| Mhs Physician Services | |
|
580 N Washington St Janesville WI 53548-2984 | |
| (608) 741-7630 | |
| (608) 741-6890 |
| Full Name | Mhs Physician Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 580 N Washington St, Janesville, Wisconsin |
| Authorized Official Name and Position | Patricia Lynne Allen (CFO - AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6087566080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhs Physician Services 29624 Network Pl Chicago IL 60673-1296 Ph: (608) 741-7630 | Mhs Physician Services 580 N Washington St Janesville WI 53548-2984 Ph: (608) 741-7630 |
| NPI Number | 1598718603 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 09/28/2026 |
| Certification Date | 09/28/2026 |
| Medicare PECOS PAC ID | 7416860440 |
|---|---|
| Medicare Enrollment ID | O20031111000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598718603 | NPI | - | NPPES |
| 32796500 | Medicaid | WI | |
| 5621473 | Other | IL | BCBSIL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 310800 (Wisconsin) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Terri Crawley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386735595 PECOS PAC ID: 5193638302 Enrollment ID: I20031112000371 |
| Provider Name | Abby C Von Heimburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801895545 PECOS PAC ID: 2365347887 Enrollment ID: I20031205000685 |
| Provider Name | Patrick Mccarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821098906 PECOS PAC ID: 3577469337 Enrollment ID: I20031211000373 |
| Provider Name | Monica E Gavran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326123530 PECOS PAC ID: 3173429958 Enrollment ID: I20031211000495 |
| Provider Name | Donatas a Siliunas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548261910 PECOS PAC ID: 4789589359 Enrollment ID: I20031211000621 |
| Provider Name | David F Kavanaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437176070 PECOS PAC ID: 8921904871 Enrollment ID: I20031212000171 |
| Provider Name | Ronald M Shenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568497311 PECOS PAC ID: 9537066774 Enrollment ID: I20031216000850 |
| Provider Name | J Eric D Castro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316971807 PECOS PAC ID: 7719884527 Enrollment ID: I20031218000215 |
| Provider Name | Shaila P Kechter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922075944 PECOS PAC ID: 5496653925 Enrollment ID: I20031222000620 |
| Provider Name | Maryanne K Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275500613 PECOS PAC ID: 8426950759 Enrollment ID: I20040126000577 |
| Provider Name | Terry L Donat |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891760385 PECOS PAC ID: 1850292913 Enrollment ID: I20040127000131 |
| Provider Name | Jonathan a Senal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750319927 PECOS PAC ID: 3971496571 Enrollment ID: I20040206000311 |
| Provider Name | Evan Samett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306890728 PECOS PAC ID: 8921992991 Enrollment ID: I20040211000038 |
| Provider Name | Shailesh R Virani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891842506 PECOS PAC ID: 0941194450 Enrollment ID: I20040213000217 |
| Provider Name | Linda L Dew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093799884 PECOS PAC ID: 7810882313 Enrollment ID: I20040216000181 |
| Provider Name | Harold G Berner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790739514 PECOS PAC ID: 8224923842 Enrollment ID: I20040220000802 |
| Provider Name | Sanjay Vasudeo Joag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174543615 PECOS PAC ID: 1658267885 Enrollment ID: I20040225000402 |
| Provider Name | Luciano Orta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346353505 PECOS PAC ID: 6507753241 Enrollment ID: I20040228000050 |
| Provider Name | Edward C Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285722744 PECOS PAC ID: 5890680631 Enrollment ID: I20040301001027 |
| Provider Name | Rohan Sundaralingam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548339559 PECOS PAC ID: 0345137386 Enrollment ID: I20040303000632 |
| Provider Name | Evelyn Diaz-jimenez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043380231 PECOS PAC ID: 8820986532 Enrollment ID: I20040305000142 |
| Provider Name | Thomas E Garrity |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134105125 PECOS PAC ID: 5294623674 Enrollment ID: I20040308000775 |
| Provider Name | Alan Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659390888 PECOS PAC ID: 3476442716 Enrollment ID: I20040313000480 |
| Provider Name | James Lauren Woodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932201555 PECOS PAC ID: 6608868195 Enrollment ID: I20040402000654 |
| Provider Name | Jason Bredenkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780601237 PECOS PAC ID: 1951292168 Enrollment ID: I20040406000549 |
| Provider Name | Anish Chatterjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619913639 PECOS PAC ID: 1052306198 Enrollment ID: I20040417000342 |
| Provider Name | Vijay Kumar Goyal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407966484 PECOS PAC ID: 5496743528 Enrollment ID: I20040505001321 |
| Provider Name | Zubair M Syed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609819598 PECOS PAC ID: 7113908997 Enrollment ID: I20040527000278 |
| Provider Name | Viquar M Khan Mundozie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972671923 PECOS PAC ID: 4880670397 Enrollment ID: I20040625000671 |
| Provider Name | Steven M Salisbury |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679638860 PECOS PAC ID: 4981681228 Enrollment ID: I20040702001179 |
| Provider Name | Tawfik Barakat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306895644 PECOS PAC ID: 3476531955 Enrollment ID: I20040712000077 |
| Provider Name | Shahid B Ilahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508867078 PECOS PAC ID: 3870571938 Enrollment ID: I20040713001539 |
| Provider Name | Michael J Strassman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114084068 PECOS PAC ID: 2567440894 Enrollment ID: I20040719001166 |
| Provider Name | Patrick F Para |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114979036 PECOS PAC ID: 2567432800 Enrollment ID: I20040726001391 |
| Provider Name | Joseph V Stock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164462248 PECOS PAC ID: 7719951078 Enrollment ID: I20040823000775 |
| Provider Name | Raja Chatterji |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245246065 PECOS PAC ID: 8628042207 Enrollment ID: I20040825000839 |
| Provider Name | Preeti Vemuri |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548318488 PECOS PAC ID: 3476528951 Enrollment ID: I20040827001226 |
| Provider Name | Jung M Rhee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023031770 PECOS PAC ID: 5496720435 Enrollment ID: I20040901000751 |
| Provider Name | Ranjana Nath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982762456 PECOS PAC ID: 4880660471 Enrollment ID: I20040903001219 |
| Provider Name | James H Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891805081 PECOS PAC ID: 9133197452 Enrollment ID: I20040923000509 |
| Provider Name | James Edward Beckett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992704381 PECOS PAC ID: 3375449523 Enrollment ID: I20040927000211 |
| Provider Name | Neetin C Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174630099 PECOS PAC ID: 0648249318 Enrollment ID: I20041011000313 |
| Provider Name | Timothy J Sharp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184979056 PECOS PAC ID: 9739140807 Enrollment ID: I20041021000844 |
| Provider Name | Susan L Peluchiwski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437158086 PECOS PAC ID: 9234192964 Enrollment ID: I20041104000479 |
| Provider Name | Bassam Soufan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356451546 PECOS PAC ID: 4981668639 Enrollment ID: I20041115000690 |
| Provider Name | Mykola Lisowsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053329839 PECOS PAC ID: 4284692328 Enrollment ID: I20041221000764 |
| Provider Name | Vuong a Dang-duc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588630719 PECOS PAC ID: 7113985854 Enrollment ID: I20041229000150 |
| Provider Name | Thomas J Brefeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699885871 PECOS PAC ID: 7416905229 Enrollment ID: I20050108000086 |
| Provider Name | Jon Monkemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114087731 PECOS PAC ID: 8426007147 Enrollment ID: I20050119000871 |
| Provider Name | Angela E Mack |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902991078 PECOS PAC ID: 1759331085 Enrollment ID: I20050125000593 |
| Provider Name | Tracy V Bedford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477501534 PECOS PAC ID: 8628029477 Enrollment ID: I20050209000337 |
| Provider Name | Longcheng Su |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235167834 PECOS PAC ID: 5294787271 Enrollment ID: I20050217000812 |
| Provider Name | Kenneth H Segel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063496800 PECOS PAC ID: 0446203384 Enrollment ID: I20050303000445 |
| Provider Name | Robert M Cook |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356432561 PECOS PAC ID: 4789630823 Enrollment ID: I20050322001088 |
| Provider Name | Naveed H Elahi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508894205 PECOS PAC ID: 1951358951 Enrollment ID: I20050401000413 |
| Provider Name | Nadeem Ahson Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447360631 PECOS PAC ID: 8224085857 Enrollment ID: I20050405001114 |
| Provider Name | Kyoko Misawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912988759 PECOS PAC ID: 6608837356 Enrollment ID: I20050413000904 |
| Provider Name | John C Gaskill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316058043 PECOS PAC ID: 7113964859 Enrollment ID: I20050413001072 |
| Provider Name | Jeffrey E Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396713590 PECOS PAC ID: 2961476189 Enrollment ID: I20050425000299 |
| Provider Name | Jeffrey S Altman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831166958 PECOS PAC ID: 8426090358 Enrollment ID: I20050602000261 |
| Provider Name | Robert Paresi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891902359 PECOS PAC ID: 3173503141 Enrollment ID: I20050614000187 |
| Provider Name | Graziella I Bistriceanu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316911472 PECOS PAC ID: 9638114986 Enrollment ID: I20050627000974 |
| Provider Name | Christine B Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982714176 PECOS PAC ID: 9638105687 Enrollment ID: I20050712000496 |
| Provider Name | Sandhya Raman Karna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700936390 PECOS PAC ID: 6305874306 Enrollment ID: I20050801000519 |
| Provider Name | Rick a Chitwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609977305 PECOS PAC ID: 9133157159 Enrollment ID: I20050801000705 |
| Provider Name | Leonid Raskin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558471748 PECOS PAC ID: 9931138062 Enrollment ID: I20050809001050 |
| Provider Name | David S Lewin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316950223 PECOS PAC ID: 8022048875 Enrollment ID: I20050822000397 |
| Provider Name | Douglas H Bryan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285743955 PECOS PAC ID: 9931130739 Enrollment ID: I20050822000867 |
| Provider Name | Paul a Toofan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013989805 PECOS PAC ID: 6204867419 Enrollment ID: I20050827000145 |
| Provider Name | Randy S Wittman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023165644 PECOS PAC ID: 8628000205 Enrollment ID: I20050902000567 |
| Provider Name | Richard L Persino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396806303 PECOS PAC ID: 4688606262 Enrollment ID: I20050902000591 |
| Provider Name | Alan D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083605034 PECOS PAC ID: 5496787632 Enrollment ID: I20050909000251 |
| Provider Name | Katherine a Galias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043230279 PECOS PAC ID: 8527091529 Enrollment ID: I20050912000128 |
| Provider Name | Paul H Dehaan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386727790 PECOS PAC ID: 7517990799 Enrollment ID: I20050917000214 |
| Provider Name | Ginny Kamboj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053342428 PECOS PAC ID: 7517991474 Enrollment ID: I20050921000306 |
| Provider Name | Yasmin Hussain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649288457 PECOS PAC ID: 7416973623 Enrollment ID: I20051018000171 |
| Provider Name | Christine C Hepperlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316017007 PECOS PAC ID: 8527086206 Enrollment ID: I20051110000985 |
| Provider Name | James J Greenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164412136 PECOS PAC ID: 7113946443 Enrollment ID: I20051116000511 |
| Provider Name | Shari L. Schabowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477555241 PECOS PAC ID: 9234152968 Enrollment ID: I20060109000975 |
| Provider Name | Bradley M Fideler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629153077 PECOS PAC ID: 9436172038 Enrollment ID: I20060110000587 |
| Provider Name | Kevin Alan Leiseberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093827685 PECOS PAC ID: 1658386552 Enrollment ID: I20060214000510 |
| Provider Name | Julie Favia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154418697 PECOS PAC ID: 2668487497 Enrollment ID: I20060215000081 |
| Provider Name | Humaira J Bari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497845135 PECOS PAC ID: 4183639750 Enrollment ID: I20060217000663 |
| Provider Name | Dama Theresa T Paje |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932176658 PECOS PAC ID: 8527073113 Enrollment ID: I20060220000108 |
| Provider Name | Bijal Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598721847 PECOS PAC ID: 1658388285 Enrollment ID: I20060307000545 |
| Provider Name | Glenn Milos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285602516 PECOS PAC ID: 0143237511 Enrollment ID: I20060425000676 |
| Provider Name | Amy Marie Michalak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437196698 PECOS PAC ID: 1052324944 Enrollment ID: I20060718000380 |
| Provider Name | Kashif S Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285679704 PECOS PAC ID: 3476566001 Enrollment ID: I20060726000078 |
| Provider Name | Ernest a Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033133426 PECOS PAC ID: 0547159162 Enrollment ID: I20060816000579 |
| Provider Name | Jason Gregory Cundiff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053325233 PECOS PAC ID: 4688677123 Enrollment ID: I20060823000025 |
| Provider Name | Nathan M Kakish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518975309 PECOS PAC ID: 2769486075 Enrollment ID: I20060829000205 |
| Provider Name | Dana I Tarandy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629001623 PECOS PAC ID: 7012911142 Enrollment ID: I20060905000060 |
| Provider Name | Michelle Isacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760432157 PECOS PAC ID: 3476557166 Enrollment ID: I20060912000258 |
| Provider Name | Pamela K Smekrud |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649292988 PECOS PAC ID: 7719982057 Enrollment ID: I20060920000412 |
| Provider Name | Machelle M Dopkins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750300901 PECOS PAC ID: 2062417314 Enrollment ID: I20060920000447 |
| Provider Name | Baseer M Qazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386654093 PECOS PAC ID: 4789689845 Enrollment ID: I20060922000398 |
| Provider Name | Rajeev Varma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073525770 PECOS PAC ID: 9830194760 Enrollment ID: I20060927000072 |
| Provider Name | Saima Naeem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164478616 PECOS PAC ID: 9032115530 Enrollment ID: I20061005000473 |
| Provider Name | Brian Parvez Jokhy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508802554 PECOS PAC ID: 4587661996 Enrollment ID: I20061027000179 |
| Provider Name | Troy Bradley Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285665661 PECOS PAC ID: 4688671423 Enrollment ID: I20061108000610 |
| Provider Name | Chanda L Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245302199 PECOS PAC ID: 6901804871 Enrollment ID: I20061201000416 |
| Provider Name | Kathleen T Hegarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679689988 PECOS PAC ID: 2264431774 Enrollment ID: I20061211000585 |
| Provider Name | Frank M Fayz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104856145 PECOS PAC ID: 7315841475 Enrollment ID: I20070205000465 |
| Provider Name | Maliha Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043230303 PECOS PAC ID: 6406854140 Enrollment ID: I20070315000317 |
| Provider Name | Karenmarie K Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003811035 PECOS PAC ID: 1759484439 Enrollment ID: I20070319000154 |
| Provider Name | Asha Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124171459 PECOS PAC ID: 9436253770 Enrollment ID: I20070327000386 |
| Provider Name | Tahir Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598849895 PECOS PAC ID: 1658475546 Enrollment ID: I20070403000076 |
| Provider Name | Ryan H Engel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740336718 PECOS PAC ID: 3870698400 Enrollment ID: I20070410000488 |
| Provider Name | Don a Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275697534 PECOS PAC ID: 0941306674 Enrollment ID: I20070426000241 |
| Provider Name | James Cameron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538385737 PECOS PAC ID: 0042310781 Enrollment ID: I20070711000309 |
| Provider Name | David E Deutsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326158510 PECOS PAC ID: 0345341574 Enrollment ID: I20070718000483 |
| Provider Name | Jean L Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164648614 PECOS PAC ID: 2860455367 Enrollment ID: I20070810000063 |
| Provider Name | Anshul B Bamrolia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942361662 PECOS PAC ID: 7618069006 Enrollment ID: I20070815000050 |
| Provider Name | Azeem S Pasha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619915147 PECOS PAC ID: 5294828224 Enrollment ID: I20070907000417 |
| Provider Name | Shahariar Hossion Saikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841380714 PECOS PAC ID: 9537253745 Enrollment ID: I20070919000455 |
| Provider Name | Nirmit Goel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528081460 PECOS PAC ID: 2769380476 Enrollment ID: I20071004000071 |
| Provider Name | Kurosh Takhtehchian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629271853 PECOS PAC ID: 4587751458 Enrollment ID: I20071025000127 |
| Provider Name | Steven B Deliduka |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598712937 PECOS PAC ID: 0143299651 Enrollment ID: I20071113000152 |
| Provider Name | Camelia E Marian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851451132 PECOS PAC ID: 7719061050 Enrollment ID: I20080226000577 |
| Provider Name | Emily Yi Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871779744 PECOS PAC ID: 5395810998 Enrollment ID: I20080815000532 |
| Provider Name | Matthew Valente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942469598 PECOS PAC ID: 1557436284 Enrollment ID: I20080815000648 |
| Provider Name | Ejaz a Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518902527 PECOS PAC ID: 5890860910 Enrollment ID: I20080823000047 |
| Provider Name | Roshi Gulati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922290816 PECOS PAC ID: 7719053461 Enrollment ID: I20080904000445 |
| Provider Name | Hristo Deianov Hristov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114103892 PECOS PAC ID: 5092881540 Enrollment ID: I20080905000597 |
| Provider Name | Omer Yusaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669585956 PECOS PAC ID: 7618931627 Enrollment ID: I20081101000103 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20081218000729 |
| Provider Name | Christal West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427016856 PECOS PAC ID: 0446312730 Enrollment ID: I20081220000037 |
| Provider Name | Kevin R Kozak |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124219241 PECOS PAC ID: 3173696465 Enrollment ID: I20090127000736 |
| Provider Name | Gregory F Zankle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205910155 PECOS PAC ID: 0547368946 Enrollment ID: I20090129000307 |
| Provider Name | Neda Moaddeli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265699615 PECOS PAC ID: 8123182508 Enrollment ID: I20090129000520 |
| Provider Name | Prafull Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841391042 PECOS PAC ID: 6507921459 Enrollment ID: I20090210000452 |
| Provider Name | Robert M Goldman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588879571 PECOS PAC ID: 8729144084 Enrollment ID: I20090311000628 |
| Provider Name | Dennis a Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780726273 PECOS PAC ID: 9234295528 Enrollment ID: I20090312000101 |
| Provider Name | Benito W Aubergine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073718169 PECOS PAC ID: 4284781402 Enrollment ID: I20090403000541 |
| Provider Name | Ronald J Oconer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649473729 PECOS PAC ID: 9739289158 Enrollment ID: I20090618000529 |
| Provider Name | Meredith Katherine Martin-johnston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275783300 PECOS PAC ID: 4082767967 Enrollment ID: I20090727000188 |
| Provider Name | Mirza Omer M Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285720490 PECOS PAC ID: 2668471715 Enrollment ID: I20090805000141 |
| Provider Name | James a Krcik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174790463 PECOS PAC ID: 7012061864 Enrollment ID: I20090813000628 |
| Provider Name | Rajesh Balagani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477754927 PECOS PAC ID: 0244289395 Enrollment ID: I20090821000324 |
| Provider Name | Craig C Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881804847 PECOS PAC ID: 6507910874 Enrollment ID: I20090916000147 |
| Provider Name | Amish M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659524213 PECOS PAC ID: 8820144819 Enrollment ID: I20090916000198 |
| Provider Name | Laura Inverarity |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063678597 PECOS PAC ID: 4486700861 Enrollment ID: I20090928000105 |
| Provider Name | Lata Santa Ines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871621136 PECOS PAC ID: 6305940586 Enrollment ID: I20091001000699 |
| Provider Name | Maria J Wolff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467684613 PECOS PAC ID: 6002952785 Enrollment ID: I20091009000529 |
| Provider Name | Sarah Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629014386 PECOS PAC ID: 4082696893 Enrollment ID: I20100109000358 |
| Provider Name | Patrick E Phelan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083771398 PECOS PAC ID: 5597809400 Enrollment ID: I20100216000489 |
| Provider Name | Jeffrey Kershaw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770641110 PECOS PAC ID: 7911042700 Enrollment ID: I20100304000357 |
| Provider Name | Marko F Krpan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992871347 PECOS PAC ID: 7113052358 Enrollment ID: I20100312000956 |
| Provider Name | Margaret M Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396900593 PECOS PAC ID: 0446385157 Enrollment ID: I20100319000800 |
| Provider Name | Madhusudan R Malladi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376515064 PECOS PAC ID: 9638081045 Enrollment ID: I20100329000928 |
| Provider Name | Benjamin S Frank |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871554097 PECOS PAC ID: 7517093461 Enrollment ID: I20100330000623 |
| Provider Name | Edith M Newsome |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376579722 PECOS PAC ID: 7113072869 Enrollment ID: I20100526000885 |
| Provider Name | Bibiano C Ronquillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285791228 PECOS PAC ID: 6103956933 Enrollment ID: I20100604000753 |
| Provider Name | Kim Albright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982629390 PECOS PAC ID: 5294865036 Enrollment ID: I20100604000893 |
| Provider Name | Jeffrey Bagdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518987528 PECOS PAC ID: 9830235902 Enrollment ID: I20100610000589 |
| Provider Name | Mary T Riggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285799627 PECOS PAC ID: 4880684760 Enrollment ID: I20100612000103 |
| Provider Name | Joseph E Fojtik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801971171 PECOS PAC ID: 8123158250 Enrollment ID: I20100616000045 |
| Provider Name | Anil K Khemani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750389953 PECOS PAC ID: 8527076652 Enrollment ID: I20100702000171 |
| Provider Name | Daksha N Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982622346 PECOS PAC ID: 0941331052 Enrollment ID: I20100706000090 |
| Provider Name | Frank M Gentile |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831157080 PECOS PAC ID: 8325171564 Enrollment ID: I20100809000577 |
| Provider Name | Allen R Castillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396881850 PECOS PAC ID: 6103959374 Enrollment ID: I20100809000916 |
| Provider Name | Kimberly a Chaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790987469 PECOS PAC ID: 2961594239 Enrollment ID: I20100812000309 |
| Provider Name | Michelle Y Karney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760557987 PECOS PAC ID: 8628101508 Enrollment ID: I20100823001130 |
| Provider Name | Todd C Schirmang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134347305 PECOS PAC ID: 8123142882 Enrollment ID: I20100901000695 |
| Provider Name | Steven J Merema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881900538 PECOS PAC ID: 0143345520 Enrollment ID: I20100909000546 |
| Provider Name | Cullen T Kehoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013166925 PECOS PAC ID: 5496808289 Enrollment ID: I20100909000660 |
| Provider Name | Joseph Kappil |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659423622 PECOS PAC ID: 2860685443 Enrollment ID: I20101015000661 |
| Provider Name | Maureen Richards |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134282122 PECOS PAC ID: 6204804578 Enrollment ID: I20101015000675 |
| Provider Name | Elaine Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194793711 PECOS PAC ID: 7012102304 Enrollment ID: I20101111001540 |
| Provider Name | Howard Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629003397 PECOS PAC ID: 2567658917 Enrollment ID: I20101124000176 |
| Provider Name | Mabria Loqman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891862678 PECOS PAC ID: 1254320096 Enrollment ID: I20101130000620 |
| Provider Name | Randall S Nemerovski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912065491 PECOS PAC ID: 0042270266 Enrollment ID: I20101201000919 |
| Provider Name | Briana Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750532065 PECOS PAC ID: 6800924101 Enrollment ID: I20101216000955 |
| Provider Name | Amarish a Dave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891877213 PECOS PAC ID: 5092705962 Enrollment ID: I20101221000531 |
| Provider Name | Krishanthi D Seneviratne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972814267 PECOS PAC ID: 7810176195 Enrollment ID: I20110119001241 |
| Provider Name | Mohsin Ali Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174636013 PECOS PAC ID: 0547261828 Enrollment ID: I20110125000693 |
| Provider Name | Jaymin R Shah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770670408 PECOS PAC ID: 3173702628 Enrollment ID: I20110128001068 |
| Provider Name | Alain H Salvacion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568632693 PECOS PAC ID: 4385824259 Enrollment ID: I20110209000770 |
| Provider Name | Farah Diba Ciftci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902135668 PECOS PAC ID: 3577746254 Enrollment ID: I20110318000344 |
| Provider Name | Atul Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528045374 PECOS PAC ID: 6103844774 Enrollment ID: I20110415000434 |
| Provider Name | Catherine M Baxtrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154583482 PECOS PAC ID: 2567640246 Enrollment ID: I20110628000548 |
| Provider Name | Fang Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861792715 PECOS PAC ID: 9133399025 Enrollment ID: I20110901000340 |
| Provider Name | Bruce W Cardone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699723965 PECOS PAC ID: 4082526314 Enrollment ID: I20111004000726 |
| Provider Name | Venkata S Dontaraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821241084 PECOS PAC ID: 5395917694 Enrollment ID: I20111010000579 |
| Provider Name | Jennifer M Morema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710277041 PECOS PAC ID: 8022280866 Enrollment ID: I20111020000300 |
| Provider Name | Geetha P Krishnan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699067132 PECOS PAC ID: 5092980938 Enrollment ID: I20111205000749 |
| Provider Name | Christopher S Schmidt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629193750 PECOS PAC ID: 5193819084 Enrollment ID: I20120109000193 |
| Provider Name | Stephen C Cotton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891756888 PECOS PAC ID: 1557521812 Enrollment ID: I20120322000689 |
| Provider Name | Janine Elizabeth Andriusis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356581037 PECOS PAC ID: 8628238961 Enrollment ID: I20120412000349 |
| Provider Name | Michael R Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730470493 PECOS PAC ID: 9133306418 Enrollment ID: I20120511000332 |
| Provider Name | Patricio L Ilada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679630156 PECOS PAC ID: 4587565338 Enrollment ID: I20120618000644 |
| Provider Name | Nicholas Skyba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932338050 PECOS PAC ID: 2769647601 Enrollment ID: I20120627000605 |
| Provider Name | Joanne Rousseau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891936969 PECOS PAC ID: 2961677026 Enrollment ID: I20120718000365 |
| Provider Name | Anastasia Osipova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073889382 PECOS PAC ID: 0244496875 Enrollment ID: I20120725000559 |
| Provider Name | Yone Amuka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790929693 PECOS PAC ID: 6002075439 Enrollment ID: I20120802000245 |
| Provider Name | Naser M Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437270253 PECOS PAC ID: 0244338317 Enrollment ID: I20120808000544 |
| Provider Name | Robina M Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760788376 PECOS PAC ID: 0244406155 Enrollment ID: I20120816000637 |
| Provider Name | Elizabeth Maria Leweling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265632459 PECOS PAC ID: 9638326028 Enrollment ID: I20120820000659 |
| Provider Name | Shahab Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255568853 PECOS PAC ID: 1850540485 Enrollment ID: I20120925000814 |
| Provider Name | Syed Quadri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417190265 PECOS PAC ID: 7517116676 Enrollment ID: I20121004000412 |
| Provider Name | Amanda C Schmidgall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518222660 PECOS PAC ID: 4183873987 Enrollment ID: I20121011000850 |
| Provider Name | Shawn S Wallery |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881851780 PECOS PAC ID: 0749430445 Enrollment ID: I20121015000364 |
| Provider Name | Justin Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20121109000532 |
| Provider Name | Casey G Shupe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982867446 PECOS PAC ID: 6608029699 Enrollment ID: I20121221000370 |
| Provider Name | Lucia B Magarzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649534090 PECOS PAC ID: 7810140076 Enrollment ID: I20130122000081 |
| Provider Name | Jennifer Rose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558551119 PECOS PAC ID: 0840368643 Enrollment ID: I20130131000400 |
| Provider Name | Matthew D Piske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861657884 PECOS PAC ID: 8022262245 Enrollment ID: I20130215000358 |
| Provider Name | Kelly M Winkelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649523838 PECOS PAC ID: 0244484400 Enrollment ID: I20130218000162 |
| Provider Name | Phyllis E Napoles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578713848 PECOS PAC ID: 1557535218 Enrollment ID: I20130219000326 |
| Provider Name | Thomas R Stoiber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548234164 PECOS PAC ID: 0143111708 Enrollment ID: I20130226000254 |
| Provider Name | Yaser Siraj |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760497416 PECOS PAC ID: 6901800218 Enrollment ID: I20130308000295 |
| Provider Name | Javed I Bangash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326090598 PECOS PAC ID: 9234374240 Enrollment ID: I20130322000180 |
| Provider Name | Virginia P Luces |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366494585 PECOS PAC ID: 1951546969 Enrollment ID: I20130322000192 |
| Provider Name | Eric T Miranda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730336322 PECOS PAC ID: 8123263639 Enrollment ID: I20130403000270 |
| Provider Name | Laeeq S Shamsuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568524312 PECOS PAC ID: 0244322360 Enrollment ID: I20130413000027 |
| Provider Name | Denise a Mcnatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306910187 PECOS PAC ID: 3072759786 Enrollment ID: I20130425000453 |
| Provider Name | Rajesh K Kakarla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609026467 PECOS PAC ID: 9335319185 Enrollment ID: I20130517000077 |
| Provider Name | Glendon C Burress |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639190200 PECOS PAC ID: 0345480810 Enrollment ID: I20130703000425 |
| Provider Name | Erin C Palecek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912221102 PECOS PAC ID: 9133364144 Enrollment ID: I20130723000539 |
| Provider Name | Swapna Aradhyula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659688588 PECOS PAC ID: 6709028533 Enrollment ID: I20130807000841 |
| Provider Name | Kathleen S Schmelka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114977352 PECOS PAC ID: 8921067778 Enrollment ID: I20130826000791 |
| Provider Name | Jeffrey B Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104079862 PECOS PAC ID: 2668625047 Enrollment ID: I20130828000452 |
| Provider Name | Eugene K Vortia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972725174 PECOS PAC ID: 2264533124 Enrollment ID: I20131004000145 |
| Provider Name | Syed Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063637544 PECOS PAC ID: 7517013154 Enrollment ID: I20131021001358 |
| Provider Name | Chandra a Norder Brandli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932532009 PECOS PAC ID: 2567697683 Enrollment ID: I20131028000172 |
| Provider Name | Christine Marie Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225465305 PECOS PAC ID: 7315174174 Enrollment ID: I20131226001307 |
| Provider Name | Farnaz Almasganj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568672160 PECOS PAC ID: 7517195209 Enrollment ID: I20131231000712 |
| Provider Name | Maria Kostantacos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538493614 PECOS PAC ID: 3072749845 Enrollment ID: I20140113000392 |
| Provider Name | Cherise Le Nee Cokley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285835025 PECOS PAC ID: 7517196843 Enrollment ID: I20140210000082 |
| Provider Name | Baby Than |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033371554 PECOS PAC ID: 9638336878 Enrollment ID: I20140305000076 |
| Provider Name | Chris E Mileos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598180135 PECOS PAC ID: 5991936445 Enrollment ID: I20140326000090 |
| Provider Name | Hilary Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093139131 PECOS PAC ID: 0648401877 Enrollment ID: I20140401000302 |
| Provider Name | Sanya Siraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356554075 PECOS PAC ID: 6204966849 Enrollment ID: I20140409002361 |
| Provider Name | Christopher L. Wistrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700041886 PECOS PAC ID: 2365613221 Enrollment ID: I20140428000631 |
| Provider Name | Erin K Swanson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538325485 PECOS PAC ID: 7012140536 Enrollment ID: I20140507000562 |
| Provider Name | James P Maletich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235426826 PECOS PAC ID: 5496984627 Enrollment ID: I20140702000408 |
| Provider Name | Richard Louis Herrmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598052532 PECOS PAC ID: 0648496000 Enrollment ID: I20140722000803 |
| Provider Name | Breanna Leah Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174843635 PECOS PAC ID: 6305085937 Enrollment ID: I20140930002307 |
| Provider Name | Ivan Parra-sanchez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922265818 PECOS PAC ID: 1951522093 Enrollment ID: I20141015000604 |
| Provider Name | Benjamin Mathew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477781466 PECOS PAC ID: 2466506555 Enrollment ID: I20141015001346 |
| Provider Name | James I Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429383 PECOS PAC ID: 0749176261 Enrollment ID: I20141022001453 |
| Provider Name | Nicolaus J. Kuehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518946649 PECOS PAC ID: 6507858651 Enrollment ID: I20141022002609 |
| Provider Name | Susan K Mercado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760882542 PECOS PAC ID: 9830310374 Enrollment ID: I20141024002114 |
| Provider Name | Vibhav Bansal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730337569 PECOS PAC ID: 2163680851 Enrollment ID: I20141110002095 |
| Provider Name | Mohanjit K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371267 PECOS PAC ID: 7719209774 Enrollment ID: I20141201002123 |
| Provider Name | Elizabeth a Jansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629206644 PECOS PAC ID: 6002138492 Enrollment ID: I20141215001947 |
| Provider Name | Nelly Y Amador |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336119064 PECOS PAC ID: 4284656422 Enrollment ID: I20150206000818 |
| Provider Name | Katherine J Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013305705 PECOS PAC ID: 1456676592 Enrollment ID: I20150211001759 |
| Provider Name | Emily Kathleen Wilczak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386969400 PECOS PAC ID: 3678726544 Enrollment ID: I20150424000402 |
| Provider Name | Huma Sarah Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568447357 PECOS PAC ID: 9335167733 Enrollment ID: I20150430001817 |
| Provider Name | Amory Balucating |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922342484 PECOS PAC ID: 9931428018 Enrollment ID: I20150512002427 |
| Provider Name | Rajyalakshmi Gannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770600769 PECOS PAC ID: 8628253754 Enrollment ID: I20150515001651 |
| Provider Name | Jeffrey Caverly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912968686 PECOS PAC ID: 2961509500 Enrollment ID: I20150526000946 |
| Provider Name | Jose a Ospina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033373287 PECOS PAC ID: 7618147653 Enrollment ID: I20150529000360 |
| Provider Name | Alix Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802265 PECOS PAC ID: 4789602194 Enrollment ID: I20150601000871 |
| Provider Name | Peilin Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265484794 PECOS PAC ID: 5991783227 Enrollment ID: I20150602001339 |
| Provider Name | Jodee B Meddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699934240 PECOS PAC ID: 6406024926 Enrollment ID: I20150608000817 |
| Provider Name | Karuna Chilukuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497941629 PECOS PAC ID: 6204901630 Enrollment ID: I20150626000366 |
| Provider Name | Maajid M Ekkiswala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104110436 PECOS PAC ID: 5890912224 Enrollment ID: I20150723009302 |
| Provider Name | Meghann Victoria Houck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558658633 PECOS PAC ID: 8123252640 Enrollment ID: I20150723009653 |
| Provider Name | Allyson D Weiss |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447634472 PECOS PAC ID: 4981917580 Enrollment ID: I20150724010350 |
| Provider Name | Christy D Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659699833 PECOS PAC ID: 5799910055 Enrollment ID: I20150805007739 |
| Provider Name | Pooja Dalsania Narang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538448840 PECOS PAC ID: 3375859598 Enrollment ID: I20150903000259 |
| Provider Name | Robert a Marshall |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063438570 PECOS PAC ID: 1850604224 Enrollment ID: I20150923002336 |
| Provider Name | Katherin M. Aoki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154741999 PECOS PAC ID: 7416267406 Enrollment ID: I20151103001777 |
| Provider Name | Amanda Elizabeth Patz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427429240 PECOS PAC ID: 8022328772 Enrollment ID: I20151109000841 |
| Provider Name | John C Heyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750310363 PECOS PAC ID: 0941262265 Enrollment ID: I20151202002437 |
| Provider Name | Surender Kurapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073558383 PECOS PAC ID: 8628982428 Enrollment ID: I20151217001694 |
| Provider Name | Adam a Soliman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083879332 PECOS PAC ID: 6103078548 Enrollment ID: I20160201000560 |
| Provider Name | Jennifer Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982070959 PECOS PAC ID: 7214231927 Enrollment ID: I20160201000750 |
| Provider Name | Roseviminda Abano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215318555 PECOS PAC ID: 9931404530 Enrollment ID: I20160219000022 |
| Provider Name | Lindsey a Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871968305 PECOS PAC ID: 8820395791 Enrollment ID: I20160322000327 |
| Provider Name | Victoria Z Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326408436 PECOS PAC ID: 0042517898 Enrollment ID: I20160323000287 |
| Provider Name | Norman J. Mecwan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114398930 PECOS PAC ID: 9537466909 Enrollment ID: I20160330000730 |
| Provider Name | Rotimi Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144537051 PECOS PAC ID: 8628226016 Enrollment ID: I20160408000763 |
| Provider Name | Nicholas K Ventocilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164876967 PECOS PAC ID: 1759680408 Enrollment ID: I20160502000083 |
| Provider Name | Jenna M Raju |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669883971 PECOS PAC ID: 7315160751 Enrollment ID: I20160505001378 |
| Provider Name | Jakob C Thorud |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174818272 PECOS PAC ID: 8729207691 Enrollment ID: I20160505001953 |
| Provider Name | Bilal Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568487650 PECOS PAC ID: 5092728592 Enrollment ID: I20160517001363 |
| Provider Name | Sandra Saldana Cervantes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487855854 PECOS PAC ID: 9335454677 Enrollment ID: I20160613000501 |
| Provider Name | Adnan Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184658692 PECOS PAC ID: 4789588377 Enrollment ID: I20160624000015 |
| Provider Name | Mohammad Ishaq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336585140 PECOS PAC ID: 6406157684 Enrollment ID: I20160718000381 |
| Provider Name | Matthew E Smetana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487093795 PECOS PAC ID: 4284955139 Enrollment ID: I20160801002071 |
| Provider Name | Saba Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194099036 PECOS PAC ID: 9335463967 Enrollment ID: I20160804001216 |
| Provider Name | Roseann C Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386099208 PECOS PAC ID: 0547554578 Enrollment ID: I20160812001834 |
| Provider Name | Syed a Masood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548471204 PECOS PAC ID: 0840367843 Enrollment ID: I20160815002846 |
| Provider Name | Brenda L Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417209768 PECOS PAC ID: 5496040438 Enrollment ID: I20160830000599 |
| Provider Name | Paul Bennett Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477710424 PECOS PAC ID: 0446560056 Enrollment ID: I20160831002783 |
| Provider Name | Abhijit Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288497 PECOS PAC ID: 0345536447 Enrollment ID: I20160915000278 |
| Provider Name | Joan K Zawin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205912037 PECOS PAC ID: 9739171109 Enrollment ID: I20161012001580 |
| Provider Name | Mary Elizabeth Agulo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225581408 PECOS PAC ID: 9638457039 Enrollment ID: I20161104000873 |
| Provider Name | Vishrut P Naik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063730976 PECOS PAC ID: 7214243104 Enrollment ID: I20161212002396 |
| Provider Name | Jacquelyn V Saengmany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558803791 PECOS PAC ID: 2567743602 Enrollment ID: I20170103000814 |
| Provider Name | Mary Jo Winkenwerder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437522810 PECOS PAC ID: 1557643285 Enrollment ID: I20170112002669 |
| Provider Name | Harigovinda Challa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508942319 PECOS PAC ID: 0042288698 Enrollment ID: I20170217001556 |
| Provider Name | Amber L Szydelko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606488 PECOS PAC ID: 0648554337 Enrollment ID: I20170223002304 |
| Provider Name | David J Kawior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326453093 PECOS PAC ID: 3476857715 Enrollment ID: I20170227001657 |
| Provider Name | Rehmat U Sheikh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457516965 PECOS PAC ID: 8224313705 Enrollment ID: I20170324000015 |
| Provider Name | Ashley N Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841738606 PECOS PAC ID: 0143505222 Enrollment ID: I20170403001142 |
| Provider Name | Lauren E Poteet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063961985 PECOS PAC ID: 1355627415 Enrollment ID: I20170404002605 |
| Provider Name | Laura Pasternock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528518552 PECOS PAC ID: 2163708157 Enrollment ID: I20170405001016 |
| Provider Name | Dany Mamou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679704100 PECOS PAC ID: 2961653092 Enrollment ID: I20170526000586 |
| Provider Name | Theresa L Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619409133 PECOS PAC ID: 4385911791 Enrollment ID: I20170606000800 |
| Provider Name | Joan M Kircher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669910741 PECOS PAC ID: 7517235930 Enrollment ID: I20170607002458 |
| Provider Name | Sheila B Atendido |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609308139 PECOS PAC ID: 1052680592 Enrollment ID: I20170627001544 |
| Provider Name | Charles Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447240171 PECOS PAC ID: 9335230291 Enrollment ID: I20170726000466 |
| Provider Name | Noman Shahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992111009 PECOS PAC ID: 8123349818 Enrollment ID: I20170803000422 |
| Provider Name | Jennifer Jean Gibson Chambers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689017220 PECOS PAC ID: 4789994633 Enrollment ID: I20170807001256 |
| Provider Name | Christopher W Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114212040 PECOS PAC ID: 9931409265 Enrollment ID: I20170908001565 |
| Provider Name | Terrance R Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275822090 PECOS PAC ID: 2365715463 Enrollment ID: I20170913000008 |
| Provider Name | Neil P Shah |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376821082 PECOS PAC ID: 3274806245 Enrollment ID: I20170913003245 |
| Provider Name | Roshan Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316213960 PECOS PAC ID: 3173826971 Enrollment ID: I20170916000209 |
| Provider Name | Sayra Pasquesi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952824534 PECOS PAC ID: 9032484050 Enrollment ID: I20171002001078 |
| Provider Name | Ali Said Nouwairi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568424505 PECOS PAC ID: 0143217018 Enrollment ID: I20171004000788 |
| Provider Name | Deborah L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730615030 PECOS PAC ID: 8820369234 Enrollment ID: I20171025002306 |
| Provider Name | Allison M Parsons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487193439 PECOS PAC ID: 6608142260 Enrollment ID: I20171026000196 |
| Provider Name | Merrit Marion Debartolo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427379189 PECOS PAC ID: 0941595631 Enrollment ID: I20171117001343 |
| Provider Name | Dennis D. Magdadaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074753 PECOS PAC ID: 3375800162 Enrollment ID: I20171204001331 |
| Provider Name | Thomas Stephen Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124423645 PECOS PAC ID: 3870851173 Enrollment ID: I20171214000820 |
| Provider Name | Hamik Biramian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689817488 PECOS PAC ID: 8022270503 Enrollment ID: I20171220003370 |
| Provider Name | Christopher Graviss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417980517 PECOS PAC ID: 8224082045 Enrollment ID: I20180302000977 |
| Provider Name | Robert H Sorensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447215702 PECOS PAC ID: 9032121793 Enrollment ID: I20180327001337 |
| Provider Name | Karen Klawitter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366409393 PECOS PAC ID: 8628330883 Enrollment ID: I20180328000481 |
| Provider Name | Kenneth S Laput |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184138042 PECOS PAC ID: 8628339496 Enrollment ID: I20180703000097 |
| Provider Name | Abdoulie Njie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164836433 PECOS PAC ID: 7517251796 Enrollment ID: I20180719002814 |
| Provider Name | Rhonda R Verzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760701007 PECOS PAC ID: 7214198605 Enrollment ID: I20180719003239 |
| Provider Name | Carmen Alcala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583560 PECOS PAC ID: 8325343460 Enrollment ID: I20180724000857 |
| Provider Name | Krzysztof Malewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609383496 PECOS PAC ID: 1052669652 Enrollment ID: I20180730001138 |
| Provider Name | Pratixa T Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891210647 PECOS PAC ID: 0840548053 Enrollment ID: I20180803002467 |
| Provider Name | Catrina Patrice Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457766677 PECOS PAC ID: 6608097894 Enrollment ID: I20180810002492 |
| Provider Name | Samir F Abboud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124361324 PECOS PAC ID: 9032414537 Enrollment ID: I20180815002330 |
| Provider Name | Robert Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720407430 PECOS PAC ID: 6406144989 Enrollment ID: I20180830000902 |
| Provider Name | Atiq Urrehman Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376022350 PECOS PAC ID: 0840541264 Enrollment ID: I20180925001543 |
| Provider Name | Ammar Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336526524 PECOS PAC ID: 4587979034 Enrollment ID: I20180926003473 |
| Provider Name | Jerry Wayne Catt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285991299 PECOS PAC ID: 7315255056 Enrollment ID: I20181001001130 |
| Provider Name | Maleah J Merline |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942783071 PECOS PAC ID: 3577815778 Enrollment ID: I20181017001159 |
| Provider Name | Andrew D Tannenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972867315 PECOS PAC ID: 4981836897 Enrollment ID: I20181017001453 |
| Provider Name | Altaf Dawood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295034759 PECOS PAC ID: 9739307778 Enrollment ID: I20181121000317 |
| Provider Name | Sarah R Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134603095 PECOS PAC ID: 8820332166 Enrollment ID: I20181127003409 |
| Provider Name | Jennifer R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750535449 PECOS PAC ID: 0244280279 Enrollment ID: I20181128000320 |
| Provider Name | Donald R Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609090026 PECOS PAC ID: 3577654938 Enrollment ID: I20181128002318 |
| Provider Name | Marian M Tripp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316334287 PECOS PAC ID: 4385944529 Enrollment ID: I20181210003043 |
| Provider Name | Tyler John Runde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548615982 PECOS PAC ID: 7911299094 Enrollment ID: I20181212000505 |
| Provider Name | Thomas N Folan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700022712 PECOS PAC ID: 1153622394 Enrollment ID: I20181219001158 |
| Provider Name | Scott M Detloff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639651060 PECOS PAC ID: 5395080022 Enrollment ID: I20181227000506 |
| Provider Name | David L Junkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902285323 PECOS PAC ID: 4486966595 Enrollment ID: I20181231000269 |
| Provider Name | Benjamin D Lemoine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497071872 PECOS PAC ID: 4587963228 Enrollment ID: I20181231001481 |
| Provider Name | Jagpal S Sahota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083712202 PECOS PAC ID: 1456359611 Enrollment ID: I20190116000014 |
| Provider Name | Nimarta Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073892253 PECOS PAC ID: 0648573915 Enrollment ID: I20190130000883 |
| Provider Name | Brenda Neshell Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407348337 PECOS PAC ID: 0547508814 Enrollment ID: I20190212000605 |
| Provider Name | Syed Zamir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093761926 PECOS PAC ID: 1759390099 Enrollment ID: I20190212003164 |
| Provider Name | Anil G Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083657514 PECOS PAC ID: 6305860719 Enrollment ID: I20190225002218 |
| Provider Name | Madeline Lubenow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265996631 PECOS PAC ID: 6204176860 Enrollment ID: I20190318001082 |
| Provider Name | Kent a Nickell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942270004 PECOS PAC ID: 1759271745 Enrollment ID: I20190516001597 |
| Provider Name | James W Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902249543 PECOS PAC ID: 7719242726 Enrollment ID: I20190617000140 |
| Provider Name | Mandy J Rueff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649736174 PECOS PAC ID: 3971838947 Enrollment ID: I20190712001346 |
| Provider Name | Monica Mejia Acosta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255519120 PECOS PAC ID: 1759427156 Enrollment ID: I20190715002232 |
| Provider Name | Nishant Sadana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194082446 PECOS PAC ID: 6002077823 Enrollment ID: I20190722003079 |
| Provider Name | Moamen Mohammad Al Zoubi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770902587 PECOS PAC ID: 4688978083 Enrollment ID: I20190725000653 |
| Provider Name | Wendy Marie Belletynee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619529138 PECOS PAC ID: 5193051365 Enrollment ID: I20190725001093 |
| Provider Name | Rosario a Carrasco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720288079 PECOS PAC ID: 7012921869 Enrollment ID: I20190731002034 |
| Provider Name | Shannon R Brinley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588229413 PECOS PAC ID: 9436487303 Enrollment ID: I20190830000701 |
| Provider Name | Matthew Groenwald |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124461645 PECOS PAC ID: 6709169477 Enrollment ID: I20190906000047 |
| Provider Name | Mohammad Amir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386036085 PECOS PAC ID: 6204146848 Enrollment ID: I20190910002079 |
| Provider Name | Patrick Brian Mulligan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326433467 PECOS PAC ID: 8628371242 Enrollment ID: I20190910003165 |
| Provider Name | Stephanie N Okwudi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497138259 PECOS PAC ID: 0042520082 Enrollment ID: I20190927002042 |
| Provider Name | Maria V Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982087433 PECOS PAC ID: 0941505994 Enrollment ID: I20191004002895 |
| Provider Name | Mitchell Sheley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093102378 PECOS PAC ID: 5496056160 Enrollment ID: I20191028001195 |
| Provider Name | Rameeza Sheriff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770945222 PECOS PAC ID: 3072888197 Enrollment ID: I20191108000695 |
| Provider Name | Pierre Louis Lanthiez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801864970 PECOS PAC ID: 2769570860 Enrollment ID: I20191108002105 |
| Provider Name | Christian Ingui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893894 PECOS PAC ID: 0042213431 Enrollment ID: I20191111001244 |
| Provider Name | Kamiar Massrour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376791343 PECOS PAC ID: 4587704119 Enrollment ID: I20191112000552 |
| Provider Name | Jessica L Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093356974 PECOS PAC ID: 9032541099 Enrollment ID: I20191112002581 |
| Provider Name | Daniel Lucas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417905522 PECOS PAC ID: 8527040195 Enrollment ID: I20191113001025 |
| Provider Name | David Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659447118 PECOS PAC ID: 0143128082 Enrollment ID: I20191115002679 |
| Provider Name | Laura Sinada-bottros |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962799403 PECOS PAC ID: 8426398892 Enrollment ID: I20191216001830 |
| Provider Name | Jennifer C Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275193062 PECOS PAC ID: 9638503790 Enrollment ID: I20191223001784 |
| Provider Name | Farid Shafaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306891841 PECOS PAC ID: 4688636905 Enrollment ID: I20200107001199 |
| Provider Name | Ather M Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518308246 PECOS PAC ID: 2365763315 Enrollment ID: I20200109001931 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20200113001847 |
| Provider Name | Kushal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386063782 PECOS PAC ID: 9436432861 Enrollment ID: I20200213001219 |
| Provider Name | Shazia Azmat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231420 PECOS PAC ID: 5294168894 Enrollment ID: I20200319000087 |
| Provider Name | Uzma G Rezvi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003256850 PECOS PAC ID: 0648574384 Enrollment ID: I20200324001136 |
| Provider Name | Yaser R Mustafa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992217178 PECOS PAC ID: 1355670845 Enrollment ID: I20200327000327 |
| Provider Name | Eli T James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669959441 PECOS PAC ID: 2163855537 Enrollment ID: I20200330000551 |
| Provider Name | Janet Barkhou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144752528 PECOS PAC ID: 3678832268 Enrollment ID: I20200330001235 |
| Provider Name | Jason R Moen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588152714 PECOS PAC ID: 8123351590 Enrollment ID: I20200330001287 |
| Provider Name | Muhammad Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194213272 PECOS PAC ID: 5890030258 Enrollment ID: I20200330001725 |
| Provider Name | Jane E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942220140 PECOS PAC ID: 3375673122 Enrollment ID: I20200331000098 |
| Provider Name | Saba Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780172064 PECOS PAC ID: 7911230388 Enrollment ID: I20200402000004 |
| Provider Name | Jacob Landvatter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649768938 PECOS PAC ID: 9739413030 Enrollment ID: I20200402002468 |
| Provider Name | Suhail a Shaikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184808529 PECOS PAC ID: 0143380451 Enrollment ID: I20200417001859 |
| Provider Name | Kelsey Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497140503 PECOS PAC ID: 3072863646 Enrollment ID: I20200423003508 |
| Provider Name | Cory Deburghgraeve |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972920395 PECOS PAC ID: 3274833298 Enrollment ID: I20200527001514 |
| Provider Name | Kathryn R Johns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891223285 PECOS PAC ID: 7214358282 Enrollment ID: I20200529000032 |
| Provider Name | Joshua Paul Roach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326492018 PECOS PAC ID: 8628361664 Enrollment ID: I20200604000419 |
| Provider Name | Imdad Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053536219 PECOS PAC ID: 6305946344 Enrollment ID: I20200626000726 |
| Provider Name | Sean W Marquis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053554089 PECOS PAC ID: 5496921249 Enrollment ID: I20200708000417 |
| Provider Name | Vincent Boston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134572340 PECOS PAC ID: 1456686740 Enrollment ID: I20200729000398 |
| Provider Name | Jacob G Ginglen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538518386 PECOS PAC ID: 3779821467 Enrollment ID: I20200729001817 |
| Provider Name | Haile E Fitzgerald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245869502 PECOS PAC ID: 4587081641 Enrollment ID: I20200903001387 |
| Provider Name | Nicole M Gladchenko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437492675 PECOS PAC ID: 3476790692 Enrollment ID: I20200904000484 |
| Provider Name | James Robert Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750812145 PECOS PAC ID: 3375814825 Enrollment ID: I20200911000887 |
| Provider Name | Kathryn L Clemans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417574054 PECOS PAC ID: 0244658839 Enrollment ID: I20200914002497 |
| Provider Name | Abbas Chamsuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20201104000761 |
| Provider Name | Heather Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023621760 PECOS PAC ID: 1557772761 Enrollment ID: I20201119000669 |
| Provider Name | Jazira B Sultanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508238221 PECOS PAC ID: 3678874096 Enrollment ID: I20201204000302 |
| Provider Name | William Ekow Awotwi Ayetey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780604025 PECOS PAC ID: 5698817096 Enrollment ID: I20201217001725 |
| Provider Name | Chanthou Vong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811348170 PECOS PAC ID: 3375837768 Enrollment ID: I20201223000802 |
| Provider Name | Marwan M Abdulsattar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265790695 PECOS PAC ID: 9638468531 Enrollment ID: I20201223001790 |
| Provider Name | Jacob H Wolf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801445077 PECOS PAC ID: 5092149377 Enrollment ID: I20210208000774 |
| Provider Name | Aaron C Jun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033194253 PECOS PAC ID: 5496773061 Enrollment ID: I20210210001135 |
| Provider Name | David Ishimitsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497919641 PECOS PAC ID: 3173783057 Enrollment ID: I20210220000157 |
| Provider Name | Ewald Horwath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720128986 PECOS PAC ID: 7113975525 Enrollment ID: I20210305001723 |
| Provider Name | Charles Parker Windham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306058540 PECOS PAC ID: 5799708244 Enrollment ID: I20210308001516 |
| Provider Name | Carlos Collin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609850171 PECOS PAC ID: 2365487923 Enrollment ID: I20210309000244 |
| Provider Name | Alberto Penalver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740294545 PECOS PAC ID: 4183756687 Enrollment ID: I20210309002308 |
| Provider Name | Jonathan Hulkower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063597961 PECOS PAC ID: 0749323343 Enrollment ID: I20210309002646 |
| Provider Name | Diana Santiago Vergara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588872287 PECOS PAC ID: 2668597840 Enrollment ID: I20210310002559 |
| Provider Name | David B White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407310717 PECOS PAC ID: 1557601887 Enrollment ID: I20210319001421 |
| Provider Name | Kara M Sturlini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275043093 PECOS PAC ID: 1850652348 Enrollment ID: I20210330001968 |
| Provider Name | Mohammed I Azam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275947392 PECOS PAC ID: 4486920683 Enrollment ID: I20210412000915 |
| Provider Name | Julie Anne Gargollo Hervias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881849164 PECOS PAC ID: 5294143830 Enrollment ID: I20210420000517 |
| Provider Name | Larkin Xi Luo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265896260 PECOS PAC ID: 4981998481 Enrollment ID: I20210505000507 |
| Provider Name | Monika M Prost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265409122 PECOS PAC ID: 5294786349 Enrollment ID: I20210630003387 |
| Provider Name | Adewale Adeyooye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154842169 PECOS PAC ID: 7517231145 Enrollment ID: I20210806000471 |
| Provider Name | Fares W Sweis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083095814 PECOS PAC ID: 1254644735 Enrollment ID: I20210903001040 |
| Provider Name | Ari Plosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639141682 PECOS PAC ID: 4587693320 Enrollment ID: I20210913000064 |
| Provider Name | William Schneider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487966818 PECOS PAC ID: 5395083281 Enrollment ID: I20210913003104 |
| Provider Name | Thayer Hamoudah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568843209 PECOS PAC ID: 2769774611 Enrollment ID: I20210915001715 |
| Provider Name | Lauren Mount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487242830 PECOS PAC ID: 9931506987 Enrollment ID: I20210918000058 |
| Provider Name | Elizabeth Anne Steffens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497426290 PECOS PAC ID: 5193113991 Enrollment ID: I20211028000061 |
| Provider Name | Myra Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588075162 PECOS PAC ID: 5991008955 Enrollment ID: I20211101001357 |
| Provider Name | Christine Joy C Junia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649606179 PECOS PAC ID: 3173829538 Enrollment ID: I20211116001515 |
| Provider Name | Pamela Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871267997 PECOS PAC ID: 0547650707 Enrollment ID: I20211201002348 |
| Provider Name | Rita Lemngan Nkamanyang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396417671 PECOS PAC ID: 9931599610 Enrollment ID: I20211213001088 |
| Provider Name | Nadeen Z. Sweis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720469539 PECOS PAC ID: 0244543726 Enrollment ID: I20211227000335 |
| Provider Name | Kathryn M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223232 PECOS PAC ID: 3072904937 Enrollment ID: I20220103001928 |
| Provider Name | John Markos Mamalakis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780726661 PECOS PAC ID: 0749188712 Enrollment ID: I20220107000603 |
| Provider Name | Andrew R Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275988156 PECOS PAC ID: 1759619448 Enrollment ID: I20220224001133 |
| Provider Name | Kelsey H Hackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336715895 PECOS PAC ID: 0749674794 Enrollment ID: I20220308001935 |
| Provider Name | Alexander Tomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346608098 PECOS PAC ID: 0244538890 Enrollment ID: I20220329000812 |
| Provider Name | Hiba Anaqrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417516428 PECOS PAC ID: 2365777489 Enrollment ID: I20220413001038 |
| Provider Name | Gregory J Orth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205875788 PECOS PAC ID: 2860573722 Enrollment ID: I20220620000991 |
| Provider Name | Lance Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194773549 PECOS PAC ID: 2365455839 Enrollment ID: I20220718002922 |
| Provider Name | Monica Logan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568923498 PECOS PAC ID: 3678954716 Enrollment ID: I20220720001568 |
| Provider Name | Murtaza a Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174905277 PECOS PAC ID: 7113309915 Enrollment ID: I20220726002336 |
| Provider Name | Anna Frishman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801390943 PECOS PAC ID: 1254713845 Enrollment ID: I20220730000178 |
| Provider Name | Richard P Rousseau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063917144 PECOS PAC ID: 6901289800 Enrollment ID: I20220810000167 |
| Provider Name | Jonathan Ehrhardt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639205289 PECOS PAC ID: 4789782228 Enrollment ID: I20220812002172 |
| Provider Name | Lauren Nicole Charles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467915124 PECOS PAC ID: 0749663318 Enrollment ID: I20220815000898 |
| Provider Name | Diana a Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194930917 PECOS PAC ID: 0244410181 Enrollment ID: I20220817000661 |
| Provider Name | Shaji a Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316504939 PECOS PAC ID: 2163750712 Enrollment ID: I20220829001278 |
| Provider Name | Anthony D Dicianni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356790372 PECOS PAC ID: 2264855873 Enrollment ID: I20220912003607 |
| Provider Name | Stephanie Bui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285196733 PECOS PAC ID: 4789069030 Enrollment ID: I20220923000110 |
| Provider Name | Mahdieh Haji Amou Assar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518953926 PECOS PAC ID: 5799675781 Enrollment ID: I20221018001662 |
| Provider Name | Anthony Bernard Bullard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376590927 PECOS PAC ID: 8921077132 Enrollment ID: I20221026001191 |
| Provider Name | Keith Mcguire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310421 PECOS PAC ID: 6103093190 Enrollment ID: I20221027000061 |
| Provider Name | Paul Lampert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326010356 PECOS PAC ID: 4284532508 Enrollment ID: I20221101001710 |
| Provider Name | Faranak Sadri Tafazoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790717221 PECOS PAC ID: 7214005750 Enrollment ID: I20221103003161 |
| Provider Name | David D Nelsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417184169 PECOS PAC ID: 4183894587 Enrollment ID: I20230209002213 |
| Provider Name | Clark Russell Murray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699207241 PECOS PAC ID: 5395018378 Enrollment ID: I20230215001159 |
| Provider Name | Brittany Bankes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710690680 PECOS PAC ID: 4183097082 Enrollment ID: I20230223001317 |
| Provider Name | Mehreen Shazeb Rathore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235429762 PECOS PAC ID: 5597983882 Enrollment ID: I20230303002064 |
| Provider Name | Miguel Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255418984 PECOS PAC ID: 0648464529 Enrollment ID: I20230309000572 |
| Provider Name | Steven White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174529507 PECOS PAC ID: 3375595846 Enrollment ID: I20230321002751 |
| Provider Name | Marina Karamanis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699303164 PECOS PAC ID: 7113391442 Enrollment ID: I20230328000774 |
| Provider Name | Adam Nathan Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801117585 PECOS PAC ID: 4486883014 Enrollment ID: I20230424001287 |
| Provider Name | Ramoncito Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528761061 PECOS PAC ID: 1254797061 Enrollment ID: I20230522001848 |
| Provider Name | Abdulrazzak Zarifa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629603139 PECOS PAC ID: 6002273414 Enrollment ID: I20230530002831 |
| Provider Name | William Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984238 PECOS PAC ID: 2062460694 Enrollment ID: I20230606001436 |
| Provider Name | Asma Hashim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780245050 PECOS PAC ID: 4082945233 Enrollment ID: I20230613000178 |
| Provider Name | Monika Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316205966 PECOS PAC ID: 1456661602 Enrollment ID: I20230627000492 |
| Provider Name | Robb R Whinney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568480044 PECOS PAC ID: 2860384237 Enrollment ID: I20230627001293 |
| Provider Name | Farhan Shahab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114549417 PECOS PAC ID: 2961825880 Enrollment ID: I20230628003735 |
| Provider Name | Emily Duym |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225591134 PECOS PAC ID: 3971838244 Enrollment ID: I20230705001786 |
| Provider Name | James Chatham Jr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629130141 PECOS PAC ID: 6002968773 Enrollment ID: I20230711003323 |
| Provider Name | Katlyn D Koskotas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093406837 PECOS PAC ID: 9830559434 Enrollment ID: I20230713003915 |
| Provider Name | Jennifer C Kubacik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609390087 PECOS PAC ID: 5698135242 Enrollment ID: I20230714001604 |
| Provider Name | Palanikumar Balasundaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881180412 PECOS PAC ID: 9739549825 Enrollment ID: I20230720003876 |
| Provider Name | Christopher O'hara Hampson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033262985 PECOS PAC ID: 9638225881 Enrollment ID: I20230724001647 |
| Provider Name | Abhirami Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942652409 PECOS PAC ID: 0941538011 Enrollment ID: I20230808001165 |
| Provider Name | Vasanth Kattalai Kailasam |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275882730 PECOS PAC ID: 6204116148 Enrollment ID: I20230810000314 |
| Provider Name | Karl Magsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033202536 PECOS PAC ID: 8921084187 Enrollment ID: I20230830000412 |
| Provider Name | Jeffrey Alan Zuckerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326153701 PECOS PAC ID: 7113810318 Enrollment ID: I20230830002768 |
| Provider Name | Kajel K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871118083 PECOS PAC ID: 1658735840 Enrollment ID: I20230906002319 |
| Provider Name | Umber Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083957153 PECOS PAC ID: 1557599941 Enrollment ID: I20230907001960 |
| Provider Name | Jibran Rana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043638729 PECOS PAC ID: 8729207865 Enrollment ID: I20230925001165 |
| Provider Name | Meredith Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114588597 PECOS PAC ID: 5193057859 Enrollment ID: I20231002003036 |
| Provider Name | Hyojin Jeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578190054 PECOS PAC ID: 2062867302 Enrollment ID: I20231006001324 |
| Provider Name | Joseph Couvillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053517516 PECOS PAC ID: 0547438160 Enrollment ID: I20231012000682 |
| Provider Name | Hafiz Dewan Hamza Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154757607 PECOS PAC ID: 8628366614 Enrollment ID: I20231017001329 |
| Provider Name | Julie Bayus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275993271 PECOS PAC ID: 4880990977 Enrollment ID: I20231019001859 |
| Provider Name | Tiffani Henn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255115838 PECOS PAC ID: 7416303797 Enrollment ID: I20231023001626 |
| Provider Name | Joseph Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477940070 PECOS PAC ID: 8022439108 Enrollment ID: I20231030001538 |
| Provider Name | Lisa Roxworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174209746 PECOS PAC ID: 6204282809 Enrollment ID: I20231101003098 |
| Provider Name | David Reiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174572572 PECOS PAC ID: 4981616661 Enrollment ID: I20231106001958 |
| Provider Name | Julia Kim Leblanc |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467416990 PECOS PAC ID: 6002805801 Enrollment ID: I20231114001727 |
| Provider Name | William C Leach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558399279 PECOS PAC ID: 7719980911 Enrollment ID: I20231117002212 |
| Provider Name | Earl Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912561077 PECOS PAC ID: 2062839707 Enrollment ID: I20231120001076 |
| Provider Name | Shetal Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982135067 PECOS PAC ID: 6406269901 Enrollment ID: I20231206002022 |
| Provider Name | Pauline Galsim |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902671894 PECOS PAC ID: 7214386879 Enrollment ID: I20231208000905 |
| Provider Name | Matthew Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619239936 PECOS PAC ID: 6103130653 Enrollment ID: I20231212001505 |
| Provider Name | Andrew James Rife |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902421449 PECOS PAC ID: 5092164392 Enrollment ID: I20231212002924 |
| Provider Name | Katherine Aulis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558985861 PECOS PAC ID: 8527478858 Enrollment ID: I20231213000903 |
| Provider Name | Aaron M Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750768271 PECOS PAC ID: 9638428840 Enrollment ID: I20231229000580 |
| Provider Name | Nikyla Lee Bilderback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164296844 PECOS PAC ID: 7416309927 Enrollment ID: I20240120000212 |
| Provider Name | Haleem J Rasool |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790766392 PECOS PAC ID: 2961495114 Enrollment ID: I20240122002554 |
| Provider Name | Christina M Quijano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356387112 PECOS PAC ID: 6103810171 Enrollment ID: I20240205003038 |
| Provider Name | Andrew Owens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194168161 PECOS PAC ID: 5496051898 Enrollment ID: I20240305000953 |
| Provider Name | Jeffrey Saunders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811945876 PECOS PAC ID: 7810938933 Enrollment ID: I20240306000850 |
| Provider Name | Sandra Engemann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992780977 PECOS PAC ID: 0143213694 Enrollment ID: I20240312001978 |
| Provider Name | Matthew Darwin Tyl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851734222 PECOS PAC ID: 4880903277 Enrollment ID: I20240320003407 |
| Provider Name | Megan P Griesman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710603121 PECOS PAC ID: 4688044423 Enrollment ID: I20240325002115 |
| Provider Name | J Paul Rubin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720036312 PECOS PAC ID: 9436056215 Enrollment ID: I20240404003474 |
| Provider Name | Anqi Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588240022 PECOS PAC ID: 4082054085 Enrollment ID: I20240424001529 |
| Provider Name | Manish Rochwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841605425 PECOS PAC ID: 5092000885 Enrollment ID: I20240424001924 |
| Provider Name | Irina Goncharova |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104857465 PECOS PAC ID: 7012916968 Enrollment ID: I20240501002920 |
| Provider Name | Vanessa Khoury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437736667 PECOS PAC ID: 3971908898 Enrollment ID: I20240523000928 |
| Provider Name | Sean Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20240529001286 |
| Provider Name | Shane P Dorsey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346700903 PECOS PAC ID: 4486032208 Enrollment ID: I20240613000716 |
| Provider Name | Brittany Nicole Geilear |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871296061 PECOS PAC ID: 6305380023 Enrollment ID: I20240704000238 |
| Provider Name | Faiz Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174084974 PECOS PAC ID: 4385971605 Enrollment ID: I20240708003780 |
| Provider Name | Amer Rasheed |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417454778 PECOS PAC ID: 1951770148 Enrollment ID: I20240709000530 |
| Provider Name | Dax Patrick Wolford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851742100 PECOS PAC ID: 1759790850 Enrollment ID: I20240730002820 |
| Provider Name | Vishal Mittal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558935288 PECOS PAC ID: 1951704675 Enrollment ID: I20240808001178 |
| Provider Name | Tochukwu Adaobi Ibe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821653361 PECOS PAC ID: 7517388044 Enrollment ID: I20240813000929 |
| Provider Name | Elton Rex Naidoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366619892 PECOS PAC ID: 9335387943 Enrollment ID: I20240814003221 |
| Provider Name | Ayeza Jamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942888375 PECOS PAC ID: 5496299174 Enrollment ID: I20240814003348 |
| Provider Name | Michael Patrick Golden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093385460 PECOS PAC ID: 4486055258 Enrollment ID: I20240819000518 |
| Provider Name | Michael Joshua Wakely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447836846 PECOS PAC ID: 8325587884 Enrollment ID: I20240828002271 |
| Provider Name | Charles Andrews |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518936228 PECOS PAC ID: 1658262225 Enrollment ID: I20240830002623 |
| Provider Name | Mohamed Eldeen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306492517 PECOS PAC ID: 0749643542 Enrollment ID: I20240831000577 |
| Provider Name | Julia L Rehlinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346998259 PECOS PAC ID: 1850830043 Enrollment ID: I20240903000415 |
| Provider Name | Michelle Ida Tenuta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174302384 PECOS PAC ID: 9638618309 Enrollment ID: I20240904000716 |
| Provider Name | Clarence S Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982633426 PECOS PAC ID: 9931102746 Enrollment ID: I20240906002889 |
| Provider Name | Evan Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639462450 PECOS PAC ID: 2466708763 Enrollment ID: I20240910001638 |
| Provider Name | Ranran Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205254539 PECOS PAC ID: 5193942738 Enrollment ID: I20240911003067 |
| Provider Name | Renatta Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881325819 PECOS PAC ID: 8325428006 Enrollment ID: I20240919003450 |
| Provider Name | Joshua W Mccain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487742698 PECOS PAC ID: 5395914154 Enrollment ID: I20240923003314 |
| Provider Name | Carolina Halina Hartje |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942881883 PECOS PAC ID: 5395141626 Enrollment ID: I20240925001392 |
| Provider Name | Lewis Kerwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952807968 PECOS PAC ID: 0143576793 Enrollment ID: I20240930001204 |
| Provider Name | George Dehoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588807606 PECOS PAC ID: 5698911311 Enrollment ID: I20241007002188 |
| Provider Name | Stewart Pine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144776832 PECOS PAC ID: 8921428822 Enrollment ID: I20241010004132 |
| Provider Name | Kathleen Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043055312 PECOS PAC ID: 2769914837 Enrollment ID: I20241014003487 |
| Provider Name | Michael Benanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619945342 PECOS PAC ID: 7911964853 Enrollment ID: I20241017001809 |
| Provider Name | Joseph Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326493990 PECOS PAC ID: 5294073458 Enrollment ID: I20241017002230 |
| Provider Name | Tse F Anyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417490301 PECOS PAC ID: 9537538723 Enrollment ID: I20241017002973 |
| Provider Name | Jonathan Carl Tiemann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437732708 PECOS PAC ID: 7012362163 Enrollment ID: I20241025000315 |
| Provider Name | Linda Go |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1942406087 PECOS PAC ID: 2769782085 Enrollment ID: I20241105000692 |
| Provider Name | Melissa L Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780806968 PECOS PAC ID: 8921132788 Enrollment ID: I20241106000544 |
| Provider Name | Giancarlo Colon Vilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508151762 PECOS PAC ID: 2961708334 Enrollment ID: I20241108000142 |
| Provider Name | Jin Tao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144806605 PECOS PAC ID: 9931633823 Enrollment ID: I20241115000028 |
| Provider Name | Ammar Tarabichi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750941639 PECOS PAC ID: 0840524328 Enrollment ID: I20241125003264 |
| Provider Name | Rahul Pawar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487819553 PECOS PAC ID: 4880872472 Enrollment ID: I20241202000294 |
| Provider Name | Donald Stuart Berry |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063539625 PECOS PAC ID: 2668853599 Enrollment ID: I20241204000146 |
| Provider Name | Valerie Kae Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003643669 PECOS PAC ID: 2062948201 Enrollment ID: I20241211000425 |
| Provider Name | Michael Mcdonald Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083842165 PECOS PAC ID: 8224350756 Enrollment ID: I20241219003929 |
| Provider Name | Parthiv B Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649419714 PECOS PAC ID: 3274767090 Enrollment ID: I20241227001183 |
| Provider Name | Jennifer Noelle O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689411548 PECOS PAC ID: 5890222996 Enrollment ID: I20250102000032 |
| Provider Name | Christopher J Vermillion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659638997 PECOS PAC ID: 1355562042 Enrollment ID: I20250102000270 |
| Provider Name | Fah S. Leong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184685299 PECOS PAC ID: 0547340655 Enrollment ID: I20250107002874 |
| Provider Name | Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326531138 PECOS PAC ID: 8628323201 Enrollment ID: I20250109000198 |
| Provider Name | Arnav Roopkumar Pondicherry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306307624 PECOS PAC ID: 5092040246 Enrollment ID: I20250109001394 |
| Provider Name | Sara Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073768248 PECOS PAC ID: 5294911608 Enrollment ID: I20250109001789 |
| Provider Name | Christopher Michael Koenig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104205467 PECOS PAC ID: 5092000265 Enrollment ID: I20250116003587 |
| Provider Name | Robert Langenohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457719023 PECOS PAC ID: 4082013883 Enrollment ID: I20250204000529 |
| Provider Name | Megan Le |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396265344 PECOS PAC ID: 9335679430 Enrollment ID: I20250204003535 |
| Provider Name | Aimee E Schneider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104449826 PECOS PAC ID: 1658749783 Enrollment ID: I20250210000157 |
| Provider Name | Nagib Chowdhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184851792 PECOS PAC ID: 8325281207 Enrollment ID: I20250210000654 |
| Provider Name | Wendell Grigg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376596833 PECOS PAC ID: 6305822727 Enrollment ID: I20250224000984 |
| Provider Name | Heather M Cloum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154701076 PECOS PAC ID: 6406160456 Enrollment ID: I20250228002731 |
| Provider Name | Cameron Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922685999 PECOS PAC ID: 6709288566 Enrollment ID: I20250305001871 |
| Provider Name | Ann M Bunnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285957399 PECOS PAC ID: 1052442654 Enrollment ID: I20250305003792 |
| Provider Name | Sophia Kimberly Fanara |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619780889 PECOS PAC ID: 5890217939 Enrollment ID: I20250319000280 |
| Provider Name | Daniel Eberdt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780446427 PECOS PAC ID: 7214459247 Enrollment ID: I20250319004025 |
| Provider Name | Albert Segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033934708 PECOS PAC ID: 8921522160 Enrollment ID: I20250409000318 |
| Provider Name | Dennis Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235160524 PECOS PAC ID: 5991606956 Enrollment ID: I20250409000734 |
| Provider Name | Selena Christiansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578330130 PECOS PAC ID: 3870930886 Enrollment ID: I20250415000200 |
| Provider Name | Julie J Sundaram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184691347 PECOS PAC ID: 5294864054 Enrollment ID: I20250415002529 |
| Provider Name | Marlena Dagostin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720578180 PECOS PAC ID: 9436674959 Enrollment ID: I20250417000742 |
| Provider Name | Kiron Master |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376535005 PECOS PAC ID: 0345293601 Enrollment ID: I20250501002744 |
| Provider Name | Molly Elizabeth Freely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578734927 PECOS PAC ID: 3971020058 Enrollment ID: I20250512003202 |
| Provider Name | Ihtesham Qureshi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1275989543 PECOS PAC ID: 4284032715 Enrollment ID: I20250513001666 |
| Provider Name | Traci Leigh Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649543042 PECOS PAC ID: 2163940206 Enrollment ID: I20250513002155 |
| Provider Name | Straight Line Arla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962660068 PECOS PAC ID: 7113177759 Enrollment ID: I20250515001452 |
| Provider Name | Alexandra H Atkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942876792 PECOS PAC ID: 2769883016 Enrollment ID: I20250604001888 |
| Provider Name | Ania K Henning |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942706155 PECOS PAC ID: 3779957568 Enrollment ID: I20250606002560 |
| Provider Name | Mary Colette Valentine |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992595490 PECOS PAC ID: 7214447127 Enrollment ID: I20250610002204 |
| Provider Name | Ashley L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841844305 PECOS PAC ID: 3779916952 Enrollment ID: I20250613000875 |
| Provider Name | Panagiota Korenis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881832780 PECOS PAC ID: 3779717160 Enrollment ID: I20250624002681 |
| Provider Name | Andre Jawann Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023162559 PECOS PAC ID: 6406917285 Enrollment ID: I20250624003109 |
| Provider Name | Carter Bagley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538854062 PECOS PAC ID: 3476914250 Enrollment ID: I20250626000137 |
| Provider Name | Steven Saletta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255074407 PECOS PAC ID: 8527572312 Enrollment ID: I20250703002129 |
| Provider Name | Aimee Marie Schuh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134659089 PECOS PAC ID: 6507127495 Enrollment ID: I20250704000163 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20250710003142 |
| Provider Name | Nicholas Gregory Baur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144783309 PECOS PAC ID: 1759618499 Enrollment ID: I20250716001790 |
| Provider Name | Lyle Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730208158 PECOS PAC ID: 7315855491 Enrollment ID: I20250717000085 |
| Provider Name | Neil Karan Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265105472 PECOS PAC ID: 7315342086 Enrollment ID: I20250719000405 |
| Provider Name | Fahad Sarvari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497497473 PECOS PAC ID: 5597272039 Enrollment ID: I20250729002479 |
| Provider Name | Cynthia Janelle Sung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982807970 PECOS PAC ID: 4082883228 Enrollment ID: I20250730003068 |
| Provider Name | Mayur Narkhede |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730529777 PECOS PAC ID: 7911230792 Enrollment ID: I20250806000299 |
| Provider Name | Rissa Fedora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780143149 PECOS PAC ID: 4082153994 Enrollment ID: I20250807001694 |
| Provider Name | Charles Bach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609436898 PECOS PAC ID: 4981939097 Enrollment ID: I20250814000988 |
| Provider Name | Patrick Mercho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477164077 PECOS PAC ID: 5395283188 Enrollment ID: I20250818000142 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326256678 PECOS PAC ID: 0244397065 Enrollment ID: I20250819003649 |
| Provider Name | Zebi Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063074011 PECOS PAC ID: 3678983137 Enrollment ID: I20250820001593 |
| Provider Name | Joshua Malinis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699424143 PECOS PAC ID: 0648770495 Enrollment ID: I20250826000292 |
| Provider Name | Claudia Rodriguez Galvis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730380130 PECOS PAC ID: 5799855540 Enrollment ID: I20250827004362 |
| Provider Name | Jeffrey Masi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972707545 PECOS PAC ID: 0446437859 Enrollment ID: I20250902002293 |
| Provider Name | Crystal Rayon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265968655 PECOS PAC ID: 8820369184 Enrollment ID: I20250904001025 |
| Provider Name | Benjamin M Wilkinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063089241 PECOS PAC ID: 4688076698 Enrollment ID: I20250904003876 |
| Provider Name | Jasbir Grewal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881731560 PECOS PAC ID: 5092746164 Enrollment ID: I20250908000611 |
| Provider Name | Samuel Azeze |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275981631 PECOS PAC ID: 8921492752 Enrollment ID: I20250909003329 |
| Provider Name | John Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679206296 PECOS PAC ID: 5698212108 Enrollment ID: I20250911000258 |
| Provider Name | Robert Bartucci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912054990 PECOS PAC ID: 5092717553 Enrollment ID: I20250911004740 |
| Provider Name | Ryan Gene O'hara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821154121 PECOS PAC ID: 9931294618 Enrollment ID: I20250915001073 |
| Provider Name | Hunter J Promer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912535568 PECOS PAC ID: 1456774439 Enrollment ID: I20250915002702 |
| Provider Name | Laura Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447576228 PECOS PAC ID: 4587827134 Enrollment ID: I20250916001321 |
| Provider Name | Jamie Lynn Koopman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649965526 PECOS PAC ID: 1658875018 Enrollment ID: I20250918001864 |
| Provider Name | Esther Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063640878 PECOS PAC ID: 5597076802 Enrollment ID: I20250924000706 |
| Provider Name | Thomas Allen Rayner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194008979 PECOS PAC ID: 0941533574 Enrollment ID: I20250929002827 |
| Provider Name | Jibril Ashiru-balogun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669047551 PECOS PAC ID: 8123550449 Enrollment ID: I20251008001530 |
| Provider Name | Matthew Shopshire-griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881343457 PECOS PAC ID: 9133616386 Enrollment ID: I20251013002772 |
| Provider Name | Mary Augustian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295259513 PECOS PAC ID: 4284057597 Enrollment ID: I20251016002948 |
| Provider Name | Malaika Rose Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063875847 PECOS PAC ID: 6608296645 Enrollment ID: I20251029002464 |
| Provider Name | Aitala Giron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922057413 PECOS PAC ID: 1658603733 Enrollment ID: I20251030001474 |
| Provider Name | Daryl R Tanski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497809834 PECOS PAC ID: 7012937311 Enrollment ID: I20251031003347 |
| Provider Name | Jeffrey Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528216090 PECOS PAC ID: 2769654581 Enrollment ID: I20251110000443 |
| Provider Name | Kevin Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619137106 PECOS PAC ID: 7719201128 Enrollment ID: I20251113000481 |
| Provider Name | Charles Braxton Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568959120 PECOS PAC ID: 5395071799 Enrollment ID: I20251121001139 |
| Provider Name | Michelle Aceves-ochoa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154296218 PECOS PAC ID: 0941792592 Enrollment ID: I20251121002461 |
| Provider Name | Adrienne Mary Krysiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023549847 PECOS PAC ID: 1557638392 Enrollment ID: I20251217001584 |
| Provider Name | Leena Mammen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275568826 PECOS PAC ID: 3476517848 Enrollment ID: I20260105000474 |
| Provider Name | Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326531138 PECOS PAC ID: 8628323201 Enrollment ID: I20260121003133 |
| Provider Name | Jeffrey Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316334683 PECOS PAC ID: 4385958065 Enrollment ID: I20260206001925 |
| Provider Name | Ahmet Sakiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447900378 PECOS PAC ID: 4284113127 Enrollment ID: I20260210002932 |
| Provider Name | Michael Goldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003854985 PECOS PAC ID: 2668568825 Enrollment ID: I20260211001926 |
| Provider Name | Hariharan Palayapalayam Ganapathi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154860526 PECOS PAC ID: 1658627534 Enrollment ID: I20260211002921 |
| Provider Name | Paulina Monika Schuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174493035 PECOS PAC ID: 8426538893 Enrollment ID: I20260214000624 |
| Provider Name | Ramana Surya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144260621 PECOS PAC ID: 6002957438 Enrollment ID: I20260216000843 |
| Provider Name | Syeda Anum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564457 PECOS PAC ID: 2365799061 Enrollment ID: I20260219002442 |
| Provider Name | Haley Sauder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114347564 PECOS PAC ID: 3779700117 Enrollment ID: I20260227002738 |
| Provider Name | Christopher M Tanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619394723 PECOS PAC ID: 5395045850 Enrollment ID: I20260304002901 |
| Provider Name | Amanda Nicole Sedlak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639031982 PECOS PAC ID: 0244712438 Enrollment ID: I20260306000117 |
| Provider Name | Madelyn Vavra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093679342 PECOS PAC ID: 6204319148 Enrollment ID: I20260310001955 |
| Provider Name | Joseph George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740398643 PECOS PAC ID: 8628066289 Enrollment ID: I20260317000926 |
| Provider Name | Haley Elisabeth Makar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639015498 PECOS PAC ID: 0143798611 Enrollment ID: I20260504007303 |
| Provider Name | James Larsen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366767352 PECOS PAC ID: 4284882242 Enrollment ID: I20260507004284 |
| Provider Name | Alexander Copelan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932469673 PECOS PAC ID: 8325279839 Enrollment ID: I20260511001433 |
| Provider Name | Kyle B Nichols |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194041285 PECOS PAC ID: 3678706009 Enrollment ID: I20260603002257 |
Mercy Hospital Janesville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 |
Liberty Star Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Center Ave, Suite 5, Janesville, WI 53546 Phone: 608-563-4213 Fax: 866-998-1030 |
Janesville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Creston Park Dr, Janesville, WI 53545 Phone: 608-757-1217 |
Quad/med, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 Plainfield Ave, Janesville, WI 53545 Phone: 414-566-4000 |
Badger Veterinary Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3113 Mccormick Dr, Janesville, WI 53546 Phone: 608-754-1888 |
Mercy Options Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174 |