOS PAC ID: 4587926779 Enrollment ID: I20220707002542 |
| Provider Name | Jeremy Ahmad-chea Hogstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487117313 PECOS PAC ID: 1254756711 Enrollment ID: I20220718001319 |
| Provider Name | Kandace D Hixson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225768435 PECOS PAC ID: 0244611465 Enrollment ID: I20220720000235 |
| Provider Name | Xavier E Palacios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184189920 PECOS PAC ID: 4880076561 Enrollment ID: I20220727001933 |
| Provider Name | Jermaine Hogstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629539945 PECOS PAC ID: 8820411903 Enrollment ID: I20220801001325 |
| Provider Name | Jacqueline H Edleblute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982223582 PECOS PAC ID: 7618307141 Enrollment ID: I20220808000301 |
| Provider Name | Jose Alfredo Molina Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770040180 PECOS PAC ID: 6103209069 Enrollment ID: I20220810002816 |
| Provider Name | Gabriella Gisela Lozeau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972067791 PECOS PAC ID: 7911380720 Enrollment ID: I20220811001160 |
| Provider Name | Abhishek Kengen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124541412 PECOS PAC ID: 2466718796 Enrollment ID: I20220817000614 |
| Provider Name | Amanda Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427561711 PECOS PAC ID: 4587906326 Enrollment ID: I20220831000150 |
| Provider Name | Jessica Anne Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336870765 PECOS PAC ID: 2365826559 Enrollment ID: I20220907003661 |
| Provider Name | Angelique Gross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902291172 PECOS PAC ID: 5294049110 Enrollment ID: I20220909001336 |
| Provider Name | Abbey Elizabeth Elverd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134855885 PECOS PAC ID: 2062897424 Enrollment ID: I20220921001268 |
| Provider Name | Brittany T Roth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548908676 PECOS PAC ID: 9133595259 Enrollment ID: I20221014001155 |
| Provider Name | Jessica Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316678816 PECOS PAC ID: 0941677272 Enrollment ID: I20221031000123 |
| Provider Name | Erika V Puzanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144957614 PECOS PAC ID: 2668849498 Enrollment ID: I20221107002949 |
| Provider Name | Jennifer Alicia Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023734936 PECOS PAC ID: 1052789419 Enrollment ID: I20221116002313 |
| Provider Name | Elizabeth Carroll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215124151 PECOS PAC ID: 1052561230 Enrollment ID: I20221213001612 |
| Provider Name | Prabhu D Vijayvargiya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487705265 PECOS PAC ID: 5294883138 Enrollment ID: I20221227001595 |
| Provider Name | Dustin Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20230105001073 |
| Provider Name | Mayshan Ghiassi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376736819 PECOS PAC ID: 0244457182 Enrollment ID: I20230120002706 |
| Provider Name | Kathryn Cook Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750094116 PECOS PAC ID: 9234500414 Enrollment ID: I20230126000910 |
| Provider Name | Samantha Patterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891492617 PECOS PAC ID: 0042683880 Enrollment ID: I20230227001505 |
| Provider Name | Renea D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821411562 PECOS PAC ID: 2062644073 Enrollment ID: I20230308001972 |
| Provider Name | Steven Shadix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285021113 PECOS PAC ID: 5193063394 Enrollment ID: I20230317000442 |
| Provider Name | Alexander Donesky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114695749 PECOS PAC ID: 3375917511 Enrollment ID: I20230329002953 |
| Provider Name | Michael Cleghorn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467687244 PECOS PAC ID: 1557736477 Enrollment ID: I20230406002322 |
| Provider Name | Michael Joseph Stadnyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356455463 PECOS PAC ID: 2961482302 Enrollment ID: I20230410001323 |
| Provider Name | Michelle Ann Sotelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689374217 PECOS PAC ID: 2769857200 Enrollment ID: I20230413003166 |
| Provider Name | Cody Reich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952077877 PECOS PAC ID: 4789059114 Enrollment ID: I20230417001169 |
| Provider Name | Zachary J Eller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730855461 PECOS PAC ID: 3375918774 Enrollment ID: I20230418001101 |
| Provider Name | Aleshia Magee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568025245 PECOS PAC ID: 9830423342 Enrollment ID: I20230516002741 |
| Provider Name | Jaime S Yaich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568163582 PECOS PAC ID: 4183081201 Enrollment ID: I20230606000904 |
| Provider Name | Sarah Alexandria Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417631144 PECOS PAC ID: 6901264647 Enrollment ID: I20230628000461 |
| Provider Name | Veronica Alejandra Paz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598257172 PECOS PAC ID: 1456604032 Enrollment ID: I20230629003065 |
| Provider Name | Christopher Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669821666 PECOS PAC ID: 2668765819 Enrollment ID: I20230707000097 |
| Provider Name | Justin M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245688928 PECOS PAC ID: 3274820717 Enrollment ID: I20230713000380 |
| Provider Name | Preston Avery Sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497286215 PECOS PAC ID: 0345513859 Enrollment ID: I20230713000749 |
| Provider Name | Brett Nicholas Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619656147 PECOS PAC ID: 3072974732 Enrollment ID: I20230728000668 |
| Provider Name | Brandon Bivens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649618653 PECOS PAC ID: 7719235324 Enrollment ID: I20230801001761 |
| Provider Name | Shannon Gail Millsaps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265803399 PECOS PAC ID: 5092025361 Enrollment ID: I20230814001669 |
| Provider Name | Alyssa R Espinera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265824197 PECOS PAC ID: 8426320508 Enrollment ID: I20230818001911 |
| Provider Name | Emily Monroe Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649950205 PECOS PAC ID: 5496117558 Enrollment ID: I20230822000920 |
| Provider Name | Amith Reddy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124409727 PECOS PAC ID: 9638471188 Enrollment ID: I20230822003095 |
| Provider Name | Kurt Derek Humphrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770756223 PECOS PAC ID: 9739544586 Enrollment ID: I20230830001279 |
| Provider Name | Timothy J Brichetto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972122653 PECOS PAC ID: 9931523156 Enrollment ID: I20230830003685 |
| Provider Name | Jeramie Lynn Rosales Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205290319 PECOS PAC ID: 0547515124 Enrollment ID: I20230901003299 |
| Provider Name | Johanna Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841979531 PECOS PAC ID: 4688038896 Enrollment ID: I20230906003184 |
| Provider Name | Mitchell Ackerman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134623077 PECOS PAC ID: 1557725652 Enrollment ID: I20230907002658 |
| Provider Name | Stephanie Hinds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255891461 PECOS PAC ID: 6608101449 Enrollment ID: I20230912003130 |
| Provider Name | Cynthia Toughlian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245868330 PECOS PAC ID: 6103270368 Enrollment ID: I20230922000190 |
| Provider Name | Samantha J Gagliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053197483 PECOS PAC ID: 0547614208 Enrollment ID: I20230928002215 |
| Provider Name | Abigail Coulthard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366134033 PECOS PAC ID: 3870947534 Enrollment ID: I20230928002399 |
| Provider Name | Carrie Mofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881204501 PECOS PAC ID: 2365836145 Enrollment ID: I20231009000537 |
| Provider Name | Harveer Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104263060 PECOS PAC ID: 5395064554 Enrollment ID: I20231010002218 |
| Provider Name | Ebony Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180786 PECOS PAC ID: 3375806714 Enrollment ID: I20231023002647 |
| Provider Name | Jenny F Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437921194 PECOS PAC ID: 0941659395 Enrollment ID: I20231211000625 |
| Provider Name | Premal Rajnikant Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104691286 PECOS PAC ID: 3971954173 Enrollment ID: I20240112000434 |
| Provider Name | John Maxwell White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689601379 PECOS PAC ID: 0446219828 Enrollment ID: I20240129000787 |
| Provider Name | Rebecca Voda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427645266 PECOS PAC ID: 9436502861 Enrollment ID: I20240201000729 |
| Provider Name | Christopher Choe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194346320 PECOS PAC ID: 1557704343 Enrollment ID: I20240208002583 |
| Provider Name | Taylor S Rouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861141442 PECOS PAC ID: 2567841562 Enrollment ID: I20240228002434 |
| Provider Name | William Kamens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659733798 PECOS PAC ID: 6204252976 Enrollment ID: I20240301003564 |
| Provider Name | Kamal K Mubarak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619914108 PECOS PAC ID: 3678585080 Enrollment ID: I20240304003138 |
| Provider Name | Charles Hunter Roark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497216501 PECOS PAC ID: 2163863036 Enrollment ID: I20240509000183 |
| Provider Name | Natasha Nazari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285569 PECOS PAC ID: 6507192929 Enrollment ID: I20240529004165 |
| Provider Name | Jillian Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689374308 PECOS PAC ID: 6800338732 Enrollment ID: I20240607000120 |
| Provider Name | Rhona Lynn Curtsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982478418 PECOS PAC ID: 0143764126 Enrollment ID: I20240701003921 |
| Provider Name | Prince Eleeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730700105 PECOS PAC ID: 9032557202 Enrollment ID: I20240726002546 |
| Provider Name | Chhavi Chaudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215592381 PECOS PAC ID: 2769717289 Enrollment ID: I20240803000144 |
| Provider Name | Nancy Forrest Hardy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942429717 PECOS PAC ID: 5698717163 Enrollment ID: I20240816002895 |
| Provider Name | Cole Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508512898 PECOS PAC ID: 5294273447 Enrollment ID: I20240819002721 |
| Provider Name | Skyler Anne Dill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700648979 PECOS PAC ID: 6103365788 Enrollment ID: I20240827002794 |
| Provider Name | Sophia Lincoln |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114556958 PECOS PAC ID: 6709292873 Enrollment ID: I20240930000218 |
| Provider Name | Charmi Balsara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689203986 PECOS PAC ID: 1951848241 Enrollment ID: I20241007003911 |
| Provider Name | Wesley P Durgin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740770932 PECOS PAC ID: 6709133861 Enrollment ID: I20241008001841 |
| Provider Name | Reginald Deligent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154959161 PECOS PAC ID: 7810428968 Enrollment ID: I20241008004146 |
| Provider Name | Crystal Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538998125 PECOS PAC ID: 9436680873 Enrollment ID: I20241009001614 |
| Provider Name | Alessandra Ferrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730676248 PECOS PAC ID: 6002161684 Enrollment ID: I20241018001146 |
| Provider Name | Austin Patrick Henry Dove |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144883927 PECOS PAC ID: 2961745385 Enrollment ID: I20241021002433 |
| Provider Name | Tejaswi Munagala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588243885 PECOS PAC ID: 5890192728 Enrollment ID: I20241108002288 |
| Provider Name | Alexander T Crossett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538742952 PECOS PAC ID: 3678964939 Enrollment ID: I20241112002600 |
| Provider Name | Andrew S Harper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134129562 PECOS PAC ID: 6103903703 Enrollment ID: I20241113002875 |
| Provider Name | Arpita S Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346821071 PECOS PAC ID: 7214330679 Enrollment ID: I20241113004664 |
| Provider Name | Jayesh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164839890 PECOS PAC ID: 4789983040 Enrollment ID: I20241114000861 |
| Provider Name | Jay N Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619550639 PECOS PAC ID: 9931592714 Enrollment ID: I20241121003971 |
| Provider Name | Alaaedin Alhomosh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063709913 PECOS PAC ID: 5799905337 Enrollment ID: I20241127002978 |
| Provider Name | Gregory Ray Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659533230 PECOS PAC ID: 8022330117 Enrollment ID: I20241202002349 |
| Provider Name | Daniel Josef Shults |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154944627 PECOS PAC ID: 1658732052 Enrollment ID: I20241204001806 |
| Provider Name | Jalal Dufani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619457868 PECOS PAC ID: 0345593927 Enrollment ID: I20241204004067 |
| Provider Name | Ann B Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710548037 PECOS PAC ID: 1355720145 Enrollment ID: I20241205003349 |
| Provider Name | Shanna Brooke Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424543 PECOS PAC ID: 6709264559 Enrollment ID: I20241213002302 |
| Provider Name | Lindsey Kay Zwart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811645328 PECOS PAC ID: 1658808217 Enrollment ID: I20241219003563 |
| Provider Name | Alyssa Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114792173 PECOS PAC ID: 5496282089 Enrollment ID: I20241220000550 |
| Provider Name | Blaire Chandler Terrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073349593 PECOS PAC ID: 4789111394 Enrollment ID: I20241220001173 |
| Provider Name | William Majors |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376171017 PECOS PAC ID: 5799109492 Enrollment ID: I20250102003043 |
| Provider Name | Matthew Laurencelle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619239548 PECOS PAC ID: 7315257458 Enrollment ID: I20250103002210 |
| Provider Name | Glen R. Horne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013088194 PECOS PAC ID: 0648203638 Enrollment ID: I20250103002494 |
| Provider Name | John Lelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407485485 PECOS PAC ID: 5092257725 Enrollment ID: I20250116001156 |
| Provider Name | Kamran Shafi Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088106 PECOS PAC ID: 5991057861 Enrollment ID: I20250128004039 |
| Provider Name | Dustin Stricker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093392151 PECOS PAC ID: 5991190480 Enrollment ID: I20250129002671 |
| Provider Name | Chandler Joelle Chastain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497577357 PECOS PAC ID: 8224567490 Enrollment ID: I20250203000891 |
| Provider Name | Kaylin M Hoomaian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063122588 PECOS PAC ID: 2466823695 Enrollment ID: I20250203000901 |
| Provider Name | Chris Michael Bendemire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598482648 PECOS PAC ID: 6507396561 Enrollment ID: I20250206001840 |
| Provider Name | Harper G Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790509602 PECOS PAC ID: 9830629245 Enrollment ID: I20250213002554 |
| Provider Name | Savannah Noel Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568286318 PECOS PAC ID: 9638609977 Enrollment ID: I20250215000093 |
| Provider Name | Milka Elena Martinez Arache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306162250 PECOS PAC ID: 5496925448 Enrollment ID: I20250217001663 |
| Provider Name | Ramyasree Worthington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285194217 PECOS PAC ID: 5890108716 Enrollment ID: I20250219000593 |
| Provider Name | Kaitlin Burrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588498984 PECOS PAC ID: 9739609645 Enrollment ID: I20250221003599 |
| Provider Name | Elizabeth Duncan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487281168 PECOS PAC ID: 1254754898 Enrollment ID: I20250224000349 |
| Provider Name | Betsy M Calloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467277129 PECOS PAC ID: 7214457050 Enrollment ID: I20250224000803 |
| Provider Name | Rojane S Swanepoel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134380850 PECOS PAC ID: 8426123936 Enrollment ID: I20250225000965 |
| Provider Name | Ashley Engen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417762121 PECOS PAC ID: 3274053616 Enrollment ID: I20250228000294 |
| Provider Name | Anna Worth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023528726 PECOS PAC ID: 9931519840 Enrollment ID: I20250305000542 |
| Provider Name | Rashid Ali Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508387341 PECOS PAC ID: 0042557654 Enrollment ID: I20250311002168 |
| Provider Name | Fallon Michelle Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225842560 PECOS PAC ID: 9234651324 Enrollment ID: I20250318002914 |
| Provider Name | Olivia E Mcmillan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609603745 PECOS PAC ID: 1658894829 Enrollment ID: I20250327004030 |
| Provider Name | Matthew Bodine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295519072 PECOS PAC ID: 9436503067 Enrollment ID: I20250411000121 |
| Provider Name | Deborah Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679043574 PECOS PAC ID: 9830429950 Enrollment ID: I20250411002733 |
| Provider Name | Christopher Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730769183 PECOS PAC ID: 2567980568 Enrollment ID: I20250514000424 |
| Provider Name | Shervin Rahim Dashti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437294386 PECOS PAC ID: 9739284290 Enrollment ID: I20250514002881 |
| Provider Name | Randall R Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558355032 PECOS PAC ID: 0244219103 Enrollment ID: I20250514002933 |
| Provider Name | Pablo Bravo Valenzuela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639330897 PECOS PAC ID: 8527282599 Enrollment ID: I20250521000559 |
| Provider Name | Grayson L Landers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629889290 PECOS PAC ID: 8820507411 Enrollment ID: I20250604002461 |
| Provider Name | Zed Mansfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295088748 PECOS PAC ID: 1355595364 Enrollment ID: I20250605003363 |
| Provider Name | Roxana Cabrera Candelaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538622402 PECOS PAC ID: 5799152427 Enrollment ID: I20250616002317 |
| Provider Name | Melantha Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700684826 PECOS PAC ID: 1557872637 Enrollment ID: I20250616002518 |
| Provider Name | Eric Ha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427671569 PECOS PAC ID: 8921539115 Enrollment ID: I20250701002691 |
| Provider Name | Wesley Peters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194393025 PECOS PAC ID: 7315342326 Enrollment ID: I20250723002831 |
| Provider Name | Mark Christopher Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689251217 PECOS PAC ID: 2860896560 Enrollment ID: I20250801000786 |
| Provider Name | Adolfo Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437953015 PECOS PAC ID: 3072021724 Enrollment ID: I20250804002220 |
| Provider Name | Sean Medard Parker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003442955 PECOS PAC ID: 5890194153 Enrollment ID: I20250805000200 |
| Provider Name | Jennifer Le Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174243943 PECOS PAC ID: 4082087226 Enrollment ID: I20250806001354 |
| Provider Name | Gracie G Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154061851 PECOS PAC ID: 1850890120 Enrollment ID: I20250815000049 |
| Provider Name | Tarek Dakakni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487809307 PECOS PAC ID: 2860670452 Enrollment ID: I20250819001965 |
| Provider Name | Kyle David Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538740345 PECOS PAC ID: 0244739951 Enrollment ID: I20250819003330 |
| Provider Name | Osamuyi Idubor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740741644 PECOS PAC ID: 9537582382 Enrollment ID: I20250820001129 |
| Provider Name | Martin Guerin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306396437 PECOS PAC ID: 2163701632 Enrollment ID: I20250820004117 |
| Provider Name | Linnetta Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396537510 PECOS PAC ID: 4587165428 Enrollment ID: I20250902000026 |
| Provider Name | Katrina Lauren Mazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487448486 PECOS PAC ID: 3870094683 Enrollment ID: I20250902002052 |
| Provider Name | Austin M Hazlewood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902541774 PECOS PAC ID: 5991167678 Enrollment ID: I20250904000713 |
| Provider Name | Sara Jean Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679389613 PECOS PAC ID: 5395249692 Enrollment ID: I20250918004680 |
| Provider Name | Benjamin R Meis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366005308 PECOS PAC ID: 1850634940 Enrollment ID: I20250924000665 |
| Provider Name | Gerri Monique Black |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073323994 PECOS PAC ID: 0749785590 Enrollment ID: I20250924000687 |
| Provider Name | Areej F Sami |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720578008 PECOS PAC ID: 9032468095 Enrollment ID: I20250927000623 |
| Provider Name | Janson Alexander Witcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679460349 PECOS PAC ID: 6103322011 Enrollment ID: I20250930003384 |
| Provider Name | Jessica B Groft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194600395 PECOS PAC ID: 5890292577 Enrollment ID: I20251008002624 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20251009000580 |
| Provider Name | Shahabuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174899546 PECOS PAC ID: 7214255819 Enrollment ID: I20251019000191 |
| Provider Name | Vanessa Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972817328 PECOS PAC ID: 6709028350 Enrollment ID: I20251020002382 |
| Provider Name | Danya Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568091965 PECOS PAC ID: 8022505619 Enrollment ID: I20251020002935 |
| Provider Name | Grace Ann Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184510398 PECOS PAC ID: 0042708232 Enrollment ID: I20251021000721 |
| Provider Name | Tajuana Michelle Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053132316 PECOS PAC ID: 9032607015 Enrollment ID: I20251022000543 |
| Provider Name | Barkot Gebremichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538595863 PECOS PAC ID: 9739471509 Enrollment ID: I20251022003596 |
| Provider Name | Aparajita Spencer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1437612926 PECOS PAC ID: 3476881863 Enrollment ID: I20251023004088 |
| Provider Name | Makenzi Stevenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770100901 PECOS PAC ID: 9133544604 Enrollment ID: I20251027004070 |
| Provider Name | Matthew Hunter Wigginton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720853716 PECOS PAC ID: 6507355823 Enrollment ID: I20251028002122 |
| Provider Name | Mahan Ghiassi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285827725 PECOS PAC ID: 8022234541 Enrollment ID: I20251029000330 |
| Provider Name | Ricardy Rimpel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871854125 PECOS PAC ID: 2466691167 Enrollment ID: I20251031003081 |
| Provider Name | Jessica Hobbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508641622 PECOS PAC ID: 1850748302 Enrollment ID: I20251107002795 |
| Provider Name | Akwaugo Thelma Uzoegwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033506332 PECOS PAC ID: 1254678071 Enrollment ID: I20251110000122 |
| Provider Name | Purav Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902338742 PECOS PAC ID: 7719224104 Enrollment ID: I20251110000952 |
| Provider Name | Regina Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447673363 PECOS PAC ID: 1355565326 Enrollment ID: I20251110001147 |
| Provider Name | Masoud Hamidian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972710002 PECOS PAC ID: 5294836789 Enrollment ID: I20251110002495 |
| Provider Name | Anna Grace Towner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013725886 PECOS PAC ID: 7113418716 Enrollment ID: I20251111003917 |
| Provider Name | Twethida Oung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790946481 PECOS PAC ID: 7810179256 Enrollment ID: I20251112002673 |
| Provider Name | Ethan Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093432528 PECOS PAC ID: 7911379656 Enrollment ID: I20251116000010 |
| Provider Name | Maryam Gbadamosi-akindele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619231131 PECOS PAC ID: 8921312455 Enrollment ID: I20251119002240 |
| Provider Name | John Michael Higginbotham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790930899 PECOS PAC ID: 0446429013 Enrollment ID: I20251119004311 |
| Provider Name | Temple Anzalone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265546642 PECOS PAC ID: 2769457779 Enrollment ID: I20251124000850 |
| Provider Name | Shagufta Hayat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578979621 PECOS PAC ID: 1658598560 Enrollment ID: I20251216000177 |
| Provider Name | Akua Fordjour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285040626 PECOS PAC ID: 2961781109 Enrollment ID: I20260123001184 |
| Provider Name | Meghan Mcdonough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558971820 PECOS PAC ID: 7618388596 Enrollment ID: I20260206000013 |
| Provider Name | Christian Lafalce |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932219730 PECOS PAC ID: 4587735261 Enrollment ID: I20260212001280 |
| Provider Name | Diane Marie Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518981794 PECOS PAC ID: 7911006507 Enrollment ID: I20260223003370 |
| Provider Name | Chad Percifield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629569140 PECOS PAC ID: 4880941178 Enrollment ID: I20260324004023 |
| Provider Name | Jonathan Edward Felts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679308266 PECOS PAC ID: 2668957580 Enrollment ID: I20260330001174 |
| Provider Name | Barbara Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245417401 PECOS PAC ID: 3173698701 Enrollment ID: I20260417002486 |
| Provider Name | Abdul-qader Alarhayem |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053676049 PECOS PAC ID: 5799102737 Enrollment ID: I20260508003149 |
| Provider Name | Sydney Paige Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972473882 PECOS PAC ID: 5294203105 Enrollment ID: I20260508003157 |
| Provider Name | Rebekah Jordan Manning O'shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770305385 PECOS PAC ID: 8921577081 Enrollment ID: I20260518003307 |
| Provider Name | Douglas Michael Coldwell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982730909 PECOS PAC ID: 7113810102 Enrollment ID: I20260521000629 |
| Provider Name | Jamal Al Taani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083819593 PECOS PAC ID: 7012002314 Enrollment ID: I20260615000267 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20260623000071 |
| Provider Name | David B Coleman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558396606 PECOS PAC ID: 1759381122 Enrollment ID: I20260624001158 |
| Provider Name | Michael Navid Pakdaman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629333810 PECOS PAC ID: 4587097118 Enrollment ID: I20260624002681 |
| Provider Name | Brijesh Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174780621 PECOS PAC ID: 5092970921 Enrollment ID: I20260625004813 |
| Provider Name | Michael S Whitlock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548295421 PECOS PAC ID: 8022021450 Enrollment ID: I20260626003232 |
Terry W. Smith M.D., P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 |
Liberty Healthcare Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421 Phone: 423-498-5839 |
Benchmark PT Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 Phone: 423-933-1672 Fax: 423-933-1675 |
Bryn Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-541-9455 |
Drs Kemp and Avitabile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 37415 Phone: 423-877-4556 Fax: 423-877-9218 |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6413 Lee Hwy Ste 107, Chattanooga, TN 37421 Phone: 000-000-0000 Fax: 000-000-0000 |