| Meritas Health Vivion | |
|
2000 Ne Vivion Rd Suite 100 Kansas City MO 64118-6127 | |
| (816) 453-1314 | |
| (816) 453-3434 |
| Full Name | Meritas Health Vivion |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 Ne Vivion Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Stephen L Reintjes (PRESIDENT) |
| Authorized Official Contact | 8166915287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meritas Health Vivion 9411 N Oak Trfy Suite Ll1 Kansas City MO 64155-2262 Ph: (816) 436-7072 | Meritas Health Vivion 2000 Ne Vivion Rd Suite 100 Kansas City MO 64118-6127 Ph: (816) 453-1314 |
| NPI Number | 1801875091 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 05/11/2020 |
| Medicare PECOS PAC ID | 6305748153 |
|---|---|
| Medicare Enrollment ID | O20040122001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801875091 | NPI | - | NPPES |
| 22642014 | Other | MO | BCBS OF KANSAS CITY |
| CC6733 | Other | RAILROAD MEDICARE | |
| 508512209 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eileen T Joyce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497792782 PECOS PAC ID: 7810891827 Enrollment ID: I20031121000339 |
| Provider Name | Michael J Dibernardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235109851 PECOS PAC ID: 3274432372 Enrollment ID: I20040107000936 |
| Provider Name | Brenda Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942275581 PECOS PAC ID: 5092617019 Enrollment ID: I20040121000848 |
| Provider Name | Antonette C Acosta-dickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487625232 PECOS PAC ID: 3476446600 Enrollment ID: I20040203000511 |
| Provider Name | Michael A Sedlacek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356442313 PECOS PAC ID: 8123916954 Enrollment ID: I20040304001014 |
| Provider Name | Robert W Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235230293 PECOS PAC ID: 2769370519 Enrollment ID: I20040304001095 |
| Provider Name | Charles H Vossler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699723924 PECOS PAC ID: 0749179653 Enrollment ID: I20040310001369 |
| Provider Name | Thomas K Labruzzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851363725 PECOS PAC ID: 1658363601 Enrollment ID: I20040331001080 |
| Provider Name | Gregory A Cummins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528168994 PECOS PAC ID: 0244222818 Enrollment ID: I20040422000761 |
| Provider Name | Gregory D Widrig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124129184 PECOS PAC ID: 6305741745 Enrollment ID: I20040426000821 |
| Provider Name | Jonna R Beenken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326149386 PECOS PAC ID: 6507853017 Enrollment ID: I20040427001385 |
| Provider Name | Dana Vossler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942279898 PECOS PAC ID: 9931196276 Enrollment ID: I20040428000739 |
| Provider Name | Neal O Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134129489 PECOS PAC ID: 0244228427 Enrollment ID: I20040505000958 |
| Provider Name | Stephanie P Swords |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134198658 PECOS PAC ID: 5597756379 Enrollment ID: I20040520000707 |
| Provider Name | Bruce W Durkee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023119096 PECOS PAC ID: 5496650830 Enrollment ID: I20040524001397 |
| Provider Name | Michelle L Orr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598769291 PECOS PAC ID: 9931181476 Enrollment ID: I20040607001025 |
| Provider Name | William Kent Barr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710952072 PECOS PAC ID: 0446233852 Enrollment ID: I20040608000751 |
| Provider Name | Steven K Starr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275508822 PECOS PAC ID: 1658353032 Enrollment ID: I20040610000326 |
| Provider Name | Zafir A Hawa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235102302 PECOS PAC ID: 2466435581 Enrollment ID: I20040610000401 |
| Provider Name | Lawrence Brick Rigden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205809324 PECOS PAC ID: 2466435433 Enrollment ID: I20040610000846 |
| Provider Name | Joseph A Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790781607 PECOS PAC ID: 4183696677 Enrollment ID: I20040806000076 |
| Provider Name | Robert William Mceachen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477632123 PECOS PAC ID: 2567436173 Enrollment ID: I20040820000257 |
| Provider Name | Timothy R Murray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164522538 PECOS PAC ID: 0840188041 Enrollment ID: I20040824001301 |
| Provider Name | C Mark Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265408215 PECOS PAC ID: 8527039171 Enrollment ID: I20040910001176 |
| Provider Name | Donald E Beissel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952370207 PECOS PAC ID: 0749257053 Enrollment ID: I20040915001051 |
| Provider Name | Cynthia J Ward |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700849213 PECOS PAC ID: 0244219871 Enrollment ID: I20041012001230 |
| Provider Name | Rebecca S Hodos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992798094 PECOS PAC ID: 3678531522 Enrollment ID: I20041227000116 |
| Provider Name | Paul E Krug |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437250404 PECOS PAC ID: 0648228676 Enrollment ID: I20050106000639 |
| Provider Name | Michael Alan Crim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982609699 PECOS PAC ID: 2860443744 Enrollment ID: I20050208000824 |
| Provider Name | Sharon D Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510455 PECOS PAC ID: 8921051780 Enrollment ID: I20050222000456 |
| Provider Name | Keenan R Berghoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720027212 PECOS PAC ID: 4587610225 Enrollment ID: I20050325000510 |
| Provider Name | Robert Landon Roach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821199878 PECOS PAC ID: 6709833916 Enrollment ID: I20050331000110 |
| Provider Name | Shalini Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700972585 PECOS PAC ID: 7416994348 Enrollment ID: I20050412001468 |
| Provider Name | Lawanna Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972604940 PECOS PAC ID: 7911945118 Enrollment ID: I20050419000713 |
| Provider Name | Connie J Bolin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184725723 PECOS PAC ID: 4688612617 Enrollment ID: I20050420001023 |
| Provider Name | Janice Gladman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194796961 PECOS PAC ID: 4587603287 Enrollment ID: I20050502001293 |
| Provider Name | Bridgett A Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518944792 PECOS PAC ID: 9234171505 Enrollment ID: I20050526000266 |
| Provider Name | Dan L Hancock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285621920 PECOS PAC ID: 6507892940 Enrollment ID: I20050715001098 |
| Provider Name | Brian Joseph Wittek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881658631 PECOS PAC ID: 7719913177 Enrollment ID: I20050718000109 |
| Provider Name | Scott Stuart Chapman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538134259 PECOS PAC ID: 8527095082 Enrollment ID: I20050726001017 |
| Provider Name | David Martin Hahn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235102807 PECOS PAC ID: 7214966191 Enrollment ID: I20050810001198 |
| Provider Name | Jason Andrew Fieser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336241215 PECOS PAC ID: 1456388792 Enrollment ID: I20050929000690 |
| Provider Name | Joy Clore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659340867 PECOS PAC ID: 0244259794 Enrollment ID: I20051115000153 |
| Provider Name | Todd J Beardman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396849519 PECOS PAC ID: 5395767875 Enrollment ID: I20051227000490 |
| Provider Name | Connie Janel Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912008970 PECOS PAC ID: 6002830288 Enrollment ID: I20060116000421 |
| Provider Name | Jay G Robinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083610083 PECOS PAC ID: 1355351107 Enrollment ID: I20060425000335 |
| Provider Name | Stacey A Quick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780785741 PECOS PAC ID: 6103837943 Enrollment ID: I20060509000181 |
| Provider Name | Scott L Knappenberger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770503484 PECOS PAC ID: 9638172893 Enrollment ID: I20060809000242 |
| Provider Name | Amanda L Humiston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235171661 PECOS PAC ID: 5294739074 Enrollment ID: I20060909000037 |
| Provider Name | Jill C Dawson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437171824 PECOS PAC ID: 6103821954 Enrollment ID: I20060928000568 |
| Provider Name | Ann R Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568541431 PECOS PAC ID: 6608874656 Enrollment ID: I20061129000404 |
| Provider Name | Daniel V Spurlock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013957257 PECOS PAC ID: 4284634940 Enrollment ID: I20070102000333 |
| Provider Name | Rozella Ranes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902876568 PECOS PAC ID: 4789658550 Enrollment ID: I20070113000122 |
| Provider Name | James B Ladesich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962439539 PECOS PAC ID: 7911909452 Enrollment ID: I20070212000632 |
| Provider Name | Justin Ranes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932182532 PECOS PAC ID: 5597786848 Enrollment ID: I20070302000127 |
| Provider Name | Bethany Peasley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992851299 PECOS PAC ID: 3072616499 Enrollment ID: I20070305000676 |
| Provider Name | Christina M Pinkerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821103128 PECOS PAC ID: 9830292507 Enrollment ID: I20070319000056 |
| Provider Name | Paul Alan Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588761035 PECOS PAC ID: 8325142367 Enrollment ID: I20070330000149 |
| Provider Name | Leslie W Moody |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558409847 PECOS PAC ID: 8123125895 Enrollment ID: I20070515000432 |
| Provider Name | Daniel R Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720024797 PECOS PAC ID: 9133229891 Enrollment ID: I20070710000678 |
| Provider Name | Ian Rosbrugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851456990 PECOS PAC ID: 4981705738 Enrollment ID: I20070723000722 |
| Provider Name | Sarah E Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578590139 PECOS PAC ID: 4789785577 Enrollment ID: I20070724000198 |
| Provider Name | James H Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689890428 PECOS PAC ID: 4688765365 Enrollment ID: I20070809000561 |
| Provider Name | Benjamin J Newell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497974232 PECOS PAC ID: 3173614617 Enrollment ID: I20070813000247 |
| Provider Name | Ahmet Tayfun Gurbuz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154536407 PECOS PAC ID: 0446142723 Enrollment ID: I20070823000942 |
| Provider Name | Colleen L Buchinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275535841 PECOS PAC ID: 7113010323 Enrollment ID: I20070904000664 |
| Provider Name | Jeffrey Charles Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962559377 PECOS PAC ID: 1254341845 Enrollment ID: I20070918000538 |
| Provider Name | Lithena L Skrdla Van Dusen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659357044 PECOS PAC ID: 0749209914 Enrollment ID: I20071026000331 |
| Provider Name | Alexis H Meredith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215004478 PECOS PAC ID: 9436259850 Enrollment ID: I20071107000779 |
| Provider Name | Mangesh D Oza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932163797 PECOS PAC ID: 7214027275 Enrollment ID: I20071214000467 |
| Provider Name | Breann K Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205870227 PECOS PAC ID: 1759471568 Enrollment ID: I20071217000798 |
| Provider Name | Gregory Eason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689673675 PECOS PAC ID: 1254351299 Enrollment ID: I20080204000355 |
| Provider Name | Jon S Gengler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063411031 PECOS PAC ID: 7416039110 Enrollment ID: I20080204000397 |
| Provider Name | Patrick E Mcgregor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295734481 PECOS PAC ID: 6709968308 Enrollment ID: I20080204000466 |
| Provider Name | Thomas M Reardon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538168711 PECOS PAC ID: 9638251234 Enrollment ID: I20080204000510 |
| Provider Name | Randall S Cramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235355959 PECOS PAC ID: 5597840694 Enrollment ID: I20080731000224 |
| Provider Name | Jean A Edmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790955474 PECOS PAC ID: 5496821654 Enrollment ID: I20080911000659 |
| Provider Name | Iris A Comes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003842998 PECOS PAC ID: 6800963885 Enrollment ID: I20080916000603 |
| Provider Name | Karin E Riepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093709446 PECOS PAC ID: 4688741515 Enrollment ID: I20080918000491 |
| Provider Name | Alan J Baudler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578544763 PECOS PAC ID: 2769550664 Enrollment ID: I20081006000209 |
| Provider Name | Larry C Hollenbeck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801857891 PECOS PAC ID: 3577532092 Enrollment ID: I20081110000025 |
| Provider Name | Amelia R Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881782779 PECOS PAC ID: 5799791075 Enrollment ID: I20090327000243 |
| Provider Name | Pierre Podrebarac |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992781157 PECOS PAC ID: 4587619150 Enrollment ID: I20090427000183 |
| Provider Name | Stephen K Gimple |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801066154 PECOS PAC ID: 5890846646 Enrollment ID: I20090708000072 |
| Provider Name | Steven C Kosa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700895083 PECOS PAC ID: 7810991817 Enrollment ID: I20090716000245 |
| Provider Name | Mathew A Strasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164447884 PECOS PAC ID: 3072665934 Enrollment ID: I20090723000606 |
| Provider Name | Diane L Oakland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679777197 PECOS PAC ID: 0749372647 Enrollment ID: I20090813000701 |
| Provider Name | Andrea K Anthony |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669513156 PECOS PAC ID: 3476568536 Enrollment ID: I20090902000382 |
| Provider Name | Michael J Beltran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679705099 PECOS PAC ID: 5092851261 Enrollment ID: I20091002000075 |
| Provider Name | Jill Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912012493 PECOS PAC ID: 9830235712 Enrollment ID: I20091007000004 |
| Provider Name | Sandra Ann Eggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013241082 PECOS PAC ID: 8820135296 Enrollment ID: I20091019000089 |
| Provider Name | Christopher George Harlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619182052 PECOS PAC ID: 9931249349 Enrollment ID: I20091216000102 |
| Provider Name | Loricia L Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821214438 PECOS PAC ID: 5496853343 Enrollment ID: I20100108000347 |
| Provider Name | Anthony G Migliazzo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508881293 PECOS PAC ID: 8224171921 Enrollment ID: I20100211000259 |
| Provider Name | James Maturo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245239813 PECOS PAC ID: 0941380968 Enrollment ID: I20100308000452 |
| Provider Name | Dann J Fredrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215934203 PECOS PAC ID: 7214017235 Enrollment ID: I20100331000059 |
| Provider Name | Stephen L Reintjes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538196175 PECOS PAC ID: 7315035904 Enrollment ID: I20100415000717 |
| Provider Name | Russell Stewart Yocum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649241282 PECOS PAC ID: 8729116124 Enrollment ID: I20100505000631 |
| Provider Name | Carl Mack Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659342285 PECOS PAC ID: 0345378741 Enrollment ID: I20100505000657 |
| Provider Name | James Wesley Hall |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295735504 PECOS PAC ID: 4981508850 Enrollment ID: I20100506000376 |
| Provider Name | Kelly D Skretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528381050 PECOS PAC ID: 2163552845 Enrollment ID: I20100607000105 |
| Provider Name | Stephanie Haupt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285604124 PECOS PAC ID: 4789714429 Enrollment ID: I20100607000889 |
| Provider Name | David Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336119205 PECOS PAC ID: 7214067784 Enrollment ID: I20100609000667 |
| Provider Name | Todd E Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700856358 PECOS PAC ID: 0840320347 Enrollment ID: I20100609000935 |
| Provider Name | Carrie E Bastin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285753228 PECOS PAC ID: 5092868661 Enrollment ID: I20100610000217 |
| Provider Name | Michael Ward Raybould |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083686273 PECOS PAC ID: 9436289741 Enrollment ID: I20100614000324 |
| Provider Name | Roman Suarez Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932171832 PECOS PAC ID: 7012047954 Enrollment ID: I20100618000797 |
| Provider Name | Jennifer Lynn Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194040105 PECOS PAC ID: 9931230133 Enrollment ID: I20100702000393 |
| Provider Name | Sarah J Hon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821059825 PECOS PAC ID: 7113996638 Enrollment ID: I20100702000425 |
| Provider Name | John Campobasso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730150566 PECOS PAC ID: 1850423856 Enrollment ID: I20100709000126 |
| Provider Name | James B Marx |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306817986 PECOS PAC ID: 7012049018 Enrollment ID: I20100709000146 |
| Provider Name | Thomas Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770553323 PECOS PAC ID: 6406988138 Enrollment ID: I20100715000945 |
| Provider Name | Berent J Krumm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801866769 PECOS PAC ID: 4981736360 Enrollment ID: I20100721000044 |
| Provider Name | Mark Ernest Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083686257 PECOS PAC ID: 6608909338 Enrollment ID: I20100802000934 |
| Provider Name | Sharon Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942526736 PECOS PAC ID: 9638202377 Enrollment ID: I20100803000077 |
| Provider Name | George A Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750324786 PECOS PAC ID: 8224171814 Enrollment ID: I20100805000014 |
| Provider Name | Omar Villanueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619136736 PECOS PAC ID: 5698809325 Enrollment ID: I20100817001307 |
| Provider Name | Theresa L Simpelo Cain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760709836 PECOS PAC ID: 2466577762 Enrollment ID: I20100909000897 |
| Provider Name | Emad F Israel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871694844 PECOS PAC ID: 4486779998 Enrollment ID: I20100921000121 |
| Provider Name | Alan D Brewster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730280702 PECOS PAC ID: 1658496161 Enrollment ID: I20100921000131 |
| Provider Name | John R Lyngstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588765549 PECOS PAC ID: 9830215946 Enrollment ID: I20100927000653 |
| Provider Name | Derek C Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215241401 PECOS PAC ID: 2567654486 Enrollment ID: I20101011001112 |
| Provider Name | Mary W Minden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053622092 PECOS PAC ID: 2567654247 Enrollment ID: I20101013000723 |
| Provider Name | Janna R Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184725145 PECOS PAC ID: 7315130903 Enrollment ID: I20101014001074 |
| Provider Name | Shannon E Kohake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063631380 PECOS PAC ID: 1658564109 Enrollment ID: I20101018000376 |
| Provider Name | Khurram Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669682779 PECOS PAC ID: 7719059971 Enrollment ID: I20110128001101 |
| Provider Name | Tanner D Brownrigg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780801449 PECOS PAC ID: 1658559323 Enrollment ID: I20110628000416 |
| Provider Name | Jacqueline L Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154612307 PECOS PAC ID: 2163609793 Enrollment ID: I20110705000155 |
| Provider Name | Tonya Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467751164 PECOS PAC ID: 2062690449 Enrollment ID: I20110707000600 |
| Provider Name | Wendolyn B Becker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255538393 PECOS PAC ID: 2668641085 Enrollment ID: I20110801000737 |
| Provider Name | Michael Whitcomb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972894269 PECOS PAC ID: 2961671748 Enrollment ID: I20110811000828 |
| Provider Name | Karie R Sedlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235436916 PECOS PAC ID: 7719159110 Enrollment ID: I20111006000755 |
| Provider Name | Melissa A Perchellet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851413397 PECOS PAC ID: 2668644014 Enrollment ID: I20111007000544 |
| Provider Name | Michael R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174848840 PECOS PAC ID: 5698947455 Enrollment ID: I20111020000688 |
| Provider Name | James E Riojas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760477517 PECOS PAC ID: 5294731873 Enrollment ID: I20120116000193 |
| Provider Name | Laura C Dunn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437324647 PECOS PAC ID: 1557538121 Enrollment ID: I20120123000347 |
| Provider Name | Lindy Bh Landzaat |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184844979 PECOS PAC ID: 7113079286 Enrollment ID: I20120307000601 |
| Provider Name | Suzanne E Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316219165 PECOS PAC ID: 5991964678 Enrollment ID: I20120315000793 |
| Provider Name | Alan Peter Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033487608 PECOS PAC ID: 3971764481 Enrollment ID: I20120410000527 |
| Provider Name | Timothy J Beaumont |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598862609 PECOS PAC ID: 3678486180 Enrollment ID: I20120412000223 |
| Provider Name | Douglas H Cowan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497978548 PECOS PAC ID: 2365608577 Enrollment ID: I20120716000245 |
| Provider Name | Adrian O Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790952869 PECOS PAC ID: 5395993752 Enrollment ID: I20120911000098 |
| Provider Name | Siddharth Kaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245493402 PECOS PAC ID: 4789869462 Enrollment ID: I20120928000037 |
| Provider Name | Jennifer E Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861784910 PECOS PAC ID: 0042488991 Enrollment ID: I20121012000387 |
| Provider Name | Michelle S Daniels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477728152 PECOS PAC ID: 5597915025 Enrollment ID: I20121018000515 |
| Provider Name | Steven R Mcclure |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093079790 PECOS PAC ID: 6901056449 Enrollment ID: I20121018000695 |
| Provider Name | Mary Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104030956 PECOS PAC ID: 4486805876 Enrollment ID: I20121112000582 |
| Provider Name | Avery T Abernathy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013207836 PECOS PAC ID: 3971757568 Enrollment ID: I20130207000142 |
| Provider Name | Jackie M Roth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891045076 PECOS PAC ID: 6507010022 Enrollment ID: I20130211000361 |
| Provider Name | Molly A Vincent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306199823 PECOS PAC ID: 9931354560 Enrollment ID: I20130304000587 |
| Provider Name | Heather Mcwilliams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699905943 PECOS PAC ID: 2163677717 Enrollment ID: I20130305000110 |
| Provider Name | Staci G Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033451646 PECOS PAC ID: 2769628783 Enrollment ID: I20130418000106 |
| Provider Name | Rosario Z Rivera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447343579 PECOS PAC ID: 9436126455 Enrollment ID: I20130723000035 |
| Provider Name | Peter C Engelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164772141 PECOS PAC ID: 3870734106 Enrollment ID: I20130729000443 |
| Provider Name | Sherlyn G Jurgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952746075 PECOS PAC ID: 3476795642 Enrollment ID: I20130819000210 |
| Provider Name | Collin J Lovitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801025689 PECOS PAC ID: 2961659479 Enrollment ID: I20130916000211 |
| Provider Name | Clayton O Tanner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780954297 PECOS PAC ID: 4880856657 Enrollment ID: I20130927000134 |
| Provider Name | Brandie D Duncan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720426653 PECOS PAC ID: 7719111426 Enrollment ID: I20131014000390 |
| Provider Name | Catherine T Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760794861 PECOS PAC ID: 4587899877 Enrollment ID: I20131024000374 |
| Provider Name | Stephanie R Elliott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659557874 PECOS PAC ID: 6901078245 Enrollment ID: I20131203002000 |
| Provider Name | Ethan T Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437582160 PECOS PAC ID: 2163658790 Enrollment ID: I20131203002214 |
| Provider Name | Brian R Hendrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053755504 PECOS PAC ID: 3173750460 Enrollment ID: I20131211001879 |
| Provider Name | Dawn C Heizman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568605459 PECOS PAC ID: 6305073149 Enrollment ID: I20131226000585 |
| Provider Name | Samin Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316939218 PECOS PAC ID: 1951366285 Enrollment ID: I20140103001389 |
| Provider Name | Andrew Jurgensmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750600573 PECOS PAC ID: 4789812231 Enrollment ID: I20140108001792 |
| Provider Name | Deborah A Galley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497047542 PECOS PAC ID: 0840428876 Enrollment ID: I20140120000416 |
| Provider Name | Benjamin Reine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922373935 PECOS PAC ID: 6305075805 Enrollment ID: I20140203001472 |
| Provider Name | Steven R Ballard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134357668 PECOS PAC ID: 5092961243 Enrollment ID: I20140220000483 |
| Provider Name | Marie L Willis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235460429 PECOS PAC ID: 5092847921 Enrollment ID: I20140303001190 |
| Provider Name | Leslie A Etheridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417377094 PECOS PAC ID: 8628201043 Enrollment ID: I20140508001452 |
| Provider Name | Jennifer L Distasio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396065447 PECOS PAC ID: 5597980193 Enrollment ID: I20140715000428 |
| Provider Name | Jason M Goergen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033404967 PECOS PAC ID: 8022259373 Enrollment ID: I20140728001769 |
| Provider Name | Drew Siebert Allen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730386004 PECOS PAC ID: 8729188263 Enrollment ID: I20140804000194 |
| Provider Name | Leaann M Zeller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972913572 PECOS PAC ID: 7416175179 Enrollment ID: I20140821002836 |
| Provider Name | Braden L Dunbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265720395 PECOS PAC ID: 1355569823 Enrollment ID: I20140825001422 |
| Provider Name | Kellie R Simecek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326459926 PECOS PAC ID: 2860610789 Enrollment ID: I20140905001056 |
| Provider Name | Monica A Frieden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164833216 PECOS PAC ID: 5799904082 Enrollment ID: I20140918001935 |
| Provider Name | Beena J Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376869842 PECOS PAC ID: 5698995694 Enrollment ID: I20140925000256 |
| Provider Name | Tamara N Sipe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265834485 PECOS PAC ID: 0547480667 Enrollment ID: I20141013000286 |
| Provider Name | Crystal D Lagalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891010666 PECOS PAC ID: 2466673009 Enrollment ID: I20141023000286 |
| Provider Name | Varaporn Treemaneekarn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053607192 PECOS PAC ID: 1658593181 Enrollment ID: I20141117001086 |
| Provider Name | Lisa J Schuster |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043475478 PECOS PAC ID: 9931425675 Enrollment ID: I20150224000862 |
| Provider Name | Allyssa C Plymell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629469846 PECOS PAC ID: 9638496987 Enrollment ID: I20150325000589 |
| Provider Name | Cecelia Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659795961 PECOS PAC ID: 1456679323 Enrollment ID: I20150406002281 |
| Provider Name | Diane M Backhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881926749 PECOS PAC ID: 7416086418 Enrollment ID: I20150427001185 |
| Provider Name | Janet Y James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386060358 PECOS PAC ID: 9436478591 Enrollment ID: I20150512001854 |
| Provider Name | Candi L Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376937979 PECOS PAC ID: 7214257401 Enrollment ID: I20150529001650 |
| Provider Name | Brian C Piere |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740668581 PECOS PAC ID: 9739490244 Enrollment ID: I20150624000997 |
| Provider Name | Andrew J Gerhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417341165 PECOS PAC ID: 4880907237 Enrollment ID: I20150715000477 |
| Provider Name | Scott Michael Shorten |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1679884704 PECOS PAC ID: 6709199052 Enrollment ID: I20150716001014 |
| Provider Name | Jeffrey T Carroll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710364641 PECOS PAC ID: 2264745066 Enrollment ID: I20150723006742 |
| Provider Name | Srinivas R Bapoje |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174558720 PECOS PAC ID: 2163447889 Enrollment ID: I20150727002141 |
| Provider Name | Samantha Marie Fawcett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376807776 PECOS PAC ID: 6103075924 Enrollment ID: I20150806012097 |
| Provider Name | Debashree Tosh-mitchell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548433535 PECOS PAC ID: 7618282740 Enrollment ID: I20150818004686 |
| Provider Name | Jeffrey R Simpson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922236314 PECOS PAC ID: 4981910601 Enrollment ID: I20150826000825 |
| Provider Name | Eric S English |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124409263 PECOS PAC ID: 0345557054 Enrollment ID: I20150914000473 |
| Provider Name | Darci L Feiden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194192559 PECOS PAC ID: 1850600560 Enrollment ID: I20151020002542 |
| Provider Name | Tiffany Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699909820 PECOS PAC ID: 2163576000 Enrollment ID: I20151202001610 |
| Provider Name | Rajya L Malay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033268131 PECOS PAC ID: 2365341229 Enrollment ID: I20151210001099 |
| Provider Name | Thomas Poole Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508150830 PECOS PAC ID: 5092934109 Enrollment ID: I20151210001846 |
| Provider Name | Vanessa B Mcanally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861866121 PECOS PAC ID: 8022319003 Enrollment ID: I20151216001420 |
| Provider Name | Emily Lier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124493507 PECOS PAC ID: 8426359282 Enrollment ID: I20151221000970 |
| Provider Name | Meghan Mcmanus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780023218 PECOS PAC ID: 6800199498 Enrollment ID: I20160114000472 |
| Provider Name | Jacqueline J Still |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821497496 PECOS PAC ID: 1759603640 Enrollment ID: I20160118000891 |
| Provider Name | Naif S Nasser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336435502 PECOS PAC ID: 0244455871 Enrollment ID: I20160205001436 |
| Provider Name | Jared E Lungren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619333028 PECOS PAC ID: 3173820685 Enrollment ID: I20160329001434 |
| Provider Name | Raschelle Leanne Schowengerdt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154641207 PECOS PAC ID: 0840517561 Enrollment ID: I20160511002724 |
| Provider Name | Karen Mollus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750730297 PECOS PAC ID: 6204127178 Enrollment ID: I20160623001401 |
| Provider Name | Sara J Deffenbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417395963 PECOS PAC ID: 1557667565 Enrollment ID: I20160711001079 |
| Provider Name | Andrea Coats |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780036350 PECOS PAC ID: 7810289840 Enrollment ID: I20160712000540 |
| Provider Name | Patricia Marie Petzold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013941152 PECOS PAC ID: 3779544226 Enrollment ID: I20160801002770 |
| Provider Name | John D Eatman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942596523 PECOS PAC ID: 7416241096 Enrollment ID: I20160804000369 |
| Provider Name | Ammar H Hawasli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750519112 PECOS PAC ID: 2466681507 Enrollment ID: I20160815002823 |
| Provider Name | Jeffrey D Porter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477901023 PECOS PAC ID: 7810282738 Enrollment ID: I20160817000234 |
| Provider Name | Cody Robert Unnruh Ryan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417390956 PECOS PAC ID: 7416250592 Enrollment ID: I20160817001310 |
| Provider Name | Alexander Philip Gamble |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528389681 PECOS PAC ID: 9931349370 Enrollment ID: I20160824000103 |
| Provider Name | Lisa S Fujima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902105794 PECOS PAC ID: 2567683519 Enrollment ID: I20160824002607 |
| Provider Name | Russel M Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912361163 PECOS PAC ID: 4880988104 Enrollment ID: I20160830000473 |
| Provider Name | Jessica Premis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700267788 PECOS PAC ID: 1456664200 Enrollment ID: I20160912001165 |
| Provider Name | Susannah M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992198550 PECOS PAC ID: 1557679941 Enrollment ID: I20160913002350 |
| Provider Name | Diane K Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497103048 PECOS PAC ID: 1456648302 Enrollment ID: I20160921001548 |
| Provider Name | Becky M Hager |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871979310 PECOS PAC ID: 0345537700 Enrollment ID: I20160928001980 |
| Provider Name | Cynthia L Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649558461 PECOS PAC ID: 8224327986 Enrollment ID: I20161027000087 |
| Provider Name | Ashley E Gemmell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598058943 PECOS PAC ID: 4486871696 Enrollment ID: I20161027001125 |
| Provider Name | David Royal Saunders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396298121 PECOS PAC ID: 9537442090 Enrollment ID: I20170207000589 |
| Provider Name | Emily Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568901296 PECOS PAC ID: 6305121732 Enrollment ID: I20170327000213 |
| Provider Name | Kristen M Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720496748 PECOS PAC ID: 6406074004 Enrollment ID: I20170420000908 |
| Provider Name | Brian T Lovitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699110189 PECOS PAC ID: 3274836184 Enrollment ID: I20170613000658 |
| Provider Name | Evan J Russell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902211808 PECOS PAC ID: 4385913714 Enrollment ID: I20170628002046 |
| Provider Name | Caleb Baughn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952715658 PECOS PAC ID: 4789801119 Enrollment ID: I20170706001604 |
| Provider Name | Philip S Napolitan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780001628 PECOS PAC ID: 3476822313 Enrollment ID: I20170707002285 |
| Provider Name | Stephenson Coe Hudson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063855047 PECOS PAC ID: 3779723366 Enrollment ID: I20170712001930 |
| Provider Name | Kenna O'sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891220281 PECOS PAC ID: 2961772850 Enrollment ID: I20170726000780 |
| Provider Name | Jessica A Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831518190 PECOS PAC ID: 1355613886 Enrollment ID: I20170818000453 |
| Provider Name | Mauricio Anaya Cisneros |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861728982 PECOS PAC ID: 7012158504 Enrollment ID: I20170818000633 |
| Provider Name | Stephanie R Dilley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083149462 PECOS PAC ID: 8224300652 Enrollment ID: I20170821001166 |
| Provider Name | Ashley B Holly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629332010 PECOS PAC ID: 2163658600 Enrollment ID: I20170829000674 |
| Provider Name | Tracy Manhnieo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447707591 PECOS PAC ID: 4183996176 Enrollment ID: I20170920003680 |
| Provider Name | Heidi R Kemmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427344266 PECOS PAC ID: 6204075286 Enrollment ID: I20171229000492 |
| Provider Name | Nikki S Fryer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407140296 PECOS PAC ID: 8426317256 Enrollment ID: I20180123003529 |
| Provider Name | Jonathan David Brouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568960664 PECOS PAC ID: 9830459528 Enrollment ID: I20180126001487 |
| Provider Name | Kripa P Christiansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437312089 PECOS PAC ID: 7810143237 Enrollment ID: I20180208002874 |
| Provider Name | Stephen Person |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073928693 PECOS PAC ID: 3870889496 Enrollment ID: I20180214000553 |
| Provider Name | Audrey Anne Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316455959 PECOS PAC ID: 1153682448 Enrollment ID: I20180301001157 |
| Provider Name | Kyle S Harken |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003237496 PECOS PAC ID: 8729333612 Enrollment ID: I20180618001491 |
| Provider Name | Kendall Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972985091 PECOS PAC ID: 5890083364 Enrollment ID: I20180622000583 |
| Provider Name | Michele L. Clements |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619078664 PECOS PAC ID: 7416203807 Enrollment ID: I20180627000324 |
| Provider Name | Raycinia Kimlayana Ellison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457383226 PECOS PAC ID: 4587628714 Enrollment ID: I20180627001380 |
| Provider Name | Stephen L Reintjes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356630735 PECOS PAC ID: 5294081279 Enrollment ID: I20180705000812 |
| Provider Name | Carmen Jenelle Korneman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760988240 PECOS PAC ID: 6507112430 Enrollment ID: I20180709001159 |
| Provider Name | Sara Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376047191 PECOS PAC ID: 4486900313 Enrollment ID: I20180709001286 |
| Provider Name | Andrew D Boerkircher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699035527 PECOS PAC ID: 3870893084 Enrollment ID: I20180710000470 |
| Provider Name | Misti D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558851329 PECOS PAC ID: 5890042097 Enrollment ID: I20180719000234 |
| Provider Name | Bridget A Crowley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124432844 PECOS PAC ID: 1052537412 Enrollment ID: I20180719000590 |
| Provider Name | Stephanie Anne Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003301490 PECOS PAC ID: 4880941954 Enrollment ID: I20180719003459 |
| Provider Name | Carolyn C Constant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114116753 PECOS PAC ID: 2466532221 Enrollment ID: I20180725002319 |
| Provider Name | Michael A Armato |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023506243 PECOS PAC ID: 4587911342 Enrollment ID: I20180731004103 |
| Provider Name | Kathryn E Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164926887 PECOS PAC ID: 7416206719 Enrollment ID: I20180820003426 |
| Provider Name | Zachary D Molacek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932603651 PECOS PAC ID: 8224386628 Enrollment ID: I20180821003055 |
| Provider Name | James R Trahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699863019 PECOS PAC ID: 8729147103 Enrollment ID: I20180822002789 |
| Provider Name | Chelsea B Garnett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235632274 PECOS PAC ID: 7719237833 Enrollment ID: I20180910003164 |
| Provider Name | Christopher A Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053765958 PECOS PAC ID: 4587958806 Enrollment ID: I20180919002032 |
| Provider Name | Parker William Redlien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275976805 PECOS PAC ID: 9436387263 Enrollment ID: I20180925003445 |
| Provider Name | Caitlin N Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447733506 PECOS PAC ID: 4789935701 Enrollment ID: I20181001001815 |
| Provider Name | Keaton Alan Mishler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306370101 PECOS PAC ID: 2062782105 Enrollment ID: I20181217002682 |
| Provider Name | Rebecca Doane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437631736 PECOS PAC ID: 8325384571 Enrollment ID: I20190109002682 |
| Provider Name | Candace R Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477904423 PECOS PAC ID: 4880989896 Enrollment ID: I20190423000170 |
| Provider Name | Ashley Morgan Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962960708 PECOS PAC ID: 6507199783 Enrollment ID: I20190603000664 |
| Provider Name | Alexis Pacis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386112589 PECOS PAC ID: 9830422914 Enrollment ID: I20190604002461 |
| Provider Name | Jacklyn Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013574433 PECOS PAC ID: 1658604640 Enrollment ID: I20190606000078 |
| Provider Name | Stephanie R Sukup |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316502602 PECOS PAC ID: 4688908718 Enrollment ID: I20190624003124 |
| Provider Name | Ami L Koelliker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144880758 PECOS PAC ID: 4486988128 Enrollment ID: I20190628001658 |
| Provider Name | Rodger Oren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073171039 PECOS PAC ID: 5597090555 Enrollment ID: I20190712001070 |
| Provider Name | Jessica N Conant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650763 PECOS PAC ID: 5193050789 Enrollment ID: I20190718003179 |
| Provider Name | Ian R Tally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386008019 PECOS PAC ID: 5991030587 Enrollment ID: I20190718003267 |
| Provider Name | Eric Degraff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114459005 PECOS PAC ID: 7416234992 Enrollment ID: I20190722002129 |
| Provider Name | Susan Jill Spielman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720434772 PECOS PAC ID: 0749573236 Enrollment ID: I20190823000583 |
| Provider Name | Matthew B Fray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396306593 PECOS PAC ID: 4385972728 Enrollment ID: I20190823000893 |
| Provider Name | Kara L Manning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538511456 PECOS PAC ID: 2961797410 Enrollment ID: I20190904002581 |
| Provider Name | Harris A Choudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073969648 PECOS PAC ID: 9931495918 Enrollment ID: I20190910001797 |
| Provider Name | Andrew D Maier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396044095 PECOS PAC ID: 2163600644 Enrollment ID: I20191118003261 |
| Provider Name | Matthew Buckneberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790084499 PECOS PAC ID: 7416125638 Enrollment ID: I20191212000409 |
| Provider Name | Ashley M Stuedle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356983761 PECOS PAC ID: 1254764632 Enrollment ID: I20191231001572 |
| Provider Name | Hannah Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053886770 PECOS PAC ID: 0143573766 Enrollment ID: I20200102001056 |
| Provider Name | Kelci Noel Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326694191 PECOS PAC ID: 3779911953 Enrollment ID: I20200323001883 |
| Provider Name | Lofton Cole Wiggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891072658 PECOS PAC ID: 0547422818 Enrollment ID: I20200411000776 |
| Provider Name | Bradley Stephens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538470109 PECOS PAC ID: 2163654443 Enrollment ID: I20200421000943 |
| Provider Name | Wanda Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235329764 PECOS PAC ID: 6507901311 Enrollment ID: I20200520002819 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20200522000250 |
| Provider Name | Kathleen Marie Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306460837 PECOS PAC ID: 7719308584 Enrollment ID: I20200603000282 |
| Provider Name | Trung Quoc Truong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932620267 PECOS PAC ID: 0648691477 Enrollment ID: I20200603003286 |
| Provider Name | Benjamin Saylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104350180 PECOS PAC ID: 4284979550 Enrollment ID: I20200605000299 |
| Provider Name | Nickolas Shawn Newell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174148761 PECOS PAC ID: 0345662755 Enrollment ID: I20200611002610 |
| Provider Name | Sandhya Litterer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518225978 PECOS PAC ID: 1557672102 Enrollment ID: I20200612002078 |
| Provider Name | Matthew Clay Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205451242 PECOS PAC ID: 6800218991 Enrollment ID: I20200618000641 |
| Provider Name | Paige Alison Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386130888 PECOS PAC ID: 5597005728 Enrollment ID: I20200702000614 |
| Provider Name | Andrew W Peck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578914065 PECOS PAC ID: 1254626500 Enrollment ID: I20200707003056 |
| Provider Name | Dean Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326577818 PECOS PAC ID: 4789007832 Enrollment ID: I20200707003372 |
| Provider Name | Annette C Villena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275579682 PECOS PAC ID: 5092869305 Enrollment ID: I20200708000366 |
| Provider Name | Joshua Mourot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154562072 PECOS PAC ID: 7113140625 Enrollment ID: I20200709000777 |
| Provider Name | Alejandro Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740719749 PECOS PAC ID: 3375813215 Enrollment ID: I20200717003112 |
| Provider Name | Nicholas Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710376165 PECOS PAC ID: 1355667429 Enrollment ID: I20200728002758 |
| Provider Name | Lindsay Moffat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043618465 PECOS PAC ID: 2062731599 Enrollment ID: I20200728003927 |
| Provider Name | Jeffrey C Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790219210 PECOS PAC ID: 3173893930 Enrollment ID: I20200821000138 |
| Provider Name | Ashley Pence Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225653306 PECOS PAC ID: 3577989425 Enrollment ID: I20200821002314 |
| Provider Name | Alan Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003159005 PECOS PAC ID: 4082918883 Enrollment ID: I20200902002449 |
| Provider Name | Jackie Werner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558712430 PECOS PAC ID: 7012202393 Enrollment ID: I20201002000636 |
| Provider Name | Lauren Elizabeth Links |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548875370 PECOS PAC ID: 6103246822 Enrollment ID: I20201020000182 |
| Provider Name | William Arthur Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669561452 PECOS PAC ID: 9931118775 Enrollment ID: I20201229002470 |
| Provider Name | Keith Opat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164868022 PECOS PAC ID: 7911229885 Enrollment ID: I20210108000110 |
| Provider Name | Alexandra K Nichols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932797602 PECOS PAC ID: 4082027057 Enrollment ID: I20210112001520 |
| Provider Name | Kennesha M Bagsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124624143 PECOS PAC ID: 9133532823 Enrollment ID: I20210120000840 |
| Provider Name | Rebecca E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952991200 PECOS PAC ID: 8820402829 Enrollment ID: I20210203001340 |
| Provider Name | Lionel Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972049377 PECOS PAC ID: 6608152194 Enrollment ID: I20210310000733 |
| Provider Name | Cameron Kay Mottet |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740878602 PECOS PAC ID: 6204242480 Enrollment ID: I20210312001760 |
| Provider Name | Echo R Reardon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124041884 PECOS PAC ID: 6002718822 Enrollment ID: I20210331000523 |
| Provider Name | Jennifer L Riddell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164018016 PECOS PAC ID: 0840608998 Enrollment ID: I20210409001339 |
| Provider Name | Elizabeth Lehleitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437745387 PECOS PAC ID: 1658789706 Enrollment ID: I20210409001395 |
| Provider Name | Elizabeth Ann Pierson-poe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346767407 PECOS PAC ID: 7911315684 Enrollment ID: I20210416002149 |
| Provider Name | Danielle Marie Deichler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073198453 PECOS PAC ID: 3779992110 Enrollment ID: I20210514000975 |
| Provider Name | Dashaun Greenhill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952588170 PECOS PAC ID: 4789760133 Enrollment ID: I20210521000846 |
| Provider Name | I'tavya Eghianruwa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083243380 PECOS PAC ID: 9234549346 Enrollment ID: I20210527000622 |
| Provider Name | Justin Maxfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205240942 PECOS PAC ID: 0749409233 Enrollment ID: I20210608001406 |
| Provider Name | Clinton J Narayan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386226926 PECOS PAC ID: 2567862758 Enrollment ID: I20210609002052 |
| Provider Name | Nicholas Gourley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942877980 PECOS PAC ID: 7719387398 Enrollment ID: I20210618001395 |
| Provider Name | Mitchell N Crosley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245859933 PECOS PAC ID: 7416358072 Enrollment ID: I20210702001435 |
| Provider Name | Paul Anthony Guidos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720519804 PECOS PAC ID: 9931501020 Enrollment ID: I20210712004039 |
| Provider Name | Jordyn Ginter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775255 PECOS PAC ID: 3678821360 Enrollment ID: I20210714002159 |
| Provider Name | Christa C Goodwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487159976 PECOS PAC ID: 2264789148 Enrollment ID: I20210715000193 |
| Provider Name | Whitnee A Maycock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104321603 PECOS PAC ID: 4082961966 Enrollment ID: I20210719001013 |
| Provider Name | William Cohen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578044988 PECOS PAC ID: 7911242185 Enrollment ID: I20210806002511 |
| Provider Name | Kimberly Ann Lenkeit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306337159 PECOS PAC ID: 6800131673 Enrollment ID: I20210810000505 |
| Provider Name | Mallory Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174168686 PECOS PAC ID: 1951737188 Enrollment ID: I20210813002302 |
| Provider Name | Dianne Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972008159 PECOS PAC ID: 0749525780 Enrollment ID: I20210813002365 |
| Provider Name | Barbara Joann Schulz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962446062 PECOS PAC ID: 4385937663 Enrollment ID: I20210830000569 |
| Provider Name | Mya Stayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891289716 PECOS PAC ID: 9830595578 Enrollment ID: I20210907000378 |
| Provider Name | Carolyn Hesson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710482419 PECOS PAC ID: 7113278110 Enrollment ID: I20210917001030 |
| Provider Name | Brittany A Santa Marina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639724032 PECOS PAC ID: 6800128984 Enrollment ID: I20210923000554 |
| Provider Name | Rohit Kesarwani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538768270 PECOS PAC ID: 4082025945 Enrollment ID: I20211019000437 |
| Provider Name | Emily Katherine Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669136404 PECOS PAC ID: 0648668335 Enrollment ID: I20211029000884 |
| Provider Name | Kristine Silcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841813706 PECOS PAC ID: 3072901461 Enrollment ID: I20211104001658 |
| Provider Name | Clarke Latta Henry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750389029 PECOS PAC ID: 9638226301 Enrollment ID: I20211112000746 |
| Provider Name | Robert Kreikemeier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093196586 PECOS PAC ID: 2567750482 Enrollment ID: I20211112001911 |
| Provider Name | Jeremy Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518531482 PECOS PAC ID: 7113316894 Enrollment ID: I20211118001335 |
| Provider Name | Callie E Kufahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093472797 PECOS PAC ID: 6709276256 Enrollment ID: I20211124001229 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20211203001122 |
| Provider Name | Victoria Renee Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053970426 PECOS PAC ID: 5890185938 Enrollment ID: I20211206000430 |
| Provider Name | Tin H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770786972 PECOS PAC ID: 1759474604 Enrollment ID: I20211217001009 |
| Provider Name | Lauren C Loge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134890072 PECOS PAC ID: 0143611426 Enrollment ID: I20211221000784 |
| Provider Name | Julie Marie Eubanks-battle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700034303 PECOS PAC ID: 3173914207 Enrollment ID: I20211229000764 |
| Provider Name | Mona Habib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174876494 PECOS PAC ID: 9739333840 Enrollment ID: I20211229001882 |
| Provider Name | Cassandra Boehning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063046811 PECOS PAC ID: 3375973324 Enrollment ID: I20220107000751 |
| Provider Name | Michelle Garcia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265183388 PECOS PAC ID: 0042602617 Enrollment ID: I20220112001204 |
| Provider Name | Joshua Daniel Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831147065 PECOS PAC ID: 7416953328 Enrollment ID: I20220125001556 |
| Provider Name | Melanie Jean Fullmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113852 PECOS PAC ID: 6709279714 Enrollment ID: I20220215000090 |
| Provider Name | Kelly Sidlinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346888302 PECOS PAC ID: 8224465380 Enrollment ID: I20220216001553 |
| Provider Name | Rosario Lorena Arroyo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902344179 PECOS PAC ID: 2264717164 Enrollment ID: I20220302001009 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20220307000635 |
| Provider Name | Andrea Alverez Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962753004 PECOS PAC ID: 4082865548 Enrollment ID: I20220323002226 |
| Provider Name | Latosha Monique Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154490225 PECOS PAC ID: 1951324508 Enrollment ID: I20220323002628 |
| Provider Name | Ashley Elaine Lassiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205414885 PECOS PAC ID: 8123414299 Enrollment ID: I20220330001075 |
| Provider Name | Ashlee Nicole Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073268033 PECOS PAC ID: 9436545365 Enrollment ID: I20220401001360 |
| Provider Name | Jodi Sue Myers |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679226039 PECOS PAC ID: 6709272453 Enrollment ID: I20220405001420 |
| Provider Name | Candace May Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124387931 PECOS PAC ID: 0143486092 Enrollment ID: I20220406001532 |
| Provider Name | Kathleen Fullerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891362091 PECOS PAC ID: 9638565187 Enrollment ID: I20220408001234 |
| Provider Name | Charla Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013364272 PECOS PAC ID: 1759673619 Enrollment ID: I20220426000167 |
| Provider Name | Aimee M Callison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144699372 PECOS PAC ID: 2769791227 Enrollment ID: I20220512000877 |
| Provider Name | Ashton Paschall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821542341 PECOS PAC ID: 6406197292 Enrollment ID: I20220517000817 |
| Provider Name | Kristina Lee Holecek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962170712 PECOS PAC ID: 7416334800 Enrollment ID: I20220525000686 |
| Provider Name | Ian M Bakk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821523440 PECOS PAC ID: 0345519328 Enrollment ID: I20220613000212 |
| Provider Name | Marie Taboada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013581917 PECOS PAC ID: 5991184871 Enrollment ID: I20220623001399 |
| Provider Name | Tanya Auzenne Kindrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285922955 PECOS PAC ID: 1254500853 Enrollment ID: I20220629003017 |
| Provider Name | Vicky Ellis Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528266657 PECOS PAC ID: 3476654096 Enrollment ID: I20220630000393 |
| Provider Name | Richard Ainsworth Mills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053707570 PECOS PAC ID: 5395000285 Enrollment ID: I20220714003960 |
| Provider Name | Lindsay Nicole Ogle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346703923 PECOS PAC ID: 6103151956 Enrollment ID: I20220715001651 |
| Provider Name | Alexys Dimaggio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912505371 PECOS PAC ID: 3577977297 Enrollment ID: I20220801000737 |
| Provider Name | Robert S Revels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548645534 PECOS PAC ID: 8729328695 Enrollment ID: I20220813000705 |
| Provider Name | Nicolas Patonai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073927653 PECOS PAC ID: 2264738715 Enrollment ID: I20220816000626 |
| Provider Name | Brandon James Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467886275 PECOS PAC ID: 0840427357 Enrollment ID: I20220817000214 |
| Provider Name | Gregg D Werner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1730537994 PECOS PAC ID: 4789979618 Enrollment ID: I20220817000408 |
| Provider Name | Sarah Elizabeth Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114655123 PECOS PAC ID: 9133503402 Enrollment ID: I20220906001513 |
| Provider Name | Michael Ryan Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790350999 PECOS PAC ID: 6103221668 Enrollment ID: I20220926001377 |
| Provider Name | Nicole M Stivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326595851 PECOS PAC ID: 4688954845 Enrollment ID: I20220927000600 |
| Provider Name | Alain Aymele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538535380 PECOS PAC ID: 7315256435 Enrollment ID: I20220929001162 |
| Provider Name | Shannon Lynne Monteleone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013488220 PECOS PAC ID: 5597099259 Enrollment ID: I20221003000166 |
| Provider Name | Joy Chern Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841878642 PECOS PAC ID: 0547662876 Enrollment ID: I20221014000549 |
| Provider Name | Lena Louay Sabih |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588194211 PECOS PAC ID: 1951670645 Enrollment ID: I20221114001090 |
| Provider Name | Andrew Donegan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720310741 PECOS PAC ID: 1153453758 Enrollment ID: I20221210000103 |
| Provider Name | Trevor Dale Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043885114 PECOS PAC ID: 7810392453 Enrollment ID: I20221229001525 |
| Provider Name | Dawn Michelle Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942924337 PECOS PAC ID: 5193195055 Enrollment ID: I20230110002751 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20230130000489 |
| Provider Name | Jason Jody Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396441580 PECOS PAC ID: 7113399403 Enrollment ID: I20230215000394 |
| Provider Name | Jeff J. Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649215260 PECOS PAC ID: 8325071350 Enrollment ID: I20230222001413 |
| Provider Name | Allison A Kuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154036119 PECOS PAC ID: 1759755705 Enrollment ID: I20230315000639 |
| Provider Name | Elizabeth Allison Ruth Berwaldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112215 PECOS PAC ID: 0547501264 Enrollment ID: I20230315000741 |
| Provider Name | Jeffrey Bradford Casperson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124690201 PECOS PAC ID: 4880082551 Enrollment ID: I20230320001303 |
| Provider Name | Patricia Ann Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619666096 PECOS PAC ID: 2365807971 Enrollment ID: I20230504001722 |
| Provider Name | Nicholas Vaughan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487027728 PECOS PAC ID: 5698071025 Enrollment ID: I20230525001596 |
| Provider Name | Teri Lynn Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790079127 PECOS PAC ID: 2466621958 Enrollment ID: I20230623001281 |
| Provider Name | Zachary W Fetter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265929111 PECOS PAC ID: 9638416811 Enrollment ID: I20230626002104 |
| Provider Name | Lindsey E Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053014233 PECOS PAC ID: 1557720661 Enrollment ID: I20230708000584 |
| Provider Name | Magnus Chima Nwora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033747126 PECOS PAC ID: 4082031299 Enrollment ID: I20230712001238 |
| Provider Name | Kelly L Weafer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114447554 PECOS PAC ID: 4082988522 Enrollment ID: I20230717002026 |
| Provider Name | Brittany N Little |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447770219 PECOS PAC ID: 1153695614 Enrollment ID: I20230717003016 |
| Provider Name | Mina S Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780975417 PECOS PAC ID: 5294966362 Enrollment ID: I20230719000661 |
| Provider Name | Braedyn R Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356044127 PECOS PAC ID: 2567822505 Enrollment ID: I20230721001471 |
| Provider Name | Hannah S Reavis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285195834 PECOS PAC ID: 8921333600 Enrollment ID: I20230802003154 |
| Provider Name | Jun Ungos Elegino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255644456 PECOS PAC ID: 4981066792 Enrollment ID: I20230810002851 |
| Provider Name | Ryan M Ferrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447614730 PECOS PAC ID: 3577811652 Enrollment ID: I20230810003684 |
| Provider Name | Christina Ann Fleres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750910469 PECOS PAC ID: 9739594151 Enrollment ID: I20230815002277 |
| Provider Name | Christopher David Janish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841584380 PECOS PAC ID: 2163671389 Enrollment ID: I20230815003268 |
| Provider Name | Rachel Mariah Cobler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669161758 PECOS PAC ID: 5597127977 Enrollment ID: I20230816004208 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20230901001248 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20230901002644 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20230901002753 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20230901003088 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20230901003192 |
| Provider Name | Edward George Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20230901003607 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20230905000674 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20230905000967 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20230905001079 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20230905001526 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20230905002956 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20230905003097 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230905003350 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20230905003647 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20230905003953 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20230906000593 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20230906000626 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20230906000906 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20230906001447 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20230906002051 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20230906003055 |
| Provider Name | Kyle Stephen Kimura |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013361005 PECOS PAC ID: 9537549530 Enrollment ID: I20230920000507 |
| Provider Name | Kolawole I. Adediran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578981239 PECOS PAC ID: 2567760499 Enrollment ID: I20230925000521 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20230927002122 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230928000791 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20230928001247 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230928001600 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20230928002115 |
| Provider Name | Kristen Veal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20230928002160 |
| Provider Name | Pauravi Rana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801010194 PECOS PAC ID: 7113279225 Enrollment ID: I20230928002796 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20230928003185 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20230928003686 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20230928003864 |
| Provider Name | Tania Jafary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902210131 PECOS PAC ID: 8426272451 Enrollment ID: I20230929000534 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20230929000632 |
| Provider Name | Alyxandra Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508354440 PECOS PAC ID: 8022412527 Enrollment ID: I20231010001755 |
| Provider Name | Adam S Lipsitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447601869 PECOS PAC ID: 5092095067 Enrollment ID: I20231010001795 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20231013001753 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20231013002888 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20231013002982 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20231014000332 |
| Provider Name | Mallory Noelle Luckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770932170 PECOS PAC ID: 4183902356 Enrollment ID: I20231016000256 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20231016000405 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20231016000533 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20231016000753 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20231016000780 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20231016000900 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20231016000918 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20231016001006 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20231016001296 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20231016001356 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20231016001458 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20231016003013 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20231016003402 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20231017000468 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20231017000632 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20231017000813 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20231017000837 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20231017000912 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20231017001054 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20231017001159 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20231017001960 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20231017002181 |
| Provider Name | Wendi Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20231017002245 |
| Provider Name | Mark Z Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20231017003404 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20231018000299 |
| Provider Name | David Elliott Stuck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902139736 PECOS PAC ID: 6608922257 Enrollment ID: I20231020000775 |
| Provider Name | Valerie Faye Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962893263 PECOS PAC ID: 9830405620 Enrollment ID: I20231024003922 |
| Provider Name | Sherin Azmy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295069680 PECOS PAC ID: 6608174529 Enrollment ID: I20231107001251 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20231208001811 |
| Provider Name | Khadija Irshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528494689 PECOS PAC ID: 1153673462 Enrollment ID: I20231213000307 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20240110004394 |
| Provider Name | Bradley T Peet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346635380 PECOS PAC ID: 4183920499 Enrollment ID: I20240122001015 |
| Provider Name | Kaitlin Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336886506 PECOS PAC ID: 6608228069 Enrollment ID: I20240122001913 |
| Provider Name | Aisha Hines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740500859 PECOS PAC ID: 3375849755 Enrollment ID: I20240126002213 |
| Provider Name | Christopher Thomas Rose |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548550502 PECOS PAC ID: 2961704960 Enrollment ID: I20240220002180 |
Plaza Primary Care And Geriatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Broadway, Kansas City, MO 64111 Phone: 816-561-9200 Fax: 816-561-5766 | |
Bannister Internal Medicine Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9520 James A Reed Rd, Suite B, Kansas City, MO 64134 Phone: 816-599-6317 Fax: 816-599-6319 | |
Elevating Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 E. Meyer Blvd, 208, Kansas City, MO 64132 Phone: 816-665-6124 | |
Afya Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2319 E 12th St, Kansas City, MO 64127 Phone: 816-824-7219 | |
Gateway Spine And Joint Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W 47th St Ste 514, Kansas City, MO 64112 Phone: 816-216-7054 Fax: 816-216-6010 | |
Midwest Neurosurgery Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6420 Prospect Ave, Suite T411, Kansas City, MO 64132 Phone: 816-363-2500 Fax: 816-363-8741 | |
James E Gracheck, D O P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W 72nd St, Kansas City, MO 64114 Phone: 816-444-0025 Fax: 816-444-0007 |