Metro Health Hospital - Medicare Primary Care in Wyoming, MI

Metro Health Hospital is a medicare enrolled primary clinic (Internal Medicine) in Wyoming, Michigan. The current practice location for Metro Health Hospital is 5900 Byron Center Ave Sw, Wyoming, Michigan. For appointments, you can reach them via phone at (616) 252-7200. The mailing address for Metro Health Hospital is 985 Gezon Pkwy Sw, Wyoming, Michigan and phone number is (616) 252-4655.

Metro Health Hospital is licensed to practice in Michigan (license number 410060). The clinic also participates in the medicare program and its NPI number is 1811937519. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (616) 252-7200.

Contact Information

Metro Health Hospital
5900 Byron Center Ave Sw
Wyoming
MI 49519-9606
(616) 252-7200
(616) 252-7830

Map and Direction


Primary Care Clinic Profile

Full NameMetro Health Hospital
SpecialityInternal Medicine
Location5900 Byron Center Ave Sw, Wyoming, Michigan
Authorized Official Name and PositionTimothy E Susterich (CHIEF FINANCIAL OFFICER)
Authorized Official Contact6162525203
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Metro Health Hospital
985 Gezon Pkwy Sw
Wyoming
MI 49509-9563

Ph: (616) 252-4655
Metro Health Hospital
5900 Byron Center Ave Sw
Wyoming
MI 49519-9606

Ph: (616) 252-7200

NPI Details:

NPI Number1811937519
Provider Enumeration Date06/08/2006
Last Update Date06/04/2014

Medicare PECOS Information:

Medicare PECOS PAC ID5597651836
Medicare Enrollment IDO20040507000012

Medical Identifiers

Medical identifiers for Metro Health Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811937519NPI-NPPES
700D160780OtherMIBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 410060 (Michigan)Primary
2084P0800XPsychiatry & Neurology - Psychiatry 410060 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Metro Health Hospital acts as a billing entity for following providers:
Provider NameGlenn E Merz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003819400
PECOS PAC ID: 6608774120
Enrollment ID: I20031222000599
Provider NameKenneth J Easton
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1194713669
PECOS PAC ID: 7618871633
Enrollment ID: I20040102000750
Provider NameDanielle D Light
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1154368660
PECOS PAC ID: 4587564257
Enrollment ID: I20040109000637
Provider NameJoseph J Gemmete
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578510517
PECOS PAC ID: 8224930607
Enrollment ID: I20040126000209
Provider NameJon Arthur Jacobson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710068952
PECOS PAC ID: 1850286295
Enrollment ID: I20040216000995
Provider NameDaniel R Turner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1649217134
PECOS PAC ID: 7214822238
Enrollment ID: I20040218000868
Provider NameAnita Irene Charochak
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1760484869
PECOS PAC ID: 7911892716
Enrollment ID: I20040219000910
Provider NameJames L Horton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881639839
PECOS PAC ID: 4789570615
Enrollment ID: I20040226000358
Provider NameDaniela Nicola Minecan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1548341787
PECOS PAC ID: 8729977178
Enrollment ID: I20040312001051
Provider NameDaniel P Hearld
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033183900
PECOS PAC ID: 0042101164
Enrollment ID: I20040320000091
Provider NameJohn T Dykstra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730177379
PECOS PAC ID: 7315839990
Enrollment ID: I20040329000052
Provider NameAnthony R Pucci
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922007582
PECOS PAC ID: 1153319348
Enrollment ID: I20040505001023
Provider NameDonna J Demann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801848189
PECOS PAC ID: 2769473578
Enrollment ID: I20040520000881
Provider NameJanice K Wabeke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962465690
PECOS PAC ID: 7810970217
Enrollment ID: I20040608000663
Provider NameDavid D Berg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457309767
PECOS PAC ID: 7214913557
Enrollment ID: I20040628000014
Provider NamePhillip G Wise
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1124124086
PECOS PAC ID: 8426036153
Enrollment ID: I20040709000826
Provider NameJoel Bates
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285738435
PECOS PAC ID: 7214915313
Enrollment ID: I20040713001138
Provider NameErica Elsing Stevens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447213269
PECOS PAC ID: 2163317181
Enrollment ID: I20040722000905
Provider NameEric C Feucht
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1356321996
PECOS PAC ID: 5597651711
Enrollment ID: I20040723000559
Provider NameLance M Owens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548224728
PECOS PAC ID: 9739169285
Enrollment ID: I20040723000936
Provider NameWayne A Christenson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407966773
PECOS PAC ID: 0547240012
Enrollment ID: I20040723001064
Provider NameMatthew J Boutell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043210818
PECOS PAC ID: 2961472295
Enrollment ID: I20040726001351
Provider NameEdwin T Kornoelje
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023071727
PECOS PAC ID: 8224008404
Enrollment ID: I20040727000258
Provider NameKevin R Brader
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609807627
PECOS PAC ID: 8820068505
Enrollment ID: I20040729000733
Provider NameAlaa E Salhadar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609839349
PECOS PAC ID: 2668446154
Enrollment ID: I20040820000936
Provider NameJaret A Beane
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1972537876
PECOS PAC ID: 6901870419
Enrollment ID: I20040820001019
Provider NameErik C Hedlund
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1104864560
PECOS PAC ID: 7719951128
Enrollment ID: I20040823000421
Provider NameEric Thomas Walchak
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962493395
PECOS PAC ID: 9436130234
Enrollment ID: I20040901000595
Provider NameCraig H Bethune
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134183619
PECOS PAC ID: 3870488646
Enrollment ID: I20040910000042
Provider NameMohannad Ibrahim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639250871
PECOS PAC ID: 5991772873
Enrollment ID: I20040910000865
Provider NameMichael B Mazza
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639250764
PECOS PAC ID: 9436127388
Enrollment ID: I20040920000499
Provider NameTracy Lynn Lixie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275643546
PECOS PAC ID: 8426018896
Enrollment ID: I20041012000412
Provider NameKevin L Howard
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1811982044
PECOS PAC ID: 3779543137
Enrollment ID: I20041013001038
Provider NameTheodore J Boeve
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225000912
PECOS PAC ID: 4284696147
Enrollment ID: I20041103000245
Provider NameWilliam R Lynch
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1568435980
PECOS PAC ID: 3375505233
Enrollment ID: I20041103000262
Provider NameThomas A Stevenson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649377946
PECOS PAC ID: 4284699968
Enrollment ID: I20041122000837
Provider NameMark De Haan
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1093707093
PECOS PAC ID: 6507757762
Enrollment ID: I20041124000147
Provider NameJulian Kuz
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1265424196
PECOS PAC ID: 6709777972
Enrollment ID: I20041124000170
Provider NameNoel Bell
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1942249628
PECOS PAC ID: 2264498823
Enrollment ID: I20041206000296
Provider NameTimothy E Daum
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1700832615
PECOS PAC ID: 2567420094
Enrollment ID: I20041229000927
Provider NameDouglas A Doyle
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023074879
PECOS PAC ID: 3779532056
Enrollment ID: I20050113000271
Provider NameBrent B Ward
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1073611794
PECOS PAC ID: 5799734505
Enrollment ID: I20050119000705
Provider NameDiana L Dillman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235192188
PECOS PAC ID: 0143279752
Enrollment ID: I20050120000448
Provider NameSusan K Hicks
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043201551
PECOS PAC ID: 2769478528
Enrollment ID: I20050214000573
Provider NameJeffrey Robert Williamson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881641165
PECOS PAC ID: 5294789053
Enrollment ID: I20050304000538
Provider NamePeter G Goebel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306800651
PECOS PAC ID: 7911951603
Enrollment ID: I20050304000791
Provider NamePeter E Kaczkofsky
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710089453
PECOS PAC ID: 1658325113
Enrollment ID: I20050308000511
Provider NameKarlin E Sevensma
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1144264003
PECOS PAC ID: 8820043243
Enrollment ID: I20050318000544
Provider NameSheldon B Maltz
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1881674489
PECOS PAC ID: 0648244251
Enrollment ID: I20050407001048
Provider NameGirish Gandikota
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114007903
PECOS PAC ID: 0941247100
Enrollment ID: I20050411000263
Provider NameJohn David Maskill
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669422077
PECOS PAC ID: 0840237731
Enrollment ID: I20050412001085
Provider NameKarl O Breitweiser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154384931
PECOS PAC ID: 1254371453
Enrollment ID: I20050506000498
Provider NameCharles R Fenton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861456220
PECOS PAC ID: 6002856218
Enrollment ID: I20050506000546
Provider NameScott A Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396709648
PECOS PAC ID: 7416997630
Enrollment ID: I20050506000584
Provider NameMichael C Mccully
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790749042
PECOS PAC ID: 4486694601
Enrollment ID: I20050506000601
Provider NameSteven T Bargwell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326001223
PECOS PAC ID: 3870533011
Enrollment ID: I20050506000718
Provider NameSteven C Vannoord
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649234857
PECOS PAC ID: 4082654108
Enrollment ID: I20050509000626
Provider NameLaura S Bouch
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487617304
PECOS PAC ID: 6901846930
Enrollment ID: I20050509000830
Provider NameLinda M Bessert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811950736
PECOS PAC ID: 9537109574
Enrollment ID: I20050509000857
Provider NameJohn C Woodworth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518921725
PECOS PAC ID: 2466492400
Enrollment ID: I20050509000929
Provider NameBradley James Clegg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780648139
PECOS PAC ID: 7618862640
Enrollment ID: I20050509000960
Provider NameTerrance W Barnes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891735981
PECOS PAC ID: 8123014982
Enrollment ID: I20050613000250
Provider NameRudolph O Addy
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1003839168
PECOS PAC ID: 8022053669
Enrollment ID: I20050623000450
Provider NameMatthew W Sevensma
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1255312302
PECOS PAC ID: 6800822826
Enrollment ID: I20050712000250
Provider NameMark J Ivey
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1962450981
PECOS PAC ID: 4981631884
Enrollment ID: I20050725000080
Provider NameGary N Sackett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780648170
PECOS PAC ID: 3476582735
Enrollment ID: I20050806000148
Provider NameJames A Foote
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1255372504
PECOS PAC ID: 8022047356
Enrollment ID: I20050808000487
Provider NameEric P Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578537478
PECOS PAC ID: 1658300900
Enrollment ID: I20050808000658
Provider NameJonathan W Haft
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1922190313
PECOS PAC ID: 1153353180
Enrollment ID: I20050909000793
Provider NameBehrooz Shabahang
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1417980707
PECOS PAC ID: 7012992746
Enrollment ID: I20050914000695
Provider NameBarbara A Karenko
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447471636
PECOS PAC ID: 3870518079
Enrollment ID: I20051006000759
Provider NameMarc Allyn Afman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700844511
PECOS PAC ID: 5395762322
Enrollment ID: I20051028000956
Provider NameVladimir Ferrer
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1952358921
PECOS PAC ID: 5597789313
Enrollment ID: I20060119000737
Provider NameRobin L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689789968
PECOS PAC ID: 0648285809
Enrollment ID: I20060209000616
Provider NameSarah L Vanhouten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407802556
PECOS PAC ID: 2769499821
Enrollment ID: I20060314000632
Provider NameDelmer John Dehart
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1922053339
PECOS PAC ID: 4183631278
Enrollment ID: I20060315000067
Provider NameRichard Lovy
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1407882855
PECOS PAC ID: 2668489691
Enrollment ID: I20060315000489
Provider NameFrank E Belsito
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861455776
PECOS PAC ID: 5597650523
Enrollment ID: I20060517000061
Provider NameRonald G Grifka
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386624666
PECOS PAC ID: 8921019373
Enrollment ID: I20060522000109
Provider NameDavid James Albrecht
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932140217
PECOS PAC ID: 8921011172
Enrollment ID: I20060711000251
Provider NameKristi Sue Kern
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003859299
PECOS PAC ID: 4981617925
Enrollment ID: I20060717000295
Provider NameAryn Clayton Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376586461
PECOS PAC ID: 3173536869
Enrollment ID: I20060725000233
Provider NameMary F Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063431708
PECOS PAC ID: 4880697663
Enrollment ID: I20060816000543
Provider NameScott David Burgess
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1023080991
PECOS PAC ID: 9133165079
Enrollment ID: I20060828000239
Provider NameWendy L Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528078169
PECOS PAC ID: 3779587407
Enrollment ID: I20060911000515
Provider NameJennifer A Cory
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023125473
PECOS PAC ID: 4486659869
Enrollment ID: I20060918000220
Provider NamePaul D Harris
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1033144266
PECOS PAC ID: 6406851898
Enrollment ID: I20060918000312
Provider NameRobert J Seiler
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831159847
PECOS PAC ID: 5496750689
Enrollment ID: I20060921000396
Provider NameSean P Edwards
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1952313892
PECOS PAC ID: 7214932011
Enrollment ID: I20060929000385
Provider NameSung Moon Kim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588675961
PECOS PAC ID: 2668479262
Enrollment ID: I20061024000366
Provider NameJanan A Alkilidar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215031828
PECOS PAC ID: 1658318522
Enrollment ID: I20061024000407
Provider NameBernard K Maupin
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1194783936
PECOS PAC ID: 5799782678
Enrollment ID: I20061107000478
Provider NameEdward J Kryshak
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1912948233
PECOS PAC ID: 2567460272
Enrollment ID: I20061113000257
Provider NameJeffrey J Fletcher
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1336252568
PECOS PAC ID: 1850352758
Enrollment ID: I20061116000580
Provider NameDouglas B Omara
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700803152
PECOS PAC ID: 5890604326
Enrollment ID: I20061117000174
Provider NameMujahed Abbas
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1861500894
PECOS PAC ID: 0648279000
Enrollment ID: I20061212000396
Provider NameJames K Hoekwater
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1518906163
PECOS PAC ID: 3971503723
Enrollment ID: I20070102000149
Provider NameTimothy B Cotts
Provider TypePractitioner - Adult Congenital Heart Disease (achd)
Provider IdentifiersNPI Number: 1306852546
PECOS PAC ID: 8921009820
Enrollment ID: I20070119000200
Provider NameCynthia L Mcnerlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336223619
PECOS PAC ID: 9830190727
Enrollment ID: I20070119000210
Provider NameMichael J Todd
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003985771
PECOS PAC ID: 7315040573
Enrollment ID: I20070309000069
Provider NameDavid J Bielema
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447248588
PECOS PAC ID: 3870560642
Enrollment ID: I20070426000448
Provider NameCaroline N Henein
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427193036
PECOS PAC ID: 7618074212
Enrollment ID: I20070516000098
Provider NameZachary S Delproposto
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114974672
PECOS PAC ID: 1557468592
Enrollment ID: I20070525000262
Provider NamePatricia E Guntern
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427162072
PECOS PAC ID: 7012015605
Enrollment ID: I20070605000440
Provider NameJohn A Key
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134103732
PECOS PAC ID: 5597863563
Enrollment ID: I20070614000624
Provider NameDaniel K Koschtial
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467483727
PECOS PAC ID: 5193825917
Enrollment ID: I20070710000315
Provider NameTandy L Champion
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164443578
PECOS PAC ID: 7315047875
Enrollment ID: I20070712000535
Provider NameKatherine K Hansul
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316169287
PECOS PAC ID: 4082715040
Enrollment ID: I20070720000854
Provider NameAdam Michael Passeno
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053502542
PECOS PAC ID: 8820199334
Enrollment ID: I20070727000788
Provider NamePaul A Brown
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1326160300
PECOS PAC ID: 4486755808
Enrollment ID: I20070728000163
Provider NameKavita H Rajkotia
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023068103
PECOS PAC ID: 1759393457
Enrollment ID: I20070814000114
Provider NameJames Anthony Spoto
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1457563959
PECOS PAC ID: 6305938168
Enrollment ID: I20070824000035
Provider NameTamer Abdelhak
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1326100660
PECOS PAC ID: 8022019504
Enrollment ID: I20070824000070
Provider NameAlphonse Delucia
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1588612345
PECOS PAC ID: 6608879812
Enrollment ID: I20070926000885
Provider NamePaul J Kovack
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1245221621
PECOS PAC ID: 4385556026
Enrollment ID: I20071012000266
Provider NameDavid B Bosscher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417950270
PECOS PAC ID: 1052407699
Enrollment ID: I20071012000374
Provider NameJoseph Peter Talcott
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1134220270
PECOS PAC ID: 3173613874
Enrollment ID: I20071219000122
Provider NameMark S Asperheim
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1699763177
PECOS PAC ID: 6507833373
Enrollment ID: I20080229000332
Provider NameNancy G Cutler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285693838
PECOS PAC ID: 8628152634
Enrollment ID: I20080229000362
Provider NameEmily J Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558548701
PECOS PAC ID: 8224114319
Enrollment ID: I20080331000101
Provider NameRebecca L Werner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629034244
PECOS PAC ID: 2466521430
Enrollment ID: I20080516000115
Provider NameMark W Armstrong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932104882
PECOS PAC ID: 1658336326
Enrollment ID: I20080529000791
Provider NamePaul R Gauthier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154431526
PECOS PAC ID: 7113813460
Enrollment ID: I20080529000830
Provider NameMonica M Goble
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922119049
PECOS PAC ID: 6406926906
Enrollment ID: I20080609000882
Provider NameJames C Lang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467562041
PECOS PAC ID: 8325007982
Enrollment ID: I20080702000393
Provider NameGregory R Neagos
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1497716633
PECOS PAC ID: 6305919150
Enrollment ID: I20080726000113
Provider NameMichael R Wiltrakis
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1447465349
PECOS PAC ID: 1951475474
Enrollment ID: I20080801000096
Provider NameRobert Ward Selfe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003038605
PECOS PAC ID: 3072687078
Enrollment ID: I20080809000020
Provider NameAditya Pandey
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1184825200
PECOS PAC ID: 7911007646
Enrollment ID: I20080816000029
Provider NamePaul G Wasielewski
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164402772
PECOS PAC ID: 6608941182
Enrollment ID: I20080818000703
Provider NameJohn G Anderson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700874294
PECOS PAC ID: 7517934383
Enrollment ID: I20080903000101
Provider NameTerrence J Endres
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962490441
PECOS PAC ID: 4284679457
Enrollment ID: I20081009000039
Provider NameKevin D Hess
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1942249107
PECOS PAC ID: 1658430665
Enrollment ID: I20081105000804
Provider NameAndrew C Michmerhuizen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326266404
PECOS PAC ID: 7517027592
Enrollment ID: I20081120000484
Provider NameNeeraj Chaudhary
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1265684450
PECOS PAC ID: 2466512488
Enrollment ID: I20081120000834
Provider NameJoanne R Coates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710136163
PECOS PAC ID: 0244390029
Enrollment ID: I20081124000650
Provider NameKeith A Casper
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1932310224
PECOS PAC ID: 0648333765
Enrollment ID: I20090115000062
Provider NameRandal S Baker
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104867480
PECOS PAC ID: 3173687704
Enrollment ID: I20090127000438
Provider NamePaul R Kemmeter
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548217946
PECOS PAC ID: 8628132255
Enrollment ID: I20090128000371
Provider NameBrooke A Dylenski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437394061
PECOS PAC ID: 6800952359
Enrollment ID: I20090306000517
Provider NameKevin M Furlong
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1255396776
PECOS PAC ID: 6608785787
Enrollment ID: I20090313000021
Provider NameAllison L Edberg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962622696
PECOS PAC ID: 3072670223
Enrollment ID: I20090316000415
Provider NameMatthew S Blair
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1548225634
PECOS PAC ID: 0840357729
Enrollment ID: I20090319000597
Provider NameEryn C Quinn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568427763
PECOS PAC ID: 6204853617
Enrollment ID: I20090323000286
Provider NameAdam T Wolfe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215992573
PECOS PAC ID: 4183781651
Enrollment ID: I20090327000203
Provider NameLani S Cantu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699966119
PECOS PAC ID: 9638227820
Enrollment ID: I20090427000559
Provider NameMohamad E El Mortada
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1215139175
PECOS PAC ID: 4183774201
Enrollment ID: I20090611000515
Provider NameMatthew A Tiede
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326264763
PECOS PAC ID: 2466503024
Enrollment ID: I20090623000137
Provider NameDean A Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043448434
PECOS PAC ID: 4385797166
Enrollment ID: I20090727000255
Provider NameAnna A Papes
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1679791784
PECOS PAC ID: 8426102401
Enrollment ID: I20090811000475
Provider NameRishindra Mamidi Reddy
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1881712032
PECOS PAC ID: 2062566813
Enrollment ID: I20090813000576
Provider NameJon M Curry
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1982702270
PECOS PAC ID: 2163417239
Enrollment ID: I20091013000773
Provider NameJohn G Anema
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1053411215
PECOS PAC ID: 7113063637
Enrollment ID: I20091013000783
Provider NameDerek T Nagle
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942413844
PECOS PAC ID: 9335286103
Enrollment ID: I20091027000752
Provider NameTerri L Rosel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326270760
PECOS PAC ID: 6002954542
Enrollment ID: I20091103000679
Provider NameHimanshu J Patel
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1629160015
PECOS PAC ID: 9638219447
Enrollment ID: I20091229000249
Provider NameOren Sagher
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1174620439
PECOS PAC ID: 8527109552
Enrollment ID: I20100112000692
Provider NameAndrew Ching-hung Chang
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1649286816
PECOS PAC ID: 8527109578
Enrollment ID: I20100113000044
Provider NamePeter C Theut
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1720076219
PECOS PAC ID: 2668417833
Enrollment ID: I20100114000436
Provider NameColin Campbell Herd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417281510
PECOS PAC ID: 8022150929
Enrollment ID: I20100114000693
Provider NameJoanne M Grzeszak
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1124083670
PECOS PAC ID: 4284776113
Enrollment ID: I20100115000055
Provider NameThomas M Matelic
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1700873874
PECOS PAC ID: 5799752564
Enrollment ID: I20100115000456
Provider NameDonald R Bohay
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1891783387
PECOS PAC ID: 9234106006
Enrollment ID: I20100115000485
Provider NameBrad A Irving
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649491135
PECOS PAC ID: 3971658253
Enrollment ID: I20100115000635
Provider NameGabriel E Pedraza
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1992785588
PECOS PAC ID: 5799762902
Enrollment ID: I20100120000147
Provider NameJohnathan G Meier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932219599
PECOS PAC ID: 6204978505
Enrollment ID: I20100125000832
Provider NameRobert A Riley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659310399
PECOS PAC ID: 1850432576
Enrollment ID: I20100210000676
Provider NameMark Edward Prince
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1184712606
PECOS PAC ID: 6800931452
Enrollment ID: I20100306000220
Provider NameDavid R Delongpre
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1902861271
PECOS PAC ID: 3577580984
Enrollment ID: I20100316000929
Provider NameDavid J Boes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1255310694
PECOS PAC ID: 3274668801
Enrollment ID: I20100320000152
Provider NameRobert F Gleffe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205891504
PECOS PAC ID: 2769409176
Enrollment ID: I20100327000097
Provider NameErin C Beaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477876050
PECOS PAC ID: 0648307389
Enrollment ID: I20100428000684
Provider NameJames P Chiavaras
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1972576783
PECOS PAC ID: 7618920448
Enrollment ID: I20100429000230
Provider NameTodd D Hartgerink
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528032539
PECOS PAC ID: 4981657715
Enrollment ID: I20100514000555
Provider NameJohn S Bradley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033183066
PECOS PAC ID: 9436102266
Enrollment ID: I20100514000889
Provider NameRobert L Morris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255304069
PECOS PAC ID: 5890748628
Enrollment ID: I20100517000059
Provider NameKurt J Meppelink
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093762015
PECOS PAC ID: 1456481738
Enrollment ID: I20100612000141
Provider NameTera L Lotz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043459167
PECOS PAC ID: 8224169412
Enrollment ID: I20100702000250
Provider NameGregory L Hazle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417995408
PECOS PAC ID: 4981766656
Enrollment ID: I20100806000025
Provider NameDavid O Kutsche
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235171158
PECOS PAC ID: 1355403023
Enrollment ID: I20100806000030
Provider NameSherry Kuo
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1184839011
PECOS PAC ID: 6709919004
Enrollment ID: I20100806000866
Provider NameJannah H Thompson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1104089986
PECOS PAC ID: 6305997867
Enrollment ID: I20100819000637
Provider NameMatthew V Zaccheo
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1033173257
PECOS PAC ID: 3779552948
Enrollment ID: I20100828000176
Provider NameSteven J Lown
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083716724
PECOS PAC ID: 0840244398
Enrollment ID: I20100911000111
Provider NameMeghan E Coleman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538378518
PECOS PAC ID: 6608992987
Enrollment ID: I20100923000889
Provider NameRakesh Latchamsetty
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1760648109
PECOS PAC ID: 8325067457
Enrollment ID: I20101101001090
Provider NameJudith A Florido
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750484390
PECOS PAC ID: 1759576077
Enrollment ID: I20101112000281
Provider NameDaniel L Mann
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922284116
PECOS PAC ID: 2466648183
Enrollment ID: I20101119001203
Provider NameJordan J Taylor
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215147343
PECOS PAC ID: 7618164377
Enrollment ID: I20101207000437
Provider NameAshley Nicole Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760792444
PECOS PAC ID: 2668660432
Enrollment ID: I20101221000093
Provider NameTiffany A Letts
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245253657
PECOS PAC ID: 0749382737
Enrollment ID: I20110114000840
Provider NameRachel I Dykstra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467789651
PECOS PAC ID: 3375732605
Enrollment ID: I20110118000671
Provider NameSusan L Vandenbosch
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265422653
PECOS PAC ID: 3678752433
Enrollment ID: I20110125001154
Provider NameCatherine L Webb
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1437163680
PECOS PAC ID: 0547251522
Enrollment ID: I20110131000573
Provider NameLarry J Diaz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952301038
PECOS PAC ID: 1658351671
Enrollment ID: I20110203000547
Provider NameSteven J Vanlaan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982869137
PECOS PAC ID: 6608058532
Enrollment ID: I20110314000373
Provider NameMatthew A Erck
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003078023
PECOS PAC ID: 7719161330
Enrollment ID: I20110406000352
Provider NameScott M Mahar
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1821390097
PECOS PAC ID: 5991989303
Enrollment ID: I20110408000711
Provider NameUyen Thai Budzinski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245425388
PECOS PAC ID: 2961688437
Enrollment ID: I20110517000873
Provider NameMarc A Helzer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144249053
PECOS PAC ID: 2567648900
Enrollment ID: I20110519000032
Provider NameMatthew E Spector
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1487863684
PECOS PAC ID: 2062680796
Enrollment ID: I20110722000319
Provider NameNathan P Reed
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306066634
PECOS PAC ID: 1658496559
Enrollment ID: I20110725000554
Provider NameAugusto E Elias
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1700906997
PECOS PAC ID: 1850569468
Enrollment ID: I20110727000073
Provider NameSara L Koster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740575877
PECOS PAC ID: 9830368745
Enrollment ID: I20110810000652
Provider NameDavid J Heeringa
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245353853
PECOS PAC ID: 4284803107
Enrollment ID: I20110811000076
Provider NameKurt R Schumacher
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1487871224
PECOS PAC ID: 0143491654
Enrollment ID: I20110913000811
Provider NameAlexander P Dehaan
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1932324522
PECOS PAC ID: 5092986455
Enrollment ID: I20110915000863
Provider NameJeffrey D Postlewaite
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043219561
PECOS PAC ID: 4981668829
Enrollment ID: I20110926000034
Provider NameSharon Aronovich
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1871777326
PECOS PAC ID: 2163576885
Enrollment ID: I20110927000572
Provider NameKari S Blech
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457671679
PECOS PAC ID: 7012180961
Enrollment ID: I20111203000172
Provider NameQasim Omran
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1861773491
PECOS PAC ID: 9638345226
Enrollment ID: I20120103000536
Provider NameCheryl L Kruithof
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851600803
PECOS PAC ID: 6608034814
Enrollment ID: I20120220000582
Provider NameCassidy S Bremmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902183247
PECOS PAC ID: 0648439026
Enrollment ID: I20120303000004
Provider NameRenee J Elderkin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982694667
PECOS PAC ID: 5698738367
Enrollment ID: I20120509000683
Provider NameLiliya Shevchenko Sutherland
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1942463252
PECOS PAC ID: 9032373295
Enrollment ID: I20120619000654
Provider NameWilliam A Scalf
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1306802657
PECOS PAC ID: 0244495984
Enrollment ID: I20120703000399
Provider NameViet H Do
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1023235884
PECOS PAC ID: 8820244817
Enrollment ID: I20120807000472
Provider NameKimberly R Resseguie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083975478
PECOS PAC ID: 9931356540
Enrollment ID: I20120904000066
Provider NameMichael J Sumners
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1366753048
PECOS PAC ID: 3072761451
Enrollment ID: I20120910000021
Provider NameVinayak Anand Manohar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1306855242
PECOS PAC ID: 5890799746
Enrollment ID: I20120910000435
Provider NameVivian C Romero Romero
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245432368
PECOS PAC ID: 7719135011
Enrollment ID: I20120911000619
Provider NameIxsy A Ramirez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104081124
PECOS PAC ID: 1759539471
Enrollment ID: I20120920000727
Provider NameTracie N Rulewicz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174785398
PECOS PAC ID: 6507015617
Enrollment ID: I20121005000015
Provider NameMark S Kosten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366799397
PECOS PAC ID: 7911932405
Enrollment ID: I20121005000482
Provider NameShanna B Williams
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245416775
PECOS PAC ID: 1759530504
Enrollment ID: I20121011000200
Provider NameHeather L Volkema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124377320
PECOS PAC ID: 4284883976
Enrollment ID: I20121015000119
Provider NameLucas Georgandellis
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1730132580
PECOS PAC ID: 5193786358
Enrollment ID: I20130211000173
Provider NameJessica J Bruinius
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1609019330
PECOS PAC ID: 6507011640
Enrollment ID: I20130221000408
Provider NameDana D Hop
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063708923
PECOS PAC ID: 9537300298
Enrollment ID: I20130724000021
Provider NameKenneth M Kozlow
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1437351780
PECOS PAC ID: 7416106190
Enrollment ID: I20130724000421
Provider NameHilary A Schmid
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780901033
PECOS PAC ID: 7113160821
Enrollment ID: I20130828000570
Provider NameChristina Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831400407
PECOS PAC ID: 1759524473
Enrollment ID: I20130828000719
Provider NameRyan D Hamby
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871793216
PECOS PAC ID: 3274776992
Enrollment ID: I20130828000763
Provider NameElizabeth A Jeffery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245521848
PECOS PAC ID: 3476722968
Enrollment ID: I20130903000533
Provider NameRony D Gorges
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1881827095
PECOS PAC ID: 6709029911
Enrollment ID: I20130906000364
Provider NameJan Michael Rajlich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386871846
PECOS PAC ID: 0446494611
Enrollment ID: I20130910000808
Provider NameChaz Luke Stucken
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1194984997
PECOS PAC ID: 6507090529
Enrollment ID: I20131007001082
Provider NameMichelle M Muza-moons
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1215137161
PECOS PAC ID: 0941435382
Enrollment ID: I20131021000762
Provider NameTimothy W Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154761336
PECOS PAC ID: 6608001524
Enrollment ID: I20131031001202
Provider NameJessica S Grevenstuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588098685
PECOS PAC ID: 2567698996
Enrollment ID: I20131113001290
Provider NameErin E Young
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427379916
PECOS PAC ID: 6204072622
Enrollment ID: I20131113001941
Provider NameAshley E Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083046239
PECOS PAC ID: 6406082759
Enrollment ID: I20131115000918
Provider NameLindsey E Chorney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386077873
PECOS PAC ID: 8325274418
Enrollment ID: I20131120000132
Provider NameLuke A Deroo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1891081758
PECOS PAC ID: 3173767118
Enrollment ID: I20131204000409
Provider NameHolly N Dishnow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376979898
PECOS PAC ID: 7315174091
Enrollment ID: I20131230001981
Provider NameMaranda Gary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033547658
PECOS PAC ID: 8224267695
Enrollment ID: I20140205000345
Provider NameElissa J Davenport
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962824375
PECOS PAC ID: 4981834462
Enrollment ID: I20140228001413
Provider NameChristopher R Nall
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013171784
PECOS PAC ID: 2961633789
Enrollment ID: I20140411001202
Provider NameRyan A Hop
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1518253475
PECOS PAC ID: 5698919785
Enrollment ID: I20140424001807
Provider NameSteven C Behrendsen
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1306812656
PECOS PAC ID: 2365494234
Enrollment ID: I20140515001573
Provider NameMichael F Emiley
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1740571686
PECOS PAC ID: 0446401970
Enrollment ID: I20140604002746
Provider NameOlesya Krivospitskaya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730318502
PECOS PAC ID: 4183848336
Enrollment ID: I20140610001539
Provider NameKelsey Dayle Smits
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285046961
PECOS PAC ID: 4880818814
Enrollment ID: I20140613001387
Provider NameChristina Bakalis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477784056
PECOS PAC ID: 6305077967
Enrollment ID: I20140623000105
Provider NamePatricia L Fick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457639361
PECOS PAC ID: 7911136973
Enrollment ID: I20140630000632
Provider NameRebecca H Klesmith
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1164718029
PECOS PAC ID: 8022252758
Enrollment ID: I20140701000288
Provider NameMatthew E Tanis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851654487
PECOS PAC ID: 1658515226
Enrollment ID: I20140707000425
Provider NameBrian J Hinkley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619269222
PECOS PAC ID: 3971728957
Enrollment ID: I20140707002145
Provider NameRichard Walter Seeger
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1790713220
PECOS PAC ID: 7517040967
Enrollment ID: I20140709002560
Provider NameBenjamin L Viglianti
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609019033
PECOS PAC ID: 0749406338
Enrollment ID: I20140716001434
Provider NameLisa M Glass
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1154521177
PECOS PAC ID: 6608093091
Enrollment ID: I20140807002471
Provider NameStephanie A Getz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417268012
PECOS PAC ID: 4082858634
Enrollment ID: I20140814001843
Provider NameLisa M Theodorovich
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1821406455
PECOS PAC ID: 7517185317
Enrollment ID: I20140819002711
Provider NameJulie B Stinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275949398
PECOS PAC ID: 5890913099
Enrollment ID: I20140902000068
Provider NameFrigga Jacob
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508153263
PECOS PAC ID: 6305072604
Enrollment ID: I20140905002074
Provider NameMichael T Schmuker
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1982990842
PECOS PAC ID: 0244474872
Enrollment ID: I20140918002411
Provider NameMegan K Mouser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134529993
PECOS PAC ID: 2163641218
Enrollment ID: I20140922002807
Provider NameScott A Baar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699180836
PECOS PAC ID: 5799905667
Enrollment ID: I20140929000988
Provider NameJames P Reinhart
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1174842025
PECOS PAC ID: 2860621133
Enrollment ID: I20141023000026
Provider NameNidhi Mishra
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1962663674
PECOS PAC ID: 4688805401
Enrollment ID: I20141111000940
Provider NameNatalie J Parr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962765594
PECOS PAC ID: 6406090075
Enrollment ID: I20141114001246
Provider NameJonas P Berlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932545886
PECOS PAC ID: 8224351481
Enrollment ID: I20141219002155
Provider NameJessica D Averill
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1295138584
PECOS PAC ID: 7517281447
Enrollment ID: I20150123000286
Provider NameJames R Fenton
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1912112806
PECOS PAC ID: 5799917951
Enrollment ID: I20150320000407
Provider NameDebora S Argetsinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376931717
PECOS PAC ID: 4587981964
Enrollment ID: I20150324000463
Provider NameGabriel Aloysius Dunn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477818854
PECOS PAC ID: 0840426151
Enrollment ID: I20150522000279
Provider NameKory J Johnson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1952539603
PECOS PAC ID: 8628212479
Enrollment ID: I20150602002763
Provider NameStephen Greer
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1306868666
PECOS PAC ID: 7618866153
Enrollment ID: I20150619002164
Provider NameJennifer C Kaufman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417269713
PECOS PAC ID: 5496998908
Enrollment ID: I20150622002524
Provider NameMark T Tierney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659509701
PECOS PAC ID: 7911135876
Enrollment ID: I20150707003332
Provider NameDaniel S Mlnarik
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205240256
PECOS PAC ID: 5496067282
Enrollment ID: I20150708000840
Provider NameMichael R Joynt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043482698
PECOS PAC ID: 8729391123
Enrollment ID: I20150714001649
Provider NameJeremy Bushman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699088906
PECOS PAC ID: 8820227309
Enrollment ID: I20150716000745
Provider NameJami A Kinnucan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1003045634
PECOS PAC ID: 9133432230
Enrollment ID: I20150720000072
Provider NameGreta E Klein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336561026
PECOS PAC ID: 7911211529
Enrollment ID: I20150727001497
Provider NameElizabeth A Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336523158
PECOS PAC ID: 1052625621
Enrollment ID: I20150728003620
Provider NameDavid Colombo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164487716
PECOS PAC ID: 0042111072
Enrollment ID: I20150729007057
Provider NameDanielle C Rush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497139653
PECOS PAC ID: 6305150038
Enrollment ID: I20150807015224
Provider NameRyan J Law
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1508030925
PECOS PAC ID: 0648394403
Enrollment ID: I20150813010961
Provider NameMelissa L Mashni
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720346695
PECOS PAC ID: 7517272867
Enrollment ID: I20150814013401
Provider NameSara A Dumich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093071094
PECOS PAC ID: 9133435480
Enrollment ID: I20150901001016
Provider NameAdam T Wright
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306078191
PECOS PAC ID: 3779890546
Enrollment ID: I20150911001413
Provider NameJeremy R Herr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164731535
PECOS PAC ID: 2163602863
Enrollment ID: I20151016000074
Provider NameJennifer L Bennetts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366814006
PECOS PAC ID: 1658681341
Enrollment ID: I20151109002212
Provider NameMark J Tieszen
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1003838681
PECOS PAC ID: 3476677253
Enrollment ID: I20160121002336
Provider NameMatthew W Medley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033473053
PECOS PAC ID: 3072756071
Enrollment ID: I20160128002041
Provider NameScott T Maurer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760437891
PECOS PAC ID: 2062663115
Enrollment ID: I20160208000889
Provider NameDanielle M Hainer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467818476
PECOS PAC ID: 4385940618
Enrollment ID: I20160311000964
Provider NameAnna M Wiersma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811388960
PECOS PAC ID: 5294033254
Enrollment ID: I20160407002235
Provider NamePeter Y Hahn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588642359
PECOS PAC ID: 8820076649
Enrollment ID: I20160413001512
Provider NameCaroline W Angus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750669636
PECOS PAC ID: 5597983833
Enrollment ID: I20160413002026
Provider NameRyan M Bylsma
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1205275765
PECOS PAC ID: 9739318296
Enrollment ID: I20160415000969
Provider NameMichael Patrick Zintsmaster
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1285946491
PECOS PAC ID: 1759695836
Enrollment ID: I20160425002250
Provider NameBrian D Dodson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1710905823
PECOS PAC ID: 8123035813
Enrollment ID: I20160505000939
Provider NameBertha Parthenia Richardson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1184674707
PECOS PAC ID: 0547243487
Enrollment ID: I20160518002469
Provider NameCarrie E Harvey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861770851
PECOS PAC ID: 6901039338
Enrollment ID: I20160622000054
Provider NameEvan Tank
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124316054
PECOS PAC ID: 9931417813
Enrollment ID: I20160623000568
Provider NameJoseph Zachariah
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1548585722
PECOS PAC ID: 3274759212
Enrollment ID: I20160623000802
Provider NameDavid Michael Ehrhardt
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710255575
PECOS PAC ID: 7214229574
Enrollment ID: I20160706001632
Provider NameChristopher James Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205276383
PECOS PAC ID: 3274852975
Enrollment ID: I20160712000748
Provider NameMichael E Kogut
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649619925
PECOS PAC ID: 8527202159
Enrollment ID: I20160712002033
Provider NameCourtney S Streur
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1417275736
PECOS PAC ID: 0345486346
Enrollment ID: I20160719000107
Provider NameElizabeth A Pierce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154770550
PECOS PAC ID: 1052604675
Enrollment ID: I20160720000418
Provider NameKatherine M Weichhand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841641990
PECOS PAC ID: 2567755531
Enrollment ID: I20160728000669
Provider NameNatalie F Kent
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1023457405
PECOS PAC ID: 4981848611
Enrollment ID: I20160810001016
Provider NameAnnah Goote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740734656
PECOS PAC ID: 8325332216
Enrollment ID: I20160816001865
Provider NameEric Joseph Krebill
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659667624
PECOS PAC ID: 8022246958
Enrollment ID: I20160817003409
Provider NameArmita Ghoddousi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1396050118
PECOS PAC ID: 4082918784
Enrollment ID: I20160818000974
Provider NameJohn Kim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255565842
PECOS PAC ID: 5991944423
Enrollment ID: I20160831001491
Provider NameStacey L Tubergen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427507946
PECOS PAC ID: 3577850858
Enrollment ID: I20160930000227
Provider NameMarcos Itamar Cordoba-munoz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1003084286
PECOS PAC ID: 8820217003
Enrollment ID: I20161019000698
Provider NameLydia J Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427500578
PECOS PAC ID: 9739467663
Enrollment ID: I20161028000185
Provider NameKai Denski
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1104138841
PECOS PAC ID: 2466679923
Enrollment ID: I20161212000752
Provider NameJean Sun
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1265759716
PECOS PAC ID: 3577879535
Enrollment ID: I20161213000310
Provider NameAniruddh P Behere
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265689897
PECOS PAC ID: 5092957308
Enrollment ID: I20170126001993
Provider NameGregg T Malicke
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417211087
PECOS PAC ID: 5991089401
Enrollment ID: I20170313001231
Provider NameLeigh R Gasworth
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699157024
PECOS PAC ID: 2365759248
Enrollment ID: I20170606000854
Provider NameKristina M. Manion
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1215165071
PECOS PAC ID: 5991947319
Enrollment ID: I20170616000151
Provider NameAlexander J Witte
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932512779
PECOS PAC ID: 4688890817
Enrollment ID: I20170710002626
Provider NameGunjan Gholkar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386922003
PECOS PAC ID: 8527358530
Enrollment ID: I20170712003277
Provider NameAndrew J Rosko
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1801157060
PECOS PAC ID: 0042525941
Enrollment ID: I20170713002474
Provider NameNoah Robert Smith
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1972863389
PECOS PAC ID: 7012227135
Enrollment ID: I20170713002980
Provider NameMounir Ghali
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1205142932
PECOS PAC ID: 5597052134
Enrollment ID: I20170803002465
Provider NameRichard A Pearson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902148729
PECOS PAC ID: 9931332392
Enrollment ID: I20170804001087
Provider NameTammy T Tran
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1578856530
PECOS PAC ID: 9830460740
Enrollment ID: I20170810000575
Provider NameAllison R Schulman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1427378066
PECOS PAC ID: 7113165663
Enrollment ID: I20170814001725
Provider NameCatherine S Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922520691
PECOS PAC ID: 1557633211
Enrollment ID: I20170816001383
Provider NameSuprotim Samaddar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1689961369
PECOS PAC ID: 3678795358
Enrollment ID: I20170816002353
Provider NameLucan Watt Chatterley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053793489
PECOS PAC ID: 8325352131
Enrollment ID: I20170829002309
Provider NameEugene H Chung
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1326087131
PECOS PAC ID: 9931112463
Enrollment ID: I20170912002275
Provider NameVictoria Rose Karcis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912436320
PECOS PAC ID: 6608140504
Enrollment ID: I20170915001208
Provider NameAleksandr A Archiyan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275945156
PECOS PAC ID: 7517182660
Enrollment ID: I20170919001514
Provider NameKimberlee A Tomerlin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013321140
PECOS PAC ID: 1759690605
Enrollment ID: I20170926000169
Provider NameJulie C Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235591280
PECOS PAC ID: 5193099471
Enrollment ID: I20170926000874
Provider NameKenneth P Dood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568801843
PECOS PAC ID: 6103068655
Enrollment ID: I20170928001721
Provider NameMichael L Dozeman
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1487035333
PECOS PAC ID: 9830400407
Enrollment ID: I20170929001915
Provider NameConor Mullin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013321983
PECOS PAC ID: 2961628573
Enrollment ID: I20171018002359
Provider NameKristine N Tomlinson-miles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023529427
PECOS PAC ID: 3779849849
Enrollment ID: I20171106000937
Provider NameLindy J Deboer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720597685
PECOS PAC ID: 1052677002
Enrollment ID: I20171108001907
Provider NameAlex M Tomlinson-miles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710498142
PECOS PAC ID: 7517224975
Enrollment ID: I20171121000177
Provider NameElizabeth L Albright
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487060125
PECOS PAC ID: 3274843891
Enrollment ID: I20171218001777
Provider NameAdam C Quiring
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760900823
PECOS PAC ID: 7810255593
Enrollment ID: I20180102000261
Provider NameAlex D Bylsma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902316490
PECOS PAC ID: 8426316118
Enrollment ID: I20180102000497
Provider NameKatherine Joyce Sage
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1073809935
PECOS PAC ID: 2264790823
Enrollment ID: I20180103002173
Provider NameLisa Michele Thiel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1699898940
PECOS PAC ID: 6901057280
Enrollment ID: I20180104000660
Provider NameDavid H Bryska
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1831571389
PECOS PAC ID: 0244544245
Enrollment ID: I20180205001527
Provider NameJagadish Balappa Khanagavi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1457669897
PECOS PAC ID: 4587960448
Enrollment ID: I20180404001792
Provider NameMelissa E Pillai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174025027
PECOS PAC ID: 8820351265
Enrollment ID: I20180417001171
Provider NameGuillermo R Sanchez
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1326012634
PECOS PAC ID: 3274542220
Enrollment ID: I20180424000184
Provider NameJacob C Stremers
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1508248923
PECOS PAC ID: 1254648108
Enrollment ID: I20180507001248
Provider NameLeezanne R Zeng
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962884387
PECOS PAC ID: 3779898168
Enrollment ID: I20180522002853
Provider NameKelly L Woock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326536350
PECOS PAC ID: 1759646532
Enrollment ID: I20180526000032
Provider NameKristina Lombardi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952891376
PECOS PAC ID: 0648535369
Enrollment ID: I20180530002838
Provider NameKimberly R Meles
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902031057
PECOS PAC ID: 0648535203
Enrollment ID: I20180531001637
Provider NameNicholas J Robell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538554704
PECOS PAC ID: 4183989676
Enrollment ID: I20180605000136
Provider NameAndrew J Bosch
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972985398
PECOS PAC ID: 5698082576
Enrollment ID: I20180621002838
Provider NameJordan S Craig
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750515433
PECOS PAC ID: 3173767167
Enrollment ID: I20180623000120
Provider NameKristin L Hollander
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1508248931
PECOS PAC ID: 5193032068
Enrollment ID: I20180625001815
Provider NameBryan Shanley Sack
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1487979951
PECOS PAC ID: 6901153352
Enrollment ID: I20180717002795
Provider NameLindsey A Marchel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982105482
PECOS PAC ID: 0345597555
Enrollment ID: I20180719000676
Provider NameErin D Burdi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629566542
PECOS PAC ID: 0345597563
Enrollment ID: I20180719001166
Provider NameChristina S Glenn
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1609188754
PECOS PAC ID: 1951671114
Enrollment ID: I20180723001779
Provider NameMandy M Potter
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588959878
PECOS PAC ID: 8820346505
Enrollment ID: I20180813002647
Provider NameKatelyn M Gettel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194210914
PECOS PAC ID: 4981952678
Enrollment ID: I20180813002865
Provider NameMallory A Myslenski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366937716
PECOS PAC ID: 5799033486
Enrollment ID: I20180813002909
Provider NameEmily M Mccloskey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184119901
PECOS PAC ID: 4385993930
Enrollment ID: I20180815002865
Provider NameCaitlin M Mlynarek
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376924340
PECOS PAC ID: 2567776750
Enrollment ID: I20180821000291
Provider NameBrandon James Hooks
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1720346620
PECOS PAC ID: 7719207380
Enrollment ID: I20180822003080
Provider NameSarah L Dikeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427543354
PECOS PAC ID: 4789934423
Enrollment ID: I20180830001557
Provider NameGarret W Caldwell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447663844
PECOS PAC ID: 4082919279
Enrollment ID: I20180913002937
Provider NameCynthia M Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033698865
PECOS PAC ID: 9537410980
Enrollment ID: I20180924001781
Provider NameAmmar Zahid Hassan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1497072243
PECOS PAC ID: 7810122769
Enrollment ID: I20181005000659
Provider NameMargaret M Ohara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508341686
PECOS PAC ID: 6507118049
Enrollment ID: I20181010002000
Provider NameLauren Meredith Warner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396123964
PECOS PAC ID: 3779887591
Enrollment ID: I20181011001271
Provider NameCassandra P Fritch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013490762
PECOS PAC ID: 7113270190
Enrollment ID: I20181020000224
Provider NameMark R Traill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972555308
PECOS PAC ID: 2961465273
Enrollment ID: I20181108000192
Provider NameKristen Joy Kelting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114494895
PECOS PAC ID: 3971848144
Enrollment ID: I20181215000296
Provider NameSarah B Dickinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174091730
PECOS PAC ID: 3274878970
Enrollment ID: I20181228000962
Provider NameJordan E Knot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124594890
PECOS PAC ID: 7719222421
Enrollment ID: I20181228001347
Provider NameShannon V Donkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750874681
PECOS PAC ID: 3870831597
Enrollment ID: I20190205001273
Provider NameZachary J Plotz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730341751
PECOS PAC ID: 5890939995
Enrollment ID: I20190212000921
Provider NameRichard N Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578035895
PECOS PAC ID: 7810235090
Enrollment ID: I20190213002018
Provider NameKathrine E Post
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861972986
PECOS PAC ID: 5395084164
Enrollment ID: I20190222001940
Provider NameMichelle L Weston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659843621
PECOS PAC ID: 7214278936
Enrollment ID: I20190408000216
Provider NameChristina A Eller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053897595
PECOS PAC ID: 8022368794
Enrollment ID: I20190418001228
Provider NameFazeel Mukhtar Siddiqui
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1154513687
PECOS PAC ID: 0345475331
Enrollment ID: I20190513001577
Provider NameThomas B Bemenderfer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1891105425
PECOS PAC ID: 9133462864
Enrollment ID: I20190521003475
Provider NameAmra Bristina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699256784
PECOS PAC ID: 9133462534
Enrollment ID: I20190529001223
Provider NameCollin Chase Barber
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1942628300
PECOS PAC ID: 9931467768
Enrollment ID: I20190531002183
Provider NameDawn Rosser
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609830033
PECOS PAC ID: 4486988094
Enrollment ID: I20190701001607
Provider NameRebecca R Kloote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588127799
PECOS PAC ID: 8123353596
Enrollment ID: I20190709000521
Provider NameAshley Marie Veenstra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801451448
PECOS PAC ID: 2062747223
Enrollment ID: I20190710001027
Provider NameAbiy T Nigatu
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952697252
PECOS PAC ID: 7416279641
Enrollment ID: I20190712002271
Provider NameBenjamin Matthew Strong
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174865174
PECOS PAC ID: 1557698297
Enrollment ID: I20190803000150
Provider NameSarah R Lutz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538633615
PECOS PAC ID: 1557699303
Enrollment ID: I20190819001154
Provider NameMatthew J Borr
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417339847
PECOS PAC ID: 1557676434
Enrollment ID: I20190819001523
Provider NameBryan D Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740848316
PECOS PAC ID: 1850629106
Enrollment ID: I20190823001652
Provider NameKatie Lynn Mowers
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609142959
PECOS PAC ID: 3274883608
Enrollment ID: I20190827000623
Provider NameAndrew J Lewandoski
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1578806113
PECOS PAC ID: 7113246430
Enrollment ID: I20190827003471
Provider NameElizabeth M Dedoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811558380
PECOS PAC ID: 3779813514
Enrollment ID: I20190923000293
Provider NameDavid C Weglicki
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932364627
PECOS PAC ID: 3870734080
Enrollment ID: I20190923000544
Provider NameEmily M. English
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417216896
PECOS PAC ID: 1759661929
Enrollment ID: I20190923001607
Provider NameKseniya Bezpalko
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811347966
PECOS PAC ID: 8224322797
Enrollment ID: I20190925003220
Provider NameElizabeth A Klynstra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326500455
PECOS PAC ID: 3274863741
Enrollment ID: I20190925003420
Provider NameJulia Marchal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235681503
PECOS PAC ID: 6901186857
Enrollment ID: I20190926001755
Provider NameAlexander David Grushky
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174962328
PECOS PAC ID: 7113286816
Enrollment ID: I20191004000303
Provider NameKaitlin E Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831751650
PECOS PAC ID: 3678804457
Enrollment ID: I20191009000427
Provider NameHope L Mickelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487114070
PECOS PAC ID: 7315278710
Enrollment ID: I20191016002645
Provider NameKyle E Pfeifer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932494986
PECOS PAC ID: 5496054934
Enrollment ID: I20191016002924
Provider NameRocio E Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649821786
PECOS PAC ID: 2567794654
Enrollment ID: I20191022002510
Provider NameMaxwell S Rouse
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1891146684
PECOS PAC ID: 2264724368
Enrollment ID: I20191025000539
Provider NameJulie A Perski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295393254
PECOS PAC ID: 5193057834
Enrollment ID: I20191029002566
Provider NameLindsey M Devaney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366098840
PECOS PAC ID: 9436481736
Enrollment ID: I20191105001708
Provider NameHaley Zimmer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932580883
PECOS PAC ID: 9234440892
Enrollment ID: I20191120001853
Provider NameRachel A Kloosterman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518508704
PECOS PAC ID: 1153753660
Enrollment ID: I20191120002912
Provider NameRachel Burgess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326695867
PECOS PAC ID: 5698107084
Enrollment ID: I20191125000907
Provider NameNicole Flory Sansom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295388098
PECOS PAC ID: 2062845456
Enrollment ID: I20191125001351
Provider NameBryan J Canty
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841309515
PECOS PAC ID: 2567359334
Enrollment ID: I20191214000309
Provider NameJustin K Shurts
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225291420
PECOS PAC ID: 6608047915
Enrollment ID: I20191227001063
Provider NameRebecca L Veneklase
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245882703
PECOS PAC ID: 1456785013
Enrollment ID: I20200107002720
Provider NameElizabeth A Lojewski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1336590074
PECOS PAC ID: 6002108107
Enrollment ID: I20200121001264
Provider NameJoshua J Vansluyters
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093235848
PECOS PAC ID: 5991075517
Enrollment ID: I20200327002420
Provider NameJenna M Lehman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366085474
PECOS PAC ID: 9739518291
Enrollment ID: I20200403001032
Provider NameKristopher R Danielson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1376957134
PECOS PAC ID: 2860617198
Enrollment ID: I20200422001522
Provider NameEmily Marie Marlow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447293477
PECOS PAC ID: 9032118401
Enrollment ID: I20200505002414
Provider NameAntonia Jocelyn Henry
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1063574101
PECOS PAC ID: 6709024730
Enrollment ID: I20200615001837
Provider NameDelphia Catina Croff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447886692
PECOS PAC ID: 2365864550
Enrollment ID: I20200616002503
Provider NameOlivia Yost
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073034310
PECOS PAC ID: 6103173349
Enrollment ID: I20200701003117
Provider NameMonica K Urbanowski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376063677
PECOS PAC ID: 8527337112
Enrollment ID: I20200713002902
Provider NameShane T Mallon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750709119
PECOS PAC ID: 1759506850
Enrollment ID: I20200720001461
Provider NameBarbara Elizabeth Swartz
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1811082324
PECOS PAC ID: 6507928884
Enrollment ID: I20200728001487
Provider NameHassan Suhail Anbari
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699020776
PECOS PAC ID: 5991120586
Enrollment ID: I20200729002966
Provider NameBenjamin William Hale
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124464599
PECOS PAC ID: 7214232313
Enrollment ID: I20200731001534
Provider NameJessica Gem Fried
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073909412
PECOS PAC ID: 2163847914
Enrollment ID: I20200811000178
Provider NameThomas H Riley
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1992899389
PECOS PAC ID: 0840247722
Enrollment ID: I20200824000236
Provider NameAlyssa M Vermeulen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700291515
PECOS PAC ID: 1355566167
Enrollment ID: I20200826000782
Provider NameKayla Andres
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992155824
PECOS PAC ID: 1759675697
Enrollment ID: I20200828000306
Provider NameKatrina Y Cole-riley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932186426
PECOS PAC ID: 7214281500
Enrollment ID: I20200911002104
Provider NameAmit N Bhojwani
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1477986420
PECOS PAC ID: 6406102011
Enrollment ID: I20201012002213
Provider NameMohammad Mahmoud Hasan Alhyari
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1346554912
PECOS PAC ID: 7113150111
Enrollment ID: I20201013002066
Provider NameMark Manabu Goto
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1033189758
PECOS PAC ID: 6406036961
Enrollment ID: I20201022000180
Provider NameGorav Ailawadi
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1710196894
PECOS PAC ID: 3375636756
Enrollment ID: I20201104003103
Provider NameHannan Ali Saad
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073908778
PECOS PAC ID: 6002115664
Enrollment ID: I20210225003206
Provider NameRebecca M Royce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467030114
PECOS PAC ID: 8729495999
Enrollment ID: I20210406001206
Provider NameCourtney L Page
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598342123
PECOS PAC ID: 3476952623
Enrollment ID: I20210520002158
Provider NameRon Van Beek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033794433
PECOS PAC ID: 6305245267
Enrollment ID: I20210525003114
Provider NameMatthew Clay Slotman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174141386
PECOS PAC ID: 7810397148
Enrollment ID: I20210608002932
Provider NameMichael A Fitzgerald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992236277
PECOS PAC ID: 5294085056
Enrollment ID: I20210609001609
Provider NameJessica-lynn Marie Fulton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114279841
PECOS PAC ID: 1658655816
Enrollment ID: I20210609002466
Provider NameAmanda E. Ruddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154996684
PECOS PAC ID: 1456751601
Enrollment ID: I20210610000777
Provider NameTrevor Henry
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235659277
PECOS PAC ID: 3870863137
Enrollment ID: I20210621000617
Provider NameLindsay Jade Robell
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1861873903
PECOS PAC ID: 6507166311
Enrollment ID: I20210624002950
Provider NameWilliam Z Punch
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1518452259
PECOS PAC ID: 9335495191
Enrollment ID: I20210709000424
Provider NameAnthony Propson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124548227
PECOS PAC ID: 2264703784
Enrollment ID: I20210728002527
Provider NameOmaima Farid Ahmad
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629565742
PECOS PAC ID: 9234533001
Enrollment ID: I20210802002788
Provider NameEllen L Moore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992299515
PECOS PAC ID: 7810245180
Enrollment ID: I20210805000727
Provider NameJhanna Moore
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073976767
PECOS PAC ID: 9537405774
Enrollment ID: I20210809001898
Provider NameBenjamin V Hirshberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871955468
PECOS PAC ID: 1951694025
Enrollment ID: I20210811002319
Provider NameSara Munoz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982274056
PECOS PAC ID: 4587069323
Enrollment ID: I20210817003468
Provider NameStephen J Hickner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1881191658
PECOS PAC ID: 2668728700
Enrollment ID: I20210819000846
Provider NameAbdel Rahman A Omer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356607626
PECOS PAC ID: 1850605866
Enrollment ID: I20210824000170
Provider NameMolly Elizabeth Roseland
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164871620
PECOS PAC ID: 5799180071
Enrollment ID: I20210825000939
Provider NameJack F Conner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043673239
PECOS PAC ID: 6608161757
Enrollment ID: I20210827000560
Provider NameAshley C Anderson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770938607
PECOS PAC ID: 6305242959
Enrollment ID: I20210907001135
Provider NameGunjan B Malhotra
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083064133
PECOS PAC ID: 3274930763
Enrollment ID: I20210927001218
Provider NameJacob W Simpson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669829859
PECOS PAC ID: 2860782216
Enrollment ID: I20211019001071
Provider NameKarissa Rentfrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750960126
PECOS PAC ID: 0749670859
Enrollment ID: I20211203002211
Provider NameElizabeth A Henschel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841955176
PECOS PAC ID: 8729472816
Enrollment ID: I20220307002170
Provider NameDanielle P Venema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043979628
PECOS PAC ID: 3072909985
Enrollment ID: I20220401000480
Provider NameAndrew D Deschaine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932771904
PECOS PAC ID: 6305232935
Enrollment ID: I20220408000137
Provider NameKimberly A Chaney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790987469
PECOS PAC ID: 2961594239
Enrollment ID: I20220418000379
Provider NameLeona Tamara Kwekel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538751326
PECOS PAC ID: 8628465655
Enrollment ID: I20220421002149
Provider NameAlyssa C Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023785540
PECOS PAC ID: 5193112985
Enrollment ID: I20220426000868
Provider NameGeorgia Gianakakos
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1528229184
PECOS PAC ID: 0648317180
Enrollment ID: I20220517001701
Provider NameKevin M Buria
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962852798
PECOS PAC ID: 3274892922
Enrollment ID: I20220531002199
Provider NameAlexander A Armada
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982167193
PECOS PAC ID: 5395070510
Enrollment ID: I20220607000481
Provider NameMichael D Koets
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184074015
PECOS PAC ID: 2163717059
Enrollment ID: I20220607000607
Provider NameMallorie Lanette Hoover
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679969455
PECOS PAC ID: 4486974649
Enrollment ID: I20220608001763
Provider NameJohn M Jansen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437711520
PECOS PAC ID: 4183953938
Enrollment ID: I20220609000433
Provider NameChristine E Larkin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174051395
PECOS PAC ID: 9234408592
Enrollment ID: I20220610000768
Provider NameMaia E Sullivan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609361344
PECOS PAC ID: 4284980293
Enrollment ID: I20220618000373
Provider NameAvik Patel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962942383
PECOS PAC ID: 7416227434
Enrollment ID: I20220712001165
Provider NameZachary C Hommer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982192431
PECOS PAC ID: 6002163383
Enrollment ID: I20220713003390
Provider NameDona Murphey
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1144540584
PECOS PAC ID: 6204138670
Enrollment ID: I20220713003754
Provider NameMaraya M Baumanis
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245768704
PECOS PAC ID: 8820361322
Enrollment ID: I20220713003783
Provider NameMaarten L Galantowicz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194257899
PECOS PAC ID: 6608146063
Enrollment ID: I20220715000349
Provider NameDavid J Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639602055
PECOS PAC ID: 8628459088
Enrollment ID: I20220715001107
Provider NameMichael J Hicks
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982125704
PECOS PAC ID: 1759656028
Enrollment ID: I20220715001119
Provider NameAllen C Wrubel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346772555
PECOS PAC ID: 7719257344
Enrollment ID: I20220725003376
Provider NameChen Yin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124559091
PECOS PAC ID: 4486041613
Enrollment ID: I20220727000927
Provider NameXueying Hu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174056188
PECOS PAC ID: 8729335419
Enrollment ID: I20220805000454
Provider NameBess Marie Connors
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528412517
PECOS PAC ID: 0749578144
Enrollment ID: I20220812002893
Provider NameRyan C Overby
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881125516
PECOS PAC ID: 6709149875
Enrollment ID: I20220817003279
Provider NameJack Hua
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437686201
PECOS PAC ID: 5597149161
Enrollment ID: I20220831000514
Provider NameEmily A Middlebrook
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790212611
PECOS PAC ID: 1052795473
Enrollment ID: I20220903000070
Provider NameAndrew J Kure
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053708263
PECOS PAC ID: 5799074597
Enrollment ID: I20220913003352
Provider NameShana L Radomski
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1962931865
PECOS PAC ID: 0840676805
Enrollment ID: I20220929000815
Provider NameDana Lynn Gurd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821732199
PECOS PAC ID: 0143606640
Enrollment ID: I20221006002919
Provider NameKristie Pagel-compagner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114306503
PECOS PAC ID: 4486020674
Enrollment ID: I20221012003225
Provider NameJamie K Rabideau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083336358
PECOS PAC ID: 9830566454
Enrollment ID: I20221110000664
Provider NameKelly A Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013642180
PECOS PAC ID: 4082083068
Enrollment ID: I20221214000772
Provider NameStephen R O'neil
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336521756
PECOS PAC ID: 0840505681
Enrollment ID: I20230117000585
Provider NameMichael William Drazer
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1942564117
PECOS PAC ID: 3577866391
Enrollment ID: I20230118000911
Provider NameLaura Braaten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588253892
PECOS PAC ID: 9537524947
Enrollment ID: I20230508000367
Provider NameElizabeth Margaret Colwell
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1811259047
PECOS PAC ID: 3173842705
Enrollment ID: I20230508000440
Provider NameBethany J Busack
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1659802684
PECOS PAC ID: 6901178086
Enrollment ID: I20230517000432
Provider NameMariel A Maitland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891482881
PECOS PAC ID: 5597122440
Enrollment ID: I20230607003098
Provider NameVolanni Brooke Markey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366137911
PECOS PAC ID: 7416314042
Enrollment ID: I20230613001025
Provider NameZachary J. Hartley-blossom
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225567902
PECOS PAC ID: 8325317894
Enrollment ID: I20230614002400
Provider NameSamantha L Milana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669164034
PECOS PAC ID: 2062872732
Enrollment ID: I20230713002394
Provider NameAubrey M Kuehnel
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1235633066
PECOS PAC ID: 3870840010
Enrollment ID: I20230713002460
Provider NameEric Lee Cox
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1568968956
PECOS PAC ID: 4981968526
Enrollment ID: I20230713002570
Provider NameTyler L Ledy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619596814
PECOS PAC ID: 2365867744
Enrollment ID: I20230714000800
Provider NameBailey Ledy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861018442
PECOS PAC ID: 4880017771
Enrollment ID: I20230714002486
Provider NameAlexander Turin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922426626
PECOS PAC ID: 2062712011
Enrollment ID: I20230715000122
Provider NameJoshua Logan Breeden
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053809483
PECOS PAC ID: 8426304486
Enrollment ID: I20230717003296
Provider NameAllie C Toth
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1851881866
PECOS PAC ID: 3375890908
Enrollment ID: I20230718003395
Provider NameJohn Daniel Comer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790219160
PECOS PAC ID: 4082074307
Enrollment ID: I20230719000291
Provider NameKyle Arthur Grassel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861996456
PECOS PAC ID: 6204182322
Enrollment ID: I20230719000369
Provider NameMichael Wolfe
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1124655824
PECOS PAC ID: 0143643254
Enrollment ID: I20230719000373
Provider NameCrysta B Iv Kyrazis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881191351
PECOS PAC ID: 8729337282
Enrollment ID: I20230719000567
Provider NameBenjamin R Himelhoch
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487149852
PECOS PAC ID: 8921357260
Enrollment ID: I20230719001493
Provider NameRishabh Gattu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1376036707
PECOS PAC ID: 0345600342
Enrollment ID: I20230724000214
Provider NameAndrew D Smith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366071094
PECOS PAC ID: 5890155709
Enrollment ID: I20230724001169
Provider NameStephen P. Winter
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669961835
PECOS PAC ID: 0941551956
Enrollment ID: I20230725003197
Provider NameScott Jeffery Lee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528557139
PECOS PAC ID: 1456712306
Enrollment ID: I20230725003603
Provider NameJames D Chessrown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427677475
PECOS PAC ID: 6608298476
Enrollment ID: I20230726001864
Provider NameAndersen Jean Shemme
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1861986481
PECOS PAC ID: 0143578120
Enrollment ID: I20230801000796
Provider NameLindsay Israels
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316576804
PECOS PAC ID: 9931521663
Enrollment ID: I20230802002506
Provider NameEric Robert Swy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619461233
PECOS PAC ID: 4183972482
Enrollment ID: I20230803000504
Provider NamePamela Kay Henion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194100693
PECOS PAC ID: 6507156247
Enrollment ID: I20230808001827
Provider NameEric D Schadler
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1225599897
PECOS PAC ID: 5890029375
Enrollment ID: I20230809000778
Provider NameCourtney A Plouff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750090932
PECOS PAC ID: 3971966037
Enrollment ID: I20230823001567
Provider NameKathryn Arnold Leonard
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1346701919
PECOS PAC ID: 4183959489
Enrollment ID: I20230831004310
Provider NameHanna M Poole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104432905
PECOS PAC ID: 0749690261
Enrollment ID: I20230913003582
Provider NameKristy Lynn Natte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992483200
PECOS PAC ID: 2668827106
Enrollment ID: I20231018001847
Provider NameMigena Betz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144476367
PECOS PAC ID: 6002057668
Enrollment ID: I20240109004299
Provider NameNathalie G Hautala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336839174
PECOS PAC ID: 6406209725
Enrollment ID: I20240201004326

Reviews and Comments


Internal Medicine in Wyoming, MI

Jasper Health Worx Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5960 Burlingame Ave Sw Ste A, Wyoming, MI 49509
Phone: 877-291-6488    
Metro Health Community Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 781 36th St Se, Wyoming, MI 49548
Phone: 616-252-4100    Fax: 616-252-4953
Catherines Health Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 950 36th St Sw, Wyoming, MI 49509
Phone: 616-336-8800    
Midwest Family Medicine Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1009 44th St Sw, Suite A1, Wyoming, MI 49509
Phone: 800-968-6866    
Pediatrics Primary Care Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4433 Byron Center Ave Sw, Pediatrics Primary Care, Wyoming, MI 49519
Phone: 616-530-2846    Fax: 616-530-2854
Spectrum Health Medical Group
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5500 Clyde Park Ave Sw, Wyoming, MI 49509
Phone: 616-486-6790    
Allen Surgical Care, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1009 44th St Sw Ste 101, Wyoming, MI 49509
Phone: 616-828-4622    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.