| Mercy Health Columbiana Podiatry | |
|
1044 Belmont Ave Youngstown OH 44504-1006 | |
| (330) 746-7211 | |
| Not Available |
| Full Name | Mercy Health Columbiana Podiatry |
|---|---|
| Speciality | Family Medicine |
| Location | 1044 Belmont Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Cassie Havlin (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5139525210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Columbiana Podiatry 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: (888) 940-2722 | Mercy Health Columbiana Podiatry 1044 Belmont Ave Youngstown OH 44504-1006 Ph: (330) 746-7211 |
| NPI Number | 1154636066 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 10/31/2022 |
| Medicare PECOS PAC ID | 9234318270 |
|---|---|
| Medicare Enrollment ID | O20110124000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154636066 | NPI | - | NPPES |
| 3136878 | Medicaid | OH |
| Provider Name | James Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760416200 PECOS PAC ID: 0446164503 Enrollment ID: I20031114000054 |
| Provider Name | Philip Edward Calendine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134233869 PECOS PAC ID: 1153235759 Enrollment ID: I20031118000418 |
| Provider Name | Scott Thomas Welton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396746236 PECOS PAC ID: 1456257518 Enrollment ID: I20031209001050 |
| Provider Name | Melissa Baujan Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336100916 PECOS PAC ID: 7911803895 Enrollment ID: I20031210001091 |
| Provider Name | Michael Levey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598731127 PECOS PAC ID: 4082510839 Enrollment ID: I20031211000341 |
| Provider Name | Harlan D Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255305371 PECOS PAC ID: 1759287501 Enrollment ID: I20031211000372 |
| Provider Name | Gregg A Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700884004 PECOS PAC ID: 8325947591 Enrollment ID: I20040107000313 |
| Provider Name | Heath A Dorion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134115900 PECOS PAC ID: 8224938428 Enrollment ID: I20040113000295 |
| Provider Name | Chakri Yarlagadda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003846056 PECOS PAC ID: 6709788748 Enrollment ID: I20040121000982 |
| Provider Name | Douglas Styka |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255481206 PECOS PAC ID: 9234032889 Enrollment ID: I20040130000216 |
| Provider Name | Elizabeth L Myer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134144355 PECOS PAC ID: 1759274061 Enrollment ID: I20040202001091 |
| Provider Name | Jonathan Rubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548285620 PECOS PAC ID: 6507751559 Enrollment ID: I20040218000532 |
| Provider Name | Charles E Wilkins |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427134345 PECOS PAC ID: 8921996216 Enrollment ID: I20040309000001 |
| Provider Name | Rajeshkumar N Saraiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700883543 PECOS PAC ID: 4082505433 Enrollment ID: I20040324000009 |
| Provider Name | Paul A Pathadan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861444648 PECOS PAC ID: 1052203056 Enrollment ID: I20040325001173 |
| Provider Name | Chad L Volovar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396732483 PECOS PAC ID: 2264324177 Enrollment ID: I20040326000050 |
| Provider Name | Ravi P Kodali |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962587295 PECOS PAC ID: 4486552197 Enrollment ID: I20040408001379 |
| Provider Name | Koula Coliadis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568410199 PECOS PAC ID: 1850383977 Enrollment ID: I20040414001020 |
| Provider Name | Susan Phelps |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316006612 PECOS PAC ID: 7315932738 Enrollment ID: I20040416000004 |
| Provider Name | Daniel O Donkor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750338158 PECOS PAC ID: 2264427525 Enrollment ID: I20040416000343 |
| Provider Name | Todd Klausner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407821283 PECOS PAC ID: 0244226280 Enrollment ID: I20040423000713 |
| Provider Name | Nadeem Iqbal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043281298 PECOS PAC ID: 8921096298 Enrollment ID: I20040505000019 |
| Provider Name | Laurian Dean |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043299274 PECOS PAC ID: 5890785349 Enrollment ID: I20040517000018 |
| Provider Name | Albert J Cook |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932134897 PECOS PAC ID: 4385631639 Enrollment ID: I20040604000715 |
| Provider Name | Gerald S Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972508711 PECOS PAC ID: 7113901695 Enrollment ID: I20040614000847 |
| Provider Name | Lawrence M Porter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689603995 PECOS PAC ID: 2769396365 Enrollment ID: I20040618000022 |
| Provider Name | Paul Nathan Gould |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548218175 PECOS PAC ID: 6103801618 Enrollment ID: I20040621000126 |
| Provider Name | Muhammad Nurul Momen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366533762 PECOS PAC ID: 4284610536 Enrollment ID: I20040628000127 |
| Provider Name | Timothy John Barreiro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679670707 PECOS PAC ID: 3678550340 Enrollment ID: I20040630000921 |
| Provider Name | Ronald A Rhodes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760570139 PECOS PAC ID: 9931186475 Enrollment ID: I20040702000317 |
| Provider Name | Bahaa Azmy Awadalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891763728 PECOS PAC ID: 2860479060 Enrollment ID: I20040706001003 |
| Provider Name | Barbara R Kohut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114993003 PECOS PAC ID: 7810976396 Enrollment ID: I20040717000425 |
| Provider Name | Brett Allen Rush |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710943691 PECOS PAC ID: 5991776197 Enrollment ID: I20040802001627 |
| Provider Name | Nancy L Gantt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982709366 PECOS PAC ID: 2466423199 Enrollment ID: I20040804001689 |
| Provider Name | Dominic F Conti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983495 PECOS PAC ID: 0840262564 Enrollment ID: I20040811001354 |
| Provider Name | Mary J Wall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265405237 PECOS PAC ID: 9032182829 Enrollment ID: I20040819000075 |
| Provider Name | Steven J Deutch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093747974 PECOS PAC ID: 4486628161 Enrollment ID: I20040819001653 |
| Provider Name | Jacques S St Julien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487637245 PECOS PAC ID: 1456329952 Enrollment ID: I20040922000801 |
| Provider Name | Ann Marie Bonetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851390769 PECOS PAC ID: 0547220857 Enrollment ID: I20041012000774 |
| Provider Name | Jayshree R Saraiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366449233 PECOS PAC ID: 0941265383 Enrollment ID: I20041124000340 |
| Provider Name | Dean Shanley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477552990 PECOS PAC ID: 7416936398 Enrollment ID: I20041210000921 |
| Provider Name | Steven L Ballas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326039447 PECOS PAC ID: 0941282479 Enrollment ID: I20041221000030 |
| Provider Name | Richard D Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922118934 PECOS PAC ID: 4385602010 Enrollment ID: I20041228001003 |
| Provider Name | Michael V Farris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548238520 PECOS PAC ID: 7214985894 Enrollment ID: I20050111000074 |
| Provider Name | Jagdish H Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235129404 PECOS PAC ID: 1254380256 Enrollment ID: I20050118000068 |
| Provider Name | Mark H Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972507846 PECOS PAC ID: 3072562669 Enrollment ID: I20050121000014 |
| Provider Name | Thomas R Timko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467456319 PECOS PAC ID: 7214823418 Enrollment ID: I20050121000343 |
| Provider Name | Denis R Lunne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043214992 PECOS PAC ID: 4486540689 Enrollment ID: I20050121000359 |
| Provider Name | Cynthia Ann Kravec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073618450 PECOS PAC ID: 0840240685 Enrollment ID: I20050128000543 |
| Provider Name | John M Sorboro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932110400 PECOS PAC ID: 3678524295 Enrollment ID: I20050201000605 |
| Provider Name | Vincent J Malkovits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104801984 PECOS PAC ID: 8820049240 Enrollment ID: I20050202001090 |
| Provider Name | Adrian Ieraci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376522326 PECOS PAC ID: 4981655305 Enrollment ID: I20050202001105 |
| Provider Name | Lisa N Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558359034 PECOS PAC ID: 4587617162 Enrollment ID: I20050223000470 |
| Provider Name | Sohair Kamel Rostom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306876693 PECOS PAC ID: 8325092521 Enrollment ID: I20050310000443 |
| Provider Name | Mourad Louis Rostom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427088715 PECOS PAC ID: 9739133943 Enrollment ID: I20050310000537 |
| Provider Name | Urwa Barakat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124132691 PECOS PAC ID: 4688629306 Enrollment ID: I20050316000011 |
| Provider Name | David N Baer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093710808 PECOS PAC ID: 2769438464 Enrollment ID: I20050325000111 |
| Provider Name | Laurie L Flowers |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720112261 PECOS PAC ID: 9638116262 Enrollment ID: I20050414000514 |
| Provider Name | Andrew E Schmutz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306829031 PECOS PAC ID: 0749237105 Enrollment ID: I20050418000349 |
| Provider Name | Andrew Michael Rabin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629154984 PECOS PAC ID: 2062451909 Enrollment ID: I20050429000074 |
| Provider Name | Thomas D Macabobby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104820059 PECOS PAC ID: 1759321235 Enrollment ID: I20050504000235 |
| Provider Name | David Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346218096 PECOS PAC ID: 5496796179 Enrollment ID: I20050512001097 |
| Provider Name | Venu Vanam Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962478529 PECOS PAC ID: 5193766368 Enrollment ID: I20050518000298 |
| Provider Name | Harriet F Lemberger Schor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063442325 PECOS PAC ID: 4880637685 Enrollment ID: I20050602000787 |
| Provider Name | David Magee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770558579 PECOS PAC ID: 4385688126 Enrollment ID: I20050614000038 |
| Provider Name | Brian Scott Gruber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518072784 PECOS PAC ID: 7719921972 Enrollment ID: I20050617000680 |
| Provider Name | Jayesh K Hari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801861620 PECOS PAC ID: 5193769271 Enrollment ID: I20050620000611 |
| Provider Name | Adam A Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124127063 PECOS PAC ID: 0941244032 Enrollment ID: I20050620000683 |
| Provider Name | Nauman Naeem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093706764 PECOS PAC ID: 6002852084 Enrollment ID: I20050629001063 |
| Provider Name | William P Mansfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467421917 PECOS PAC ID: 2365488145 Enrollment ID: I20050701000235 |
| Provider Name | Robert W Woodruff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659351617 PECOS PAC ID: 5092751420 Enrollment ID: I20050707000161 |
| Provider Name | Jeffrey R Hawk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881755338 PECOS PAC ID: 0749214807 Enrollment ID: I20050919001103 |
| Provider Name | Michael Millin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487693271 PECOS PAC ID: 1557396090 Enrollment ID: I20051003000906 |
| Provider Name | Fareedah Zakiyyah Goodwin - Capers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952380966 PECOS PAC ID: 4880619972 Enrollment ID: I20051010000059 |
| Provider Name | Charles L Demario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629070552 PECOS PAC ID: 7810981040 Enrollment ID: I20051018000233 |
| Provider Name | Karen A Gapinski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1386819829 PECOS PAC ID: 7517985641 Enrollment ID: I20051108000252 |
| Provider Name | Subhash Khaterpaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154394237 PECOS PAC ID: 7012936032 Enrollment ID: I20051121000107 |
| Provider Name | Sriram Choudary Perni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790880177 PECOS PAC ID: 7719908615 Enrollment ID: I20051207000487 |
| Provider Name | Douglas Cifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689677544 PECOS PAC ID: 8224059969 Enrollment ID: I20051209000418 |
| Provider Name | James F Kravec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316052590 PECOS PAC ID: 1759304744 Enrollment ID: I20060105000031 |
| Provider Name | Matthew Sebastian |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245322411 PECOS PAC ID: 0244253060 Enrollment ID: I20060109000005 |
| Provider Name | John M Manenti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720065071 PECOS PAC ID: 4789698564 Enrollment ID: I20060131000967 |
| Provider Name | Shane K Backus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184697484 PECOS PAC ID: 9032126628 Enrollment ID: I20060307000269 |
| Provider Name | Jocelyn F Shimek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255336459 PECOS PAC ID: 4284642901 Enrollment ID: I20060322000381 |
| Provider Name | William B Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679500185 PECOS PAC ID: 0941219760 Enrollment ID: I20060406000141 |
| Provider Name | William M Strub |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467410068 PECOS PAC ID: 0941219125 Enrollment ID: I20060417000440 |
| Provider Name | David S Passerini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235180746 PECOS PAC ID: 3577574953 Enrollment ID: I20060523000107 |
| Provider Name | Andrew C Neckers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588690002 PECOS PAC ID: 9436161734 Enrollment ID: I20060706000008 |
| Provider Name | Elliot Philipson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598791139 PECOS PAC ID: 1254343460 Enrollment ID: I20060706000192 |
| Provider Name | Armand L Minotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609859214 PECOS PAC ID: 1052330446 Enrollment ID: I20060711000385 |
| Provider Name | Daniel Ionescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861434748 PECOS PAC ID: 5991718918 Enrollment ID: I20060717000105 |
| Provider Name | John A Dumot |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609813484 PECOS PAC ID: 2668485574 Enrollment ID: I20060719000068 |
| Provider Name | Suzan L Selim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447264825 PECOS PAC ID: 5294739181 Enrollment ID: I20060907000326 |
| Provider Name | William Brendan Woods |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164424651 PECOS PAC ID: 7113954637 Enrollment ID: I20060914000412 |
| Provider Name | Anita S Jeyakumar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548362486 PECOS PAC ID: 7416951975 Enrollment ID: I20060914000445 |
| Provider Name | David W Regule |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730193533 PECOS PAC ID: 7214932722 Enrollment ID: I20060915000253 |
| Provider Name | Jeffrey W Kempe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629090931 PECOS PAC ID: 3870598238 Enrollment ID: I20060919000295 |
| Provider Name | Collin D Kroen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881659217 PECOS PAC ID: 1456358936 Enrollment ID: I20061025000461 |
| Provider Name | Bipin Manubha Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477530491 PECOS PAC ID: 8224035449 Enrollment ID: I20061101000334 |
| Provider Name | Moni Stein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083662803 PECOS PAC ID: 3971405242 Enrollment ID: I20061109000073 |
| Provider Name | Donald Imwalle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164461372 PECOS PAC ID: 5395743082 Enrollment ID: I20061113000139 |
| Provider Name | Thomas J Zarlingo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447235064 PECOS PAC ID: 9032117551 Enrollment ID: I20061117000023 |
| Provider Name | James H Kondolios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073592663 PECOS PAC ID: 2466439658 Enrollment ID: I20061120000526 |
| Provider Name | Roy N Morcos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578545943 PECOS PAC ID: 9830197854 Enrollment ID: I20061129000160 |
| Provider Name | Heba L Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205916418 PECOS PAC ID: 8426057175 Enrollment ID: I20061207000210 |
| Provider Name | Jon Arnott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902897721 PECOS PAC ID: 2668471145 Enrollment ID: I20061211000368 |
| Provider Name | Dung B Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736625 PECOS PAC ID: 3375537590 Enrollment ID: I20070322000372 |
| Provider Name | Lokesh B Ningegowda |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1881723906 PECOS PAC ID: 7618071192 Enrollment ID: I20070323000163 |
| Provider Name | Jesse V Mcclain |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1396891792 PECOS PAC ID: 1254436272 Enrollment ID: I20070420000063 |
| Provider Name | Nathan B Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417175746 PECOS PAC ID: 7214035708 Enrollment ID: I20070612000049 |
| Provider Name | Syed Zaidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568678225 PECOS PAC ID: 5496853673 Enrollment ID: I20070612000397 |
| Provider Name | Thomas Traikoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134116221 PECOS PAC ID: 3274423280 Enrollment ID: I20070613000098 |
| Provider Name | Cheri M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922196237 PECOS PAC ID: 5890894984 Enrollment ID: I20070705000004 |
| Provider Name | Kevin P Weber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558571323 PECOS PAC ID: 7012017981 Enrollment ID: I20070706000039 |
| Provider Name | Donald Joseph Tamulonis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073511531 PECOS PAC ID: 1850394032 Enrollment ID: I20070720000367 |
| Provider Name | Andrew Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114084878 PECOS PAC ID: 7618079088 Enrollment ID: I20070803000602 |
| Provider Name | Robert Charles Mcclusky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124087218 PECOS PAC ID: 2668434259 Enrollment ID: I20070808000194 |
| Provider Name | Thomas Edward Rachner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093778243 PECOS PAC ID: 0941304257 Enrollment ID: I20070921000062 |
| Provider Name | Wahoub M Hout |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962432906 PECOS PAC ID: 2961598628 Enrollment ID: I20071011000386 |
| Provider Name | Mark Leo Billy |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1538143508 PECOS PAC ID: 0941398804 Enrollment ID: I20071112000176 |
| Provider Name | James Weber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447369491 PECOS PAC ID: 8123913241 Enrollment ID: I20071120000072 |
| Provider Name | John K Sontich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013058908 PECOS PAC ID: 4486742566 Enrollment ID: I20071127000275 |
| Provider Name | William Pusser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750574513 PECOS PAC ID: 3678653706 Enrollment ID: I20080102000364 |
| Provider Name | Vikram Krishnasetty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326039504 PECOS PAC ID: 8426157389 Enrollment ID: I20080218000439 |
| Provider Name | Rudolph M Krafft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659476695 PECOS PAC ID: 1254415532 Enrollment ID: I20080226000109 |
| Provider Name | Phillip Snyder |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013002989 PECOS PAC ID: 3779667688 Enrollment ID: I20080229000406 |
| Provider Name | Timothy A Hric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427234293 PECOS PAC ID: 7315021268 Enrollment ID: I20080301000065 |
| Provider Name | Ronald Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801992326 PECOS PAC ID: 7618072216 Enrollment ID: I20080306000014 |
| Provider Name | Diane T Kupensky |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194893230 PECOS PAC ID: 3870678485 Enrollment ID: I20080306000534 |
| Provider Name | Michele D Benedict |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467567719 PECOS PAC ID: 5890874697 Enrollment ID: I20080506000026 |
| Provider Name | Shunaid M Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477726743 PECOS PAC ID: 1951473941 Enrollment ID: I20080708000614 |
| Provider Name | Shannon M Barillare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285820175 PECOS PAC ID: 0648340877 Enrollment ID: I20080725000686 |
| Provider Name | John D Scrocco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245350784 PECOS PAC ID: 1456426261 Enrollment ID: I20080813000492 |
| Provider Name | Robert Edward Hunt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376513853 PECOS PAC ID: 7113919804 Enrollment ID: I20080820000377 |
| Provider Name | Francis Michael Castellano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427263011 PECOS PAC ID: 5890862643 Enrollment ID: I20080922000179 |
| Provider Name | Timothy M Meier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750478590 PECOS PAC ID: 3476620790 Enrollment ID: I20080927000285 |
| Provider Name | Antonio C Burnett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386677698 PECOS PAC ID: 0840196945 Enrollment ID: I20080930000403 |
| Provider Name | Stephanie E Eastek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023276326 PECOS PAC ID: 6608944632 Enrollment ID: I20081003000750 |
| Provider Name | Tara Jolene Scheufler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063566826 PECOS PAC ID: 7315954658 Enrollment ID: I20081230000438 |
| Provider Name | Ted W Faull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770560724 PECOS PAC ID: 7618881053 Enrollment ID: I20090106000001 |
| Provider Name | Matthew Danneman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821209115 PECOS PAC ID: 9133282593 Enrollment ID: I20090112000049 |
| Provider Name | Denise Bobovnyik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902876964 PECOS PAC ID: 1456370915 Enrollment ID: I20090303000468 |
| Provider Name | Homer L Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073617197 PECOS PAC ID: 0345306684 Enrollment ID: I20090311000464 |
| Provider Name | Jeffrey D Kleinman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639171184 PECOS PAC ID: 0749231652 Enrollment ID: I20090423000054 |
| Provider Name | Emad S Baky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922172832 PECOS PAC ID: 4082763669 Enrollment ID: I20090602000052 |
| Provider Name | Vincent W Vanek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780780205 PECOS PAC ID: 5193875458 Enrollment ID: I20090608000218 |
| Provider Name | Thomas E Heffernan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245420884 PECOS PAC ID: 7214002930 Enrollment ID: I20090623000743 |
| Provider Name | Bill Boshell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689885972 PECOS PAC ID: 5092866350 Enrollment ID: I20090625000565 |
| Provider Name | Teresa E Mellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003062670 PECOS PAC ID: 5890852461 Enrollment ID: I20090701000071 |
| Provider Name | Laura Ann Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588647861 PECOS PAC ID: 3072529346 Enrollment ID: I20090707000194 |
| Provider Name | Joshua R Houser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720135684 PECOS PAC ID: 3779654959 Enrollment ID: I20090724000491 |
| Provider Name | Stephanie A Kopey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730397431 PECOS PAC ID: 1759436421 Enrollment ID: I20090901000523 |
| Provider Name | Amy L Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669706255 PECOS PAC ID: 1951449230 Enrollment ID: I20091105000662 |
| Provider Name | Anjali Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326055856 PECOS PAC ID: 9638189905 Enrollment ID: I20091231000077 |
| Provider Name | William S Eddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992788509 PECOS PAC ID: 3678617024 Enrollment ID: I20100223000418 |
| Provider Name | Thomas S Boniface |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821037839 PECOS PAC ID: 1951203652 Enrollment ID: I20100310000467 |
| Provider Name | Raymond J Boniface |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831138841 PECOS PAC ID: 5597667295 Enrollment ID: I20100310000516 |
| Provider Name | Magad Farouk Fouad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922262641 PECOS PAC ID: 9032244520 Enrollment ID: I20100323000575 |
| Provider Name | Jeffrey Ray Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447259353 PECOS PAC ID: 9537129812 Enrollment ID: I20100414000194 |
| Provider Name | Thomas Derek Vrable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174522064 PECOS PAC ID: 5991765372 Enrollment ID: I20100419000400 |
| Provider Name | Mounir Elhayek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720065329 PECOS PAC ID: 9234267329 Enrollment ID: I20100511000677 |
| Provider Name | Robert E Bisel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831150242 PECOS PAC ID: 4587710363 Enrollment ID: I20100520000017 |
| Provider Name | Michael Samuel Cicchillo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922033901 PECOS PAC ID: 8224167663 Enrollment ID: I20100524000808 |
| Provider Name | Edward J Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770595894 PECOS PAC ID: 1456480615 Enrollment ID: I20100526000399 |
| Provider Name | Rashad H El-dabh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316949266 PECOS PAC ID: 5395780696 Enrollment ID: I20100528000001 |
| Provider Name | Linda A O'neill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184627713 PECOS PAC ID: 8921139551 Enrollment ID: I20100625000907 |
| Provider Name | Walter C Sweeney |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396715868 PECOS PAC ID: 2466583091 Enrollment ID: I20100626000017 |
| Provider Name | Gary A Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790757854 PECOS PAC ID: 1153313846 Enrollment ID: I20100626000072 |
| Provider Name | Consuelo A Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568441780 PECOS PAC ID: 5395876759 Enrollment ID: I20100629000161 |
| Provider Name | Lanla F Conteh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497964399 PECOS PAC ID: 7517098544 Enrollment ID: I20100708000233 |
| Provider Name | Kene T Ugokwe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770752891 PECOS PAC ID: 2567513849 Enrollment ID: I20100715000721 |
| Provider Name | Tejdeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356317622 PECOS PAC ID: 4789716275 Enrollment ID: I20100720000044 |
| Provider Name | Vijaykumar Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851381016 PECOS PAC ID: 2860524253 Enrollment ID: I20100721000082 |
| Provider Name | Oscar F Khawli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346345725 PECOS PAC ID: 0042342453 Enrollment ID: I20100721000337 |
| Provider Name | Jessica Handel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437480647 PECOS PAC ID: 1951433200 Enrollment ID: I20100721001005 |
| Provider Name | Rachel S Sieman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689855876 PECOS PAC ID: 2466584677 Enrollment ID: I20100722000778 |
| Provider Name | David Rich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396732426 PECOS PAC ID: 8628044070 Enrollment ID: I20100803000028 |
| Provider Name | Robert Harvey Wetzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407963416 PECOS PAC ID: 8022141761 Enrollment ID: I20100803000034 |
| Provider Name | Steven D Robbins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942389598 PECOS PAC ID: 3274666854 Enrollment ID: I20100803000650 |
| Provider Name | Kevin F Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689788291 PECOS PAC ID: 7911081559 Enrollment ID: I20100803000723 |
| Provider Name | Thomas P Marnejon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891898607 PECOS PAC ID: 2365576741 Enrollment ID: I20100820000554 |
| Provider Name | Kenneth Brian Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447239108 PECOS PAC ID: 0840314191 Enrollment ID: I20100824000577 |
| Provider Name | Daniel J Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952357758 PECOS PAC ID: 1052456266 Enrollment ID: I20100824000615 |
| Provider Name | Jason R Delatore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649247529 PECOS PAC ID: 5991808958 Enrollment ID: I20100902000299 |
| Provider Name | Venkata S Kollipara |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497722375 PECOS PAC ID: 3870652399 Enrollment ID: I20100902000342 |
| Provider Name | Sriram Mannava |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134395858 PECOS PAC ID: 1153447057 Enrollment ID: I20100929000069 |
| Provider Name | Kwon Thomas Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316900848 PECOS PAC ID: 3375579899 Enrollment ID: I20101028000470 |
| Provider Name | Richard L Catterlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477548501 PECOS PAC ID: 5294929733 Enrollment ID: I20101028001481 |
| Provider Name | Gloria Perry Catterlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447245576 PECOS PAC ID: 0042404162 Enrollment ID: I20101103000312 |
| Provider Name | Timothy Phalen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366446148 PECOS PAC ID: 7214012095 Enrollment ID: I20101116000003 |
| Provider Name | Nevine T Ragheb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245219138 PECOS PAC ID: 8224226063 Enrollment ID: I20101221000817 |
| Provider Name | David Hoenninger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578728184 PECOS PAC ID: 6103005772 Enrollment ID: I20110128000009 |
| Provider Name | Anthony J Asher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407965684 PECOS PAC ID: 5092994434 Enrollment ID: I20110201000074 |
| Provider Name | Madeline T Savage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457510455 PECOS PAC ID: 0345421616 Enrollment ID: I20110218000604 |
| Provider Name | Michael R Pascolini |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073772422 PECOS PAC ID: 5193911592 Enrollment ID: I20110303000247 |
| Provider Name | Frank A Gargasz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720398134 PECOS PAC ID: 1850573346 Enrollment ID: I20110304000031 |
| Provider Name | Thomas Edward Albani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407814452 PECOS PAC ID: 8224212741 Enrollment ID: I20110407000498 |
| Provider Name | Mounir Awad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497728893 PECOS PAC ID: 6507965365 Enrollment ID: I20110421000819 |
| Provider Name | Kelly Jo Tomasic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366774051 PECOS PAC ID: 4688859838 Enrollment ID: I20110503000498 |
| Provider Name | Vipul R Modi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215148515 PECOS PAC ID: 8123205556 Enrollment ID: I20110610000462 |
| Provider Name | Bang H Huynh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780653527 PECOS PAC ID: 8022104660 Enrollment ID: I20110613000057 |
| Provider Name | Cory A Kutlick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336303114 PECOS PAC ID: 4688843600 Enrollment ID: I20110809000389 |
| Provider Name | Jared D Bunevich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144489386 PECOS PAC ID: 6800065756 Enrollment ID: I20110809000852 |
| Provider Name | Thomas Cassady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871784017 PECOS PAC ID: 1557492527 Enrollment ID: I20110816000658 |
| Provider Name | Kristen L Evan-hymes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528390598 PECOS PAC ID: 3870763196 Enrollment ID: I20110824000485 |
| Provider Name | Gregory S Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720302276 PECOS PAC ID: 9537339775 Enrollment ID: I20110826000285 |
| Provider Name | Jung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356423206 PECOS PAC ID: 1254506041 Enrollment ID: I20111206000394 |
| Provider Name | Abbey R Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487937488 PECOS PAC ID: 8628244241 Enrollment ID: I20120104000108 |
| Provider Name | Essam S Ragheb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558340430 PECOS PAC ID: 8628245131 Enrollment ID: I20120125000444 |
| Provider Name | Craig Wagley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1235115833 PECOS PAC ID: 6507023496 Enrollment ID: I20120305000658 |
| Provider Name | Christopher G Economus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518921352 PECOS PAC ID: 4385803584 Enrollment ID: I20120307000698 |
| Provider Name | Muneer Al Zoby |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083942999 PECOS PAC ID: 3870785942 Enrollment ID: I20120413000124 |
| Provider Name | Andrew F Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952495012 PECOS PAC ID: 6406024157 Enrollment ID: I20120613000182 |
| Provider Name | Frank A Kaydo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265702450 PECOS PAC ID: 3375707557 Enrollment ID: I20120620000199 |
| Provider Name | Diane Pantelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871662478 PECOS PAC ID: 3779748686 Enrollment ID: I20120627000309 |
| Provider Name | Sumira Koirala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245562685 PECOS PAC ID: 7315102522 Enrollment ID: I20120712000636 |
| Provider Name | Srilakshmi Rajsheker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831317643 PECOS PAC ID: 4789849936 Enrollment ID: I20120713000248 |
| Provider Name | Tracy Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477810588 PECOS PAC ID: 5799941068 Enrollment ID: I20120801000234 |
| Provider Name | Gaby Aoun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255427167 PECOS PAC ID: 4486615317 Enrollment ID: I20120816000239 |
| Provider Name | Ryan Scott Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603516 PECOS PAC ID: 5698961068 Enrollment ID: I20120821000286 |
| Provider Name | Tyson T Schrickel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144426222 PECOS PAC ID: 2466620950 Enrollment ID: I20120821000951 |
| Provider Name | Lisa C Obert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710183702 PECOS PAC ID: 0446407522 Enrollment ID: I20120824000037 |
| Provider Name | Marisa M Wynne |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346422615 PECOS PAC ID: 3274781158 Enrollment ID: I20120918000834 |
| Provider Name | Pia-jolina H Dionisio |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1275795296 PECOS PAC ID: 9133378730 Enrollment ID: I20120925000418 |
| Provider Name | Amine Rustom Abdul-aal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689855058 PECOS PAC ID: 8426067802 Enrollment ID: I20121002000781 |
| Provider Name | Kyle M Williamson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710181961 PECOS PAC ID: 5991955171 Enrollment ID: I20121024000460 |
| Provider Name | Pratheek Kakkasseril |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609195643 PECOS PAC ID: 0143474247 Enrollment ID: I20130124000440 |
| Provider Name | Marie Awad-alexander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568667269 PECOS PAC ID: 2769636158 Enrollment ID: I20130212000554 |
| Provider Name | Lucas W Henn |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356659338 PECOS PAC ID: 5597918896 Enrollment ID: I20130304000588 |
| Provider Name | Jawad Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407087455 PECOS PAC ID: 5092950352 Enrollment ID: I20130315000044 |
| Provider Name | Lewis Spirtos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750671046 PECOS PAC ID: 2264677269 Enrollment ID: I20130322000058 |
| Provider Name | Linda M Russell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144515644 PECOS PAC ID: 8325283955 Enrollment ID: I20130401000471 |
| Provider Name | Adam D Cash |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003016205 PECOS PAC ID: 2264677657 Enrollment ID: I20130408000497 |
| Provider Name | Donald J Brunetti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154430346 PECOS PAC ID: 2163668526 Enrollment ID: I20130410000167 |
| Provider Name | Robert Ohl |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134279110 PECOS PAC ID: 6305082595 Enrollment ID: I20130412000420 |
| Provider Name | Patrick Huly |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306948567 PECOS PAC ID: 1355587510 Enrollment ID: I20130415000346 |
| Provider Name | Rebecca Cene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629363189 PECOS PAC ID: 0446498695 Enrollment ID: I20130529000375 |
| Provider Name | Brenda Ginder |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598006223 PECOS PAC ID: 4688812845 Enrollment ID: I20130529000549 |
| Provider Name | Patrick Brine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861703563 PECOS PAC ID: 2769621994 Enrollment ID: I20130620000138 |
| Provider Name | Ashley N Reimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427286368 PECOS PAC ID: 5395984421 Enrollment ID: I20130620000266 |
| Provider Name | Jill K Babinec |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437152428 PECOS PAC ID: 1254570088 Enrollment ID: I20130626000734 |
| Provider Name | Matthew C Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316144710 PECOS PAC ID: 7416198502 Enrollment ID: I20130801000507 |
| Provider Name | Edward D Cornman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336572312 PECOS PAC ID: 8820232697 Enrollment ID: I20130917000374 |
| Provider Name | Andrew G Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275739765 PECOS PAC ID: 3971752809 Enrollment ID: I20130923000824 |
| Provider Name | Adrian Lee Butler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457473597 PECOS PAC ID: 8123119690 Enrollment ID: I20131007001514 |
| Provider Name | Cherilyn Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780019109 PECOS PAC ID: 0345474938 Enrollment ID: I20131015001101 |
| Provider Name | Jennifer D Lamanna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962838185 PECOS PAC ID: 1658506761 Enrollment ID: I20131025001699 |
| Provider Name | Diana M Kellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801238084 PECOS PAC ID: 1456586205 Enrollment ID: I20131101000600 |
| Provider Name | Tiffany Dawn Marchand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356658215 PECOS PAC ID: 6608001391 Enrollment ID: I20131105002039 |
| Provider Name | Shawna Koprucki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093969735 PECOS PAC ID: 2365670288 Enrollment ID: I20140122000535 |
| Provider Name | Lisa J Cascarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588005946 PECOS PAC ID: 3173425048 Enrollment ID: I20140203000783 |
| Provider Name | Sevasti Gedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689099988 PECOS PAC ID: 9739311911 Enrollment ID: I20140423000447 |
| Provider Name | Kevin Kroeger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154372423 PECOS PAC ID: 2264413459 Enrollment ID: I20140512001111 |
| Provider Name | Samer Mohandes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356640171 PECOS PAC ID: 8527297175 Enrollment ID: I20140613001161 |
| Provider Name | Sailendra R Sunkara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245406594 PECOS PAC ID: 0547403008 Enrollment ID: I20140618000454 |
| Provider Name | Dipika Mahendra Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437312816 PECOS PAC ID: 4981828563 Enrollment ID: I20140623001123 |
| Provider Name | Sarah Garaas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447418405 PECOS PAC ID: 2961626478 Enrollment ID: I20140623002496 |
| Provider Name | Brian Chou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144482738 PECOS PAC ID: 4385869809 Enrollment ID: I20140625001431 |
| Provider Name | Michael Daniel Meade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003089772 PECOS PAC ID: 1951573724 Enrollment ID: I20140625002384 |
| Provider Name | Shane Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922250471 PECOS PAC ID: 2264657667 Enrollment ID: I20140626002074 |
| Provider Name | Cara A Whiteman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467618637 PECOS PAC ID: 0749423432 Enrollment ID: I20140626002149 |
| Provider Name | Keith R Black |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033495890 PECOS PAC ID: 8325264591 Enrollment ID: I20140723002624 |
| Provider Name | Lawrence O Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376820639 PECOS PAC ID: 3971720624 Enrollment ID: I20140804002305 |
| Provider Name | Alexis M Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417128380 PECOS PAC ID: 0749416071 Enrollment ID: I20140805003099 |
| Provider Name | John A Heintzelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003194739 PECOS PAC ID: 7618194176 Enrollment ID: I20140807001113 |
| Provider Name | Joseph A Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760799431 PECOS PAC ID: 0840417150 Enrollment ID: I20140811001223 |
| Provider Name | Laura Leigh Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114951977 PECOS PAC ID: 9436167087 Enrollment ID: I20140812000885 |
| Provider Name | Carl R Peterson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114151230 PECOS PAC ID: 2062639016 Enrollment ID: I20140814001662 |
| Provider Name | Michelle R Dockry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912292590 PECOS PAC ID: 2668611021 Enrollment ID: I20140905000828 |
| Provider Name | Kevin Volt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124319629 PECOS PAC ID: 8921227935 Enrollment ID: I20140923002267 |
| Provider Name | Jonah Moon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316194574 PECOS PAC ID: 9638399595 Enrollment ID: I20140929000848 |
| Provider Name | John Vincent Gentile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841513637 PECOS PAC ID: 3577724988 Enrollment ID: I20141015002193 |
| Provider Name | Michael D Paronish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336377803 PECOS PAC ID: 8729244579 Enrollment ID: I20141027000635 |
| Provider Name | John Paul Waldo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861499832 PECOS PAC ID: 1355319872 Enrollment ID: I20141118001852 |
| Provider Name | Lisa M Elliott |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447652458 PECOS PAC ID: 9830411065 Enrollment ID: I20141125001318 |
| Provider Name | Nicole M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922401223 PECOS PAC ID: 2769704592 Enrollment ID: I20141206000339 |
| Provider Name | Jose Arjona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205895505 PECOS PAC ID: 0749388502 Enrollment ID: I20141215001915 |
| Provider Name | Lindsay Corll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134553563 PECOS PAC ID: 3476877564 Enrollment ID: I20150120001982 |
| Provider Name | Giuseppe B Deabate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548218837 PECOS PAC ID: 1355372103 Enrollment ID: I20150302001203 |
| Provider Name | Amanda S Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558767889 PECOS PAC ID: 1052637436 Enrollment ID: I20150302001214 |
| Provider Name | Jill E Haltigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760627913 PECOS PAC ID: 8325219330 Enrollment ID: I20150430001312 |
| Provider Name | Leslie S Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366407496 PECOS PAC ID: 7719077825 Enrollment ID: I20150506002718 |
| Provider Name | Joseph Migliori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053545772 PECOS PAC ID: 9931329737 Enrollment ID: I20150526001952 |
| Provider Name | Charles Anson Wiltrout |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063669554 PECOS PAC ID: 6002137981 Enrollment ID: I20150603002270 |
| Provider Name | Damien Allen Deist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588004303 PECOS PAC ID: 1456672153 Enrollment ID: I20150605002931 |
| Provider Name | Nathan Gordon Gee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861506222 PECOS PAC ID: 1456417450 Enrollment ID: I20150717002083 |
| Provider Name | Rachel E Doan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588919401 PECOS PAC ID: 8426378308 Enrollment ID: I20150727002786 |
| Provider Name | Dong Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457633919 PECOS PAC ID: 4880868074 Enrollment ID: I20150728005422 |
| Provider Name | Alysia M Zeigler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992069769 PECOS PAC ID: 1759695075 Enrollment ID: I20150730013304 |
| Provider Name | Neha J Tilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811263072 PECOS PAC ID: 8426362567 Enrollment ID: I20150803000480 |
| Provider Name | Salmaan B Noor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518196062 PECOS PAC ID: 6204059090 Enrollment ID: I20150805009090 |
| Provider Name | Christian E Yeasted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508154279 PECOS PAC ID: 5294049011 Enrollment ID: I20150806010838 |
| Provider Name | Larissa A Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669855615 PECOS PAC ID: 5294049037 Enrollment ID: I20150806011244 |
| Provider Name | Veena A Nagar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275785024 PECOS PAC ID: 1456415777 Enrollment ID: I20150818005746 |
| Provider Name | Amanda R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326460205 PECOS PAC ID: 8224352414 Enrollment ID: I20150820010646 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20150828001924 |
| Provider Name | Janeen J Masternick-black |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295019560 PECOS PAC ID: 7618110792 Enrollment ID: I20150922001824 |
| Provider Name | Shaju Shamsuddin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982696878 PECOS PAC ID: 9931152014 Enrollment ID: I20151002001052 |
| Provider Name | David R Arveladze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417990086 PECOS PAC ID: 8123048022 Enrollment ID: I20151109000436 |
| Provider Name | Benjamin A Carrle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700229317 PECOS PAC ID: 7618277021 Enrollment ID: I20151207002093 |
| Provider Name | Amanda Rudnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710350608 PECOS PAC ID: 9234430257 Enrollment ID: I20151216002635 |
| Provider Name | Mohammad Kamal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174792923 PECOS PAC ID: 4486726593 Enrollment ID: I20151222001111 |
| Provider Name | Kristyn Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235501362 PECOS PAC ID: 5597067868 Enrollment ID: I20160104000409 |
| Provider Name | Briana Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225408123 PECOS PAC ID: 2961705348 Enrollment ID: I20160119000743 |
| Provider Name | Sara A Nicholas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528346566 PECOS PAC ID: 8123321213 Enrollment ID: I20160122002349 |
| Provider Name | John Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003830399 PECOS PAC ID: 4789640681 Enrollment ID: I20160525000603 |
| Provider Name | William H Mcrae |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972730414 PECOS PAC ID: 2769630714 Enrollment ID: I20160621002342 |
| Provider Name | Zeina Geryes El Amil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467693895 PECOS PAC ID: 6709022809 Enrollment ID: I20160630000867 |
| Provider Name | Sean Clifford Reimer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912285230 PECOS PAC ID: 8224332234 Enrollment ID: I20160713002248 |
| Provider Name | Rebecca M Dessez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306294236 PECOS PAC ID: 5799078838 Enrollment ID: I20160726003150 |
| Provider Name | Brittany Lynn Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275985442 PECOS PAC ID: 5597059204 Enrollment ID: I20160803001407 |
| Provider Name | Rocky Edward Pittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881884997 PECOS PAC ID: 3870788482 Enrollment ID: I20160808001432 |
| Provider Name | George Maidaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790093797 PECOS PAC ID: 0244474997 Enrollment ID: I20160824003120 |
| Provider Name | Benjamin Ryan Biteman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336456391 PECOS PAC ID: 7214243906 Enrollment ID: I20160829002350 |
| Provider Name | Thomas Joseph Chirichella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548577596 PECOS PAC ID: 2264753193 Enrollment ID: I20160831002724 |
| Provider Name | Gerald Lee Wasko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265874267 PECOS PAC ID: 4587969175 Enrollment ID: I20160906002504 |
| Provider Name | Lori B Dellick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609229939 PECOS PAC ID: 8820384464 Enrollment ID: I20160908001692 |
| Provider Name | Ian Jacob Walton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598077844 PECOS PAC ID: 2062708589 Enrollment ID: I20160909001354 |
| Provider Name | Jeffrey Thomas Johnston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568788768 PECOS PAC ID: 6608181896 Enrollment ID: I20160916002413 |
| Provider Name | Elizabeth M Sipusic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033474002 PECOS PAC ID: 7315234341 Enrollment ID: I20160920000312 |
| Provider Name | Heather Balint |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902164270 PECOS PAC ID: 0143460303 Enrollment ID: I20160928002996 |
| Provider Name | Michelle N Akiko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285624 PECOS PAC ID: 8224269774 Enrollment ID: I20160930002190 |
| Provider Name | Andrea Lynn Svoboda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265989016 PECOS PAC ID: 0941598387 Enrollment ID: I20161018000857 |
| Provider Name | Kristie Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464080 PECOS PAC ID: 9537447552 Enrollment ID: I20161026001857 |
| Provider Name | Alan Joseph Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922460385 PECOS PAC ID: 6103104997 Enrollment ID: I20161028002208 |
| Provider Name | Holly Sue Messina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861633844 PECOS PAC ID: 2163571266 Enrollment ID: I20161102001324 |
| Provider Name | Yazid Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
| Provider Name | Anthony F Brine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477806503 PECOS PAC ID: 0143509737 Enrollment ID: I20161123000655 |
| Provider Name | Mark E. Dearing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386669372 PECOS PAC ID: 9436165321 Enrollment ID: I20161207000344 |
| Provider Name | Tajul Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609212869 PECOS PAC ID: 7517101280 Enrollment ID: I20161213001289 |
| Provider Name | Laura Madeline Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770026569 PECOS PAC ID: 0143501460 Enrollment ID: I20161228002381 |
| Provider Name | Bethany G Tittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770033250 PECOS PAC ID: 8224319397 Enrollment ID: I20170103001812 |
| Provider Name | Laurie L Horvath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205388634 PECOS PAC ID: 6608158183 Enrollment ID: I20170117002435 |
| Provider Name | Michelle L Tobias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679022149 PECOS PAC ID: 5294018560 Enrollment ID: I20170210001454 |
| Provider Name | Tiffany Marie Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821538000 PECOS PAC ID: 6507141389 Enrollment ID: I20170316002634 |
| Provider Name | Alyssa Diane Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952840159 PECOS PAC ID: 0446537443 Enrollment ID: I20170428001894 |
| Provider Name | Dorian L Economos |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588104699 PECOS PAC ID: 6103103080 Enrollment ID: I20170502000940 |
| Provider Name | Jessica Dawn Mook |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689114704 PECOS PAC ID: 0345527230 Enrollment ID: I20170502001142 |
| Provider Name | Sherrie P Sylvester |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134669252 PECOS PAC ID: 5698052520 Enrollment ID: I20170502002780 |
| Provider Name | Anita J. Conner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457891574 PECOS PAC ID: 4880971407 Enrollment ID: I20170509002370 |
| Provider Name | Joseph Benjamin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023300183 PECOS PAC ID: 3971885419 Enrollment ID: I20170619000461 |
| Provider Name | Ashley Robin Cahoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144514308 PECOS PAC ID: 2466741749 Enrollment ID: I20170620002238 |
| Provider Name | Gokulakrishnan Balasubramanian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104079177 PECOS PAC ID: 8628225042 Enrollment ID: I20170713000909 |
| Provider Name | Matthew Michael Narducci |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326453010 PECOS PAC ID: 9931479516 Enrollment ID: I20170714002630 |
| Provider Name | James William Dombroski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306134473 PECOS PAC ID: 2163662834 Enrollment ID: I20170717002935 |
| Provider Name | Richard Cuckovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700203262 PECOS PAC ID: 4981903655 Enrollment ID: I20170719004128 |
| Provider Name | David Michael Klacik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306375787 PECOS PAC ID: 5597035717 Enrollment ID: I20170720003022 |
| Provider Name | Derek A Ornelas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326302662 PECOS PAC ID: 5193013894 Enrollment ID: I20170823002386 |
| Provider Name | Chika Amuche Ezigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952666257 PECOS PAC ID: 2961620737 Enrollment ID: I20170829003639 |
| Provider Name | Jillian Zembower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700300886 PECOS PAC ID: 8426321274 Enrollment ID: I20170830002302 |
| Provider Name | Timothy Lockso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144647413 PECOS PAC ID: 2668771668 Enrollment ID: I20170905003233 |
| Provider Name | Thomas Joseph Rudnicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568873503 PECOS PAC ID: 3173896156 Enrollment ID: I20170913003775 |
| Provider Name | Kimberly Ann Trimboli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750808986 PECOS PAC ID: 2769756691 Enrollment ID: I20170915002245 |
| Provider Name | Michael Stephen Kotyuk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942727565 PECOS PAC ID: 9234403163 Enrollment ID: I20170915002544 |
| Provider Name | Thomas William Dunlap |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508990656 PECOS PAC ID: 7618241555 Enrollment ID: I20170915002932 |
| Provider Name | Mary Kate Keating |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912302803 PECOS PAC ID: 5698049401 Enrollment ID: I20170918002194 |
| Provider Name | Linda Kay Denney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225550262 PECOS PAC ID: 7113291808 Enrollment ID: I20170919002550 |
| Provider Name | Lisa Marie Lordo-yanak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275055295 PECOS PAC ID: 1456625151 Enrollment ID: I20170919002855 |
| Provider Name | Hans Werner Kirr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982121117 PECOS PAC ID: 4789958398 Enrollment ID: I20170920003655 |
| Provider Name | Daphne Ziegler Bonner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760502256 PECOS PAC ID: 8022382563 Enrollment ID: I20170921001166 |
| Provider Name | Erika Mikula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104341510 PECOS PAC ID: 8820362247 Enrollment ID: I20170925001526 |
| Provider Name | Danielle Blazina Meyer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194242263 PECOS PAC ID: 3971877242 Enrollment ID: I20170926000667 |
| Provider Name | Rakesh Mannava |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578859583 PECOS PAC ID: 6800175928 Enrollment ID: I20171003006851 |
| Provider Name | Anthony R Casacchia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790170595 PECOS PAC ID: 6709194285 Enrollment ID: I20171003007739 |
| Provider Name | Ypapanti Meris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851701460 PECOS PAC ID: 1658646427 Enrollment ID: I20171004000959 |
| Provider Name | Jessica Volsky Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578850244 PECOS PAC ID: 6901182849 Enrollment ID: I20171020000502 |
| Provider Name | Eric Cohen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396984159 PECOS PAC ID: 8527284611 Enrollment ID: I20171031001010 |
| Provider Name | Timothy J Byrnes |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295024552 PECOS PAC ID: 0941433981 Enrollment ID: I20171206002492 |
| Provider Name | Sahadev Thugu Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679501068 PECOS PAC ID: 7315904554 Enrollment ID: I20171215000054 |
| Provider Name | Amy Marie Caicco |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245685296 PECOS PAC ID: 9931499324 Enrollment ID: I20171218001863 |
| Provider Name | Emily Rose Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619482049 PECOS PAC ID: 4789942814 Enrollment ID: I20171219003010 |
| Provider Name | Chotikorn Khunnawat |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245447879 PECOS PAC ID: 0446518021 Enrollment ID: I20180103003232 |
| Provider Name | Gina Marie Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972863702 PECOS PAC ID: 3678713351 Enrollment ID: I20180104000738 |
| Provider Name | John A Capple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801875737 PECOS PAC ID: 5193748739 Enrollment ID: I20180104002131 |
| Provider Name | Chardina L Murray-mangino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326598020 PECOS PAC ID: 7113286345 Enrollment ID: I20180117000137 |
| Provider Name | Angelita Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025250 PECOS PAC ID: 1951661875 Enrollment ID: I20180213003212 |
| Provider Name | Reetta Maria Marciano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588989446 PECOS PAC ID: 8921309840 Enrollment ID: I20180306002783 |
| Provider Name | John K Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245722156 PECOS PAC ID: 2567718745 Enrollment ID: I20180629002180 |
| Provider Name | Anand K Joshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548526015 PECOS PAC ID: 8426354598 Enrollment ID: I20180718002118 |
| Provider Name | Mohammad F Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184007643 PECOS PAC ID: 0648527820 Enrollment ID: I20180718003647 |
| Provider Name | Omar S Abu-romeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184805681 PECOS PAC ID: 5597892026 Enrollment ID: I20180725001288 |
| Provider Name | Stephen Dominic Pupillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952780256 PECOS PAC ID: 1456656396 Enrollment ID: I20180801003773 |
| Provider Name | Michael Kentris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063848240 PECOS PAC ID: 6507085941 Enrollment ID: I20180808003722 |
| Provider Name | Chan Seng Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518131853 PECOS PAC ID: 0941594691 Enrollment ID: I20180815002212 |
| Provider Name | Milad Saleh Abusag |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922317122 PECOS PAC ID: 2860713930 Enrollment ID: I20180824001588 |
| Provider Name | Anna M West |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679872006 PECOS PAC ID: 4688815046 Enrollment ID: I20180828001250 |
| Provider Name | Chanelle Vanise Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487058913 PECOS PAC ID: 7416179940 Enrollment ID: I20180829001218 |
| Provider Name | Lillianne Dovalis Stanitsas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891041141 PECOS PAC ID: 7517217284 Enrollment ID: I20180830002537 |
| Provider Name | Nicole Kristin Olshanski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184145641 PECOS PAC ID: 5597015842 Enrollment ID: I20180906002168 |
| Provider Name | Carmen Elena Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538677208 PECOS PAC ID: 1951651819 Enrollment ID: I20180913003084 |
| Provider Name | Marybeth D Shaffer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952380354 PECOS PAC ID: 0042525057 Enrollment ID: I20180913003176 |
| Provider Name | Jordan Sessions |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417190323 PECOS PAC ID: 0749405496 Enrollment ID: I20180914000953 |
| Provider Name | Manuel Michael Spirtos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982685558 PECOS PAC ID: 7911258835 Enrollment ID: I20180914002441 |
| Provider Name | Jeremy Taylor |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184152654 PECOS PAC ID: 3678841921 Enrollment ID: I20180919002308 |
| Provider Name | Nicholas M Raspovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538555776 PECOS PAC ID: 6204140601 Enrollment ID: I20181001002823 |
| Provider Name | Marlene Ann Bednar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821035015 PECOS PAC ID: 1355352402 Enrollment ID: I20181004002192 |
| Provider Name | Rene Cuadra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801162888 PECOS PAC ID: 0648599688 Enrollment ID: I20181012001144 |
| Provider Name | Itay Keshet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053675207 PECOS PAC ID: 1355693771 Enrollment ID: I20181015000274 |
| Provider Name | Francesca Marie Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022804 PECOS PAC ID: 7911267059 Enrollment ID: I20181016002790 |
| Provider Name | Ashley Helen Baroff-rufo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770961138 PECOS PAC ID: 4183913296 Enrollment ID: I20181029000106 |
| Provider Name | Brian David Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831198811 PECOS PAC ID: 8325078835 Enrollment ID: I20181101001333 |
| Provider Name | Molly M. Howsare |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427304344 PECOS PAC ID: 6406154210 Enrollment ID: I20181204001745 |
| Provider Name | Jacob Jaros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447738950 PECOS PAC ID: 0840535860 Enrollment ID: I20181219003648 |
| Provider Name | Kelsey Rae Mcclain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174882419 PECOS PAC ID: 3870838675 Enrollment ID: I20181226001030 |
| Provider Name | Amanda Nicole Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356811418 PECOS PAC ID: 8325384191 Enrollment ID: I20190115003823 |
| Provider Name | Dianne Marie Despetorich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444678 PECOS PAC ID: 7719223502 Enrollment ID: I20190116000663 |
| Provider Name | Alyssa Marie Wilkinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649628835 PECOS PAC ID: 6800132481 Enrollment ID: I20190118001765 |
| Provider Name | Laura Kathryn Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043457591 PECOS PAC ID: 6204066533 Enrollment ID: I20190124003472 |
| Provider Name | Shannon Marie Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205307261 PECOS PAC ID: 2860730009 Enrollment ID: I20190213000590 |
| Provider Name | Carmela Kiraly |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083027742 PECOS PAC ID: 3274847884 Enrollment ID: I20190226002124 |
| Provider Name | Chadi Bachour |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306392501 PECOS PAC ID: 4880936574 Enrollment ID: I20190429002639 |
| Provider Name | Kelly Marie Adamczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982160420 PECOS PAC ID: 5890037048 Enrollment ID: I20190508002452 |
| Provider Name | Sara Pauline Cheeks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952867483 PECOS PAC ID: 2264775394 Enrollment ID: I20190513002437 |
| Provider Name | Michael John Sturgiss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588229116 PECOS PAC ID: 4789917717 Enrollment ID: I20190606001721 |
| Provider Name | Albert J Guarnieri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316075021 PECOS PAC ID: 6103159140 Enrollment ID: I20190606002357 |
| Provider Name | Allison M Bottorff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871051037 PECOS PAC ID: 5294068896 Enrollment ID: I20190613002699 |
| Provider Name | Betsy Lee Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720643224 PECOS PAC ID: 4385979038 Enrollment ID: I20190717002063 |
| Provider Name | Benedict Belcik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447639661 PECOS PAC ID: 6103121959 Enrollment ID: I20190724000444 |
| Provider Name | Mohammad Khizar Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023428919 PECOS PAC ID: 0941588180 Enrollment ID: I20190724003372 |
| Provider Name | Amer Aldamouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083060404 PECOS PAC ID: 9739415076 Enrollment ID: I20190724004040 |
| Provider Name | Mallory Ucchino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265893127 PECOS PAC ID: 2860750965 Enrollment ID: I20190729003251 |
| Provider Name | Michael Thomas Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376960419 PECOS PAC ID: 0749590172 Enrollment ID: I20190730002772 |
| Provider Name | Sean M Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598145534 PECOS PAC ID: 1557647146 Enrollment ID: I20190808003272 |
| Provider Name | Michael J Cannone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801167911 PECOS PAC ID: 5395072383 Enrollment ID: I20190814001257 |
| Provider Name | Maisarah Momen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164837530 PECOS PAC ID: 1456641844 Enrollment ID: I20190815003624 |
| Provider Name | Akaolisa Eziokwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265884100 PECOS PAC ID: 0547553570 Enrollment ID: I20190828001747 |
| Provider Name | Nicholas Hrelec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336362 PECOS PAC ID: 8729316617 Enrollment ID: I20190830001583 |
| Provider Name | Vasiliki A Vamvakis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356796429 PECOS PAC ID: 2567753064 Enrollment ID: I20190904003362 |
| Provider Name | Janet Marie Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023676681 PECOS PAC ID: 2567792237 Enrollment ID: I20190923002058 |
| Provider Name | Allyssa Bohanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437572120 PECOS PAC ID: 9234455577 Enrollment ID: I20190925002055 |
| Provider Name | Philip James Biviano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730738378 PECOS PAC ID: 4587994603 Enrollment ID: I20191002002197 |
| Provider Name | Heather K Heutsche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265917538 PECOS PAC ID: 3577800838 Enrollment ID: I20191002003158 |
| Provider Name | Consandre Romain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083970370 PECOS PAC ID: 0840595153 Enrollment ID: I20191008001080 |
| Provider Name | Jeremy Thomas Jubach |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568602837 PECOS PAC ID: 0648566976 Enrollment ID: I20191010003306 |
| Provider Name | Stacia Jo Macchia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598312696 PECOS PAC ID: 6608108501 Enrollment ID: I20191025001722 |
| Provider Name | Nicolle Ann Hendrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255989836 PECOS PAC ID: 4981936077 Enrollment ID: I20191028002055 |
| Provider Name | Alyvia Marie Congelio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912552704 PECOS PAC ID: 5890027320 Enrollment ID: I20191101000373 |
| Provider Name | James Urso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891734521 PECOS PAC ID: 9739081571 Enrollment ID: I20191111001046 |
| Provider Name | Manoj Rajagopal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316381833 PECOS PAC ID: 0244470144 Enrollment ID: I20191121002718 |
| Provider Name | Stephen Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669532008 PECOS PAC ID: 8224122551 Enrollment ID: I20191122002012 |
| Provider Name | Hani Al Salti Al Krad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013203827 PECOS PAC ID: 0547589194 Enrollment ID: I20191205002457 |
| Provider Name | Kiteria Finlayson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346793338 PECOS PAC ID: 2466885918 Enrollment ID: I20191213001959 |
| Provider Name | Ure Laura Mezu-chukwu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932398872 PECOS PAC ID: 9739366089 Enrollment ID: I20191217001328 |
| Provider Name | Shannon Lee Montgomery |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083251342 PECOS PAC ID: 1052746591 Enrollment ID: I20200110001831 |
| Provider Name | Michael Scott Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912558107 PECOS PAC ID: 8224464755 Enrollment ID: I20200131002088 |
| Provider Name | Mark James Colaluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467091751 PECOS PAC ID: 7618304254 Enrollment ID: I20200220003020 |
| Provider Name | Subhankar Chakraborty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851685812 PECOS PAC ID: 1850515081 Enrollment ID: I20200226001587 |
| Provider Name | Adam Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568705986 PECOS PAC ID: 6608010152 Enrollment ID: I20200324003789 |
| Provider Name | Jeffrey Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649371972 PECOS PAC ID: 3476598368 Enrollment ID: I20200409002158 |
| Provider Name | Debbie Lee Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043863418 PECOS PAC ID: 4981034857 Enrollment ID: I20200416000686 |
| Provider Name | Todd Martin Brickman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225051279 PECOS PAC ID: 6709970593 Enrollment ID: I20200423003316 |
| Provider Name | Charles Sutton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255315032 PECOS PAC ID: 0840220331 Enrollment ID: I20200506002666 |
| Provider Name | Navid Zenooz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700065265 PECOS PAC ID: 5092888404 Enrollment ID: I20200519003014 |
| Provider Name | Mary Beasley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508204348 PECOS PAC ID: 2264726819 Enrollment ID: I20200526002177 |
| Provider Name | Benjamin Karlberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205140373 PECOS PAC ID: 2163725839 Enrollment ID: I20200527000781 |
| Provider Name | Jingyu Zhou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780002279 PECOS PAC ID: 9234550302 Enrollment ID: I20200527001511 |
| Provider Name | Kurt John Dilisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174156657 PECOS PAC ID: 0042631103 Enrollment ID: I20200528002356 |
| Provider Name | Rami Kafa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992071880 PECOS PAC ID: 7618280728 Enrollment ID: I20200608003009 |
| Provider Name | Tanmay Panchabhai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578899027 PECOS PAC ID: 2466769773 Enrollment ID: I20200611001721 |
| Provider Name | Joanne Grace Santos Greising |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043748874 PECOS PAC ID: 8224305727 Enrollment ID: I20200624002627 |
| Provider Name | Mark Daniel Hess |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780079616 PECOS PAC ID: 0941576060 Enrollment ID: I20200629002030 |
| Provider Name | Samuel Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003177304 PECOS PAC ID: 8325261829 Enrollment ID: I20200630001918 |
| Provider Name | Jessica Harriman Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003346388 PECOS PAC ID: 2466722921 Enrollment ID: I20200707003153 |
| Provider Name | Jeffrey Aaron Ellerhorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932237039 PECOS PAC ID: 0941573117 Enrollment ID: I20200709001586 |
| Provider Name | Megan Ariel Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027955 PECOS PAC ID: 8628491594 Enrollment ID: I20200710000797 |
| Provider Name | Syed Murtuza Quadri |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790151991 PECOS PAC ID: 4183966336 Enrollment ID: I20200713003720 |
| Provider Name | Eric P Critchley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043375330 PECOS PAC ID: 0244589109 Enrollment ID: I20200714003189 |
| Provider Name | Daniel Yoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619219771 PECOS PAC ID: 7719128735 Enrollment ID: I20200722001763 |
| Provider Name | Madeline Marie New |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992323109 PECOS PAC ID: 4082038021 Enrollment ID: I20200722003669 |
| Provider Name | Geeti Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275061400 PECOS PAC ID: 6709200512 Enrollment ID: I20200724002519 |
| Provider Name | Danielle Nadiene Kwasnicka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043759392 PECOS PAC ID: 0941560908 Enrollment ID: I20200811001201 |
| Provider Name | Annamarie Catherine Calo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992246862 PECOS PAC ID: 8628494929 Enrollment ID: I20200818000655 |
| Provider Name | James Lee Ockner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366448821 PECOS PAC ID: 6507851656 Enrollment ID: I20200820000712 |
| Provider Name | Jian Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528316601 PECOS PAC ID: 3779872247 Enrollment ID: I20200909003130 |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801186689 PECOS PAC ID: 3971896788 Enrollment ID: I20200909003285 |
| Provider Name | Gina M Matash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801429790 PECOS PAC ID: 7618395328 Enrollment ID: I20200911002678 |
| Provider Name | David M Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326346503 PECOS PAC ID: 8628362332 Enrollment ID: I20200914002838 |
| Provider Name | Amber N Dechambeau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710180575 PECOS PAC ID: 8820371628 Enrollment ID: I20200915000495 |
| Provider Name | Laila Holmes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518974260 PECOS PAC ID: 3870597578 Enrollment ID: I20200918001975 |
| Provider Name | Praveen Venkatachalam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730588732 PECOS PAC ID: 1759695612 Enrollment ID: I20200928002623 |
| Provider Name | Nicole Kristine Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407465610 PECOS PAC ID: 5597184937 Enrollment ID: I20201002002728 |
| Provider Name | Giovanni Millare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659448967 PECOS PAC ID: 5294050852 Enrollment ID: I20201016002080 |
| Provider Name | Jennifer Tomich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194043901 PECOS PAC ID: 6406161850 Enrollment ID: I20201019002387 |
| Provider Name | Marycatherine Horne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467065813 PECOS PAC ID: 4981014099 Enrollment ID: I20201030001964 |
| Provider Name | Charles Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417056904 PECOS PAC ID: 4183643299 Enrollment ID: I20201117001873 |
| Provider Name | Saima Ghori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174789911 PECOS PAC ID: 7315161783 Enrollment ID: I20201119000394 |
| Provider Name | Robert L Lile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194737775 PECOS PAC ID: 7012979412 Enrollment ID: I20201119003425 |
| Provider Name | Sherif Ibrahim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184653735 PECOS PAC ID: 0042261133 Enrollment ID: I20201120001287 |
| Provider Name | James D Darling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235188244 PECOS PAC ID: 6406747971 Enrollment ID: I20201120001364 |
| Provider Name | Kayla M Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083067334 PECOS PAC ID: 4082025184 Enrollment ID: I20201120001856 |
| Provider Name | Matthew J Ward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740289644 PECOS PAC ID: 9739285503 Enrollment ID: I20201124001145 |
| Provider Name | Erin Bujnoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669978219 PECOS PAC ID: 3971914888 Enrollment ID: I20201125002204 |
| Provider Name | Dwight Earl Heron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578536397 PECOS PAC ID: 1153315023 Enrollment ID: I20201217000266 |
| Provider Name | Derrick K Harper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144337890 PECOS PAC ID: 8325080716 Enrollment ID: I20210106002543 |
| Provider Name | Supreet Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659530921 PECOS PAC ID: 2466505375 Enrollment ID: I20210114001093 |
| Provider Name | Elizabeth Grace Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200992 PECOS PAC ID: 0547673451 Enrollment ID: I20210114002048 |
| Provider Name | Rhonda Gluckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982050753 PECOS PAC ID: 5193005163 Enrollment ID: I20210125001566 |
| Provider Name | Edward John Walsh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992363907 PECOS PAC ID: 2264846583 Enrollment ID: I20210128000877 |
| Provider Name | Joshua L. Sherwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790869311 PECOS PAC ID: 9537057849 Enrollment ID: I20210319000850 |
| Provider Name | Todd Schirmang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134347305 PECOS PAC ID: 8123142882 Enrollment ID: I20210322002318 |
| Provider Name | Richard E Scalf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663179 PECOS PAC ID: 5294762779 Enrollment ID: I20210323000812 |
| Provider Name | Fargol Booya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043451461 PECOS PAC ID: 0143351114 Enrollment ID: I20210325000822 |
| Provider Name | Jay Yung Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417984097 PECOS PAC ID: 8022113349 Enrollment ID: I20210325001542 |
| Provider Name | Ashley N Rossi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609319060 PECOS PAC ID: 4789091224 Enrollment ID: I20210329001226 |
| Provider Name | Ilya Vaisberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730779802 PECOS PAC ID: 8325455876 Enrollment ID: I20210329001644 |
| Provider Name | Esther Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063640878 PECOS PAC ID: 5597076802 Enrollment ID: I20210330001035 |
| Provider Name | Chetna Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164077434 PECOS PAC ID: 5799192167 Enrollment ID: I20210331001757 |
| Provider Name | Diana Lynn Cunningham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073634325 PECOS PAC ID: 4385051788 Enrollment ID: I20210331002937 |
| Provider Name | David S Hollander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073587689 PECOS PAC ID: 9436113958 Enrollment ID: I20210405001163 |
| Provider Name | Hazem H Hosein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720208184 PECOS PAC ID: 9133138548 Enrollment ID: I20210409002150 |
| Provider Name | Samir S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285600593 PECOS PAC ID: 3476524687 Enrollment ID: I20210507000938 |
| Provider Name | Joseph Emery Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568713055 PECOS PAC ID: 7416106224 Enrollment ID: I20210511002184 |
| Provider Name | Robert Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962810937 PECOS PAC ID: 8527331305 Enrollment ID: I20210512000453 |
| Provider Name | Jessica Marie Fryda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427646785 PECOS PAC ID: 8022427467 Enrollment ID: I20210514001026 |
| Provider Name | Kweku Appiah Appau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427225366 PECOS PAC ID: 1052458379 Enrollment ID: I20210617001215 |
| Provider Name | Andrea Jennifer Chamczuk |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831475730 PECOS PAC ID: 1759548787 Enrollment ID: I20210618000830 |
| Provider Name | Erik H Ding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063807212 PECOS PAC ID: 1254644024 Enrollment ID: I20210618001286 |
| Provider Name | Courtney Dawn Cuppett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912114976 PECOS PAC ID: 4385794114 Enrollment ID: I20210623002144 |
| Provider Name | John A Scherer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598151193 PECOS PAC ID: 8224326509 Enrollment ID: I20210624003662 |
| Provider Name | Alexandra Stamler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942706759 PECOS PAC ID: 7012272404 Enrollment ID: I20210701003669 |
| Provider Name | Olivia Ghobryal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376040717 PECOS PAC ID: 4486919966 Enrollment ID: I20210702001074 |
| Provider Name | Gregory Michael Polcha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750888103 PECOS PAC ID: 4587928924 Enrollment ID: I20210707003475 |
| Provider Name | Michael Theodore Cratsley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154858785 PECOS PAC ID: 2365710605 Enrollment ID: I20210709002311 |
| Provider Name | Jeannie Ur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033616305 PECOS PAC ID: 5890040299 Enrollment ID: I20210715004105 |
| Provider Name | Joseph Curcio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174919955 PECOS PAC ID: 4284936501 Enrollment ID: I20210720004117 |
| Provider Name | Amy Maduram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013394261 PECOS PAC ID: 9234432840 Enrollment ID: I20210722000959 |
| Provider Name | Lalitha Madhav Janaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508813247 PECOS PAC ID: 3173421468 Enrollment ID: I20210723001373 |
| Provider Name | Stephen Raymond Predebon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437654050 PECOS PAC ID: 1355694209 Enrollment ID: I20210726001730 |
| Provider Name | Benjamin Robert Brocker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164927307 PECOS PAC ID: 6406104090 Enrollment ID: I20210726002161 |
| Provider Name | Brittany Ann Bobovnyik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255836458 PECOS PAC ID: 5698022739 Enrollment ID: I20210726002370 |
| Provider Name | Darian L Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649774449 PECOS PAC ID: 3173870839 Enrollment ID: I20210727004003 |
| Provider Name | Carl Emmett Manzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841618204 PECOS PAC ID: 8022235472 Enrollment ID: I20210727004051 |
| Provider Name | Jeanine E Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881297505 PECOS PAC ID: 3971906900 Enrollment ID: I20210728000778 |
| Provider Name | Stephen Teneyck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114423548 PECOS PAC ID: 6406104066 Enrollment ID: I20210728002679 |
| Provider Name | Lindsey N Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144725011 PECOS PAC ID: 2961730189 Enrollment ID: I20210802002742 |
| Provider Name | Rahul Sinha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629332606 PECOS PAC ID: 6608155742 Enrollment ID: I20210802003315 |
| Provider Name | Marie E Gerow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588152532 PECOS PAC ID: 5890046387 Enrollment ID: I20210804000444 |
| Provider Name | Frank Joseph Migliore |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548523244 PECOS PAC ID: 7214243963 Enrollment ID: I20210816002842 |
| Provider Name | Anjan Prabhuswamy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649512054 PECOS PAC ID: 2860792777 Enrollment ID: I20210819000649 |
| Provider Name | Lori Lynn Woolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629648993 PECOS PAC ID: 0648675058 Enrollment ID: I20210824001150 |
| Provider Name | Joseph Gerald Koza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487986303 PECOS PAC ID: 9537321070 Enrollment ID: I20210824002235 |
| Provider Name | Stephanie M Cerrone |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154664175 PECOS PAC ID: 3072800333 Enrollment ID: I20210826001422 |
| Provider Name | Leeanna Beryl Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770172587 PECOS PAC ID: 6709282668 Enrollment ID: I20210901002695 |
| Provider Name | Bree Ann Doran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202822 PECOS PAC ID: 4981001757 Enrollment ID: I20210921001875 |
| Provider Name | Carol Elizabeth Congeni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457738692 PECOS PAC ID: 8224342159 Enrollment ID: I20210922002807 |
| Provider Name | Natalie Michelle D'amico |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265108682 PECOS PAC ID: 9032516349 Enrollment ID: I20210928003382 |
| Provider Name | Patrizia Guerrieri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053696773 PECOS PAC ID: 8729255765 Enrollment ID: I20211004002198 |
| Provider Name | Jeffrey Leonard Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992816417 PECOS PAC ID: 3678582012 Enrollment ID: I20211015000900 |
| Provider Name | Nazir A Memon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144521725 PECOS PAC ID: 5496176737 Enrollment ID: I20211021001415 |
| Provider Name | Mary Ellen Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750551685 PECOS PAC ID: 5991883183 Enrollment ID: I20211022001660 |
| Provider Name | Christina Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245676980 PECOS PAC ID: 3476831637 Enrollment ID: I20211108000861 |
| Provider Name | Raquel Alexandra Costlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164003182 PECOS PAC ID: 5597154781 Enrollment ID: I20211109002173 |
| Provider Name | Alexandra Marie Zubyk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336801216 PECOS PAC ID: 3072902089 Enrollment ID: I20211112002008 |
| Provider Name | Joshua David Osborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023789153 PECOS PAC ID: 0840681433 Enrollment ID: I20211215000356 |
| Provider Name | Stephen R Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992298616 PECOS PAC ID: 9537495866 Enrollment ID: I20220104002906 |
| Provider Name | Asmau Misawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316325384 PECOS PAC ID: 9739494881 Enrollment ID: I20220721001065 |
| Provider Name | Natasha Wolf Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346701612 PECOS PAC ID: 4082046784 Enrollment ID: I20220816000487 |
| Provider Name | Wynand Nel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043669476 PECOS PAC ID: 6901187061 Enrollment ID: I20220825003079 |
| Provider Name | Satora Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588397798 PECOS PAC ID: 7719355270 Enrollment ID: I20221115001865 |
| Provider Name | Tawnya Dianne Reents |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467183673 PECOS PAC ID: 0345618328 Enrollment ID: I20221122003410 |
| Provider Name | Brian Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548757685 PECOS PAC ID: 8224430897 Enrollment ID: I20230825003234 |
| Provider Name | Renee N Brumbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144858598 PECOS PAC ID: 2567885999 Enrollment ID: I20230906001939 |
| Provider Name | Samantha Bosak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376171728 PECOS PAC ID: 2466875950 Enrollment ID: I20230907002941 |
Youngstown Ohio Physician Services Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-0120 Fax: 330-884-0175 | |
St. Elizabeth Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1053 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3605 | |
Primary Healthcare Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Belmont Ave, Youngstown, OH 44505 Phone: 330-744-0221 Fax: 330-744-4716 | |
Thomas A Bailey Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 N Canfield Niles Rd, Suite 160, Youngstown, OH 44515 Phone: 330-792-2976 Fax: 330-792-8707 | |
Youngstown Ohio Hospital Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Lane, Youngstown, OH 44504 Phone: 330-884-4571 | |
Humility Of Mary Health Partners Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Nicholas P Depizzo Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4991 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-0435 |