| Mercy Hospitals East Communities | |
|
615 S New Ballas Rd Saint Louis MO 63141-8221 | |
| (314) 251-6000 | |
| Not Available |
| Full Name | Mercy Hospitals East Communities |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Denise Scoffic (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 3142511917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospitals East Communities Po Box 776084 Chicago IL 60677-8057 Ph: (314) 364-4200 | Mercy Hospitals East Communities 615 S New Ballas Rd Saint Louis MO 63141-8221 Ph: (314) 251-6000 |
| NPI Number | 1427098169 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 09/08/2021 |
| Medicare PECOS PAC ID | 1658276811 |
|---|---|
| Medicare Enrollment ID | O20031209000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427098169 | NPI | - | NPPES |
| 157 | Other | MO | BLUE CROSS |
| 010567402 | Medicaid | MO | |
| 7449215 | Other | MO | AETNA UCC SP |
| 8785X8785 | Medicaid | MO | |
| 6350740 | Other | MO | AETNA PPO |
| 4858 | Other | MO | GHP |
| 5075742 | Medicaid | MO | |
| 0069376 | Other | MO | AETNA HMO |
| 103427 | Other | MO | HEALTHLINK |
| 5020301 | Other | MO | UNC |
| Provider Name | Robert J Evens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073556700 PECOS PAC ID: 8527963081 Enrollment ID: I20031206000110 |
| Provider Name | Brian S Ullery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962420653 PECOS PAC ID: 4284531765 Enrollment ID: I20031213000022 |
| Provider Name | Linda J Mcallister |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386828796 PECOS PAC ID: 5698674620 Enrollment ID: I20040108000116 |
| Provider Name | Heather C Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700880358 PECOS PAC ID: 8628977584 Enrollment ID: I20040108000806 |
| Provider Name | Bret A Riegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851375323 PECOS PAC ID: 2567355209 Enrollment ID: I20040205000787 |
| Provider Name | Mary B Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694659 PECOS PAC ID: 9133014293 Enrollment ID: I20040217001161 |
| Provider Name | Marcus S Teng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083724389 PECOS PAC ID: 5193718336 Enrollment ID: I20040405001220 |
| Provider Name | Krista D Woelfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881632990 PECOS PAC ID: 8123006962 Enrollment ID: I20040709000078 |
| Provider Name | Gregorio C Tambone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962487744 PECOS PAC ID: 1153300272 Enrollment ID: I20040714000327 |
| Provider Name | Richard U Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437133501 PECOS PAC ID: 5496726192 Enrollment ID: I20040805000151 |
| Provider Name | Nestor Michael Shust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346283066 PECOS PAC ID: 3476525676 Enrollment ID: I20040809000885 |
| Provider Name | Paul Rei Pfeiffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821024803 PECOS PAC ID: 4880666080 Enrollment ID: I20040809000923 |
| Provider Name | Faye E Doerhoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528005154 PECOS PAC ID: 2264406446 Enrollment ID: I20040824000091 |
| Provider Name | Muhammad Azharuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851490460 PECOS PAC ID: 4587631353 Enrollment ID: I20040911000241 |
| Provider Name | Tammy L Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245250331 PECOS PAC ID: 5496723934 Enrollment ID: I20040922000356 |
| Provider Name | Linda R Winterberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295706513 PECOS PAC ID: 0840256483 Enrollment ID: I20041206000994 |
| Provider Name | Darla J Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083654073 PECOS PAC ID: 6709834013 Enrollment ID: I20050104000237 |
| Provider Name | John S Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770527376 PECOS PAC ID: 5799734539 Enrollment ID: I20050119000184 |
| Provider Name | Melissa A Stapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821218678 PECOS PAC ID: 2365493657 Enrollment ID: I20050203000546 |
| Provider Name | Monika Prost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265409122 PECOS PAC ID: 5294786349 Enrollment ID: I20050207000012 |
| Provider Name | Lawrence Prablek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407829344 PECOS PAC ID: 1557313780 Enrollment ID: I20050216000697 |
| Provider Name | Jason C Gutting |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205851755 PECOS PAC ID: 9739133240 Enrollment ID: I20050308000842 |
| Provider Name | John H Wilmas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952406142 PECOS PAC ID: 0143273938 Enrollment ID: I20050502000288 |
| Provider Name | Donald A Reinke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821123324 PECOS PAC ID: 8022047091 Enrollment ID: I20050810000244 |
| Provider Name | Christy Bauer Fogarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952383473 PECOS PAC ID: 5890726046 Enrollment ID: I20050826000609 |
| Provider Name | Alywin E. Kluttz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538165063 PECOS PAC ID: 2860395449 Enrollment ID: I20050926000256 |
| Provider Name | Susan B Buettner-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669412359 PECOS PAC ID: 1850319096 Enrollment ID: I20051107000652 |
| Provider Name | Ryan Flach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326074667 PECOS PAC ID: 0547281768 Enrollment ID: I20051215000011 |
| Provider Name | Rachel A Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144268996 PECOS PAC ID: 6305853904 Enrollment ID: I20060307000347 |
| Provider Name | Nancy Mcmanus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700895547 PECOS PAC ID: 7416952957 Enrollment ID: I20060915000502 |
| Provider Name | Joseph M Fugaro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972536969 PECOS PAC ID: 4486650330 Enrollment ID: I20061017000120 |
| Provider Name | Scott Russell Soerries |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598705535 PECOS PAC ID: 5991691461 Enrollment ID: I20061102000506 |
| Provider Name | Jeffrey J Hallazgo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073538302 PECOS PAC ID: 0345248019 Enrollment ID: I20061114000182 |
| Provider Name | Daniel Schlesinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497868343 PECOS PAC ID: 4688672736 Enrollment ID: I20061128000126 |
| Provider Name | Yasmira I Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710091822 PECOS PAC ID: 0648279315 Enrollment ID: I20061206000248 |
| Provider Name | Steven J Judge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144261736 PECOS PAC ID: 9436100617 Enrollment ID: I20070327000048 |
| Provider Name | Linda Therkildsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902909278 PECOS PAC ID: 8729071030 Enrollment ID: I20070524000442 |
| Provider Name | Edward J Kunst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467428672 PECOS PAC ID: 7517963994 Enrollment ID: I20070531000231 |
| Provider Name | Alicia Busso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386679751 PECOS PAC ID: 6103824917 Enrollment ID: I20070629000524 |
| Provider Name | Neal S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093933285 PECOS PAC ID: 6709986714 Enrollment ID: I20070705000124 |
| Provider Name | Jay L Padratzik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467427161 PECOS PAC ID: 8527013937 Enrollment ID: I20070726000009 |
| Provider Name | Eugene Gessert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457559080 PECOS PAC ID: 0941394647 Enrollment ID: I20070925000367 |
| Provider Name | Harlan D Hodges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063494581 PECOS PAC ID: 3173618576 Enrollment ID: I20071001000166 |
| Provider Name | Christopher M Schlanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215959655 PECOS PAC ID: 2769563238 Enrollment ID: I20080123000091 |
| Provider Name | Kevin Journagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952492969 PECOS PAC ID: 5193800480 Enrollment ID: I20080311000505 |
| Provider Name | Brian Louis Lebo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740307602 PECOS PAC ID: 7517036163 Enrollment ID: I20080523000538 |
| Provider Name | William S Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962587170 PECOS PAC ID: 6204909807 Enrollment ID: I20080715000575 |
| Provider Name | Scott M Dunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649343690 PECOS PAC ID: 7911070438 Enrollment ID: I20080716000779 |
| Provider Name | Sarah A Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194991877 PECOS PAC ID: 4082781190 Enrollment ID: I20080915000633 |
| Provider Name | Sharon M Shoults |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780857532 PECOS PAC ID: 4284792813 Enrollment ID: I20081024000695 |
| Provider Name | Sebastian A Rueckert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356415863 PECOS PAC ID: 6002873924 Enrollment ID: I20081119000097 |
| Provider Name | Justin D Moody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639370489 PECOS PAC ID: 0941386700 Enrollment ID: I20090501000126 |
| Provider Name | Renee J Zesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457586919 PECOS PAC ID: 2264583178 Enrollment ID: I20090706000083 |
| Provider Name | Christina Antoinett Garretto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144430612 PECOS PAC ID: 1951447689 Enrollment ID: I20091009000016 |
| Provider Name | Latasha L Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710118161 PECOS PAC ID: 3678610268 Enrollment ID: I20091030000504 |
| Provider Name | Alok K Sengupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730105032 PECOS PAC ID: 3577691765 Enrollment ID: I20100508000097 |
| Provider Name | Steven A Hilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598874448 PECOS PAC ID: 2567590755 Enrollment ID: I20100508000106 |
| Provider Name | John P Fortney Sr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396847000 PECOS PAC ID: 9032248232 Enrollment ID: I20100526000867 |
| Provider Name | Ameha A Hagos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073763991 PECOS PAC ID: 2264588151 Enrollment ID: I20100618000776 |
| Provider Name | Garry R Scarato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750476594 PECOS PAC ID: 6709917628 Enrollment ID: I20100621000842 |
| Provider Name | William B Suk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053428201 PECOS PAC ID: 6002811247 Enrollment ID: I20100717000134 |
| Provider Name | Leena Lata Stemler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063686335 PECOS PAC ID: 3577695089 Enrollment ID: I20100720000199 |
| Provider Name | Julian B Montano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295866309 PECOS PAC ID: 3476686452 Enrollment ID: I20100727001011 |
| Provider Name | Bhavana Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508022401 PECOS PAC ID: 0648304659 Enrollment ID: I20100812000691 |
| Provider Name | Patrick J Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952585812 PECOS PAC ID: 1951454032 Enrollment ID: I20100817000198 |
| Provider Name | Steven E West |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982695888 PECOS PAC ID: 2163482852 Enrollment ID: I20100818000773 |
| Provider Name | Muhammad Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831405307 PECOS PAC ID: 3577687953 Enrollment ID: I20100908000411 |
| Provider Name | Deborah S Kane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518141894 PECOS PAC ID: 2466507546 Enrollment ID: I20100916000025 |
| Provider Name | Bryan J Menges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245438779 PECOS PAC ID: 9133200769 Enrollment ID: I20101007000604 |
| Provider Name | Sanford S Sineff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518983824 PECOS PAC ID: 5890981500 Enrollment ID: I20101119001111 |
| Provider Name | Amy E Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598055287 PECOS PAC ID: 3971789231 Enrollment ID: I20110520000593 |
| Provider Name | Mirha Avdagic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154625887 PECOS PAC ID: 2769653997 Enrollment ID: I20110920000752 |
| Provider Name | Christopher Cundiff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689908105 PECOS PAC ID: 5496890550 Enrollment ID: I20120105000553 |
| Provider Name | Hawnwan P Moy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407017569 PECOS PAC ID: 3072780493 Enrollment ID: I20120125000298 |
| Provider Name | Angela M Lloyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518912047 PECOS PAC ID: 9032370069 Enrollment ID: I20120418000269 |
| Provider Name | Alvan C Omeni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285965855 PECOS PAC ID: 2769645118 Enrollment ID: I20120522000889 |
| Provider Name | Dustin Ricky Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558591198 PECOS PAC ID: 0042466765 Enrollment ID: I20120813000710 |
| Provider Name | Kevin M Tompkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124257142 PECOS PAC ID: 3274780960 Enrollment ID: I20120831000457 |
| Provider Name | Timothy J Casper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548403181 PECOS PAC ID: 2466600309 Enrollment ID: I20120918000456 |
| Provider Name | David Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528003787 PECOS PAC ID: 5496657975 Enrollment ID: I20121105000020 |
| Provider Name | Melanie M Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720216534 PECOS PAC ID: 3274784525 Enrollment ID: I20121113000677 |
| Provider Name | Kelly L Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619221819 PECOS PAC ID: 3375798309 Enrollment ID: I20130225000056 |
| Provider Name | Kristen M Cundiff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487988093 PECOS PAC ID: 4284875204 Enrollment ID: I20130801000880 |
| Provider Name | Michael D Feldmeier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992024681 PECOS PAC ID: 3971745316 Enrollment ID: I20130814000161 |
| Provider Name | Jonathan Schonert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225358518 PECOS PAC ID: 8820249428 Enrollment ID: I20131007000380 |
| Provider Name | Nancy Elise Gruchala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740484534 PECOS PAC ID: 7719049576 Enrollment ID: I20131025000254 |
| Provider Name | Daniel D Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306134903 PECOS PAC ID: 3678703428 Enrollment ID: I20140224000926 |
| Provider Name | Kenneth E Marciniak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477864072 PECOS PAC ID: 3971733536 Enrollment ID: I20140226001038 |
| Provider Name | Sarah R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083044879 PECOS PAC ID: 1052541166 Enrollment ID: I20140310001972 |
| Provider Name | Joseph M Schuster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275829046 PECOS PAC ID: 2365665247 Enrollment ID: I20140521002107 |
| Provider Name | Alison J Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427345263 PECOS PAC ID: 9931322864 Enrollment ID: I20140522001055 |
| Provider Name | Paula F Oldeg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568438687 PECOS PAC ID: 5991696536 Enrollment ID: I20140702001723 |
| Provider Name | Jahnavi Avula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821236316 PECOS PAC ID: 9133384746 Enrollment ID: I20140711002064 |
| Provider Name | Eric C Cleaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679889182 PECOS PAC ID: 0547487829 Enrollment ID: I20140811000181 |
| Provider Name | Phillip Paul Rohde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972811933 PECOS PAC ID: 6002034790 Enrollment ID: I20140821000721 |
| Provider Name | Joseph Mark Novof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427332253 PECOS PAC ID: 0840415998 Enrollment ID: I20141030000685 |
| Provider Name | Jason A Shanker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932488962 PECOS PAC ID: 1951560044 Enrollment ID: I20141103000339 |
| Provider Name | Garrett M Ripoll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801186309 PECOS PAC ID: 8729207683 Enrollment ID: I20150114000087 |
| Provider Name | Christie C Pickrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992063994 PECOS PAC ID: 8325262843 Enrollment ID: I20150421001869 |
| Provider Name | Brendan M Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811166598 PECOS PAC ID: 5991934358 Enrollment ID: I20150709001345 |
| Provider Name | Rickie Mui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932408606 PECOS PAC ID: 2466696224 Enrollment ID: I20150715000160 |
| Provider Name | Jennifer Walk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346619095 PECOS PAC ID: 4880903293 Enrollment ID: I20151027000390 |
| Provider Name | George R Shuert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376716985 PECOS PAC ID: 4688706393 Enrollment ID: I20160126001604 |
| Provider Name | Matthew L Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700197753 PECOS PAC ID: 6507015591 Enrollment ID: I20160222000595 |
| Provider Name | Jesse C Lavin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134567084 PECOS PAC ID: 0941521660 Enrollment ID: I20160406000210 |
| Provider Name | Lindsay C Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952657371 PECOS PAC ID: 2668763434 Enrollment ID: I20160624002152 |
| Provider Name | Kaitlyn M Kennedy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447600424 PECOS PAC ID: 9537450234 Enrollment ID: I20160628002006 |
| Provider Name | Elizabeth A Satchell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184953275 PECOS PAC ID: 0840583860 Enrollment ID: I20160727002399 |
| Provider Name | Kristin R Gossett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174835516 PECOS PAC ID: 5799079471 Enrollment ID: I20160803000325 |
| Provider Name | Alaina Marie Lenzen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629426606 PECOS PAC ID: 4688968365 Enrollment ID: I20160803000419 |
| Provider Name | Blair N Cristel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891024139 PECOS PAC ID: 3779877352 Enrollment ID: I20160804000421 |
| Provider Name | Kristy L Greco |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184953101 PECOS PAC ID: 3971897208 Enrollment ID: I20160810000659 |
| Provider Name | Jennifer J Main |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841378007 PECOS PAC ID: 5597868885 Enrollment ID: I20160810001272 |
| Provider Name | Katherine Marie Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306191010 PECOS PAC ID: 7416241468 Enrollment ID: I20160815000227 |
| Provider Name | Shirley N Okwuashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417247693 PECOS PAC ID: 1153638549 Enrollment ID: I20161012000677 |
| Provider Name | Joshua Nast |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801231006 PECOS PAC ID: 1850695354 Enrollment ID: I20161027001563 |
| Provider Name | Caroline Nelson Stewart- Glaze |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700338282 PECOS PAC ID: 6002195765 Enrollment ID: I20161121000846 |
| Provider Name | Julie R Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215471594 PECOS PAC ID: 6507147766 Enrollment ID: I20161229001568 |
| Provider Name | Kristen Elaine Cleavelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487199733 PECOS PAC ID: 4880976273 Enrollment ID: I20170119001506 |
| Provider Name | Abigail Nieters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275866600 PECOS PAC ID: 3375833361 Enrollment ID: I20170206000634 |
| Provider Name | Chauncey D Tarrant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154646156 PECOS PAC ID: 4486937091 Enrollment ID: I20170206001151 |
| Provider Name | Magdalena Bokiej |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629497268 PECOS PAC ID: 8325349608 Enrollment ID: I20170316001562 |
| Provider Name | Stephanie D Nellesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003362021 PECOS PAC ID: 6901182310 Enrollment ID: I20170420000870 |
| Provider Name | Brian Heberer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588004329 PECOS PAC ID: 3375777360 Enrollment ID: I20170517002010 |
| Provider Name | Lauren Anne Sucher-o'grady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871908798 PECOS PAC ID: 1052532603 Enrollment ID: I20170705001025 |
| Provider Name | Annie J Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295022705 PECOS PAC ID: 0547439614 Enrollment ID: I20170719001853 |
| Provider Name | Brittany M Peterein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316467095 PECOS PAC ID: 2062782899 Enrollment ID: I20170726003126 |
| Provider Name | Alison Curfman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023306578 PECOS PAC ID: 2961772660 Enrollment ID: I20170727002055 |
| Provider Name | Jennifer L Orbe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629498555 PECOS PAC ID: 3678875101 Enrollment ID: I20170728002429 |
| Provider Name | Laura R Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023310737 PECOS PAC ID: 2264605252 Enrollment ID: I20170801001825 |
| Provider Name | Stephanie A Bucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215382056 PECOS PAC ID: 2961775994 Enrollment ID: I20170913001392 |
| Provider Name | Michael Anand Sundararaman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710096631 PECOS PAC ID: 7810998119 Enrollment ID: I20171017001290 |
| Provider Name | Daniel J Lackey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528473410 PECOS PAC ID: 4284855842 Enrollment ID: I20171116003228 |
| Provider Name | Nicholas J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215317540 PECOS PAC ID: 8921309741 Enrollment ID: I20171226000546 |
| Provider Name | Ragean Marie Muessig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295233633 PECOS PAC ID: 1052672243 Enrollment ID: I20180305000927 |
| Provider Name | Zachary Picker Radwine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265797971 PECOS PAC ID: 0749500320 Enrollment ID: I20180308001130 |
| Provider Name | Andrea Regina Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790273571 PECOS PAC ID: 7618232265 Enrollment ID: I20180531001248 |
| Provider Name | Charles Raymond Caffrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104243138 PECOS PAC ID: 5496050338 Enrollment ID: I20180711001643 |
| Provider Name | Jimmy A Demeo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831584986 PECOS PAC ID: 9537460332 Enrollment ID: I20180712000728 |
| Provider Name | Andrew James Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881006435 PECOS PAC ID: 1759505191 Enrollment ID: I20180720000415 |
| Provider Name | Megan Lynne Dohr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669853230 PECOS PAC ID: 5991017899 Enrollment ID: I20180720001386 |
| Provider Name | Mary Beth Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003309147 PECOS PAC ID: 7719235381 Enrollment ID: I20180731000195 |
| Provider Name | Samera Majeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578959193 PECOS PAC ID: 8820376270 Enrollment ID: I20180801000725 |
| Provider Name | Samantha M Fox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770076317 PECOS PAC ID: 0345598496 Enrollment ID: I20180806001457 |
| Provider Name | Robyn E Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385081 PECOS PAC ID: 0143570895 Enrollment ID: I20180830001576 |
| Provider Name | Stephanie Ann Souris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971368 PECOS PAC ID: 5890046189 Enrollment ID: I20180926000774 |
| Provider Name | Dinalben Narharibhai Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851858971 PECOS PAC ID: 2769724350 Enrollment ID: I20190501000725 |
| Provider Name | Amanda M Augustine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790149250 PECOS PAC ID: 9638461262 Enrollment ID: I20190513001896 |
| Provider Name | Malynda C Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255707907 PECOS PAC ID: 8921373598 Enrollment ID: I20190522000354 |
| Provider Name | Lacey Ann Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497319560 PECOS PAC ID: 9234462102 Enrollment ID: I20190607000936 |
| Provider Name | Morgan Rene Howell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205491438 PECOS PAC ID: 5395078992 Enrollment ID: I20190613002643 |
| Provider Name | Nicole V. Messenger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689058521 PECOS PAC ID: 5890008486 Enrollment ID: I20190725003828 |
| Provider Name | Sana Habib |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629431747 PECOS PAC ID: 3678866746 Enrollment ID: I20190802000708 |
| Provider Name | Cody Alan Dornhecker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326492117 PECOS PAC ID: 0446587968 Enrollment ID: I20190807000236 |
| Provider Name | Ari B Filip |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619339280 PECOS PAC ID: 3375835721 Enrollment ID: I20190807000876 |
| Provider Name | Chase Alexander Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861855207 PECOS PAC ID: 4789979659 Enrollment ID: I20190808000559 |
| Provider Name | Chantel Pauletta Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205154820 PECOS PAC ID: 3072747856 Enrollment ID: I20190826000154 |
| Provider Name | Jessica Leigh Upchurch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457766974 PECOS PAC ID: 0648564914 Enrollment ID: I20190826000184 |
| Provider Name | Sasha Alloyse Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659785145 PECOS PAC ID: 7315227550 Enrollment ID: I20190918002549 |
| Provider Name | Patrick Poston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467815068 PECOS PAC ID: 8022302520 Enrollment ID: I20191018001096 |
| Provider Name | Marissa A Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164874822 PECOS PAC ID: 5496086746 Enrollment ID: I20200529001912 |
| Provider Name | Matthew Schwab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437681418 PECOS PAC ID: 6709157811 Enrollment ID: I20200729003070 |
| Provider Name | Jared Johns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073976197 PECOS PAC ID: 5395090070 Enrollment ID: I20200730000759 |
| Provider Name | Dustin P Neider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851743868 PECOS PAC ID: 8921430182 Enrollment ID: I20200804000346 |
| Provider Name | Elizabeth Harmon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689038820 PECOS PAC ID: 5395038566 Enrollment ID: I20200806002849 |
| Provider Name | Alfred Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710337852 PECOS PAC ID: 4082906516 Enrollment ID: I20200825000282 |
| Provider Name | Heather Marie Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205354271 PECOS PAC ID: 2961814363 Enrollment ID: I20201208002984 |
| Provider Name | Eleni Beeve |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003415381 PECOS PAC ID: 2062824261 Enrollment ID: I20201211001842 |
| Provider Name | Sarah Marie Ulses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639748502 PECOS PAC ID: 1153724968 Enrollment ID: I20210730000211 |
| Provider Name | Tyler Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538542170 PECOS PAC ID: 5193010171 Enrollment ID: I20210805001066 |
| Provider Name | Joshua Lefler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861835845 PECOS PAC ID: 5092095497 Enrollment ID: I20210818002956 |
| Provider Name | Andre Michael Morales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750878195 PECOS PAC ID: 1658776711 Enrollment ID: I20210827000625 |
| Provider Name | Brandon D Rosenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053806844 PECOS PAC ID: 6406288323 Enrollment ID: I20210827001232 |
| Provider Name | James Hubbard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104232255 PECOS PAC ID: 4789006099 Enrollment ID: I20210921003481 |
| Provider Name | Catherine Brilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023602653 PECOS PAC ID: 1456759844 Enrollment ID: I20211015001669 |
| Provider Name | Scott J Kilian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023502028 PECOS PAC ID: 8325471246 Enrollment ID: I20211118002737 |
| Provider Name | Alison Deremigis Thomasson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245644822 PECOS PAC ID: 8224336755 Enrollment ID: I20220303000141 |
| Provider Name | Abigail Mispagel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154096477 PECOS PAC ID: 8224423363 Enrollment ID: I20220328001057 |
| Provider Name | Jade Kuhl |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285153841 PECOS PAC ID: 9234495029 Enrollment ID: I20220509001413 |
| Provider Name | Rachel Lorrene Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285012724 PECOS PAC ID: 3173900396 Enrollment ID: I20220509002464 |
| Provider Name | Brian Openlander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104487495 PECOS PAC ID: 0648505875 Enrollment ID: I20220705000905 |
| Provider Name | Claire Barnard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841935079 PECOS PAC ID: 5597146514 Enrollment ID: I20220721001205 |
| Provider Name | Samantha Lynn Redmond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538896774 PECOS PAC ID: 4082097514 Enrollment ID: I20220817000606 |
| Provider Name | Khristian M Sunga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417305434 PECOS PAC ID: 5799076543 Enrollment ID: I20220914001686 |
| Provider Name | Emily Jean Wynia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720649445 PECOS PAC ID: 5597132746 Enrollment ID: I20221101002630 |
| Provider Name | Conner S Gessert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174184774 PECOS PAC ID: 5092041210 Enrollment ID: I20221118000550 |
| Provider Name | Rebecca Lee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922524628 PECOS PAC ID: 3678839834 Enrollment ID: I20230124001050 |
| Provider Name | Nicholas W Karlow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922669167 PECOS PAC ID: 0547596777 Enrollment ID: I20230311000039 |
| Provider Name | Aditi Lele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356803548 PECOS PAC ID: 5092042390 Enrollment ID: I20230524000536 |
| Provider Name | Madalyn Shebek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619661246 PECOS PAC ID: 8224498068 Enrollment ID: I20230712002329 |
| Provider Name | Jeffrey Ruggeri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225655657 PECOS PAC ID: 2961826318 Enrollment ID: I20230719004142 |
| Provider Name | Michael Pajor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457977035 PECOS PAC ID: 6507280963 Enrollment ID: I20230720000596 |
| Provider Name | Siri Kommareddy-sloane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649702523 PECOS PAC ID: 7315365319 Enrollment ID: I20230914001931 |
| Provider Name | Emily Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740803220 PECOS PAC ID: 9537582358 Enrollment ID: I20230915000797 |
| Provider Name | Danielle Andrea Gallet Kukielski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508383035 PECOS PAC ID: 8325493778 Enrollment ID: I20231005000461 |
| Provider Name | Matthew Schuver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497324222 PECOS PAC ID: 6103227350 Enrollment ID: I20231102001325 |
| Provider Name | Paige Cosmas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689388175 PECOS PAC ID: 6709257967 Enrollment ID: I20231103000684 |
| Provider Name | Alexander Gayle Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689177743 PECOS PAC ID: 1557785995 Enrollment ID: I20240401002322 |
| Provider Name | Jaime Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861108185 PECOS PAC ID: 0648630558 Enrollment ID: I20240411001802 |
| Provider Name | Hayley Jean Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891545992 PECOS PAC ID: 6800330275 Enrollment ID: I20240627000954 |
| Provider Name | Rahul Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013594803 PECOS PAC ID: 1153868443 Enrollment ID: I20240805001630 |
| Provider Name | Ebony Page-phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659940419 PECOS PAC ID: 2860893005 Enrollment ID: I20240909001552 |
| Provider Name | Amy Donaldson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073366365 PECOS PAC ID: 0042750705 Enrollment ID: I20240909001902 |
| Provider Name | Yagnaram Ravichandran-cupp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457774788 PECOS PAC ID: 0345539052 Enrollment ID: I20241107000564 |
| Provider Name | Onyemeze Azuogu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710964242 PECOS PAC ID: 5496733412 Enrollment ID: I20241126003437 |
| Provider Name | Chelsea Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063443331 PECOS PAC ID: 6103976204 Enrollment ID: I20241220001734 |
| Provider Name | Rozaleen E Phaltas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437512696 PECOS PAC ID: 5799052957 Enrollment ID: I20250124002078 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Affinia Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |