| Mercy Health Physicians Cincinnati, Llc | |
|
1701 Mercy Health Pl Cincinnati OH 45237-6147 | |
| (513) 952-5210 | |
| Not Available |
| Full Name | Mercy Health Physicians Cincinnati, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Mercy Health Pl, Cincinnati, Ohio |
| Authorized Official Name and Position | Shane Hardy (CFO, MEDICAL GROUP) |
| Authorized Official Contact | 5138695016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Physicians Cincinnati, Llc 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: () - | Mercy Health Physicians Cincinnati, Llc 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: (513) 952-5210 |
| NPI Number | 1205887023 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 07/07/2020 |
| Medicare PECOS PAC ID | 6709790892 |
|---|---|
| Medicare Enrollment ID | O20031113000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205887023 | NPI | - | NPPES |
| 0270942 | Medicaid | OH | |
| 200396890A | Medicaid | IN | |
| 200396890B | Medicaid | IN | |
| 7100287980 | Medicaid | KY |
| Provider Name | Abbie G Youkilis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699792416 PECOS PAC ID: 6406768654 Enrollment ID: I20031105000260 |
| Provider Name | Stephen M Meyers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356340954 PECOS PAC ID: 5597678615 Enrollment ID: I20031106000078 |
| Provider Name | Matthew G Hutchins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114926813 PECOS PAC ID: 0648183715 Enrollment ID: I20031106000295 |
| Provider Name | James Barry Willis |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1437185220 PECOS PAC ID: 8224942479 Enrollment ID: I20031113000139 |
| Provider Name | Amal Sarah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568469849 PECOS PAC ID: 9830003953 Enrollment ID: I20031113000518 |
| Provider Name | John P Zisko |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528063740 PECOS PAC ID: 9830003706 Enrollment ID: I20031114000464 |
| Provider Name | Craig Benjami Willis |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1346276136 PECOS PAC ID: 0840104741 Enrollment ID: I20031114000566 |
| Provider Name | Rajbir Singh Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134175409 PECOS PAC ID: 8325952260 Enrollment ID: I20031117000000 |
| Provider Name | Jeffrey Brian Bloomer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457449449 PECOS PAC ID: 7911801527 Enrollment ID: I20031125000466 |
| Provider Name | Larry Anthony Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780784173 PECOS PAC ID: 1850297938 Enrollment ID: I20031210000008 |
| Provider Name | Lester Ellis Suna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871592576 PECOS PAC ID: 9436055571 Enrollment ID: I20031210000282 |
| Provider Name | Mark M Kirkham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033118732 PECOS PAC ID: 7517865223 Enrollment ID: I20031219000346 |
| Provider Name | Richard Woddington Henthorn |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750380259 PECOS PAC ID: 0749180420 Enrollment ID: I20040109000886 |
| Provider Name | Juanita Ramona Gaines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801826763 PECOS PAC ID: 4284527102 Enrollment ID: I20040204001086 |
| Provider Name | Tamara Ann Strassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861491573 PECOS PAC ID: 3971497702 Enrollment ID: I20040211001059 |
| Provider Name | Marc T Galloway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144225368 PECOS PAC ID: 6002720935 Enrollment ID: I20040223000339 |
| Provider Name | Joel Shockley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205801016 PECOS PAC ID: 5496643819 Enrollment ID: I20040308000967 |
| Provider Name | Nelson Barnet Watts |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740238229 PECOS PAC ID: 2860384070 Enrollment ID: I20040325000015 |
| Provider Name | Robert Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497879555 PECOS PAC ID: 6002708534 Enrollment ID: I20040329000467 |
| Provider Name | Brian Jeffrey Peerless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962484758 PECOS PAC ID: 7618964388 Enrollment ID: I20040427000120 |
| Provider Name | Joe Hackworth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619974987 PECOS PAC ID: 8426945833 Enrollment ID: I20040504000201 |
| Provider Name | Erich William Walder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023032927 PECOS PAC ID: 5294634721 Enrollment ID: I20040507000308 |
| Provider Name | Diane L Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104913508 PECOS PAC ID: 2668453614 Enrollment ID: I20040527000145 |
| Provider Name | Edward A Marcheschi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194724369 PECOS PAC ID: 1052393386 Enrollment ID: I20040602000286 |
| Provider Name | Suzanne L. Lekson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942242813 PECOS PAC ID: 9133103815 Enrollment ID: I20040618000135 |
| Provider Name | Steven D Kleeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487737698 PECOS PAC ID: 2961487046 Enrollment ID: I20040622001478 |
| Provider Name | Sanjiv Patel |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144293036 PECOS PAC ID: 5890773048 Enrollment ID: I20040713000728 |
| Provider Name | Michelle Federer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518992395 PECOS PAC ID: 7113999376 Enrollment ID: I20040809000575 |
| Provider Name | Joseph Seibert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518904879 PECOS PAC ID: 1153393269 Enrollment ID: I20040810000357 |
| Provider Name | Gregory Niehauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518908250 PECOS PAC ID: 3870565906 Enrollment ID: I20040810000470 |
| Provider Name | Mehran Attari |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760447148 PECOS PAC ID: 8820061237 Enrollment ID: I20040814000030 |
| Provider Name | Paula L Peake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467467852 PECOS PAC ID: 6709850373 Enrollment ID: I20040820000681 |
| Provider Name | Jonnie Sue Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649245960 PECOS PAC ID: 0941262430 Enrollment ID: I20041027000914 |
| Provider Name | Coleen Renee Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861565327 PECOS PAC ID: 3375507775 Enrollment ID: I20041116000405 |
| Provider Name | Lynne E Wagoner |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1831147099 PECOS PAC ID: 9133186737 Enrollment ID: I20041215000589 |
| Provider Name | Charles Timothy Mckinley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407881154 PECOS PAC ID: 0547210999 Enrollment ID: I20050125000072 |
| Provider Name | Donald C Buckley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386678647 PECOS PAC ID: 9537058045 Enrollment ID: I20050202000039 |
| Provider Name | Rosann M Giesting |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508882598 PECOS PAC ID: 4183677073 Enrollment ID: I20050303000221 |
| Provider Name | Md Wahidul Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699717504 PECOS PAC ID: 5799731857 Enrollment ID: I20050322001230 |
| Provider Name | Emmett C Roper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518926344 PECOS PAC ID: 0143276824 Enrollment ID: I20050325000003 |
| Provider Name | Abhijit Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376542936 PECOS PAC ID: 7810980398 Enrollment ID: I20050412000175 |
| Provider Name | Shauna M Sybert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962407122 PECOS PAC ID: 3375580657 Enrollment ID: I20050413000397 |
| Provider Name | Jason Ross Mattingly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548267826 PECOS PAC ID: 8527007699 Enrollment ID: I20050427001431 |
| Provider Name | Tyler J Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619991452 PECOS PAC ID: 8325088677 Enrollment ID: I20050506000004 |
| Provider Name | Shakil Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609895952 PECOS PAC ID: 2860428745 Enrollment ID: I20050712000824 |
| Provider Name | Morgan A Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457419582 PECOS PAC ID: 2961438734 Enrollment ID: I20050713000166 |
| Provider Name | Mark Richard Jennings |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578538955 PECOS PAC ID: 2466489760 Enrollment ID: I20050719000358 |
| Provider Name | Denna Louise Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174522650 PECOS PAC ID: 6204863236 Enrollment ID: I20050721000516 |
| Provider Name | Lee Zimmer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871537720 PECOS PAC ID: 5496741183 Enrollment ID: I20050822000438 |
| Provider Name | Debra A Purvis Heaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730234329 PECOS PAC ID: 1052344827 Enrollment ID: I20050913000300 |
| Provider Name | Alaba Devonne Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508870353 PECOS PAC ID: 2860425246 Enrollment ID: I20050915000896 |
| Provider Name | Scott Carlson Hobler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386744803 PECOS PAC ID: 9537194816 Enrollment ID: I20051005000946 |
| Provider Name | Eleia Serrano Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245293513 PECOS PAC ID: 2668499070 Enrollment ID: I20051025000904 |
| Provider Name | Lisa M Pomerleau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235160599 PECOS PAC ID: 9234156332 Enrollment ID: I20051027001214 |
| Provider Name | Bashar Brijawi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033198171 PECOS PAC ID: 6103897939 Enrollment ID: I20051031000131 |
| Provider Name | Steven R Jain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356437941 PECOS PAC ID: 0749208619 Enrollment ID: I20051109000453 |
| Provider Name | Timothy Brennan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174579510 PECOS PAC ID: 6608895966 Enrollment ID: I20051115001213 |
| Provider Name | Jefferson M Burroughs |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740289453 PECOS PAC ID: 2668372343 Enrollment ID: I20051117000269 |
| Provider Name | Stephen Edwin Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760430953 PECOS PAC ID: 5092734962 Enrollment ID: I20051121000540 |
| Provider Name | Kent Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255430930 PECOS PAC ID: 9739103110 Enrollment ID: I20060124001030 |
| Provider Name | Margaret M Bockerstette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871549147 PECOS PAC ID: 6002821444 Enrollment ID: I20060207000417 |
| Provider Name | Kellene M Lenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457398398 PECOS PAC ID: 7012922206 Enrollment ID: I20060208000887 |
| Provider Name | Kevin J Cochran |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1902879976 PECOS PAC ID: 7719923176 Enrollment ID: I20060221000001 |
| Provider Name | Erin Davlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104895036 PECOS PAC ID: 4486661519 Enrollment ID: I20060315000401 |
| Provider Name | Lynn L Haley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851364871 PECOS PAC ID: 4880602713 Enrollment ID: I20060404000018 |
| Provider Name | Perry Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427005784 PECOS PAC ID: 5496641474 Enrollment ID: I20060531000111 |
| Provider Name | Matthew Gerald Witsken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184679516 PECOS PAC ID: 0547271751 Enrollment ID: I20060531000122 |
| Provider Name | John Joseph Leisgang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407802754 PECOS PAC ID: 3678469657 Enrollment ID: I20060531000190 |
| Provider Name | Prashanth R Kesav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235185950 PECOS PAC ID: 7517978745 Enrollment ID: I20060531000225 |
| Provider Name | Nisar F Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841250024 PECOS PAC ID: 7416960612 Enrollment ID: I20060710000173 |
| Provider Name | Ryan Maenpa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871571760 PECOS PAC ID: 5698785657 Enrollment ID: I20060816000128 |
| Provider Name | David J Nartker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336114602 PECOS PAC ID: 7214930734 Enrollment ID: I20060822000470 |
| Provider Name | David Truman Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063469443 PECOS PAC ID: 8921003369 Enrollment ID: I20060919000170 |
| Provider Name | Samir Ataya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194766899 PECOS PAC ID: 5799783932 Enrollment ID: I20061121000755 |
| Provider Name | Lina Mitchell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417906454 PECOS PAC ID: 5193795003 Enrollment ID: I20070104000053 |
| Provider Name | Ashley E Easterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932232998 PECOS PAC ID: 4880798685 Enrollment ID: I20070404000265 |
| Provider Name | Vanshipal S Puri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942300264 PECOS PAC ID: 4486652633 Enrollment ID: I20070419000325 |
| Provider Name | Deborah Ann Hauger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689666869 PECOS PAC ID: 3476518770 Enrollment ID: I20070608000035 |
| Provider Name | Matthew L Busam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568417343 PECOS PAC ID: 0941211031 Enrollment ID: I20070712000558 |
| Provider Name | Anne Colleen Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174624159 PECOS PAC ID: 3476455171 Enrollment ID: I20070716000355 |
| Provider Name | Tamer Y Abou Elsaad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255302808 PECOS PAC ID: 3375448046 Enrollment ID: I20070806000012 |
| Provider Name | Kelly K Valen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649476979 PECOS PAC ID: 9335231240 Enrollment ID: I20070823000509 |
| Provider Name | Frances Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093713737 PECOS PAC ID: 7719070242 Enrollment ID: I20070829000614 |
| Provider Name | David C Beck |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1841302551 PECOS PAC ID: 8820183825 Enrollment ID: I20071005000480 |
| Provider Name | Julia Hyunju Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215982350 PECOS PAC ID: 7315035797 Enrollment ID: I20071119000400 |
| Provider Name | Christopher Ward Juergens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225026412 PECOS PAC ID: 7315036555 Enrollment ID: I20071211000317 |
| Provider Name | Emily Mitchell Simpson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851597843 PECOS PAC ID: 4880776038 Enrollment ID: I20080128000508 |
| Provider Name | Reza Mehzad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265468748 PECOS PAC ID: 0345200820 Enrollment ID: I20080221000470 |
| Provider Name | Steven Lunz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710981089 PECOS PAC ID: 4587749296 Enrollment ID: I20080305000387 |
| Provider Name | Barry A Rubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902957251 PECOS PAC ID: 3173609898 Enrollment ID: I20080320000590 |
| Provider Name | Geralynn A Duell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689611071 PECOS PAC ID: 9739075714 Enrollment ID: I20080528000275 |
| Provider Name | Mary A Lim Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649240136 PECOS PAC ID: 3577634724 Enrollment ID: I20080617000169 |
| Provider Name | Syed Z Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487653184 PECOS PAC ID: 3870586365 Enrollment ID: I20080625000089 |
| Provider Name | Rocio G Tussey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326265794 PECOS PAC ID: 7517030133 Enrollment ID: I20080715000781 |
| Provider Name | Todd M Bayer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356343008 PECOS PAC ID: 7113814161 Enrollment ID: I20080725000481 |
| Provider Name | John Edward Heindl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790766194 PECOS PAC ID: 8224102892 Enrollment ID: I20080730000436 |
| Provider Name | Scott Aaron Kotzin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215915442 PECOS PAC ID: 8022182690 Enrollment ID: I20080730000459 |
| Provider Name | Christopher Sweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639135965 PECOS PAC ID: 8325114150 Enrollment ID: I20080903000011 |
| Provider Name | Samia I Eid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023071453 PECOS PAC ID: 1052487881 Enrollment ID: I20080903000015 |
| Provider Name | Patricia Okocha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740389410 PECOS PAC ID: 3577639202 Enrollment ID: I20080904000137 |
| Provider Name | Cyril K Melvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558460204 PECOS PAC ID: 6608942347 Enrollment ID: I20080904000221 |
| Provider Name | Tedros Andom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629160262 PECOS PAC ID: 4587764287 Enrollment ID: I20080908000395 |
| Provider Name | Barry Brook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215993779 PECOS PAC ID: 0143397182 Enrollment ID: I20080917000566 |
| Provider Name | James N Odea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013165174 PECOS PAC ID: 7810971512 Enrollment ID: I20081002000116 |
| Provider Name | Sameh Arebi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578695664 PECOS PAC ID: 7012018997 Enrollment ID: I20081029000668 |
| Provider Name | Nadia Yaqub |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891750287 PECOS PAC ID: 3072569011 Enrollment ID: I20090121000005 |
| Provider Name | Gregory Colangelo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083674220 PECOS PAC ID: 3678475399 Enrollment ID: I20090302000002 |
| Provider Name | Roberta M Kern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487858494 PECOS PAC ID: 9739246638 Enrollment ID: I20090320000049 |
| Provider Name | Michael S Mchenry |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1447357769 PECOS PAC ID: 4880593458 Enrollment ID: I20090331000311 |
| Provider Name | Todd W Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881791101 PECOS PAC ID: 0648327882 Enrollment ID: I20090406000184 |
| Provider Name | James D Abbott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598809519 PECOS PAC ID: 9032268032 Enrollment ID: I20090521000557 |
| Provider Name | Annette R Lavender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710191713 PECOS PAC ID: 8921178823 Enrollment ID: I20090527000623 |
| Provider Name | Jamelle R Bowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275532251 PECOS PAC ID: 3274586524 Enrollment ID: I20090611000792 |
| Provider Name | Richard B Fries |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033321567 PECOS PAC ID: 9739230400 Enrollment ID: I20090621000006 |
| Provider Name | Daniel C Eckert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275742728 PECOS PAC ID: 3870644123 Enrollment ID: I20090625000500 |
| Provider Name | Charles D Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417956202 PECOS PAC ID: 1456450378 Enrollment ID: I20090626000541 |
| Provider Name | James Edward Fitzpatrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063459246 PECOS PAC ID: 9436200664 Enrollment ID: I20090630000259 |
| Provider Name | Barry W Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053399709 PECOS PAC ID: 5294769352 Enrollment ID: I20090721000020 |
| Provider Name | Betsy A. Drake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811191828 PECOS PAC ID: 4486708401 Enrollment ID: I20090811000018 |
| Provider Name | Amanda Rumpke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851521470 PECOS PAC ID: 0547314379 Enrollment ID: I20090813000434 |
| Provider Name | Douglas L Hancher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497732952 PECOS PAC ID: 4385678440 Enrollment ID: I20090819000005 |
| Provider Name | Carol M Allman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922258060 PECOS PAC ID: 6103970553 Enrollment ID: I20090819000444 |
| Provider Name | Courtney R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477783942 PECOS PAC ID: 7113072406 Enrollment ID: I20090910000411 |
| Provider Name | Caroline Jean Bohme |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891897690 PECOS PAC ID: 6204737711 Enrollment ID: I20090923000104 |
| Provider Name | Robert H Chait |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821080052 PECOS PAC ID: 1052204138 Enrollment ID: I20091008000348 |
| Provider Name | John P Kachoris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073774147 PECOS PAC ID: 2264578749 Enrollment ID: I20091014000441 |
| Provider Name | Amy R Spivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851513014 PECOS PAC ID: 2264579937 Enrollment ID: I20091029000034 |
| Provider Name | Shakeel A Bahadur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144553199 PECOS PAC ID: 9234278722 Enrollment ID: I20091123000022 |
| Provider Name | Rebecca S Koehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841289477 PECOS PAC ID: 8820138175 Enrollment ID: I20091216000574 |
| Provider Name | Sydney Saxena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972532810 PECOS PAC ID: 3577604750 Enrollment ID: I20100111000084 |
| Provider Name | Mary Kuzma Mosko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999259 PECOS PAC ID: 8325933500 Enrollment ID: I20100113000425 |
| Provider Name | Suzanne F Matunis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104808344 PECOS PAC ID: 6507907508 Enrollment ID: I20100113000539 |
| Provider Name | Tonia M Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770665028 PECOS PAC ID: 7214079904 Enrollment ID: I20100119000215 |
| Provider Name | Stephen Feagins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265423941 PECOS PAC ID: 0547320681 Enrollment ID: I20100126000286 |
| Provider Name | Ana Pleasants Sobolewski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649245325 PECOS PAC ID: 8426956806 Enrollment ID: I20100316000556 |
| Provider Name | Risa Spieldoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831114388 PECOS PAC ID: 2668508946 Enrollment ID: I20100325000519 |
| Provider Name | Richard Goodman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023073962 PECOS PAC ID: 4981731304 Enrollment ID: I20100416000129 |
| Provider Name | Joseph Michael Morman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508881053 PECOS PAC ID: 4789711060 Enrollment ID: I20100419000076 |
| Provider Name | Bernadette Montante Deguzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194850594 PECOS PAC ID: 5193853315 Enrollment ID: I20100510000405 |
| Provider Name | Edward J Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770595894 PECOS PAC ID: 1456480615 Enrollment ID: I20100526000399 |
| Provider Name | Brion Moran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174528970 PECOS PAC ID: 9032258967 Enrollment ID: I20100609000234 |
| Provider Name | Frank Noyes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407851728 PECOS PAC ID: 9830003763 Enrollment ID: I20100617000012 |
| Provider Name | Emily A Moosbrugger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841401254 PECOS PAC ID: 9032240296 Enrollment ID: I20100702000009 |
| Provider Name | Lanla F Conteh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497964399 PECOS PAC ID: 7517098544 Enrollment ID: I20100708000233 |
| Provider Name | Matthew John Meier |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891914198 PECOS PAC ID: 2769513795 Enrollment ID: I20100708000281 |
| Provider Name | Megan R Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205147196 PECOS PAC ID: 5496887952 Enrollment ID: I20100719000604 |
| Provider Name | Dante S Raneses |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710978820 PECOS PAC ID: 9638203003 Enrollment ID: I20100820000415 |
| Provider Name | Brian Mathew Shiff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851378301 PECOS PAC ID: 6507980828 Enrollment ID: I20100824000235 |
| Provider Name | Mark Thomas Poynter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659358109 PECOS PAC ID: 9032233176 Enrollment ID: I20100826000673 |
| Provider Name | Namchi Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881768034 PECOS PAC ID: 2163548082 Enrollment ID: I20100929000202 |
| Provider Name | Carey Ellen Budrus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508199209 PECOS PAC ID: 0244422475 Enrollment ID: I20101006001173 |
| Provider Name | Sue Ann Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851548846 PECOS PAC ID: 5799977781 Enrollment ID: I20101008000682 |
| Provider Name | Rakesh K Gupta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295716686 PECOS PAC ID: 2567368269 Enrollment ID: I20101015000684 |
| Provider Name | Julia Menetrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518295435 PECOS PAC ID: 1355476524 Enrollment ID: I20101108000490 |
| Provider Name | Robert Cranley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770558058 PECOS PAC ID: 9335047711 Enrollment ID: I20101110000854 |
| Provider Name | Michael Travis Trombley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215972575 PECOS PAC ID: 4082619150 Enrollment ID: I20101203000240 |
| Provider Name | Alter Peerless |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780674986 PECOS PAC ID: 7214960608 Enrollment ID: I20101222000637 |
| Provider Name | Michael Steven Mckee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124043625 PECOS PAC ID: 2264465426 Enrollment ID: I20110111000273 |
| Provider Name | Lindsey Erin Burlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093017378 PECOS PAC ID: 3779763628 Enrollment ID: I20110209000565 |
| Provider Name | Emily K Krans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962715193 PECOS PAC ID: 7113103789 Enrollment ID: I20110516000592 |
| Provider Name | Syed Z Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487653184 PECOS PAC ID: 3870586365 Enrollment ID: I20110708000100 |
| Provider Name | Stephen D Major |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902095151 PECOS PAC ID: 5193993293 Enrollment ID: I20110715000171 |
| Provider Name | Allegra R Tenkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629243332 PECOS PAC ID: 3870762867 Enrollment ID: I20110809000129 |
| Provider Name | Mohamed Dahman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326255399 PECOS PAC ID: 2365567609 Enrollment ID: I20110816000493 |
| Provider Name | Robert Paul Flick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265481972 PECOS PAC ID: 3476454984 Enrollment ID: I20110929000761 |
| Provider Name | Shyam S Allamaneni |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053553586 PECOS PAC ID: 9830249630 Enrollment ID: I20110930000295 |
| Provider Name | Michael R Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043428212 PECOS PAC ID: 3678745965 Enrollment ID: I20111010000552 |
| Provider Name | Dyatra B Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285694380 PECOS PAC ID: 9032143946 Enrollment ID: I20111028000626 |
| Provider Name | Lesley K Otten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942586102 PECOS PAC ID: 8820262975 Enrollment ID: I20111129000619 |
| Provider Name | Jeffrey Robert Welshhans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851425938 PECOS PAC ID: 0143496851 Enrollment ID: I20111230000323 |
| Provider Name | Samer Hasan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710982053 PECOS PAC ID: 3779574520 Enrollment ID: I20120111000510 |
| Provider Name | Monica N Ngu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396750782 PECOS PAC ID: 2668446238 Enrollment ID: I20120201001011 |
| Provider Name | William A Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700094307 PECOS PAC ID: 4587822861 Enrollment ID: I20120215000621 |
| Provider Name | Mina Lutts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134115173 PECOS PAC ID: 2365463809 Enrollment ID: I20120327000388 |
| Provider Name | Erin E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962638445 PECOS PAC ID: 2062672785 Enrollment ID: I20120404000275 |
| Provider Name | Lori G Stotz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558499467 PECOS PAC ID: 9032371836 Enrollment ID: I20120424000074 |
| Provider Name | Cindy D Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366709099 PECOS PAC ID: 8426211715 Enrollment ID: I20120524000272 |
| Provider Name | Kyle A Darnell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255520524 PECOS PAC ID: 6709041577 Enrollment ID: I20120628000229 |
| Provider Name | Monica H Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972827384 PECOS PAC ID: 2769653955 Enrollment ID: I20120702000268 |
| Provider Name | Kevin P Hartman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710150933 PECOS PAC ID: 3072778521 Enrollment ID: I20120706000365 |
| Provider Name | Omar Akhtar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902093081 PECOS PAC ID: 1850588922 Enrollment ID: I20120712000339 |
| Provider Name | Jeffrey T Striet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275744682 PECOS PAC ID: 7517123409 Enrollment ID: I20120720000450 |
| Provider Name | Farzad R Mazloomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770725095 PECOS PAC ID: 3476709742 Enrollment ID: I20120802000422 |
| Provider Name | Mudher N Al Shathir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457594897 PECOS PAC ID: 9931355781 Enrollment ID: I20120809000517 |
| Provider Name | Tiffani A Jepson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861621609 PECOS PAC ID: 1557518875 Enrollment ID: I20120821000991 |
| Provider Name | John P Cullen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1700045564 PECOS PAC ID: 7214185560 Enrollment ID: I20120912000323 |
| Provider Name | Theresa M Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922357318 PECOS PAC ID: 8224286901 Enrollment ID: I20120921000483 |
| Provider Name | Jason W Ulitzsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720330657 PECOS PAC ID: 5698925931 Enrollment ID: I20121023000683 |
| Provider Name | Traci N Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225381833 PECOS PAC ID: 5496908105 Enrollment ID: I20130109000054 |
| Provider Name | Ziad I Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083686075 PECOS PAC ID: 4981671658 Enrollment ID: I20130211000378 |
| Provider Name | Alexis Rod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083867832 PECOS PAC ID: 0143465872 Enrollment ID: I20130328000163 |
| Provider Name | Brittany N Nordin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528360203 PECOS PAC ID: 7719123124 Enrollment ID: I20130409000245 |
| Provider Name | Gregory C Zenni |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285664789 PECOS PAC ID: 9537168547 Enrollment ID: I20130423000069 |
| Provider Name | Charlene Cureton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932543444 PECOS PAC ID: 5496993917 Enrollment ID: I20130522000724 |
| Provider Name | Samar M Hijazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003888090 PECOS PAC ID: 3274585104 Enrollment ID: I20130607000074 |
| Provider Name | Christopher R Butler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023215803 PECOS PAC ID: 2466692751 Enrollment ID: I20130710000268 |
| Provider Name | Christina Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093151771 PECOS PAC ID: 3870734775 Enrollment ID: I20130718000249 |
| Provider Name | Anil Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669521365 PECOS PAC ID: 1456440932 Enrollment ID: I20130720000021 |
| Provider Name | Kimberley D Jodrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619316056 PECOS PAC ID: 8921249400 Enrollment ID: I20130725000447 |
| Provider Name | Matthew Funch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790079564 PECOS PAC ID: 0840431045 Enrollment ID: I20130731000435 |
| Provider Name | Arianna Newman Warfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922449859 PECOS PAC ID: 0749422582 Enrollment ID: I20130807000926 |
| Provider Name | Natalia A Stovall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275826174 PECOS PAC ID: 7618119256 Enrollment ID: I20130812000597 |
| Provider Name | Elise Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548601693 PECOS PAC ID: 3476795741 Enrollment ID: I20130815000731 |
| Provider Name | Bret A Ferree |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548601461 PECOS PAC ID: 8729012463 Enrollment ID: I20130826001056 |
| Provider Name | Amy Jo Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881027555 PECOS PAC ID: 5698919637 Enrollment ID: I20130913000181 |
| Provider Name | Rebecca M Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689921272 PECOS PAC ID: 9436306123 Enrollment ID: I20131111001115 |
| Provider Name | Scott Sinner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144296161 PECOS PAC ID: 3870561285 Enrollment ID: I20131219001706 |
| Provider Name | Jennifer S Browne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649559105 PECOS PAC ID: 8729258892 Enrollment ID: I20140114001185 |
| Provider Name | Emily J Fisher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578670147 PECOS PAC ID: 3274625017 Enrollment ID: I20140117000242 |
| Provider Name | Shauna Leigh Wojciechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982027033 PECOS PAC ID: 3971733510 Enrollment ID: I20140227001754 |
| Provider Name | Laura K Bange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073944724 PECOS PAC ID: 6204067978 Enrollment ID: I20140321000512 |
| Provider Name | Catherine M Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811315427 PECOS PAC ID: 0143453795 Enrollment ID: I20140506000450 |
| Provider Name | Jacqueline Mary Kerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295155984 PECOS PAC ID: 7810111986 Enrollment ID: I20140610002232 |
| Provider Name | Melissa A Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144630047 PECOS PAC ID: 8820213267 Enrollment ID: I20140630000524 |
| Provider Name | Ravindhar Vodela |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588720023 PECOS PAC ID: 9830381623 Enrollment ID: I20140918000303 |
| Provider Name | Justin N Gibler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467748079 PECOS PAC ID: 3678793619 Enrollment ID: I20140925001487 |
| Provider Name | Joel Korelitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861420135 PECOS PAC ID: 5991727232 Enrollment ID: I20140925002110 |
| Provider Name | Rachel E Gustin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790733897 PECOS PAC ID: 4688679400 Enrollment ID: I20140930003114 |
| Provider Name | James Adam Eppley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033108006 PECOS PAC ID: 5890740559 Enrollment ID: I20141021001413 |
| Provider Name | Cheryl Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578500633 PECOS PAC ID: 0547440422 Enrollment ID: I20141204000818 |
| Provider Name | Crystal L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164679270 PECOS PAC ID: 3779805189 Enrollment ID: I20141212001773 |
| Provider Name | Katrina A Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912307091 PECOS PAC ID: 3779806807 Enrollment ID: I20141222002137 |
| Provider Name | Diane M Koehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073902185 PECOS PAC ID: 9830414424 Enrollment ID: I20150202000517 |
| Provider Name | Neilendu Kundu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750518304 PECOS PAC ID: 6406172535 Enrollment ID: I20150306001392 |
| Provider Name | Christopher Lockey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629120050 PECOS PAC ID: 6406881143 Enrollment ID: I20150529002467 |
| Provider Name | Mary Bogner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639559867 PECOS PAC ID: 2163734013 Enrollment ID: I20150706002555 |
| Provider Name | Kellie M Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386025245 PECOS PAC ID: 4183936784 Enrollment ID: I20150710001403 |
| Provider Name | Jacquelyn A.v. Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033418140 PECOS PAC ID: 0345468047 Enrollment ID: I20150812008482 |
| Provider Name | Patricia Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407237167 PECOS PAC ID: 0345556130 Enrollment ID: I20150824001603 |
| Provider Name | Sarah Kuhnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730595414 PECOS PAC ID: 8729206248 Enrollment ID: I20151019001485 |
| Provider Name | Sotirios Koros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013270768 PECOS PAC ID: 0840443412 Enrollment ID: I20151023000245 |
| Provider Name | Paige E Obert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730565235 PECOS PAC ID: 0345550554 Enrollment ID: I20151029002837 |
| Provider Name | Muhammad Adeel Mahmood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659505535 PECOS PAC ID: 6608014204 Enrollment ID: I20151104000254 |
| Provider Name | Nathon S Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851762058 PECOS PAC ID: 5294045183 Enrollment ID: I20151104002798 |
| Provider Name | Timothy T. Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467823161 PECOS PAC ID: 7911217344 Enrollment ID: I20151113001505 |
| Provider Name | Erica D. Nicolaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245633148 PECOS PAC ID: 8921318296 Enrollment ID: I20151117002019 |
| Provider Name | Chandler T. Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912372194 PECOS PAC ID: 7618279597 Enrollment ID: I20160108002060 |
| Provider Name | Julie C Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871959338 PECOS PAC ID: 5991000275 Enrollment ID: I20160224001650 |
| Provider Name | Sarah Lynn Galbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548631559 PECOS PAC ID: 6901102433 Enrollment ID: I20160309003028 |
| Provider Name | Emilie Grosheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477913218 PECOS PAC ID: 9931406550 Enrollment ID: I20160328000448 |
| Provider Name | Brittany M Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679933238 PECOS PAC ID: 5799082335 Enrollment ID: I20160328000999 |
| Provider Name | Elizabeth A Murdock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700247939 PECOS PAC ID: 0547568461 Enrollment ID: I20160411000074 |
| Provider Name | Natalie R Badawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558727909 PECOS PAC ID: 4486952082 Enrollment ID: I20160414002248 |
| Provider Name | Douglas B Berg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437444981 PECOS PAC ID: 4486819315 Enrollment ID: I20160415001379 |
| Provider Name | Heeran Abawi |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1932337649 PECOS PAC ID: 3577715291 Enrollment ID: I20160503002046 |
| Provider Name | Sarah Mergy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780068502 PECOS PAC ID: 6800185877 Enrollment ID: I20160513001151 |
| Provider Name | Yasir Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851605851 PECOS PAC ID: 6709179427 Enrollment ID: I20160718002426 |
| Provider Name | Yousef Al Ahwel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093946576 PECOS PAC ID: 4385808609 Enrollment ID: I20160719002738 |
| Provider Name | Cory Barrat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336450840 PECOS PAC ID: 4981842127 Enrollment ID: I20160726001007 |
| Provider Name | Dwayne Orlando Myrrol Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467885475 PECOS PAC ID: 8820391147 Enrollment ID: I20160822002279 |
| Provider Name | Mitul Dadhania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063778454 PECOS PAC ID: 8123267689 Enrollment ID: I20160831001666 |
| Provider Name | Amanda M Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942652532 PECOS PAC ID: 2567759020 Enrollment ID: I20160927001209 |
| Provider Name | Angela M Grantmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588110779 PECOS PAC ID: 6800184045 Enrollment ID: I20161004001504 |
| Provider Name | Melissa A Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275942658 PECOS PAC ID: 4486942547 Enrollment ID: I20161005002970 |
| Provider Name | Kendra Chesnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407301112 PECOS PAC ID: 7517255433 Enrollment ID: I20161010001255 |
| Provider Name | Jane P Blinzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104822741 PECOS PAC ID: 3971698010 Enrollment ID: I20161017002253 |
| Provider Name | James E Krempasky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558799627 PECOS PAC ID: 7911295324 Enrollment ID: I20161017002790 |
| Provider Name | Shawn J Yang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245558709 PECOS PAC ID: 2062653777 Enrollment ID: I20161021001478 |
| Provider Name | Lauren N Gettelfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052306 PECOS PAC ID: 0244518322 Enrollment ID: I20161024002434 |
| Provider Name | Diane M. Enzweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760481113 PECOS PAC ID: 8224224993 Enrollment ID: I20161221001058 |
| Provider Name | Kasie N Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821533522 PECOS PAC ID: 8527342567 Enrollment ID: I20170310001831 |
| Provider Name | George Edward Blake |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1174671820 PECOS PAC ID: 0840390381 Enrollment ID: I20170410002708 |
| Provider Name | Megan Louise Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364884 PECOS PAC ID: 4284911157 Enrollment ID: I20170502000532 |
| Provider Name | Swetha L Narayana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255688461 PECOS PAC ID: 9638483811 Enrollment ID: I20170606001585 |
| Provider Name | Pradeep H. Lakshminarayana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780823211 PECOS PAC ID: 7517198583 Enrollment ID: I20170608001863 |
| Provider Name | Dheeraj Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932497054 PECOS PAC ID: 5395962955 Enrollment ID: I20170629001196 |
| Provider Name | Colleen M Alexander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376801274 PECOS PAC ID: 3577832807 Enrollment ID: I20170629002994 |
| Provider Name | Amy Lipscomb |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710923479 PECOS PAC ID: 4587677216 Enrollment ID: I20170706001718 |
| Provider Name | Catherine D. Carnahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799877 PECOS PAC ID: 1052680857 Enrollment ID: I20170711001761 |
| Provider Name | Nancy Schmelzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558890657 PECOS PAC ID: 9537430301 Enrollment ID: I20170814000487 |
| Provider Name | Jonathan T Gully |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740574342 PECOS PAC ID: 8325271828 Enrollment ID: I20170830001809 |
| Provider Name | Mary Nesius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023201944 PECOS PAC ID: 3870762289 Enrollment ID: I20170913003649 |
| Provider Name | Ben M Werneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710409487 PECOS PAC ID: 5991079196 Enrollment ID: I20170927002476 |
| Provider Name | Paul W Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346655966 PECOS PAC ID: 7113143025 Enrollment ID: I20171010001072 |
| Provider Name | Allysia R Billow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306292909 PECOS PAC ID: 7416223870 Enrollment ID: I20171030003280 |
| Provider Name | Katherine Hoban Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548770597 PECOS PAC ID: 7911263678 Enrollment ID: I20171113002246 |
| Provider Name | Tiffany Renee Backinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942716287 PECOS PAC ID: 8224397310 Enrollment ID: I20180118000435 |
| Provider Name | Samantha Ann Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679591234 PECOS PAC ID: 1759304488 Enrollment ID: I20180208001561 |
| Provider Name | Pamela E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851632921 PECOS PAC ID: 8820359391 Enrollment ID: I20180223002156 |
| Provider Name | Anita Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528419223 PECOS PAC ID: 9436447281 Enrollment ID: I20180427001159 |
| Provider Name | Benjamin T Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841679107 PECOS PAC ID: 7517270994 Enrollment ID: I20180601001486 |
| Provider Name | Drew W Dula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386050821 PECOS PAC ID: 7911220512 Enrollment ID: I20180612001109 |
| Provider Name | Francisco Ricardo Lopez Menendez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578858825 PECOS PAC ID: 7416182977 Enrollment ID: I20180625001039 |
| Provider Name | Richard A. Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245289529 PECOS PAC ID: 2769434497 Enrollment ID: I20180710003411 |
| Provider Name | Erin C Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275021131 PECOS PAC ID: 4688920168 Enrollment ID: I20180713001438 |
| Provider Name | Amanda Eileen Herron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902223456 PECOS PAC ID: 4486969284 Enrollment ID: I20180725003839 |
| Provider Name | Abigail Lynne Holbrook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497095277 PECOS PAC ID: 9638484538 Enrollment ID: I20180821000654 |
| Provider Name | Terry L Carman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619233822 PECOS PAC ID: 8820231376 Enrollment ID: I20180821003177 |
| Provider Name | Neha Jeirath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619381936 PECOS PAC ID: 5991920746 Enrollment ID: I20180827000773 |
| Provider Name | Afton Erbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740779651 PECOS PAC ID: 5597015172 Enrollment ID: I20180830003564 |
| Provider Name | Matthew Robert Vajen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881935294 PECOS PAC ID: 6507169257 Enrollment ID: I20180905000923 |
| Provider Name | Lee E Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639657968 PECOS PAC ID: 4284984196 Enrollment ID: I20180913001415 |
| Provider Name | Adam P Kouns |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942509203 PECOS PAC ID: 5799088639 Enrollment ID: I20180926002753 |
| Provider Name | Anna M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962985150 PECOS PAC ID: 0345593448 Enrollment ID: I20181018002044 |
| Provider Name | Sarah M Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437631462 PECOS PAC ID: 1759634066 Enrollment ID: I20181101002990 |
| Provider Name | Angela Wuebbling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538685102 PECOS PAC ID: 6204189483 Enrollment ID: I20181106000761 |
| Provider Name | Andrea Brunacini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538637731 PECOS PAC ID: 2264776061 Enrollment ID: I20181205002111 |
| Provider Name | Jodi Lynn Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518433275 PECOS PAC ID: 1557608973 Enrollment ID: I20190123002884 |
| Provider Name | Todd C Bramlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851650477 PECOS PAC ID: 4981828985 Enrollment ID: I20190227002421 |
| Provider Name | Katherine E. Miltiades |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477027704 PECOS PAC ID: 6608115019 Enrollment ID: I20190301001896 |
| Provider Name | Erika Elaine Andres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144701574 PECOS PAC ID: 7517206949 Enrollment ID: I20190301002404 |
| Provider Name | Umashankar Lakshmanadoss |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447440474 PECOS PAC ID: 5698969186 Enrollment ID: I20190307001689 |
| Provider Name | Tiffany Sue Beedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114496171 PECOS PAC ID: 4789923897 Enrollment ID: I20190307002722 |
| Provider Name | Stephen M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508324468 PECOS PAC ID: 6103169628 Enrollment ID: I20190523001526 |
| Provider Name | Anthony Quintain Carnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780941724 PECOS PAC ID: 8224267117 Enrollment ID: I20190625001975 |
| Provider Name | Jamie A Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235794439 PECOS PAC ID: 6002142627 Enrollment ID: I20190719000822 |
| Provider Name | Ashlee Barker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821449505 PECOS PAC ID: 3577859651 Enrollment ID: I20190806000844 |
| Provider Name | Mahmoud Almasri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982266250 PECOS PAC ID: 5698002095 Enrollment ID: I20190807003981 |
| Provider Name | Jennifer L Calicoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346807062 PECOS PAC ID: 8628305570 Enrollment ID: I20190814004123 |
| Provider Name | Ashlie Krajewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407202260 PECOS PAC ID: 6305137654 Enrollment ID: I20190822003873 |
| Provider Name | Philip S Carson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952665887 PECOS PAC ID: 8022390053 Enrollment ID: I20190823000278 |
| Provider Name | Laura K Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275943151 PECOS PAC ID: 6406173780 Enrollment ID: I20190826002618 |
| Provider Name | Kathryn L Collier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285286575 PECOS PAC ID: 1052640752 Enrollment ID: I20190905001610 |
| Provider Name | Adi Carmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922462258 PECOS PAC ID: 2567757479 Enrollment ID: I20190913002211 |
| Provider Name | John Kpaeyeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427375146 PECOS PAC ID: 1658694385 Enrollment ID: I20190916001661 |
| Provider Name | Abigail Mowry Tremelling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740624857 PECOS PAC ID: 5092946293 Enrollment ID: I20190916001926 |
| Provider Name | Megan Krallman Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730538323 PECOS PAC ID: 9931496940 Enrollment ID: I20190925003114 |
| Provider Name | Scott H Armentrout |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619002987 PECOS PAC ID: 2062742570 Enrollment ID: I20190926001367 |
| Provider Name | Hillary Caroline Carnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659638617 PECOS PAC ID: 9133443831 Enrollment ID: I20191002002939 |
| Provider Name | Priyanka Kakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205928959 PECOS PAC ID: 5698812733 Enrollment ID: I20191003002091 |
| Provider Name | Zachary Wayne Bear |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124313614 PECOS PAC ID: 0446552913 Enrollment ID: I20191008002769 |
| Provider Name | Kirsten Mosko |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023665775 PECOS PAC ID: 7719219807 Enrollment ID: I20191022002104 |
| Provider Name | Amber N. Bramlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295032902 PECOS PAC ID: 7517149354 Enrollment ID: I20191028001937 |
| Provider Name | Adam Raskin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225264914 PECOS PAC ID: 3971815101 Enrollment ID: I20191111001025 |
| Provider Name | Christian Docena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689061848 PECOS PAC ID: 9335445527 Enrollment ID: I20191114000894 |
| Provider Name | Tiffany Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528549706 PECOS PAC ID: 0941554141 Enrollment ID: I20191114002113 |
| Provider Name | Chelsea Taylor Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861035719 PECOS PAC ID: 6002240413 Enrollment ID: I20191217003337 |
| Provider Name | Daniel Caleb Persinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780939462 PECOS PAC ID: 0143594283 Enrollment ID: I20200110000529 |
| Provider Name | Kara L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618366 PECOS PAC ID: 1153758438 Enrollment ID: I20200226001454 |
| Provider Name | Subhankar Chakraborty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851685812 PECOS PAC ID: 1850515081 Enrollment ID: I20200226001587 |
| Provider Name | Kristin D Lipsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194364570 PECOS PAC ID: 9133557606 Enrollment ID: I20200316001481 |
| Provider Name | Timothy Mitchel Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770052185 PECOS PAC ID: 4385073774 Enrollment ID: I20200406003303 |
| Provider Name | Taya Miller Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235778481 PECOS PAC ID: 9436588845 Enrollment ID: I20200407000870 |
| Provider Name | Kara R Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871124388 PECOS PAC ID: 0648601633 Enrollment ID: I20200506002585 |
| Provider Name | Clara Normanyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851746762 PECOS PAC ID: 0840584546 Enrollment ID: I20200612001946 |
| Provider Name | Andrew M Kalthoff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518358381 PECOS PAC ID: 6204135361 Enrollment ID: I20200618001722 |
| Provider Name | Brandy M Gettys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447781158 PECOS PAC ID: 2365713484 Enrollment ID: I20200624001680 |
| Provider Name | Amita Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437387644 PECOS PAC ID: 1254642069 Enrollment ID: I20200713000899 |
| Provider Name | Ankur Girdhar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093964520 PECOS PAC ID: 4981822558 Enrollment ID: I20200713003405 |
| Provider Name | Emmanuel Ofori |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760881304 PECOS PAC ID: 2163723347 Enrollment ID: I20200715003215 |
| Provider Name | Joel C Daley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700306545 PECOS PAC ID: 1052735719 Enrollment ID: I20200728002033 |
| Provider Name | Ashley Wellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184135535 PECOS PAC ID: 9638404551 Enrollment ID: I20200729000945 |
| Provider Name | Bradley A King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215357033 PECOS PAC ID: 1658598370 Enrollment ID: I20200731002207 |
| Provider Name | Mark W Gelpi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821417056 PECOS PAC ID: 3870886161 Enrollment ID: I20200810001311 |
| Provider Name | Korey M Haddox |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053754838 PECOS PAC ID: 1850533431 Enrollment ID: I20200813002414 |
| Provider Name | Adeeti Jaya Chiplunker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356630727 PECOS PAC ID: 5890111819 Enrollment ID: I20200820001199 |
| Provider Name | Shante S Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841773652 PECOS PAC ID: 8224454590 Enrollment ID: I20200824003302 |
| Provider Name | Aaron Schklar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467972299 PECOS PAC ID: 3072930775 Enrollment ID: I20200826001874 |
| Provider Name | Nicholas A Eberly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861887515 PECOS PAC ID: 6204102833 Enrollment ID: I20200827002352 |
| Provider Name | Ankit Bansal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881031722 PECOS PAC ID: 6305086687 Enrollment ID: I20200831001606 |
| Provider Name | Daniel K Washko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437566312 PECOS PAC ID: 9537465257 Enrollment ID: I20200902002079 |
| Provider Name | Brittany C Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962026146 PECOS PAC ID: 7719305044 Enrollment ID: I20200917001798 |
| Provider Name | Kyle Mitts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518372382 PECOS PAC ID: 0547583148 Enrollment ID: I20200924000608 |
| Provider Name | Robert J Miles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194161778 PECOS PAC ID: 2668614389 Enrollment ID: I20200925001710 |
| Provider Name | Amy L Malmedahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780298703 PECOS PAC ID: 7315366978 Enrollment ID: I20200930003056 |
| Provider Name | Lindsey N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275131302 PECOS PAC ID: 1850701277 Enrollment ID: I20201113000121 |
| Provider Name | Luke Anthony Shivers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881040392 PECOS PAC ID: 4688968910 Enrollment ID: I20201207001533 |
| Provider Name | Brian Chilelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851557664 PECOS PAC ID: 6305070244 Enrollment ID: I20201214002303 |
| Provider Name | Nina M Oberschmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275037947 PECOS PAC ID: 5799040424 Enrollment ID: I20210112001746 |
| Provider Name | Thomas D Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730441924 PECOS PAC ID: 8628294428 Enrollment ID: I20210303001265 |
| Provider Name | Lisa M Lengerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319889 PECOS PAC ID: 1557778818 Enrollment ID: I20210402000171 |
| Provider Name | Patrick David Scheurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306431713 PECOS PAC ID: 4587071865 Enrollment ID: I20210402000934 |
| Provider Name | Lara Stollar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861787145 PECOS PAC ID: 7416364682 Enrollment ID: I20210406001310 |
| Provider Name | Michael Scott Laidlaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578760153 PECOS PAC ID: 9032307335 Enrollment ID: I20210408001956 |
| Provider Name | Kathryn A Pardekooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669052254 PECOS PAC ID: 6406255686 Enrollment ID: I20210519002536 |
| Provider Name | Sean Matthew Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770070831 PECOS PAC ID: 8224387824 Enrollment ID: I20210610002941 |
| Provider Name | Stephen Adu-yeboah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902332075 PECOS PAC ID: 4284902941 Enrollment ID: I20210702002195 |
| Provider Name | Courtney Fortner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598269805 PECOS PAC ID: 5890045421 Enrollment ID: I20210709002323 |
| Provider Name | Courtney Snider |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750867990 PECOS PAC ID: 1759639909 Enrollment ID: I20210714003437 |
| Provider Name | Moses K Wananu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649546748 PECOS PAC ID: 1254560816 Enrollment ID: I20210727001291 |
| Provider Name | Brandon John Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124523105 PECOS PAC ID: 9032466875 Enrollment ID: I20210729001915 |
| Provider Name | Anna L Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346819190 PECOS PAC ID: 6002210937 Enrollment ID: I20210813001757 |
| Provider Name | Claire M Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003296302 PECOS PAC ID: 8325315815 Enrollment ID: I20210825003595 |
| Provider Name | Lindsay Ann Sobotka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275927105 PECOS PAC ID: 0143539635 Enrollment ID: I20210827001618 |
| Provider Name | Shreenivasan Shanmugam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215415419 PECOS PAC ID: 4789920877 Enrollment ID: I20210908002448 |
| Provider Name | Benjamin Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184292336 PECOS PAC ID: 3779980909 Enrollment ID: I20210930000990 |
| Provider Name | Solomon Korssa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306298138 PECOS PAC ID: 1052719242 Enrollment ID: I20211001000377 |
| Provider Name | Erin S Stacy-hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508528373 PECOS PAC ID: 2466841366 Enrollment ID: I20211115002901 |
| Provider Name | Amanda L Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619646072 PECOS PAC ID: 0244629970 Enrollment ID: I20211117002717 |
| Provider Name | Anna Alyse Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861161218 PECOS PAC ID: 1052702891 Enrollment ID: I20220105000698 |
| Provider Name | Kristin Elizabeth Brausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265183867 PECOS PAC ID: 6002200573 Enrollment ID: I20220225001588 |
| Provider Name | Morgan Andrea Pennekamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679226542 PECOS PAC ID: 1658765987 Enrollment ID: I20220302000317 |
| Provider Name | Madeleine Ann Fortener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974595 PECOS PAC ID: 8325432529 Enrollment ID: I20220304000968 |
| Provider Name | Jessica L Stairhime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426017 PECOS PAC ID: 8628463262 Enrollment ID: I20220318000561 |
| Provider Name | Sarah Anne Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891388351 PECOS PAC ID: 3375938822 Enrollment ID: I20220318001402 |
| Provider Name | Christina Nicole Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952044315 PECOS PAC ID: 4284012535 Enrollment ID: I20220527001906 |
| Provider Name | Katheryne Renee Ruck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538621263 PECOS PAC ID: 8123448479 Enrollment ID: I20220629001966 |
| Provider Name | Jared Galloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114487758 PECOS PAC ID: 1951637818 Enrollment ID: I20220803000821 |
| Provider Name | Tamara Aishamarryshow Huson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982124244 PECOS PAC ID: 8426473182 Enrollment ID: I20220803003914 |
| Provider Name | Esana Pokhrel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962064303 PECOS PAC ID: 4880077221 Enrollment ID: I20220817001187 |
| Provider Name | Dinesh Chauwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922568765 PECOS PAC ID: 9436534450 Enrollment ID: I20220912002562 |
| Provider Name | Auditi Kundu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245898675 PECOS PAC ID: 9931434297 Enrollment ID: I20220912003865 |
| Provider Name | Mary F Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750615282 PECOS PAC ID: 0143405399 Enrollment ID: I20220916001368 |
| Provider Name | Cameron L Stump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275194664 PECOS PAC ID: 2062748460 Enrollment ID: I20220924000081 |
| Provider Name | Luke Armor Glischinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902545049 PECOS PAC ID: 8123404027 Enrollment ID: I20220929002974 |
| Provider Name | Huong L Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669962502 PECOS PAC ID: 5890032098 Enrollment ID: I20221005002591 |
| Provider Name | Deepti Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659735173 PECOS PAC ID: 3779876198 Enrollment ID: I20221024002218 |
| Provider Name | Rebecca Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548720238 PECOS PAC ID: 4183957442 Enrollment ID: I20221227000561 |
| Provider Name | Ebenezer Enchia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417305558 PECOS PAC ID: 4880926054 Enrollment ID: I20230719001233 |
| Provider Name | Jamesha S Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083241608 PECOS PAC ID: 6507277753 Enrollment ID: I20230808002871 |
| Provider Name | Joseph R Kershner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104454313 PECOS PAC ID: 7113358649 Enrollment ID: I20230824003188 |
| Provider Name | Laura Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801424411 PECOS PAC ID: 9133582497 Enrollment ID: I20230905000771 |
| Provider Name | Brandon Michael Parr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336769702 PECOS PAC ID: 8527481118 Enrollment ID: I20230905001076 |
| Provider Name | Tyler Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679100580 PECOS PAC ID: 3678991676 Enrollment ID: I20230906000594 |
| Provider Name | Michael Charles Butrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285262022 PECOS PAC ID: 6608298500 Enrollment ID: I20230906003702 |
| Provider Name | Jennifer Macswords |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336625680 PECOS PAC ID: 8820421795 Enrollment ID: I20231013000810 |
| Provider Name | Pamela A Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295901023 PECOS PAC ID: 0749318889 Enrollment ID: I20231024002302 |
| Provider Name | Megan M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891324174 PECOS PAC ID: 6709217292 Enrollment ID: I20231031002979 |
| Provider Name | Robert Battisti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346501319 PECOS PAC ID: 4789992272 Enrollment ID: I20231122000486 |
| Provider Name | Annie K Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356787550 PECOS PAC ID: 3072813963 Enrollment ID: I20231128001977 |
| Provider Name | Deborah Farber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194353235 PECOS PAC ID: 1153772462 Enrollment ID: I20240111001755 |
| Provider Name | Jillian M Atherton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356987960 PECOS PAC ID: 6901257013 Enrollment ID: I20240112001051 |
| Provider Name | Kelci Elizabeth Tull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164290243 PECOS PAC ID: 7214373745 Enrollment ID: I20240307000077 |
| Provider Name | Ashlyn Renate Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417737867 PECOS PAC ID: 9638515356 Enrollment ID: I20240315001517 |
| Provider Name | Melody G Belcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790367860 PECOS PAC ID: 1759781701 Enrollment ID: I20240410001062 |
| Provider Name | Ashley Mallory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730542077 PECOS PAC ID: 1658669296 Enrollment ID: I20240506001701 |
| Provider Name | Sudhindra Pydimarri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295001204 PECOS PAC ID: 5395064695 Enrollment ID: I20240710003924 |
| Provider Name | Andrew Joseph Merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497334213 PECOS PAC ID: 2264833730 Enrollment ID: I20240717003394 |
| Provider Name | Kiersten Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700413796 PECOS PAC ID: 2961833389 Enrollment ID: I20240723003571 |
| Provider Name | Lindsey Buelterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750982682 PECOS PAC ID: 1254879414 Enrollment ID: I20240819003325 |
| Provider Name | Justin M York |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598348252 PECOS PAC ID: 7012314537 Enrollment ID: I20240905002862 |
| Provider Name | Jeremiah Alan Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518546993 PECOS PAC ID: 3779986567 Enrollment ID: I20240912000652 |
| Provider Name | Nadeen Kassir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295306330 PECOS PAC ID: 2163829680 Enrollment ID: I20240919002991 |
| Provider Name | Neel P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598345480 PECOS PAC ID: 6709327034 Enrollment ID: I20240926000600 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639749948 PECOS PAC ID: 2961803648 Enrollment ID: I20241001004236 |
| Provider Name | Krista Lee Burridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417538323 PECOS PAC ID: 1456883214 Enrollment ID: I20241017002061 |
| Provider Name | Grant Ridgway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568049286 PECOS PAC ID: 9537568464 Enrollment ID: I20241022001507 |
| Provider Name | Ifeoma N Okafor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255910139 PECOS PAC ID: 8123427168 Enrollment ID: I20241024004102 |
| Provider Name | Matthew Gaffney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639664501 PECOS PAC ID: 1850641689 Enrollment ID: I20241108003782 |
| Provider Name | Jai Chirravuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720656408 PECOS PAC ID: 9436686631 Enrollment ID: I20241230003290 |
| Provider Name | Jordan Danielle Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144804931 PECOS PAC ID: 8820492184 Enrollment ID: I20250206001336 |
| Provider Name | Lauren Nicole Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497520845 PECOS PAC ID: 0042732646 Enrollment ID: I20250324000654 |
| Provider Name | Michael Caudy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275502213 PECOS PAC ID: 3274622014 Enrollment ID: I20250611002267 |
Winton Hills Medical & Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Maple St, Cincinnati, OH 45216 Phone: 513-242-1033 Fax: 513-242-1539 | |
Trihealth Q, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7825 Laurel Ave, Cincinnati, OH 45243 Phone: 513-561-4811 Fax: 513-561-2730 | |
Neighborhood Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 Clifton Ave., Cincinnati, OH 45219 Phone: 513-363-7555 | |
Winton Hills Medical And Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7005 Reading Rd, Cincinnati, OH 45237 Phone: 513-242-1033 Fax: 513-242-1539 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 | |
East Total Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ohio Pike, Cincinnati, OH 45245 Phone: 513-753-7000 Fax: 513-753-7078 | |
University Family Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Crescent Ave, Cincinnati, OH 45215 Phone: 513-821-0275 Fax: 513-821-3621 |