| Mercy Clinic Family Medicine-willow Springs | |
|
1202 E Main St Willow Springs MO 65793 | |
| (417) 469-1820 | |
| (417) 469-5280 |
| Full Name | Mercy Clinic Family Medicine-willow Springs |
|---|---|
| Speciality | Clinic/Center |
| Location | 1202 E Main St, Willow Springs, Missouri |
| Authorized Official Name and Position | Robert Cavagnol (CHIEF PHYSICIAN OFFICER) |
| Authorized Official Contact | 4178202705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Family Medicine-willow Springs 645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 Ph: (417) 820-7133 | Mercy Clinic Family Medicine-willow Springs 1202 E Main St Willow Springs MO 65793 Ph: (417) 469-1820 |
| NPI Number | 1972771657 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 12/04/2018 |
| Medicare PECOS PAC ID | 7416865845 |
|---|---|
| Medicare Enrollment ID | O20031218000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972771657 | NPI | - | NPPES |
| 1972771657 | Other | MO | RURAL HEALTH MEDICAID |
| Provider Name | Ronald A Buening |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245377076 PECOS PAC ID: 8628980984 Enrollment ID: I20031104000567 |
| Provider Name | Rajamanickam Purushothaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558403519 PECOS PAC ID: 1254243447 Enrollment ID: I20031105000393 |
| Provider Name | John S Swango |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013904150 PECOS PAC ID: 8820992704 Enrollment ID: I20031121000655 |
| Provider Name | John W Hawkins |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710076708 PECOS PAC ID: 2365346285 Enrollment ID: I20031121000839 |
| Provider Name | David S Cochran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467541433 PECOS PAC ID: 5991609828 Enrollment ID: I20031121000871 |
| Provider Name | Michael F Meurer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750474144 PECOS PAC ID: 3577469147 Enrollment ID: I20031212000407 |
| Provider Name | Alan M Scarrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972537132 PECOS PAC ID: 9638077936 Enrollment ID: I20031223000633 |
| Provider Name | Edward W Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205947041 PECOS PAC ID: 4587563523 Enrollment ID: I20040108000177 |
| Provider Name | Alison L Hood-kirar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922103308 PECOS PAC ID: 0648172197 Enrollment ID: I20040123000968 |
| Provider Name | Lee R Choo-kang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144366196 PECOS PAC ID: 4385538768 Enrollment ID: I20040209000738 |
| Provider Name | James L Jordan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821179029 PECOS PAC ID: 9335033265 Enrollment ID: I20040211000997 |
| Provider Name | Rachelle M Leonardo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225193675 PECOS PAC ID: 9133014871 Enrollment ID: I20040220000215 |
| Provider Name | Donna Dee Akers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851370340 PECOS PAC ID: 5890682926 Enrollment ID: I20040302001380 |
| Provider Name | Matthew B Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508874231 PECOS PAC ID: 7214829860 Enrollment ID: I20040327000279 |
| Provider Name | Kelly Harness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154432003 PECOS PAC ID: 6901898063 Enrollment ID: I20040331000447 |
| Provider Name | Kelly Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992720361 PECOS PAC ID: 2365439437 Enrollment ID: I20040429000783 |
| Provider Name | Laishang P Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235143942 PECOS PAC ID: 7719974682 Enrollment ID: I20040430000804 |
| Provider Name | Thomas E Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275545659 PECOS PAC ID: 1759371669 Enrollment ID: I20040513000815 |
| Provider Name | Darin L Talley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548340359 PECOS PAC ID: 2062493240 Enrollment ID: I20040525000613 |
| Provider Name | Alastair D Haddow |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891739884 PECOS PAC ID: 9335127950 Enrollment ID: I20040710000095 |
| Provider Name | Michael R Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134290646 PECOS PAC ID: 3274511720 Enrollment ID: I20040710000319 |
| Provider Name | Volare A Yantis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659411049 PECOS PAC ID: 9335127844 Enrollment ID: I20040712000361 |
| Provider Name | Vera Mikhailova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942347190 PECOS PAC ID: 3375522428 Enrollment ID: I20040714000535 |
| Provider Name | James Mccaul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326197997 PECOS PAC ID: 8820906266 Enrollment ID: I20040714001552 |
| Provider Name | Karrie A Cunningham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285770040 PECOS PAC ID: 3274512140 Enrollment ID: I20040714001585 |
| Provider Name | Debra A Mccaul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376692939 PECOS PAC ID: 1153300033 Enrollment ID: I20040714001610 |
| Provider Name | Sherry L Phippen Gesualdi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336298918 PECOS PAC ID: 5890680219 Enrollment ID: I20040715000540 |
| Provider Name | James A Felts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801960992 PECOS PAC ID: 7810976651 Enrollment ID: I20040715001125 |
| Provider Name | Grace S Beaumont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700935459 PECOS PAC ID: 0547249906 Enrollment ID: I20040719000628 |
| Provider Name | Richard H Kimrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871631259 PECOS PAC ID: 3678553013 Enrollment ID: I20040724000426 |
| Provider Name | Jesse D Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053458471 PECOS PAC ID: 3577543917 Enrollment ID: I20040724000436 |
| Provider Name | Grzegorz M Szarnecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336166008 PECOS PAC ID: 4183604432 Enrollment ID: I20040726000755 |
| Provider Name | Paul Rei Pfeiffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821024803 PECOS PAC ID: 4880666080 Enrollment ID: I20040809000923 |
| Provider Name | Gerald J Ondr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285772046 PECOS PAC ID: 2466425731 Enrollment ID: I20040816000371 |
| Provider Name | Kenneth B Snyder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538207212 PECOS PAC ID: 4385617661 Enrollment ID: I20040816000450 |
| Provider Name | Erich D Mertensmeyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396861498 PECOS PAC ID: 8022082601 Enrollment ID: I20040820000079 |
| Provider Name | Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972612117 PECOS PAC ID: 9335113794 Enrollment ID: I20040823000012 |
| Provider Name | Randall D Huss |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538232772 PECOS PAC ID: 7911815352 Enrollment ID: I20040824000177 |
| Provider Name | Shannon M Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285715847 PECOS PAC ID: 8224003017 Enrollment ID: I20040826000272 |
| Provider Name | Nishua F Bendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174586275 PECOS PAC ID: 6103893839 Enrollment ID: I20040913001087 |
| Provider Name | Jenifer H Zhai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144388745 PECOS PAC ID: 3870567621 Enrollment ID: I20040928000211 |
| Provider Name | Trevor G Pickett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861556656 PECOS PAC ID: 5496724841 Enrollment ID: I20041001000317 |
| Provider Name | Amanda Jo Dinsmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063525251 PECOS PAC ID: 7719946920 Enrollment ID: I20041005000006 |
| Provider Name | Donna J Witsberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932296332 PECOS PAC ID: 8921067141 Enrollment ID: I20041005000104 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235207028 PECOS PAC ID: 2062473507 Enrollment ID: I20041019000946 |
| Provider Name | Darren L Lehnert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619042249 PECOS PAC ID: 5496716946 Enrollment ID: I20041019000969 |
| Provider Name | David M Delahay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053458414 PECOS PAC ID: 2062473044 Enrollment ID: I20041022000669 |
| Provider Name | Loraine B Nolla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386600989 PECOS PAC ID: 2365420395 Enrollment ID: I20041025000008 |
| Provider Name | Tonya E Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811965619 PECOS PAC ID: 2163484296 Enrollment ID: I20041101000981 |
| Provider Name | Robert E Sonnemaker |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1760521660 PECOS PAC ID: 4880657048 Enrollment ID: I20041109000165 |
| Provider Name | Ralph C Bethea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144367897 PECOS PAC ID: 6800859075 Enrollment ID: I20041109000248 |
| Provider Name | Heath A Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689733560 PECOS PAC ID: 1658334776 Enrollment ID: I20041110000182 |
| Provider Name | Joshua Christian Garrison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609888288 PECOS PAC ID: 6709840200 Enrollment ID: I20041115000948 |
| Provider Name | Donna J Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639157076 PECOS PAC ID: 3274599931 Enrollment ID: I20041203000804 |
| Provider Name | Jon A Reese |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922171966 PECOS PAC ID: 0345207643 Enrollment ID: I20041218000084 |
| Provider Name | Olevia M Pitts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447244884 PECOS PAC ID: 9436117298 Enrollment ID: I20041227000300 |
| Provider Name | Thomas D Mcclain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407838469 PECOS PAC ID: 1153370283 Enrollment ID: I20050117000007 |
| Provider Name | Shawnie Replogle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801977301 PECOS PAC ID: 4688578859 Enrollment ID: I20050117000113 |
| Provider Name | Benjamin A Lampert |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225171648 PECOS PAC ID: 7810946811 Enrollment ID: I20050118000043 |
| Provider Name | Heidi J Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891706776 PECOS PAC ID: 6204829930 Enrollment ID: I20050201000079 |
| Provider Name | Syed Faisal Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609929868 PECOS PAC ID: 7315998408 Enrollment ID: I20050207000290 |
| Provider Name | Joan M Tomanek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225176928 PECOS PAC ID: 2961453808 Enrollment ID: I20050208000554 |
| Provider Name | Cynthia K Brooks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568520476 PECOS PAC ID: 5890763387 Enrollment ID: I20050208000856 |
| Provider Name | Jaime Zengotita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093896201 PECOS PAC ID: 5597716399 Enrollment ID: I20050209000681 |
| Provider Name | Shang-chiun Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588754402 PECOS PAC ID: 4486606498 Enrollment ID: I20050218000013 |
| Provider Name | Eric Guilliams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013936749 PECOS PAC ID: 5991789935 Enrollment ID: I20050314000005 |
| Provider Name | Angela Neighbors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427038686 PECOS PAC ID: 4486612728 Enrollment ID: I20050314000264 |
| Provider Name | Donna L Currier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982782306 PECOS PAC ID: 8224087689 Enrollment ID: I20050316000000 |
| Provider Name | Brenda G Scheiderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689771719 PECOS PAC ID: 3678523230 Enrollment ID: I20050405000002 |
| Provider Name | Marvin L Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659376457 PECOS PAC ID: 7618927849 Enrollment ID: I20050408000053 |
| Provider Name | Marc Luckett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881667608 PECOS PAC ID: 4587602966 Enrollment ID: I20050418000975 |
| Provider Name | Sean P Tarsney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740329325 PECOS PAC ID: 2961442876 Enrollment ID: I20050510001096 |
| Provider Name | Gregory V Maynard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063450187 PECOS PAC ID: 1254372386 Enrollment ID: I20050518000899 |
| Provider Name | Richard Thayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396781399 PECOS PAC ID: 4183665243 Enrollment ID: I20050518001127 |
| Provider Name | Carolyn M Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669465134 PECOS PAC ID: 8325080880 Enrollment ID: I20050525000030 |
| Provider Name | Rachelene Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972511020 PECOS PAC ID: 9335181429 Enrollment ID: I20050531000315 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730186834 PECOS PAC ID: 4486697240 Enrollment ID: I20050603000022 |
| Provider Name | John C Vandover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376583393 PECOS PAC ID: 5597708362 Enrollment ID: I20050603000095 |
| Provider Name | Sunghoon Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184642175 PECOS PAC ID: 1850334541 Enrollment ID: I20050603000363 |
| Provider Name | Carolyn S Marley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306859301 PECOS PAC ID: 4587607296 Enrollment ID: I20050603000540 |
| Provider Name | Ashish Chowfin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962560060 PECOS PAC ID: 0244273829 Enrollment ID: I20050606000035 |
| Provider Name | Robert Leroy Kail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558354605 PECOS PAC ID: 6507809183 Enrollment ID: I20050606000041 |
| Provider Name | Robert F Merritt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649369661 PECOS PAC ID: 1052355575 Enrollment ID: I20050615000913 |
| Provider Name | Kristin L Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982770608 PECOS PAC ID: 0749224194 Enrollment ID: I20050616000129 |
| Provider Name | Renita Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285724625 PECOS PAC ID: 9739123852 Enrollment ID: I20050620000045 |
| Provider Name | John S Wong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366431488 PECOS PAC ID: 6608811633 Enrollment ID: I20050621000789 |
| Provider Name | Heather A Thiessen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811035108 PECOS PAC ID: 6406891852 Enrollment ID: I20050627000070 |
| Provider Name | Christy A Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487792750 PECOS PAC ID: 5890731202 Enrollment ID: I20050707000003 |
| Provider Name | Kathleen D Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851439285 PECOS PAC ID: 3971549270 Enrollment ID: I20050707000779 |
| Provider Name | Christie J Hurt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073603403 PECOS PAC ID: 3274508775 Enrollment ID: I20050714000550 |
| Provider Name | Angie J Whitesell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689679391 PECOS PAC ID: 0143256537 Enrollment ID: I20050718000358 |
| Provider Name | Bradley H Walz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649319963 PECOS PAC ID: 0941237366 Enrollment ID: I20050718000749 |
| Provider Name | Jonathan L Thornsberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255411989 PECOS PAC ID: 9133162258 Enrollment ID: I20050719000443 |
| Provider Name | Brian R Neely |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992727374 PECOS PAC ID: 0749217057 Enrollment ID: I20050719000451 |
| Provider Name | George G Pettey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902814296 PECOS PAC ID: 0042253163 Enrollment ID: I20050719000459 |
| Provider Name | Timothy J Davi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881734440 PECOS PAC ID: 8820025646 Enrollment ID: I20050725000175 |
| Provider Name | Bradley K Bloemker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295722387 PECOS PAC ID: 8921036138 Enrollment ID: I20050729000191 |
| Provider Name | Sami Khoshyomn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699719963 PECOS PAC ID: 6709815244 Enrollment ID: I20050805000097 |
| Provider Name | Robert Halterman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881638013 PECOS PAC ID: 3476457276 Enrollment ID: I20050817000240 |
| Provider Name | Connie L Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255412417 PECOS PAC ID: 4284610296 Enrollment ID: I20050820000013 |
| Provider Name | Robert Scott Duff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265475727 PECOS PAC ID: 2365472164 Enrollment ID: I20050820000106 |
| Provider Name | Randall M Robinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740329556 PECOS PAC ID: 7214912690 Enrollment ID: I20050916000677 |
| Provider Name | Gregory R Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689780744 PECOS PAC ID: 4284668591 Enrollment ID: I20050926000268 |
| Provider Name | Waltina J Kisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225219009 PECOS PAC ID: 5991730095 Enrollment ID: I20050928000032 |
| Provider Name | Tyrun Richardson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205834074 PECOS PAC ID: 2668407115 Enrollment ID: I20051004000130 |
| Provider Name | James M Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922145358 PECOS PAC ID: 5698790467 Enrollment ID: I20051011000405 |
| Provider Name | Charles B Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538155338 PECOS PAC ID: 0749201986 Enrollment ID: I20051215000124 |
| Provider Name | Bryan R Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295791366 PECOS PAC ID: 2466474333 Enrollment ID: I20051221000027 |
| Provider Name | Marcia K Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326188764 PECOS PAC ID: 1951323468 Enrollment ID: I20051228000046 |
| Provider Name | Stephen E Slawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962447292 PECOS PAC ID: 2961314257 Enrollment ID: I20060109000011 |
| Provider Name | James A Bartelsmeyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265469860 PECOS PAC ID: 5597779298 Enrollment ID: I20060202000091 |
| Provider Name | Rachael Shepard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952361826 PECOS PAC ID: 6709890205 Enrollment ID: I20060206000093 |
| Provider Name | Adam R Wozniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730146507 PECOS PAC ID: 6608881552 Enrollment ID: I20060214000082 |
| Provider Name | Matthew A Kienstra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740329671 PECOS PAC ID: 1850300278 Enrollment ID: I20060413000025 |
| Provider Name | Susan K Grogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437291861 PECOS PAC ID: 2163431347 Enrollment ID: I20060417000507 |
| Provider Name | Robert B Wyrsch |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1851430185 PECOS PAC ID: 5395754568 Enrollment ID: I20060425000421 |
| Provider Name | Wendy J Heilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912049396 PECOS PAC ID: 6305856709 Enrollment ID: I20060501000104 |
| Provider Name | Wendy L Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386616142 PECOS PAC ID: 4284646878 Enrollment ID: I20060623000093 |
| Provider Name | Leanne Watson-ficken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451373 PECOS PAC ID: 9638182470 Enrollment ID: I20060724000134 |
| Provider Name | Mark J Walterskirchen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083637524 PECOS PAC ID: 2466455308 Enrollment ID: I20060816000134 |
| Provider Name | John F Spivey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922023183 PECOS PAC ID: 9436153236 Enrollment ID: I20060911000244 |
| Provider Name | Yaqoob Ali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477582799 PECOS PAC ID: 1759385396 Enrollment ID: I20060913000091 |
| Provider Name | Catherine B York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932135118 PECOS PAC ID: 6204831688 Enrollment ID: I20060918000222 |
| Provider Name | Victoria Diane Kubik |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1053329169 PECOS PAC ID: 0547206484 Enrollment ID: I20061005000468 |
| Provider Name | Saima Jabeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316976582 PECOS PAC ID: 0547266876 Enrollment ID: I20061010000654 |
| Provider Name | Oakley B Downing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699796284 PECOS PAC ID: 5991701492 Enrollment ID: I20061011000739 |
| Provider Name | Sonja Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609836857 PECOS PAC ID: 3870590946 Enrollment ID: I20061102000305 |
| Provider Name | Curtis D Mather |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053414524 PECOS PAC ID: 8729056593 Enrollment ID: I20061103000266 |
| Provider Name | Jeffrey J Mutchler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205946449 PECOS PAC ID: 2365449386 Enrollment ID: I20061103000326 |
| Provider Name | Jody Lynn Hagen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962405563 PECOS PAC ID: 0042273260 Enrollment ID: I20061122000196 |
| Provider Name | Bassil Bayazed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700987773 PECOS PAC ID: 5991707192 Enrollment ID: I20070131000535 |
| Provider Name | Richard D Purcell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881689933 PECOS PAC ID: 7214939784 Enrollment ID: I20070213000212 |
| Provider Name | Randy Curl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326053208 PECOS PAC ID: 1759483019 Enrollment ID: I20070216000657 |
| Provider Name | Ricky D Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366404626 PECOS PAC ID: 1153423439 Enrollment ID: I20070219000012 |
| Provider Name | Marcelo J Mantala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710089644 PECOS PAC ID: 8022110709 Enrollment ID: I20070227000276 |
| Provider Name | Geoffery L Stanczyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811999386 PECOS PAC ID: 0547251381 Enrollment ID: I20070322000363 |
| Provider Name | George D Runyon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396803565 PECOS PAC ID: 2567566979 Enrollment ID: I20070323000472 |
| Provider Name | Magnus O Meyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538258702 PECOS PAC ID: 6608970793 Enrollment ID: I20070329000372 |
| Provider Name | Jerry W Dorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386744811 PECOS PAC ID: 0345346805 Enrollment ID: I20070501000134 |
| Provider Name | Stephen Stufflebam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598803884 PECOS PAC ID: 3870699721 Enrollment ID: I20070509000488 |
| Provider Name | John Gavin Helton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417921156 PECOS PAC ID: 5193822294 Enrollment ID: I20070524000590 |
| Provider Name | Beth J Gearhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215959101 PECOS PAC ID: 8123126901 Enrollment ID: I20070601000042 |
| Provider Name | Alicia Busso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386679751 PECOS PAC ID: 6103824917 Enrollment ID: I20070629000524 |
| Provider Name | Neal S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093933285 PECOS PAC ID: 6709986714 Enrollment ID: I20070705000124 |
| Provider Name | Jay L Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013057488 PECOS PAC ID: 9032219043 Enrollment ID: I20070705000159 |
| Provider Name | Carter Page Fenton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922199546 PECOS PAC ID: 9234221698 Enrollment ID: I20070815000660 |
| Provider Name | Mary B Lummis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871631010 PECOS PAC ID: 8022100841 Enrollment ID: I20070824000539 |
| Provider Name | William K Flake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235248220 PECOS PAC ID: 0446274278 Enrollment ID: I20070917000262 |
| Provider Name | Murali Mr Vuda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932306941 PECOS PAC ID: 5294821781 Enrollment ID: I20071015000049 |
| Provider Name | Amanda G Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750428959 PECOS PAC ID: 8820185432 Enrollment ID: I20071030000066 |
| Provider Name | Laura A Hediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316137128 PECOS PAC ID: 9931296415 Enrollment ID: I20071031000070 |
| Provider Name | Shawn C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629065073 PECOS PAC ID: 1759478290 Enrollment ID: I20071031000505 |
| Provider Name | Victor Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528078136 PECOS PAC ID: 9931296340 Enrollment ID: I20071101000432 |
| Provider Name | Kyle S John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518031699 PECOS PAC ID: 1557458825 Enrollment ID: I20071102000310 |
| Provider Name | Tracy D Fairbairn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114138872 PECOS PAC ID: 2062509193 Enrollment ID: I20071106000340 |
| Provider Name | Sonu Suri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528006533 PECOS PAC ID: 1658469614 Enrollment ID: I20071109000013 |
| Provider Name | Lavanya Tiriveedhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255539581 PECOS PAC ID: 5597853499 Enrollment ID: I20071109000464 |
| Provider Name | Marcus Henderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952495780 PECOS PAC ID: 1759479348 Enrollment ID: I20071115000169 |
| Provider Name | Barbara E Wotherspoon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619919198 PECOS PAC ID: 9436135951 Enrollment ID: I20071116000136 |
| Provider Name | Melissa D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770771586 PECOS PAC ID: 9931297124 Enrollment ID: I20071126000182 |
| Provider Name | Carmen R Strecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891984803 PECOS PAC ID: 4183712268 Enrollment ID: I20071127000304 |
| Provider Name | Albert R Leonardo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962567305 PECOS PAC ID: 0648360305 Enrollment ID: I20071218000318 |
| Provider Name | Dennis R Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215092630 PECOS PAC ID: 0749360030 Enrollment ID: I20071227000282 |
| Provider Name | Richard G Reber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730173964 PECOS PAC ID: 3779663083 Enrollment ID: I20071227000450 |
| Provider Name | Richard K Temofeew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881773661 PECOS PAC ID: 6002996188 Enrollment ID: I20080102000084 |
| Provider Name | Paul Geiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891754784 PECOS PAC ID: 5395780936 Enrollment ID: I20080108000145 |
| Provider Name | Christopher M Schlanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215959655 PECOS PAC ID: 2769563238 Enrollment ID: I20080123000091 |
| Provider Name | John J Lorette |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1760598460 PECOS PAC ID: 8325129802 Enrollment ID: I20080123000135 |
| Provider Name | Guy H J Ruddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285774844 PECOS PAC ID: 6406938083 Enrollment ID: I20080205000278 |
| Provider Name | Thomas Roy Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134284524 PECOS PAC ID: 2466535059 Enrollment ID: I20080205000504 |
| Provider Name | John T Brunts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578555066 PECOS PAC ID: 2961409222 Enrollment ID: I20080205000546 |
| Provider Name | Stacy L Kanagawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861438475 PECOS PAC ID: 1557445277 Enrollment ID: I20080219000785 |
| Provider Name | Megha Garg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871695049 PECOS PAC ID: 9234213075 Enrollment ID: I20080303000656 |
| Provider Name | Kevin Journagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952492969 PECOS PAC ID: 5193800480 Enrollment ID: I20080311000505 |
| Provider Name | Frank R Newman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548454085 PECOS PAC ID: 2860577079 Enrollment ID: I20080312000470 |
| Provider Name | Dale E Haverstick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902983075 PECOS PAC ID: 4183700883 Enrollment ID: I20080320000410 |
| Provider Name | Jayna C Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437329331 PECOS PAC ID: 9830276542 Enrollment ID: I20080404000626 |
| Provider Name | Sharad Bansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477654630 PECOS PAC ID: 7618054149 Enrollment ID: I20080409000036 |
| Provider Name | Matthew Stewart Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649392796 PECOS PAC ID: 9830277573 Enrollment ID: I20080422000525 |
| Provider Name | Sadie O Giedd |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1538360276 PECOS PAC ID: 9032298823 Enrollment ID: I20080505000846 |
| Provider Name | James Alton Ragland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619148053 PECOS PAC ID: 4284703489 Enrollment ID: I20080514000155 |
| Provider Name | Paul C Freiman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669561643 PECOS PAC ID: 1052215803 Enrollment ID: I20080514000295 |
| Provider Name | Pamela L Kepus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558492447 PECOS PAC ID: 5991804890 Enrollment ID: I20080521000300 |
| Provider Name | Scott A Henke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750421657 PECOS PAC ID: 3678513116 Enrollment ID: I20080614000026 |
| Provider Name | Melinda Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467594770 PECOS PAC ID: 8820169592 Enrollment ID: I20080624000477 |
| Provider Name | Maranda L Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760658744 PECOS PAC ID: 4587738588 Enrollment ID: I20080809000067 |
| Provider Name | Staci Ellen Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962436840 PECOS PAC ID: 6901840677 Enrollment ID: I20080815000177 |
| Provider Name | Ryan M Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574218 PECOS PAC ID: 1658447099 Enrollment ID: I20080909000026 |
| Provider Name | Gary T Gillham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245386333 PECOS PAC ID: 7214004043 Enrollment ID: I20080922000031 |
| Provider Name | Emmanuel A Obafemi-ajayi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376720904 PECOS PAC ID: 5395812796 Enrollment ID: I20080926000602 |
| Provider Name | Kelly L Ruise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063661502 PECOS PAC ID: 8527126770 Enrollment ID: I20081018000040 |
| Provider Name | Stacey Vorhies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194839670 PECOS PAC ID: 6608867403 Enrollment ID: I20081031000188 |
| Provider Name | Danny Lee Garton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154599900 PECOS PAC ID: 8123187499 Enrollment ID: I20081103000057 |
| Provider Name | Rajesh R Nair |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609072347 PECOS PAC ID: 5496814295 Enrollment ID: I20081107000798 |
| Provider Name | Robert A Coats |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851541072 PECOS PAC ID: 3476613779 Enrollment ID: I20081117000358 |
| Provider Name | David Tannehill |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750591053 PECOS PAC ID: 4486714623 Enrollment ID: I20081118000791 |
| Provider Name | Tanya L Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851541486 PECOS PAC ID: 4789744475 Enrollment ID: I20081126000068 |
| Provider Name | Mamie R Jaycox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821188624 PECOS PAC ID: 4183786759 Enrollment ID: I20081217000083 |
| Provider Name | Shaveta Manchanda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235354259 PECOS PAC ID: 6608931233 Enrollment ID: I20090216000317 |
| Provider Name | Richard J Price |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275594087 PECOS PAC ID: 1850299827 Enrollment ID: I20090216000425 |
| Provider Name | Jeri L Keller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932130838 PECOS PAC ID: 6901984574 Enrollment ID: I20090220000515 |
| Provider Name | Jessetta K Joswick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659360428 PECOS PAC ID: 2668548132 Enrollment ID: I20090303000632 |
| Provider Name | Kimberly M Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265670335 PECOS PAC ID: 8628134194 Enrollment ID: I20090309000068 |
| Provider Name | Loana E Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184715484 PECOS PAC ID: 4183781255 Enrollment ID: I20090318000183 |
| Provider Name | Steven J Taggart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497716716 PECOS PAC ID: 6103724174 Enrollment ID: I20090318000234 |
| Provider Name | Stephanie L Ledl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730329640 PECOS PAC ID: 8527115856 Enrollment ID: I20090402000391 |
| Provider Name | Rebecca J Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821230707 PECOS PAC ID: 9931256807 Enrollment ID: I20090409000668 |
| Provider Name | Jaime N Lambeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164661591 PECOS PAC ID: 7810044609 Enrollment ID: I20090414000317 |
| Provider Name | Justin D Moody |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1639370489 PECOS PAC ID: 0941386700 Enrollment ID: I20090501000126 |
| Provider Name | Jennifer B Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922249168 PECOS PAC ID: 9335298801 Enrollment ID: I20090513000246 |
| Provider Name | Steven K Bowlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750383543 PECOS PAC ID: 5991885998 Enrollment ID: I20090602000046 |
| Provider Name | Kayla R Otoole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285650127 PECOS PAC ID: 4284784893 Enrollment ID: I20090602000358 |
| Provider Name | Amy L Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215171368 PECOS PAC ID: 3577613397 Enrollment ID: I20090616000560 |
| Provider Name | Deborah L Sheehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164410353 PECOS PAC ID: 9032260336 Enrollment ID: I20090626000226 |
| Provider Name | Sadaf Sohrab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326272410 PECOS PAC ID: 3971654963 Enrollment ID: I20090702000545 |
| Provider Name | Ashish Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356504260 PECOS PAC ID: 5597818666 Enrollment ID: I20090806000689 |
| Provider Name | Jessica W Fivecoat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568663466 PECOS PAC ID: 6204980105 Enrollment ID: I20090812000054 |
| Provider Name | Sharon K Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598994253 PECOS PAC ID: 6103970769 Enrollment ID: I20090817000134 |
| Provider Name | Stephanie L Swords |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215071709 PECOS PAC ID: 2062566599 Enrollment ID: I20090819000123 |
| Provider Name | Preeti Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922261114 PECOS PAC ID: 1456401033 Enrollment ID: I20090825000069 |
| Provider Name | Melanie L Dampier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124259551 PECOS PAC ID: 3274688346 Enrollment ID: I20090826000527 |
| Provider Name | Rani K Nair |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538366448 PECOS PAC ID: 0547315392 Enrollment ID: I20090901000242 |
| Provider Name | Rhett B Lakin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639345242 PECOS PAC ID: 9830244458 Enrollment ID: I20090903000538 |
| Provider Name | Bradford P Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164462602 PECOS PAC ID: 0345391835 Enrollment ID: I20090910000275 |
| Provider Name | Traci N Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407077241 PECOS PAC ID: 0143376111 Enrollment ID: I20090916000043 |
| Provider Name | Lori J Wilson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588671861 PECOS PAC ID: 2466508478 Enrollment ID: I20090916000416 |
| Provider Name | Elene S Pilapil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679771844 PECOS PAC ID: 6608967591 Enrollment ID: I20091012000503 |
| Provider Name | Sheila L Wyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215154398 PECOS PAC ID: 9931248713 Enrollment ID: I20091208000528 |
| Provider Name | Steven N Cockrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235118910 PECOS PAC ID: 3577603133 Enrollment ID: I20091214000155 |
| Provider Name | James R Buckner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407030349 PECOS PAC ID: 3577603000 Enrollment ID: I20091215000049 |
| Provider Name | Walter T Hargett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053352773 PECOS PAC ID: 0446158265 Enrollment ID: I20100105000039 |
| Provider Name | Elaine Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245471994 PECOS PAC ID: 0042351397 Enrollment ID: I20100108000150 |
| Provider Name | Danielle S Koonce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304977 PECOS PAC ID: 6002958337 Enrollment ID: I20100125000182 |
| Provider Name | Derek Ross Staner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851328819 PECOS PAC ID: 3375623911 Enrollment ID: I20100223000621 |
| Provider Name | Willis H Hoyt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427062645 PECOS PAC ID: 7719012061 Enrollment ID: I20100312000052 |
| Provider Name | Margaret M Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215119359 PECOS PAC ID: 1052493319 Enrollment ID: I20100312000107 |
| Provider Name | Janice M Gessel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881666238 PECOS PAC ID: 2860535986 Enrollment ID: I20100316000503 |
| Provider Name | James Reed Phillips |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20100331000622 |
| Provider Name | James E Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992758148 PECOS PAC ID: 3971661471 Enrollment ID: I20100504000227 |
| Provider Name | Clay M Burnett |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790738466 PECOS PAC ID: 3072535566 Enrollment ID: I20100504000280 |
| Provider Name | Jennifer L Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811210552 PECOS PAC ID: 7719015171 Enrollment ID: I20100506000258 |
| Provider Name | Brenton R Coger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427107283 PECOS PAC ID: 7416085774 Enrollment ID: I20100506000298 |
| Provider Name | Kyle A Kerkemeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811228299 PECOS PAC ID: 3173652278 Enrollment ID: I20100528000179 |
| Provider Name | Chandria Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437250750 PECOS PAC ID: 3577654201 Enrollment ID: I20100605000130 |
| Provider Name | Gina M Petelin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609902790 PECOS PAC ID: 8022100437 Enrollment ID: I20100607000861 |
| Provider Name | Jennifer L Lankford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598095770 PECOS PAC ID: 6002946472 Enrollment ID: I20100610000837 |
| Provider Name | Robert J Belk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407952492 PECOS PAC ID: 6103890645 Enrollment ID: I20100610001046 |
| Provider Name | Rishi Grewal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417054404 PECOS PAC ID: 5496823346 Enrollment ID: I20100615000464 |
| Provider Name | Salman Sarwar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487874582 PECOS PAC ID: 7113092164 Enrollment ID: I20100626000136 |
| Provider Name | Jennifer D Crites |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356488910 PECOS PAC ID: 1951432210 Enrollment ID: I20100630000355 |
| Provider Name | William K Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376609909 PECOS PAC ID: 4284765553 Enrollment ID: I20100630000425 |
| Provider Name | Allison M Felton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255656484 PECOS PAC ID: 7719018092 Enrollment ID: I20100630000555 |
| Provider Name | James K Keaton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316279953 PECOS PAC ID: 4385775543 Enrollment ID: I20100701000672 |
| Provider Name | Richard L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821135690 PECOS PAC ID: 3476572801 Enrollment ID: I20100702000045 |
| Provider Name | Dan D Park |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023151685 PECOS PAC ID: 3577694504 Enrollment ID: I20100708000296 |
| Provider Name | Ann E Blackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588640510 PECOS PAC ID: 3779560305 Enrollment ID: I20100709000117 |
| Provider Name | Amanda Winfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285956904 PECOS PAC ID: 6608908439 Enrollment ID: I20100714000845 |
| Provider Name | Eloise J Unger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972677730 PECOS PAC ID: 2062544729 Enrollment ID: I20100715000135 |
| Provider Name | Wendell J Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710077151 PECOS PAC ID: 1254463938 Enrollment ID: I20100715000370 |
| Provider Name | Xiaoqi Kathryn Sun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316081995 PECOS PAC ID: 5395877070 Enrollment ID: I20100715000438 |
| Provider Name | Christopher A Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134296569 PECOS PAC ID: 0648374165 Enrollment ID: I20100715000475 |
| Provider Name | Barbara A Bumberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386784460 PECOS PAC ID: 9133251820 Enrollment ID: I20100715000563 |
| Provider Name | Martin R A Alumno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518006170 PECOS PAC ID: 6507998200 Enrollment ID: I20100715000688 |
| Provider Name | Robert D Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841330412 PECOS PAC ID: 3678605383 Enrollment ID: I20100715000723 |
| Provider Name | Jessica A Birchem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285803353 PECOS PAC ID: 8729110432 Enrollment ID: I20100715000754 |
| Provider Name | Gregory A Ledger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205903663 PECOS PAC ID: 5092847582 Enrollment ID: I20100720000006 |
| Provider Name | Jack M Bagby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851437677 PECOS PAC ID: 1355473737 Enrollment ID: I20100721000031 |
| Provider Name | Steven A Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124164504 PECOS PAC ID: 0042342420 Enrollment ID: I20100721000070 |
| Provider Name | Bradley A Bowenschulte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306982772 PECOS PAC ID: 1951433341 Enrollment ID: I20100721000080 |
| Provider Name | Jeffrey Scott Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346386752 PECOS PAC ID: 1052443462 Enrollment ID: I20100721000327 |
| Provider Name | Jennifer A Mcnay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861574816 PECOS PAC ID: 5294867545 Enrollment ID: I20100721000935 |
| Provider Name | Susie K Sharpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396827341 PECOS PAC ID: 8729110077 Enrollment ID: I20100721000951 |
| Provider Name | Donald R Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467520346 PECOS PAC ID: 7113059346 Enrollment ID: I20100722000997 |
| Provider Name | Donald H Mangum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679641799 PECOS PAC ID: 1658403886 Enrollment ID: I20100722001016 |
| Provider Name | Roy D Libel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528136645 PECOS PAC ID: 4385776517 Enrollment ID: I20100722001023 |
| Provider Name | Thomas E Kuich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447393335 PECOS PAC ID: 7618009812 Enrollment ID: I20100723000634 |
| Provider Name | Jesse G. Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619905122 PECOS PAC ID: 9830221936 Enrollment ID: I20100723000837 |
| Provider Name | Scott A Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528100518 PECOS PAC ID: 6406989524 Enrollment ID: I20100727000096 |
| Provider Name | Sarah N Cates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699843391 PECOS PAC ID: 8527191527 Enrollment ID: I20100728000054 |
| Provider Name | Kelly A Trygg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548328446 PECOS PAC ID: 6608909601 Enrollment ID: I20100728000079 |
| Provider Name | Donald W Myears |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083703904 PECOS PAC ID: 2860525821 Enrollment ID: I20100728000805 |
| Provider Name | Maria C Dela Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114069168 PECOS PAC ID: 1557494515 Enrollment ID: I20100728000841 |
| Provider Name | Robert F Mahnken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194863290 PECOS PAC ID: 0840209011 Enrollment ID: I20100803000602 |
| Provider Name | Michael P Nachtigal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275671380 PECOS PAC ID: 7810020492 Enrollment ID: I20100803000638 |
| Provider Name | Jonathan P Crites |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366588253 PECOS PAC ID: 5597898171 Enrollment ID: I20100803000726 |
| Provider Name | Arthur E Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346330784 PECOS PAC ID: 7810020401 Enrollment ID: I20100803000797 |
| Provider Name | Beverly A Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013088525 PECOS PAC ID: 7517090103 Enrollment ID: I20100803000835 |
| Provider Name | Jon W Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962584896 PECOS PAC ID: 8729158159 Enrollment ID: I20100803000990 |
| Provider Name | Charles E Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639252166 PECOS PAC ID: 6305979923 Enrollment ID: I20100803001170 |
| Provider Name | Christina L Litherland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205909470 PECOS PAC ID: 0042343592 Enrollment ID: I20100804000281 |
| Provider Name | Juliette A Gibbons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548333727 PECOS PAC ID: 0941333496 Enrollment ID: I20100804000291 |
| Provider Name | John D Baurichter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538200134 PECOS PAC ID: 3173656642 Enrollment ID: I20100804000530 |
| Provider Name | Monte D Maska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669512836 PECOS PAC ID: 2860525334 Enrollment ID: I20100804000580 |
| Provider Name | A Daniel Pinheiro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225128655 PECOS PAC ID: 5496888976 Enrollment ID: I20100804000612 |
| Provider Name | Meera R Scarrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881629863 PECOS PAC ID: 4880727361 Enrollment ID: I20100804000695 |
| Provider Name | William W Goodman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215075403 PECOS PAC ID: 9739212226 Enrollment ID: I20100804000780 |
| Provider Name | Youssef Y Yassa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124163282 PECOS PAC ID: 7214060722 Enrollment ID: I20100804000994 |
| Provider Name | Philip V Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467530303 PECOS PAC ID: 6608909809 Enrollment ID: I20100809000033 |
| Provider Name | John Hopkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538230032 PECOS PAC ID: 2466556980 Enrollment ID: I20100809000271 |
| Provider Name | Keith A Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770667925 PECOS PAC ID: 4587797733 Enrollment ID: I20100809000616 |
| Provider Name | William W Sistrunk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932277613 PECOS PAC ID: 8921102435 Enrollment ID: I20100810000081 |
| Provider Name | Lisa K Ovens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962568717 PECOS PAC ID: 9335273523 Enrollment ID: I20100810000151 |
| Provider Name | John R Bumberry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992872311 PECOS PAC ID: 2769516954 Enrollment ID: I20100810000192 |
| Provider Name | Rick W Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063596278 PECOS PAC ID: 4385748805 Enrollment ID: I20100810000526 |
| Provider Name | Richard D Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447316294 PECOS PAC ID: 5698809762 Enrollment ID: I20100812000119 |
| Provider Name | Donald E Hicks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629149190 PECOS PAC ID: 2163556168 Enrollment ID: I20100812000608 |
| Provider Name | Patrick M Dopp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184782096 PECOS PAC ID: 4587798582 Enrollment ID: I20100812000648 |
| Provider Name | Teresa A Olsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093875411 PECOS PAC ID: 6002910528 Enrollment ID: I20100812000687 |
| Provider Name | Thomas W Rossiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720143118 PECOS PAC ID: 2365576378 Enrollment ID: I20100812000708 |
| Provider Name | Henry A Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437219854 PECOS PAC ID: 9234263245 Enrollment ID: I20100812000764 |
| Provider Name | Thomas R Reinbold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295891455 PECOS PAC ID: 1951435973 Enrollment ID: I20100812000910 |
| Provider Name | Dominic M Meldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528135985 PECOS PAC ID: 2961310305 Enrollment ID: I20100812000980 |
| Provider Name | Kody B Finstad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932396777 PECOS PAC ID: 5890829717 Enrollment ID: I20100813001029 |
| Provider Name | Nelson M Dela Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669530564 PECOS PAC ID: 1456485390 Enrollment ID: I20100814000206 |
| Provider Name | James T Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346306115 PECOS PAC ID: 6800920745 Enrollment ID: I20100814000228 |
| Provider Name | Hee-sun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285774760 PECOS PAC ID: 7113051061 Enrollment ID: I20100816000032 |
| Provider Name | Mark H Grimm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003967696 PECOS PAC ID: 5193859049 Enrollment ID: I20100816000070 |
| Provider Name | Margaret E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306986807 PECOS PAC ID: 8628102571 Enrollment ID: I20100816000091 |
| Provider Name | Alexander R Hover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144398256 PECOS PAC ID: 7214072156 Enrollment ID: I20100816000344 |
| Provider Name | Jim R Elam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326188806 PECOS PAC ID: 2668506346 Enrollment ID: I20100817000652 |
| Provider Name | Christine M Mitchell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881839132 PECOS PAC ID: 2668506353 Enrollment ID: I20100817000786 |
| Provider Name | David A Barbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871667618 PECOS PAC ID: 3870403967 Enrollment ID: I20100817000866 |
| Provider Name | Robert L Swords |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407914468 PECOS PAC ID: 7416081104 Enrollment ID: I20100817000876 |
| Provider Name | Bala Sudhakar Reddy Allam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104024231 PECOS PAC ID: 9638203334 Enrollment ID: I20100817000936 |
| Provider Name | John M Schneider |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295871622 PECOS PAC ID: 8628102332 Enrollment ID: I20100817001077 |
| Provider Name | Amit Arvind Doshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750505582 PECOS PAC ID: 6901700988 Enrollment ID: I20100817001360 |
| Provider Name | Richard L Havens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285772640 PECOS PAC ID: 7214061761 Enrollment ID: I20100819000105 |
| Provider Name | David W Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295872281 PECOS PAC ID: 4486788932 Enrollment ID: I20100819000130 |
| Provider Name | Ronald T Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487791349 PECOS PAC ID: 9931233491 Enrollment ID: I20100819000151 |
| Provider Name | Christopher A Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629115696 PECOS PAC ID: 8628102183 Enrollment ID: I20100819000195 |
| Provider Name | Jay A Woodring |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760529150 PECOS PAC ID: 0749314185 Enrollment ID: I20100819001236 |
| Provider Name | Sara L Kruse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235443797 PECOS PAC ID: 9234253527 Enrollment ID: I20100823000996 |
| Provider Name | Thomas A Fairbairn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457498313 PECOS PAC ID: 7416071493 Enrollment ID: I20100827000068 |
| Provider Name | Timothy O Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972645117 PECOS PAC ID: 2961526900 Enrollment ID: I20100827000822 |
| Provider Name | Toni Almond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346263852 PECOS PAC ID: 7618091661 Enrollment ID: I20100827000913 |
| Provider Name | Brian S Pallohusky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477671212 PECOS PAC ID: 4486745858 Enrollment ID: I20100901000650 |
| Provider Name | Aaron R Morrison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982743977 PECOS PAC ID: 5799809455 Enrollment ID: I20100901000667 |
| Provider Name | Phillip M Hornbostel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992797963 PECOS PAC ID: 7214062082 Enrollment ID: I20100907000773 |
| Provider Name | Deborah F Essary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275547218 PECOS PAC ID: 6406971837 Enrollment ID: I20100909000027 |
| Provider Name | Sandra Lynn Hinds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225080344 PECOS PAC ID: 7810012093 Enrollment ID: I20100910000713 |
| Provider Name | Kristin J Kruse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669537916 PECOS PAC ID: 1658496849 Enrollment ID: I20100910000964 |
| Provider Name | Luke P R Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780848341 PECOS PAC ID: 7012032261 Enrollment ID: I20100913000347 |
| Provider Name | Jenetta D Bliss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578878724 PECOS PAC ID: 9436274446 Enrollment ID: I20100914001360 |
| Provider Name | Rajamanikkam Anandarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962560953 PECOS PAC ID: 9335264076 Enrollment ID: I20100917000429 |
| Provider Name | Jeffrey Paul Semeyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598800609 PECOS PAC ID: 2769580307 Enrollment ID: I20100923000086 |
| Provider Name | Melinda A Crockett Maples |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154485993 PECOS PAC ID: 0941493456 Enrollment ID: I20101015001247 |
| Provider Name | Gary L Mehlhorn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407856263 PECOS PAC ID: 2567598824 Enrollment ID: I20101020001102 |
| Provider Name | Vernon C Tegtmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487732368 PECOS PAC ID: 2062605702 Enrollment ID: I20101026000693 |
| Provider Name | Gregory D Nanney |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780784645 PECOS PAC ID: 3779520317 Enrollment ID: I20101119000173 |
| Provider Name | Cybil True |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487635660 PECOS PAC ID: 7911900956 Enrollment ID: I20101201000223 |
| Provider Name | Brady G Hesington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265522692 PECOS PAC ID: 7214060458 Enrollment ID: I20101206001028 |
| Provider Name | Sandra R Nicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972804656 PECOS PAC ID: 1850580150 Enrollment ID: I20110118000394 |
| Provider Name | Kimberly L Redman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366510448 PECOS PAC ID: 5890974091 Enrollment ID: I20110120000105 |
| Provider Name | Gary T Sturtevant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649314204 PECOS PAC ID: 2264493154 Enrollment ID: I20110419000210 |
| Provider Name | Amanda G Thornsberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386942936 PECOS PAC ID: 4082899919 Enrollment ID: I20110419000730 |
| Provider Name | Earle Glenn Sanford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982679775 PECOS PAC ID: 5698950475 Enrollment ID: I20110420000376 |
| Provider Name | Aaron Dent |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376609958 PECOS PAC ID: 9830374099 Enrollment ID: I20110503000535 |
| Provider Name | John Heckathorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013183631 PECOS PAC ID: 6709942154 Enrollment ID: I20110504000080 |
| Provider Name | Cynthia A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952609224 PECOS PAC ID: 8820274780 Enrollment ID: I20110511000286 |
| Provider Name | Curtis R Robison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528366176 PECOS PAC ID: 0941486203 Enrollment ID: I20110520000625 |
| Provider Name | Michael L Burks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871552075 PECOS PAC ID: 7810173127 Enrollment ID: I20110523000500 |
| Provider Name | Sameer Kirtane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871755777 PECOS PAC ID: 7517145725 Enrollment ID: I20110616000649 |
| Provider Name | Kristen Dana Kiersey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962715854 PECOS PAC ID: 7315125481 Enrollment ID: I20110621000426 |
| Provider Name | Joseph W Meyerott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053600437 PECOS PAC ID: 2264610591 Enrollment ID: I20110708000516 |
| Provider Name | Brian R Swenson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1922116086 PECOS PAC ID: 1052319456 Enrollment ID: I20110720000738 |
| Provider Name | Jiafu Ou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093924003 PECOS PAC ID: 4789852617 Enrollment ID: I20110720000739 |
| Provider Name | Maryellen Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407938954 PECOS PAC ID: 8325216997 Enrollment ID: I20110726000607 |
| Provider Name | Roger Ohanes Oghlakian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245449461 PECOS PAC ID: 8022286541 Enrollment ID: I20110727000336 |
| Provider Name | Gerard Oghlakian |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1679779979 PECOS PAC ID: 1456529981 Enrollment ID: I20110727000363 |
| Provider Name | Husam H Najjar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154485381 PECOS PAC ID: 1456457589 Enrollment ID: I20110801000197 |
| Provider Name | Shamant Tippor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679744809 PECOS PAC ID: 0244386407 Enrollment ID: I20110808000136 |
| Provider Name | Rajashree Voraganti Ramamurthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942457759 PECOS PAC ID: 7911176045 Enrollment ID: I20110808000173 |
| Provider Name | Deanna S Sweaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407147663 PECOS PAC ID: 9032389499 Enrollment ID: I20110823000633 |
| Provider Name | Spencer Park Kirk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518165331 PECOS PAC ID: 7810081403 Enrollment ID: I20110825000504 |
| Provider Name | Michelle D Schuster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427336320 PECOS PAC ID: 6406026426 Enrollment ID: I20110831000299 |
| Provider Name | Matthew T Gaddis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265710107 PECOS PAC ID: 7810167715 Enrollment ID: I20110901000540 |
| Provider Name | Mohan K Tummala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174667109 PECOS PAC ID: 0244306520 Enrollment ID: I20110907000796 |
| Provider Name | Jason B Gatewood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568652691 PECOS PAC ID: 3072669498 Enrollment ID: I20110908002217 |
| Provider Name | Jacob Taussig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346326782 PECOS PAC ID: 6305941626 Enrollment ID: I20110912000104 |
| Provider Name | Jo Ellen Feugate |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346420593 PECOS PAC ID: 8224198650 Enrollment ID: I20110915000293 |
| Provider Name | Susan Diane Ott Heasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336360254 PECOS PAC ID: 2769653070 Enrollment ID: I20110919000038 |
| Provider Name | Sombabu N Maganti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407142474 PECOS PAC ID: 5193996403 Enrollment ID: I20110919000080 |
| Provider Name | Natalie A Bieker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093093304 PECOS PAC ID: 9537330840 Enrollment ID: I20110919000098 |
| Provider Name | James Belk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205931177 PECOS PAC ID: 4688686470 Enrollment ID: I20110920000887 |
| Provider Name | Sripriya Raman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548345192 PECOS PAC ID: 0941471890 Enrollment ID: I20110926000376 |
| Provider Name | Anoop Parameswaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144435728 PECOS PAC ID: 0042385098 Enrollment ID: I20111012000248 |
| Provider Name | Dana L Clawson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447531124 PECOS PAC ID: 1557533379 Enrollment ID: I20111020000041 |
| Provider Name | Michelle Goetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740591494 PECOS PAC ID: 3577721406 Enrollment ID: I20120223000841 |
| Provider Name | Deanna Gish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639409394 PECOS PAC ID: 4688853195 Enrollment ID: I20120312000869 |
| Provider Name | Angela R Limpus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013229251 PECOS PAC ID: 8325209323 Enrollment ID: I20120419000068 |
| Provider Name | Michael J Sammarco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609878420 PECOS PAC ID: 0941258933 Enrollment ID: I20120523000527 |
| Provider Name | Landon D Hough |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952563215 PECOS PAC ID: 2466608633 Enrollment ID: I20120804000069 |
| Provider Name | Prabin Dhakal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780998062 PECOS PAC ID: 6204082928 Enrollment ID: I20120813000739 |
| Provider Name | Kimberly M Creach |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558568618 PECOS PAC ID: 8729234232 Enrollment ID: I20120815000445 |
| Provider Name | Liibabah Kobaisy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073840773 PECOS PAC ID: 7719133230 Enrollment ID: I20120815000466 |
| Provider Name | Sharron Fiona Oleniacz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720174600 PECOS PAC ID: 9830292283 Enrollment ID: I20120816000017 |
| Provider Name | Ashley P Merrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306080569 PECOS PAC ID: 6901052349 Enrollment ID: I20120817000220 |
| Provider Name | Rosa P Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437405248 PECOS PAC ID: 8123275419 Enrollment ID: I20120821000699 |
| Provider Name | Abigail Crisostomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720347867 PECOS PAC ID: 2466609623 Enrollment ID: I20120823000732 |
| Provider Name | Jill R Layman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205184959 PECOS PAC ID: 9638326614 Enrollment ID: I20120827000362 |
| Provider Name | Perry D Maleare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356698799 PECOS PAC ID: 1759538200 Enrollment ID: I20120906000020 |
| Provider Name | Sarah Md Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417120577 PECOS PAC ID: 7517115819 Enrollment ID: I20120911000633 |
| Provider Name | Shawna D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730374349 PECOS PAC ID: 4284883836 Enrollment ID: I20120926000088 |
| Provider Name | Yasemin D Hurley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922238765 PECOS PAC ID: 6800936550 Enrollment ID: I20120928000070 |
| Provider Name | Kendra L Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851574198 PECOS PAC ID: 5991876534 Enrollment ID: I20121002000777 |
| Provider Name | Katie L Drew |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710248794 PECOS PAC ID: 2365691516 Enrollment ID: I20121005000150 |
| Provider Name | Hilary A Frescoln |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366478588 PECOS PAC ID: 2163425265 Enrollment ID: I20121009000739 |
| Provider Name | Victoria J Verheyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972851897 PECOS PAC ID: 7113177015 Enrollment ID: I20121031000385 |
| Provider Name | Richard J Mulrenin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013228071 PECOS PAC ID: 0345491965 Enrollment ID: I20121108000049 |
| Provider Name | Clayton Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649476953 PECOS PAC ID: 1254582794 Enrollment ID: I20121110000188 |
| Provider Name | William E Smart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801155270 PECOS PAC ID: 4789835232 Enrollment ID: I20121110000220 |
| Provider Name | Melanie R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417204025 PECOS PAC ID: 4284885476 Enrollment ID: I20121116000270 |
| Provider Name | James Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105331 PECOS PAC ID: 2567517568 Enrollment ID: I20121218000598 |
| Provider Name | Jamie L Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417205287 PECOS PAC ID: 1153574975 Enrollment ID: I20130103000343 |
| Provider Name | Jonathan D Brady |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215287990 PECOS PAC ID: 7416106760 Enrollment ID: I20130108000017 |
| Provider Name | Jamie R Lanois |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215076070 PECOS PAC ID: 8527211234 Enrollment ID: I20130109000484 |
| Provider Name | Sunthosh V Parvathaneni |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982814935 PECOS PAC ID: 2466605001 Enrollment ID: I20130110000533 |
| Provider Name | Lirong Zhu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1396940201 PECOS PAC ID: 5193979599 Enrollment ID: I20130213000126 |
| Provider Name | Tyler A Grout |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851555312 PECOS PAC ID: 1759569635 Enrollment ID: I20130219000425 |
| Provider Name | Stephanie K Voorhis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801133343 PECOS PAC ID: 0547415416 Enrollment ID: I20130226000044 |
| Provider Name | Samantha L Goodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457609091 PECOS PAC ID: 1456506104 Enrollment ID: I20130301000189 |
| Provider Name | Carrie L Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841538287 PECOS PAC ID: 5395990816 Enrollment ID: I20130306000271 |
| Provider Name | Matthew C Kincade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396963658 PECOS PAC ID: 5991877508 Enrollment ID: I20130308000466 |
| Provider Name | Jay T Bridgeman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1720200918 PECOS PAC ID: 1254407174 Enrollment ID: I20130312000099 |
| Provider Name | Jason L Box |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841339058 PECOS PAC ID: 3971748278 Enrollment ID: I20130314000009 |
| Provider Name | Margaret Mary Sabini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407946627 PECOS PAC ID: 5698762748 Enrollment ID: I20130321000233 |
| Provider Name | Cherrie L Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710227038 PECOS PAC ID: 4587800156 Enrollment ID: I20130426000469 |
| Provider Name | Dawn Michelle Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669692158 PECOS PAC ID: 8426240672 Enrollment ID: I20130515000331 |
| Provider Name | Tisha K Joplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295074615 PECOS PAC ID: 2062650161 Enrollment ID: I20130531000358 |
| Provider Name | Eric D Albaugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184965212 PECOS PAC ID: 8921247248 Enrollment ID: I20130618000462 |
| Provider Name | Kyli Ann Myears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881032795 PECOS PAC ID: 5193965218 Enrollment ID: I20130712000164 |
| Provider Name | Matthew C Lundien |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053364281 PECOS PAC ID: 2466423066 Enrollment ID: I20130712000585 |
| Provider Name | Danny T Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740487552 PECOS PAC ID: 1951541010 Enrollment ID: I20130712000629 |
| Provider Name | Ryan N Davies |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295927473 PECOS PAC ID: 9032375159 Enrollment ID: I20130731000640 |
| Provider Name | Mayrol G Juarez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447440656 PECOS PAC ID: 7113168279 Enrollment ID: I20130801000274 |
| Provider Name | Ryan A Birlew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598963761 PECOS PAC ID: 1355581463 Enrollment ID: I20130806000088 |
| Provider Name | David A Mcgatha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053660860 PECOS PAC ID: 4587806831 Enrollment ID: I20130815000595 |
| Provider Name | Jacqueline Rickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336235928 PECOS PAC ID: 0244330629 Enrollment ID: I20130815000886 |
| Provider Name | Ashley M Vanhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871932814 PECOS PAC ID: 6406099076 Enrollment ID: I20130829000392 |
| Provider Name | Stephanie J Hampton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154761583 PECOS PAC ID: 4789827387 Enrollment ID: I20130829000774 |
| Provider Name | Jason D Brewer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851731962 PECOS PAC ID: 4880838531 Enrollment ID: I20130918000682 |
| Provider Name | Carolyn T Hanger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992939680 PECOS PAC ID: 3779720248 Enrollment ID: I20130920000666 |
| Provider Name | Trena J Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295172468 PECOS PAC ID: 4587808910 Enrollment ID: I20130924000951 |
| Provider Name | Jessica N Snider |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477760437 PECOS PAC ID: 0244369684 Enrollment ID: I20131001000380 |
| Provider Name | Ghulam J Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023260874 PECOS PAC ID: 0648404731 Enrollment ID: I20131002000698 |
| Provider Name | Lacy A Schnelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831539428 PECOS PAC ID: 9931333077 Enrollment ID: I20131003000560 |
| Provider Name | Shelby M Little |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669804845 PECOS PAC ID: 4082848007 Enrollment ID: I20131007000996 |
| Provider Name | Tedi E Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083055800 PECOS PAC ID: 8820222755 Enrollment ID: I20131009000731 |
| Provider Name | Jeremy D Onnen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255599841 PECOS PAC ID: 3274767025 Enrollment ID: I20131009001459 |
| Provider Name | Stephanie N Huhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760564637 PECOS PAC ID: 2567696248 Enrollment ID: I20131011001136 |
| Provider Name | David P Hayes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215161997 PECOS PAC ID: 1254566318 Enrollment ID: I20131025000116 |
| Provider Name | Jeremy P Broadnax |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1326204611 PECOS PAC ID: 0345475430 Enrollment ID: I20131025001047 |
| Provider Name | Kiran Bandaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376721209 PECOS PAC ID: 6103972559 Enrollment ID: I20131025001623 |
| Provider Name | Julie Roushdi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881027027 PECOS PAC ID: 8628203106 Enrollment ID: I20131109000627 |
| Provider Name | Scott Y Lin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700211059 PECOS PAC ID: 2668609793 Enrollment ID: I20131218000226 |
| Provider Name | Melissa L Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932322559 PECOS PAC ID: 6800024597 Enrollment ID: I20131231000665 |
| Provider Name | Ayman Ibrahim Omar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285894501 PECOS PAC ID: 3476629890 Enrollment ID: I20140115001766 |
| Provider Name | Jennifer C Massengale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093981102 PECOS PAC ID: 5193890549 Enrollment ID: I20140124000311 |
| Provider Name | Jefferson L Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528490711 PECOS PAC ID: 6204064074 Enrollment ID: I20140124001512 |
| Provider Name | Leslie E Yearta Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225378524 PECOS PAC ID: 9032349527 Enrollment ID: I20140301000068 |
| Provider Name | Danielle R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629410766 PECOS PAC ID: 8921230152 Enrollment ID: I20140422001079 |
| Provider Name | Adam R Todd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366607087 PECOS PAC ID: 1850514787 Enrollment ID: I20140522001029 |
| Provider Name | Travis T Hawks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700053444 PECOS PAC ID: 9032332606 Enrollment ID: I20140529000624 |
| Provider Name | Lindsay M. Banta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891119251 PECOS PAC ID: 9133344690 Enrollment ID: I20140626000248 |
| Provider Name | Sean M Doyle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679694822 PECOS PAC ID: 1951451715 Enrollment ID: I20140714000759 |
| Provider Name | Tamer A Dabous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356506711 PECOS PAC ID: 0446476709 Enrollment ID: I20140722000905 |
| Provider Name | Scott E Litwiller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558382028 PECOS PAC ID: 8527149343 Enrollment ID: I20140728001328 |
| Provider Name | Shaun S. Grewal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972764496 PECOS PAC ID: 2365677168 Enrollment ID: I20140729000492 |
| Provider Name | Kevin J Gancarczyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013983741 PECOS PAC ID: 1052464617 Enrollment ID: I20140729000713 |
| Provider Name | Daniel E Brady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184644064 PECOS PAC ID: 8628294436 Enrollment ID: I20140730001674 |
| Provider Name | Royce D Moore |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205157641 PECOS PAC ID: 1456577212 Enrollment ID: I20140731000492 |
| Provider Name | William Mark Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982990214 PECOS PAC ID: 0648414433 Enrollment ID: I20140731000598 |
| Provider Name | Cherie L Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659707669 PECOS PAC ID: 1557588282 Enrollment ID: I20140804001491 |
| Provider Name | Jonathan B Sperry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689081143 PECOS PAC ID: 5597982132 Enrollment ID: I20140805002974 |
| Provider Name | Charlie K Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649688656 PECOS PAC ID: 4587881925 Enrollment ID: I20140808001190 |
| Provider Name | Carol D Curless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427465194 PECOS PAC ID: 1759508013 Enrollment ID: I20140808002274 |
| Provider Name | Sarah Jo Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346657145 PECOS PAC ID: 1658598933 Enrollment ID: I20140811000131 |
| Provider Name | Adam A Carver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588824221 PECOS PAC ID: 7517122203 Enrollment ID: I20140812000601 |
| Provider Name | Johnson Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922231331 PECOS PAC ID: 0941427074 Enrollment ID: I20140813000408 |
| Provider Name | Dustin R Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790077600 PECOS PAC ID: 6901023084 Enrollment ID: I20140813002068 |
| Provider Name | Kim R Edson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518985456 PECOS PAC ID: 2860454030 Enrollment ID: I20140819001492 |
| Provider Name | Chiazo Amene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245435056 PECOS PAC ID: 0446478291 Enrollment ID: I20140820001706 |
| Provider Name | Karina M Guffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990228 PECOS PAC ID: 8022236595 Enrollment ID: I20140825001639 |
| Provider Name | Talha Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326335126 PECOS PAC ID: 8325266851 Enrollment ID: I20140826000490 |
| Provider Name | Lisa L Gilmore |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629484647 PECOS PAC ID: 5092933440 Enrollment ID: I20140826001904 |
| Provider Name | Christian Orji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172145 PECOS PAC ID: 0143459909 Enrollment ID: I20140828000888 |
| Provider Name | Amanda K Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235546490 PECOS PAC ID: 3072732676 Enrollment ID: I20140912001890 |
| Provider Name | Elizabeth A Mullings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952700783 PECOS PAC ID: 7214156694 Enrollment ID: I20140917001110 |
| Provider Name | Jamie L Odem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700013372 PECOS PAC ID: 9537396726 Enrollment ID: I20141013000996 |
| Provider Name | Windsor M Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984163 PECOS PAC ID: 2264653641 Enrollment ID: I20141028002846 |
| Provider Name | Jessica E Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568863959 PECOS PAC ID: 3375765142 Enrollment ID: I20141111000733 |
| Provider Name | Yuyang Tian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912290461 PECOS PAC ID: 0042532111 Enrollment ID: I20141126000671 |
| Provider Name | Mohsin U Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437461084 PECOS PAC ID: 6507091469 Enrollment ID: I20141205001733 |
| Provider Name | Samina Hijab |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245496561 PECOS PAC ID: 3173546553 Enrollment ID: I20141215002305 |
| Provider Name | Joseph L Padalino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730322744 PECOS PAC ID: 2365570025 Enrollment ID: I20141223000338 |
| Provider Name | Kayette M Glass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215295050 PECOS PAC ID: 1355564808 Enrollment ID: I20150112001796 |
| Provider Name | Mary Dean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962526202 PECOS PAC ID: 6709815004 Enrollment ID: I20150202002022 |
| Provider Name | Julie Senne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538500913 PECOS PAC ID: 4385969195 Enrollment ID: I20150218001524 |
| Provider Name | Lisa K Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275502379 PECOS PAC ID: 4981599057 Enrollment ID: I20150220001670 |
| Provider Name | Mark A Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316338924 PECOS PAC ID: 9739405515 Enrollment ID: I20150313002207 |
| Provider Name | Inna L Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588055578 PECOS PAC ID: 4082931696 Enrollment ID: I20150319000983 |
| Provider Name | Anne Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245621093 PECOS PAC ID: 8123345428 Enrollment ID: I20150325002480 |
| Provider Name | Julie R Belk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427440742 PECOS PAC ID: 2961729009 Enrollment ID: I20150330000146 |
| Provider Name | Foram A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710113535 PECOS PAC ID: 2163566704 Enrollment ID: I20150402001840 |
| Provider Name | Stacey L Fawbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104215854 PECOS PAC ID: 1254659089 Enrollment ID: I20150407002297 |
| Provider Name | Misty D Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033501374 PECOS PAC ID: 9830417211 Enrollment ID: I20150415000527 |
| Provider Name | Haley J Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558658302 PECOS PAC ID: 8628396835 Enrollment ID: I20150421000194 |
| Provider Name | Jennifer L Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487684015 PECOS PAC ID: 3678636073 Enrollment ID: I20150428002109 |
| Provider Name | Morgana Hazell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063784411 PECOS PAC ID: 3476879495 Enrollment ID: I20150526000073 |
| Provider Name | Megan A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811382500 PECOS PAC ID: 9436479847 Enrollment ID: I20150527001280 |
| Provider Name | Laura C Fleetwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639565823 PECOS PAC ID: 2365763448 Enrollment ID: I20150601002075 |
| Provider Name | Julie E Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467830018 PECOS PAC ID: 9739490822 Enrollment ID: I20150616001241 |
| Provider Name | Somer A Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730566969 PECOS PAC ID: 2567773120 Enrollment ID: I20150623002119 |
| Provider Name | Jose S Padilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265449755 PECOS PAC ID: 7416144290 Enrollment ID: I20150625002335 |
| Provider Name | Nathan P Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567728 PECOS PAC ID: 1254644164 Enrollment ID: I20150722003447 |
| Provider Name | Amit C Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689806978 PECOS PAC ID: 3678739984 Enrollment ID: I20150723007568 |
| Provider Name | Carrie L. Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992183511 PECOS PAC ID: 1153634720 Enrollment ID: I20150727000158 |
| Provider Name | Kirsten Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356617443 PECOS PAC ID: 6709106057 Enrollment ID: I20150730011242 |
| Provider Name | Timothy J Hayes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205065109 PECOS PAC ID: 9234363912 Enrollment ID: I20150731015530 |
| Provider Name | Dustin Jacob Wiles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033473566 PECOS PAC ID: 3375857311 Enrollment ID: I20150804004538 |
| Provider Name | Victor Ivan Gomez Lorenzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821357864 PECOS PAC ID: 5092020610 Enrollment ID: I20150811005837 |
| Provider Name | Carla K. Athen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134501695 PECOS PAC ID: 6002121670 Enrollment ID: I20150812007525 |
| Provider Name | Keanon Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609250083 PECOS PAC ID: 9638484157 Enrollment ID: I20150812009157 |
| Provider Name | Robert B Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093957565 PECOS PAC ID: 2860668050 Enrollment ID: I20150817002015 |
| Provider Name | Christopher D Knudsen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124258777 PECOS PAC ID: 1153519004 Enrollment ID: I20150819006545 |
| Provider Name | Khaled Awad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326236712 PECOS PAC ID: 7315027505 Enrollment ID: I20150819006703 |
| Provider Name | Ioulia I. Doulova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026763 PECOS PAC ID: 5799090544 Enrollment ID: I20150824000259 |
| Provider Name | Bethany L. Murrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164802757 PECOS PAC ID: 6901112671 Enrollment ID: I20150826002626 |
| Provider Name | David L Houzenga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134595952 PECOS PAC ID: 9234445677 Enrollment ID: I20150901000286 |
| Provider Name | Mauricio Gomez Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316201312 PECOS PAC ID: 4688980980 Enrollment ID: I20150901002546 |
| Provider Name | Steven Choi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700085263 PECOS PAC ID: 9335315894 Enrollment ID: I20150910001142 |
| Provider Name | Lisa M. Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403944 PECOS PAC ID: 1951618792 Enrollment ID: I20150911000315 |
| Provider Name | Shanon Marie Tuter-spitzley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891008074 PECOS PAC ID: 2769799501 Enrollment ID: I20150911000351 |
| Provider Name | Jennifer Lynn Rippon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003020348 PECOS PAC ID: 1355467374 Enrollment ID: I20150915002570 |
| Provider Name | Billie A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073994224 PECOS PAC ID: 6709193287 Enrollment ID: I20150916000435 |
| Provider Name | Ichha Sethi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588911580 PECOS PAC ID: 6204143456 Enrollment ID: I20150921001204 |
| Provider Name | Marlisa G. Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295119220 PECOS PAC ID: 4981911146 Enrollment ID: I20150921001395 |
| Provider Name | Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881954469 PECOS PAC ID: 5092023846 Enrollment ID: I20150929001339 |
| Provider Name | Christopher F. Estes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073824553 PECOS PAC ID: 8325356934 Enrollment ID: I20151001001006 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20151019001180 |
| Provider Name | Katherine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528437936 PECOS PAC ID: 2264741933 Enrollment ID: I20151020000920 |
| Provider Name | Lori A. Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681265 PECOS PAC ID: 2062722028 Enrollment ID: I20151104001091 |
| Provider Name | Brett L Welden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679637185 PECOS PAC ID: 3870662620 Enrollment ID: I20151110000502 |
| Provider Name | Michelle M Englert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538539325 PECOS PAC ID: 2769792175 Enrollment ID: I20151113000943 |
| Provider Name | Jessica E. Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255704599 PECOS PAC ID: 3274836838 Enrollment ID: I20160114002903 |
| Provider Name | George R Shuert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376716985 PECOS PAC ID: 4688706393 Enrollment ID: I20160126001604 |
| Provider Name | Jenna D Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164895363 PECOS PAC ID: 3375846249 Enrollment ID: I20160127000733 |
| Provider Name | Jason J Forbes |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1841357357 PECOS PAC ID: 8022100882 Enrollment ID: I20160229002954 |
| Provider Name | Omolola Ajoke Omotoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154514529 PECOS PAC ID: 4183781420 Enrollment ID: I20160314000288 |
| Provider Name | Corey W Iqbal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578533675 PECOS PAC ID: 6608839717 Enrollment ID: I20160316002139 |
| Provider Name | Eric Stewart |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1881820280 PECOS PAC ID: 7911137997 Enrollment ID: I20160407000375 |
| Provider Name | Alysa Barcus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760841571 PECOS PAC ID: 8729386693 Enrollment ID: I20160408000704 |
| Provider Name | Kate Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649697376 PECOS PAC ID: 2860791753 Enrollment ID: I20160427001453 |
| Provider Name | Yaseen Oweis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851682876 PECOS PAC ID: 6305075458 Enrollment ID: I20160505001889 |
| Provider Name | She'tongela S Crutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134581861 PECOS PAC ID: 0446558563 Enrollment ID: I20160525001152 |
| Provider Name | Cassie Booth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154594976 PECOS PAC ID: 3779749890 Enrollment ID: I20160531001616 |
| Provider Name | Carolyn D Hoekstra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679539746 PECOS PAC ID: 4284696980 Enrollment ID: I20160531001913 |
| Provider Name | Matthew Hansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891145827 PECOS PAC ID: 8022309640 Enrollment ID: I20160628002998 |
| Provider Name | Michel Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174973879 PECOS PAC ID: 0547552101 Enrollment ID: I20160630001226 |
| Provider Name | Katherine T. Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922457886 PECOS PAC ID: 1052603560 Enrollment ID: I20160701000616 |
| Provider Name | Christopher Stout |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760697783 PECOS PAC ID: 3072638725 Enrollment ID: I20160705000760 |
| Provider Name | Harold R Bandalan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063594638 PECOS PAC ID: 4082636089 Enrollment ID: I20160707002421 |
| Provider Name | Polly Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790150688 PECOS PAC ID: 3476845405 Enrollment ID: I20160712000500 |
| Provider Name | Laura E Kresta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558637298 PECOS PAC ID: 1557663499 Enrollment ID: I20160714000584 |
| Provider Name | Laura F Kay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669821914 PECOS PAC ID: 6305138124 Enrollment ID: I20160714000642 |
| Provider Name | Nichole J Rodrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023460623 PECOS PAC ID: 3476845298 Enrollment ID: I20160714000695 |
| Provider Name | Kelley O'reilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942567730 PECOS PAC ID: 5193968550 Enrollment ID: I20160719001620 |
| Provider Name | Christina M Mimikos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093944258 PECOS PAC ID: 8820231905 Enrollment ID: I20160727002143 |
| Provider Name | Benjamin Hodnett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730400813 PECOS PAC ID: 1355662990 Enrollment ID: I20160728001578 |
| Provider Name | Susan Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609227933 PECOS PAC ID: 9436442241 Enrollment ID: I20160801000489 |
| Provider Name | Joseph A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851731582 PECOS PAC ID: 9335382217 Enrollment ID: I20160801001144 |
| Provider Name | Bennett Adam Bolyard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386986545 PECOS PAC ID: 9335377829 Enrollment ID: I20160801002534 |
| Provider Name | Richard Seagrave |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033421300 PECOS PAC ID: 8921313925 Enrollment ID: I20160802002999 |
| Provider Name | Kiersten M Moreno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114281730 PECOS PAC ID: 0345546057 Enrollment ID: I20160804000755 |
| Provider Name | Nathan Tonlaar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811284375 PECOS PAC ID: 7911291117 Enrollment ID: I20160811000338 |
| Provider Name | Nanette Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780016584 PECOS PAC ID: 8921232653 Enrollment ID: I20160812000680 |
| Provider Name | Judith A Mead |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942273156 PECOS PAC ID: 1951347376 Enrollment ID: I20160815002230 |
| Provider Name | Jennifer Moutray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891148417 PECOS PAC ID: 0446545032 Enrollment ID: I20160822001131 |
| Provider Name | Allison Lavine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639530538 PECOS PAC ID: 5597050773 Enrollment ID: I20160826001513 |
| Provider Name | Jocelyn P Morey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255391 PECOS PAC ID: 2264727395 Enrollment ID: I20160829000194 |
| Provider Name | Marcia Hernandez |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1902177074 PECOS PAC ID: 4385875541 Enrollment ID: I20160830001720 |
| Provider Name | Ian Michael Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730594136 PECOS PAC ID: 2567759814 Enrollment ID: I20160929002041 |
| Provider Name | Sharon Apperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669444741 PECOS PAC ID: 7810925237 Enrollment ID: I20161006001295 |
| Provider Name | Leah Habersham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063890895 PECOS PAC ID: 2961790522 Enrollment ID: I20161013002129 |
| Provider Name | John C Lollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376090142 PECOS PAC ID: 8426346719 Enrollment ID: I20161020000045 |
| Provider Name | Jill Cotner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932656535 PECOS PAC ID: 1052699030 Enrollment ID: I20161026000327 |
| Provider Name | Desiree Calbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578016929 PECOS PAC ID: 1052699683 Enrollment ID: I20161101002298 |
| Provider Name | Zachary D Seagrave |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043573280 PECOS PAC ID: 1759669203 Enrollment ID: I20161103001010 |
| Provider Name | Jodie Tankersley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306393350 PECOS PAC ID: 6002194487 Enrollment ID: I20161107000988 |
| Provider Name | Noaman F Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124294749 PECOS PAC ID: 7618157470 Enrollment ID: I20161108001131 |
| Provider Name | Chanchal Suthar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265788178 PECOS PAC ID: 9436399193 Enrollment ID: I20161111001168 |
| Provider Name | Abdul Azim Mustapha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063409324 PECOS PAC ID: 8820990864 Enrollment ID: I20161121000665 |
| Provider Name | Mohammad Ajmal Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487653838 PECOS PAC ID: 0345202552 Enrollment ID: I20161201000060 |
| Provider Name | Chitra Balasundaram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356656839 PECOS PAC ID: 4789964008 Enrollment ID: I20161202001438 |
| Provider Name | Manisha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871035766 PECOS PAC ID: 7719267913 Enrollment ID: I20161205002080 |
| Provider Name | Andrea L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265815583 PECOS PAC ID: 9931480159 Enrollment ID: I20161230001524 |
| Provider Name | Mary Anne Loftis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417294828 PECOS PAC ID: 5991933012 Enrollment ID: I20170119002590 |
| Provider Name | Melanie Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819274 PECOS PAC ID: 0345523999 Enrollment ID: I20170207000206 |
| Provider Name | Tedra E Estis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612468 PECOS PAC ID: 8921381245 Enrollment ID: I20170213000871 |
| Provider Name | James E Mbogori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710185533 PECOS PAC ID: 8628100732 Enrollment ID: I20170307000858 |
| Provider Name | Melanie Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447610837 PECOS PAC ID: 2961700349 Enrollment ID: I20170327000199 |
| Provider Name | Kimberly Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094530 PECOS PAC ID: 1951686021 Enrollment ID: I20170403000782 |
| Provider Name | Joel Kalavelil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801234810 PECOS PAC ID: 3577796457 Enrollment ID: I20170501000434 |
| Provider Name | Sara Mccalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992252852 PECOS PAC ID: 1052689361 Enrollment ID: I20170609000578 |
| Provider Name | John Hornick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477842151 PECOS PAC ID: 5597033704 Enrollment ID: I20170612002720 |
| Provider Name | Kenneth Justin Naylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063760023 PECOS PAC ID: 5799087458 Enrollment ID: I20170620000862 |
| Provider Name | Madhu Kalyan Pendurthi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750661286 PECOS PAC ID: 8820366560 Enrollment ID: I20170621000682 |
| Provider Name | Jamie A Whitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215341854 PECOS PAC ID: 6901102581 Enrollment ID: I20170627000671 |
| Provider Name | Chukwudi Obiora Chiaghana |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417214529 PECOS PAC ID: 4688809478 Enrollment ID: I20170628000798 |
| Provider Name | Jillian Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194254664 PECOS PAC ID: 1153690060 Enrollment ID: I20170710001172 |
| Provider Name | Wanda Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417496605 PECOS PAC ID: 2062781982 Enrollment ID: I20170710001510 |
| Provider Name | Alicia S Stogsdill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619497740 PECOS PAC ID: 9931479425 Enrollment ID: I20170717000538 |
| Provider Name | Ryan Huslig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497284475 PECOS PAC ID: 5294005427 Enrollment ID: I20170721000185 |
| Provider Name | Amanda L Agee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588194427 PECOS PAC ID: 7012287147 Enrollment ID: I20170724001692 |
| Provider Name | Stephanie L Nimmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457881716 PECOS PAC ID: 0446520464 Enrollment ID: I20170725002099 |
| Provider Name | Tonnya M Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332608 PECOS PAC ID: 5597061580 Enrollment ID: I20170808002618 |
| Provider Name | Erica Embry Ballard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922447853 PECOS PAC ID: 6507091683 Enrollment ID: I20170810000919 |
| Provider Name | Tung Mai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659797348 PECOS PAC ID: 4789987017 Enrollment ID: I20170816003138 |
| Provider Name | Amanda Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578093266 PECOS PAC ID: 4789956186 Enrollment ID: I20170821000220 |
| Provider Name | Temitayo Ayokunnu Odesanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114309176 PECOS PAC ID: 2365738689 Enrollment ID: I20170822001610 |
| Provider Name | Molly Rae Aasby Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538684170 PECOS PAC ID: 1658644513 Enrollment ID: I20170829002428 |
| Provider Name | Melinda Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518481217 PECOS PAC ID: 8921371519 Enrollment ID: I20170901001114 |
| Provider Name | Paige Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649700352 PECOS PAC ID: 1951674373 Enrollment ID: I20170907000725 |
| Provider Name | Madhavi Kuppi Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144620055 PECOS PAC ID: 1557634813 Enrollment ID: I20170907002786 |
| Provider Name | Louis Hirsch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679839872 PECOS PAC ID: 4486941457 Enrollment ID: I20170911001515 |
| Provider Name | Melissa Mcginnis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528478732 PECOS PAC ID: 5597039529 Enrollment ID: I20170914002389 |
| Provider Name | Marwan Jaoudeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629498894 PECOS PAC ID: 1557684909 Enrollment ID: I20170914002429 |
| Provider Name | Molly M Greenwade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235574401 PECOS PAC ID: 2860791951 Enrollment ID: I20170926000968 |
| Provider Name | Trudy Shady |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417940354 PECOS PAC ID: 0840194718 Enrollment ID: I20171003004894 |
| Provider Name | Erica Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345842 PECOS PAC ID: 0244505949 Enrollment ID: I20171005002430 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20171010002643 |
| Provider Name | Laura Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619488855 PECOS PAC ID: 5698041614 Enrollment ID: I20171019000337 |
| Provider Name | Shari L Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902353691 PECOS PAC ID: 4688940604 Enrollment ID: I20171019000370 |
| Provider Name | Patricia D Kiersey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629588827 PECOS PAC ID: 4082980933 Enrollment ID: I20171023000191 |
| Provider Name | Brandon S Ruble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396255493 PECOS PAC ID: 2163798851 Enrollment ID: I20171025000400 |
| Provider Name | Shravan Kumar Narmala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700071008 PECOS PAC ID: 0345460150 Enrollment ID: I20171102002927 |
| Provider Name | Kara Landon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619496148 PECOS PAC ID: 2769748946 Enrollment ID: I20171103000081 |
| Provider Name | Alyssa Lynn Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073023586 PECOS PAC ID: 0042577017 Enrollment ID: I20171129001409 |
| Provider Name | Daniel O'loughlin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1083096671 PECOS PAC ID: 1153638598 Enrollment ID: I20171205002124 |
| Provider Name | Deep Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316338957 PECOS PAC ID: 8527374180 Enrollment ID: I20171221001540 |
| Provider Name | Shawna Renea Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926020 PECOS PAC ID: 6800155367 Enrollment ID: I20180109002628 |
| Provider Name | Kelsey M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255830147 PECOS PAC ID: 2668734559 Enrollment ID: I20180312001658 |
| Provider Name | Caroline Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548242894 PECOS PAC ID: 7113289901 Enrollment ID: I20180314001083 |
| Provider Name | Charles R. Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114017555 PECOS PAC ID: 0446381982 Enrollment ID: I20180326000399 |
| Provider Name | Ahmed Baqer Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033423744 PECOS PAC ID: 2062645542 Enrollment ID: I20180411000512 |
| Provider Name | Maegan Elise Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093212177 PECOS PAC ID: 1052676384 Enrollment ID: I20180607000892 |
| Provider Name | Bernardino Rocha |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558658815 PECOS PAC ID: 7315292745 Enrollment ID: I20180626001344 |
| Provider Name | Vikas Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043650799 PECOS PAC ID: 5395977037 Enrollment ID: I20180626001381 |
| Provider Name | Harsh Bhartee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376959841 PECOS PAC ID: 5991921355 Enrollment ID: I20180626001406 |
| Provider Name | Dawn Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982080255 PECOS PAC ID: 8123373511 Enrollment ID: I20180626003814 |
| Provider Name | Mandy L Rust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186781 PECOS PAC ID: 0840546271 Enrollment ID: I20180627001913 |
| Provider Name | Charles Wesley Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346246105 PECOS PAC ID: 3577720051 Enrollment ID: I20180627002000 |
| Provider Name | Heather Kristin Dearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417449042 PECOS PAC ID: 9234485897 Enrollment ID: I20180712000364 |
| Provider Name | Sandhya Samavedam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114177748 PECOS PAC ID: 3072708544 Enrollment ID: I20180712000472 |
| Provider Name | Tochukwu Emmanuel Njepuome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417337296 PECOS PAC ID: 9638480023 Enrollment ID: I20180712000670 |
| Provider Name | Prasad Chandran Gunasekaran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609163336 PECOS PAC ID: 4082911052 Enrollment ID: I20180712000736 |
| Provider Name | Angela R Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568954865 PECOS PAC ID: 2668728171 Enrollment ID: I20180712002665 |
| Provider Name | Worku Haile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679951214 PECOS PAC ID: 9133475650 Enrollment ID: I20180712003013 |
| Provider Name | Delia A Gayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043702343 PECOS PAC ID: 5294081733 Enrollment ID: I20180712003638 |
| Provider Name | Kelsi B Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366934069 PECOS PAC ID: 8820344377 Enrollment ID: I20180713000373 |
| Provider Name | Dwight E Hand |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780766238 PECOS PAC ID: 4385742998 Enrollment ID: I20180720000977 |
| Provider Name | Patrick Ryan Mullin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881957793 PECOS PAC ID: 5890084073 Enrollment ID: I20180724003761 |
| Provider Name | Kevin Mansfield |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396988051 PECOS PAC ID: 5991011439 Enrollment ID: I20180801000664 |
| Provider Name | Patrick Antone Granneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679954093 PECOS PAC ID: 9436466034 Enrollment ID: I20180801001930 |
| Provider Name | Bracken Abram Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730488396 PECOS PAC ID: 6406075852 Enrollment ID: I20180801003506 |
| Provider Name | Jessica Terrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154807634 PECOS PAC ID: 0446508683 Enrollment ID: I20180806000932 |
| Provider Name | Kaleen Nicole Long |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386026375 PECOS PAC ID: 4688979743 Enrollment ID: I20180828003336 |
| Provider Name | Mary Margaret Mullen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437563897 PECOS PAC ID: 3173873635 Enrollment ID: I20180904000706 |
| Provider Name | Asal Fathian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629202270 PECOS PAC ID: 7719113000 Enrollment ID: I20180905001921 |
| Provider Name | Sofia Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154707511 PECOS PAC ID: 2062702970 Enrollment ID: I20180905003270 |
| Provider Name | Brittney Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407218712 PECOS PAC ID: 2062762453 Enrollment ID: I20180905003312 |
| Provider Name | Dava M Mcgougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841611746 PECOS PAC ID: 1850641713 Enrollment ID: I20180913003125 |
| Provider Name | Pawel P Szurnicki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164829636 PECOS PAC ID: 8325307861 Enrollment ID: I20180918001427 |
| Provider Name | Anthony J Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831676287 PECOS PAC ID: 4486906369 Enrollment ID: I20181003002105 |
| Provider Name | Olga Brea Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417333253 PECOS PAC ID: 3173875226 Enrollment ID: I20181017003486 |
| Provider Name | Debra Ann Carson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043410392 PECOS PAC ID: 5799967410 Enrollment ID: I20181018001231 |
| Provider Name | Maame Efua Sompa Otabil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083009484 PECOS PAC ID: 7416253661 Enrollment ID: I20181102000312 |
| Provider Name | Jonnie Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489774 PECOS PAC ID: 2769735026 Enrollment ID: I20181102001298 |
| Provider Name | Whitney Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609357383 PECOS PAC ID: 7012260375 Enrollment ID: I20181102001356 |
| Provider Name | Kara Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720555683 PECOS PAC ID: 6608120506 Enrollment ID: I20181113000534 |
| Provider Name | Joy Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386112613 PECOS PAC ID: 1557615275 Enrollment ID: I20181116000337 |
| Provider Name | Lauryn M Zastoupil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114495322 PECOS PAC ID: 8022352020 Enrollment ID: I20181203000478 |
| Provider Name | Ryan Paul Hawks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376756999 PECOS PAC ID: 4880839943 Enrollment ID: I20181205000143 |
| Provider Name | Francisco B Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063434504 PECOS PAC ID: 3678543394 Enrollment ID: I20181206001150 |
| Provider Name | James Mark Spaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811472822 PECOS PAC ID: 2365786076 Enrollment ID: I20181206003600 |
| Provider Name | Amy Lallathin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194291054 PECOS PAC ID: 5496099889 Enrollment ID: I20181212001775 |
| Provider Name | Kelly Pantazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306326855 PECOS PAC ID: 4587909619 Enrollment ID: I20181218003254 |
| Provider Name | Rhiannon Michelle Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225259278 PECOS PAC ID: 9335264902 Enrollment ID: I20181219002024 |
| Provider Name | Karen K Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407327588 PECOS PAC ID: 5799020475 Enrollment ID: I20181228000290 |
| Provider Name | Stephanie Marie Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306319157 PECOS PAC ID: 4587900527 Enrollment ID: I20190111000278 |
| Provider Name | Kathleen Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578041703 PECOS PAC ID: 0042557043 Enrollment ID: I20190129003256 |
| Provider Name | Melanie Elaine Janssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614775 PECOS PAC ID: 4385981380 Enrollment ID: I20190129003434 |
| Provider Name | Whitney Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902108517 PECOS PAC ID: 5991936270 Enrollment ID: I20190129003506 |
| Provider Name | Laura Ochieng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326437831 PECOS PAC ID: 8325385339 Enrollment ID: I20190129003672 |
| Provider Name | Katharine Clare Stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508349978 PECOS PAC ID: 3274870191 Enrollment ID: I20190130000725 |
| Provider Name | Katherine Antoinette Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790259844 PECOS PAC ID: 6901143866 Enrollment ID: I20190130002047 |
| Provider Name | Melva June Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558825430 PECOS PAC ID: 7911244884 Enrollment ID: I20190130002415 |
| Provider Name | Stephanie Marie Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154894475 PECOS PAC ID: 5092052977 Enrollment ID: I20190130002890 |
| Provider Name | Elizabeth Ann Neudecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891186854 PECOS PAC ID: 6204155906 Enrollment ID: I20190201001372 |
| Provider Name | Jacqueline Michelle Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871064972 PECOS PAC ID: 1951649656 Enrollment ID: I20190205000413 |
| Provider Name | Christina Roeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619441201 PECOS PAC ID: 7416295910 Enrollment ID: I20190207002014 |
| Provider Name | Edward Randy Mikel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295203842 PECOS PAC ID: 9739426479 Enrollment ID: I20190208003061 |
| Provider Name | Melissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487122784 PECOS PAC ID: 3870830748 Enrollment ID: I20190211000574 |
| Provider Name | Jacqueline Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508330689 PECOS PAC ID: 9436497864 Enrollment ID: I20190211001989 |
| Provider Name | Stephen William Maddock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821060328 PECOS PAC ID: 0941238166 Enrollment ID: I20190212002500 |
| Provider Name | Dana Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760925598 PECOS PAC ID: 9133400955 Enrollment ID: I20190215001319 |
| Provider Name | Nancy Diane Elmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871065136 PECOS PAC ID: 6709124639 Enrollment ID: I20190219000390 |
| Provider Name | James Warren Siler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114996907 PECOS PAC ID: 7911942263 Enrollment ID: I20190219000538 |
| Provider Name | Emily Specker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912430315 PECOS PAC ID: 6305105859 Enrollment ID: I20190221000254 |
| Provider Name | Rebekah Holobaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295642 PECOS PAC ID: 1557609468 Enrollment ID: I20190305001054 |
| Provider Name | Sarah Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699260521 PECOS PAC ID: 2668711771 Enrollment ID: I20190307002866 |
| Provider Name | Cathy Barker-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194141267 PECOS PAC ID: 0749403970 Enrollment ID: I20190311000183 |
| Provider Name | Michael Leinwand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447230032 PECOS PAC ID: 9537192711 Enrollment ID: I20190314001684 |
| Provider Name | Miricle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770040222 PECOS PAC ID: 9234479684 Enrollment ID: I20190320003407 |
| Provider Name | Mary Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407315195 PECOS PAC ID: 1850631219 Enrollment ID: I20190321000432 |
| Provider Name | Margaret Mary Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306306865 PECOS PAC ID: 1658612163 Enrollment ID: I20190410002336 |
| Provider Name | Kaitlyn Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297729 PECOS PAC ID: 0446518070 Enrollment ID: I20190417002015 |
| Provider Name | Meaghan Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225894 PECOS PAC ID: 9830430966 Enrollment ID: I20190417002440 |
| Provider Name | Ayumi Ludwig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194086827 PECOS PAC ID: 4284925272 Enrollment ID: I20190425000342 |
| Provider Name | Laura Leyton Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194108597 PECOS PAC ID: 5597007419 Enrollment ID: I20190425000481 |
| Provider Name | Rochelle Morgan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629631338 PECOS PAC ID: 3072856723 Enrollment ID: I20190520002630 |
| Provider Name | Caitlyn Oxenreider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619532686 PECOS PAC ID: 2769725498 Enrollment ID: I20190521003533 |
| Provider Name | Gregory Austin Melton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962923540 PECOS PAC ID: 5294078853 Enrollment ID: I20190522001399 |
| Provider Name | Kenyon M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447816855 PECOS PAC ID: 1658614946 Enrollment ID: I20190530002179 |
| Provider Name | Katelyn Laurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700442670 PECOS PAC ID: 5294068359 Enrollment ID: I20190605002295 |
| Provider Name | Allison Melissa Key |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356655054 PECOS PAC ID: 2264728682 Enrollment ID: I20190611003648 |
| Provider Name | Charles Austin Slagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265090138 PECOS PAC ID: 0345573051 Enrollment ID: I20190612002383 |
| Provider Name | Falgun M. Modhia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942470414 PECOS PAC ID: 7911082482 Enrollment ID: I20190613002989 |
| Provider Name | Heather Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225502297 PECOS PAC ID: 6103159710 Enrollment ID: I20190613003175 |
| Provider Name | Karthik Vadamalai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366881393 PECOS PAC ID: 3173810504 Enrollment ID: I20190614000149 |
| Provider Name | Ammar H Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528473758 PECOS PAC ID: 9335445246 Enrollment ID: I20190618000081 |
| Provider Name | Kevin White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548656630 PECOS PAC ID: 8729331970 Enrollment ID: I20190619003702 |
| Provider Name | Andrew R Lowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649685686 PECOS PAC ID: 3870819808 Enrollment ID: I20190626002883 |
| Provider Name | Ethan M Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447817788 PECOS PAC ID: 6204160021 Enrollment ID: I20190628000417 |
| Provider Name | Sandhya Vethachalam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104234814 PECOS PAC ID: 4981978020 Enrollment ID: I20190628000438 |
| Provider Name | Curt A Misko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023090073 PECOS PAC ID: 5496997553 Enrollment ID: I20190709000505 |
| Provider Name | Gregory A O'neal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679533657 PECOS PAC ID: 5890775431 Enrollment ID: I20190709003040 |
| Provider Name | Richard Dean Turbeville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336552348 PECOS PAC ID: 4183841539 Enrollment ID: I20190711003313 |
| Provider Name | David M Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043698962 PECOS PAC ID: 5193028975 Enrollment ID: I20190712000639 |
| Provider Name | Allison White |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851952956 PECOS PAC ID: 9931434990 Enrollment ID: I20190712001114 |
| Provider Name | Shreyans Bengani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710334610 PECOS PAC ID: 6103151139 Enrollment ID: I20190715000459 |
| Provider Name | Liridon Zguri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992258081 PECOS PAC ID: 4486980067 Enrollment ID: I20190722000293 |
| Provider Name | Muhammad F. Asghar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063862795 PECOS PAC ID: 3870860547 Enrollment ID: I20190729001313 |
| Provider Name | Amy Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578116794 PECOS PAC ID: 9032445077 Enrollment ID: I20190729001388 |
| Provider Name | Errington Casdale Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134194111 PECOS PAC ID: 6406899913 Enrollment ID: I20190729001429 |
| Provider Name | Narius Aresh Virji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144672379 PECOS PAC ID: 9739415787 Enrollment ID: I20190729001616 |
| Provider Name | Charles W Albritton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992191274 PECOS PAC ID: 0446556344 Enrollment ID: I20190729002138 |
| Provider Name | James Keane Mcaleer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407049232 PECOS PAC ID: 5799872834 Enrollment ID: I20190730002742 |
| Provider Name | Paul Edmond St. Romain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578805610 PECOS PAC ID: 6901132893 Enrollment ID: I20190730004651 |
| Provider Name | Swetha Tanguturi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871943530 PECOS PAC ID: 8123395886 Enrollment ID: I20190731002295 |
| Provider Name | Jagdeep S Chinna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740632702 PECOS PAC ID: 1759658248 Enrollment ID: I20190802001921 |
| Provider Name | Jennifer Lu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902149644 PECOS PAC ID: 9739486093 Enrollment ID: I20190803000127 |
| Provider Name | Tara Parvathaneni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063064012 PECOS PAC ID: 2769719434 Enrollment ID: I20190805001067 |
| Provider Name | Melissa Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689227902 PECOS PAC ID: 4981931664 Enrollment ID: I20190805001351 |
| Provider Name | Katherine Margaret King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588218812 PECOS PAC ID: 2466789144 Enrollment ID: I20190805001606 |
| Provider Name | Zachariah Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437511086 PECOS PAC ID: 7113219528 Enrollment ID: I20190805002853 |
| Provider Name | Susan Mae Lundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841679388 PECOS PAC ID: 4082922166 Enrollment ID: I20190805002930 |
| Provider Name | Ramya Sree Chilukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609227735 PECOS PAC ID: 7911272307 Enrollment ID: I20190805003041 |
| Provider Name | Mahmoud Halawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790230704 PECOS PAC ID: 1850628363 Enrollment ID: I20190806004332 |
| Provider Name | Opeyemi Ayeni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831541325 PECOS PAC ID: 5092042416 Enrollment ID: I20190808000523 |
| Provider Name | Natasha Nichole Lewis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962766311 PECOS PAC ID: 4284962234 Enrollment ID: I20190828003704 |
| Provider Name | Heather Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700432846 PECOS PAC ID: 5890023840 Enrollment ID: I20190828003809 |
| Provider Name | Whitney Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336795483 PECOS PAC ID: 7517295561 Enrollment ID: I20190828003845 |
| Provider Name | Brett Justin Pettett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891139572 PECOS PAC ID: 2163647611 Enrollment ID: I20190828004142 |
| Provider Name | Cassandra Catherine Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700432812 PECOS PAC ID: 4082943667 Enrollment ID: I20190906001393 |
| Provider Name | Kenneth Jerome Hamby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225278914 PECOS PAC ID: 7012061112 Enrollment ID: I20190918000789 |
| Provider Name | Greg Link |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871692798 PECOS PAC ID: 0345309530 Enrollment ID: I20191001001691 |
| Provider Name | Mckenzie A Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306208368 PECOS PAC ID: 9436442621 Enrollment ID: I20191003000587 |
| Provider Name | Emanuel Shapera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407268790 PECOS PAC ID: 2466769864 Enrollment ID: I20191004001494 |
| Provider Name | Steven P Gradney |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477743839 PECOS PAC ID: 0547402794 Enrollment ID: I20191015002717 |
| Provider Name | Nathaniel Barbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528598018 PECOS PAC ID: 9931448735 Enrollment ID: I20191022000406 |
| Provider Name | Chaitanya Ravi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457723462 PECOS PAC ID: 4981907433 Enrollment ID: I20191022000738 |
| Provider Name | Madmura G Joag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922457712 PECOS PAC ID: 2466730445 Enrollment ID: I20191022002262 |
| Provider Name | Christopher S Amundsen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184018632 PECOS PAC ID: 4385947217 Enrollment ID: I20191023000743 |
| Provider Name | Christine Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588213193 PECOS PAC ID: 0345572392 Enrollment ID: I20191024002554 |
| Provider Name | Amber L Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801361282 PECOS PAC ID: 0547592313 Enrollment ID: I20191028001944 |
| Provider Name | Mary Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003459132 PECOS PAC ID: 3375975584 Enrollment ID: I20191108001423 |
| Provider Name | Samuel Alan Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134605199 PECOS PAC ID: 2466785548 Enrollment ID: I20191114000956 |
| Provider Name | Kimberly Shae Burks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831561240 PECOS PAC ID: 7810293651 Enrollment ID: I20191118000318 |
| Provider Name | Julio Mocellin Bernardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265789341 PECOS PAC ID: 0345673737 Enrollment ID: I20191125001316 |
| Provider Name | Cody Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326684945 PECOS PAC ID: 8527491539 Enrollment ID: I20191205001524 |
| Provider Name | Kari Anne Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783265 PECOS PAC ID: 0143653162 Enrollment ID: I20191205001692 |
| Provider Name | Nicole Brigette Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043260946 PECOS PAC ID: 2860477445 Enrollment ID: I20191210003421 |
| Provider Name | Megan Jane Manthe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104050772 PECOS PAC ID: 6002036050 Enrollment ID: I20191217003343 |
| Provider Name | Anthony James Bell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578797148 PECOS PAC ID: 9830315092 Enrollment ID: I20191218000651 |
| Provider Name | Matthew Nanney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033757992 PECOS PAC ID: 5294169033 Enrollment ID: I20200102001692 |
| Provider Name | Victoria Lynn Alstadt-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073071585 PECOS PAC ID: 7911235106 Enrollment ID: I20200103002075 |
| Provider Name | Michelle Gail O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437705001 PECOS PAC ID: 5890121552 Enrollment ID: I20200129001083 |
| Provider Name | Christie Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023577442 PECOS PAC ID: 7517290265 Enrollment ID: I20200214001035 |
| Provider Name | Teclaire Mindiga Ntui-ayuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569928 PECOS PAC ID: 6800223439 Enrollment ID: I20200220002452 |
| Provider Name | Zaria C Murrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730130303 PECOS PAC ID: 4082657887 Enrollment ID: I20200312001121 |
| Provider Name | Amanda Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205460045 PECOS PAC ID: 1759719917 Enrollment ID: I20200322000026 |
| Provider Name | Benjamin Althuisius |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669998530 PECOS PAC ID: 5193085595 Enrollment ID: I20200325003143 |
| Provider Name | Kelly Marie Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770119372 PECOS PAC ID: 1456780386 Enrollment ID: I20200328000059 |
| Provider Name | Sarah Geltmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174157879 PECOS PAC ID: 6901235068 Enrollment ID: I20200411000467 |
| Provider Name | Leah M Crouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589144 PECOS PAC ID: 0143659227 Enrollment ID: I20200413000469 |
| Provider Name | Justin Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518596089 PECOS PAC ID: 1355771494 Enrollment ID: I20200414000577 |
| Provider Name | Loretto Glynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235111014 PECOS PAC ID: 6103723747 Enrollment ID: I20200415002617 |
| Provider Name | Joshua Zachariah Vicena |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336347392 PECOS PAC ID: 4587820816 Enrollment ID: I20200420003460 |
| Provider Name | Erin M Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922307115 PECOS PAC ID: 4688981012 Enrollment ID: I20200422000385 |
| Provider Name | Frank Baciewicz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316984024 PECOS PAC ID: 7810916830 Enrollment ID: I20200429001747 |
| Provider Name | Janet Eileen Randolph |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245216167 PECOS PAC ID: 1951360882 Enrollment ID: I20200506002138 |
| Provider Name | Christopher G Janson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659425148 PECOS PAC ID: 8022322726 Enrollment ID: I20200519000637 |
| Provider Name | Amber Louise Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740801190 PECOS PAC ID: 5193146421 Enrollment ID: I20200522000248 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20200522000250 |
| Provider Name | Danyal Thaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396144259 PECOS PAC ID: 4486075116 Enrollment ID: I20200604000314 |
| Provider Name | Robert Causey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033180963 PECOS PAC ID: 3274545017 Enrollment ID: I20200604001135 |
| Provider Name | Lauren Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306489083 PECOS PAC ID: 4880015452 Enrollment ID: I20200608000710 |
| Provider Name | Michelle Sandlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265994438 PECOS PAC ID: 4688900830 Enrollment ID: I20200608001812 |
| Provider Name | Shawnee Kay Glenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508323130 PECOS PAC ID: 6901228360 Enrollment ID: I20200612001826 |
| Provider Name | Gina Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871114058 PECOS PAC ID: 4486076304 Enrollment ID: I20200623002418 |
| Provider Name | Allison Jeanette Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134745060 PECOS PAC ID: 7214359058 Enrollment ID: I20200624000081 |
| Provider Name | Rafael Bonilla Vasquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871975896 PECOS PAC ID: 0143511634 Enrollment ID: I20200625000355 |
| Provider Name | Morgan Trokey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043832256 PECOS PAC ID: 6406278159 Enrollment ID: I20200625001086 |
| Provider Name | Swati Sood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801247184 PECOS PAC ID: 0446547087 Enrollment ID: I20200626000408 |
| Provider Name | Lisa Nolle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073071619 PECOS PAC ID: 8325460967 Enrollment ID: I20200626001908 |
| Provider Name | Jacob T. Cherry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063035731 PECOS PAC ID: 2264855501 Enrollment ID: I20200706001771 |
| Provider Name | Kelly Riechers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346862315 PECOS PAC ID: 5193148260 Enrollment ID: I20200708000440 |
| Provider Name | Sweta Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063934842 PECOS PAC ID: 8820362999 Enrollment ID: I20200714002082 |
| Provider Name | Meaghan Magarik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386064525 PECOS PAC ID: 6305149246 Enrollment ID: I20200724002049 |
| Provider Name | Indrajeet Mahata |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619225208 PECOS PAC ID: 2466702469 Enrollment ID: I20200727003061 |
| Provider Name | Connor Jeffery Grant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821511965 PECOS PAC ID: 3577839539 Enrollment ID: I20200727003087 |
| Provider Name | Byungkwan Hwang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871975672 PECOS PAC ID: 6800194242 Enrollment ID: I20200729002972 |
| Provider Name | Juliana Zamora Cubillos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952830127 PECOS PAC ID: 2668740689 Enrollment ID: I20200730002184 |
| Provider Name | Steven M Mwanzia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154947935 PECOS PAC ID: 9234554775 Enrollment ID: I20200731000403 |
| Provider Name | Jordan Magarik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205279213 PECOS PAC ID: 8325347933 Enrollment ID: I20200804001628 |
| Provider Name | Puneet Randhawa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063880482 PECOS PAC ID: 5294030391 Enrollment ID: I20200807002019 |
| Provider Name | Ange Tapchom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881238178 PECOS PAC ID: 9335577576 Enrollment ID: I20200807002192 |
| Provider Name | Amanda Vester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942732367 PECOS PAC ID: 8022433887 Enrollment ID: I20200811000348 |
| Provider Name | Christopher John Blewett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477524502 PECOS PAC ID: 1850490459 Enrollment ID: I20200812002589 |
| Provider Name | Kimberly Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295063 PECOS PAC ID: 1355689589 Enrollment ID: I20200814002061 |
| Provider Name | Ricardo Figueroa-vicenty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407141914 PECOS PAC ID: 7315294287 Enrollment ID: I20200819003274 |
| Provider Name | David Badami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245768696 PECOS PAC ID: 2264700566 Enrollment ID: I20200819003284 |
| Provider Name | Harinderjeet Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598011447 PECOS PAC ID: 1850717893 Enrollment ID: I20200820002229 |
| Provider Name | Mitchel Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073047957 PECOS PAC ID: 1153750740 Enrollment ID: I20200825001066 |
| Provider Name | Kayla B Kittle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437679560 PECOS PAC ID: 9931526605 Enrollment ID: I20200826000852 |
| Provider Name | Shin Miyata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538319959 PECOS PAC ID: 3375862782 Enrollment ID: I20200902001631 |
| Provider Name | Gregory Sainnoval |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164555272 PECOS PAC ID: 5698812022 Enrollment ID: I20200910001832 |
| Provider Name | Graham W Reinhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730611153 PECOS PAC ID: 1456620731 Enrollment ID: I20200914000733 |
| Provider Name | Kortney Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689201147 PECOS PAC ID: 6608296595 Enrollment ID: I20201014002639 |
| Provider Name | Christy Marie Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932401767 PECOS PAC ID: 2860678075 Enrollment ID: I20201117001984 |
| Provider Name | Leann N Rensch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417562307 PECOS PAC ID: 7012328081 Enrollment ID: I20201123002505 |
| Provider Name | Marina N Podolskiy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124413323 PECOS PAC ID: 1759792658 Enrollment ID: I20201125001417 |
| Provider Name | Adrienne Rebecca Arnone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945196 PECOS PAC ID: 0446527667 Enrollment ID: I20201125002253 |
| Provider Name | Mohammed Ageel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932441623 PECOS PAC ID: 4385948827 Enrollment ID: I20201203001002 |
| Provider Name | Lacey L Zanzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740894799 PECOS PAC ID: 8820400310 Enrollment ID: I20201207000874 |
| Provider Name | Kylie Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629672555 PECOS PAC ID: 5799197851 Enrollment ID: I20201214001692 |
| Provider Name | Amanda Mary Mcalister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811429293 PECOS PAC ID: 6507134897 Enrollment ID: I20201216003163 |
| Provider Name | Kevin Krazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376146670 PECOS PAC ID: 6800208620 Enrollment ID: I20201218000509 |
| Provider Name | Chibuike Anokwute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669731741 PECOS PAC ID: 1658683370 Enrollment ID: I20201218000519 |
| Provider Name | Richard S Herman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972750289 PECOS PAC ID: 6305032988 Enrollment ID: I20210112000947 |
| Provider Name | Robert W Santa-cruz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508816869 PECOS PAC ID: 8123004249 Enrollment ID: I20210114001224 |
| Provider Name | Amber Littleton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649880618 PECOS PAC ID: 1658784376 Enrollment ID: I20210119001224 |
| Provider Name | Nicholas Allen Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841889854 PECOS PAC ID: 1153734843 Enrollment ID: I20210120000788 |
| Provider Name | Jeanne James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790371565 PECOS PAC ID: 8729492277 Enrollment ID: I20210125003164 |
| Provider Name | Jessica N Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522150 PECOS PAC ID: 9830504521 Enrollment ID: I20210210000861 |
| Provider Name | Lindsey A See |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982293676 PECOS PAC ID: 0547675936 Enrollment ID: I20210217000881 |
| Provider Name | Monica Clement |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295326122 PECOS PAC ID: 7719392950 Enrollment ID: I20210219001573 |
| Provider Name | Christina Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457942542 PECOS PAC ID: 5496161283 Enrollment ID: I20210302001962 |
| Provider Name | Richard D Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750645388 PECOS PAC ID: 0345559084 Enrollment ID: I20210303003385 |
| Provider Name | Lindsay White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538762737 PECOS PAC ID: 3577979236 Enrollment ID: I20210304002081 |
| Provider Name | Erik Gunderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093758567 PECOS PAC ID: 6406826254 Enrollment ID: I20210318002067 |
| Provider Name | David Michael Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215520820 PECOS PAC ID: 6002223070 Enrollment ID: I20210319000236 |
| Provider Name | Corey J Landacre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760742977 PECOS PAC ID: 6103072855 Enrollment ID: I20210331000120 |
| Provider Name | Brandon Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417541103 PECOS PAC ID: 5799193645 Enrollment ID: I20210414002125 |
| Provider Name | Jennifer Ploch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750345336 PECOS PAC ID: 4486778891 Enrollment ID: I20210426000765 |
| Provider Name | Russell Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326457557 PECOS PAC ID: 4486875408 Enrollment ID: I20210430000864 |
| Provider Name | Jared Lee Hodgson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932595626 PECOS PAC ID: 1456653450 Enrollment ID: I20210507001069 |
| Provider Name | Mario Alejandro Macias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174881601 PECOS PAC ID: 2264841931 Enrollment ID: I20210510001235 |
| Provider Name | Gabrielle Bennett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699366534 PECOS PAC ID: 5294144994 Enrollment ID: I20210510002568 |
| Provider Name | Perry Comeau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386644615 PECOS PAC ID: 7315831575 Enrollment ID: I20210602002638 |
| Provider Name | Natalie L Kamberos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689769531 PECOS PAC ID: 9032367412 Enrollment ID: I20210603001803 |
| Provider Name | Trevor William Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174132948 PECOS PAC ID: 6608276563 Enrollment ID: I20210614003423 |
| Provider Name | Darby Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295344968 PECOS PAC ID: 0446651855 Enrollment ID: I20210623000951 |
| Provider Name | Adriel Schmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922675511 PECOS PAC ID: 8729489943 Enrollment ID: I20210625000930 |
| Provider Name | Anthony Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831767920 PECOS PAC ID: 2466853601 Enrollment ID: I20210625001566 |
| Provider Name | Kati Anne Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558938613 PECOS PAC ID: 4981005030 Enrollment ID: I20210625002024 |
| Provider Name | Christin Elizabeth Baird |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225607146 PECOS PAC ID: 6709287444 Enrollment ID: I20210701001156 |
| Provider Name | Rebecca Sackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194305235 PECOS PAC ID: 7113329400 Enrollment ID: I20210708003044 |
| Provider Name | Enock N Nyamoti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467842898 PECOS PAC ID: 8325323033 Enrollment ID: I20210713001271 |
| Provider Name | Erin Renee Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700193174 PECOS PAC ID: 4385047042 Enrollment ID: I20210720000264 |
| Provider Name | Christopher D Muncie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003260985 PECOS PAC ID: 5991108474 Enrollment ID: I20210721001201 |
| Provider Name | Fabian Oechsle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972094225 PECOS PAC ID: 2860748498 Enrollment ID: I20210722001531 |
| Provider Name | Grant Roesler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528019569 PECOS PAC ID: 7517987597 Enrollment ID: I20210723001268 |
| Provider Name | Alyssa Jon Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407432339 PECOS PAC ID: 1850795683 Enrollment ID: I20210802001487 |
| Provider Name | Allison Joyce Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346588696 PECOS PAC ID: 1759648314 Enrollment ID: I20210811000796 |
| Provider Name | Jubran Afzal Khan Rind |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679959712 PECOS PAC ID: 2668786740 Enrollment ID: I20210818001314 |
| Provider Name | Kari Dawn Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275167397 PECOS PAC ID: 5799180337 Enrollment ID: I20210820000285 |
| Provider Name | Thomas Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053706689 PECOS PAC ID: 3274847215 Enrollment ID: I20210913002158 |
| Provider Name | Mark Jeffrey Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134791411 PECOS PAC ID: 4284030487 Enrollment ID: I20210914002532 |
| Provider Name | Tyler James Gouge |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275062432 PECOS PAC ID: 2961771985 Enrollment ID: I20210914003662 |
| Provider Name | Rachel N Hendon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649836826 PECOS PAC ID: 4880924810 Enrollment ID: I20210915003159 |
| Provider Name | Shannon Coles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551470 PECOS PAC ID: 5294132205 Enrollment ID: I20210917001072 |
| Provider Name | Jay H Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316359565 PECOS PAC ID: 1658673116 Enrollment ID: I20210922000771 |
| Provider Name | Taylor Austin Ragland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467121319 PECOS PAC ID: 8224436217 Enrollment ID: I20211005002777 |
| Provider Name | Katlin Lee Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912674938 PECOS PAC ID: 8628476140 Enrollment ID: I20211013000940 |
| Provider Name | Maggie Anne Swafford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083172621 PECOS PAC ID: 6608274196 Enrollment ID: I20211014000551 |
| Provider Name | Judith M Mickelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700876190 PECOS PAC ID: 4587795380 Enrollment ID: I20211015002570 |
| Provider Name | Jessica Lindiwe Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851066864 PECOS PAC ID: 8426446725 Enrollment ID: I20211019000607 |
| Provider Name | Julie Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376877381 PECOS PAC ID: 3779620695 Enrollment ID: I20211020002972 |
| Provider Name | Millicent Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023073012 PECOS PAC ID: 2860466968 Enrollment ID: I20211027000576 |
| Provider Name | Xuanbo Stone Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912676057 PECOS PAC ID: 0244628097 Enrollment ID: I20211027001213 |
| Provider Name | Hyojin Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356816383 PECOS PAC ID: 0547505034 Enrollment ID: I20211109000330 |
| Provider Name | Swetha Nemargommula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467700559 PECOS PAC ID: 7911213376 Enrollment ID: I20211109000393 |
| Provider Name | Suzanna Chatterjee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942439377 PECOS PAC ID: 8921234816 Enrollment ID: I20211109002346 |
| Provider Name | Paula Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994911 PECOS PAC ID: 1153710199 Enrollment ID: I20211115000120 |
| Provider Name | Inta Davidyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902577141 PECOS PAC ID: 6800285446 Enrollment ID: I20211119000968 |
| Provider Name | Ashley Nicole Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942966999 PECOS PAC ID: 3476942947 Enrollment ID: I20211123000927 |
| Provider Name | Caroline Elizabeth Wasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588320923 PECOS PAC ID: 1456741909 Enrollment ID: I20211124001133 |
| Provider Name | Benedict Painter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154314839 PECOS PAC ID: 6305831769 Enrollment ID: I20211129000245 |
| Provider Name | Sarah Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245902477 PECOS PAC ID: 7911397740 Enrollment ID: I20211209000828 |
| Provider Name | Jesika M Converse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750940649 PECOS PAC ID: 9638569353 Enrollment ID: I20211210001566 |
| Provider Name | Mark Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225130933 PECOS PAC ID: 2163411133 Enrollment ID: I20211222000298 |
| Provider Name | Angela Dean Pringle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083206130 PECOS PAC ID: 5193117877 Enrollment ID: I20220111000174 |
| Provider Name | Jonalyn Pascua Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457010381 PECOS PAC ID: 3678965464 Enrollment ID: I20220128001750 |
| Provider Name | Richard Schmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790871580 PECOS PAC ID: 0446291975 Enrollment ID: I20220128002202 |
| Provider Name | Nathan Wood |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932509536 PECOS PAC ID: 5294128856 Enrollment ID: I20220203002382 |
| Provider Name | Brady Luttrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790814481 PECOS PAC ID: 4880784909 Enrollment ID: I20220211000283 |
| Provider Name | Kaylea Beth Perjak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811513369 PECOS PAC ID: 4486048188 Enrollment ID: I20220223000647 |
| Provider Name | Sidney Charles Rubenstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518975283 PECOS PAC ID: 2365334653 Enrollment ID: I20220224001109 |
| Provider Name | Emilee Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871245985 PECOS PAC ID: 4688068760 Enrollment ID: I20220307001654 |
| Provider Name | Ashley Corine Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356097455 PECOS PAC ID: 0749675460 Enrollment ID: I20220316001386 |
| Provider Name | Jessica Renee Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346993714 PECOS PAC ID: 1052706587 Enrollment ID: I20220321001551 |
| Provider Name | Kelbey Lee Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841947934 PECOS PAC ID: 8820483035 Enrollment ID: I20220324000980 |
| Provider Name | Amanda Stites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508510298 PECOS PAC ID: 0042605115 Enrollment ID: I20220328002087 |
| Provider Name | Onyema Nnanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164872768 PECOS PAC ID: 7416224175 Enrollment ID: I20220329001318 |
| Provider Name | Christina D Neumeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871244749 PECOS PAC ID: 9739575440 Enrollment ID: I20220406000712 |
| Provider Name | Brian Rapp |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407014657 PECOS PAC ID: 3577704006 Enrollment ID: I20220406001054 |
| Provider Name | Sarah Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992450456 PECOS PAC ID: 7911393327 Enrollment ID: I20220412002799 |
| Provider Name | Crystal Dawn Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003583147 PECOS PAC ID: 6901292275 Enrollment ID: I20220413002601 |
| Provider Name | Angela Denise Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083361604 PECOS PAC ID: 4587050885 Enrollment ID: I20220414000876 |
| Provider Name | Phillip Mele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235161365 PECOS PAC ID: 5092965335 Enrollment ID: I20220418000581 |
| Provider Name | Padab Mcwhorter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982774592 PECOS PAC ID: 7315046836 Enrollment ID: I20220427001004 |
| Provider Name | Kayla Jean Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437806445 PECOS PAC ID: 6901293604 Enrollment ID: I20220427002949 |
| Provider Name | Shaheryar Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033595830 PECOS PAC ID: 5597027649 Enrollment ID: I20220509001795 |
| Provider Name | Stephanie Dawn Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720736119 PECOS PAC ID: 1254718471 Enrollment ID: I20220509002504 |
| Provider Name | Megan Breann Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023758885 PECOS PAC ID: 6204214786 Enrollment ID: I20220613001494 |
| Provider Name | Courtney Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538805643 PECOS PAC ID: 6002294584 Enrollment ID: I20220613001606 |
| Provider Name | Caleb Tyrel Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639814619 PECOS PAC ID: 2264811165 Enrollment ID: I20220623002265 |
| Provider Name | Batool El-atoum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427503770 PECOS PAC ID: 1456649466 Enrollment ID: I20220624000808 |
| Provider Name | Amod Amritphale |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053675157 PECOS PAC ID: 0244452118 Enrollment ID: I20220624001089 |
| Provider Name | Laura Michelle Corum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083360275 PECOS PAC ID: 5991184798 Enrollment ID: I20220624002358 |
| Provider Name | Steven Morrison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487158978 PECOS PAC ID: 1850648288 Enrollment ID: I20220627003586 |
| Provider Name | Rushika Conroy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013166974 PECOS PAC ID: 0143498667 Enrollment ID: I20220706002645 |
| Provider Name | Molly Ternes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326771957 PECOS PAC ID: 4981084811 Enrollment ID: I20220708001894 |
| Provider Name | Nupur Amritphale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699208314 PECOS PAC ID: 0143552992 Enrollment ID: I20220711003309 |
| Provider Name | Christopher Michael Daniels |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578901849 PECOS PAC ID: 1658751318 Enrollment ID: I20220712001735 |
| Provider Name | Rebekah Bade Bruning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508505223 PECOS PAC ID: 4880075266 Enrollment ID: I20220715002185 |
| Provider Name | Tyler Thill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275154106 PECOS PAC ID: 5193106599 Enrollment ID: I20220716000379 |
| Provider Name | Muhammad Umair M Mian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215383518 PECOS PAC ID: 2567756398 Enrollment ID: I20220716000417 |
| Provider Name | Pratik Khatiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073173241 PECOS PAC ID: 8224364633 Enrollment ID: I20220718003632 |
| Provider Name | Eric Sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831119502 PECOS PAC ID: 2961553268 Enrollment ID: I20220721002089 |
| Provider Name | Annum Faisal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871945204 PECOS PAC ID: 1153616750 Enrollment ID: I20220726002424 |
| Provider Name | Jaehyeon Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447802681 PECOS PAC ID: 6901131911 Enrollment ID: I20220726002792 |
| Provider Name | Elizabeth Anne Shaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437718483 PECOS PAC ID: 4880929173 Enrollment ID: I20220727002773 |
| Provider Name | Mohamed Mady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740846591 PECOS PAC ID: 1153659966 Enrollment ID: I20220727003305 |
| Provider Name | Daniel Mckinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316981566 PECOS PAC ID: 9830322189 Enrollment ID: I20220728000667 |
| Provider Name | Meagan Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801535836 PECOS PAC ID: 0244612695 Enrollment ID: I20220801002434 |
| Provider Name | Bernardo Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609255447 PECOS PAC ID: 6608127576 Enrollment ID: I20220809003120 |
| Provider Name | Joe Debrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205499969 PECOS PAC ID: 8123401080 Enrollment ID: I20220810002723 |
| Provider Name | Cameron Hess |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184152746 PECOS PAC ID: 6204108608 Enrollment ID: I20220811000756 |
| Provider Name | Jamie B Phelps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083275580 PECOS PAC ID: 0042548877 Enrollment ID: I20220816002567 |
| Provider Name | Jessica Raeann Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821721523 PECOS PAC ID: 6305229899 Enrollment ID: I20220816002681 |
| Provider Name | Amanda Jordan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841923885 PECOS PAC ID: 7113300641 Enrollment ID: I20220817000311 |
| Provider Name | Rachel Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194267708 PECOS PAC ID: 6507299013 Enrollment ID: I20220818003655 |
| Provider Name | Amulya Yadlapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134681117 PECOS PAC ID: 3173906492 Enrollment ID: I20220819001375 |
| Provider Name | Matthew Blaine Lebaron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164913448 PECOS PAC ID: 5092062794 Enrollment ID: I20220824000353 |
| Provider Name | David H Rice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043311202 PECOS PAC ID: 5395732267 Enrollment ID: I20220824002230 |
| Provider Name | Adnan Kassier |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144575283 PECOS PAC ID: 7719118116 Enrollment ID: I20220907001182 |
| Provider Name | Chandra S Pingili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063734069 PECOS PAC ID: 7517093347 Enrollment ID: I20220908000860 |
| Provider Name | Sara Ann Bayless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811642044 PECOS PAC ID: 4183009285 Enrollment ID: I20220909000967 |
| Provider Name | Tapasya Raavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093374514 PECOS PAC ID: 8426386236 Enrollment ID: I20220909002238 |
| Provider Name | Carla Sue Rouw |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376095760 PECOS PAC ID: 9739564881 Enrollment ID: I20220910000140 |
| Provider Name | Christopher P Coppola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952389082 PECOS PAC ID: 4486705613 Enrollment ID: I20220913002469 |
| Provider Name | Mehul Lohia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262684 PECOS PAC ID: 8325351554 Enrollment ID: I20220913002743 |
| Provider Name | Valentina Marie Rosco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922752237 PECOS PAC ID: 5799160610 Enrollment ID: I20220913003580 |
| Provider Name | Maureen Rise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548929797 PECOS PAC ID: 4688059447 Enrollment ID: I20220914001549 |
| Provider Name | Nancy Kay Pinkston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639805161 PECOS PAC ID: 8820473697 Enrollment ID: I20220914002264 |
| Provider Name | Conrad Mitchell Bajor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023577178 PECOS PAC ID: 7911235254 Enrollment ID: I20220914002356 |
| Provider Name | Christopher D Koehn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144677618 PECOS PAC ID: 1951693647 Enrollment ID: I20220914002439 |
| Provider Name | Neesha Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558714915 PECOS PAC ID: 4183912223 Enrollment ID: I20220919000195 |
| Provider Name | John Yujun Sheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396277901 PECOS PAC ID: 9335524206 Enrollment ID: I20220922000860 |
| Provider Name | Kelly A Koehn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154779387 PECOS PAC ID: 5395038087 Enrollment ID: I20220926003481 |
| Provider Name | Htin Aung |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982040580 PECOS PAC ID: 4486893989 Enrollment ID: I20220928001296 |
| Provider Name | Angela Folstad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669478582 PECOS PAC ID: 6406042506 Enrollment ID: I20220929003031 |
| Provider Name | Emediong Udo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447614425 PECOS PAC ID: 4587045034 Enrollment ID: I20220929003892 |
| Provider Name | Christopher Paul Newland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487008322 PECOS PAC ID: 9133462575 Enrollment ID: I20221003000204 |
| Provider Name | Kristin Patrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326561507 PECOS PAC ID: 9436415429 Enrollment ID: I20221003001622 |
| Provider Name | Ahadi Hakki |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194816389 PECOS PAC ID: 5496800997 Enrollment ID: I20221005000919 |
| Provider Name | Joseph Ezer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083637300 PECOS PAC ID: 0446307573 Enrollment ID: I20221008000144 |
| Provider Name | Paul Hanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558734038 PECOS PAC ID: 4981084621 Enrollment ID: I20221010001009 |
| Provider Name | Carrie Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730529546 PECOS PAC ID: 4981969557 Enrollment ID: I20221014000413 |
| Provider Name | Dante Dali |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124468517 PECOS PAC ID: 9133362585 Enrollment ID: I20221014002447 |
| Provider Name | Elizabeth Louise Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770156762 PECOS PAC ID: 5698141653 Enrollment ID: I20221014002773 |
| Provider Name | Susan E Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912266768 PECOS PAC ID: 5193022408 Enrollment ID: I20221017000482 |
| Provider Name | Rajeev Masson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619322039 PECOS PAC ID: 0648507210 Enrollment ID: I20221020001664 |
| Provider Name | Tyler Shane Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376737874 PECOS PAC ID: 6204977309 Enrollment ID: I20221022000123 |
| Provider Name | Jason Dickherber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093164428 PECOS PAC ID: 3577855626 Enrollment ID: I20221025000176 |
| Provider Name | Aurora Elizabeth Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508581372 PECOS PAC ID: 4284000639 Enrollment ID: I20221026001635 |
| Provider Name | Joseph W Meyn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003883844 PECOS PAC ID: 5890722565 Enrollment ID: I20221116000283 |
| Provider Name | Jennifer Renee Zabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245956358 PECOS PAC ID: 6103294509 Enrollment ID: I20221116000346 |
| Provider Name | Allison Nazinitsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922324011 PECOS PAC ID: 5092020313 Enrollment ID: I20221116000809 |
| Provider Name | Emmanuel Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629316609 PECOS PAC ID: 8022206416 Enrollment ID: I20221116002645 |
| Provider Name | Ana Abrudan-danalache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035394 PECOS PAC ID: 0244608537 Enrollment ID: I20221117000602 |
| Provider Name | Jonathan Nwiloh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194782011 PECOS PAC ID: 1254244932 Enrollment ID: I20221205001181 |
| Provider Name | Clive A Goulbourne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083024970 PECOS PAC ID: 9032451976 Enrollment ID: I20221205001317 |
| Provider Name | Riki Lee Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104541150 PECOS PAC ID: 3870962301 Enrollment ID: I20221206000720 |
| Provider Name | Tien Li Hsiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760836241 PECOS PAC ID: 9739476136 Enrollment ID: I20221206002785 |
| Provider Name | Shawndee Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144948431 PECOS PAC ID: 9335371970 Enrollment ID: I20221208001754 |
| Provider Name | Sydney Kay Fryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912616277 PECOS PAC ID: 1759750870 Enrollment ID: I20221213001191 |
| Provider Name | Bradley Bowles |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922458892 PECOS PAC ID: 4486941945 Enrollment ID: I20221214002860 |
| Provider Name | Bobbie Hudson-pyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679850374 PECOS PAC ID: 4082852561 Enrollment ID: I20221216000248 |
| Provider Name | Amanda Stone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992250385 PECOS PAC ID: 3476955022 Enrollment ID: I20221216002455 |
| Provider Name | Almutasem Hamed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851943781 PECOS PAC ID: 5193054237 Enrollment ID: I20221221000888 |
| Provider Name | Mohana K Loya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649579186 PECOS PAC ID: 2365736485 Enrollment ID: I20221222001286 |
| Provider Name | Angelina Nicole-marie Denton-howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760106868 PECOS PAC ID: 4082084603 Enrollment ID: I20221222002488 |
| Provider Name | Robert Desko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679590657 PECOS PAC ID: 8325043045 Enrollment ID: I20221223000725 |
| Provider Name | Zainab Kakakhel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861835100 PECOS PAC ID: 6800021452 Enrollment ID: I20230106002060 |
| Provider Name | Jonathan Casey Brant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457029258 PECOS PAC ID: 2769852789 Enrollment ID: I20230106002087 |
| Provider Name | Eric Njiforfut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053844027 PECOS PAC ID: 4688077555 Enrollment ID: I20230110001158 |
| Provider Name | Narayan Pokhrel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780840298 PECOS PAC ID: 3870633134 Enrollment ID: I20230112002067 |
| Provider Name | Mohanad Abu Speitan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942563820 PECOS PAC ID: 7618286675 Enrollment ID: I20230124001756 |
| Provider Name | Jacob Schrader |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780314179 PECOS PAC ID: 0547631764 Enrollment ID: I20230126002701 |
| Provider Name | Erin Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254753 PECOS PAC ID: 3678988060 Enrollment ID: I20230208003112 |
| Provider Name | Dawn Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871080267 PECOS PAC ID: 5698039048 Enrollment ID: I20230209001347 |
| Provider Name | Marina Overby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194394098 PECOS PAC ID: 3870981061 Enrollment ID: I20230209002543 |
| Provider Name | Christine Elizabeth Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821700733 PECOS PAC ID: 8820460348 Enrollment ID: I20230209003009 |
| Provider Name | Jason Denney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407233604 PECOS PAC ID: 2163741224 Enrollment ID: I20230225000407 |
| Provider Name | Tracian James-goulbourne |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821475781 PECOS PAC ID: 0648503888 Enrollment ID: I20230227002546 |
| Provider Name | Alexandria Belle Bowering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508563875 PECOS PAC ID: 0345615316 Enrollment ID: I20230404001829 |
| Provider Name | Crystal Neises |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770020141 PECOS PAC ID: 5991080608 Enrollment ID: I20230406001774 |
| Provider Name | Charlotte Ann Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770227746 PECOS PAC ID: 2163897836 Enrollment ID: I20230411001478 |
| Provider Name | Vismay J Thakkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912301508 PECOS PAC ID: 7113148370 Enrollment ID: I20230411002971 |
| Provider Name | Elaine Joetta Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306583935 PECOS PAC ID: 5294190468 Enrollment ID: I20230424002155 |
| Provider Name | Silvia Yamanic Alvarez De Leon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902150063 PECOS PAC ID: 4789930512 Enrollment ID: I20230426002635 |
| Provider Name | Venkata Samavedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340589 PECOS PAC ID: 0749339216 Enrollment ID: I20230501001300 |
| Provider Name | Melvyn Karp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871579243 PECOS PAC ID: 2466415120 Enrollment ID: I20230503002924 |
| Provider Name | Kyla Ashley Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356042964 PECOS PAC ID: 4183080674 Enrollment ID: I20230526000126 |
| Provider Name | Mckenzie Adam-hager |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720714587 PECOS PAC ID: 4789041336 Enrollment ID: I20230613001879 |
| Provider Name | Agnes Yahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023089190 PECOS PAC ID: 4183651128 Enrollment ID: I20230710001117 |
| Provider Name | Cody Lee Haerther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417682238 PECOS PAC ID: 8224498027 Enrollment ID: I20230712000616 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205321171 PECOS PAC ID: 7810246352 Enrollment ID: I20230712004256 |
| Provider Name | Silvia Andrea Cabrera Guerrero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447771258 PECOS PAC ID: 1759741945 Enrollment ID: I20230719003445 |
| Provider Name | Mihir Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275915506 PECOS PAC ID: 7810209871 Enrollment ID: I20230720002066 |
| Provider Name | Mariam Saeed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396274593 PECOS PAC ID: 3678995487 Enrollment ID: I20230721003157 |
| Provider Name | Marc Alumno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396301040 PECOS PAC ID: 6204163413 Enrollment ID: I20230728001942 |
| Provider Name | Prince Sethi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659727014 PECOS PAC ID: 4183918204 Enrollment ID: I20230803003561 |
| Provider Name | Luke George Foley Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912382987 PECOS PAC ID: 5597126789 Enrollment ID: I20230803004044 |
| Provider Name | Gagan Neupane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285258756 PECOS PAC ID: 7214349828 Enrollment ID: I20230804000188 |
| Provider Name | Vasudha Kota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669092243 PECOS PAC ID: 0547681702 Enrollment ID: I20230804002707 |
| Provider Name | Anthony Northcote |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881223873 PECOS PAC ID: 6204259864 Enrollment ID: I20230804002978 |
| Provider Name | Jeffrey Thiebaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831727148 PECOS PAC ID: 8921424722 Enrollment ID: I20230804003379 |
| Provider Name | Leanna Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457086258 PECOS PAC ID: 3375905300 Enrollment ID: I20230808002752 |
| Provider Name | Danielle Rae Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681992 PECOS PAC ID: 6305208349 Enrollment ID: I20230808003063 |
| Provider Name | Amina Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033739404 PECOS PAC ID: 2961864913 Enrollment ID: I20230808003866 |
| Provider Name | Roger Nightengale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508428632 PECOS PAC ID: 9335478981 Enrollment ID: I20230808004090 |
| Provider Name | Elise Garcia Head |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144693383 PECOS PAC ID: 0840599189 Enrollment ID: I20230809000385 |
| Provider Name | Brendan Ellebracht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164157145 PECOS PAC ID: 8921460908 Enrollment ID: I20230809000577 |
| Provider Name | Parul Goyal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154841419 PECOS PAC ID: 8820369754 Enrollment ID: I20230809001866 |
| Provider Name | Robin Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376956979 PECOS PAC ID: 5395962633 Enrollment ID: I20230809002990 |
| Provider Name | Jennifer Barclay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831556455 PECOS PAC ID: 6709179781 Enrollment ID: I20230810000413 |
| Provider Name | Daiyoon Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477182798 PECOS PAC ID: 7416348990 Enrollment ID: I20230810000952 |
| Provider Name | Sydney Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710505557 PECOS PAC ID: 5395107189 Enrollment ID: I20230810001974 |
| Provider Name | Jose Alfonso Rodriguez Claramunt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922591874 PECOS PAC ID: 1355699422 Enrollment ID: I20230815000281 |
| Provider Name | Leah Nicole Spoonts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548946643 PECOS PAC ID: 5991167314 Enrollment ID: I20230817001439 |
| Provider Name | Kevin A Copley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871591115 PECOS PAC ID: 8123017175 Enrollment ID: I20230817002224 |
| Provider Name | Hailee Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659050284 PECOS PAC ID: 7719349950 Enrollment ID: I20230818002951 |
| Provider Name | Alejandra Roa Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528527314 PECOS PAC ID: 5395086425 Enrollment ID: I20230822003260 |
| Provider Name | Muhammad Khalid Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447877089 PECOS PAC ID: 5597183095 Enrollment ID: I20230823000565 |
| Provider Name | Gila Hoffman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700316718 PECOS PAC ID: 3072885045 Enrollment ID: I20230824002424 |
| Provider Name | Muhammad Saad Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497363444 PECOS PAC ID: 8022471978 Enrollment ID: I20230825001215 |
| Provider Name | Emma To |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841768868 PECOS PAC ID: 0941549901 Enrollment ID: I20230828000567 |
| Provider Name | Adam Olszewski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164818753 PECOS PAC ID: 9436479516 Enrollment ID: I20230829000651 |
| Provider Name | Andrew Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093056988 PECOS PAC ID: 8729309042 Enrollment ID: I20230905002369 |
| Provider Name | James W Wycoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457733883 PECOS PAC ID: 8921311499 Enrollment ID: I20230909000225 |
| Provider Name | Wade D Kubat |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1235379256 PECOS PAC ID: 0840344263 Enrollment ID: I20230911001394 |
| Provider Name | Elaina Alumno |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609432350 PECOS PAC ID: 0840527040 Enrollment ID: I20230911001688 |
| Provider Name | David Kull |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235523648 PECOS PAC ID: 8527372952 Enrollment ID: I20230915002868 |
| Provider Name | Taksh J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629690797 PECOS PAC ID: 6800250390 Enrollment ID: I20230918000982 |
| Provider Name | Leland C Stoddard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457814329 PECOS PAC ID: 4880921261 Enrollment ID: I20230918003963 |
| Provider Name | Justin Burney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851613335 PECOS PAC ID: 0244366938 Enrollment ID: I20230920003975 |
| Provider Name | Angela M Casado-diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780213744 PECOS PAC ID: 4183034101 Enrollment ID: I20230921001302 |
| Provider Name | Abigail Katherine Heaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134748981 PECOS PAC ID: 8628422839 Enrollment ID: I20230921002435 |
| Provider Name | Anganile E Gondwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801573282 PECOS PAC ID: 2769836766 Enrollment ID: I20230925003232 |
| Provider Name | Airika Danielle Poivre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467078832 PECOS PAC ID: 2860815925 Enrollment ID: I20230928003059 |
| Provider Name | Taylor S Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821876228 PECOS PAC ID: 4082068598 Enrollment ID: I20231002001257 |
| Provider Name | Taibatu Mohammed Awal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912686569 PECOS PAC ID: 6002261369 Enrollment ID: I20231006002226 |
| Provider Name | Lillian Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871936344 PECOS PAC ID: 5991040792 Enrollment ID: I20231006002868 |
| Provider Name | Taylor P Stoddard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023571445 PECOS PAC ID: 9739416280 Enrollment ID: I20231010003202 |
| Provider Name | Tasnuva T Fariza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508488792 PECOS PAC ID: 8729472907 Enrollment ID: I20231011003437 |
| Provider Name | Yifang Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386165355 PECOS PAC ID: 7416302294 Enrollment ID: I20231013002746 |
| Provider Name | Joshua M Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427474964 PECOS PAC ID: 5092004929 Enrollment ID: I20231014000333 |
| Provider Name | Jeesanul Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174144372 PECOS PAC ID: 2062885197 Enrollment ID: I20231016000364 |
| Provider Name | Sheila Whitney Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811679905 PECOS PAC ID: 2062867708 Enrollment ID: I20231016001637 |
| Provider Name | Ashton M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316628266 PECOS PAC ID: 7911353198 Enrollment ID: I20231024002372 |
| Provider Name | April E Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366227548 PECOS PAC ID: 6608222849 Enrollment ID: I20231025000622 |
| Provider Name | Megan Danielle Marie Matney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467134445 PECOS PAC ID: 8325494446 Enrollment ID: I20231026000509 |
| Provider Name | Rewa Arar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205456878 PECOS PAC ID: 3870915168 Enrollment ID: I20231116002928 |
| Provider Name | Johanna L Aldrighetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932987385 PECOS PAC ID: 4183071863 Enrollment ID: I20231117001435 |
| Provider Name | Brenda Michelle Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669084208 PECOS PAC ID: 4183072812 Enrollment ID: I20231118000528 |
| Provider Name | Kelsi L Goans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003680539 PECOS PAC ID: 7911356530 Enrollment ID: I20231207003770 |
| Provider Name | Brittany L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023881943 PECOS PAC ID: 2466801923 Enrollment ID: I20231208001461 |
| Provider Name | Kristine A Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477799484 PECOS PAC ID: 0042409880 Enrollment ID: I20231211000904 |
| Provider Name | Sraddha S Prativadi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851300495 PECOS PAC ID: 4981759537 Enrollment ID: I20231222001427 |
| Provider Name | Katie E Beal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558709469 PECOS PAC ID: 3375777220 Enrollment ID: I20240110001034 |
| Provider Name | Ashlynn K Vonderheide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245009182 PECOS PAC ID: 5799136156 Enrollment ID: I20240110001412 |
| Provider Name | Douglas J Gottschalk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598724619 PECOS PAC ID: 4688640972 Enrollment ID: I20240118003694 |
| Provider Name | Benjamin L Wagenman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467636951 PECOS PAC ID: 0446305866 Enrollment ID: I20240129001103 |
| Provider Name | Amy E Plott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992570444 PECOS PAC ID: 6204289630 Enrollment ID: I20240201000890 |
| Provider Name | Eric M Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275103038 PECOS PAC ID: 3173980554 Enrollment ID: I20240208003339 |
| Provider Name | Anh T Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609325711 PECOS PAC ID: 5193086106 Enrollment ID: I20240213003125 |
| Provider Name | Salvatrice Fetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700647856 PECOS PAC ID: 1951745322 Enrollment ID: I20240214001425 |
| Provider Name | Amanda S Boardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902141286 PECOS PAC ID: 2264660505 Enrollment ID: I20240214001652 |
| Provider Name | Amanda L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619743143 PECOS PAC ID: 8022452002 Enrollment ID: I20240217000645 |
| Provider Name | Elizabeth Ann Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649033952 PECOS PAC ID: 8527402510 Enrollment ID: I20240217000833 |
| Provider Name | Nicole Rae Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902677537 PECOS PAC ID: 9335583269 Enrollment ID: I20240220001185 |
| Provider Name | Jacob C Stramel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225733884 PECOS PAC ID: 6103283908 Enrollment ID: I20240221004187 |
| Provider Name | Leslie Bell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578598819 PECOS PAC ID: 0345250825 Enrollment ID: I20240304000583 |
| Provider Name | Fahrettin Covut |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457885683 PECOS PAC ID: 9638597651 Enrollment ID: I20240304001520 |
Medical Clinic Of Willow Springs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 E Main St, Willow Springs, MO 65793 Phone: 417-469-3116 Fax: 417-469-3151 | |
Ozarks Medical Center Willow Springs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 West High Street, Suite 2, Willow Springs, MO 65793 Phone: 417-252-6994 Fax: 417-469-0651 | |
Mercy Clinic-willow Springs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 E Main St, Willow Springs, MO 65793 Phone: 417-469-1820 | |
Westwood Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2642 State Route 76, Willow Springs, MO 65793 Phone: 417-469-0204 Fax: 417-469-3443 | |
Valley Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Harris St, Willow Springs, MO 65793 Phone: 417-469-3175 Fax: 417-469-1274 | |
Bg2 Clinical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 857 E Main St Ste 4, Willow Springs, MO 65793 Phone: 417-469-7385 Fax: 417-469-7386 | |
Coxhealth Center Willow Springs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 816 E Main, Willow Springs, MO 65793 Phone: 417-269-2490 Fax: 417-269-2492 |